Psychological models in predicting uptake of prenatal screening

Abstract

The purpose of the current study was to determine which psychological models are most useful in predicting uptake of a prenatal screening test, maternal-serum alphafetoprotein screening for spina bifida and Down's syndrome. 1000 women eligible for the test completed standardised self-report questionnaires at two routine clinic visits to an antenatal clinic prior to the time when the test could take place. 902 underwent the screening test; 51 declined the test; and 47 did not undergo the test, giving no reason for this to staff. Knowledge of the test, the subjective expected utility attached to the test, and attitudes to doctors and medicine were all significant predictors of uptake behaviour. Results of a discriminant function analysis demonstrated distinct psychological processes underlying each of these three uptake behaviours, explaining 21% of the variance in uptake of screening. If uptake of screening is examined not as a dichotomous variable but as a group of behaviours, predictive models are identified accordingly. This would lead to rnodels of health-related behaviours as a heterogeneous rather than homogeneous phenomena, predicted and influenced by different causes.     

Evidence for Discontinuity Patterns Across the Stages of Change: A Role for Attitudinal Ambivalence

Cross-sectional analyses of the transtheoretical ("stages of change") model (TTM) can provide valuable information concerning the variables that are likely to shift individuals from one stage to the next. The present study was designed to investigate the roles of theory of planned behaviour (TPB) variables and attitudinal ambivalence across the stages of change. Two samples derived from the general population completed measures of stage, TPB and attitudinal ambivalence with respect to consuming a low-fat diet (n = 148) and eating five portions of fruit and vegetables per day (n = 151). Consistent with previous research, the present study found linear increases in TPB variables across the stages of change. However, as predicted, attitudinal ambivalence showed discontinuity patterns, displaying a quadratic relationship with the stages of change, such that least ambivalence was experienced in the precontemplation and maintenance stages. Discussion of the findings focuses on implications for the development of theory-driven interventions.     

Age-related decline in the ability to decode emotional prosody: Primary or secondary phenomenon?

Emotion processing deficits can cause catastrophic damage to a person's ability to interact socially. While it is known that older adults have difficulty identifying facial emotions, it is still not clear whether this difficulty extends to identification of the emotion conveyed by prosody. This study investigated whether the ability of older adults to decode emotional prosody falls below that of young adults after controlling for loss of hearing sensitivity and key features of cognitive ageing. Apart from frontal lobe load, only verbal IQ was associated with the age-related reduction in performance displayed by older participants, but a notable deficit existed after controlling for its effects. It is concluded that older adults may indeed have difficulty deducing the emotion conveyed by prosody, and that while this difficulty can be exaggerated by some aspects of cognitive ageing, it is primary in origin.     

Differential Competencies Contributing to Children's Comprehension of Narrative and Expository Texts

The purpose of this study was to examine the connections between the oral reading abilities and the spelling behaviors of third and fifth grade students. Seventy-two third graders and sixty fifth graders from two different schools (one urban and one suburban) were the subjects of the study. Each subject read a selection one level above his/her current grade placement, spelled the words on the appropriate grade level list of the Qualitative Inventory of Word Knowledge and took the appropriate level of the Gates-MacGinitie Reading Tests. Oral readings were scored for accuracy, rate and phrasing. Spellings were scored for accuracy, phonetic quality and stage of spelling development. These scores were then analyzed using correlations, partial correlations and multiple regression techniques. At both grade levels there were high, significant correlations between spelling and reading variables, with spelling variables accounting for from 40% to 60% of the variance in oral reading measures and a smaller, but still significant percentage of the variance when standardized test scores were used as a control. These results confirm a strong relationship between spelling skill and oral reading ability, supporting the argument that a common body of conceptual word knowledge underlies both.     

