Sources of Uncertainty About Daughters’ Breast Cancer Risk that Emerge During Genetic Counseling Consultations

Uncertainty is central to the experience of genetic decision making and counseling about cancer risk. Women seeking genetic counseling about their breast cancer risk may experience a great deal of uncertainty about issues related to their daughters. We used a theory of Communication and Uncertainty Management to guide analysis of sources of uncertainty about daughters that emerged during 16 video-recorded and transcribed conversations between mothers at risk for a BRCA 1/2 mutation and their genetic healthcare practitioners. An interpretive design and constant comparative method revealed three dominant patterns or themes representing sources of uncertainty mothers have relating to their daughters: disease risk, future cancer screening, and communication of related information to daughters. Both practitioners and mothers discussed these aspects of uncertainty. The findings identify the significant role uncertainty and familial concerns play in mothers’ genetic testing decision making process. To assist genetic practitioners, we highlight daughter-related concerns that mothers are uncertain about and which are vital to their genetic counseling needs.     

An item response theory analysis of the Problem Gambling Severity Index

Increases in the availability of gambling heighten the need for a short screening measure of problem gambling. The Problem Gambling Severity Index (PGSI) is a brief measure that allows for the assessment of characteristics of gambling behavior and severity and its consequences. The authors evaluate the psychometric properties of the PGSI using item response theory methods in a representative sample of the urban adult population in South Africa (N = 3,000). The PGSI items were evaluated for differential item functioning (DIF) due to language translation. DIF was not detected. The PGSI was found to be unidimensional, and use of the nominal categories model provided additional information at higher values of the underlying construct relative to a simpler binary model. This study contributes to the growing literature supporting the PGSI as the screen of choice for assessing gambling problems in the general population.     

Video Intervention for Child and Caregiver Distress Related to the Child Sexual Abuse Medical Examination: A Randomized Controlled Pilot Study

Children who disclose child sexual abuse are often referred for a comprehensive medical exam to ensure physical well-being and gather evidence. This study examined a brief, developmentally appropriate, psychoeducational video designed to instruct children and caregivers about the exam procedures and coping strategies to be used during the exam. Sixty-nine children ages 4–15 and their caregivers were randomly assigned to view the psychoeducational video (n = 35) or to receive standard practice (n = 34). Distress before, during, and after the exam was assessed in both children and caregiver, as were measures of satisfaction and knowledge about the investigation process and coping strategies. Consistent with hypotheses, results indicated that the video intervention was well-received by families, increased caregiver knowledge, and decreased stress during the examination. Caregiver and child distress decreased from pre to post examination across both conditions, and, unexpectedly, there were no significant differences in these decreases between groups. Overall results from this pilot study are promising in supporting a cost-effective and brief early intervention approach at the time of the medical examination for child sexual abuse for children and their caregivers.     

PTSD, Depressive Symptoms, and Suicidal Ideation in African American Women: A Mediated Model

Although research has shown positive associations among post-traumatic stress disorder (PTSD), depressive symptoms, and suicidal ideation, the nature of these relations is unclear, especially in African American women. This study examined the associations among these comorbid psychological difficulties in a sample of 136 low-income, African American women. Specifically, the goal of this investigation was to ascertain if overall depressive symptoms, as well as both the cognitive-affective and somatic components of depression, mediated the PTSD-suicidal ideation link. Results from bootstrapping analyses revealed that overall depressive symptoms and the cognitive-affective components of depression, but not the somatic components, mediated the PTSD-suicidal ideation link.     

Context Matters: Promises and Concerns Regarding Nanotechnologies for Water and Food Applications

Expectations in the form of promises and concerns contribute to the sense-making and valuation of emerging nanotechnologies. They add up to what we call ‘de facto assessments’ of novel socio-technical options. We explore how de facto assessments of nanotechnologies differ in the application domains of water and food by examining promises and concerns, and their relations in scientific discourse. We suggest that domain characteristics such as prior experiences with emerging technologies, specific discursive repertoires and user-producer relationships, play a key role in framing expectations of nanotechnology-enabled options. The article concludes by suggesting that domain-specific discourses may lead to undesirable lock-ins into specific de facto assessments pre-structuring anticipatory strategies of actors.     

Psychometric Properties and Convergent Validity of the Dependency-Oriented and Achievement-Oriented Psychological Control Scale (DAPCS) with Italian Adolescents

This study is aimed to validate the Italian version of the dependency-oriented and achievement-oriented psychological control scale (DAPCS), a self-report questionnaire designed to assess the adolescent’s perception of the two dimensions of psychological control. In Study 1, we assessed factorial validity and reliability of the Italian version of DAPCS with a sample of adolescents. In Study 2, we examined the convergent validity of the Italian version of the DAPCS analyzing the associations between the two domains of psychological control and well-established measures related to them such as strictness/supervision, overprotection, non dependency on parents, and family functioning. Confirmatory factor analyses confirmed the hypothesized two-factor solution of the DAPCS, with a 16 items’ version better fitting the data, for paternal as well as for maternal ratings. High indices of internal consistency indicated that both subscales produced reliable scores. Convergent validity was confirmed by positive associations between the DAPCS’ subscales and measures of strictness and negative associations between the DAPCS’ subscales and measures of global family functioning, both for maternal and paternal ratings. Finally, results evidenced significant effects for adolescents’ and parental gender on achievement-oriented psychological control, with mothers rated higher than fathers by males and fathers rated higher than mothers by females. Overall, the results of these studies indicated that the Italian form of the DAPCS might be a useful instrument to assess the two domain-specific types of parental psychological control among Italian-speaking adolescents.     

Mothering,Fathering, and Italian Adolescents’ Problem Behaviors and Life Satisfaction: Dimensional and Typological Approach

In this study, we explored the relationship between mothering, fathering and Italian adolescents’ problem behaviors and life satisfaction by using both typological and dimensional approaches. From a typological perspective, we examined variations in adolescent adjustment as a function of maternal and paternal parenting styles. From a dimensional perspective, we examined the relationships between crucial dimensions of perceived mothering and fathering (acceptance and strictness) and their contribution to adolescents’ adjustment, for girls and boys separately. A total of 213 adolescents (99 boys and 114 girls), aged from 14 to 16 years of age, completed self-report measures on perceived parenting styles, internalizing and externalizing behaviors, and life satisfaction. Overall, the results confirmed the relationship between maternal and paternal styles and adolescents’ adjustment. Still, the data have not led to the identification of an optimal parenting style among the Italian adolescents because the authoritative, the authoritarian, and the indulgent styles emerged as most favorable in relation to the different dimensions of adjustment and life satisfaction, whereas the neglectful style was most linked to behavioral problems and to low satisfaction. When the focus was on the dimensions, the results showed that for boys, maternal and paternal strictness were negatively related to behavioral problems—both internalizing and externalizing—and positively related to general satisfaction. Meanwhile, for girls, maternal and paternal strictness were negatively related only to externalizing problems. Paternal acceptance was negatively related to girls’ behavioral problems, while maternal acceptance was positively related to girls’ general satisfaction.