Family Environments of Women Seeking BRCA1/BRCA2 Genetic Mutation Testing: An Exploratory Analysis

Although there is some understanding of the shared characteristics and predictors of psychological distress of women participating in hereditary breast and ovarian cancer registries, these same characteristics are only beginning to be identified in research on community women seeking genetic testing for BRCA1/BRCA2 gene mutations. This study provides an initial exploration of characteristics associated with family environments for 51 community women waiting to receive such genetic testing results. Thirty-four of the 36 women classified on family environment type of the Family Environment Scale (FES) were from Personal Growth-Oriented families. Comparisons of women with and without personal cancer histories resulted in a trend for women with personal cancer histories to be classified as from Independence-Oriented families. Reported distress appears to vary for different family emphases based on family and personal cancer history. A moral-religious family emphasis consistently appeared to be associated with decreased psychological distress. Preliminary analyses comparing these community women (who were not part of a hereditary registry but were self- or physician-referred) seeking genetic testing with normal and distressed family means found that increased cohesion and expressiveness may be related to decreased conflict, indicative of potentially supportive family environments for these women. When compared with normative data, a subset consisting of the Ashkenazi Jewish women showed a trend of less cohesion than normal families, but similar cohesion levels as distressed families.     

Pink for Girls,Red for Boys,and Blue for Both Genders: Colour Preferences in Children and Adults

Colours carry social connotations like pink for girls and blue for boys. In a cross-sectional study, we investigated whether such early gender coding might be reflected in absolute colour preferences in children and adults of both genders. In two studies, participants selected their favourite (and least favourite, Study 2) colour from an unrestricted sample of colours. We tested 129 Swiss children (Study 1, 10–14 years-old, 68 boys) and 180 Swiss adults (Study 2, 17–48 years-old, 88 men). In children, we observed that girls chose pink/purple as their favourite hue more often than boys did, the most common favourite hue in girls and boys was blue, and boys chose red as their favourite more often than girls did. In adults, we observed that both genders almost never choose pink as their favourite, blue was a common favourite colour, and women were more likely to favour red than were men. In an additional study (n?=?183 Swiss participants, 47 men), we tested whether liking of pink, blue, and red was related to emotion associations with these colours. Pink was associated with positive emotions to the same extent as blue and red. Women further associated more positive emotions with pink than did men. We conclude that some commonalities (blue) and gender differences (pink and red) exist in absolute colour preferences. These differences, however, cannot be fully accounted by emotional associations. We speculate about these gendered colour preferences in relation to gender stereotypes and status differences between men and women.

     

Information processing and aspects of visual attention in children with the DSM-III-R diagnosis “pervasive developmental disorder not otherwise specified” (PDDNOS): II. sustained attention

A group of 15 nonhyperactive children of normal intelligence with the DSM-III-R diagnosis “pervasive developmental disorder not otherwise specified” (PDDNOS) performed a sustained attention task. Adopting a cognitive-energetical linear stage model of human information processing, we investigated whether task performances deteriorated due to a diminishing level of arousal, activation, or by the active ‘effortful’ mode of information processing. In comparison to an age-matched group of normal children, the patients showed no sharper decrease in perceptual sensitivity (d'). D' is assumed to be a measure of arousal. However, the children with PDDNOS exhibited large fluctuations in their response bias beta (β), which is assumed to be a measure of activation. During the first part of the task, they shifted between under- and overestimating negative responses. In the latter part of the task this pattern altered to significantly overestimating the number of negative responses. This indicates that the patients were not able to appropriately tune to the task-inherent response probability. Moreover, as compared to the control children, the patients showed a significantly sharper decrease in hit rate with time on task, despite the fact that feedback was given on the errors. The findings are interpreted as an increasing loss of the ability to control the response bias due to difficulties in maintaining the voluntary effortful mode of processing information with prolonged time on task.     

Die stationäre Behandlung von Zwangsstörungen mit multimodaler Verhaltenstherapie

The results of a 1-year-follow-up study concerning the treatment of 30 in-patients suffering from obsessive-compulsive disorder (OCD) are presented. This prospective study was carried out at the Psychosomatic Hospital Windach. Beside a multimodal setting the central treatment component was flooding and response prevention. Group analysis showed significant improvements in all measures (BDI, STAI-X1, Y-BOCS and self-ratings). The results of the follow-up indicate, that more than 70% of the patients maintained their positive treatment response over 1 year (symptom improvement >30%). The average reduction of symptoms was 42%. Average treatment duration was 12 weeks. A high initial depression score (BDI >18) predicted a worse outcome.     

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