The role of the affect heuristic and cancer anxiety in responding to negative information about medical tests

Objective: Little is known about the affective implications of communicating negative information about medical tests. This research explored how affective processes – particularly the Affect Heuristic and cancer anxiety – influence the way in which people respond to such information.

Design: Participants received different types of information about PSA screening for prostate cancer and magnetic resonance imaging (MRI) scans for migraine headaches. This was a 2 (Test harm information: present vs. absent) × 2 (Test benefit information: present vs. absent) × 2 (Test recommendation: present vs. absent) between-participants design.

Outcome Measures: Perceived risk, perceived benefit and general attitudes towards PSA and MRI testing, cancer anxiety, preferences to receive the tests vs. not.

Results: As predicted by the Affect Heuristic, test harm information reduced perceived test benefits. However, information about uncertain test benefit did not increase perceived test risks. Information about the test reduced cancer anxiety, indicating defensive coping. These variables – affect, anxiety, perceived risks and benefits – all uniquely predicted test preferences.

Conclusion: Affective processes play an important role in how people respond to and interpret negative information about medical tests. Information about harms and information about the lack of benefit can both make a test seem less beneficial, and will reduce cancer anxiety as a result.     

Differential Item Functioning of the Emotional and Behavioral Screener for Caucasian and African American Elementary School Students

The present study examined the psychometric properties of a universal screening instrument called the Emotional and Behavioral Screener (EBS), which is designed to identify students exhibiting emotional and behavioral problems. The primary purposes of this study were to assess the measurement invariance of EBS items between Caucasian and African-American students and to assess the impact of differential item functioning (DIF) on EBS scores. The sample consisted of 946 elementary students from throughout the U.S. The findings suggested that EBS items exhibited small to negligible levels of DIF, and that DIF did not significantly impact EBS scores. The results supported the EBS as universal screening instrument that is fair in measuring the emotional and behavioral risk of elementary students. Research limitations and implications for school professionals are discussed.     

Alcohol Counseling in Hospital Trauma: Examining Two Brief Interventions

Hospital trauma centers intervene with patients who incur alcohol‐related injuries. This prospective study, using professional counselors and trainees, investigated brief counseling interventions (BCIs). Participants were randomized to either a conventional BCI examining quantity and frequency of drinks or a personalized BCI exploring overintoxication. No statistically significant difference between risky drinkers randomized to either intervention in a hospital trauma center was observed. Findings indicate that a personalized BCI may be an alternative to a quantitative BCI in reducing risky alcohol consumption.     

A comparison of the diagnostic accuracy of the AD8 and BCAT-SF in identifying dementia and mild cognitive impairment in long-term care residents

We compared the accuracy of the Brief Cognitive Assessment Tool—Short Form (BCAT-SF) and AD8 in identifying mild cognitive impairment (MCI) and dementia among long-term care residents. Psychometric analyses of 357 long-term care residents (n = 228, nursing home; n = 129, assisted living) in Maryland referred for neuropsychological evaluation evidenced robust internal consistency reliability and construct validity for the BCAT-SF. Furthermore, hierarchical logistic regression and receiver operating characteristic curve analyses demonstrated superior predictive validity for the BCAT-SF in identifying MCI and dementia relative to the AD8. In contrast, previously reported psychometric properties or cut scores for the AD8 could not be cross-validated in this long-term care sample. Based on these findings, the BCAT-SF appears to be a more reliable and valid screening instrument than the AD8 for rapidly identifying MCI and dementia in long-term care residents.     

A tale from the pit – educational work at the university

Universities have their own particular ways of doing things. They have their own histories, their titles, their policy documents to attend to, and their own practices that have often evolved and taken form over centuries. The overall aim in this article is to illustrate an individual’s complex growth into becoming a proficient university teacher from being a novice. With a phenomenological point of departure I analyze the embodied working conditions that a newcomer to university teaching carries around and gradually becomes familiar with – and even relatively proficient in – over a period of about three years. The focus in the article is the newcomer’s reflective struggle with understanding her/himself and the social and cultural demands and possibilities that s/he is confronted with.     

Sex,germs, and health: pathogen-avoidance motives and health-protective behaviour

Objective: Recent work suggests that the psychology of pathogen-avoidance has wide-reaching effects on how people interact with the world. These processes – part of what has been referred to as the behavioural immune system – are, in a way, our ‘evolved’ health psychology. However, scholars have scarcely investigated how the behavioural immune system relates to health-protective behaviours. The current research attempts to fill this gap.

Design: Across two cross-sectional studies (N = 386 and 470, respectively), we examined the relationship between pathogen-avoidance motives and health-protective behaviour.

Outcome Measures: The studies used self-reported measures of attitude and intention as indicators of health-protective behaviour.

Results: Data collected in Study 1 revealed that pathogen-avoidance motivation related to participants’ attitude and intention towards sexually transmitted infections screening. High levels of pathogen-avoidance motivation were also related to having had fewer sexual partners, which partially mediated the effect of pathogen-avoidance variables on testing motivation. Study 2 extended these findings by showing moderate associations between pathogen-avoidance motivation and a broad range of health-protective behaviours, including but not limited to pathogen-related health concerns.

Conclusion: We argue that understanding and targeting pathogen-avoidance psychology can add novel and important understanding of health-protective behaviour.     

Exploratory and confirmatory factor analyses of the DIAL-3: What does this “developmental screener” really measure?

To examine the convergent and discriminant validity of the scales on the Developmental Indicators for the Assessment of Learning—Third Edition [DIAL-3; Mardell-Czudnowski, C., and Goldenberg, D.S. (1998). Developmental indicators for the assessment of learning—third edition. Circle Pines, MN: American Guidance Service, Inc.], exploratory and confirmatory factor analyses were performed on randomly selected subsamples of 2012 children who attended Head Start. Exploratory factor analysis yielded three factors, labeled Verbal Ability, Nonverbal Ability, and Achievement, which collectively accounted for 56% of the variance in children's performances. Confirmatory factor analysis evaluated this empirically-derived model and the conceptually-derived model of the authors of the DIAL-3 in a separate subsample of children. Although neither model explained the data extremely well, the empirically-derived model characterized children's performances better than the conceptually-derived model, e.g., CFIs = .90 and .85, RMSEAs = .07 and .10, respectively. The discussion highlights an alternative conceptualization of the DIAL-3, potential uses of the factor scores, ideas for consideration during the next revision of the DIAL-3, and the need for additional validity research.     

Are Successful Applicants to the Roman Catholic Deaconate Psychologically Healthy?

The current investigation evaluated psychological and personality profiles of successful applicants to the deaconate in several Roman Catholic dioceses in California. The MMPI-2 and 16PF were administered to 25 applicants between 2004 and 2006 who subsequently entered the permanent deaconate program. Results indicate that these applicants to the deaconate were generally well-adjusted as well as being socially responsible. Findings also suggest some tendency for defensiveness, repression, naivete, and a strong need for affection, as well as for being emotionally stable, genuine, and cooperative.