Appraisal Underpinnings of Affective Chronometry: The Role of Appraisals in Emotion Habituation

ABSTRACT In light of the lack of studies examining the cognitive components of affective chronometry, this research examined the appraisals associated with emotion habituation, using anger as the emotion of focus. Anger and its appraisals were assessed repeatedly over a day in the participants' naturalistic contexts. The trajectory of decline in anger over time after its first appearance was found to be a function of chronic coping styles. More importantly, the trajectories of anger-related appraisals generally corresponded to that of anger and were also moderated by coping styles in ways consistent with the moderating effects of coping styles on anger. Implications of these results for affective chronometry research and for appraisal research are discussed.     

The Effectiveness of Family History Questionnaires in Cancer Genetic Counseling

The number of individuals receiving genetic counseling for hereditary breast and ovarian cancer syndrome has steadily risen. To triage patients for genetic counseling and to help reduce the amount of time needed by a genetic counselor in direct patient contact, many clinics have implemented the use of family history questionnaires. Although such questionnaires are widely used, scant literature exists evaluating their effectiveness. This article explores the extent to which family history questionnaires are being used in Ontario and addresses the utility of such questionnaires in one familial cancer clinic. By comparing the pedigrees created from questionnaires to those updated during genetic counseling, the accuracy and effectiveness of the questionnaires was explored. Of 121 families recruited into the study, 12% acquired changes to their pedigree that led to a revised probability estimate for having a BRCA1 or BRCA2 mutation and 5% acquired changes that altered their eligibility for genetic testing. No statistically significant difference existed between the eligibility for genetic testing prior to and post counseling. This suggests that family history questionnaires can be effective at obtaining a family history and accurately assessing eligibility for genetic testing. Based on the variables that were significantly associated with a change in probability estimate, we further present recommendations for improving the clarity of such questionnaires and therefore the ease of use by patients.     

Engaged Lifestyle, Personality, and Mental Status Among Centenarians

This study assessed engaged lifestyle activities (e.g., volunteering, traveling, and public speaking) for centenarians of the Georgia Centenarian Study. A total of 285 centenarians and near-centenarians (i.e., 98 years and older) and their proxy informants participated in this study. The Mini-Mental Status Examination (MMSE) was assessed for all centenarians, and proxy informants reported on lifestyle activities and personality traits of the centenarians. Results suggested that participants who had volunteered, traveled, and those who had given public talks and balanced their checkbooks were more likely to show relatively high mental status scores (i.e., MMSE > 17). Personality traits were found to be moderators in the relationship between engaged lifestyle and mental status: Participants with high levels of Emotional Stability, Extraversion, Openness, and Conscientiousness and with high levels of engaged lifestyle were more likely to show relatively high mental status scores (i.e., MMSE > 17), whereas participants with low levels of Emotional Stability, Extraversion, Openness, Agreeableness, and Conscientiousness and with low levels of engaged lifestyle were more likely to show relatively low mental status scores (i.e., MMSE < 18). The results suggest that engaged lifestyle, particularly in combination with personality traits, plays an important role in the level of cognitive functioning among oldest old adults.     

The United States Revised Uniform Anatomical Gift Act (2006): New challenges to balancing patient rights and physician responsibilities

Advance health care directives and informed consent remain the cornerstones of patients' right to self-determination regarding medical care and preferences at the end-of-life. However, the effectiveness and clinical applicability of advance health care directives to decision-making on the use of life support systems at the end-of-life is questionable. The Uniform Anatomical Gift Act (UAGA) has been revised in 2006 to permit the use of life support systems at or near death for the purpose of maximizing procurement opportunities of organs medically suitable for transplantation. Some states have enacted the Revised UAGA (2006) and a few of those have included amendments while attempting to preserve the uniformity of the revised Act. Other states have introduced the Revised UAGA (2006) for legislation and remaining states are likely to follow soon.     

Effects of texture and shape on perceived time to passage: Knowing “what” influences judging “when”

In the present study, we examined whether it is easier to judge when an object will pass one’s head if the object’s surface is textured. There are three reasons to suspect that this might be so: First, the additional (local) optic flow may help one judge the rate of expansion and the angular velocity more reliably. Second, local deformations related to the change in angle between the object and the observer could help track the object’s position along its path. Third, more reliable judgments of the object’s shape could help separate global expansion caused by changes in distance from expansion due to changes in the angle between the object and the observer. We can distinguish among these three reasons by comparing performance for textured and uniform spheres and disks. Moving objects were displayed for 0.5–0.7 sec. Subjects had to decide whether the object would pass them before or after a beep that was presented 1 sec after the object started moving. Subjects were not more precise with textured objects. When the disk rotated in order to compensate for the orientation-related contraction that its image would otherwise undergo during its motion, it appeared to arrive later, despite the fact that this strategy increases the global rate of expansion. We argue that this is because the expected deformation of the object’s image during its motion is considered when time to passage is judged. Therefore, the most important role for texture in everyday judgments of time to passage is probably that it helps one judge the object’s shape and thereby estimate how its image will deform as it moves.     

Is Expressed Emotion a Specific Risk Factor for Depression or a Nonspecific Correlate of Psychopathology?

Five Minute Speech Sample Expressed Emotion (FMSS-EE) was examined in families of youth with depressive disorders, nondepressed youth with attention deficit/hyperactivity disorder (ADHD), and community controls screened for the absence of depression and ADHD. Consistent with the hypothesis that FMSS-EE shows some specificity as a risk factor for depression, rates of critical EE were significantly higher among mothers of youth with depression as compared to mothers of nondepressed youth with ADHD, or mothers of controls. When both mothers' and fathers' scores were used to generate family EE ratings, rates of overall EE and critical EE were significantly higher for the depressed group than the control group, but the nondepressed ADHD group did not differ significantly from the other groups. Results support the hypothesis that critical EE in mothers shows some specificity as a risk factor or correlate of depression in youth.     

Middle Aging in Women: Patterns of Personality Change from the 30s to the 50s

This three-sample study focused on changes in four key features of women's personalities (identity, generativity, confident power, and concern about aging) over the course of middle age. Based on women's retrospective and concurrent feelings about their lives in their 30s, 40s, and 50s, scales were developed and validated for the four themes. We found that identity certainty, generativity, confident power, and concern about aging all were experienced as more prominent in middle age (the 40s) than in early adulthood (the 30s). We also found that these elements of personality were rated even higher in the 50s than the 40s. Scores seemed to be a function of age more than historical period or particular experiences in social roles. Scores on identity certainty, generativity, and confident power were positively related to well-being, while concern about aging was negatively related to well-being.