Minding the Genes: a Multidisciplinary Approach towards Genetic Assessment of Cardiovascular Disease

Genetic assessment for inherited cardiovascular disease (CVD) is increasingly available, due in part to rapid innovations in genetic sequencing technologies. While genetic testing is aimed at reducing uncertainty, it also produces awareness of potential medical conditions and can leave patients feeling uncertain about their risk, especially if there are ambiguous results. This uncertainty can produce psychological distress for patients and their families undergoing the assessment process. Additionally, patients may experience psychological distress related to living with inherited CVD. In order to more effectively manage the psychosocial challenges related to genetic assessment for CVD, a multidisciplinary model expanded to include psychologists and other allied health professionals is outlined. A case study is provided to illustrate how psychological distress can manifest in a patient living with inherited CVD, as well as proposed psychological management of this patient. Finally, a guide for genetic counselors is provided to aid in identifying and managing common psychological reactions to genetic assessment for CVD.     

Caregiver Strain and Youth Suicide Attempt: Are They Related?

There are scant data documenting the relationship between caregiver strain and suicidal behavior among youth. This study includes data from the caregivers of 1,854 youth who received services through the Comprehensive Community Mental Health Services for Children and Their Families Program. Caregiver strain, family functioning, and youth functional impairment were assessed with the Caregiver Strain Questionnaire, Family Life Questionnaire, and Columbia Impairment Scale. Caregivers of suicidal and nonsuicidal youth differed in subjective internalizing strain (e.g., worry and guilt) and objective strain (e.g., constraints on activities). Differences in objective strain persisted even after controlling for family life and youth functional impairment.     

Coping style as a predictor of health and well-being across the first year of medical school.

Medical students in their 1st year (N=71) were assessed prior to starting training and at year's end. Coping styles reported at baseline were strongly related to coping styles at the end of the year. Students' physical health and psychological well-being declined over the course of the year. The greater the students' use of both problem-focused coping and approach emotion-focused coping, the less their physical health deteriorated. Psychological well-being at year's end was more strongly related to baseline functioning, and coping style did not predict change. This study demonstrated the utility of measuring coping style and the predictive ability of coping on physical health in a healthy sample.     

Mug book exposure effects: Retroactive interference or criterion shift?

The purpose of this research was to test whether delay between a mug book task and a lineup task moderates a simple mug shot exposure effect. Following the witnessing of a simulated theft, participants searched either a small, large or no mug book. Participants then viewed a lineup that contained either the perpetrator or an innocent replacement; the lineup occurred either immediately after viewing the mug book or 48 hours later. There were fewer suspect identifications and more lineup rejections in the mug book conditions than the no mug book control; this was explained in terms of the criterion for making choices carrying over from the mug book to the lineup. There was qualified support for delay moderating the mug book exposure effect. Copyright © 2009 John Wiley & Sons, Ltd.     

Understanding sexual prejudice: The role of political ideology and strategic essentialism

Despite the increased visibility and acceptance of the LGBTQ community, sexual minorities continue to face prejudice and discrimination in many domains. Past research has shown that this prejudice is more prevalent among those holding conservative political views. In two studies, we merge strategic essentialism and motivated ideology theoretical perspectives to empirically investigate the link between political orientation and sexual prejudice. More specifically, we examine how conservatives strategically use different forms of essentialism to support their views of gay individuals and their reactions to messages aimed at changing essentializing beliefs. In Study 1 (N = 220), we demonstrate that conservatives endorse social essentialism (i.e., the belief that gay and straight people are fundamentally different from each other) more than liberals do. In turn, they blame gay individuals more for their sexual orientation and show more prejudice toward them. At the same time, conservatives endorse trait essentialism (i.e., the belief that sexual orientation is a fixed attribute that cannot be changed) less than liberals do, which in turn predicts greater levels of blame and prejudice for conservatives relative to liberals. In Study 2 (N = 217), we additionally show that conservatives, but not liberals, are resistant to messages aimed at increasing trait essentialism and reducing prejudice toward sexual minorities. We discuss theoretical and practical implications of these findings.     

Associations between anxiety and marital adjustment

Cognitive-behavioral theories of marital functioning and contextual models of close relationships highlight the importance of proximal affect states such as anxiety in couple functioning. Despite these assertions, research examining the role of state anxiety is lacking in the literature on intimate relationships. In this study, the authors examined state anxiety and marital adjustment in a sample of 45 couples. Hierarchical regression analyses indicated that husbands' Time 1 anxiety can predict their own and their wives' subsequent reports of marital adjustment. Wives' Time 1 anxiety did not predict their own or their husbands' subsequent reports of marital adjustment. In this study, the authors focused on the role of husband anxiety in marital adjustment and on implications for further study of the contextual model of close relationships.     

Cognitive and emotional dysfunction after central pontine myelinolysis

The case of a 67-year-old right-handed Chinese man with Central Pontine Myelinolysis [CPM] is described to illustrate the resulting cognitive and emotional disturbances. A comparison of the data in this report with that in published studies suggests that ethnicity does not seem to have much effect on the symptoms of CPM. Possible underlying neural-pathological mechanisms are discussed. This case further substantiates the speculation that the brainstem plays a role in higher cognitive processes and emotional regulation.     

How Social-Class Background Influences Perceptions of Political Leaders

In this research, we contribute to a nascent literature examining how cues to social class can guide voters' political judgments. Drawing upon and merging a voting-cues framework with the stereotype-content model, we test predictions that, relative to those from high-class backgrounds, candidates from lower- and working-class backgrounds will be perceived to be more ideologically liberal, warmer, and will be evaluated more positively. We test these predictions across four experimental studies (N_Study1 = 200; N_Study2 = 537; N_Study3 = 352; N_Study4 = 654) employing a candidate-evaluation paradigm; participants were presented with basic candidate background information, including cues to candidate class and other demographics, and were asked to read an excerpt from a speech before providing their judgments. Findings reveal that candidates from lower- and working-class backgrounds were perceived to be more liberal and warmer than those from high-class backgrounds. Additionally, we found that lower-class candidates were generally evaluated more positively than high-class candidates, and we found some evidence for evaluations across class to be moderated by participants' political ideology. These effects generally held across candidate gender and race. This work has important theoretical and practical implications offering insight into the social-class gap between the electorate and the largely elite elected policymakers.     

Treatment Utility of Universal Screening for Behavioral Risk: A Manipulated Assessment Study

In recent years, schools have started implementing preventive practices such as universal screening. Yet, researchers have not evaluated the extent to which universal screening contributes to academic and behavioral outcomes. The purpose of this study was to evaluate the treatment utility of universal screening for behavioral risk. Student participants were randomly assigned to two groups, corresponding to a different method of identification (office discipline referrals and universal screening). Participants identified as at risk, based on their office discipline referral data or universal screening data, and selected for intervention, received a Tier 2 intervention. Data were analyzed using a fixed-effects regression model. Analyses identified no statistically significantly differences between the two groups with regard to various academic and behavioral outcomes, suggesting universal screening did not contribute to changes in student functioning.