Identification of cognitive profiles among women considering BRCA1/2 testing through the utilisation of cluster analytic techniques

Based on the cognitive-social health information processing model, we identified cognitive profiles of women at risk for breast and ovarian cancer. Prior to genetic counselling, participants (N?=?171) completed a study questionnaire concerning their cognitive and affective responses to being at genetic risk. Using cluster analysis, four cognitive profiles were generated: (a) high perceived risk/low coping; (b) low value of screening/high expectancy of cancer; (c) moderate perceived risk/moderate efficacy of prevention/low informativeness of test result; and (d) high efficacy of prevention/high coping. The majority of women in Clusters One, Two and Three had no personal history of cancer, whereas Cluster Four consisted almost entirely of women affected with cancer. Women in Cluster One had the highest number of affected relatives and experienced higher levels of distress than women in the other three clusters. These results highlight the need to consider the psychological profile of women undergoing genetic testing when designing counselling interventions and messages.     

Women's expectations and experience of birth

Empirical research has identified two distinct item clusters used to measure perceived behavioral control (PBC) labeled self-efficacy and controllability. Self-efficacy has been reported as the superior predictor of intention in all research efforts with these PBC factors. However, we argue that the conception of these item clusters originates from backward theorizing and hypothesize that controllability items are better indicators of the originally conceived PBC construct, while self-efficacy taps the measurement domains of both PBC and intention. Therefore, the purpose of this study was to investigate factor distinction with PBC and intention items across disparate samples of 302 undergraduate students and 267 cancer survivors in the exercise domain. Results found the only model with acceptable fit across populations was that of controllability and intention ( h 2 (8) = 6.91, p = 0.55; RMSEA = 0.00; CFI = 1.00 for undergraduates and h 2 (8) = 26.51, p <0.01; RMSEA = 0.09; CFI = 0.97 for cancer survivors) supporting our hypothesis that the controllability concept, but not the self-efficacy factor, has a clean measurement distinction from intention. Further, self-efficacy items showed factor complexity between PBC and intention across both samples, suggesting that self-efficacy may have been reported as superior to controllability in predicting intention due to measurement redundancy rather than meaningful causal influence.     

Effects of Psychosocial Resources on Elite Soldiers' Completion of a Demanding Military Selection Program

The purpose of this study was to determine the effects of three psychosocial resources (social support, mattering, and self-efficacy), together and separately, on soldiers' completion of a physically challenging military program when controlling for the possible mediating effects of stress. A total of 380 male soldiers entering Special Forces Assessment and Selection Course served as subjects. Results showed that the psychosocial resources were significantly and positively related to the program completion. Expected stress and cognitive stress did not mediate this effect. Of the three psychosocial resources, only the effect of self-efficacy was statistically significant. Implications of the findings are discussed.     

Enriching the Genetic Counseling Recruitment Pipeline: A National Cross-Sectional Study of Public High School Counselors

Early awareness of careers is helpful in recruiting students into a career pipeline. School counselors are among the top resources that students turn to when seeking advice about choosing their career. Studies show that high school is the ideal time to generate interest in the genetic counseling career, especially for minorities. This novel study of 291 high school counselors working in ethnically diverse public school districts in the United States examined to what extent members of this important group discuss genetic counseling as a career option with their students. The findings indicate that the majority of school counselors in this study (83%) did not discuss genetic counseling with their students, citing a lack of resources and lack of student interest as the major barriers. Suggestions of ways to increase high school counselors’ awareness of the genetic counseling career in order to enhance the goal of enriching recruitment of ethnic minorities into the genetic counseling pipeline are presented.     

Imagining what might be: why children underestimate uncertainty

Children’s well-documented tendency to behave as if they know more than they do about uncertain events is reduced under two conditions: when the outcome of a chance event has yet to be determined and when one unknown outcome has occurred but is difficult to imagine. In Experiment 1, in line with published findings, 5- and 6-year-olds (N = 61) preferred to guess the unknown location of a known object when the object was in place rather than before its location had been determined. There was no such preference when the object’s identity was unknown. In Experiment 2, 29 5- and 6-year-olds were more likely to correctly mark both possible locations when an already hidden object’s identity was unknown rather than known. We conclude that children’s vivid imaginations can lead them to underestimate uncertainty in a similar way to imagination inflation or fluency effects in adults.     

