Genetic Risk,Perceived Risk,and Cancer Worry in Daughters of Breast Cancer Patients

This study explored relationships between worry, perceived risk for breast cancer, consulting a genetic counselor, having genetic testing, and genetic risk for women whose mothers had breast cancer. Analyses involved data from a community-based phone survey of women whose mothers had breast cancer. Participants were categorized as having low, intermediate, or high genetic risk based on their reported family history, in accordance with an accepted classification scheme. The Lerman Breast Cancer Worry Scale measured worry, and participants reported their perceived lifetime likelihood of breast cancer, risk compared to others, and chance from 1 to 100. ANOVA, chi-square, and multiple regression analyses were conducted as appropriate. One hundred-fifty women participated. Mean age was 38 years, and 81% were Caucasian. Fifty-two women had low, 74 had intermediate, and 24 had high genetic risk for breast cancer. There were no significant differences in worry or perceived risk by hereditary risk category. Most high-risk women (91%) had not spoken with a genetic counselor, and no one had previous genetic testing. These findings suggest perceived risk, worry about breast cancer, and use of expert consultation do not match the genetic contribution to risk. There is a need for effectively stratifying and communicating risk in the community and providing tailored reassurance or referral for high-risk assessment.     

After 9/11 at Ground Zero: The Anxiety-Buffering Effects of Worldview Support on the First Anniversary of 9/11

A field experiment adjacent to the former World Trade Center in New York City on the anniversary of the 9/11 terrorist attacks examined the prediction of terror management theory (TMT; Greenberg, Pyszcznyski, & Solomon, 1986) that individuals validate their cultural beliefs when exposed to subtle rather than overt death reminders. Participants (N = 410) who were exposed to a subtle reminder of 9/11 perceived more social consensus for their belief than those who were exposed to an overt one. Consistent with TMT, the pattern was especially strong for participants with the minority belief. The effect abated once the anniversary ended. The implications of this research and future directions are discussed.     

The Effect of Perceived Control on Risk Taking1

The experiment investigates the effect of perceived control on risk taking in a dynamic, everyday task. Using established and validated video simulation techniques, the risk-taking preferences for 96 drivers were measured for a range of driving activities (speed choice, following distance, gap acceptance, and overtaking). The perceived control manipulation was as follows: Half of the participants were told to imagine they were driving the vehicle, and the other half were told to imagine they were passengers. Those who were told to imagine they were driving chose significantly faster speeds than did those who were told to imagine they were passengers. Differences for the other risk-taking measures were not significant. For speed choice, it could be argued that an illusion of control was in operation, such that those who were in control (i.e., drivers) were comfortable with a higher level of risk than those who were not in control (i.e., passengers).     

Willingness to Help a Stranger: The Effects of Social Context and Opinion Similarity1

Two field experiments investigate how information about aspects of the social environment affects willingness to help others who are similar or dissimilar. Subjects were pedestrians who found a lost packet of materials containing information about the opinions of the packet's loser and a survey report which claimed that the quality of life in the neighborhood had either improved or deteriorated. In the fiist study, the opinions were varied in order to create different degrees of opinion similarity between the loser and subject. Results showed that relatively slight differences between the loser's and subject's opinions made subjects unwilling to help (return the lost packet) when information about the social environment suggested a negative state of affairs, e.g., quality of life deteriorating. However, when information about the social environment suggested a positive state of affairs, subjects were willing to help, even if there was little similarity of opinion. In the second study, subjects learned that the loser of the packet agreed with their views on one opinion but disagreed on another. In this study, one of the two opinions concerned the same social issue as the one described in the survey report. Results demonstrated that subjects helped when there was agreement on the social issue that was also highlighted in survey reports of a negative state of affairs in the social environment and withheld help when there was disagreement on this issue. There were trends for the same result with information about a positive state of affairs in the social world.     

The Relation Between Perceived Risk and Preventive Action: A Within-Subject Analysis of Perceived Driving Risk and Intentions to Wear Seatbelts

Intentions to wear seatbelts in 12 different driving situations were predicted from attitudes toward wearing seatbelts, subjective norms concerning seatbelt uses, and perceived driving risk. In a given driving situation, appropriate measures of attitudes and subjective norms both had significant effects on intentions to wear a seatbelt, whereas there was little relation between risk and intentions. Intentions across the 12 driving situations were significantly related to perceived driving risk, both for aggregate data and for a substantial portion of individual subjects. However, further analyses indicated that risk seemed to affect intentions indirectly through subjective norms and attitudes associated with seat-belt use. The results suggest that attempts to increase seatbelt use should target all relevant beliefs important in determining people's attitudes toward and subjective norms concerning seatbelt use, rather than just focusing upon making people aware of the risks associated with driving.     

