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Publikacije (103)

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P. Amodio, M. Boeckle, Alexandra K. Schnell, L. Ostojić, G. Fiorito, N. Clayton

INTRODUCTION Education in medicine faces a number of challenges and dilemmas and the onus is on Medical hodegetics, an important but almost forgotten discipline, to address them effectively. The task and final goal of education in medicine is to coach students into professionals, effective and ethical practitioners of medicine, giving them the best available knowledge, skills and attitudes and providing them with a professional identity so that they are able to think, speak, act and feel like medical doctors. During the life course human beings organize their experiences into a meaningful narrative that involves their personal, private, public and professional selves. The self can be defined as a distinct principle of identity, as a narrative construction and as an experiential dimension. AIM The aim of this paper is to address the actuality and vitality of the hodegetic approach in medical education and professionalism. METHODS By cross-sectional study authors of the paper searched on-line scientific data-bases and analyzed references about Medical hodegetics subject. RESULTS Drawing on the literature on psychology of self, identity formation and personality styles as well as on own experience in medical education, the authors stress the increasing importance of medical hodegetics, very useful, but almost completely forgotten discipline. Medical hodegetics which involves all evidence-based medicine, values-based medicine, narrative medicine and person-centered medicine can significantly improve the quality of medical education. The identity of any person in any moment reflects its three domains: individual identity, relational identity, and collective identity, all relevant to medical education. The concept of professional identity formation has recently emerged and attracted great attention in literature on medical education and professionalism. Hodegetics, as a discipline that trains it, seems to us that the essential part of life and what every person should follow. CONCLUSION Medical hodegetics is an important pillar of the triad of medical deontology as well as it could be an important discipline in medical education and professional identity formation.

R. Crosby, Edward W. Legg, N. Clayton, L. Ostojić

Recent research has uncovered a developmental paradox within theory of mind. While spontaneous response measures indicate sensitivity to false beliefs in infants before their first birthday, tasks involving elicited response measures of false belief are only passed consistently from 4 years of age. In adults, it has been suggested that these spontaneous responses may result from a minimal theory of mind system, which allows rapid and automatic attribution of mental states to others.It has been proposed that the limitations of the minimal system in adults may resemble the limitations demonstrated by non-human animals in tasks thought to involve mental state attribution. Here we have adapted the specific satiety paradigm used with Eurasian jays to investigate adult humans’ anticipatory looking responses based on another individual’s specific satiety.Although no clear evidence was found for spontaneous desire attribution in this study, it is difficult to draw conclusions from these results given the small sample sizes available and the current replication failures of studies demonstrating spontaneous responses to false belief.

Zoran Zubak, Admir Terzic, N. Zenić, L. Ostojić, Ivana Zubak, M. Jeličić, H. Pojskić

Sport participation is considered as a factor of potential influence on illicit drug misuse (IDM) in adolescence, but there is an evident lack of studies which prospectively investigated this problem. This study aimed to prospectively investigate the sports-related factors related to IDM and the initiation of IDM among older adolescents. The participants were 436 adolescents (202 females; 16 years old at study baseline). They were tested at baseline and follow-up (two years later). The predictors included variables associated with different facets of sports participation and success in sports. The criteria were (i) baseline IDM, (ii) follow-up IDM, and (iii) initiation of IDM between baseline and follow-up. Crude and adjusted (controlled for parental conflict, age, socioeconomic status, and gender) logistic regressions were applied to establish correlations between predictors and criteria. There were higher odds for baseline IDM in adolescents who quit individual sports (OR: 4.2, 95% CI: 1.3-13.9), who had better competitive sports achievements (OR: 1.8, 95% CI: 1.0-3.3), and those involved in sports for a longer time (OR: 1.6, 95% CI: 1.0-2.5). The IDM at follow-up was more prevalent in adolescents who were involved in sports for a longer time (OR: 1.7, 95% CI: 1.1-2.6). Initiation of drug use was predicted by longer experience in sports (OR: 1.8, 95% CI: 1.1-3.1). Sports-related factors were more negatively than positively related to illicit drug use. Most probably, the transition from junior to senior level in sports put specific stress on those adolescents who were highly committed to sports until that time, but who then had to question their own sports abilities and future potential in sports. Sport-authorities should be informed on established results and specific public-health efforts aimed at preventing IDM in athletic adolescents are urgently needed.

