Mindfulness Among Genetic Counselors Is Associated with Increased Empathy and Work Engagement and Decreased Burnout and Compassion Fatigue

Genetic counselors experience high rates of compassion fatigue and an elevated risk for burnout, both of which can negatively impact patient care and retention in the profession. In other healthcare professions, mindfulness training has been successfully used to address similar negative psychological sequelae and to bolster empathy, which is the foundation of our counseling work. We aimed to assess associations between mindfulness and key professional variables, including burnout, compassion fatigue, work engagement, and empathy. Data were collected via an anonymous, online survey that included validated measures of mindfulness and these key professional variables. The survey was completed by 441 genetic counselors involved in direct patient care. Half of the respondents (50.1%) reported engaging in yoga, meditation, and/or breathing exercises. Mindfulness was positively correlated with work engagement (r?=?0.24, p?<?0.001) and empathy (as measured through four subscales: perspective taking (r?=?0.15, p?=?0.002), empathic concern (r?=?0.11, p?=?0.03), fantasy (r?=???0.11, p?=?0.03) and personal distress (r?=???0.15, p?=?0.001)). Mindfulness was negatively correlated with compassion fatigue (r?=???0.48, p?<?0.001) and burnout (r?=???0.50, p?<?0.001). Given these findings, mindfulness training may be a valuable addition to graduate and continuing education for genetic counselors. The integration of mindfulness into the genetic counseling field will likely improve professional morale and well-being, while promoting workforce retention and bolstering the relational and counseling aspects of our clinical work.     

Association between quality of life of adolescents with type 1 diabetes and parents’ illness perception as evaluated by adolescents

Children and adolescents account for half of all cases of type 1 diabetes, which is one of the most common pediatric chronic diseases. The disease’s effects and the treatment/disease-management protocols patients must follow can lead to a marked deterioration in quality of life, especially for adolescents. Patients’ illness perceptions have been shown to impact their quality of life, but do other people’s illness perceptions also have an effect? The present study addressed this question by investigating possible links between the quality of life of adolescent patients with type 1 diabetes and illness perceptions, measured in terms of the adolescents’ self-perceptions, parents’ self-perceptions, and the adolescents’ evaluations of their parents’ perceptions. We asked 41 adolescents (M = 13.9 years; SD = 1.9) who had been undergoing treatment for type 1 diabetes for at least a year (M = 6.6 years; SD = 3.7) to complete the Diabetes Quality of Life for Youth Questionnaire-Short Form (DQOLY-SF) and the Illness Perception Questionnaire-Revised (IPQ-R). They completed the IPQ-R twice, once to state their own opinions (self-report) and once to give their evaluations of their parents’ perceptions. At the same time, but in a different room, their parents (N = 47) completed the IPQ-R (self-report). Quality of life was predicted by gender (p < .05) and by the parents’ emotional representations (p < .01) and perceptions of consequences (p < .01) as evaluated by the adolescents. This new approach provides new insights into the impact of parents’ perceptions on the quality of life of adolescents with type 1 diabetes.     

Specificity deficit in the recollection of emotional memories in schizophrenia

The influence of emotion on episodic and autobiographical memory in schizophrenia was investigated. Using an experiential approach, the states of awareness accompanying recollection of pictures from the IAPS and of associated autobiographical memories was recorded. Results show that schizophrenia impairs episodic and autobiographical memories in their critical feature: autonoetic awareness, i.e., the type of awareness experienced when mentally reliving events from one's past. Schizophrenia was also associated with a reduction of specific autobiographical memories. The impact of stimulus valence on memory performance was moderated by clinical status. Patients with schizophrenia recognized more positive than negative pictures, and recalled more positive than negative autobiographical memories while controls displayed the opposite pattern. A hypothesis in terms of a fundamental executive deficit underlying these impairments is proposed.     

Cerebral asymmetries in sleep-dependent processes of memory consolidation

Preference for previously seen, unfamiliar objects reflects a memory bias on affective judgment, known as the “mere exposure effect” (MEE). Here, we investigated the effect of time, post-exposure sleep, and the brain hemisphere solicited on preference generalization toward objects viewed in different perspectives. When presented in the right visual field (RVF), which promotes preferential processing in the left hemisphere, same and mirrored exemplars were preferred immediately after exposure. MEE generalized to much dissimilar views after three nights of sleep. Conversely, object presentation in the left visual field (LVF), promoting right hemisphere processing, elicited a MEE for same views immediately after exposure, then for mirror views after sleep. Most importantly, sleep deprivation during the first post-exposure night, although followed by two recovery nights, extinguished MEE for all views in the LVF but not in the RVF. Besides demonstrating that post-exposure time and sleep facilitate the generalization process by which we integrate various representations of an object, our results suggest that mostly in the right hemisphere, sleep may be mandatory to consolidate the memory bias underlying affective preference. These interhemispheric differences tentatively call for a reappraisal of the role of cerebral asymmetries in wake- and sleep-dependent processes of memory consolidation.     

