Knowledge of and Interest in Genetic Results Among Parkinson Disease Patients and Caregivers

The purpose of the study is to investigate Parkinson disease (PD) patients’ and caregivers’ knowledge of and interest in genetic testing. Gaucher disease (GD) results from recessive mutations in glucocerebrosidase (GBA). Both heterozygote GBA carriers and GD patients are at greater risk for PD. Studies regarding knowledge of and interest in genetic testing have been limited and have not offered genetic results to participants. In this study, 353 PD patients and 180 caregivers were recruited to a PD genetic study. The association between GD, GBA mutations and PD was described to participants who reported their familiarity with genetic terms, answered questions on genetic concepts, and indicated their interest in knowing if they may have GD (two GBA mutations) and other genetic information that could impact their health. Ninety-three-percent of participants were interested in receiving GBA results; however, only 51.6 % of PD participants and 55.6 % of caregivers knew that “scientists have identified genes associated with a higher risk of developing PD.” PD patients may benefit from education and genetic counseling on the implications of genetic testing.     

Use of Genetic Tests among Neurologists and Psychiatrists: Knowledge,Attitudes, Behaviors,and Needs for Training

This study explores neurologists’ and psychiatrists’ knowledge, attitudes, and practices concerning genetic tests. Psychiatrists (n?=?5,316) and neurologists (n?=?2,167) on the American Medical Association master list who had agreed to receive surveys were sent an email link to a survey about their attitudes and practices regarding genetic testing; 372 psychiatrists and 163 neurologists responded. A higher proportion of neurologists (74 %) than psychiatrists (14 %) who responded to the survey had ordered genetic testing in the past 6 months. Overall, most respondents thought that genetic tests should be performed more frequently, but almost half believed genetic tests could harm patients psychologically and considered legal protections inadequate. Almost half of neurologists (49 %) and over 75 % of psychiatrists did not have a genetics professional to whom to refer patients; those who had ordered genetic tests were more likely than those who did not do so to have access to a genetic counselor. Of respondents, 10 % had received patient requests not to document genetic information and 15 % had received inquiries about direct-to-consumer genetic testing. Neurologists reported themselves to be relatively more experienced and knowledgeable about genetics than psychiatrists. These data, the first to examine several important issues concerning knowledge, attitudes and behaviors of neurologists and psychiatrists regarding genetic tests, have important implications for future practice, research, and education.     

Revisiting the association of aggression and suicidal behavior in schizophrenic inpatients

Our study investigated the association of aggression and suicidal behavior in schizophrenic inpatients. Eight thousand nine hundred one admissions for schizophrenia (1998-2007) to a psychiatric university hospital were included. Schizophrenic suicides (n = 7)/suicide attempters (n = 40) were compared to suicides (n = 30)/suicide attempters (n = 186) with other diagnoses and to schizophrenic non-attempters regarding aggression. Logistic regression analysis was performed to explore risk factors for attempted suicide. Schizophrenic suicides/suicide attempters did not differ from other suicides/suicide attempters or from schizophrenic non-attempters with regard to aggression. Risk of inpatient suicide attempt was increased for patients with attempted suicide at admission, high school graduation, and disorganized subtype. Aggression could not be found to be a predictor of attempted suicide. Aggression seems to have a minor role for suicidal behavior in schizophrenia.     

Enumeration: Experts take their time

Previous research has demonstrated that grouping information enhances enumeration, and that this advantage is significantly greater for observers with expertise in dynamic visuospatial tasks (e.g. air traffic controllers). We sought to elucidate whether this advantage is the result of over‐learned, automated responding in an enumeration experiment where many of the stimuli were incongruent as to canonical arrangement and numerosity. If so, we predicted that experts' performance would be more severely affected than novices'; if not, and experts continued to perform better than novices, we predicted that their response times should increase, reflective of the additional cognitive load needed. We demonstrated the latter is so. Experts continued to out‐perform novices but their response times were significantly slower suggesting that expertise is not rigid and automatic but, rather, is flexible and responsive to the specific situation, allowing experts to switch between strategies. Copyright © 2010 John Wiley & Sons, Ltd.     

