What Patients and Their Relatives Think About Testing for BMPR2

Clinical genetic testing is available for mutations in BMPR2 associated with pulmonary arterial hypertension (PAH). The aim of this study is to assess attitudes of individuals affected by or at risk for PAH regarding genetic testing. Structured telephone interviews were conducted with 119 individuals affected by or at risk for PAH recruited from pulmonary hypertension clinic at Vanderbilt, Vanderbilt familial PAH registry, attendees at 2006 PHA meeting, and a local PAH support group. Sixty-four percent reported knowing little or nothing about BMPR2 testing. Predictors of greater self-assessed knowledge included having an affected family member and learning about BMPR2 testing through the internet. Most respondents reported that while they spent some time thinking about being tested for BMPR2, they had little trouble deciding. The most frequently cited reason for testing was to provide information for their children. About 20% said they had been tested, even though <5% have actually received clinical testing. Although patients with PAH and their at-risk relatives typically feel relatively uninformed about testing for mutations in BMPR2 and at times are confused about their testing status, they nonetheless report that it is easy to decide about testing.     

Modular Treatment for Children and Adolescents With Problematic School Absenteeism: Development and Description of a Program in Germany

Problematic school absenteeism is defined as absence from school occurring with a clinical-level mental disorder. It represents a higher-order term for school refusal, school truancy, and the combination thereof and is associated with an increased risk for school dropout, prolonged mental disorders, and unemployment. This article describes the manualized modular treatment of problematic school absenteeism (MT) by a multiprofessional team. The manual was developed to target a broad spectrum of mental disorders characterized by internalizing but also externalizing behavior. The therapeutic focus is on the reintegration into school and on the cognitive behavioral treatment of the mental disorder. The MT is based on a multilevel model of problematic school absenteeism. The treatment is informed by an extensive case-conceptualization and addresses motivational aspects by offering a low-threshold therapeutic design and motivational interviewing. Core interventions are represented in four modules: cognitive behavioral therapy, family counseling, school counseling, and a psychoeducational physical exercise program. A case vignette provides an illustration of the treatment and the specific graduated approach for school reintegration. The current modular approach is discussed in relation to other cognitive-behavioral manuals targeting a broad spectrum of mental disorders or school refusal.     

Externalizing behaviours of Turkish-Dutch and Moroccan-Dutch youth: The role of parental cultural socialization

The present study examines whether perceived parental cultural socialization (e.g., encouraging cultural practices, traditions, language and cultural pride) is negatively associated with externalizing problem behaviours (e.g., fighting, expression of anger, lying and stealing) among Turkish-Dutch (n = 143) and Moroccan-Dutch (n = 164) youth (age 14–18), with ethnic in-group connectedness as a mediator. The results show that Turkish-Dutch youth, who report more cultural socialization efforts by their parents, are less likely to exhibit externalizing behaviours, because of their increased connectedness to the ethnic in-group. For Moroccan-Dutch youth, however, in-group connectedness is lower and we find no indirect effect of perceived parental cultural socialization on externalizing behaviours. We conclude that Turkish-Dutch youth seem to reap mental health benefits from what they perceive as their parents’ cultural socialization efforts. Thus, it is important to study ethnic differences in parental cultural socialization to enhance youth development across diverse youth populations in Europe.     

Validity of the Inventory of Interpersonal Problems (IIP-64) for predicting assertiveness in role-play situations

The Inventory of Interpersonal Problems (IIP-64; Horowitz, Alden, Wiggins, & Pincus, 2000) is a self-report measure of maladaptive relationship behavior. Ninety-five adult female participants completed the IIP-64 and then interacted with a same-sex confederate in three diagnostic role plays, designed to evoke assertive responses. After each role play, both the participant and the confederate judged how assertive the participant had been, using two subscales from the Interpersonal Adjective Scales (IAS; Wiggins, 1995). The participants' general self-images, assessed with the IIP-64, were quite congruent with how they judged their own assertiveness in the role plays. But when role-play assertiveness was judged by the confederate, the match with the participants' general self-images was considerably lower. Our results indicate that self-reported interpersonal problems do not converge well with external judgments of interpersonal behavior.     

The social construction of race: biracial identity and vulnerability to stereotypes

Multiracial individuals are more likely to have a heightened awareness of race as a social construct than monoracial individuals. This article examines the impact that a heightened awareness of race as a social construct has on the relationship between racial stereotypes and performance. Study 1 finds that multiracial individuals reported subscribing less to the notion that race biologically determines ability. Study 2 finds that monoracial individuals show stereotype activation, whereas multiracial individuals show stereotype inhibition in reaction to race salience. Study 3 draws on the work on stereotypes and performance to test the susceptibility of multiracial individuals to racial stereotypes about ability. The authors find that Asian/White and Black/White multiracial individuals were less susceptible to racial stereotypes than monoracial individuals. Whereas monoracial participants showed significant performance changes in reaction to race salience, multiracial individuals did not. Study 4 finds that emphasizing the social construction of race buffers individuals from stereotype threat effects.     

