Perceived Parental Anxiety and Depressive Problems and Emerging Adult Oppositional Defiant Problems: Moderated Mediation by Psychological and Physical Maltreatment and Gender

Recent studies have argued that Oppositional Defiant Disorder (ODD) problems continue into emerging adulthood; however, few studies have examined ODD problems in this population. Moreover, previous studies have found that corporal punishment mediated the relationship between maternal anxiety/depression and child ODD problems in young children and that parental psychopathology is likely to affect child ODD. This study examined how maternal as well as paternal maltreatment (i.e., psychological and physical) mediated the relationship between parental anxiety/depressive problems and emerging adult ODD problems (i.e., irritability and defiance). Furthermore, child and parent gender were examined as moderators (i.e., moderated mediation). Participants included 1,012 emerging adults who completed questionnaires about parental psychological and physical maltreatment, parental anxiety and depression, and affective and behavioral ODD symptoms. Results suggested that mediation occurred for the father–daughter dyad along the perceived paternal depressive problems → psychological and physical maltreatment → irritability paths and for the mother–son dyad along the perceived maternal depressive and anxiety problems → psychological maltreatment → defiance paths. Given that mediation occurred for only these gender dyads, moderated mediation was suggested.     

A Balancing Act—Telehealth Cancer Genetics and Practitioners’ Experiences of a Triadic Consultation

Telehealth is increasingly used for outreach service in cancer genetic counseling; however what occurs during the consultation and the roles practitioners adopt is largely unknown. Fifteen practitioners participated in semi-structured interviews that explored their roles within telehealth, compared to face-to-face consultations, and the relationship between practitioners during telehealth. As they were not physically present with the patient, most participants felt that telehealth altered the genetic clinician’s role to one of a ‘visiting specialist’. Genetic counselors described undertaking multiple roles during the telehealth process. Two models of interaction were observed. The medical model reduced the interaction to a dyadic consultation by having the genetic counselor off-screen and included minimal clinician meetings and supervision. The triadic co-facilitation model incorporated a high level of information exchange, counselor autonomy and included the counselor onscreen. The co-facilitation model offers a useful framework for telehealth genetic counselling, offering complementary roles between practitioners and efficient service delivery.     

The effect of blinks and saccadic eye movements on visual reaction times

Vision is suppressed during blinks and saccadic eye movements. We hypothesized that visual reaction times (RTs) in a vigilance test would be significantly increased when a blink or a saccade happened to coincide with the stimulus onset. Thirty healthy volunteers each performed a visual RT test for 15 min while their eye and eyelid movements were monitored by a system of infrared reflectance oculography. RTs increased significantly, many by more than 200 msec, when a blink occurred between 75 msec before and up to 150 msec after the stimulus onset. A similar result was observed with saccades that started 75 to 150 msec after the stimulus. Vision or attention was evidently inhibited before each blink and for longer than the saccades lasted. We suggest that visual suppression is involved in this process, which could explain some of the normal variability in RTs over periods of seconds that has not been adequately explained before.     

Searching for Common Ground between Supporters and Opponents of Affirmative Action

Supporters and opponents of affirmative action are often characterized as debating about a single, consensually understood type of affirmative action. However, supporters and opponents instead may have different types of policies in mind when thinking about affirmative action and may actually agree on specific manifestations of affirmative action policies more than is commonly believed. A survey conducted using a student sample and a sample from the broader Chicago-area community showed that affirmative action policies can be characterized into merit-violating versus merit-upholding manifestations. Supporters of affirmative action in general were more likely to think of affirmative action in its merit-upholding manifestations, whereas opponents were more likely to think of the merit-violating manifestations. However, both supporters and opponents showed more support for merit-upholding rather than merit-violating manifestations of affirmative action. The same pattern of results was upheld even when splitting the samples into those who endorsed negative racial attitudes versus those who did not, suggesting that even those who may be considered racist will endorse affirmative action policies that uphold merit values. The results are discussed in terms of the importance of clarifying the political discourse about what affirmative action is and what it is designed to do.     

