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.     

Adolescent Substance Use: Preliminary Examinations of School and Neighborhood Context

In considering the influences of microsystems on adolescent substance use, familial and peer contexts have received the most extensive attention in the research literature. School and neighborhood settings, however, are other developmental contexts that may exert specific influences on adolescent substance use. In many instances, school settings are organized to provide educational services to students who share similar educational abilities and behavioral repertoires. The resulting segregation of students into these settings may result in different school norms for substance use. Similarly, neighborhood resources, including models for substance use and drug sales involvement, may play an important role in adolescent substance use. We briefly review literature examining contextual influences on adolescent substance use, and present results from two preliminary studies examining the contribution of school and neighborhood context to adolescent substance use. In the first investigation, we examine the impact of familial, peer, and school contexts on adolescent substance use. Respondents were 283 students (ages 13 to 18) from regular and special education classrooms in six schools. Although peer and parental contexts were important predictors of substance use, school norms for drug use accounted for variance in adolescent use beyond that explained by peer and parental norms. Data from a second study of 114 adolescents (mean age = 15) examines neighborhood contributions to adolescent substance use. In this sample, neighborhood indices did not contribute to our understanding of adolescent substance use. Implications for prevention are presented.     

Are Conservatives Less Likely to be Prosocial Than Liberals? From Games to Ideology,Political Preferences and Voting

Do political preferences reflect individual differences in interpersonal orientations? Are conservatives less other‐regarding than liberals? On the basis of past theorising, we hypothesised that, relative to individuals with prosocial orientations, those with individualistic and competitive orientations should be more likely to endorse conservative political preferences and vote for conservative parties. This hypothesis was supported in three independent studies conducted in Italy (Studies 1 and 2) and the Netherlands (Study 3). Consistent with hypotheses, a cross‐sectional study revealed that individualists and competitors endorsed stronger conservative political preferences than did prosocials; moreover, this effect was independent of the association between need for structure and conservative political preferences (Study 1). The predicted association of social value orientation and voting was observed in both a four‐week (Study 2) and an eight‐month (Study 3) longitudinal study. Taken together, the findings provide novel support for the claim that interpersonal orientations, as measured with experimental games rooted in game theory, are important to understanding differences in ideology at the societal level. Copyright © 2011 John Wiley & Sons, Ltd.     

Are Genetic Counselors and GLBT Patients “on the Same Page”? an Investigation of Attitudes, Practices, and Genetic Counseling Experiences

Gay, lesbian, bisexual, and transgender (GLBT) individuals comprise a growing patient population in genetic counseling, yet literature on working with this population is scarce. This study sought to investigate GLBT patient experiences in genetic counseling and genetic counselor attitudes and practices when counseling GLBT patients. Twenty-nine GLB individuals who had previously participated in genetic counseling, and 213 genetic counselors completed online surveys. No individuals identifying as transgender participated. The patient survey assessed disclosure of orientation, discrimination in genetic counseling, and quality of services received. The counselor survey assessed comfort with and attitudes about counseling GLBT patients, disclosure of counselor orientation, and whether they counsel differently with this population. Every patient denied experiencing discrimination during their session, but 17% reported their genetic counselor assumed they were heterosexual, and 45% indicated intake forms were not GLBT-inclusive. A majority of counselors (91%) reported having counseled GLBT patients and indicated they were comfortable doing so (86%), and 72% indicated no differences in their counseling approaches with GLBT patients. Few counselors (17%) received training in GLBT issues, and most (61%) desired such education. Additional findings and practice and research recommendations are presented.     

Observing social signals in scaffolding interactions: how to detect when a helping intention risks falling short

In face-to-face interactions, some social signals are aimed at regulating scaffolding processes, by which more knowledgeable people try to help less knowledgeable ones, to enable them to learn new concepts or skills (Vygotsky 1978). Observing face-to-face scaffolding interactions might not only allow us to grasp a large variety of these highly interesting social signals but may also be useful for the sake of scaffolding processes themselves. It often happens, in fact, that the empowering intentions implicit in these processes end up falling short, if the social signals regulating this specific kind of face-to-face interaction are misunderstood. Interestingly, many of these misunderstood aspects are related to the recipient’s role. Indeed, attention is usually focused on the behavior of those imparting the knowledge, while skills already mastered by the learners, as well as their feedback, tend not to be taken as much into account. For the purpose of exploring the often very subtly nuanced social signals regulating on-going scaffolding processes in real-life interactions, an example of a methodological tool is presented: one already used to observe the interactions of dyads of Italian primary school teachers and their pupils, and mothers and their children. The article leads to two main conclusions: that the results of instances of scaffolding may be predicted as to their success or otherwise simply by telescoping crucial social signals during the scaffolding’s initial phases, and that when helpers disregard these signals the effects of their actions may be detrimental or even humiliating for the receivers, notwithstanding the helper’s intentions.     

