Pre-screening education in multiple marker screening programs: The effect on patient anxiety and knowledge

Previous studies have shown that unexplained deviations in maternal serum multiple marker screening (MMS) generate considerable anxiety during the remainder of pregnancy. While the role of education in decreasing anxiety is documented, to date there has been no prospective evaluation of which educational practices might minimize this emotional stress. In a pilot study, we prospectively examined the effects on anxiety and knowledge by providing information about MMS (1) by genetic counselor, (2) by pamphlet, and (3) by primary physician. Women randomized to one of these three modalities were administered the Spielberger State- Trait Anxiety Inventory [STAI] and knowledge questionnaires at their initial obstetrics visit, at their second visit after educational intervention and 1–2 weeks after MMS results were provided to patients. Education resulted in an increase in knowledge and post-education knowledge was different between educational modalities. Anxiety declined in patients educated through genetic counseling or a pamphlet.     

Depression and coping in candidates for kidney transplantation: Racial and ethnic differences

Subjects were 288 adolescents and adults with end-stage renal disease who were candidates for kidney transplantation, a group identified at risk for noncompliance. The purpose was to examine racial and ethnic variations in coping—variables that may underlie noncompliance and impact upon health outcome. Secondarily, the relationship between depression and particular styles of coping was investigated. Race/Ethnicity was divided into three categories: Black/Non-Hispanic, White/Non-Hispanic, and Hispanic. Coping and depression were assessed using the COPE and Beck Depression Inventory, respectively. Results indicated that Hispanic and Black subjects were more likely to use maladaptive styles of coping and less likely to use adaptive coping than were White subjects and that Black subjects reported more physical symptoms of depression. These findings point to possible mechanisms underlying the occurrence of noncompliance and resulting poorer health outcome for individuals of different racial and ethnic groups.     

The effect of couples training and partner co-operativeness in the behavioral treatment of obesity

To evaluate the influence of spouse co-operativeness and couples training in the treatment of obesity, 29 obese men and women were assigned to three experimental conditions: (1) Co-operative spouse-couples training: subjects attended all meetings with spouses. Spouses were trained in modeling, monitoring, and reinforcement techniques; (2) Co-operative spouse-subject alone: subjects attended meetings alone even though their partners had agreed to become involved in treatment; (3) Non-cooperative spouse: subjects had spouses refusing to participate in the program, and attended sessions alone. At the 3-month and 6-month maintenance assessments. subjects in the spouse training condition lost significantly more weight than subjects in the other two conditions. Weight losses compared favorably to those of any controlled study with subjects in the couples training group averaging nearly 30 lbs lost after 8$\text{1}\text{2}$ months of treatment. In the absence of spouse training, subjects with co-operative spouses did no better than subjects with non-co-operative spouses. The findings suggest that spouse training may have a potent facilitative effect in weight reduction, and that this effect may promote long-term maintenance of weight loss.     

Effects of counselor's eye contact on student-clients' perceptions

This study investigated the effects of amount and direction of eye contact with the counselor on a student's perceptions. 48 undergraduate and graduate education majors were randomly assigned to one of six conditions in a 2 x 3 factorial design representing two levels of eye direction (eye-to-eye and eye-to-nose/mouth) and three amounts of eye contact (high = 85%, medium = 50%, low = 15%). Subjects had 10-min. standard interviews that differed only according to the six experimental conditions. Interviews were videotaped to assess maintenance of experimental conditons. Following the interview, subjects rated (5-high to 1-low) the interview on seven variables (comfort, attention, interest, ease, helpfulness, eye contact, and willingness to return). Interrater reliability for maintenance of experimental conditions was .87 on amount of eye contact and .03 for direction. Scheffé comparisons showed high and medium eye contact produced significantly higher ratings by student clients on attention, interest, eye contact, and willingness to return than low eye contact. There were no differences for direction of eye contact.     

Arbitrariness of frustration: Inhibition or instigation effects on aggression

The purpose of the present research was to assess the relative influence of instigation or inhibition in mediating retaliation after arbitrary or non-arbitrary frustration. Sixty-four men were asked to learn a concept that was being taught by a peer. Although all men were frustrated, half were deliberately frustrated while the other half were not deliberately frustrated by the teacher. Following the task, the learner was given the opportunity to prevent the teacher from gaining employment under conditions where his evaluation was either anonymous or to be made public. The results of a 2 × 2 analysis of variance yielded several significant effects. The data revealed that subjects rejected the teacher more when the frustration was arbitrary than when it was non-arbitrary. Moreover, when the evaluation was anonymous, subjects rejected the teacher more than when the evaluation was to be made public. Furthermore, the difference in the amount of rejection expressed between arbitrary and non-arbitrary conditions was greater when the evaluation was anonymous than when it was public. These results were interpreted as demonstrating the greater contribution of instigatory rather than inhibitory factors in expressing aggression following deliberate or non-deliberate frustration.     

Career stages: A partial test of Levinson's model of life/career stages

This study purports to test a theory of life and career stages developed by Daniel Levinson and his associates. The theory suggests four distinct stages between ages 20 and 45 each with their own developmental tasks and related behaviors and attitudes. Subjects (759 managerial, professional, and technical employees) were selected randomly from levels and departments of a major public sector employer in the midwest United States. The measure of career stage asked respondents to indicate whether they had passed through, were still in, or had not yet reached each stage as operationalized by a short vignette. Attitudinal and behavioral measures were abstracted from previously developed instruments. Only moderate support for the theory was found with little or no evidence to support the age-linked notion of these stages. Stages were found to be discriminable in terms of certain attitudes (upward mobility, career and overall job satisfaction, and job commitment) as predicted. Suggestions are given for improvements in measurement, research design, and theory refinement.     

Reward behavior by male and female leaders: A causal inference analysis

This research investigated causal inferences between leader reward behavior (positive and punitive) and subordinate goal attainment, absenteeism, and work satisfaction over a 3-month period in a merchandise distribution center (n = 252). Four groups were studied: (a) male supervisors-male subordinates, (b) male supervisors-female subordinates, (c) female supervisors-female subordinates, and (d) female supervisors-male subordinates. Using the techniques of tests of mean differences and corrected cross-lag correlations, the results revealed that: (a) No significant differences attributed to sex were found between the four groups with the perceptions of leader reward behavior or subordinate outcome measures, and (b) the causal inference analysis suggested that the relationships between leader reward behavior and subordinate attitudes and behavior were independent of the effects of sex of supervisor or subordinate. Implications for research on sex stereotypes and leadership were discussed.