Social perception in children with fetal alcohol spectrum disorder

Although the profile of social cognitive difficulties is well recognized in children with certain neurodevelopmental disorders such as autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD), this profile is not as well established in other clinical pediatric populations. The objective of the present study is to examine patterns of social perception in children with fetal alcohol spectrum disorder (FASD) compared to typically-developing (TD) control children. A total of 56 children between 8 and 12 years of age—35 with FASD and 21 TD—completed the Reading the Mind in the Eyes Task – Children’s Version (RMET-C). The RMET-C accuracy scores were compared between groups and also by item difficulty and emotional valence. The relation between cognitive functioning, age, FASD severity, and RMET-C performance was also investigated. The children in the FASD group did not perform as well as the children in the TD group on the RMET-C Total score and Easy items, as well as the Positive, Negative, and Neutral emotional valence items. When age and IQ were investigated, there was a significant effect of age on the Positive items in the TD group, with scores increasing with age. With regard to FASD severity, children with alcohol-related neurodevelopmental disorder were outperformed by children with full/partial fetal alcohol syndrome on the Positive and Negative items. Overall, these results further the understanding of the social cognitive profile in children with FASD and how this profile relates to other childhood-onset neurodevelopmental disorders.     

Gender,Fear, and Public Places: How Negative Encounters with Strangers Harm Women

Research repeatedly shows that women are frequent targets of sexual harassment in public, ranging from catcalls to sexual assault. However, we know very little about the impacts of less obviously gendered rude behavior. Using nationally representative survey data from Australia (N = 1621), we investigated gender differences in the experience of generic public incivilities such as tailgating, pushing in crowded spaces, and yelling or cursing. We employed a series of logistic regression models to assess the relationship between gender and stranger incivility and to adjust for key demographic and event attributes. Results demonstrated that women were significantly more likely to report recent experiences of public incivility than were men and that women were significantly more likely to report negative impacts on their emotional well-being, particularly when the rude stranger was a man. Findings also showed that women were significantly more likely than were men to report limiting their use of public places as a result of experiencing public incivility. Much like sexual harassment, generic forms of uncivil behavior exact a gender-specific tax on women’s access to public places, compromising women’s capacity to fully engage in the public sphere. Implications for research and policy are discussed.     

Mechanisms in Self-Determined Exercise Motivation: Effects of a Theory Informed Pilot Intervention

The purpose was to examine the effects of an exercise pilot intervention informed by Self-determination theory. The 64 participants were randomized into experimental and control group. The main questions were whether the intervention would influence (a) exercise level, (b) motivation quality, and (c) autonomy and competence need satisfaction. We also examined the indirect effects of self-determined motivation on exercise. Significant intervention effects were found regarding exercise level and motivation quality. Also, intervention effect on exercise was found to be mediated by motivation quality and identified regulation. The results provide interesting information about the underlying mechanisms involved in exercise behaviour change.     

Genetic Counseling Assistants: an Integral Piece of the Evolving Genetic Counseling Service Delivery Model

This study explores the potential impact of the genetic counseling assistant (GCA) position on the efficiency of the genetic counseling field, evaluates attitudes regarding expansion of the genetic counseling field to include the GCA, and presents data on GCA endeavors and GCA job tasks as reported by GCAs, certified genetic counselors (CGCs), and program directors (PDs). Data on GCA roles and attitudes toward different aspects of the GCA position were collected via surveys of CGCs who have worked with GCAs, PDs who have and have not had experience with GCAs in their programs, and GCAs. We analyzed responses from 63 individuals: 27 PDs, 22 CGCs, and 14 GCAs. GCAs’ impact on efficiency was calculated via internal analysis of genetic patient volume per genetic counselor within the University of Texas Southwestern (UTSW) patient database prior to, and since the addition of, a GCA to the practice. The response rates for PDs, CGCs, and GCAs were 27 %, 79 %, and 61 %, respectively. Every CGC stated the GCA increased their efficiency. CGCs with a GCA reported a 60 % average increase in patient volume. This figure was congruent with internal data from the UTSW cancer genetics program (58.5 % increase). Appropriate responsibilities for GCAs as reported by CGCs and PDs (>90 %) include: data entry, shipping tests, administrative tasks, research, and ordering supplies. Regarding GCAs delivering test results, there was response variation whether this should be a job duty: 42 % of CGCs agreed to GCAs delivering negative results to patients, compared to 22 % of program directors. Twenty-two percent of PDs expressed concern about the job title “Genetic Counseling Assistant.” Ninety percent of CGCs felt that GCA was a career path to becoming a CGC, compared to 42 % of PDs. Eighty-three percent of GCAs who decided to apply to CGC graduate programs were accepted. We conclude the addition of a GCA to a genetic counseling practice contributes to increased efficiency and is one way to expand the reach of the profession.     

Narrative Therapy to Prevent Illness‐Related Stress Disorder

More than 94% of cancer patients described the experience as the most traumatic event they have ever faced and 13% have posttraumatic stress disorder (PTSD) in the aftermath. Empirical evidence demonstrates that certain behaviors lead to more positive health outcomes. Although many patients automatically engage in these behaviors, many others do not. Treatments typically focus on short‐term, symptom‐focused strategies. Narrative‐Expressive Therapy is an intervention designed to address the long‐term, underlying stress and to prevent PTSD in patients with serious illness.     

Age-related trends in Stroop and conflicting motor response task findings.

Inhibition problems are reportedly at the heart of several childhood pathologies and learning disorders, but few instruments are available for their in-depth investigation. The main aim of the present study was to investigate the development of a capacity to inhibit automatic responses in young and middle childhood. For this purpose, 100 children between 6 and 11 years old were administered two tests that measure executive inhibition: an animal Stroop task (in a paper-and-pencil version of the computerized original proposed by Wright and colleagues in 2003) and a conflicting motor response task. Our results indicate that performance clearly improves in both tests during the course of a child's development and the data obtained with the paper-and-pencil animal Stroop task overlap with those obtained with the computerized version. When the task calls for a stronger inhibitory control (the incongruent situation in the Stroop task and in the opposite condition in the conflicting motor response test) the trend of the response times is less homogeneous, peaking in the youngest and oldest age brackets considered. The positivity and significance of the correlation coefficients between the two tests also suggest that the two measures are tapping cognitive abilities that are developing in a parallel fashion.     

Predicting Sexual Satisfaction in Women: Implications for Counselor Education and Training

The authors examined how physical affection in the family of origin, partner initiation and communication, and masturbatory practices predicted 4 measures of sexual satisfaction. Participants in this national study were 2,632 women who volunteered to complete a survey on women's sexuality. Results showed that partner initiation and communication most strongly predicted female sexual satisfaction regardless of how it was measured. Implications for counselor education and training are discussed, and directions for further study are suggested.     

Adolescent Violence: The Protective Effects of Youth Assets

The authors explored adolescent physical fighting and weapon carrying, using in‐home interviews with 1,098 middle/high school students and their parents. Logistic regression analyses examined the relationship between youth assets and the risk behaviors while controlling for demographic information. Both demographic factors and assets were associated with no physical fighting, and 6 of 9 assets were linked to not carrying a weapon. These findings indicate that certain assets may protect youth from physical fighting and carrying a weapon.