The Relationship Between Burnout and Occupational Stress in Genetic Counselors

Burnout represents a critical disruption in an individual’s relationship with work, resulting in a state of exhaustion in which one’s occupational value and capacity to perform are questioned. Burnout can negatively affect an individual’s personal life, as well as employers in terms of decreased work quality, patient/client satisfaction, and employee retention. Occupational stress is a known contributor to burnout and occurs as a result of employment requirements and factors intrinsic to the work environment. Empirical research examining genetic counselor-specific burnout is limited; however, existing data suggests that genetic counselors are at increased risk for burnout. To investigate the relationship between occupational stress and burnout in genetic counselors, we administered an online survey to members of three genetic counselor professional organizations. Validated measures included the Maslach Burnout Inventory—General Survey (an instrument measuring burnout on three subscales: exhaustion, cynicism, and professional efficacy) and the Occupational Stress Inventory—Revised (an instrument measuring occupational stress on 14 subscales). Of the 353 respondents, more than 40 % had either considered leaving or left their job role due to burnout. Multiple regression analysis yielded significant predictors for burnout risk. The identified sets of predictors account for approximately 59 % of the variance in exhaustion, 58 % of the variance in cynicism, and 43 % of the variance in professional efficacy. Our data confirm that a significant number of genetic counselors experience burnout and that burnout is correlated with specific aspects of occupational stress. Based on these findings, practice and research recommendations are presented.     

The positive eating scale: relationship with objective health parameters and validity in Germany,the USA and India

Objective: The prevailing focus regarding eating behaviour is on restriction, concern, worry and pathology. In contrast, the purpose of the present studies was to focus on a positive relationship with eating in non-clinical samples from Germany, the USA and India.

Design: In Study 1, the Positive Eating Scale (PES) was tested and validated in a large longitudinal sample (T1: N = 772; T2: N = 510). In Study 2, the PES was tested in online samples from the USA, India and Germany (total N = 749).

Main Outcome Measures: Health risk status was measured in Study 1 with objective health parameters (fasting serum glucose, triglycerides, high-density lipoprotein cholesterol, blood pressure, waist circumference, BMI).

Results: Study 1 revealed acceptable psychometric properties of the PES, internal consistency (α = .87), as well as test–retest reliability after six months (r = .67). Importantly, a positive relationship with eating was associated with decreased health risk factors six months later. In Study 2, the structure of the PES was confirmed for German, Indian and US-American adults, suggesting validity across remarkably different eating environments.

Conclusion: A positive relationship with eating might be a fruitful starting point for prevention and intervention programmes promoting physical and psychological health.     

Does a Positive Bias Relate to Social Behavior in Children With ADHD?

This study examines whether positively biased self-perceptions relate to social behaviors in children with attention-deficit/hyperactivity disorder (ADHD) as compared to control children. The social behaviors of children with ADHD (n = 87) were examined relative to control children (CTL; n = 38) during a laboratory-based dyadic social interaction task. Children with ADHD were subgrouped into those with a positive illusory bias (PIB) in their self-perceptions (ADHD + PIB) versus those without such a bias (ADHD – PIB). Using a behavioral coding system adapted for this study, ADHD + PIB, ADHD – PIB, and CTL participants were compared on objectively coded social behaviors occurring within the context of the social interaction task. Whereas both ADHD groups displayed more disruptive behavior than controls, only the ADHD + PIB group displayed less prosocial behavior and less effortful behavior. This study breaks new ground by examining positively biased self-perceptions as they relate to social behavior in children with ADHD and provides promising new insight into the social problems experienced by these children.     

Prejudice and self-esteem: A transactional model

This paper reviews three theoretical models of how prejudice affects the self-esteem of its targets. The stimulus-response model assumes that prejudice has a direct, negative effect on self-esteem. The stimulus-perception-response model recognises that perceptions of prejudice may not directly mirror experiences with prejudice, but predicts that the subjective perception of being a target of prejudice has a direct, negative effect on self-esteem. Both of these models are found to be inadequate. We propose a third, transactional model, which assumes that individuals do not respond in uniform way to being the target of prejudice. Rather, this model contends that self-esteem and emotional responses to prejudice are determined by cognitive appraisals of prejudicial events and coping strategies used in response to these events; these processes, in turn, are shaped by personal, situational, and structural factors. Experiments are presented showing that self-esteem in response to perceived prejudice is moderated by presence or absence of threats to personal identity, clarity of prejudices cues in the situation, ingroup identification, dispositional optimism, endorsement of legitimising ideologies, and group status. We argue that a transactional model of responses to prejudice emphasises sources of resistance as well as vulnerability among targets of prejudice.     

