Preferences Regarding Targeted Education and Risk Assessment in People with a Family History of Major Depressive Disorder

Genetic testing for susceptibility to major depressive disorder (MDD) is not available for clinical use at present. Given this, family history remains the best predictor for development of MDD, and family-history-based risk assessment and information about familial aspects of MDD may be useful to clients at increased risk for MDD attending for genetic counseling. This study uses a mixed-methods design to assess the information needs and preferences of people at increased familial risk for MDD. Telephone interviews were conducted with 23 individuals, who had at least one first-degree relative with MDD and were recruited through advertisements placed on depression education websites. The most preferred way to access depression information was via the internet (87 % of participants), although this preference may have been due to the internet-based recruitment method. The second most preferred dissemination strategy (56 %) was face-to-face delivery through a health professional, including genetic counselors. Individuals reported a need for information about etiology and development of MDD, reproductive decision-making, early detection of symptoms and risk-reducing strategies. Nearly all participants expressed an interest in risk assessment. The present study found evidence of a high level of interest for information targeted to people at increased familial risk for MDD. Genetic counselors are likely to be called upon increasingly to provide supportive counseling to assist clients at increased familial risk in interpreting and contextualizing such information once it becomes available.     

Does Knowing Why Someone is Gay Influence Tolerance? Genetic,Environmental, Choice,and “Reparative” Explanations

In the U.S., belief that sexual orientation is genetically based is tied to greater tolerance toward gay men and lesbians and a belief that they deserve rights equal to those of other citizens. This study explores whether evidence for a particular causal explanation of sexual orientation influences participants’ tolerance toward gay men and lesbians. Participants were 224 heterosexual college students provided with scientific evidence that sexual orientation is genetically caused, environmentally caused, or a choice, who then answered questionnaires assessing their attitudes toward science, their tolerance toward gay men and lesbians, their selection of the best explanation for sexual orientation, and their assessments of statements about an imagined gay man (which, together, comprised their level of support for a “reparative” explanation of gay male sexuality viewed as the result of trauma, poor father–son relations, and immorality). Participants who were male, black, religious, or believed that the environmental or choice explanation of sexual orientation was the best, were less tolerant and more supportive of the reparative explanation than, respectively, participants who were female, white, nonreligious, or believed that the genetic explanation was the best. By contrast, participants were less tolerant when they read that scientific findings support a genetic explanation than when they read that scientific findings support choice as an explanation. Participants’ level of support for the reparative explanation correlated positively with their level of intolerance, suggesting that increasing tolerance toward gay men and lesbians may be more dependent on diminishing support for tenets of the reparative explanation than in convincing heterosexuals that sexual desires are under genetic control, which may influence some heterosexuals who believe otherwise to feel more intolerant.     

The Role of Religious Leaders in Promoting Healthy Habits in Religious Institutions

The growing obesity epidemic in the West, in general, and the USA, in particular, is resulting in deteriorating health, premature and avoidable onset of disease, and excessive health care costs. The religious community is not immune to these societal conditions. Changing health behavior in the community requires both input from individuals who possess knowledge and credibility and a receptive audience. One group of individuals who may be uniquely positioned to promote community change but have been virtually ignored in the applied health and consulting psychology literature is religious leaders. These individuals possess extraordinary credibility and influence in promoting healthy behaviors by virtue of their association with time-honored religious traditions and the status which this affords them—as well as their communication skills, powers of persuasion, a weekly (captive) audience, mastery over religious texts that espouse the virtues of healthy living, and the ability to anchor health-related actions and rituals in a person’s values and spirituality. This article focuses on ways in which religious leaders might promote healthy habits among their congregants. By addressing matters of health, nutrition, and fitness from the pulpit and in congregational programs, as well as by visibly adopting the tenets of a healthier lifestyle, clergy can deliver an important message regarding the need for healthy living. Through such actions, religious leaders can be effective agents in promoting critical change in these areas.     

Narratives,mechanisms and progress in historical science

Geologists, Paleontologists and other historical scientists are frequently concerned with narrative explanations targeting single cases. I show that two distinct explanatory strategies are employed in narratives, simple and complex. A simple narrative has minimal causal detail and is embedded in a regularity, whereas a complex narrative is more detailed and not embedded. The distinction is illustrated through two case studies: the ‘snowball earth’ explanation of Neoproterozoic glaciation and recent attempts to explain gigantism in Sauropods. This distinction is revelatory of historical science. I argue that at least sometimes which strategy is appropriate is not a pragmatic issue, but turns on the nature of the target. Moreover, the distinction reveals a counterintuitive pattern of progress in some historical explanation: shifting from simple to complex. Sometimes, historical scientists rightly abandon simple, unified explanations in favour of disunified, complex narratives. Finally I compare narrative and mechanistic explanation, arguing that mechanistic approaches are inappropriate for complex narrative explanations.     

