From Constraints to Opportunities? Provision of Psychosocial Support in Portuguese Oncogenetic Counseling Services

Although available guidelines for familial cancer risk counseling clearly state the need to provide adequate psychosocial assessments and support, this feature of care is only available in part for individuals and families in oncogenetic counseling protocols in Portugal. The purpose of this study was to examine the psychosocial aspects of oncogenetic counseling provided by a sample of Portuguese genetics professionals. We sought to ascertain perceived need for the provision of psychosocial services and ways to enhance the psychosocial focus in service delivery. A qualitative study was designed; semi-structured focus groups and individual interviews were performed with 30 professionals from Portuguese healthcare institutions where oncogenetic counseling is offered. Findings suggest: current practice is aligned with the teaching model, with a mainly information-based focus; use of psychosocial counseling techniques and psychosocial support is limited throughout the genetic counseling timeline; there is a limited workforce of adequately trained psychosocial professionals, who are disadvantaged by structural and organizational constraints. These factors are considered to be serious barriers for psychosocial delivery. Development of multidisciplinary teams working in oncogenetics, and need for further counselling skills and training for genetics healthcare professionals were identified as priorities. Implications for practice and policy are discussed. Portuguese genetic counselors who have recently completed their training, may therefore contribute to enhanced psychosocial services delivery.     

Relationship Between Childhood Trauma and Sleep Disturbances: The Role of Perceived Stress as a Mediator

The main objective of the current study was to analyze the mediating role of perceived stress on the relationship between childhood trauma and sleep disturbances among the adult population. The sample of this cross-sectional study was composed of 987 Portuguese adults with sleep disturbances, who completed a self-administered questionnaire about childhood trauma, sleep disturbances, and perceived stress. The results of analyses found that in the model that included the variables childhood trauma and perceived stress, both variables were predictors of sleep disturbances; however, perceived stress was the strongest predictor. Regarding the model with the subtypes of maltreatment, only Emotional Abuse predicted sleep problems. Results of the Path Analysis model showed that perceived stress partly mediates the effect of childhood trauma on adult sleep disturbances. This study has clinical implications, supporting the importance of taking into account childhood trauma and perceived stress during the assessment and intervention of sleep disturbances.     

Optimism predicting employees' creativity: The mediating role of positive affect and the positivity ratio

We examine how optimism predicts creativity both directly and through the mediating role of positive affect and the positivity ratio (the ratio between the frequency of positive and negative affective states). Five hundred and ninety five employees reported their positive and negative affect, as well as their optimism. Their creativity was reported by supervisors. The main findings are the following: (1) optimism predicts creativity both directly and through the mediating role of positive affect and the positivity ratio; (2) the relationship between the positivity ratio and creativity is curvilinear, in such a way that an “excessive” ratio is detrimental to creativity. The findings stress the relevance of optimism both for individuals and organizations, and suggest that examining positivity ratios is fruitful in the creativity domain, as it has been in other domains, and that negative affect should not be viewed simply as an obstacle when studying employees' creativity.     

Retail employees' self-efficacy and hope predicting their positive affect and creativity

The study shows how retail employees' self-efficacy and hope predict their creativity, both directly and through the mediating role of positive affect. Five hundred and seven retail employees reported their hope, self-efficacy, and positive affect, their supervisors reporting their creativity. Three main findings are: (1) hope and self-efficacy predict creativity; (2) positive affect also predicts creativity; (3) positive affect partially mediates the relationship between both dimensions of positive psychological capital (self-efficacy and hope), and creativity. The study suggests that retail organizations may foster employees' creativity by encouraging conditions that cultivate employees' hope and self-efficacy, as well as their positive affect.     

Improvement in physiological and psychological parameters after 6 months of yoga practice

Yoga is believed to have beneficial effects on cognition, attenuation of emotional intensity and stress reduction. Previous studies were mainly performed on eastern experienced practitioners or unhealthy subjects undergoing concomitant conventional therapies. Further investigation is needed on the effects of yoga per se, as well as its possible preventive benefits on healthy subjects. We investigated the effects of yoga on memory and psychophysiological parameters related to stress, comparing yoga practice and conventional physical exercises in healthy men (previously yoga-naïve). Memory tests, salivary cortisol levels and stress, anxiety, and depression inventories were assessed before and after 6 months of practice. Yoga practitioners showed improvement of the memory performance, as well as improvements in psychophysiological parameters. The present results suggest that regular yoga practice can improve aspects of cognition and quality of life for healthy individuals. An indirect influence of emotional state on cognitive improvement promoted by yoga practice can be proposed.     

