Shock,Adjust, Decide: Reproductive Decision Making in Cystic Fibrosis (CF) Carrier Couples—A Qualitative Study

Cystic fibrosis (CF) is the most common recessive condition affecting the White British population. Facilitating reproductive decision making for couples at genetic risk for CF is an important aspect of genetic counseling practice in the UK. The purpose of this study was to explore the reproductive decision making process for 31 members of CF carrier couples (15 men and 16 women) with or without an affected child. The design involved a qualitative approach consisting of semi-structured interviews and data analysis informed by grounded theory methodology. Sex and personal experience of CF were identified as factors that may influence reproductive decision making. Findings suggest these hypotheses: (1) CF carrier couples who have an affected child/pregnancy, are more likely to embark on another pregnancy than couples who have a healthy child from an at-risk pregnancy, and (2) men and women play different roles in the reproductive decision making process. Data analysis resulted in development of a structured framework modeling the reproductive decision making process, which may be helpful in guiding genetic counseling with CF carrier couples and other at risk couples making reproductive decisions.     

Action-related objects influence the distribution of visuospatial attention

Previous studies have shown that attention is drawn to the location of manipulable objects and is distributed across pairs of objects that are positioned for action. Here, we investigate whether central, action-related objects can cue attention to peripheral targets. Experiment 1 compared the effect of uninformative arrow and object cues on a letter discrimination task. Arrow cues led to spatial-cueing benefits across a range of stimulus onset asynchronies (SOAs: 0?ms, 120?ms, 400?ms), but object-cueing benefits were slow to build and were only significant at the 400-ms SOA. Similar results were found in Experiment 2, in which the targets were objects that could be either congruent or incongruent with the cue (e.g., screwdriver and screw versus screwdriver and glass). Cueing benefits were not influenced by the congruence between the cue and target, suggesting that the cueing effects reflected the action implied by the central object, not the interaction between the objects. For Experiment 3 participants decided whether the cue and target objects were related. Here, the interaction between congruent (but not incongruent) targets led to significant cueing/positioning benefits at all three SOAs. Reduced cueing benefits were obtained in all three experiments when the object cue did not portray a legitimate action (e.g., a bottle pointing towards an upper location, since a bottle cannot pour upwards), suggesting that it is the perceived action that is critical, rather than the structural properties of individual objects. The data suggest that affordance for action modulates the allocation of visual attention.     

Action relations facilitate the identification of briefly-presented objects

The link between perception and action allows us to interact fluently with the world. Objects which 'afford' an action elicit a visuomotor response, facilitating compatible responses. In addition, positioning objects to interact with one another appears to facilitate grouping, indicated by patients with extinction being better able to identify interacting objects (e.g. a corkscrew going towards the top of a wine bottle) than the same objects when positioned incorrectly for action (Riddoch, Humphreys, Edwards, Baker, & Willson, Nature Neuroscience, 6, 82-89, 2003). Here, we investigate the effect of action relations on the perception of normal participants. We found improved identification of briefly-presented objects when in correct versus incorrect co-locations for action. For the object that would be 'active' in the interaction (the corkscrew), this improvement was enhanced when it was oriented for use by the viewer's dominant hand. In contrast, the position-related benefit for the 'passive' object was stronger when the objects formed an action-related pair (corkscrew and bottle) compared with an unrelated pair (corkscrew and candle), and it was reduced when spatial cues disrupted grouping between the objects. We propose that these results indicate two separate effects of action relations on normal perception: a visuomotor response to objects which strongly afford an action; and a grouping effect between objects which form action-related pairs.     

Sequential grouping of pure-tone percepts evoked by the segregation of components from a complex tone

A sudden change applied to a single component can cause its segregation from an ongoing complex tone as a pure-tone-like percept. Three experiments examined whether such pure-tone-like percepts are organized into streams by extending the research of Bregman and Rudnicky (1975). Those authors found that listeners struggled to identify the presentation order of 2 pure-tone targets of different frequency when they were flanked by 2 lower frequency "distractors." Adding a series of matched-frequency "captor" tones, however, improved performance by pulling the distractors into a separate stream from the targets. In the current study, sequences of discrete pure tones were substituted by sequences of brief changes applied to an otherwise constant 1.2-s complex tone. Pure-tone-like percepts were evoked by applying 6-dB increments to individual components of a complex comprising harmonics 1-7 of 300 Hz (Experiment 1) or 0.5-ms changes in interaural time difference to individual components of a log-spaced complex (range 160-905 Hz; Experiment 2). Results were consistent with the earlier study, providing clear evidence that pure-tone-like percepts are organized into streams. Experiment 3 adapted Experiment 1 by presenting a global amplitude increment either synchronous with, or just after, the last captor prior to the 1st distractor. In the former case, for which there was no pure-tone-like percept corresponding to that captor, the captor sequence did not aid performance to the same extent as previously. It is concluded that this change to the captor-tone stream partially resets the stream-formation process, and so the distractors and targets became likely to integrate once more.     

