Risk Perception and Psychological Distress in Genetic Counselling for Hereditary Breast and/or Ovarian Cancer

Oncological Genetic Counselling (CGO) allows the identification of a genetic component that increases the risk of developing a cancer. Individuals’ psychological reactions are influenced by both the content of the received information and the subjective perception of their own risk of becoming ill or being a carrier of a genetic mutation. This study included 120 participants who underwent genetic counselling for breast and/or ovarian cancer. The aim of the study was to examine the relation between their cancer risk perception and the genetic risk during CGO before receiving genetic test results, considering the influence of some psychological variables, in particular distress, anxiety and depression. Participants completed the following tools during a psychological interview: a socio-demographic form, Cancer Risk Perception (CRP) and Genetic Risk Perception (GRP), Hospital Anxiety and Depression Scale (HADS) and Distress Thermometer (DT). The data seem to confirm our hypothesis. Positive and significant correlations were found between the observed variables. Moreover, genetic risk perception determined an increase in depressive symptomatology and cancer risk perception led to an increase in anxious symptomatology, specifically in participants during cancer treatment. The present results suggest the importance of assessing genetic and cancer risk perception in individuals who undergo CGO, to identify those who are at risk of a decrease in psychological well-being and of developing greater psychological distress.     

Environmental Refugees: What Rights? Which Duties?

It is estimated that there could be 200 million‘environmental refugees’ by the middle of this century. One major environmental cause of population displacement is likely to be global climate change. As the situation is likely to become more pressing, it is vital to consider now the rights of environmental refugees and the duties of the rest of the world. However, this is not an issue that has been addressed in mainstream theories of global justice. This paper considers the potential of two leading liberal theories of international justice to address the particular issues raised by the plight of potential and actual environmental refugees. I argue that neither John Rawls’s ‘Law of Peoples’ approach nor Charles Beitz’s `cosmopolitanism' is capable of providing an adequate account of justice in this context. Beitz’s theory does have some advantages over Rawls’s approach but it fails to take proper account of the attachment that some people have to their own ‘home’. This revised version was published online in July 2006 with corrections to the Cover Date.     

Depression, Anxiety and Anger in Subtypes of Irritable Bowel Syndrome Patients

The present study aimed to elucidate the differences in depression, anxiety, anger, and quality of life in a sample of non-psychiatric IBS patients, starting from the hypothesis that IBS subtypes may have different symptomatic expressions of negative emotions with different outcomes on quality of life measures. Forty-two constipation-predominant IBS (C-IBS) subjects and 44 diarrhea-predominant IBS (D-IBS) subjects, after an examination by a gastroenterologist and a total colonoscopy, underwent a clinical interview and psychometric examination for the assessment of depression, anxiety, anger and quality of life. IBS subtypes showed different symptomatic profiles in depression, anxiety and anger, with C-IBS patients more psychologically distressed than D-IBS subjects. Affective and emotional symptoms should be considered as specific and integral to the syndrome, and recognizing the differences between IBS subtypes may have relevant implications for treatment options and clinical outcome.     

Non-linearity,Complexity and Limited Measurement in the Relationship Between Satisfaction with Specific Life Domains and Satisfaction with Life as a Whole

In this article we defend that the adoption of a non-linear approach, theoretically framed on complexity theories can make some contribution to the bottom-up approach, which explains the levels of satisfaction with life as a whole through the combination of the levels of satisfaction in different life domains. Two approaches have been tested: (Rojas in J Happiness Stud 7:467–497, 2006) constant elasticity of substitution model and the model with quadratic terms and interaction effects (González et al. in Soc Indic Res 80:267–295, 2006; González et al. in Qual Quant 42:1–21, 2008). In order to prevent obtaining false non-linear relationships they have been analysed twice taking into account or not limited measurement of satisfaction with life as a whole. Results show that: (a) any of the two non-linear models fits better than the linear one; (b) any of the models failing to take into account limited measurement fits worse; (c) the non-linear model with quadratic terms and interaction effects fits better than Rojas’. The implications for the study of psychological well-being are discussed.     

Age-related differences in irrelevant-speech effects

Three experiments examined age-related differences in irrelevant-speech effects. Younger and older adults were required to recall short prose texts or lists of semantically related words presented visually together with distractor speech. In all experiments, older adults made more semantically related intrusion errors from the irrelevant speech than younger adults. Results of a source memory test suggested that these age-related differences in interference are most likely due to both inhibitory deficits and source-monitoring problems. The results lend partial support to the inhibition deficit theory of cognitive aging.