A multilevel examination of interpartner intimate partner violence and psychological aggression reporting concordance

Low concordance of reports across partners has consistently been observed when partners report the frequency of intimate partner violence (IPV) and psychological aggression (PA) in their relationship. Researchers have been unsuccessful in the quest to discover systematic biases across reporters, perhaps due to examining constructs that are not the source of bias (e.g., gender, victim/perpetrator status) or examining potentially fruitful constructs using underpowered statistics or erroneous conceptualizations (e.g., examining variables at a dyadic, rather than an individual, level). We used multilevel modeling with two samples (Ns = 88 and 164 couples) to examine husbands' and wives' relationship satisfaction as individual-level correlates of husband- and wife-perpetrated IPV and PA reporting concordance. Consistent with prior literature, low to moderate levels of agreement were observed, and gender and victim/perpetrator status were not consistently associated with reporting concordance. In contrast, for both husbands and wives, relationship satisfaction was associated with reporting concordance such that high relationship satisfaction was related to reporting less of one's partner's PA than the partner reported, whereas low relationship satisfaction was related to reporting more of one's partner's PA than the partner reported. A similar pattern of results emerged for the reporting of IPV, but results did not cross validate between samples. These findings suggest that relationship satisfaction may lead to either reluctance, or increased willingness, to attribute negative relationship events to partner behavior, potentially due to partner blame and relationship schemas. In addition, the influence of individual-level factors may be occluded when aggregated across partners to examine correlates of interpartner reporting concordance.     

Etiology of obsessions and compulsions: a behavioral-genetic analysis

It is unknown whether various types of obsessive-compulsive (OC) symptoms have a common genetic or environmental etiology. For example, it is unknown whether hoarding is etiologically associated with prototypic OC symptoms, such as washing, checking, and obsessing. Also unknown is whether particular OC-related symptoms are etiologically linked to the general tendency to experience emotional distress (negative emotionality). To investigate these and other issues, a community sample of 307 pairs of monozygotic and dizygotic adult twins provided scores on 6 OC-related symptoms (obsessing, neutralizing, checking, washing, ordering, and hoarding) and 2 markers of negative emotionality (trait anxiety and affective lability). Genetic factors accounted for 40%-56% of variance in the 8 phenotypic scores (M = 49% of variance for OC-related symptoms). Remaining variance was due to nonshared (person-specific) environment. More detailed analyses revealed a complex etiologic architecture, where OC-related symptoms arise from a mix of common and symptom-specific genetic and environmental factors. A general genetic factor was identified, which influenced all symptoms and negative emotionality. An environmental factor was identified that influenced all symptoms but did not influence negative emotionality. Each of the 6 types of symptoms was also shaped by its own set of symptom-specific genetic and environmental factors. The importance of genetic factors did not vary as a function of age or sex, and the architecture of general and specific etiologic factors was replicated for participants having relatively more severe OC symptoms. Gene-environment interactions were identified. Implications for an etiology-based classification system are discussed.     

Impact of Interpersonal Conflict on Individuals High in Unmitigated Communion1

The current study examined the impact of interpersonal conflict on mood and physical symptoms for individuals who scored high on a personality characteristic called unmitigated communion (UC), as compared to individuals who did not score high in UC. UC is defined as a focus on others to the exclusion of the self. Forty‐one undergraduate students participated in 7 consecutive nightly interviews. Participants described their social interactions, indicated whether the interaction involved interpersonal conflict, and indicated their distress and physical symptoms at the end of the day. Multilevel modeling analysis demonstrated that conflict adversely affected UC and non‐UC individuals similarly on the same day, but had a more negative impact for UC individuals on the following day.     

Moderators of the Exercise/Feeling-State Relationship: The Influence of Self-Efficacy, Baseline, and In-Task Feeling States at Moderate- and High-Intensity Exercise

The present study examined the moderating influence of self-efficacy, baseline feeling states, and in-task feeling states on exercise-related feeling-state changes at moderate- and high-intensity exercise. Physically active females ( N = 60) participated in 1 of 5 conditions: (a) attention control for 30 min, (b) exercise at 50% heart rate reserve (HRR) for 15 min, (c) exercise at 50% HRR for 30 min, (d) exercise at 85% HRR for 15 min, and (e) exercise at 85% HRR for 30 min. The Exercise-Induced Feeling Inventory (EFI; Gauvin & Rejeski, 1993) was completed pre-, during, and post-exercise, while self-efficacy was completed pre-exercise. Multilevel modeling (Bryk & Raudenbaush, 1992) revealed that pre-exercise self-efficacy and in-task tranquility moderated the change in tranquility for high-intensity exercise. Furthermore, baseline feeling states moderated the change in all 4 feeling states. It is recommended that baseline and in-task feeling states and self-efficacy be considered when examining high-intensity exercise.