Cancer Worry,Perceived Risk and Cancer Screening in First-Degree Relatives of Patients with Familial Gastric Cancer

Currently, there is a lack of evidence evaluating the psychological impact of cancer-related risk perception and worry in individuals at high risk for gastric cancer. We examined the relationships between perceived risk, cancer worry and screening behaviors among first-degree relatives (FDRs) of patients with familial gastric cancer. FDRs of patients diagnosed with familial gastric cancer with a non-informative genetic analysis were identified and contacted. Participants completed a telephone interview that assessed socio-demographic information, cancer risk perception, cancer worry, impact of worry on daily functioning, and screening behaviors. Twenty-five FDRs completed the telephone interview. Participants reported high levels of comparative and absolute cancer risk perception, with an average perceived lifetime risk of 54 %. On the other hand, cancer-related worry scores were low, with a significant minority (12 %) experiencing high levels of worry. Study participants exhibited high levels of confidence (median = 70 %) in the effectiveness of screening at detecting a curable cancer. Participants that had undergone screening in the past showed significantly lower levels of cancer-related worry compared to those that had never undergone screening. In conclusion, individuals at high-risk for gastric cancer perceived a very high personal risk of cancer, but reported low levels of cancer worry. This paradoxical result may be attributed to participants’ high levels of confidence in the effectiveness of screening. These findings highlight the importance for clinicians to discuss realistic risk appraisals and expectations towards screening with unaffected members of families at risk for gastric cancer, in an effort to help mitigate anxiety and help with coping.     

Effects of the terrorist attacks of 9/11/01 on employee attitudes

Much has been stated in the popular press about the effects of the events of 9/11/01 on employee attitudes about work. This study examined a large sample (N = 70,671) of employees of a multinational manufacturer whose annual employee survey data collection was interrupted by the events. After demonstrating measurement equivalence across time and countries, changes in attitudes pre- and post-9/11 were examined. Only negligible differences were found in Job Satisfaction, Supervisor Evaluation, Stress, and Organizational Commitment to Diversity for U.S. employees or for employees worldwide. Demographic differences in response to events were not found. Implications for understanding effects of stressful external events on employee perceptions of work are discussed.     

Effects of Rumination and Worry on Sleep

Recent research suggests that the stress-sleep relationship is mediated by pre-sleep arousal (PSA) and that cognitive arousal has a stronger mediating effect than somatic arousal; however, this has not been directly tested. Using multilevel moderated mediation, we compared the effects of cognitive arousal and somatic arousal within the stress-sleep relationship. We also assessed whether two forms of repetitive negative thought—rumination and worry—are similarly involved in the stress-sleep relationship. Data was collected from 178 participants across the United States via an online platform. Participants completed baseline self-report surveys examining rumination tendencies and worry tendencies. Over the course of 2 weeks, participants completed daily questionnaires assessing daily stress, PSA, and sleep quality. Results indicated that indirect effects from stress to sleep quality via PSA were statistically significant at low and high levels of rumination and worry, and people at high levels of rumination and worry had stronger relationships between stress and PSA. Across all models, cognitive arousal consistently accounted for more of the variance in the stress-sleep relationship as compared to somatic arousal. Implications for the cognitive behavioral treatment of insomnia are discussed.     

Worry and Sleep Length Revisited: Worry,Sleep Length,and Sleep Disturbance Ascribed to Worry

The author administered university students (N = 222; 152 women, 70 men) the Worry Domains Questionnaire (F. Tallis, G. C. L. Davey, & A. Bond, 1994) and a newly constructed scale (the Sleep Disturbance Ascribed to Worry Scale) to measure sleep disturbance attributed to worry. To revisit previous studies (i.e., E. Hartmann, F. Baekeland, & G. R. Zwilling, 1972; S. J. H. McCann & L. L. Stewin, 1988) that suggested that sleep length was positively related to worry, the author also asked the students a question about habitual sleep length. The results indicated that worry and sleep disturbance attributed to worry were negatively related to sleep length. A regression analysis revealed that worry was significantly negatively related to habitual sleep length irrespective of sleep disturbance ascribed to worry.     

The Political Is Personal: Narrating 9/11 and Psychological Well-Being

ABSTRACT Making meaning out of negative experiences is one of the primary psychological challenges in the wake of adversity. Much of the empirical attention that psychologists have paid to meaning making has focused on personal hardships, but national tragedies similarly pose a challenge to meaning making. In the present study, which is grounded in the theoretical tradition of the narrative study of lives, a nationally representative sample of 395 adults wrote accounts about the 9/11 terrorist attacks approximately 2 months after 9/11. Accounts were coded for 3 narrative themes: closure, redemption, and contamination. Psychological well-being was significantly related to accounts that were high in closure and national redemption and, among those more directly exposed to the attacks, accounts high in redemptive imagery. Psychological distress was significantly related to accounts that were low in closure and high in themes of personal contamination. Understanding the narrative styles that characterize personal accounts of political events has important ramifications for the study of the socially embedded individual.     

