Women with <Emphasis Type="Italic">BRCA1</Emphasis> or <Emphasis Type="Italic">BRCA2</Emphasis> Mutations Renegotiating a Post-Prophylactic Mastectomy Identity: Self-Image and Self-Disclosure.

The Facing Our Risk of Cancer Empowered (FORCE) website is devoted to women at risk for hereditary breast and ovarian cancers. One of the most frequently discussed topics on the archived messaged board has been prophylactic mastectomy (PM) for women with a BRCA1/2 mutation. We reviewed the messages, over a 4 year period, of 21 high risk women and their “conversational” partners who originally posted on a thread about genetic testing, genetic counseling and family history. We used a qualitative research inductive process involving close reading, coding and identification of recurrent patterns, relationships and processes in the data. The women sought emotional support, specific experiential knowledge and information from each other. They frequently found revealing their post PM status problematic because of possible negative reactions and adopted self-protective strategies of evasion and concealment outside of their web-based community. The FORCE message board was considered to be a safe place in which the women could be truthful about their choices and feelings. Results are discussed in terms of Goffman’s concepts “stigma” and “disclosure” and Charmaz’s concepts “interruptions,” “intrusions” and a “dreaded future.”     

Cloninger's temperament dimensions and threat, stress, and performance appraisals during different challenges among young adults

ABSTRACT We examined the relationship of Cloninger's temperament factors—Novelty Seeking, Harm Avoidance, Reward Dependence, and Persistence—to perceived threat and stress and performance appraisals during different challenges, i.e., mental arithmetic, the reaction time task, and three public speaking tasks, among 97 young adult men and women. Temperament was measured by the Temperament and Character Inventory. The results showed that, although some of the predictions made by Cloninger's model were confirmed, some were unsupported. The results revealed also some associations between temperament and cognitive appraisals that were intelligible, but not predicted by Cloninger's model. There were considerable domain specificity and gender differences in the associations found. Cloninger's temperament dimensions are related to threat, stress, and performance appraisals, thereby influencing individual's stress vulnerability, adjustment, and personal functioning.     

The Stability of Self-Concept During Adolescence and Early Adulthood: A Six-Year Follow-Up Study

The stability and gender differences of self-concept during adolescence and early adulthood were studied in 894 randomly selected Finnish subjects using the shortened version of the Coopersmith (1967) Self-Esteem Inventory. There were no differences between the men and women in the total score for self-concept. In early adulthood, men scored higher than women on general self-esteem, and women scored higher on the home-parents factor in each developmental period from preadolescence to adulthood. The stability of self-concept, as well as its different components, was rather high. General self-esteem showed the highest predictive value for the total score 6 years later.     

Production of Inflected Novel Words in Older Adults With and Without Dementia

While cognitive changes in aging and neurodegenerative disease have been widely studied, language changes in these populations are less well understood. Inflecting novel words in a language with complex inflectional paradigms provides a good opportunity to observe how language processes change in normal and abnormal aging. Studies of language acquisition suggest that children inflect novel words based on their phonological similarity to real words they already know. It is unclear whether speakers continue to use the same strategy when encountering novel words throughout the lifespan or whether adult speakers apply symbolic rules. We administered a simple speech elicitation task involving Finnish-conforming pseudo-words and real Finnish words to healthy older adults, individuals with mild cognitive impairment, and individuals with Alzheimer's disease (AD) to investigate inflectional choices in these groups and how linguistic variables and disease severity predict inflection patterns. Phonological resemblance of novel words to both a regular and an irregular inflectional type, as well as bigram frequency of the novel words, significantly influenced participants' inflectional choices for novel words among the healthy elderly group and people with AD. The results support theories of inflection by phonological analogy (single-route models) and contradict theories advocating for formal symbolic rules (dual-route models).     

Prereading skills of very-low-birth-weight prematurely born Finnish children

Our objective was to study the prereading skills of very-low-birth-weight (VLBW; ≤ 1500 g) prematurely born children at the age of five years. A regional cohort of 89 VLBW children and 152 full-term (FT) born children was assessed for letter knowledge, phonological processing, and speeded naming. Full-scale IQ (FSIQ) was assessed using a short version of WPPSI-R. The associations of parental and neonatal factors, and FSIQ with prereading skills were assessed. VLBW group had poorer prereading skills, and there were more VLBW children at-risk (performing < ?1 SD) compared to FT children in phonological processing (23% vs. 9%, p = .002), letter knowledge (27% vs. 14%, p = .017), and the accuracy of speeded naming (26% vs. 13%, p = .020). VLBW children had lower average FSIQ and Performance IQ (both comparisons p < .001) than FT controls, but Verbal IQ did not differ. When FSIQ was used as a covariate, VLBW children did not differ from the FT group in prereading skills indicating that they are at risk for more global developmental problems. Lower parental level of education as well as parent's reading problems were negatively associated with VLBW children's prereading skills. Positively, about 75% of VLBW children performed within the normal range in each individual prereading skill.     

Producing Solidarity,Inequality and Exclusion Through Insurance

Res Publica - The article presents two main arguments. First, we claim that in contemporary societies, insurance enacts peculiar kinds of solidarities as well as inequality and exclusion....     

The association between low socioeconomic status and depressive symptoms depends on temperament and personality traits

Socioeconomic status and personality traits are known to be associated with depression risk. We examined whether temperament and personality traits modified the association between socioeconomic status and depressive symptoms. The participants were 2678 individuals from the Cardiovascular Risk in Young Finns study, aged 18-49 during the three study waves in 1997, 2001, and 2007 included in the present study. Temperament was assessed with the Temperament and Character Inventory, personality with the Five Factor Model, and depressive symptoms with a modified version of Beck’s Depression Inventory. Education, occupational status, and income level were used as indicators of socioeconomic status. Results of multilevel linear regression analysis indicated that low occupational status and income were associated with high depressive symptoms particularly in individuals with high neuroticism or harm avoidance, and with low extraversion or reward dependence. High persistence also strengthened the negative association between income and depressive symptoms, but this interaction effect was not observed with conscientiousness. The mental health risks of low socioeconomic status may therefore be most potent among individuals who are sensitive to negative and threatening stimuli.