Breast Cancer Risk Assessment at the Time of Screening Mammography: Perceptions and Clinical Management Outcomes for Women at High Risk

The purpose of this study was to evaluate the utility of a breast cancer risk assessment (BCRA) at the time of screening mammogram. Women whose BCRA indicated a high risk for cancer received a letter with instructions for breast health care and genetic counseling if appropriate. After 6 months this group received surveys to evaluate their risk perception and their recall of, and compliance with, recommendations. We also explored the impact of other variables such as a recommendation for genetic counseling and physician communication with the women. After the BCRA, the majority of high risk women reported no change in their perceived risk of cancer. A woman’s perceived risk of cancer after a BCRA was significantly associated with her recall of recommendations for breast health care, but not with compliance. A recommendation for genetic counseling was not significantly related to women’s perceived risk of cancer after the BCRA. Ten percent of women who should have obtained genetic counseling actually completed an appointment. Women who discussed their BCRA results with their physicians were more compliant with a six month breast exam with a doctor (53% vs 17%, p = 0.018). Overall, women felt that the BCRA was helpful and did not cause undue stress or anxiety. Although the cohort’s compliance with recommendations was suboptimal, physicians’ interactions with their patients may have a positive influence on their compliance.     

Pediatric Whole Exome Sequencing: an Assessment of Parents’ Perceived and Actual Understanding.

Whole exome sequencing (WES) is an integral tool in the diagnosis of genetic conditions in pediatric patients, but concerns have been expressed about the complexity of the information and the possibility for secondary findings that need to be conveyed to those deciding about WES. Currently, there is no validated tool to assess parental understanding of WES. We developed and implemented a survey to assess perceived and actual understanding of WES in parents who consented to clinical WES for their child between July 2013 and May 2015. Fifty-three eligible surveys were returned (57% response rate). Areas with both low perceived and actual understanding about WES included how genes are analyzed and lack of protection against life insurance discrimination. Parents also had low actual understanding for two questions related to secondary findings – reporting of secondary findings in a parent (if tested) and whether secondary findings can be related to traits such as height and hair color. Further work to develop a validated tool to assess understanding of WES would be beneficial as WES is integrated more frequently into clinical care.     

Flow and Happiness in Later Life: An Investigation into the Role of Daily and Weekly Flow Experiences

Fifty-four older adults ranging in age from 70 to 86 years old (M = 77.54) reported daily levels of positive and negative affect, life satisfaction and daily activities for seven consecutive days. Hierarchical linear modeling (HLM) was used to investigate inter- and intra-individual effects of flow experiences on affect. Higher quality of flow was positively associated with high arousal positive affect (i.e., feeling peppy, enthusiastic, happy), negatively associated with low arousal negative affect (i.e., feeling sad and disappointed), and positively associated with life satisfaction. However, more frequent flow experiences throughout the week predicted lower average levels of positive affect and life satisfaction. Overall, the results demonstrate that flow is linked to the affective experiences of older adults, and that an individual’s overall propensity to experience flow may be influential beyond the immediate effects of a given flow experience.     

Can Basic Individual Differences Shed Light on the Construct Meaning of Assessment Center Evaluations?

The construct meaning of assessment center evaluations is an important unresolved issue in I/O psychology. This study hypothesized that Cognitive Ability and personality traits are primary correlates of evaluators’ overall assessment ratings (OARs). Meta–analysis results based on 65 correlations indicate the following mean construct–level correlations with OARs: .67 for Cognitive Ability, .50 for Extraversion, .35 for Emotional Stability, .25 for Openness, and .17 for Agreeableness; yielding a multiple R of .84. These findings support our hypothesis and cast light on the construct meaning of assessment center evaluations.     

The relation between work-family balance and quality of life

We examined the relation between work-family balance and quality of life among professionals employed in public accounting. Three components of work-family balance were assessed: time balance (equal time devoted to work and family), involvement balance (equal involvement in work and family), and satisfaction balance (equal satisfaction with work and family). For individuals who invested substantial time in their combined work and family roles, those who spent more time on family than work experienced a higher quality of life than balanced individuals who, in turn, experienced a higher quality of life than those who spent more time on work than family. We observed similar findings for involvement and satisfaction. We identified the contributions of the study to the work-family balance literature and discussed the implications of the findings for future research.     

Persuasive Impact of Organizational Value Statements in a Recruitment Context1

Two experiments were conducted to examine the persuasive impact of different types of evidence supporting an organizational recruitment message. In the first experiment, information on organizational values, presented in a recruitment brochure, was supported using statistical, anecdotal, or no evidence. Graduating university students who were attending a job fair (N = 69) were most attracted to the company as an employer when statistical evidence was presented. In the second study, an employed sample (N= 172) received organizational value evidence in the context of either a recruitment brochure or a community newspaper article. Whereas we replicated the findings of the first study in the brochure condition, we found that anecdotal information was most persuasive in the newspaper condition. We conclude that predicting the persuasive impact of evidence for organizational values requires knowledge of both the type of evidence to be employed and the medium in which that evidence is conveyed.     

Including Manual Signing as Nontargeted Information When Using a Constant Time Delay Procedure to Teach Receptive Identification of Packaged Food Items

This investigation extends the constant time delay research base by embedding nontargeted information in the task direction when teaching communication skills. Specifically, instructors taught receptive identification of packaged food items to 4 secondary students with moderate to severe disabilities and evaluated generalization to the community. In addition, instructors included the manual sign for each food item. The instructional strategy was a constant time delay procedure using a 5-s delay interval. The intervention, conducted within a multiple probe design across behaviors replicated across students, resulted in the acquisition and generalization of receptive identification of packaged food items by 3 out of 4 of the students. In addition, the students acquired the nontargeted manual signs with an average of 60% percent in the final probe session.     

The legacy of the 38 witnesses and the importance of getting history right

Responds to Brock's comments on the current author's original article which talks about the original 1964 Kitty Genovese murder 38-witness account. Manning, Levine, and Collins wish to leave it to readers of this journal to judge whether it is wise to continue to use in textbooks inaccurate accounts presented as facts, and whether it is sensible to conclude that despite being read by many thousands of students and researchers, the story of the 38 witnesses has had "negligible scholarly impact." (PsycINFO Database Record (c) 2008 APA, all rights reserved).