Perceived stress in prodromal Huntington disease

This study examines perceived stress and its relationship to depressive symptoms, life changes and functional capacity in a large sample of individuals who are positive for the Huntington disease (HD) gene expansion but not yet diagnosed. Participants were classified by estimated proximity to HD diagnosis (far, mid, near) and compared with a non-gene-expanded comparison group. Persons in the mid group had the highest stress scores. A significant interaction between age and time since HD genetic testing was also found. Secondary analyses using data from a different data collection point and including a diagnosed group showed the highest stress scores in the diagnosed group. Possible explanations and implications are discussed.     

Assessment and Diagnosis of Eating Disorders: A Guide for Professional Counselors

Despite the prevalence of and risk associated with disordered eating, there are few guidelines for counselors on how to conduct an eating disorder assessment. Given the importance of the clinical interview, the purpose of this article is to provide recommendations for the assessment and diagnosis of eating disorders that (a) specifically focus on assessment in the context of a clinical interview and (b) can be used by counselors whether or not they specialize in eating disorder treatment.     

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.     

L’hospitalisation sans consentement des malades mentaux décidément sous l’œil du Conseil constitutionnel (Commentaire de la décision no 2012-235 QPC du 20 avril 2012)

Following a referral by a patient organization, the Constitutional Council gave on 20th April 2012 a decision on the law without consent of hospitalizations for mental patients. Four sections of the Act were examined. This results in one hand that ambulatory care is now supervised by a plan of care (POC) is constitutional. However, sections that provided a more rigorous regime for certain categories of patients deemed more dangerous than others are too vague. Lawmakers need to reform this part of the law before 1st October 2013.     

Vowels in early words: an event-related potential study

Previous behavioural research suggests that infants possess phonologically detailed representations of the vowels and consonants in familiar words. These tasks examine infants' sensitivity to mispronunciations of a target label in the presence of a target and distracter image. Sensitivity to the mispronunciation may, therefore, be contaminated by the degree of mismatch between the distracter label and the heard mispronounced label. Event-related potential (ERP) studies allow investigation of infants' sensitivity to the relationship between a heard label (correct or mispronounced) and the referent alone using single picture trials. ERPs also provide information about the timing of lexico-phonological activation in infant word recognition. The current study examined 14-month-olds' sensitivity to vowel mispronunciations of familiar words using ERP data from single picture trials. Infants were presented with familiar images followed by a correct pronunciation of its label, a vowel mispronunciation or a phonologically unrelated non-word. The results support and extend previous behavioural findings that 14-month-olds are sensitive to mispronunciations of the vowels in familiar words using an ERP task. We suggest that the presence of pictorial context reinforces infants' sensitivity to mispronunciations of words, and that mispronunciation sensitivity may rely on infants accessing the cross-modal associations between word forms and their meanings.     

Conceptualizing and Measuring Engagement: An Analysis of the Utrecht Work Engagement Scale

This article analyzes the Utrecht Work Engagement Scale (UWES; Schaufeli et al. in J Happiness Stud 3:71?C92, 2002b) on a variety of levels. Study 1 critiques the method by which the original scale was developed, and analyzes a similar sample using both exploratory and, subsequently, confirmatory factor analyses. Study 2 uses three samples to explore the 17-item UWES-17, and the recent shorter version of the scale, the 9-item UWES-9. Factor structures and reliabilities of scores for both scale versions were examined for each sample. Although some cautions are warranted when using the UWES, this research leans toward supporting a multifactorial conceptualization of the construct. Preliminary construct validation of the use of the measures was also established via correlations with other pertinent constructs. Although research on the measure remains sparse, the UWES-9 holds promise as a parsimonious version of the UWES-17 that appears valid in use, appears to yield reliable scores in the samples herein, and also appears to capture the purported three-factor dimensionality of the engagement construct better than does the original UWES-17 version.     

Contemplative/emotion training reduces negative emotional behavior and promotes prosocial responses

Contemplative practices are believed to alleviate psychological problems, cultivate prosocial behavior and promote self-awareness. In addition, psychological science has developed tools and models for understanding the mind and promoting well-being. Additional effort is needed to combine frameworks and techniques from these traditions to improve emotional experience and socioemotional behavior. An 8-week intensive (42 hr) meditation/emotion regulation training intervention was designed by experts in contemplative traditions and emotion science to reduce "destructive enactment of emotions" and enhance prosocial responses. Participants were 82 healthy female schoolteachers who were randomly assigned to a training group or a wait-list control group, and assessed preassessment, postassessment, and 5 months after training completion. Assessments included self-reports and experimental tasks to capture changes in emotional behavior. The training group reported reduced trait negative affect, rumination, depression, and anxiety, and increased trait positive affect and mindfulness compared to the control group. On a series of behavioral tasks, the training increased recognition of emotions in others (Micro-Expression Training Tool), protected trainees from some of the psychophysiological effects of an experimental threat to self (Trier Social Stress Test; TSST), appeared to activate cognitive networks associated with compassion (lexical decision procedure), and affected hostile behavior in the Marital Interaction Task. Most effects at postassessment that were examined at follow-up were maintained (excluding positive affect, TSST rumination, and respiratory sinus arrhythmia recovery). Findings suggest that increased awareness of mental processes can influence emotional behavior, and they support the benefit of integrating contemplative theories/practices with psychological models and methods of emotion regulation.