Communication of Genetic Information by Other Health Professionals: The Role of the Genetic Counsellor in Specialist Clinics

Many children with chronic genetic diseases are followed by specialty clinics that provide genetic information as part of the care. Health services restrictions in the Republic of Ireland (ROI) can make the wait for an appointment with a genetic counsellor long. We examined whether genetic information was being adequately understood when presented by medical, but non-genetics staff to long term patients, using our national metabolic service as an example. The aim was to inform health professionals about the need or role of a genetic counsellor in a specialist setting. A questionnaire was used to assess knowledge among parents and patients affected by galactosaemia and Maple Syrup Urine Disease (MSUD). Twenty seven families with galactosemia and 10 with MSUD were interviewed in clinic. Comparative analysis showed significant differences in knowledge between parents of children with galactosemia and adult patients (p = 0.001) and between ethnicities (p > 0.05). While parents are well informed, the majority expressed a wish for more information about the condition and its transmission. Adult patients with galactosemia and parents from certain ethnic backgrounds could especially benefit from genetic counselling. This study highlights the need for a genetic counsellor in specialist clinics.     

Older and Younger Adults�� Attitudes Toward Feminism: The Influence of Religiosity, Political Orientation, Gender, Education, and Family

The present study explored attitudes toward feminism in 245 U.S. college students and their older relatives. Participants completed a scale of attitudes towards feminism, political orientation, a religiosity measure, and a demographic questionnaire. Results indicated that older adults were more conservative than younger adults on their attitudes towards feminism, religiosity, and political orientation measures. In the young adult sample, attitudes towards feminism were predicted by gender and political orientation, compared to older adults in which religiosity and political orientation were the best predictors. When exploring generational influence, older adults?? attitudes and demographic information were not associated with younger adults?? attitudes towards feminism and the women??s movement. In contrast, young adults?? political views were associated with older adults?? attitudes towards feminism.     

Examining the role of emotional avoidance in the relationship between posttraumatic stress disorder symptom severity and worry

A growing body of literature suggests that worry is a cognitive activity functioning to avoid unpleasant internal experiences such as negative thoughts, emotions, and somatic responses. Given the highly aversive internal events associated with posttraumatic stress disorder (PTSD), individuals experiencing PTSD symptoms following exposure to a traumatic event may be particularly motivated to engage in avoidant regulation strategies such as worry. Surprisingly, however, few studies to date have examined the relationship between PTSD and worry as well as potential factors that might explain this association. Therefore, the goal of this study was to examine the association between PTSD symptom severity and worry and the extent to which emotional avoidance explains this relationship. To this end, 207 college students with a history of traumatic exposure (meeting Criterion A for a PTSD diagnosis) completed a series of questionnaires assessing history of exposure to potentially traumatic events, PTSD symptom severity, emotional avoidance tendencies, and worry. Results demonstrated that PTSD symptom severity was positively associated with worry and emotional avoidance. Further, emotional avoidance was found to fully account for this relationship, providing support for the proposed emotionally avoidant function of worry. The implications of these findings for future research and the treatment of worry among individuals with a history of traumatic exposure are discussed.     

Quality of Life Assessment for Physical Activity and Health Promotion

Despite the clear relationship of physical activity and quality of life (QoL), QoL measures are seldom targeted for physical activity and health promotion. The current research attempted to address that gap by developing a QoL measure based on a conceptual model that reflects positive health and is relevant for physical activity and health promotion programs. In the project, which extended over three phases, an initial 70-item QoL survey was administered to university students and community program participants (total n = 512) along with measures of satisfaction with life and physical activity. Exploratory and confirmatory factor analyses revealed clear social, emotional, cognitive, physical, spiritual and functional (ADL) QoL factors as well as integrated QoL. The resulting 32-item QoL Survey fits the conceptual model, demonstrates logical relationships with physical activity and has sufficient psychometric properties for use in related research and health promotion programs.     

Attention Biases to Threat Link Behavioral Inhibition to Social Withdrawal over Time in Very Young Children

Behaviorally inhibited children display a temperamental profile characterized by social withdrawal and anxious behaviors. Previous research, focused largely on adolescents, suggests that attention biases to threat may sustain high levels of behavioral inhibition (BI) over time, helping link early temperament to social outcomes. However, no prior studies examine the association between attention bias and BI before adolescence. The current study examined the interrelations among BI, attention biases to threat, and social withdrawal already manifest in early childhood. Children (N = 187, 83 Male, M _age  = 61.96 months) were characterized for BI in toddlerhood (24 & 36 months). At 5 years, they completed an attention bias task and concurrent social withdrawal was measured. As expected, BI in toddlerhood predicted high levels of social withdrawal in early childhood. However, this relation was moderated by attention bias. The BI-withdrawal association was only evident for children who displayed an attention bias toward threat. The data provide further support for models associating attention with socioemotional development and the later emergence of clinical anxiety.     

Evaluation of response blocking and re-presentation in a competing stimulus assessment

Competing stimulus assessments (CSA) have been used to identify stimuli that are associated with reduced levels of problem behavior, presumably as a function of reinforcer competition. Following a standard CSA in which stimuli simply were made available, 2 more CSAs were conducted with additional components designed to enhance reinforcer competition: re-presentation of stimuli and response blocking for self-injury. The results obtained from each CSA were validated in an extended treatment analysis. The study illustrates how the effects of additional components designed to enhance reinforcer competition can be evaluated efficiently in the context of a CSA.     

Training children to approach or avoid novel animals: Effects on self-reported attitudes and fear beliefs and information-seeking behaviors

We examined the effects of training to approach or avoid novel animals on fear-related responses in children. Ninety-nine primary school children (9–12 years old) were instructed to repeatedly move a manikin toward or away from pictures of novel animals. The training produced more positive self-reported attitudes for the animal that was repeatedly approached and more negative attitudes for the animal that was repeatedly avoided. After the training, children reported more fear of the avoided animal than of the approached animal. Interestingly, children showed a training-congruent confirmation bias effect on an information-seeking task. That is, they displayed a tendency to seek more positive information about the approached animal, whereas they were inclined to search for more negative information about the avoided animal. No significant training effects were observed on implicit attitudes. The finding that a simple approach-avoidance training influences children’s fear-related responses and leads to biased information-seeking behaviors lends support to general theories of fear acquisition in children as well as to models that try to explain the intergenerational transmission of anxiety.     

Developmental correlates of emotional intelligence: Temperament,family environment and childhood trauma

This study examined temperament, environmental factors (family environment and childhood trauma), and the interaction between them as developmental correlates of ability and trait emotional intelligence (EI). Using 97 university students, correlational analyses revealed that temperament characteristics were related to trait but not ability EI. Components of family environment and childhood trauma were not significantly related to ability or trait EI. Multiple regression analyses confirmed the importance of temperament in predicting trait EI, but provided little support for the role of environmental factors or their interactions with temperament in predicting either type of EI.