Neuroticism,Side Effects,and Health Perceptions Among HIV-Infected Individuals on Antiretroviral Medications

Side effects from antiretroviral therapy (ART) for HIV disease can deter treatment, impact quality of life, and impede medication adherence. Individual differences in neuroticism may account for variations in the experience of side effects and perceptions of health status. Cross-sectional assessments were conducted with 258 participant’s with confirmed HIV infection and current ART regimen. Structural equation modeling (SEM) was used to evaluate a model of self-reported ART side effect frequency and severity and perceived health status, as related to neuroticism. Symptoms of neuroticism were associated with greater reports of ART side effects and poorer perceived health but unrelated to reported CD4 count and viral load, thus supporting the structural model. Individual differences in symptoms of neuroticism can explain variations in side effect reporting and consequential impairments in perceived health in the context of HIV treatment. Identification and intervention with individuals high in symptoms of neuroticism may be warranted to alleviate side effect-related concerns and maximize treatment benefit.     

How Risk is Perceived, Constructed and Interpreted by Clients in Clinical Genetics, and the Effects on Decision Making: Systematic Review

As an individual’s understanding of their genetic risk may influence risk management decisions, it is important to understand the ways in which risk is constructed and interpreted. We systematically reviewed the literature, undertaking a narrative synthesis of 59 studies presenting data on the ways in which individuals perceive, construct and interpret their risk, and the subsequent effects. While most studies assessed perceived risk quantitatively, the combined evidence suggests individuals find risk difficult to accurately quantify, with a tendency to overestimate. Rather than being a stand-alone concept, risk is something lived and experienced and the process of constructing risk is complex and influenced by many factors. While evidence of the effects of perceived risk is limited and inconsistent, there is some evidence to suggest high risk estimations may adversely affect health and lead to inappropriate uptake of medical surveillance and preventative measures by some individuals. A more focused approach to research is needed with greater exploration of the ways in which risk is constructed, along with the development of stronger theoretical models, to facilitate effective and patient-centered counseling strategies.     

Perceived Risk and Worry: The Effects of 9/11 on Willingness to Fly1

Most decision-making models rely on affect-free variables to understand the decisions that people make. We tested an affectively-loaded variable—worry—as a predictor of decision making in an affectively laden context: willingness to fly after 9/11. College students rated their willingness to fly to New York City or Washington, DC, in a study conducted 34 days after 9/11. They also recorded their beliefs about the likelihood that more terrorist attacks would occur, the severity of such attacks if they were to occur, and how much they worried about flying. Finally, they made these estimates for similar others. Results showed that worry was the most powerful predictor of one's own and similar others' willingness to fly. These findings suggest that models of how people make decisions may sometimes need to take feelings into account.     

Sanctifying Work: Effects on Satisfaction,Commitment, and Intent to Leave

Sanctification involves perceiving objects or events: (a) theistically by viewing them as having spiritual significance, or (b) nontheistically by viewing them as extraordinary and worthy of veneration and respect without any reference to a higher being. Previous research has found positive outcomes associated with sanctification, including increased satisfaction with marriage (Mahoney et al., 1999 Mahoney, A., Pargament, K. I., Jewell, T., Swank, A. B., Scott, E.Emery, E. 1999. Marriage and the spiritual realm: The role of proximal and distal religious constructs in marital functioning. Journal of Family Psychology, 13: 321–338. [Crossref], [Web of Science ®] , [Google Scholar]), body image (Mahoney, Carels, et al., 2005 Mahoney, A., Carels, R. A., Pargament, K. I., Wachholtz, A., Leeper, L. E.Kaplar, M. 2005. The sanctification of the body and behavioral health patterns of college students. The International Journal for the Psychology of Religion, 15: 221–238. [Taylor & Francis Online] , [Google Scholar]) and sexual intercourse (Murray-Swank, Pargament, & Mahoney, 2002 Murray-Swank, N. A., Pargament, K. I. and Mahoney, A. 2002. At the crossroads of sexuality and spirituality: The sanctification of sex by college students. The International Journal for the Psychology of Religion, 15: 199–219.  [Google Scholar]) to name a few. This study extends these findings into the world of work by demonstrating that those who sanctify their jobs are more satisfied, more committed to their organization, and at the same time less likely to intend to leave.     

