Factors that may discourage annual mammography among low-income women with access to free mammograms: a study using multi-ethnic, multiracial focus groups

Age-eligible women enrolled in the National Breast and Cervical Cancer Early Detection Program can obtain free or low-cost mammograms annually, but many do not routinely complete rescreening. This study investigated the rescreening behavior of low-income women by conducting 8 focus groups in Texas with enrollees who had access to free mammograms. Concerns mentioned in the focus groups included fear of radiation, anxiety that the test might not find a cancer that was there, and worries that cancer might be detected. In all groups, some women mentioned the embarrassment, discomfort, or pain they experienced during a prior mammogram, although no one indicated they would refuse to have another mammogram because of these concerns. Findings highlight the useful insights that can be obtained from focus groups and underscore the need for more research on aspects of the experience of mammography that may affect rescreening.     

Selective attention in obsessive-compulsive disorder

Recent information-processing studies have suggested that a selective attention deficit may be involved in the symptomatology of obsessive-compulsive disorder (OCD). In this study, individuals diagnosed with OCD were distinguished from those with panic disorder and from control participants by their relatively poorer performance on a series of psychometric tasks of selective attention. These results are interpreted as supporting the hypothesis of a diminished ability of people with OCD to selectively ignore competing external (sensory) and internal (cognitive) stimuli, especially intrusive thoughts.     

Bipolar disorder and family communication: effects of a psychoeducational treatment program

Family psychoeducational programs are efficacious adjuncts to pharmacotherapy for patients with schizophrenic and bipolar disorders, but little is known about what these programs change about families. The authors assessed changes in face-to-face interactional behavior over 1 year among families of bipolar patients who received a 9-month family-focused psychoeducational therapy (FFT; n = 22) or crisis management with naturalistic follow-up (CMNF; n = 22), both administered with maintenance pharmacotherapy. Members of families who received FFT showed more positive nonverbal interactional behavior during a 1-year posttreatment problem-solving assessment than families who received CMNF, although no corresponding decreases were seen in negative interactional behaviors. The positive effect of family treatment on patients' symptom trajectories over 1 year was partially mediated by increases in patients' positive nonverbal interactional behaviors during this same interval.     

The Effects of Cueing Target Location and Response Mode on Interference and Negative Priming Using a Visual Selection Paradigm

Two experiments are reported that examine the effects of cueing the location of a target in the prime display on interference and subsequent negative priming. The prime and probe displays comprised two words, a target and a distractor. In the prime display, the two words were either the same (response compatible) or different (response incompatible). The target in the probe display was unrelated to the prime distractor (control), the same word as the distractor (ignored repetition), or semantically related to the distractor (ignored semantic repetition). In Experiment 1, cueing the location of the prime target significantly reduced the interference effect but not the subsequent identity negative priming (NP) effect. In contrast, not cueing the prime target resulted in the elimination of the identity NP. There was no evidence of semantic NP in this experiment. In Experiment 2, where a categorization response was required, significant interference was obtained in the prime display that was not influenced by cueing the location of the target. Although there was significant semantic NP, identity NP failed to reach significance. The two experiments were analysed together, and findings are discussed in relation to current models of negative priming.     

Semantic and associative priming in the cerebral hemispheres: some words do, some words don't ... sometimes, some places

This study investigated spreading activation for words presented to the left and right hemispheres using an automatic semantic priming paradigm. Three types of semantic relations were used: similar-only (Deer-Pony), associated-only (Bee-Honey), and similar + associated (Doctor-Nurse). Priming of lexical decisions was symmetrical over visual fields for all semantic relations when prime words were centrally presented. However, when primes and targets were lateralized to the same visual field, similar-only priming was greater in the LVF than in the RVF, no priming was obtained for associated-only words, and priming was equivalent over visual fields for similar + associated words. Similar results were found using a naming task. These findings suggest that it is important to lateralize both prime and target information to assess hemisphere-specific spreading activation processes. Further, while spreading activation occurs in either hemisphere for the most highly related words (those related by category membership and association), our findings suggest that automatic access to semantic category relatedness occurs primarily in the right cerebral hemisphere. These results imply a unique role for the right hemisphere in the processing of word meanings. We relate our results to our previous proposal (Burgess & Simpson, 1988a; Chiarello, 1988c) that there is rapid selection of one meaning and suppression of other candidates in the left hemisphere, while activation spreads more diffusely in the right hemisphere. We also outline a new proposal that activation spreads in a different manner for associated words than for words related by semantic similarity.