Diversifying experiences enhance cognitive flexibility

Past research has linked creativity to unusual and unexpected experiences, such as early parental loss or living abroad. However, few studies have investigated the underlying cognitive processes. We propose that these experiences have in common a “diversifying” aspect and an active involvement, which together enhance cognitive flexibility (i.e., creative cognitive processing). In the first experiment, participants experienced complex unusual and unexpected events happening in a virtual reality. In the second experiment, participants were confronted with schema-violations. In both experiments, comparisons with various control groups showed that a diversifying experience – defined as the active (but not vicarious) involvement in an unusual event – increased cognitive flexibility more than active (or vicarious) involvement in normal experiences. Our findings bridge several lines of research and shed light on a basic cognitive mechanism responsible for creativity.     

Willingness to Seek Treatment Among Black Students With Anxiety or Depression: The Synergistic Effect of Sociocultural Factors With Symptom Severity and Intolerance of Uncertainty

Anxiety and depressive disorders are among the most commonly diagnosed psychiatric disorders, yet they remain largely undertreated in the U.S. and Black adults are especially unlikely to seek or receive mental health services. Symptom severity has been found to impact treatment-seeking behaviors as have sociocultural factors. Yet no known research has tested whether these factors work synergistically to effect willingness to seek treatment. Further, emerging data point to the importance of transdiagnostic risk factors such as intolerance of uncertainty (IU). IU may be negatively related to seeking treatment given that Black adults may be uncertain whether treatment might benefit them. Thus, the current study examined the relations between symptom severity/IU and willingness to seek treatment for anxiety/depression problems and the impact of key sociocultural variables (i.e., cultural mistrust–interpersonal relations [CMI-IR], perceived discrimination [PED]) on these relations among 161 (85% female) Black undergraduates. Consistent with prediction, symptom severity was positively related to willingness, but unexpectedly, IU was positively related. There was a significant Symptom Severity × CMI-IR interaction such that severity was positively related to willingness among students with lower cultural mistrust, but not higher mistrust. There were also significant IU × PED interaction such that IU was positively related to willingness among students with lower PED, but not higher PED. Results highlight the importance of considering the interplay between symptom severity, transdiagnostic vulnerability factors, and sociocultural variables when striving to identify factors related to treatment seeking behaviors among anxious and/or depressed Black students.     

Profile Analysis of Psychological Symptoms Associated With Misophonia: A Community Sample

Misophonia is characterized by extreme aversive reactions to certain classes of sounds. It has recently been recognized as a condition associated with significant disability. Research has begun to evaluate psychopathological correlates of misophonia. This study sought to identify profiles of psychopathology that characterize misophonia in a large community sample. A total of N = 628 adult participants completed a battery of measures assessing anxiety and anxiety sensitivity, depression, stress responses, anger, dissociative experiences, obsessive-compulsive symptoms and beliefs, distress tolerance, bodily perceptions, as well as misophonia severity. Profile Analysis via Multidimensional Scaling (PAMS) was employed to evaluate profiles associated with elevated misophonia and those without symptoms. Three profiles were extracted. The first two accounted for 70% total variance and did not show distinctions between groups. The third profile accounted for 11% total variance, and showed that misophonia is associated with lower obsessive-compulsive symptoms for neutralizing, obsessions generally, and washing compared to those not endorsing misophonia, and higher levels of obsessive-compulsive symptoms associated with ordering and harm avoidance. This third profile extracted also showed significant differences between those with and without misophonia on the scale assessing physical concerns (that is, sensitivity to interoceptive sensations) as assessed with the ASI-3. Further research is called for involving diagnostic interviewing and experimental methods to clarify these putative mechanisms associated with misophonia.