Governance Processes and Change Within Organizational Participants of Multi-sectoral Community Health Care Alliances: The Mediating Role of Vision,Mission, Strategy Agreement and Perceived Alliance Value

Multi-sectoral community health care alliances are organizations that bring together individuals and organizations from different industry sectors to work collaboratively on improving the health and health care in local communities. Long-term success and sustainability of alliances are dependent on their ability to galvanize participants to take action within their ‘home’ organizations and institutionalize the vision, goals, and programs within participating organizations and the broader community. The purpose of this study was to investigate two mechanisms by which alliance leadership and management processes may promote such changes within organizations participating in alliances. The findings of the study suggest that, despite modest levels of change undertaken by participating organizations, more positive perceptions of alliance leadership, decision making, and conflict management were associated with a greater likelihood of participating organizations making changes as a result of their participation in the alliance, in part by promoting greater vision, mission, and strategy agreement and higher levels of perceived value. Leadership processes had a stronger relationship with change within participating organizations than decision-making style and conflict management processes. Open-ended responses by participants indicated that participating organizations most often incorporated new measures or goals into their existing portfolio of strategic plans and activities in response to alliance participation.     

Information Related to Prenatal Genetic Counseling: Interpretation by Adolescents, Effects on Risk Perception and Ethical Implications

Being raised in the genomic era may not only increase knowledge of available genetic testing but may also have an impact on how genetic information is perceived. However, little is known about how current adolescents react to the language commonly used by health care professionals providing prenatal counseling. In addition, as risk communication is related to numbers and figures, having different educational backgrounds may be associated with variability in risk perceptions. In order to investigate these issues, a previously developed questionnaire studying different ways of being told about hypothetical anomalies in a baby and corresponding risks (Abramsky and Fletcher Prenatal Diagnosis 22(13):1188-1194, 2002) was administered to high-school students in Sweden. A total of 344 questionnaires were completed by students belonging to a natural science or a social science program. The data show that teenage participants found technical jargon and words such as rare and abnormal more worrying than the presented comparison terms. Negative framing effects and perception differences related to numeric risk formats were also present. Additionally, participants' gender and educational program did not seem to have an effect on risk assessment. In addition to reporting the questionnaire results, we discuss the ethical implications of the data based on the norm of non-directiveness and make some recommendations for practice. In general, genetic counselors should be aware that the language used within clinical services can be influential on this group of upcoming counselees.     

The Effect of Work/Family Conflict on Intention to Quit: The Mediating Roles of Job and Life Satisfaction

Research has shown consistently that job satisfaction predicts turnover, but much less attention has been given to the how relationships between work and nonwork or how overall subjective evaluations of life (i.e., life satisfaction) affects turnover. We tested a model that included job satisfaction, life satisfaction, and conflict between work and nonwork domains of life as predictors of intent to quit. Results from a sample of Air Force personnel revealed that life satisfaction was a significant predictor of intent to quit after controlling for job satisfaction, and that both job and life satisfaction mediated the effects of role conflict between work and nonwork on intent to quit. We consider implications of these findings for both theory and practice. Portions of this paper were presented at the 9th Bi-Annual Conference of the International Society for the Study of Work and Organizational Values (ISSWOV). The views expressed in this paper are those of the authors and do not reflect the official policy or position of the United States Air Force, Department of Defense, or the US Government.     

