From Constraints to Opportunities? Provision of Psychosocial Support in Portuguese Oncogenetic Counseling Services

Although available guidelines for familial cancer risk counseling clearly state the need to provide adequate psychosocial assessments and support, this feature of care is only available in part for individuals and families in oncogenetic counseling protocols in Portugal. The purpose of this study was to examine the psychosocial aspects of oncogenetic counseling provided by a sample of Portuguese genetics professionals. We sought to ascertain perceived need for the provision of psychosocial services and ways to enhance the psychosocial focus in service delivery. A qualitative study was designed; semi-structured focus groups and individual interviews were performed with 30 professionals from Portuguese healthcare institutions where oncogenetic counseling is offered. Findings suggest: current practice is aligned with the teaching model, with a mainly information-based focus; use of psychosocial counseling techniques and psychosocial support is limited throughout the genetic counseling timeline; there is a limited workforce of adequately trained psychosocial professionals, who are disadvantaged by structural and organizational constraints. These factors are considered to be serious barriers for psychosocial delivery. Development of multidisciplinary teams working in oncogenetics, and need for further counselling skills and training for genetics healthcare professionals were identified as priorities. Implications for practice and policy are discussed. Portuguese genetic counselors who have recently completed their training, may therefore contribute to enhanced psychosocial services delivery.     

Effects of similarity of life goals,values, and personality on relationship satisfaction and stability: Findings from a two‐wave panel study

Using data from the German Family Panel (pairfam; n = 3,674 heterosexual couples), this study examines the impact of partners’ individual levels and dyadic similarity concerning life goals, values, and personality traits on relationship satisfaction and union dissolution. Controlling for partners’ individual characteristics and for relationship duration, it was found that similarity on specific dimensions and stereotype‐adjusted profile correlations exerted significant yet small positive effects on both partners’ relationship satisfaction. These effects largely translated into beneficial indirect effects on union dissolution 1 year later (Wave 2, n = 2,820). Moderator analyses indicated the existence of some effect heterogeneity across relationship duration and types. Generally, partners’ respective individual characteristics appeared to predict relationship outcomes better than dyadic similarity measures.     

Accuracy of diagnosis of depression in patients with Type 1 diabetes mellitus

This study assesses the clinical accuracy of physicians (Specialists in Endocrinology and Nutrition: SEN) to make the diagnosis of depression in patients with Type 1 diabetes mellitus (DM1). This study involved 11 SEN physicians, and 153 patients with DM1. The diagnosis of depression was performed using the SCID-1 structured interview and clinical assessment. From the initial sample, 50 patients were randomly selected (imposing the condition that it was included 25 patients with depression and 25 without depression). The results show that clinicians performed a higher percentage of negative diagnoses (patients without depression) than positive ones (patients with depression). A significant percentage of patients with depression were not diagnosed (25%). It therefore seems necessary to provide adequate clinical protocols to evaluate the presence of this disorder in DM1, as well as continuing research into the diagnostic process for clinical decision making.     

Coping strategies and quality of life among liver transplantation candidates

The maintenance of self-reported quality of life (QL) among people on the liver transplantation waiting list is one of the priority objectives of transplantation teams. Although there are different determinant factors of QL, results are not conclusive. In our study, the goal was to evaluate both the influence of cirrhosis etiology (ethylic and non-ethylic) and the coping strategies used concerning QL. A sample of 93 patients was selected, divided into two groups: ethylic cirrhosis (EC) and non-ethylic cirrhosis (NEC). QL was evaluated through the SF-36 Health Survey, and coping strategies through the Medical Coping Modes Questionnaire (MCMQ). Our results indicated that subjects with EC obtained similar QL levels to subjects with NEC, on all the SF-36 and MCMQ subscales. Furthermore, negative correlations were found between avoidance and acceptance-resignation coping strategies with the SF-36 components. Consequently, the acceptance-resignation strategy was associated with a worse perception of physical functioning, general and mental health, and vitality and role-emotional. Overall, these results suggest that cirrhosis etiology is not a determinant factor of QL, whereas the acceptance-resignation coping strategy might lead to lower self-perception of QL.     