L. Ostojić, B. Farrar, P. Amodio, N. Clayton, Christopher Krupenye, R. Crosby

L. Ostojić, P. Amodio, B. Farrar, Johanni Brea, N. Clayton

B. Farrar, L. Ostojić

When given privileged information of an object’s true location, adults often overestimate the likelihood that a protagonist holding a false belief will search in the correct location for that object. This type of egocentric bias is often labelled the ‘curse of knowledge’. Interestingly, the magnitude of this bias may be modulated by the social distance between the perspective taker and target. However, this social distance effect has yet to be fully demonstrated when adults reason about false beliefs. Using a continuous false belief task, we investigated i) whether adults were biased by their own knowledge when reasoning about another’s false belief, ii) whether the magnitude of this egocentric bias was modulated by social distance, and iii) whether this social distance effect extended to a heterospecific out-group, namely a dog. To test these hypotheses we conducted three experiments. In Experiment 1 (N = 283), we used an established continuous false belief task, in Experiment 2 (N = 281) we modified this task, and Experiment 3 (N = 744) was a direct replication of Experiment 2. Across these experiments, the curse of knowledge effect was reliably replicated when adults mentalised about an in-group protagonist, and replicated in two of the three studies (Experiments 1 and 3) when adults mentalised about out-group protagonists. In an internal-meta analysis, the curse of knowledge effect was present across all conditions, and there was no effect of social distance. Hence, overall these data are not consistent with the hypothesis that social distance modulates adults’ egocentric biases when reasoning about false beliefs. The finding that egocentric biases of a similar magnitude were observed when adults mentalised about an in-group protagonist and a dog suggests that interpersonal dissimilarity is not in itself sufficient to reduce egocentric bias when reasoning about false beliefs.

Zoran Zubak, N. Zenić, L. Ostojić, Ivana Zubak, H. Pojskić

Background: This study aimed to prospectively investigate the scholastic factors related to illicit drug misuse (IDM) and the initiation of IDM among older adolescents from Bosnia and Herzegovina. Methods: This 2-year prospective study included 436 participants (202 females), who were an average of 16 years old at the beginning of the study (baseline). The participants were tested at baseline and follow-up (20 months later). The predictors included variables of scholastic-achievement (grade point average, school absences, unexcused absences and behavioral grade). The criteria were: (i) IDM at baseline; (ii) IDM at follow-up; and (iii) initiation of IDM over the study course. Results: Logistic regression indicated increased odds of IDM in adolescents who were more frequent absent from school (baseline: Odds Ratio (OR): 3.73, 95% Confidence Interval (CI): 2.12–6.57; follow-up: OR: 2.91, 95% CI: 1.90–4.65). The lower grade point average and more unexcused absences were evidenced for adolescents who consumed drugs on follow-up (OR: 1.67, 95% CI: 1.11–2.51; OR: 1.74, 95% CI: 1.30–2.32 for grade point average and unexcused absences, respectively). Initiation of IDM was predicted by frequent absences from school (OR: 2.2, 95% CI: 1.3–3.8), and lower behavioral grades (OR: 1.9, 95% CI: 1.2–3.3). Conclusions: The findings confirmed strong correlations between scholastic failure and IDM. Absences from school and lower behavioral grades at baseline were predictive of the initiation of IDM in older adolescents.

Katharina F. Brecht, L. Ostojić, Edward W. Legg, N. Clayton

Previous research has suggested that videos can be used to experimentally manipulate social stimuli. In the present study, we used the California scrub-jays’ cache protection strategies to assess whether video playback can be used to simulate conspecifics in a social context. In both the lab and the field, scrub-jays are known to exhibit a range of behaviours to protect their caches from potential pilferage by a conspecific, for example by hiding food in locations out of the observer’s view or by re-caching previously made caches once the observer has left. Here, we presented scrub-jays with videos of a conspecific observer as well as two non-social conditions during a caching period and assessed whether they would cache out of the observer’s “view” (Experiment 1) or would re-cache their caches once the observer was no longer present (Experiment 2). In contrast to previous studies using live observers, the scrub-jays’ caching and re-caching behaviour was not influenced by whether the observer was present or absent. These findings suggest that there might be limitations in using video playback of social agents to mimic real-life situations when investigating corvid decision making.

Mladenka Naletilić, V. Tomić, L. Ostojić, V. Damjanović, Mirjana Grabovac

BACKGROUND The quality of life (QOL) of mothers who have children with cerebral palsy (CP) is significantly worse than in mothers with typically developing children. In available literature we have not found an approach which analyzes the correlation of mothers' personality traits with their QOL and health related quality of life (HrQOL). SUBJECTS AND METHODS The study included 101 mothers of children with CP, aged 4 to 18 years. Mothers' personalities have been assessed by Eysenck EPQ - R questionnaire that determines three personality traits: neuroticism/emotional stability, extroversion/introversion and psychoticism. Maternal HrQOL was assessed by SF-36 questionnaire, Short Form, and their emotional well-being by WHO 5 well-being index. In addition, the influence of mothers' religiosity was also analyzed, using DUREL Religiosity Questionnaire. Motor assessment of children was performed using Gross Motor Function Classification System. The control group consisted of mothers of typically developing children of the same age. RESULTS Participants with high levels of extraversion had better QOL and HrQOL, as opposed to those with high levels of neuroticism and psychoticism, who had worse physical and mental health. The degree of children's motor impairment and mothers' religiosity did not influence QOL. Regression analysis distinguishes the following predictors for better mothers' QOL: better their mental health, greater level of their vitality, extroversion, living with a partner, a lesser degree of children's motor impairment and better their QOL. CONCLUSIONS It is vital to identify the factors that affect QOL of a mother and a child with CP. We consider it justified to regularly conduct mothers' professional monitoring and treatment simultaneously with children's treatment and we propose the protocol for the individual and targeted approach.

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