Risky Communication: Pitfalls in Counseling About Risk,and How to Avoid Them

A genetic counselor is often faced with the difficult task of conveying a set of complex and highly abstract factors associated with the client's risk of developing a familial disorder. The client is faced with the even more difficult task of making significant health-related decisions about an event which may or may not eventuate. Although there is a large corpus of research on this topic, much of the knowledge on risk communication is difficult to apply in a practical context. In this paper we draw together some insights on risk communication and decision-making under conditions of uncertainty, and apply them directly to the problem of communicating familial cancer risk. In particular, we focus on the distinction between individual risk and observed frequencies of adverse events, various framing effects, and contextualizing risk communication. We draw attention to some of the potential pitfalls in counseling about risk and offer avenues for circumventing them.     

Effects on Episodic Memory of Stimulus Richness, Intention to Learn, and Extra-Study Repetition: Similar Profiles Across the Adult Life Span

The ability to benefit from various kinds of cognitive support in episodic memory was studied in a population-based sample of healthy adults aged 35–80 years (N = 1,000). The participants studied pictures of faces and names of 10-year-old children with instructions to remember the faces and the surnames. After study, an implicit name stem-completion test was administered, followed by face- and name-recognition tests. There was a negative age effect across all task variables. Across age, recognition was higher for faces than for names. An age-invariant positive effect of intention to learn was observed. Also, name completion and recognition performance showed a positive relationship across the adult life span. Overall, the results are in agreement with the views that (a) age-related episodic memory deficits are highly generalizable and (b) effects of cognitive support on memory are typically of equal size across the adult life span.     

Perceived Health: A Test of Incremental Validity in Relation to Smoking Outcome Expectancies,Motivation to Smoke and Desire to Quit Smoking

This study examined the role of perceived health in predicting theoretically‐relevant aspects of smoking behavior among 161 young adult regular smokers (67 females; mean age = 21.9 years (SD = 7.2), cigarettes per day (M) = 12.2 (SD = 5.7)) recruited from the general community. Consistent with prediction, results indicated that relative to anxiety sensitivity, gender, number of cigarettes smoked per day and nicotine dependence, perceived physical health uniquely and significantly predicted expectancies for negative affect reduction and expectancies that smoking would lead to negative personal consequences. Additionally, perceived health incrementally predicted motivation to smoke to reduce negative affect. In contrast to expectation, perceived health was unrelated to motivation to quit smoking. Results are discussed in relation to the role of perceived health as a cognitive vulnerability factor for specific types of smoking patterns.     

Attention to phobic stimuli during exposure: the effect of distraction on anxiety reduction, self-efficacy and perceived control

To replicate and extend the finding that distraction facilitates between session anxiety reduction (), 27 spider phobics underwent three 10-min sessions of in vivo exposure followed by one 10-min exposure session at a 4-week follow-up, while having either stimulus-relevant focused conversation or stimulus-irrelevant distracting conversation with the experimenter. Physiological arousal and subjective anxiety were measured during exposure, and self-efficacy, perceived control and performance on a behavioural task were measured at pre-treatment, post session-3, and follow-up. Monitoring and blunting coping styles were also measured at pre-treatment to assess their impact on treatment outcome. Despite equal physiological activation between the groups, those who underwent distracted exposure showed greater reductions in subjective fear within and between sessions, and showed greater increases in self-efficacy ratings, internal perceived control and performance on a behavioural task. Coping style did not interact with the effect of distraction or focusing during exposure, however blunters had less subjective anxiety reduction overall, particularly when they underwent focused exposure. Results are discussed in terms of the emotional processing model and self-efficacy theory.     

Failing to Recall: Examining the Effects of Trace Decay and Interference on Memory for Campaign Information

Voters are continuously bombarded with information during political campaigns, yet a consistent conclusion from research on voter learning is that individuals remember far less information about political candidates than one might expect. What remains unclear is why memory for campaign information is so poor. The present study examines two explanations for memory failure. Using an experimental design, the present study explores whether campaign information fades from memory (trace decay) or whether extraneous information impedes an individual's subsequent ability to recall campaign information (interference). The results suggest that examining the ways in which the larger information environment influences recall of campaign information has important implications for the importance we attribute to campaign information in models of voter decision making.     