When a Small Group Turned Large: An Existential Encounter on 11/9 as an Enactment of 9/11

This paper was drafted in late November and mid-December 2001, two to three months after 9/11/01, in the weeks following the Opening Plenary of the Eastern Group Psychotherapy Society's Annual Conference held on 11/9/01. It was written from the position of observer-discussant-participant and impromptu large group facilitator, with the aim of reviewing and drawing meaning from what transpired during the Conference's opening plenary, which focused on existential issues in group psychotherapy. The plenary was chaired by Dr. Bernard Frankel and was comprised of a short talk, demonstration group, discussants' responses, and audience reaction. The emphasis in this review is on the process, content, and synchronous impingement of a real-life event on a remarkable demonstration group. Being in the group demonstration on 11/9 so closely paralleled being in the world of 9/11 that a small group turned into a large group.     

The aftermath of 9/11: effect of intensity and recency of trauma on outcome

Does trauma exposure have a long-term impact on the brain and behavior of healthy individuals? The authors used functional magnetic resonance imaging to assess the impact of proximity to the disaster of September 11, 2001, on amygdala function in 22 healthy adults. More than three years after the terrorist attacks, bilateral amygdala activity in response to viewing fearful faces compared to calm ones was higher in people who were within 1.5 miles of the World Trade Center on 9/11, relative to those who were living more than 200 miles away (all were living in the New York metropolitan area at time of scan). This activity mediated the relationship between group status and current symptoms of posttraumatic stress disorder. In turn, the effect of group status on both amygdala activation (fearful vs. calm faces) and current symptoms was statistically explained by time since worst trauma in lifetime and intensity of worst trauma, as indicated by reported symptoms at time of the trauma. These data are consistent with a model of heightened amygdala reactivity following high-intensity trauma exposure, with relatively slow recovery.     

The Effect of 9/11 on the Heritability of Political Trust

Following the attacks of September 11, 2001, a rally effect led to a precipitous rise in political trust. However, the increase in political trust concealed a simultaneous decline among a smaller portion of the population. This article examines the psychological mechanisms underlying these heterogeneous attitudes towards government and shows that a biosocial model best explains the observed patterns of response. The interplay of genetic and environmental factors of political trust reveals the stable but dynamic nature of heritability: genetic influences of political trust increased immediately following 9/11 but quickly decayed to pre‐9/11 levels.     

The Hindsight Bias: The Role of the Availability Heuristic and Perceived Risk

The influence of outcome knowledge (Fischhoff, 1975) and the availability heuristic (Tversky & Kahneman, 1974) on judgments of perceived risk was explored here. This study found that subjects were capable of making relatively appropriate probability estimates for disease, accident, and homicide in foresight, but they made relatively biased estimated in hindsight. The results suggest that hindsight information activates the use of the availability heuristic on peoples' probability estimates of certain misfortune.     

To Use or Not to Use: The Prenatal Genetic Technology/Worry Conundrum

We conducted an exploratory, qualitative study investigating the factors influencing the use of genetic counseling and prenatal genetic testing for two groups: pregnant women 35 years of age and over (AMA) at the time of delivery and pregnant women with an abnormal maternal serum triple screen (MSAFP3). The convenience sample consisted of 25 semistructured interviews of women/couples and 50 observations of genetic counseling sessions. Worry turned out to be the most important variable influencing decision making about prenatal genetic testing and was greater in the MSAFP3 group than in the AMA group. The women in the AMA group appeared to assign the risk of having a child with Down syndrome to their age category rather than to themselves individually, whereas, the risk perception for women with an abnormal MSAFP3 appeared to have shifted from a general population risk for pregnant women to an individual, personal risk. There was a general lack of understanding and also more misinformation about the MSAFP3 screen compared to amniocentesis. Women in both groups were torn between fear of an invasive test and worry about the health of their fetus for the rest of their pregnancy if they did not undergo amniocentesis.     

Perceived Similarity in Interracial Attitudes and Behaviors: The Effects of Belief and Dialect Style1

The present study investigated the role of two types of similarity (attitude similarity and dialect style) on interpersonal attitudes and behaviors in a face-to-face interaction. Sixty subjects interacted with an experimental confederate who was either black or white, spoke either standard white English or a black dialect, and whom the subject perceived as agreeing or disagreeing on an attitude questionnaire. Subjects' nonverbal behavior during the interaction was coded using Mehrabian's scheme of immediacy cues, and attitudes toward the confederate were measured via questionnaire following the interaction. Subjects showed more favorable attitudes toward the white than black confederate and had more positive attitudes toward the black confederate when she spoke white English. Contrary to previous findings, no significant main effect was found for belief similarity. While no significant mean differences were obtained between conditions for the nonverbal measures, correlations between these measures and a measure of likinglfriendship indicated that this relationship differed depending on the race of the confederate and the dialect used. The results are discussed in terms of their implications for the role of perceived similarity in interracial interaction.     

The expulsion from Disneyland: the social psychological impact of 9/11

People expressed many different reactions to the events of September 11th, 2001. Some of these reactions were clearly negative, such as political intolerance, discrimination, and hate crimes directed toward targets that some, if not many, people associated with the attackers. Other reactions were more positive. For example, people responded by donating blood, increasing contributions of time and money to charity, and flying the American flag. The goal of this article is to review some of Americans' negative and positive reactions to 9/11. We also describe two frameworks, value protection and terror management theory, that provide insights into Americans' various reactions to the tragedy of 9/11.