Effect of Direct-to-Consumer Genetic Tests on Health Behaviour and Anxiety: A Survey of Consumers and Potential Consumers

Direct-to-consumer (DTC) genetic tests can be purchased over the internet. Some companies claim to provide relative genetic risks for various diseases and thus encourage healthy behaviour. There are concerns that exposure to such information may actually discourage healthy behaviour or increase health anxiety. An online survey was conducted (n?=?275). Respondents were composed of individuals who had purchased a DTC genetic test and received their results (consumers, n?=?189), as well as individuals who were either awaiting test results or considering purchasing a test (potential consumers, n?=?86). Consumers were asked if their health behaviour or health anxiety had changed after receiving their results. Respondents’ current health behaviour and health anxiety were queried and compared. In total, 27.3 % of consumers claimed a change in health behaviour, all either positive or neutral, with no reported cessation of any existing health behaviour. A change in health anxiety was claimed by 24.6 % of consumers, 85.3 % of which were a reduction. Consumers had significantly better health behaviour scores than potential consumers (p?=?0.02), with no significant difference in health anxiety. This study points towards an association between receipt of DTC genetic test results and increased adoption of healthy behaviours for a minority of consumers based on self-report, with more mixed results in relation to health anxiety.     

The role of illness perceptions in the attachment-related process of affect regulation

Abstract

Based on the predictions of the attachment theory and the Common Sense Model of illness perceptions, the current study focused on the role played by illness perceptions in explaining the path linking attachment orientations to negative affect during recovery from cardiac illness. We predicted two putative mechanisms: (1) illness perceptions would mediate the direct association between attachment-related insecurity (especially attachment anxiety) and levels of distress at follow-up and (2) illness perceptions would interact with attachment orientations (attachment avoidance in particular) in explaining patients' distress. The sample consisted of 111 male patients admitted to the Cardiac Care Unit of the Meir Medical Center, located in the central region of Israel. Patients completed a measure of attachment orientations during hospitalization (baseline). One month later, patients' illness perceptions were measured. Patients' depression and anxiety symptoms were measured at baseline and at the six-month follow-up. The associations between attachment-related anxiety and anxiety symptoms at follow-up were fully mediated by illness perceptions. Attachment-related avoidance was found to interact with illness perceptions in the prediction of depressive symptoms at follow-up. The findings shed light on the possible dynamics among personality, cognitive appraisals, and affect regulation efforts when coping with illness.     

Attention to distinguishing features in object recognition

This study advances the hypothesis that, in the course of object recognition, attention is directed to distinguishing features: visual information that is diagnostic of object identity in a specific context. In five experiments, observers performed an object categorization task involving drawings of fish (Experiments 1–4) and photographs of natural sea animals (Experiment 5). Allocation of attention to distinguishing and non-distinguishing features was examined using primed-matching (Experiment 1) and visual probe (Experiments 2, 4, 5) methods, and manipulated by spatial precuing (Experiment 3). Converging results indicated that in performing the object categorization task, attention was allocated to the distinguishing features in a context-dependent manner, and that such allocation facilitated performance. Based on the view that object recognition, like categorization, is essentially a process of discrimination between probable alternatives, the implications of the findings for the role of attention to distinguishing features in object recognition are discussed.     

Uses and abuses of theory: a group analytic perspective

Group therapy occupies a curious and ambiguous status in the overall mental health field: groups are recognized and marginalized, sought after and avoided, respected and dismissed as second best to individual therapy. Groups are now practised widely in many services, probably because of the pressure of referrals and increased concern about funding, but even then have a secondary status. The under-recognition of both the value and complexity of groups seems to parallel the problems of theory which are part of the group psychotherapeutic culture. Rather than attempt a comprehensive theory of groups in this article, I intend to present some of the problems about theory and its link to practice, focusing particularly on the ambivalence about groups that I see as a continuing concern. I do so from a position which values theory, seeing in theory the container of understanding which guides psychotherapeutic practice. I do not identify with a critical position which rejects theory. This position recognizes fully the risks and dangers of over-theorizing, the potential to distort human contact through a rigid adherence to theory; however, I write in the spirit of appreciating theory thoughtfully applied as without theory, our work might be impoverished and even impeded.     

All in faith: Religion as the idiom and means of coping with distress

A survey design was used to examine if there are any differences between a Christian, a Muslim, and a non-religious group in five personality factors (dominance, liveliness, warmth, apprehension, and sensitivity), general well-being, and death anxiety. No significant differences were found with any of the personality factors between the three groups. Religious participants (Christians and Muslims combined) scored significantly higher for general well-being than non-religious participants. Christians scored significantly lower for death anxiety than both non-religious and Muslim groups, and Muslims scored significantly higher than the non-religious group. These findings are discussed with reference to Terror Management Theory. Suggestions for future research include deeper investigation into beliefs of the afterlife and inclusion of more religions into psychological studies.     

A China–New Zealand comparison of forgiveness

The present study examined the practice of forgiveness among participants from China (N = 172) and New Zealand (N = 91). We tested a theoretical model describing the relationships between collectivism, individualism, and forgiveness. Participants from China were more collectivistic and less individualistic than were participants from New Zealand. Overall, participants from New Zealand were more forgiving than were participants from China. Collectivism was positively related to decisional forgiveness in Chinese participants. Decisional forgiveness independently predicted conciliatory behaviour among participants from China, but this was not the case for participants from New Zealand. Thus, the hypothesized model received qualified support.     

Some legal implications of CBT stress counselling in the workplace

One tends to think of stress counselling in the workplace as providing a useful, therapeutic aid to enhancing the psychological well-being of the employee. However recent, successful litigation in the UK against 'stress-inducing' employers suggests that therapists need to be aware of the possible pitfalls of providing such a service. Employers and insurers facing large compensation claims are likely to try and reduce their liability by apportioning some 'blame' to the employee. Some therapeutic approaches, for example, cognitive therapy, may be efficacious but provide a perspective that can be given a different interpretation in court. For example, developing 'insight' into one's own contribution to stress may, legally, be construed as contributing to culpability or blame. Recommendations for reducing that likelihood are provided.