Sleep-dependent consolidation of procedural motor memories in children and adults: the pre-sleep level of performance matters

In striking contrast to adults, in children sleep following training a motor task did not induce the expected (offline) gain in motor skill performance in previous studies. Children normally perform at distinctly lower levels than adults. Moreover, evidence in adults suggests that sleep dependent offline gains in skill essentially depend on the pre-sleep level of performance. Against this background, we asked whether improving children's performance on a motor sequence learning task by extended training to levels approaching those of adults would enable sleep-associated gains in motor skill in this age group also. Children (4-6 years) and adults (18-35 years) performed on the motor sequence learning task (button-box task) before and after ~2-hour retention intervals including either sleep (midday nap) or wakefulness. Whereas one group of children and adults, respectively, received the standard amount of 10 blocks of training before retention intervals of sleep or wakefulness, a further group of children received an extended training on 30 blocks (distributed across 3 days). A further group of adults received a restricted training on only two blocks before the retention intervals. Children after standard training reached lowest performance levels, whereas in adults performance after standard training was highest. Children with extended training and adults after reduced training reached intermediate performance levels. Only at these intermediate performance levels did sleep induce significant gains in motor sequence skill, whereas performance did not benefit from sleep in the low-performing children or in the high-performing adults. Spindle counts in the post-training nap were correlated with performance gains at retrieval only in the adults benefitting from sleep. We conclude that, across age groups, sleep induces the most robust gain in motor skill at an intermediate pre-sleep performance level. In low-performing children sleep-dependent improvements in skill may be revealed only after enhancing the pre-sleep performance level by extended training.     

Under what conditions would people be willing to make a living organ donation?

The aim was to examine the factors involved in people's willingness to make a living organ donation. A convenience sample of 200 people in southern France rated willingness to be a living donor in 48 scenarios consisting of all combinations of five factors: recipient's identity (close family member and city resident); donor's surgical risk (little and some); donor's possible long-term health consequences (none, some lessening over time, and durable); transplant success ("generally durably successful" and "durably successful one time out of two"); and likelihood of other donors (subject is one of the rare compatible donors or one among others). Cluster analyses showed the existence of three distinct organ donation philosophies. For the largest cluster (49% of participants), willingness to donate was very high to a family member, but low to a city resident. For the second cluster (37%), willingness was high to family, but also moderately high to a city resident. For the third cluster (14%), willingness was always low. Thus, most participants judged themselves ready to make a living organ donation to a family member and many even to a stranger.     

Comparing Biographical Backgrounds of Religious Founders and Converts to Those Religions: An Exploratory Study

This paper is an exploratory, preliminary investigation of the possible links between the biographical backgrounds and developmental trajectories of major religious figures such as Jesus Christ, Muhammad, Buddha, and Baha’u’llah, and the backgrounds of those who convert to these religions (or certain groups within these religions) in the West. This article ends with the hypothesis that in terms of biographical backgrounds and motivations for conversion, followers’ narratives resemble those of their religious leaders in some areas.

Empathy deficits and trait emotional intelligence in psychopathy and Machiavellianism

This study investigated the relationships between psychopathy (primary and secondary), Machiavellianism, trait emotional intelligence and empathy, using an image task that required an appropriate empathic response to the emotional displays of others (happy, sad and neutral). Results indicated that primary psychopathy and Machiavellianism were positively associated with the experience of positive affect from sad stimuli, while secondary psychopathy and Machiavellianism were positively associated with the experience of negative affect in response to neutral stimuli, and the opposite pattern was found for trait emotional intelligence. Regressional analyses demonstrated that secondary psychopathy, Machiavellianism, trait emotional intelligence and state anxiety are important predictors when stimuli are ambiguous.