Variables Influencing Pregnancy Termination Following Prenatal Diagnosis of Fetal Chromosome Abnormalities

The objective of this study was to identify variables that may influence the decision to terminate or continue a pregnancy affected by a chromosome abnormality. We performed a retrospective cohort analysis of 286 pregnancies diagnosed with a chromosome abnormality following genetic counseling and prenatal diagnosis. Data obtained included procedure type, chromosome results, ethnicity, maternal age, use of fertility treatments, and uptake of genetic counseling after results, among other factors. Wilcoxon rank sum test, Fisher’s exact test, and univariate and multivariate logistic regression models were used for data analysis. The overall termination rate in this study was 82.9 %. A lower likelihood to terminate was found in pregnancies with a diagnosis of a sex chromosome abnormality (OR 0.05, p?<?.0001), Filipina race (OR 0.10, p?=?.03), and uptake of second genetic counseling session (OR 0.05, p?<?.0001). Prior history of termination was associated with increased likelihood to terminate (OR 8.6, p?=?.02). Factors revealing no statistically significant association with termination included maternal age, gestational age, clinic site, fetal gender, ultrasound anomalies, reason for referral and who informed the patient. Our data affirm the complexity of the decision making process and reinforce that providers should refrain from making assumptions regarding a patient’s likelihood to terminate based on factors such as maternal age, gestational age, type of procedure, or ultrasound.     

A Pilot Study of the Effects of Cognitive-Behavioral Conjoint Therapy for Posttraumatic Stress Disorder on Parenting

Parental posttraumatic stress disorder (PTSD) is associated with parenting difficulties. Cognitive-behavioral conjoint therapy for PTSD (CBCT for PTSD) improves PTSD symptoms, relationship adjustment, and partners’ mental health functioning. However, the impact of CBCT for PTSD on parenting competency is unknown. In this pilot study, the effects of CBCT for PTSD on parenting competency were investigated in 14 individuals (6 patients with PTSD and 8 partners) who had children under age 18. Results suggested that most participants perceived themselves as competent in their parenting prior to treatment, and some enhancements in competency occurred following CBCT for PTSD. Moreover, changes in parenting competency were associated with improvements in patient-rated PTSD. Adjunctive interventions targeting parenting and goals for future research are discussed.     

A signal detection analysis of gist-based discrimination of genetic breast cancer risk

Pervasive biases in probability judgment render the probability scale a poor response mode for assessing risk judgments. By applying fuzzy trace theory, we used ordinal gist categories as a response mode, coupled with a signal detection model to assess risk judgments. The signal detection model is an extension of the familiar model used in binary choice paradigms. It provides three measures of discriminability—low versus medium risk, medium versus high risk, and low versus high risk—and two measures of response bias. We used the model to assess the effectiveness of BRCA Gist, an intelligent tutoring system designed to improve women’s judgments and understanding of genetic risk for breast cancer. Participants were randomly assigned to the BRCA Gist intelligent tutoring system, the National Cancer Institute (NCI) Web pages, or a control group, and then they rated cases that had been developed using the Pedigree Assessment Tool and also vetted by medical experts. BRCA Gist participants demonstrated increased discriminability for all three risk categories, relative to the control group; the NCI group showed increased discriminability for two of the three levels. This result suggests that BRCA Gist best improved discriminability among genetic risk categories, and both BRCA Gist and the NCI website improved participants’ ability to discriminate, rather than simply shifting their decision criterion. A spreadsheet that fits the model and compares parameters across the conditions can be downloaded from the Behavior Research Methods website and used in any research involving categorical responses.     

An Inquiry into Relationship Suicides and Reciprocity

Few theories on suicide have been grounded in the norm of reciprocity. There is literature on suicide, however, describing motivations such as retaliation and retreat which can be interpreted as modes of adaptation to the norm of reciprocity. We propose a reciprocity‐based theory to explain suicides associated with relationship problems. Employing a content analysis of suicide notes, we tested the theory, finding evidence of exploitation, exploiter guilt, retaliation, and retreat as motives for committing relationship‐based suicide. Reciprocity‐based note writers were more likely to have used alcohol or drugs in the hours prior to committing suicide, and they were also more likely to have made their intentions known beforehand. Implications for future research as well as for suicide prevention are discussed.     

