Psychiatric Disorders in Clinical Genetics II: Individualizing Recurrence Risks

This is the second article of a two-part professional development series on genetic counseling for personal and family histories of psychiatric disorders. It is based on an Educational Breakout Session presented by The Psychiatric Special Interest Group of the National Society of Genetic Counselors at the 2006 Annual Education Conference. While the first article in this two part series dealt with addressing family histories of psychiatric disorders in clinical practice, the following discussion deals with the generation and provision of individualized recurrence risks for psychiatric disorders, based on empiric risk data. We present four cases that illustrate important components of and process for generating individualized risk assessment for family histories of psychiatric disorders.     

Repressive Coping,Emotional Adjustment,and Cognition in People Who Have Lost Loved Ones to Suicide

Research indicates that a repressive coping style is psychologically protective against the stress of trauma, yet it is unclear whether this finding generalizes to suicide bereavement. Thus, we assessed cognitive ability and mental health among individuals who lost a loved one to suicide. The results indicate that repressive coping may be associated with greater emotional health during suicide bereavement. Interestingly, “repressors” also had lower scores on both cognitive tasks compared to “nonrepressors,” but it is unclear whether their more recent loss accounts for this difference. These results are based on cross‐sectional data, and should be interpreted with caution.     

Development and Validation of an Instrument for the Assessment of Dependency Among Bereaved Persons

Dependency among bereaved individuals has been hypothesized to be an important predictor of severe and enduring grief reactions. However, although there are a number of instruments that assess interpersonal dependency as a personality trait or style, no scales are available to assess bereavement-related dependency. Data from 170 widowed participants in a community-based longitudinal investigation, who had been bereaved for an average of 10.8 months, were used to investigate the reliability and validity of the Bereavement Dependency Scale (BDS), an instrument that was developed to assess dependency on the deceased among bereaved persons. Results indicated that the BDS demonstrated acceptable internal reliability and satisfactory convergent, discriminant, and construct validity. The BDS may be a clinically useful predictor of enduring and complicated grief reactions, major depressive disorder, and suicidality among recently bereaved individuals.     

Nuclear Power: Renaissance or Relapse? Global Climate Change and Long‐Term Three Mile Island Activists’ Narratives

Community narratives are increasingly important as people move towards an ecologically sustainable society. Global climate change is a multi-faceted problem with multiple stakeholders. The voices of affected communities must be heard as we make decisions of global significance. We document the narratives of long-term anti-nuclear activists near the Three Mile Island (TMI) nuclear power plant who speak out in the dawn of a nuclear renaissance/relapse. While nuclear power is marketed as a “green” solution to global warming, their narratives reveal three areas for consideration; (1) significant problems with nuclear technology, (2) lessons “not” learned from the TMI disaster, and (3) hopes for a sustainable future. Nuclear waste, untrustworthy officials and economic issues were among the problems cited. Deceptive shaping of public opinion, nuclear illiteracy, and an aging anti-nuclear movement were reasons cited for the lessons not learned. However, many remain optimistic and envision increased participation to create an ecologically-balanced world.     

Stressed and Happy? Investigating the Relationship Between Happiness and Perceived Stress

Developing interventions to increase happiness is a major focus of the emerging field of positive psychology. Common beliefs about the need to reduce stress to obtain happiness suggest that stress management activities should be included in these interventions. However, the research on the relationship between positive and negative affect is equivocal. Theoretically, they are conceptualized as independent dimensions, but research has often found an inverse relationship between happiness and stress. In addition, the research generally attempts to assess stress objectively rather than in terms of the cognitive appraisal process. The current study examines the relationship between perceived stress and happiness among 100 college students to determine if the same inverse relationship exists. Linear correlations between happiness and perceived stress were significant indicating that there was an inverse relationship between these variables. The discussion focuses on several factors that might help to explain the observed relationship.     

An online calculator to compute phonotactic probability and neighborhood density on the basis of child corpora of spoken American English

An online calculator was developed (www.bncdnet.ku.edu/cml/info_ccc.vi) to compute phonotactic probability—the likelihood of occurrence of a sound sequence—and neighborhood density—the number of phonologically similar words—on the basis of child corpora of American English (Kolson, 1960; Moe, Hopkins, & Rush, 1982) and to compare its results to those of an adult calculator. Phonotactic probability and neighborhood density were computed for a set of 380 nouns (Fenson et al., 1993) using both the child and adult corpora. The child and adult raw values were significantly correlated. However, significant differences were detected. Specifically, child phonotactic probability was higher than adult phonotactic probability, especially for highprobability words, and child neighborhood density was lower than adult neighborhood density, especially for words with high-density neighborhoods. These differences were reduced or eliminated when relative measures (i.e., z scores) were used. Suggestions are offered regarding which values to use in future research.     

RBANS Validity Indices: a Systematic Review and Meta-Analysis

Neuropsychology practice organizations have highlighted the need for thorough evaluation of performance validity as part of the neuropsychological assessment process. Embedded validity indices are derived from existing measures and expand the scope of validity assessment. The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) is a brief instrument that quickly allows a clinician to assess a variety of cognitive domains. The RBANS also contains multiple embedded validity indicators. The purpose of this study was to synthesize the utility of those indicators to assess performance validity. A systematic search was completed, resulting in 11 studies for synthesis and 10 for meta-analysis. Data were synthesized on four indices and three subtests across samples of civilians, service members, and veterans. Sufficient data for meta-analysis were only available for the Effort Index, and related analyses indicated optimal cutoff scores of ≥1 (AUC?=?.86) and?≥?3 (AUC?=?.85). However, outliers and heterogeneity were present indicating the importance of age and evaluation context. Overall, embedded validity indicators have shown adequate diagnostic accuracy across a variety of populations. Recommendations for interpreting these measures and future studies are provided.