Social Anxiety Symptoms and Suicidal Ideation in a Clinical Sample of Early Adolescents: Examining Loneliness and Social Support as Longitudinal Mediators

Recent research has shown that social anxiety may be related to increased risk for suicidal ideation in teens, although this research largely has been cross-sectional and has not examined potential mediators of this relationship. A clinical sample of 144 early adolescents (72 % female; 12–15 years old) was assessed during psychiatric inpatient hospitalization and followed up at 9 and 18 months post-baseline. Symptoms of social anxiety, depression, suicidal ideation, loneliness, and perceived social support were assessed via structured interviews and self-report instruments. Structural equation modeling revealed a significant direct relationship between social anxiety symptoms at baseline and suicidal ideation at 18 months post-baseline, even after controlling for baseline depressive symptoms and ideation. A second multiple mediation model revealed that baseline social anxiety had a significant indirect effect on suicidal ideation at 18 months post-baseline through loneliness at 9 months post-baseline. Social anxiety did not have a significant indirect effect on suicidal ideation through perceived social support from either parents or close friends. Findings suggest that loneliness may be particularly implicated in the relationship between social anxiety and suicidality in teens. Clinicians should assess and address feelings of loneliness when treating socially anxious adolescents.     

The utility of the Kessler Screening Scale for Psychological Distress (K6) in two American Indian communities

The Kessler Screening Scale for Psychological Distress (K6; Kessler et al., 2002) has been used widely as a screener for mental health problems and as a measure of severity of impact of mental health problems. However, the applicability and utility of this measure for assessments within American Indian communities has not been explored. Data were drawn from a large-scale epidemiological study conducted in cooperation with 2 American Indian populations. Participants (N = 3,084) were 15-54 years of age and living on or near their home reservations; each completed an interview that included a version of the Composite International Diagnostic Interview (Robins, Wing, Wittchen, & Helzer, 1988) and the K6. A measure of both physical- and mental-health-related quality of life-the Medical Outcome Study's Short Form-36 (Ware & Sherbourne, 1992)-was used to examine the importance of the K6 over and above psychiatric diagnoses. The K6 was shown to be an appropriate screening and severity measure for mood disorders in these 2 samples. It also predicted health-related quality of life over and above that predicted by diagnoses alone. Inclusion of a measure such as the K6 as a complement to more traditional dichotomous diagnoses in both research and clinical practice is recommended.     

Girls�� and Boys�� Disclosure about Problems as a Predictor of Changes in Depressive Symptoms Over Time

Gender differences consistently emerge in adolescents?? friendships, with girls disclosing to friends about troubles and concerns more than boys. Although theories regarding possible emotional benefits of catharsis, as well as everyday assumptions, suggest that talking about problems makes people feel better, research regarding the impact of disclosure about problems on depressive symptoms has not been conclusive. In the current study, 79 early adolescent high school students residing in the Southeastern United States (73% European American) were observed talking about problems with a friend. Of primary interest was whether disclosure to friends predicted changes in self-reported depression over 6 months for girls and boys. Although girls disclosed to friends about problems (especially interpersonal problems) more than did boys, disclosure did not buffer girls from the development of depressive symptoms over time. In contrast, boys?? disclosure predicted their experiencing fewer depressive symptoms 6 months later. Results suggest that talking to friends may not be an especially effective method of coping with problems for girls.     

Directed forgetting: differential effects on typical and distinctive faces

Directed forgetting (DF) occurs when stimuli presented during the study phase are followed by "forget" and "remember" cues. On a subsequent memory test, poor memory is observed for stimuli followed by the forget cues, compared to stimuli followed by the remember cues. Although DF is most commonly observed with verbal tasks, the present study extended intentional forgetting research for nonverbal stimuli and examined whether faces were susceptible to DF. Results confirmed that the presentation of a forget cue significantly reduced recognition for faces, as compared to faces followed by a remember cue. Additionally, a well-established finding in face recognition is that distinctive faces are better remembered than typical faces, and Experiment 2 assessed whether face appearance influenced the degree of DF. Results indicate that the DF effect observed in Experiment 1 was replicated in Experiment 2 and that the effect was more pronounced for those faces that were typical in appearance.     

Factors affecting the extent of Monday blues: evidence from a meta-analysis

A meta-analysis of 34 samples identified a small but reliable "Monday blues" effect (-.08 < or = d < or = -.06) in samples reporting current or real-time moods for each day of the week. However, the size of the effect in samples reporting recalled summaries of moods experienced over the course of a day varied depending on whether the sample involved university students or nonstudents. University students reporting recalled summaries of daily moods showed a large Monday blues effect (d = -.25), whereas married men who were not students reported smaller effects with greater variance (-.19 < or = d 相似文献