Unfulfilled goals interfere with tasks that require executive functions

Even after one stops actively pursuing a goal, many mental processes remain focused on the goal (e.g., the Zeigarnik effect), potentially occupying limited attentional and working memory resources. Five studies examined whether the processes associated with unfulfilled goals would interfere with tasks that require the executive function, which has a limited focal capacity and can pursue only one goal at a time. In Studies  and , activating a goal nonconsciously and then manipulating unfulfillment caused impairments on later tasks requiring fluid intelligence (solving anagrams; Study 1) and impulse control (dieting; Study 2). Study 3 showed that impairments were specific to executive functioning tasks: an unfulfilled goal impaired performance on logic problems but not on a test of general knowledge (only the former requires executive functions). Study 4 found that the effect was moderated by individual differences; participants who reported a tendency to shift readily amongst their various pursuits showed no task interference. Study 5 found that returning to fulfill a previously frustrated goal eliminated the interference effect. These findings provide converging evidence that unfulfilled goals can interfere with later tasks, insofar as they require executive functions.     

The dark side of comprehensive soldier fitness

Comprehensive Soldier Fitness (CSF), the focus of the January 2011 special issue of the American Psychologist, is a $125 million resilience training initiative designed to reduce and prevent the adverse psychological consequences of combat for soldiers and veterans. These are worthy goals. Soldiers and veterans deserve the best care possible, and military psychologists have critically important roles to play. But the special issue is troubling in several important respects. Elsewhere, we have offered a detailed review (Eidelson, Pilisuk, & Soldz, 2011). Here we offer only a summary of our concerns. The CSF program is a massive research project launched without pilot testing to determine, first, the effectiveness of the training in a military environment. This is highly irregular and obviously worrisome considering the stakes. No evidence was provided indicating that CSF received preliminary review by an independent ethics review board. There are other ethically fraught possibilities.This special issue reveals much about current moral challenges facing the profession of psychology.     

Cultural variations in the sexual marketplace: gender equality correlates with more sexual activity

Sexual economics theory assumes that heterosexual communities can be analyzed as marketplaces in which men offer women resources such as love, respect, money, and commitment in exchange for sex. In response to economic, political, and other disadvantages, women collectively restrict their sexuality to maintain a low supply relative to male demand, thereby ensuring a high price. Hence, we tested the hypothesis that sexual norms and practices would be more restrictive in countries marked by gender inequality than in countries where the genders were more equal. An international online sex survey (N>317,000) yielded four measures of sexual activity, and 37 nations' means on all four measures were correlated with independent (World Economic Forum) ratings of gender equality. Consistent with predictions, relatively high gender equality was associated with more casual sex, more sex partners per capita, younger ages for first sex, and greater tolerance/approval of premarital sex.     

How leaders self-regulate their task performance: evidence that power promotes diligence, depletion, and disdain

When leaders perform solitary tasks, do they self-regulate to maximize their effort, or do they reduce effort and conserve their resources? Our model suggests that power motivates self-regulation toward effective performance-unless the task is perceived as unworthy of leaders. Our 1st studies showed that power improves self-regulation and performance, even when resources for self-regulation are low (ego depletion). Additional studies showed that leaders sometimes disdain tasks they deem unworthy, by withholding effort (and therefore performing poorly). Ironically, during ego depletion, leaders skip the appraisal and, therefore, work hard regardless of task suitability, so that depleted leaders sometimes outperform nondepleted ones. Our final studies replicated these patterns with different tasks and even with simple manipulation of framing and perception of the same task (Experiment 5). Experiment 4 also showed that the continued high exertion of leaders when depleted takes a heavy toll, resulting in larger impairments later. The judicious expenditure of self-control resources among powerful people may help them prioritize their efforts to pursue their goals effectively.     

Control deprivation and styles of thinking

Westerners habitually think in analytical ways, whereas East Asians tend to favor holistic styles of thinking. We replicated this difference but showed that it disappeared after control deprivation (Experiment 1). Brief experiences of control deprivation, which stimulate increased desire for control, caused Chinese participants to shift toward Western-style analytical thinking in multiple ways (Experiments 2-5). Western Caucasian participants also increased their use of analytical thinking after control deprivation (Experiment 6). Manipulations that required Chinese participants to think in Western, analytical ways caused their sense of personal control to increase (Experiments 7-9). Prolonged experiences of control deprivation, which past work suggested foster an attitude more akin to learned helplessness than striving for control, had the opposite effect of causing Chinese participants to shift back toward a strongly holistic style of thinking (Experiments 10-12). Taken together, the results support the reality of cultural differences in cognition but also the cross-cultural similarity of using analytical thinking when seeking to enhance personal control.