Reducing Psychological Distress in a Genetic Counseling Consultation for Breast Cancer

High levels of cancer specific distress have been found before and after genetic counseling for breast cancer. This study investigated the process of reducing distress during 111 genetic counseling consultations for familial breast cancer. Consultations were audiotaped, transcribed, and a detailed coding system developed to measure cues of emotional distress from the patient, and consultant (clinical geneticist or genetic counselor) behaviors before and after the cues. At least 1 emotional cue was given in 64 consultations, with a median of 1 cue per consultation. More emotional cues of distress occurred when the consultant responded empathetically to the first cue of distress. Satisfaction outcomes were largely positive regardless of the consultant's attentiveness to distress. Postconsultation depression scores were significantly reduced if more empathic responses were given, but anxiety remained the same. These results are discussed and recommendations are made for improving patient care.     

The Unmet Information and Support Needs of Women with a Family History of Breast Cancer: A Descriptive Survey

This study aims to survey the unmet support needs of women at increased risk of developing breast cancer. In total, 173 unaffected women with a family history of breast cancer completed a 28-item purposely-designed mailed survey. The majority of participants did not report a high level of unmet need for support. Receiving further information about cancer genetics was the most commonly reported area of unmet need. Only about 20% of participants reported a moderate to high degree of interest in attending a hypothetical support group. However, a higher degree of interest was expressed in internet-based information and supportive interventions. Amongst those interested in attending a support group, discussion, and receiving further information were the most preferred activities. Higher levels of unmet support needs were significantly associated with interest in attending groups. No demographic variables were found to predict interest in attending a support group. Implications for those considering establishing support groups are discussed.     

Predictors of Risky and Precautionary Sexual Behaviors Among Single and Married White Women1

Risky and precautionary sexual behaviors were examined in a community sample of 260 single and married/cohabitating White women. Structural equation modeling was used to assess the ability of age, socioeconomic status (SES), marital status, religiosity, and 9 health belief constructs to predict risky sexual behavior with one's partner, using a barrier method of birth control, unintended pregnancies, and number of sexual partners in the past year. The pattern of results suggests that single White women appear to feel more vulnerable to HIV and STD infection and more likely to engage in risky sexual behavior than do married White women. The discussion focuses on the importance of sociocultural factors in understanding risk behaviors within the social context of relationship status, the complexity of the concept of risk reduction, and the need for going beyond the health belief model in order to develop different HIV prevention strategies for single and married White women.     

Reviving the Mainline: An Overview of Clergy Support for Evangelical Renewal Movements

Evangelical renewal movements (ERMs) are proliferating in the old Protestant mainline and they show few signs of splitting from their parent denominations. Ironically, the very theological pluralism that ERMs seek to eliminate has provided an opportunity for their entry and a barrier for their expulsion. This essay offers an introduction to the evangelical movements arising in the mainline and reports the initial findings from a survey of United Methodist clergy's involvement in ERMs. As expected, United Methodist clergy are predominantly older, white males leading small congregations. Surprisingly, however, fully 29 percent of the clergy do not have a seminary degree and more than half of those with seminary degrees did not attend United Methodist-affiliated schools—with 22 percent attending an evangelical seminary. The clergy involved in ERMs are younger, more likely to have attended evangelical seminaries (or no seminary at all), and hold more exclusive Christian beliefs. The survey also found that the once isolated evangelical clergy of the United Methodist Church are now embedded in evangelical associations and hold friendships with other evangelical clergy. The implications of these findings are discussed.     

Emerging Adult Risky Sexual Behavior Predicted by Parental Overprotection: Moderated Mediation Analysis

Parental control behaviors are suggested to be related to emerging adult outcomes, such as risky sexual behavior. Although parental control behaviors are more likely to be considered protective against risky sexual behavior, the relation between parental overprotection and risky sexual behavior is unclear. Furthermore, parental overprotection may influence peer selection and prosocial behaviors in emerging adults, which may in turn influence outcomes of risky sexual behavior, as suggested by primary socialization theory. Thus, the current study investigated the relations among paternal and maternal overprotection, emerging adult peer alienation, and risky sexual behavior, and expanded on these relations by examining gender effects of both parents and children. The sample consisted of 505 participants (228 males and 277 females) ranging in age from 18 to 25 years. Analyses were conducted with AMOS path analysis and indicated that peer alienation mediated the effect between both maternal and paternal perceived overprotection and risky sexual behavior, but more strongly for males, suggesting moderated mediation. Overall, parental overprotection may be protective against risky sexual behavior via pathways that are harmful such as peer alienation, thus recommending research continues to clarify the nuances of these relations.