Randomized trial of a meditation-based stress reduction program and cognitive behavior therapy in generalized social anxiety disorder

Mindfulness-based stress reduction (MBSR) has been reported to reduce anxiety in a broad range of clinical populations. However, its efficacy in alleviating core symptoms of specific anxiety disorders is not well established. We conducted a randomized trial to evaluate how well MBSR compared to a first-line psychological intervention for social anxiety disorder (SAD). Fifty-three patients with DSM-IV generalized SAD were randomized to an 8-week course of MBSR or 12 weekly sessions of cognitive-behavioral group therapy (CBGT). Although patients in both treatment groups improved, patients receiving CBGT had significantly lower scores on clinician- and patient-rated measures of social anxiety. Response and remission rates were also significantly greater with CBGT. Both interventions were comparable in improving mood, functionality and quality of life. The results confirm that CBGT is the treatment of choice of generalized SAD and suggest that MBSR may have some benefit in the treatment of generalized SAD.     

WHEN THE RELATIONSHIP BECOMES HER: REVISITING WOMEN'S BODY CONCERNS FROM A RELATIONSHIP CONTINGENCY PERSPECTIVE

Given women's communally oriented socialization and social pressures to find romantic partners, many heterosexual women may derive self-worth from having romantic relationships (relationship contingency). Across two studies, we explored whether relationship contingency heightens women's body shame. Studies 1A and 1B found that relationship contingency causes body shame among women. In Study 2, relationship contingency predicted greater bulimic symptoms, which was mediated fully by greater body shame. Using both experimental methods and structural equation modeling, these studies demonstrate a link between relationship contingency and body shame that is not explained by appearance contingency (basing self-esteem on one's physical appearance). Results are discussed in terms of self-objectification theory, contingencies of self-worth, mate preferences, and close relationships.     

The tie effect in simple arithmetic: An access-based account

Simple arithmetic problems with repeated operands (i.e., ties such as 4 + 4, 6 x 6, 10 - 5, or 49 / 7) are solved more quickly and accurately than similar nontie problems (e.g., 4 + 5, 6 x 7, 10 - 6, or 48 / 6). Further, as compared with nonties, ties show small or nonexistent problem-size effects (whereby problems with smaller operands such as 2 + 3 are solved more quickly and accurately than problems with larger operands such as 8 + 9). Blankenberger (2001) proposed that the tie advantage occurred because repetition of the same physical stimulus resulted in faster encoding of tie than of nontie problems. Alternatively, ties may be easier to solve than nonties because of differences in accessibility in memory or differences in the solution processes. Adults solved addition and multiplication (Experiment 1) or subtraction and division (Experiment 2) problems in four two pure formats (e.g., 4 + 4, FOUR + FOUR) and two mixed formats (e.g., 4 + FOUR, and FOUR + 4). Tie advantages were reduced in mixed formats, as compared with pure formats, but the tie x problem-size interaction persisted across formats. These findings support the view that tie effects are strongly related to memory access and are influenced only moderately by encoding factors.     

Physiological evidence that a masked unrelated intervening item disrupts semantic priming: implications for theories of semantic representation and retrieval models of semantic priming

Event-related potentials were recorded in a paradigm where an unrelated word was interposed between two related words. In one condition, the intervening item was masked and in another condition it was not. The N400 component indicated that priming of the related word was disrupted by the intervening item whether it was masked or not. The data are interpreted to be inconsistent with retrieval models of priming.     

Somatic and social: Chinese Americans talk about emotion

Empirical findings suggest that Chinese and Americans differ in the ways that they describe emotional experience, with Chinese using more somatic and social words than Americans. No one, however, has investigated whether this variation is related to differences between Chinese and American conceptions of emotion or to linguistic differences between the English and Chinese languages. Therefore, in two studies, the authors compared the word use of individuals who varied in their orientation to Chinese and American cultures (European Americans [EA], more acculturated Chinese Americans [CA], and less acculturated CA) when they were speaking English during emotional events. Across both studies, less acculturated CA used more somatic (e.g., dizzy) and more social (e.g., friend) words than EA. These findings suggest that even when controlling for language spoken, cultural conceptions of emotion may shape how people talk about emotion.