Mother-Child Attachment and Gender Identity in Preadolescence

We investigated the relations of two dimensions of attachment insecurity (avoidant with mother, preoccupied with mother) to three dimensions of gender identity (gender typicality, gender contentedness, felt pressure for gender differentiation) in preadolescent children. We hypothesized that attachment insecurity (of either sort) fosters felt pressure for gender differentiation but impedes the development of felt gender typicality and gender contentedness. Participants were 863 Black, Hispanic, and White fifth graders attending public schools in the southeast United States (443 girls, 420 boys; M age = 11.1 years). Each attachment measure was associated with each gender identity measure in the expected way, but some associations hinged on child gender or ethnicity/race. Avoidant attachment was negatively associated with felt gender typicality only for White children, negatively associated with gender contentedness for the entire sample, and positively associated with felt pressure for gender differentiation only for White children. Preoccupied attachment was negatively associated with felt gender typicality for the entire sample, negatively associated with gender contentedness only for boys, and positively associated with felt pressure for gender differentiation only for girls.     

The Sensory Profile of People With Post-Traumatic Stress Symptoms

Thirty participants with post-traumatic stress (PTS) symptoms and 30 healthy controls completed the Post-Traumatic Stress Disorder Symptom Scale (PSS-SR) and the Adolescent/Adult Sensory Profile (AASP). Participants with PTS symptoms vacillated between sensory sensitivity, sensation avoiding, and low registration. Sensation avoiding and low registration correlated with intrusive thoughts related to PTS. Discriminant Analysis classified 73% of the study group and 80% of the controls. PTS may be related to hypersensitivity and low registration. Further studies about the sensory profile of people with PTS symptoms may contribute to research and optimize evaluation and intervention for people with PTSD.     

Revised reinforcement sensitivity theory: The impact of FFFS and stress on driving

This study investigated the effect of a fear-based personality trait, as conceptualized in Gray’s revised reinforcement sensitivity theory (RST) by the strength of the Fight/Flight/Freeze system (FFFS), on young people’s driving simulator performance under induced psychosocial stress. Seventy-one young drivers completed the Jackson-5 questionnaire of RST traits, followed by a psychosocial stress or relaxation induction procedure (random allocation to groups) and then a city driving simulator task. Some support was found for the hypothesis that higher FFFS sensitivity would result in poorer driving performance under stress, in terms of significantly poorer hazard responses, possibly due to an increased attentional focus on the aversive cues inherent in the stress induction leaving reduced attentional capacity for the driving task. These results suggest that stress may lead to riskier driving behaviour in individuals with fearful RST personality styles.     

Student Behavior and Epistemological Framing: Examples from Collaborative Active-Learning Activities in Physics

The concept of framing from anthropology and sociolinguistics is useful for understanding student reasoning. For example, a student may frame a learning activity as an opportunity for sensemaking or as an assignment to fill out a worksheet. The student's framing affects what she notices, what knowledge she accesses, and how she thinks to act. We find evidence of framing in easily observed features of students' collaborative behavior. We apply this observational methodology to explore dynamics among behavior, framing, and the conceptual substance of student reasoning in the context of collaborative active-learning activities in an introductory university physics course. We find evidence that certain student behaviors indicate and support a relatively sophisticated epistemological framing of these activities, one in which students discuss the substance of the ideas at hand.     

Influence of Question Format and Text Availability on the Assessment of Expository Text Comprehension

This study examines how passage availability and reading comprehension question format (open-ended vs. multiple-choice) influence question answering. In two experiments, college undergraduates read an expository passage and answered open-ended and multiple-choice versions of text-based, local, and global bridging inference questions. Half the participants were allowed to refer to the passage when answering the questions and half were not. Participants' prior domain knowledge relating to the text contents was assessed using multiple-choice and open-ended questions. Correlation-based analyses in the two experiments indicated: (a) a decline in the relationship between prior domain knowledge and comprehension when the passage was available during question answering; and (b) a high correlation between multiple-choice and open-ended question answering performance when the passage was not available for reference. Overall the results indicate that the nature of the reading comprehension assessment is influenced by the specific task with which comprehension is assessed.