Cumulative trauma and midlife well-being in American women who served in Vietnam: effects of combat exposure and postdeployment social support

Background and Objectives: Research increasingly demonstrates that trauma exposure can have cumulative effects, yet much remains to be learned about effects of cumulative trauma, particularly regarding longer term adjustment. One such trauma, combat exposure, is insufficiently understood, especially for women, who are increasingly engaged in professional combat activities. Design: The study comprised a cross-sectional survey assessing multiple aspects of current well-being in women approximately 25 years after their service in Vietnam during the Vietnam War. Methods: Participants were 1374 women (78% military and 22% nonmilitary; mean age = 59.7). This study investigated the relations between three separate categories of trauma exposure (childhood, adulthood, and combat) and well-being and examined whether perceived social support at return from Vietnam moderated the association between combat exposure and well-being. Results: While both childhood and adulthood trauma exposure related to midlife well-being, combat exposure still uniquely predicted outcomes. Further, postdeployment perceived social support moderated the association of combat and well-being: recollected higher perceived social support at homecoming buffered participants from the links between combat exposure and well-being. Conclusions: These results may have important implications for interventions to reduce the impact of traumatic experiences, particularly in light of the increasing exposure of women to direct combat events.     

A comparison of concepts in self-psychology and Winnicott's theory of the development of the self

The humiliation and traumatization of political opponents during periods of violent and non-violent conflict can create deadlocked situations with great potential for regression, and may serve to aggravate the conflict or escalate the level of violence. In this article, I will examine this type of regressive dynamic. My point of departure is the current terror situation and the “war against terror” as it is being conducted in different parts of the world. The key concepts in this connection are violations of human rights, victim psychology, group processes and the development of regressive group identities. Political-ideological-religious discourses can serve to mediate between collective unconscious fantasies and the actual misery/humiliation experienced at group and individual levels. They can reinforce an identity as victim, and the significance of this identity is often underestimated when the background of terror and violent conflicts is being analysed.     

Influence of emotional facial expressions on 3-5-year-olds’ face recognition

Three experiments examined 3- and 5-year-olds’ recognition of faces in constant and varied emotional expressions. Children were asked to identify repeatedly presented target faces, distinguishing them from distractor faces, during an immediate recognition test and during delayed assessments after 10 min and one week. Emotional facial expression remained neutral (Experiment 1) or varied between immediate and delayed tests: from neutral to smile and anger (Experiment 2), from smile to neutral and anger (Experiment 3, condition 1), or from anger to neutral and smile (Experiment 3, condition 2). In all experiments, immediate face recognition was not influenced by emotional expression for either age group. Delayed face recognition was most accurate for faces in identical emotional expression. For 5-year-olds, delayed face recognition (with varied emotional expression) was not influenced by which emotional expression had been displayed during the immediate recognition test. Among 3-year-olds, accuracy decreased when facial expressions varied from neutral to smile and anger but was constant when facial expressions varied from anger or smile to neutral, smile or anger. Three-year-olds’ recognition was facilitated when faces initially displayed smile or anger expressions, but this was not the case for 5-year-olds. Results thus indicate a developmental progression in face identity recognition with varied emotional expressions between ages 3 and 5.     

Horizontal and vertical attentional orienting in Parkinson’s disease

Patients with Parkinson’s disease (PD) typically suffer from an asymmetric degeneration of dopaminergic cells in the substantia nigra, resulting in right-sided (RPD) or left-sided (LPD) predominance of motor symptomatology. As the dopaminergic system is also involved in attention, we examined horizontal and vertical orienting of attention in LPD (N = 10), RPD (N = 9) and controls (N = 10). Four LPD patients demonstrated left neglect and three LPD patients demonstrated neglect for the upper visual field. LPD patients demonstrated a slower performance in detecting targets in the left hemifield and did not demonstrate a validity effect, unlike RPD patients and controls. RPD patients performed similar to controls, with the exception of one patient showing left and another showing right neglect, and two RPD patients demonstrated lower neglect. In sum, horizontal and vertical orienting of attention can be affected in Parkinson’s disease – particularly in LPD – from very subtle slowing to clinically detectable horizontal and/or vertical neglect.     

Basic Principles of Quantitative EEG

Principles of quantitative electroencephalography (EEG) relevant to neurotherapy are reviewed. A brief history of EEG, the general properties of human EEG, and the issues and obstacles associated with quantitative methods are discussed. Fourier analysis is also described.     

Contrasting the Theory of Planned Behavior With the Value‐Belief‐Norm Model in Explaining Conservation Behavior1

In this paper, we contrast the value‐belief‐norm (VBN) model and the theory of planned behavior (TPB) for the first time regarding their ability to explain conservation behavior. The participants represent a convenience sample of 468 university students. Using survey data and adopting previously established compound measures, structural equation analyses revealed a remarkable explanatory power for both theories: TPB's intention accounted for 95% of people's conservation behavior and VBN's personal norms accounted for 64%. Compared to the VBN model, the TPB covered its concepts more fully in terms of proportions of explained variance. More importantly, the fit statistics revealed that only the TPB depicts the relations among its concepts appropriately, whereas the VBN model does not.