Small theory and the strategic choices of prevention research

Our comments on the discussion of mediational screening for prevention research highlight two issues: (a) There are advantages to giving a high priority to theory in a strategic sequence of prevention research studies. (b) Screening to identify a subgroup that is experiencing problems on processes the program is designed to change may be useful in accomplishing specific goals within an overall strategy of prevention research studies.     

Do people with low self-esteem really want to feel better? Self-esteem differences in motivation to repair negative moods.

This research examined the hypothesis that people with low self-esteem (LSE) are less motivated than people with high self-esteem (HSE) to repair their negative moods. In Study 1, participants completed diaries in response to either a success or a failure in their everyday lives. Participants described what they intended to do next and the reasons behind those plans. After failure, fewer LSE than HSE participants expressed a goal to improve their mood. A follow-up investigation (Study 2) suggested that this difference was not due to a self-esteem difference in knowledge of mood repair strategies. In Study 3, after undergoing a negative mood induction, fewer LSE than HSE participants chose to watch a comedy video, even though both groups believed the comedy video would make them happy. Studies 4 and 5 explored possible reasons why LSE people are less motivated than HSE people to repair their negative moods.     

Mandarin learners use syntactic bootstrapping in verb acquisition

Mandarin Chinese allows pervasive ellipsis of noun arguments (NPs) in discourse, which casts doubt concerning child learners' use of syntax in verb learning. This study investigated whether Mandarin learning children would nonetheless extend verb meanings based on the number of NPs in sentences. Forty-one Mandarin-speaking two- and three-year-olds enacted sentences with familiar motion verbs. The presence of an extra postverbal NP led the toddlers to extend causative meanings to intransitive verbs, and the absence of a postverbal NP led them to extend noncausative meanings to transitive verbs. The effects of adding or subtracting an NP were statistically indistinguishable. Thus, the number of NPs in a sentence appears to play a role in verb learning in Mandarin Chinese.     

Racial identity, social context, and race-related social cognition in African Americans during middle childhood

This study examined the effect of changes in racial identity, cross-race friendships, same-race friendships, and classroom racial composition on changes in race-related social cognition from 3rd to 5th grade for 73 African American children. The goal of the study was to determine the extent to which preadolescent racial identity and social context predict expectations of racial discrimination in cross-race social interactions (social expectations). Expectations of racial discrimination were assessed using vignettes of cross-race social situations involving an African American child in a social interaction with European Americans. There were 3 major findings. First, expectations for discrimination declined slightly from 3rd to 5th grade. Second, although racial composition of children's classrooms, number of European American friends, gender, and family poverty status were largely unrelated to social expectations, having more African American friends was associated with expecting more discrimination in cross-racial interactions from 3rd to 5th grade. Third, increases in racial centrality were related to increases in discrimination expectations, and increases in public regard were associated with decreases in discrimination expectations. These data suggest that as early as 3rd grade, children are forming attitudes about their racial group that have implications for their cross-race social interactions.     

PREP inside and out: marriage education for inmates

Although research has demonstrated that marriage education has positive effects on relationship quality, little is known about how such services impact relationships where one partner is incarcerated. The current study implemented an adapted version of the Prevention and Relationship Enhancement Program (PREP Inside and Out) for inmates in Oklahoma correctional facilities. Inmates, with or without their partners, participated in the 12-hour program. The impact of the program was investigated on a range of relationship variables including satisfaction with relationship, dedication, confidence, communication skills, friendship, and negative interactions as reported by the inmate partner. Participants reported substantial gains in all variables and in overall satisfaction with their relationship after completing the program, regardless of their gender and racial/ethnic background. Implications for future marriage education programs and research in prisons are discussed.     

The importance of the organization of partner knowledge in understanding perceptions of relationship quality and conflict resolution behavior in married couples

This research investigated how the organization of partner knowledge was related to global relationship evaluations and specific interpersonal behaviors in a sample of 107 married couples. Spouses first completed several questionnaires and later participated in a 12-min videotaped conflict resolution task. As expected, wives in older relationships exhibited greater marital quality (self-reported and observed) when they had (a) an integrative knowledge structure and used many negative traits to describe their spouse or (b) a compartmentalized knowledge structure and used few negative traits to describe their spouse. Greater marital quality, however, was found for husbands when they were (a) in older relationships and possessed an integrative structure or (b) in newer relationships and possessed a compartmentalized structure. Exploratory analyses suggested that in some circumstances people may have greater marital quality when they share an organizational style with their spouse.     