Risk taking under the influence: A fuzzy-trace theory of emotion in adolescence

Fuzzy-trace theory explains risky decision making in children, adolescents, and adults, incorporating social and cultural factors as well as differences in impulsivity. Here, we provide an overview of the theory, including support for counterintuitive predictions (e.g., when adolescents “rationally” weigh costs and benefits, risk taking increases, but it decreases when the core gist of a decision is processed). Then, we delineate how emotion shapes adolescent risk taking—from encoding of representations of options, to retrieval of values/principles, to application of those values/principles to representations of options. Our review indicates that: (i) gist representations often incorporate emotion including valence, arousal, feeling states, and discrete emotions; and (ii) emotion determines whether gist or verbatim representations are processed. We recommend interventions to reduce unhealthy risk taking that inculcate stable gist representations, enabling adolescents to identify quickly and automatically danger even when experiencing emotion, which differs sharply from traditional approaches emphasizing deliberation and precise analysis.     

Rapid detection of person information in a naturalistic scene

A preferential-looking paradigm was used to investigate how gaze is distributed in naturalistic scenes. Two scenes were presented side by side: one contained a single person (person-present) and one did not (person-absent). Eye movements were recorded, the principal measures being the time spent looking at each region of the scenes, and the latency and location of the first fixation within each trial. We studied gaze patterns during free viewing, and also in a task requiring gender discrimination of the human figure depicted. Results indicated a strong bias towards looking to the person-present scene. This bias was present on the first fixation after image presentation, confirming previous findings of ultra-rapid processing of complex information. Faces attracted disproportionately many fixations, the preference emerging in the first fixation and becoming stronger in the following ones. These biases were exaggerated in the gender-discrimination task. A tendency to look at the object being fixated by the person in the scene was shown to be strongest at a slightly later point in the gaze sequence. We conclude that human bodies and faces are subject to special perceptual processing when presented as part of a naturalistic scene.     

Population sex differences in IQ at age 11: the Scottish mental survey 1932

There is uncertainty whether the sexes differ with respect to their mean levels and variabilities in mental ability test scores. Here we describe the cognitive ability distribution in 80,000+ children—almost everyone born in Scotland in 1921—tested at age 11 in 1932. There were no significant mean differences in cognitive test scores between boys and girls, but there was a highly significant difference in their standard deviations (P<.001). Boys were over-represented at the low and high extremes of cognitive ability. These findings, the first to be presented from a whole population, might in part explain such cognitive outcomes as the slight excess of men achieving first class university degrees, and the excess of males with learning difficulties.     

Interactions between inferential strategies and belief bias

The dual strategy model of reasoning proposed by Verschueren, Schaeken, and d’Ydewalle (Thinking & Reasoning, 11(3), 239–278, 2005a; Memory & Cognition, 33(1), 107–119, 2005b) suggests that people can use either a statistical or a counterexample-based strategy to make deductive inferences. Subsequent studies have supported this distinction and investigated some properties of the two strategies. In the following, we examine the further hypothesis that reasoners using statistical strategies should be more vulnerable to the effects of conclusion belief. In each of three studies, participants were given abstract problems used to determine strategy use and three different forms of syllogism with believable and unbelievable conclusions. Responses, response times, and feeling of rightness (FOR) measures were taken. The results show that participants using a statistical strategy were more prone to the effects of conclusion belief across all three forms of reasoning. In addition, statistical reasoners took less time to make inferences than did counterexample reasoners. Patterns of variation in response times and FOR ratings between believable and unbelievable conclusions were very similar for both strategies, indicating that both statistical and counterexample reasoners were aware of conflict between conclusion belief and premise-based reasoning.