Minding the Genes: a Multidisciplinary Approach towards Genetic Assessment of Cardiovascular Disease

Genetic assessment for inherited cardiovascular disease (CVD) is increasingly available, due in part to rapid innovations in genetic sequencing technologies. While genetic testing is aimed at reducing uncertainty, it also produces awareness of potential medical conditions and can leave patients feeling uncertain about their risk, especially if there are ambiguous results. This uncertainty can produce psychological distress for patients and their families undergoing the assessment process. Additionally, patients may experience psychological distress related to living with inherited CVD. In order to more effectively manage the psychosocial challenges related to genetic assessment for CVD, a multidisciplinary model expanded to include psychologists and other allied health professionals is outlined. A case study is provided to illustrate how psychological distress can manifest in a patient living with inherited CVD, as well as proposed psychological management of this patient. Finally, a guide for genetic counselors is provided to aid in identifying and managing common psychological reactions to genetic assessment for CVD.     

Grit in adolescence is protective of late-life cognition: non-cognitive factors and cognitive reserve

Various psychological assets have been shown to protect against late-life cognitive impairment by promoting cognitive reserve. While factors such as educational attainment and IQ are well-established contributors to cognitive reserve, noncognitive factors, such as grit, have not been studied in this regard. We examined the contribution of adolescent grit, indexed by high school class rank controlling for IQ, to late-life cognition and its decline among approximately 4000 participants in the Wisconsin Longitudinal Study, a random sample of high school graduates followed from 1957 to 2011. Adolescent grit significantly predicted both immediate and delayed memory at ages 64 and 71, over and above the contribution of IQ. While the relative contributions of IQ and grit to immediate memory were comparable, grit was a stronger predictor of delayed memory. Cognitive reserve has noncognitive, as well as cognitive, components.     

The recovery of blocked memories in repeated recall tests

There is continued controversy over the possibility of blocked and subsequently recovered accurate memories. Memory blocking produced by a retrieval biasing procedure followed by recovery through repeated testing was demonstrated in two experiments. Predictions derived from the retrieval bias explanation and from the level of cumulative recall (LOCR) concerning hypermnesia for blocked material were tested. Expt 1 disconfirmed the retrieval bias hypothesis that the blocked material would remain blocked. However, there was no accelerated recovery despite the lower rate of recall for the bias group compared to the control group as predicted based on LOCR. Expt 2 replicated the Expt 1 findings and used metamemory tasks to further explore the recovery process. The data led the authors to conclude that accurate recovery of memory with corresponding high confidence is possible through repeated testing provided suggestive questioning and misinformation are not presented.     

Elaborating the Connection between Social Class and Classism in College

Scholarship has documented the challenges that face college students of marginalized economic backgrounds, an issue that is relevant for Community Psychology because of the field's commitment to social justice. Community psychologists are concerned with facilitating access to social resources such as education across the full range of social identities. The current study builds on recent research that has identified the key role of classism in students' struggles. We developed a new measure of college student financial stress in order to investigate the relationship between indices of social class (financial stress, subjective social status, and parental education) and indices of classism (institutional, interpersonal, and citational). We also explored whether race or immigration status moderated these relationships in a sample of diverse students (N = 278). Findings show that students' current financial stress has the strongest relationship with classism, and immigration status moderates the exposure to citational classism. Specifically, we found evidence for perpetuation of classism among U.S. born students higher on the social class ladder. Implications for future research include the importance of considering multiple domains of social class, studying social class in a context‐specific way, and differentiating dimensions of classism. Findings also suggest that financial stress is an important focus in the work to support marginalized students, and that classist narratives need to be addressed among students of higher social class.     

Conscience,conscientious objections,and medicine

Theoretical Medicine and Bioethics - To inform the ongoing discussion of whether claims of conscientious objection allow medical professionals to refuse to perform tasks that would otherwise be...     

Personality,the Theory of Planned Behavior,and Exercise: A Unique Role for Extroversion's Activity Facet1

The primary purpose of this study was to determine if the theory of planned behavior (TPB) mediated the relationship between selected personality traits (i.e., extroversion, neuroticism, and conscientiousness) and exercise behavior using structural equation modeling. Based on previous research, it was hypothesized that extroversion (E) would have a significant direct effect on exercise behavior while controlling for the TPB. A secondary purpose was to explore whether the facets of these personality domains had significant effects on TPB constructs or exercise behavior while controlling for the general personality domains. Female undergraduate students (N= 301) completed measures of the TPB, the Five‐Factor model of personality, and a 1‐month exercise behavior follow‐up. Model 1 resulted in a direct effect of E on exercise behavior. Model 2 suggested a significantly better fit when direct effects of E's activity facet were freed for estimation. Moreover, freeing these effects rendered the effects of general E nonsignificant. It was concluded that the direct effect of E on exercise behavior found in previous research might be explained entirely by the activity facet of E.