A Qualitative Study of Health Professionals' Views Regarding Provision of Information About Health-Protective Behaviors During Genetic Consultation for Breast Cancer

This study aimed to explore health professionals' views and practice regarding the provision of information about health-protective behaviors (e.g., exercise, alcohol consumption, diet) during genetic consultation for breast cancer. Ten genetic counselors participated in three focus groups, and seven medical specialists were interviewed in a focus group or individually. Data was analyzed using the constant comparative method. Findings suggested that health professionals held differing, often opposing, views about the value of health-protective behaviors for women at increased risk of breast cancer. The content and extent of information provided about health-protective behaviors varied widely, and participants expressed a need to form consensus regarding information provision both within and across clinics. The main barriers to providing information regarding health-protective behaviors included the lack of research evidence regarding the impact of these factors and higher priority of other information need to be provided in the limited consultation time. Participants generally did not consider it their role to promote health-protective behaviors, and were concerned about the psychological impact of providing information about behavioral risk factors during genetic consultations.     

Adjustments to the correction for attenuation

With respect to the often-present covariance between error terms of correlated variables, D. W. Zimmerman and R. H. Williams's (1977) adjusted correction for attenuation estimates the strength of the pairwise correlation between true scores without assuming independence of error scores. This article focuses on the derivation and analysis of formulas that perform the same function for partial and part correlation coefficients. Values produced by these formulas lie closer to the actual true-score coefficient than do the observed-score coefficients or those obtained by using C. Spearman's (1904) correction for attenuation. The new versions of the formulas thus allow analysts to use hypothetical values for error-score correlations to estimate values for the partial and part correlations between true scores while disregarding the independence-of-errors assumption.     

Two languages, one developing brain: event-related potentials to words in bilingual toddlers

Infant bilingualism offers a unique opportunity to study the relative effects of language experience and maturation on brain development, with each child serving as his or her own control. Event-related potentials (ERPs) to words were examined in 19- to 22-month-old English-Spanish bilingual toddlers. The children's dominant vs. nondominant languages elicited different patterns of neural activity in the lateral asymmetry of an early positive component (P100), and the latencies and distributions of ERP differences to known vs. unknown words from 200-400 and 400-600 ms. ERP effects also differed for 'high' and 'low' vocabulary groups based on total conceptual vocabulary scores. The results indicate that the organization of language-relevant brain activity is linked to experience with language rather than brain maturation.     

Role function and job satisfaction of school psychologists practicing in an expanded role model

School psychologists are typically itinerant among multiple schools and often spend up to two-thirds of their time on assessment activities related to students with disabilities and special education programs. School psychologists in delivery of an expanded role service model are assigned to a single school and provide more consultation and intervention services. 97 school psychologists assigned to an expanded role in a single southeastern urban school district were surveyed on their job roles and job satisfaction. The majority were satisfied or very satisfied with their jobs, particularly with engaging in activities that were of service to others and staying involved in a variety of job activities. School psychologists wanted to spend less time in assessment, multidisciplinary team meetings, and administrative duties. The discrepancy between the desired and actual amount of time spent in multidisciplinary meetings was negatively related to job satisfaction. Psychologists wanted to spend more time in direct and indirect intervention, professional development, and networking.     

Adult age, gender, and race group differences in images of aging

Younger and older African American and Caucasian American adults, who were matched by age (M age = 40.63 years), completed a survey on perceptions of aging and subjective age. The 2 groups did not differ in the age they considered someone to be old (M age = 74.5 years). However, when asked which age was the happiest age, African Americans chose a significantly younger age (M age = 18.26 years) than did Caucasian Americans (M age = 31.32 years), and this racial group difference interacted with age differences such that older Caucasian Americans named an older age than did younger Caucasian Americans. The authors found no such age difference for African Americans. When asked if old age was a happy time, 60% of Caucasian Americans answered yes, whereas only 2% of African Americans answered yes. These and other differences in images and concerns of old age and subjective age suggest a far more negative view of aging for African Americans and a need for changes in the provision of positive information about aging for this group.     

Effects of number of items and visual display variability onsame-different discrimination behavior

We explored college students' discrimination of complex visual stimuli that involvedmultiple-item displays. The items in each of the displays could be all the same, all different, or diverse mixtures of some same and some different items. The participants had to learn which of two arbitrary responses was correct for each of the displays without being told about the sameness or differentness of the stimuli. We observed a general improvement in discrimination performance--a rise in choice accuracy and a fall in reaction time-as the number of icons in the display was increased, even when the participants had been trained from the outset with displays containing different numbers of items and when smaller numbers of items were not randomly distributed but grouped in the center of the display. The participants' discrimination behavior also depended on the mixture of same and different items in the displays. Striking individual differences in the participants' discrimination behavior disclosed that people sometimes respond as do pigeons and baboons trained with a similar task. This and previous related research suggest that variability discrimination may lie at the root of same-different categorization behavior.     

Outcome From a Randomized Controlled Trial of Group Therapy for Binge Eating Disorder: Comparing Dialectical Behavior Therapy Adapted for Binge Eating to an Active Comparison Group Therapy

Dialectical Behavior Therapy for Binge Eating Disorder (DBT-BED) aims to reduce binge eating by improving adaptive emotion-regulation skills. Preliminary findings have been promising but have only compared DBT-BED to a wait-list. To control for the hypothesized specific effects of DBT-BED, the present study compared DBT-BED to an active comparison group therapy (ACGT). Men and women (n = 101) meeting DSM-IV BED research criteria were randomly assigned to 20 group sessions of DBT-BED (n = 50) or ACGT (n = 51). DBT-BED had a significantly lower dropout rate (4%) than ACGT (33.3%). Linear Mixed Models revealed that posttreatment binge abstinence and reductions in binge frequency were achieved more quickly for DBT-BED than for ACGT (posttreatment abstinence rate = 64% for DBT-BED vs. 36% for ACGT) though differences did not persist over the 3-, 6-, and 12-month follow-up assessments (e.g., 12-month follow-up abstinence rate = 64% for DBT-BED vs. 56% for ACGT). Secondary outcome measures revealed no sustained impact on emotion regulation. Although both DBT-BED and ACGT reduced binge eating, DBT-BED showed significantly fewer dropouts and greater initial efficacy (e.g., at posttreatment) than ACGT. The lack of differential findings over follow-up suggests that the hypothesized specific effects of DBT-BED do not show long-term impact beyond those attributable to nonspecific common therapeutic factors.