Interactive Genetic Counseling Role-Play: A Novel Educational Strategy for Family Physicians

Background Family physicians (FPs) are increasingly involved in delivering genetic services. Familiarization with aspects of genetic counseling may enable FPs to help patients make informed choices. Purpose Exploration of interactive role-play as a means to raise FPs’ awareness of the process and content of genetic counseling. Methods FPs attending two large Canadian family medicine conferences in 2005 were eligible—93 participated. FPs discussed a case during a one-on-one session with a genetic counselor. Evaluation involved pre and post intervention questionnaires Results FPs’ baseline genetic knowledge was self-rated as uniformly poor. Baseline confidence was highest in eliciting family history and providing psychosocial support and lowest in discussing risks/benefits of genetic testing and counseling process. Post-intervention, 80% of FPs had better appreciation of family history and 97% indicated this was an effective learning experience. Conclusions Role-play with FPs is effective in raising awareness of the process and content of genetic counseling and may be applied to other health disciplines. This research was funded by: The Canadian Institutes of Health Research (CIHR) Institute of Genetics, The Genetics Education Project (funded by the Ontario Women’s Health Council), and GeneSens (funded by a CIHR Interdisciplinary Capacity Enhancement Team Grant).     

What Patients and Their Relatives Think About Testing for BMPR2

Clinical genetic testing is available for mutations in BMPR2 associated with pulmonary arterial hypertension (PAH). The aim of this study is to assess attitudes of individuals affected by or at risk for PAH regarding genetic testing. Structured telephone interviews were conducted with 119 individuals affected by or at risk for PAH recruited from pulmonary hypertension clinic at Vanderbilt, Vanderbilt familial PAH registry, attendees at 2006 PHA meeting, and a local PAH support group. Sixty-four percent reported knowing little or nothing about BMPR2 testing. Predictors of greater self-assessed knowledge included having an affected family member and learning about BMPR2 testing through the internet. Most respondents reported that while they spent some time thinking about being tested for BMPR2, they had little trouble deciding. The most frequently cited reason for testing was to provide information for their children. About 20% said they had been tested, even though <5% have actually received clinical testing. Although patients with PAH and their at-risk relatives typically feel relatively uninformed about testing for mutations in BMPR2 and at times are confused about their testing status, they nonetheless report that it is easy to decide about testing.     

Deterring malingered psychopathology: The effect of warning simulating malingerers

The utility of a warning to deter malingering on measures of personality and psychopathology was examined. Sixty‐seven first year psychology students were randomly assigned to one of three conditions: unwarned malingerers, warned malingerers, and controls. Participants in the two malingering groups were given a financial incentive to simulate believable psychological impairment. Warned malingerers received an additional warning that the tests could detect malingering and that detection would result in loss of course credit. Controls received standardized test instructions. It was hypothesized that the malingering incentive would be sufficient to induce malingering, but that a deterrence theory warning would have a subsequent deterrent effect. Between‐groups analyses indicated that the warning used in this study significantly altered test performance on the Personality Assessment Inventory (PAI) and revised Symptom Checklist 90 (SCL‐90‐R). Warned malingerers scored significantly lower (faked less) than unwarned malingerers on the majority of the psychopathology scales and frequently approximated control group performances. These results support the effectiveness of a warning to complement existing malingering detection methods. Copyright © 2009 John Wiley & Sons, Ltd.     

Does anxiety sensitivity predict symptoms of panic, depression, and social anxiety?

This study examined whether the lower-order factors of the Anxiety Sensitivity Index (ASI) exhibited specificity in predicting symptoms of panic, depression, and social anxiety prospectively. This question was addressed using a sample of undergraduates stratified to represent low, medium, and high levels of anxiety sensitivity (AS). It was hypothesized that the physical concerns, mental concerns, and social concerns subscales of the ASI would predict increases in panic, depression, and social anxiety symptoms, respectively, one year later. Results found that the physical concerns subscale predicted increases in both panic and depressive symptoms. Neither the mental concerns nor the social concerns subscales predicted significant variance in any of the Time 2 symptoms. Theoretical implications of these data for AS are discussed.