Emotion Socialization in Families of Children With an Anxiety Disorder

Compared emotion socialization in 26 children with anxiety disorders ages 8–12 years and their mothers to 26 nonclinical counterparts without psychopathology. Children and their mothers participated in an emotion interaction task in which they discussed occasions when the child felt worry, sadness, and anger. Responses were coded for length of discussion, proportion of words spoken by child vs. mother, frequency of positive and negative emotion words, explanatory discussion of emotion, and maternal facilitation of emotion discussion. Children and their mothers also completed the Expressiveness and Control scales of the Family Environment Scale. Results indicated that mothers of children with an anxiety disorder spoke less frequently than their child, used significantly fewer positive emotion words, and discouraged their childrens emotion discussions more than did mothers of nonclinical children. Nonclinical children and their mothers indicated significantly more emotional expressiveness in their families than did children with an anxiety disorder and their mothers. These results highlight the potential role of truncated family emotional expressivity in the emotional development and functioning of children with an anxiety disorder.     

Information Mismatch: Cancer Risk Counseling with Diverse Underserved Patients

As genetics and genomics become part of mainstream Medicine, these advances have the potential to reduce or exacerbate health disparities. Gaps in effective communication (where all parties share the same meaning) are widely recognized as a major contributor to health disparities. The purpose of this study was to examine GC-patient communication in real time, to assess its effectiveness from the patient perspective, and then to pilot intervention strategies to improve the communication. We observed 64 English-, 35 Spanish- and 25 Chinese-speaking (n = 124) public hospital patients and 10 GCs in 170 GC appointments, and interviewed 49 patients who were offered testing using the audio recordings to stimulate recall and probe specific aspects of the communication. Data analyses were conducted using grounded theory methods and revealed a fundamental mismatch between the information provided by GCs and the information desired and meaningful to patients. Several components of the communication that contributed to this mismatch and often resulted in ineffective communication included: (1) too much information; (2) complex terminology and conceptually difficult presentation of information; (3) information perceived as not relevant by the patient; (4) unintentional inhibition of patient engagement and question-asking; (5) vague discussions of screening and prevention recommendations. Our findings indicate a need to transform the standard model of genetic counseling communication using evidence-based principles and strategies from other fields of Medicine. The high rates of limited health literacy in the US, increasing access of diverse populations to genetic services, and growing complexity of genetic information have created a perfect storm. If not directly addressed, this convergence is likely to exacerbate health disparities in the genomic age.     

Rationale and development of a general population well-being measure: Psychometric status of the GP-CORE in a student sample

This paper presents the rationale, development, and psychometric status of a non-clinical self-report measure for the general population (GP) - including students - derived from the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) and hence termed the GP-CORE. In contrast to the CORE-OM, the GP-CORE does not comprise items denoting high-intensity of presenting problems or risk and thereby increases its acceptability in a non-clinical population. Uniquely, over half the items in the GP-CORE are positively keyed. Analyses showed the GP-CORE to have good reliability, to distinguish between clinical and non-clinical populations, and have convergent validity against the full version. Norms for student populations are presented. It is suggested that the GP-CORE has considerable utility as a means of tapping the psychological well being of students and can then interface with counselling and mental health services using the CORE-OM.     

Time pressure and group performance: Exploring underlying processes in the Attentional Focus Model

The Attentional Focus Model (Karau & Kelly, 1992) predicts that time pressure should lead group members to focus on a restricted range of task-relevant cues and to adopt task completion as their major interaction objective. Although this prediction has been supported in several studies (e.g., Karau & Kelly, 1992; Kelly, Jackson, & Hutson-Comeaux, 1997; Kelly & Karau, 1999; Parks & Cowlin, 1995), the exact processes that underlie information restriction have not been specified. We propose that two processes are involved. Specifically, the restriction of information may occur because time pressure affects the way in which information is initially encoded or attended to before a group enters its decision-making phase, or because group members filter out what they judge to be less important information during group discussion and decision making. We assessed both of these processes within a decision-making experiment where time pressure was manipulated prior to learning information that would be used to perform a task. Recall of information learned prior to group discussion did not differ by time pressure condition, arguing against an encoding process. In contrast, interaction data demonstrated information restriction by group members, arguing for a filtering process. Thought listings collected 1 min into the group discussion in some groups also supported a filtering process, as did questionnaire data. Implications of these findings for the Attentional Focus Model and for effective group decision making are discussed.     

Race and gender of faces can be ignored

Past research indicates that faces can be more difficult to ignore than other types of stimuli. Given the important social and biological relevance of race and gender, the present study examined whether the processing of these facial characteristics is mandatory. Both unfamiliar and famous faces were assessed. Participants made speeded judgments about either the race (Experiment 1) or gender (Experiments 2–4) of a target name under varying levels of perceptual load, while ignoring a flanking distractor face that was either congruent or incongruent with the race/gender of the target name. In general, distractor–target congruency effects emerged when the perceptual load of the relevant task was low but not when the load was high, regardless of whether the distractor face was unfamiliar or famous. These findings suggest that face processing is not necessarily mandatory, and some aspects of faces can be ignored.     

Are Gender Differences in Self-Reported Rumination Explained by Women��s Stereotyping?

Although Response Styles Theory posits gender differences in ruminative thought related to depression, evidence of these differences resides largely in self-report data, leading us to hypothesize that stereotyping may influence women??s perceived rumination. In an online survey with 94 U.S. Midwestern college women and 74 men, the re-affirmed relationship between gender and rumination (such that women reported higher levels than men) was moderated by general stereotype acceptance and endorsement of traditional roles for women (benevolent sexism). Only for women were stereotype acceptance and benevolent sexism positively related to perceived rumination, suggesting that rumination may be reported most by women who believe it to be a gender-appropriate response and raising questions about the robustness of gender differences in actual rumination.     

Hearing Bad News

Personal reports of receiving bad news provide data that describes patients' comprehension, reflections, experienced emotions, and an interpretative commentary with the wisdom of hindsight. Analysis of autobiographical accounts of "hearing bad news" enables the identification of patterns of how patients found out diagnoses, buffering techniques used, and styles of receiving the news. I describe how patients grapple with the news, their somatic responses to hearing, and how they struggle and strive to accept what they are hearing. I discuss metaphors used within the languages of hearing bad news. Finally, I discuss implications for a change of focus in the breaking bad news research agenda, that is, from the physician's "performance" to a patient-focused agenda.