Exposure to Unethical Career Events: Effects on Decision Making,Climate, and Socialization

An implicit goal of many interventions intended to enhance integrity is to minimize peoples' exposure to unethical events. The intent of the present effort was to examine if exposure to unethical practices in the course of one's work is related to ethical decision making. Accordingly, 248 doctoral students in the biological, health, and social sciences were asked to complete a field appropriate measure of ethical decision making. In addition, they were asked to complete measures examining the perceived acceptability of unethical events and a measure examining perceptions of ethical climate. When these criterion measures were correlated with a measure examining the frequency with which they had been exposed to unethical events in their day-to-day work, it was found that event exposure was strongly related to ethical decision making but less strongly related to climate perceptions and perceptions of event acceptability. However, these relationships were moderated by level of experience. The implications of these findings for practices intended to improve ethics are discussed.     

Job Insecurity Spillover to Key Account Management: Negative Effects on Performance,Effectiveness, Adaptiveness,and Esprit De Corps

Most of the existing research on outcomes of job insecurity has identified individual-level burdens such as reduced attitudinal attachments toward work and well being. Far fewer studies have examined work-related outcomes that are of substantial concern to organizational success. In this paper, we investigated four new work-related outcomes of job insecurity that are part of the literature on key account management (KAM): customer performance, effectiveness with customers, adaptiveness to changing competitive conditions, and esprit de corps. A total of 353 U.S. based employees participated. The findings of this research suggest that job insecure workers perceive their organizations to be ineffective in delivering on all four KAM outcomes.     

The Failure to Use Gender Information in Parsing: A Comment on van Berkum, Brown, and Hagoort (1999)

We critically review the empirical evidence published by van Berkum, Brown, and Hagoort (1999a, b) against syntax-first models of sentence parsing. According to van Berkum et al., discourse factors and word gender information are used instantaneously to guide the parser. First, we note that the density of the experimental trials (relative to fillers) and the slow presentation rate of the van Berkum et al. design seem likely to have elicited the use of tactics involving rapid reanalysis of the material. Second, we present new data from a questionnaire study showing that the grammatical gender information of a relative pronoun in Dutch is often completely ignored, even during the wrap-up phase at the end of the sentence.     

Getting groups to develop good strategies: Effects of reflexivity interventions on team process,team performance,and shared mental models

This study examines the effect of guided reflection on team processes and performance, based on West’s (1996, 2000) concept of reflexivity. Communicating via e-mail, 49 hierarchically structured teams (one commander and two specialists) performed seven 15 min shifts of a simulated team-based military air-surveillance task (TAST) in two meetings, a week apart. At the beginning of the second meeting, teams were assigned either to a reflexivity (individual or group) or to a control condition. Results show that reflexivity enhanced performance, the link between reflexivity and team performance being mediated by communication and implementation of strategies as well as by similarity of mental models. Contrary to expectations, individual reflexivity was superior to group reflexivity. Additional analyses suggested that group reflexivity decreased the commanders’ active behavior and increased discussion of strategies that were too general to be helpful. Results point to the usefulness of reflexivity as a generic intervention but underscore the importance of focusing on strategies that are task-specific.     

Effects of personal causation and perceived control on responses to an aversive environment: The more control,the better

A laboratory experiment was conducted to investigate the effects on reactions to aversive noise of three types of personal control: control over the initiation of noise, control over its termination, and combined control over both initiation and termination. On an attention-to-detail measure which occurred concurrently with noise stimulation, subjects' error rates decreased linearly as degree of control increased. Likewise, on a post-noise measure of task persistence, subjects' performance rates increased linearly across the three conditions as degree of control increased. Results were discussed in terms of Seligman's theory of learned helplessness and deCharms' theory of personal causation, and the motivational effects of personal control were emphasized.