How emotions colour our perception of time

Our sense of time is altered by our emotions to such an extent that time seems to fly when we are having fun and drags when we are bored. Recent studies using standardized emotional material provide a unique opportunity for understanding the neurocognitive mechanisms that underlie the effects of emotion on timing and time perception in the milliseconds-to-hours range. We outline how these new findings can be explained within the framework of internal-clock models and describe how emotional arousal and valence interact to produce both increases and decreases in attentional time sharing and clock speed. The study of time and emotion is at a crossroads, and we outline possible examples for future directions.     

Infant attractiveness and perceived temperament in the prediction of attachment classifications

The influence of infant physical attractiveness and infant temperament on the mother-infant relationship at 12 months of age was examined. Physical attractiveness of the infant was rated by 48 adults, and infant temperament was assessed by use of the Toddler Temperament Scale, which yields indices of activity level, rhythmicity, approach, adaptability, intensity, mood, persistence, distractibility, and threshold. Mother-infant attachment was measured via the Strange Situation. Results showed that 46% of the variance in attachment classification was accounted for by five of the nine dimensions of temperament (withdrawal from new situations, high intensity of response, low distractibility, negative mood, and low threshold of response). Physical attractiveness and other dimensions of temperament did not add significant amounts of variance over and above that contributed by the first five dimensions to the prediction of attachment.     

Speeding up an internal clock in children? Effects of visual flicker on subjective duration

Children of 3, 5, and 8 years of age were trained on a temporal bisection task where visual stimuli in the form of blue circles of 200 and 800 ms or 400 and 1600 ms duration, preceded by a 5-s white circle, served as the short and long standards. Following discrimination training between the standards, stimuli in the ranges 200-800 ms or 400-1600 ms were presented with the white circle either constant or flickering. Relative to the constant white circle, the flicker (1) increased the proportion of "long" responses (responses appropriate to the long standard), (2) shifted the psychophysical functions to the left, (3) decreased bisection point values, at all ages, and (4) did not systematically affect measures of temporal sensitivity, such as difference limen and Weber ratio. The results were consistent with the idea that the repetitive flicker had increased the speed of the pacemaker of an internal clock in children as young as 3 years. The "pacemaker speed" interpretation of the results was further strengthened by a greater effect of flicker in the 400/1600-ms condition than in the 200/800-ms condition.     

Perception of the duration of auditory and visual stimuli in children and adults

This experiment investigated the effect of modality on temporal discrimination in children aged 5 and 8 years and adults using a bisection task with visual and auditory stimuli ranging from 200 to 800 ms. In the first session, participants were required to compare stimulus durations with standard durations presented in the same modality (within-modality session), and in the second session in different modalities (cross-modal session). Psychophysical functions were orderly in all age groups, with the proportion of long responses (judgement that a duration was more similar to the long than to the short standard) increasing with the stimulus duration, although functions were flatter in the 5-year-olds than in the 8-year-olds and adults. Auditory stimuli were judged to be longer than visual stimuli in all age groups. The statistical results and a theoretical model suggested that this modality effect was due to differences in the pacemaker speed of the internal clock. The 5-year-olds also judged visual stimuli as more variable than auditory ones, indicating that their temporal sensitivity was lower in the visual than in the auditory modality.     

Auditory and visual differences in time perception? An investigation from a developmental perspective with neuropsychological tests

Adults and children (5- and 8-year-olds) performed a temporal bisection task with either auditory or visual signals and either a short (0.5-1.0s) or long (4.0-8.0s) duration range. Their working memory and attentional capacities were assessed by a series of neuropsychological tests administered in both the auditory and visual modalities. Results showed an age-related improvement in the ability to discriminate time regardless of the sensory modality and duration. However, this improvement was seen to occur more quickly for auditory signals than for visual signals and for short durations rather than for long durations. The younger children exhibited the poorest ability to discriminate time for long durations presented in the visual modality. Statistical analyses of the neuropsychological scores revealed that an increase in working memory and attentional capacities in the visuospatial modality was the best predictor of age-related changes in temporal bisection performance for both visual and auditory stimuli. In addition, the poorer time sensitivity for visual stimuli than for auditory stimuli, especially in the younger children, was explained by the fact that the temporal processing of visual stimuli requires more executive attention than that of auditory stimuli.