Episodic retrieval and feature facilitation in intertrial priming of visual search

Huang, Holcombe, and Pashler (Memory & Cognition, 32, 12-20, 2004) found that priming from repetition of different features of a target in a visual search task resulted in significant response time (RT) reductions when both target brightness and size were repeated. But when only one feature was repeated and the other changed, RTs were longer than when neither feature was repeated. From this, they argued that priming in visual search reflected episodic retrieval of memory traces, rather than facilitation of repeated features. We tested different variations of the search task introduced by Huang et al., with the aim of uncovering when priming is episodic and when feature based. We found that varying the signal strength of target against distractors had a strong effect on the priming pattern. In difficult search with low signal-to-noise ratios of target against distractors, the priming patterns were episodic. When feature contrasts between target and distractors were increased, priming of different features was independent and additive. Our results suggest that, during inefficient search,priming can be episodic but that, for more efficient search, priming from different features occurs independently. The results support two-stage (or multistage) accounts of priming in visual search.     

Comparative Study Between the Theory of Planned Behavior and the Value–Belief–Norm Model Regarding the Environment,on Spanish Housewives' Recycling Behavior

Environmental behaviors have been analyzed from different theoretical models. The theory of planned behavior emphasizes the attitudinal aspects associated with behavior, while the value–belief–norm model regarding the environment focuses on the importance of moral components when setting environmental behaviors in motion. The objective of this study was to analyze both models, comparing both their degree of fit and their predictive power regarding recycling behavior. To do so, we used a sample made up of 154 Spanish housewives. The results indicated that despite the fact that the theory of planned behavior is a general model for predicting and explaining behavior, it has a greater degree of fit and greater capacity to predict recycling behavior than the value–belief–norm model regarding the environment.     

Tolerance towards dating violence in Spanish adolescents

The study of intimate partner violence among adolescent and young couples in Spain remains unattended, although such abuses are well known and more frequent than in adulthood. The aim of this study is, on the one hand, to provide epidemiological information on dating relationships, and on the other hand, to identify attitudes towards violence. 2205 women enrolled in schools in diverse provinces of Spain, participated in the study. Average age was near 19 years (SD= 2.25). The Dating Violence Questionnaire (DVQ, in Spanish, CUVINO), a questionnaire that assesses both frequency and distress associated with violent behavior, was used. The DVQ allowed differentiating between groups of women self-labeled as abused and not abused on the basis of the frequency of sustained violence, although the levels of distress in the face of violence were statistically similar in both groups. Implications for future research and prevention programs are discussed.     

Driving anger and traffic violations: Gender differences

In this work, we examined the contribution of anger-related variables to explaining traffic rule violations with control for the effect of variables such as age, gender and annual mileage. Also, we explored gender differences in driving-elicited anger and its forms of expression with provision for exposure in terms of mileage. In addition, we studied male and female driving habits in relation to individual histories of fines and accidents with a view to identifying the role of drivers’ anger in driving violation behaviours. To this end, we conducted a survey on a sample of 541 drivers (53.9% females, 46.1% males) aged 20–73 years. The results obtained with provision for mileage revealed substantial differences in driving behaviour between genders. Thus, males reported greater number of fines and accidents, and were more prone to violating traffic regulations. There were also gender differences in the specific driving situations causing anger. Thus, males were angrier at police presence and females at traffic obstructions. There were additional differences in anger expression forms, with women exhibiting a more adaptive attitude. The specific contribution of anger-related variables to driving violation behaviours was explored, and its theoretical and treatment implications are discussed.     

Psychometric analysis of the Stunkard-Messick Eating Questionnaire (SMEQ) and Comparison with the dutch Eating Behavior Questionnaire (DEBQ)

The factor structure of the Stunkard-Messick Eating Questionnaire (SMEQ) differs from that of the Dutch Eating Behavior Questionnaire (DEBQ). Using students and members of a weight watchers club, we factor-analyzed responses to the SMEQ and produced a solution which was different from that obtained by Stunkard and Messick, but which had some similarities to the factor structure of the DEBQ. “External” taste items and “internal” hunger items loaded on the same factor, a finding inconsistent with externality theory but consistent with the common sense notion of appetite strength. Although our finding suggests factor instability of the SMEQ, the stability of the DEBQ appears to be the consequence of a restricted range of DEBQ items compared with SMEQ items. Financial support for this research was given by Lilly Industries.