Retrieval of episodic versus generic information: does the order of recall affect the amount and accuracy of details reported by children about repeated events?

Children (N = 157) 4 to 8 years old participated 1 time (single) or 4 times (repeated) in an interactive event. Across each condition, half were questioned a week later about the only or a specific occurrence of the event (depth first) and then about what usually happens. Half were prompted in the reverse order (breadth first). Children with repeated experience who first were asked about what usually happens reported more event-related information overall than those asked about an occurrence first. All children used episodic language when describing an occurrence; however, children with repeated-event experience used episodic language less often when describing what usually happens than did those with a single experience. Accuracy rates did not differ between conditions. Implications for theories of repeated-event memory are discussed.     

Spirituality and Religiosity in Urban Adolescents with Asthma

Predictors of multiple dimensions of spirituality/religiosity (S/R) and adolescents’ preferences for having S/R (e.g., prayer) addressed in hypothetical medical settings were assessed in a sample of urban adolescents with asthma. Of the 151 adolescents (mean age = 15.8, 60% female, 85% African-American), 81% said that they were religious and spiritual, 58% attended religious services in the past month, and 49% prayed daily. In multivariable models, African-American race/ethnicity and having a religious preference were associated with higher levels of S/R (R ² = 0.07–0.25, P < .05). Adolescents’ preferences for including S/R in the medical setting increased with the severity of the clinical situation (P < .05).     

Smoking mediates the effect of conscientiousness on mortality: The Veterans Affairs Normative Aging Study

This study examined the relationship between conscientiousness and mortality over 18 years and whether smoking behavior mediated this relationship. We utilized data from the Veterans Affairs Normative Aging Study on 1349 men who completed the Goldberg (1992) adjectival markers of the Big Five. Over the 18-year follow-up, 547 (41%) participants died. Through proportional hazards modeling in a structural equation modeling framework, we found that higher levels of conscientiousness significantly predicted longer life, and that this effect was mediated by current smoking status at baseline. Methodologically, we also demonstrate the effectiveness of using a structural equation modeling framework to evaluate mediation when using a censored outcome such as mortality.     

Human nonindependent mate choice: Is model female attractiveness everything?

Following two decades of research on non-human animals, there has recently been increased interest in human nonindependent mate choice, namely the ways in which choosing women incorporate information about a man's past or present romantic partners ('model females') into their own assessment of the male. Experimental studies using static facial images have generally found that men receive higher desirability ratings from female raters when presented with attractive (compared to unattractive) model females. This phenomenon has a straightforward evolutionary explanation: the fact that female mate value is more dependent on physical attractiveness compared to male mate value. Furthermore, due to assortative mating for attractiveness, men who are paired with attractive women are more likely to be of high mate value themselves. Here, we also examine the possible relevance of model female cues other than attractiveness (personality and behavioral traits) by presenting video recordings of model females to a set of female raters. The results confirm that the model female's attractiveness is the primary cue. Contrary to some earlier findings in the human and nonhuman literature, we found no evidence that female raters prefer partners of slightly older model females. We conclude by suggesting some promising variations on the present experimental design.     

Nonverbal Behavioral Indicators of Negative Affect in Couple Interaction

Affect has been identified across numerous research studies to be a vital element in understanding couple relationship processes. Affect has been shown to distinguish between satisfied and dissatisfied couples and to be important in understanding processes leading to relationship dissolution. However, research has not yet uncovered nonverbal indicators that a couple is experiencing negative affect compared to other affective states. In this study we sought to identify specific nonverbal behaviors associated with different affective states. Results suggested that differences in looking-behavior and smiling can be used to identify affect states during couple communication. We outline how the results can aid couples therapy interventions.     

Coping with racial discrimination: The role of substance use

Three studies tested the hypothesis that the relation between perceived racial discrimination and substance use reported in previous research is moderated by use of substances as a coping mechanism. Studies 1 and 2 were experimental studies of African American adolescents' and young adults' reactions to a discrimination experience. Results revealed that those who endorsed substance use-as-coping reported more willingness to use substances after experiencing discrimination. Study 3 was a prospective study of the relation between perceived discrimination and substance use over an 8-year period in African American adolescents. Results demonstrated that discrimination is associated with increases in substance use, but only among adolescents who endorse substance use-as-coping. Together, these three studies provide evidence that experiencing discrimination has both short- and long-term detrimental effects on African Americans' substance use, but significantly more so for those who adopt a pattern of using substances as a coping mechanism. (PsycINFO Database Record (c) 2012 APA, all rights reserved).