The Use of a Family History Risk Assessment Tool within a Community Health Care System: Views of Primary Care Providers

Primary care providers (PCPs) offered input regarding the incorporation of a family health history (FHH) risk assessment tool into a community health care system (CHCS). Sixteen PCPs participated in one of three focus groups. Perceived impediments included the lack of standard screening guidelines, effective screening tests, genetic counseling resources, and services for high-risk patients. The PCPs were concerned about their level of expertise, the cost of preventive health care, and genetic discrimination. They also were concerned about the use of a FHH tool by oncologists within the CHCS because of communication gaps between oncologists and PCPs, lack of clarity regarding follow-up and legal liability, and reimbursement issues. To integrate a FHH tool into a CHCS, PCPs will need consultation and referral services, evidence-based recommendations, and "just-in-time" educational resources. Oncologists who use the tool will need to develop a streamlined communication system with PCPs, establish clearly defined roles, and ensure patient follow-up.     

“Man's best friend:” How the presence of a dog reduces mental distress after social exclusion

A substantial amount of research shows that social exclusion is a threat to mental health. In the research reported here, we tested the hypothesis that the presence of a companion animal can serve as a buffer against these adverse effects. In a controlled laboratory experiment, we found that only socially excluded participants who did not work in the presence of a dog reported lower mental well-being compared with socially excluded participants who performed in the presence of a dog and participants who were not socially excluded. The theoretical and practical implications of these findings are discussed.     

Compliance,opposition, and behavior problems in toddlers born preterm or low birthweight

Although children born preterm or low birth weight (PT LBW) are more likely to exhibit behavior problems compared to children born at term, developmental and family processes associated with these problems are unclear. We examined trajectories of maternal depressive symptoms in relation to toddler compliance and behavior problems in families with PT LBW infants. A total of 177 infants (93 boys, 84 girls) and their mothers enrolled in the study during the infant's NICU stay. Data were collected at five time points across 2 years. Assessments of maternal depressive symptoms were conducted at all time points, and toddler compliance and opposition to maternal requests and behavior problems were assessed at 2 years. Toddlers born earlier with more health problems to mothers whose depressive symptoms increased over time exhibited the most opposition to maternal requests during a cleanup task at 24 months, consistent with multiple risk models. Mothers with elevated depression symptoms reported more behavior problems in their toddlers. The study has implications for family‐based early intervention programs seeking to identify PT LBW infants at highest risk for problem behaviors.     

Social curiosity and interpersonal perception: a judge x trait interaction

The present study examined the impact of social curiosity on the utilization of social information and the accuracy of personality judgments. In total, 182 individuals who never met each other before were asked to interact for 10 minutes and afterwards to evaluate the personality (Big Five) of their interaction partner. High socially curious judges were more accurate in evaluating the degree of Extraversion and Openness of their interaction partners. Interestingly, high and low curious judges differed significantly in the utilization of verbal and nonverbal cues displayed by their interaction partner. Specifically, high socially curious judges more often used valid cues for inferring Extraversion and Openness. No differences in interpersonal accuracy and cue utilization were found for Neuroticism, Conscientiousness, and Agreeableness. The results suggest that high socially curious individuals are more accurate in judging visible traits and that this higher accuracy is grounded in a more comprehensive utilization of valid cues.     

Self-Imagery and Attentional Control Maintenance Factors of Social Anxiety: A Comparison of Trait and State Assessments

Journal of Psychopathology and Behavioral Assessment - Models of social anxiety (SA) posit that socially-evaluative fears may be maintained by biased cognitive processes such as attention and...     

How to Argue about Solar Geoengineering

Should high-income countries engage in solar geoengineering research and possible deployment? On the assumption that the speed of the energy transition will be insufficient to abate catastrophic climate impacts, research into solar geoengineering begins to look like a technically and socially feasible route to mitigate such impacts. But on the assumption that a rapid and relatively just energy transition is still within the realm of political possibility, research into solar geoengineering looks more like an ideological tool designed to divert time and resources from less risky climate solutions. At the heart of debates over solar geoengineering, then, is disagreement over what political actors can be expected to do in the future. In this article, I argue that both objectors to and proponents of solar geoengineering research often make background assumptions regarding expected future actions that are either (a) inaccurate or (b) inconsistent. I propose an account of expected future actions that avoids these problems and sketch what the debate over solar geoengineering looks like with these assumptions in place.     

Knowing when to move on: cognitive and perceptual decisions in time

We investigated people's ability to decide how much time to spend on the task at hand. To make such decisions well, one must take into account, among other things, the cost of failing and how one's task performance changes as a function of time. We first investigated timing decisions when the underlying task was perceptual. Decisions were highly efficient and suggested that people can make good use of perceptual knowledge and abstract reward information. Previous studies have found that perceptual decisions are generally optimal, but that cognitive decisions are generally suboptimal--a perception-cognition gap. Does a similar gap exist for timing decisions? We compared timing decisions for a perceptual task with timing decisions for more cognitive tasks. Performance was highly similar across the tasks, which suggests that knowledge can be acquired, and used to make timing decisions, in an equally efficient way regardless of whether that knowledge is derived through perceptual or cognitive experience.     

Stability in cognition across early childhood. A developmental cascade

Children confront the formidable task of assimilating information in the environment and accommodating their cognitive structures to that information. Developmental science is concerned equally with two distinctive features of these processes: children's group mean level of performance through time and the standing of individual children through time. Prevailing opinion since the inception of the mental-measurement movement has been that individual development is unstable-that individual children change unpredictably in their abilities. We report results of a large-scale controlled, multivariate, prospective, microgenetic, 4-year longitudinal study that reveals a statistically significant cascade of species-typical cognitive abilities from infancy to childhood. Infancy is a recognizable starting point of life; we find that to a small but significant degree, infancy also represents a setting point in the life of the individual.     

Reciprocal relationships between value orientation and motivational interference during studying and leisure

Background. Motivational interference is defined as the amount of impairment in a target activity due to the incentives of a non‐chosen attractive alternative. The amount to which pupils experience motivational interference while studying or while performing a leisure activity in a school–leisure conflict situation is seen as depending on the values they attach to achievement and well‐being. At the same time, values may also be effects of frequent experience of motivational interference in the respective areas. Aims. The study is aimed at investigating the reciprocal relationship between personal value orientations and the experience of motivational interference during studying and leisure. Sample. A total of 363 pupils (sixth to eighth graders at the time of first measurement) completed the same questionnaire twice in a 2‐year interval. Method. The questionnaire included measures of achievement and well‐being value orientation and the experience of motivational interference during studying and during leisure in school–leisure conflicts. For this, two scenarios were created. In regression analyses, achievement and well‐being value orientations as well as their interaction terms were used as predictors for experience of motivational interference at t₂ while controlling for experience of motivational interference at t₁, and vice versa. Additionally in path models, these relations were tested in an integrative way. Results. Pupils' achievement value orientations were connected to differential changes in experiencing motivational interference during leisure and during studying in one scenario but only for pupils low or medium in well‐being value orientation. Conversely, experience of motivational interference at t₁ was related to changes in value orientations 2 years later. High motivational interference during studying led to an increase in well‐being value orientation, while high motivational interference during leisure was followed by a decrease in well‐being value orientation and an increase in achievement value orientation. Overall, path models supported these results. Conclusions. The results are discussed in terms of value change and are linked to self‐control and motivation research.