Using the 11-item Version of the RCADS to Identify Anxiety and Depressive Disorders in Adolescents

Research on Child and Adolescent Psychopathology - The purpose of this study was to identify items from the Revised Children’s Anxiety and Depression Scale – RCADS-C/P that provided a...     

Emotional intensity of idiographic sad memories in depression predicts symptom levels 1 year later

When cued with generic happy and sad words, depressed individuals have been found to articulate contextually impoverished memories of autobiographical events. Although this pattern predicts a worse symptomatic course of disorder in some depressed samples, longitudinal findings with the cue-word paradigm are inconsistent. To address the etiological significance of autobiographical memories outside the cue-word paradigm, the authors used an idiographic interview in which depressed participants generated memories of their happiest and saddest lifetime events. Each memory was coded for detail and emotional intensity. At a 1-year follow-up, participants' levels of depressive symptoms were reassessed. Lower emotional intensity of saddest memories predicted higher levels of depressive symptoms at follow-up. Several implications for understanding sadness and emotional disclosure in depression are discussed.     

Genetic Cancer Risk Assessment and Counseling: Recommendations of the National Society of Genetic Counselors

These cancer genetic counseling recommendations describe the medical, psychosocial, and ethical ramifications of identifying at-risk individuals through cancer risk assessment with or without genetic testing. They were developed by members of the Practice Issues Subcommittee of the National Society of Genetic Counselors Cancer Genetic Counseling Special Interest Group. The information contained in this document is derived from extensive review of the current literature on cancer genetic risk assessment and counseling as well as the personal expertise of genetic counselors specializing in cancer genetics. The recommendations are intended to provide information about the process of genetic counseling and risk assessment for hereditary cancer disorders rather than specific information about individual syndromes. Key components include the intake (medical and family histories), psychosocial assessment (assessment of risk perception), cancer risk assessment (determination and communication of risk), molecular testing for hereditary cancer syndromes (regulations, informed consent, and counseling process), and follow-up considerations. These recommendations should not be construed as dictating an exclusive course of management, nor does use of such recommendations guarantee a particular outcome. These recommendations do not displace a health care provider's professional judgment based on the clinical circumstances of a client.     

The placebo effect in popular culture

This paper gives an overview of the placebo effect in popular culture, especially as it pertains to the work of authors Patrick O’Brian and Sinclair Lewis. The beloved physician as placebo, and the clinician scientist as villain are themes that respectively inform the novels, The Hundred Days and Arrowsmith. Excerpts from the novels, and from film show how the placebo effect, and the randomized clinical trial, have emerged into popular culture, and evolved over time. An earlier version of this paper was presented at an international conference, “Placebo: Its Action and Place in Health Research Today,” held in Warsaw, Poland on 12–13 April, 2003.     

Facial Affect Recognition and Psychopathy: A Signal Detection Theory Perspective

Though emotional processing deficits are often conceptualized as a core feature of psychopathy, the common assessment of these deficits using the percentage correct (or hit rate) on affect recognition tasks may not provide a full or accurate picture of facial affect recognition in psychopathic individuals. Signal detection theory (SDT) provides a more informative statistical approach by providing independent measures of perceptual sensitivity (d’) and willingness to report perceiving a signal or response criterion (c). The current study employed signal detection methods to test the predictions of the integrated emotion systems and hostile attribution bias perspectives, two theoretical perspectives that make specific predictions regarding facial affect recognition. These perspectives were tested in a sample of 280 adult male incarcerated offenders who were assessed for psychopathy using the Psychopathy Checklist-Revised and who completed a novel test of facial affect recognition presenting 324 digital morphs of faces reflecting systematic combinations of pixels from neutral and affective face images (displaying six different types of emotion) as expressed by four different actors. The findings were generally not consistent with either of these perspectives. Psychopathy was negatively associated with d` for anger. Results also indicated an effect of psychopathy on response criterion for fear and effects of psychopathy on response criterion for anger and surprise that were evident only for some actors. The implications of these findings are considered through the lenses of several theoretical perspectives, and theoretical and methodological limitations of the current study are considered.

     

Preference for Sex of Child Among Primiparous Women

Primiparous American women (N = 140) were questioned during their third trimester concerning their choice of sex of offspring and their willingness to use sex preselection techniques (if available). Eighty-two women expressed no preference for sex of offspring; of the remaining 58, 33 chose girls and 25 chose boys. Of the 26 women who indicated they would have used preselection technology, 13 chose boys and 13 chose girls. Fifty-three percent of the sample indicated they would not have used preselection techniques; 29% were undecided. These results were at variance with earlier studies that indicated a consistent choice of male firstborns, especially in nonpregnant samples. The discrepancy is discussed in terms of a move from boy preference to no preference and a gradual weakening of societal bias against women.     

Mental Imagery and Post-Event Processing in Anticipation of a Speech Performance Among Socially Anxious Individuals

The present study investigated whether post-event processing (PEP) involving mental imagery about a past speech is particularly detrimental for socially anxious individuals who are currently anticipating giving a speech. One hundred fourteen high and low socially anxious participants were told they would give a 5 min impromptu speech at the end of the experimental session. They were randomly assigned to one of three manipulation conditions: post-event processing about a past speech incorporating imagery (PEP-Imagery), semantic post-event processing about a past speech (PEP-Semantic), or a control condition, (n = 19 per experimental group, per condition [high vs low socially anxious]). After the condition inductions, individuals’ anxiety, their predictions of performance in the anticipated speech, and their interpretations of other ambiguous social events were measured. Consistent with predictions, high socially anxious individuals in the PEP-Imagery condition displayed greater anxiety than individuals in the other conditions immediately following the induction and before the anticipated speech task. They also interpreted ambiguous social scenarios in a more socially anxious manner than socially anxious individuals in the control condition. High socially anxious individuals made more negative predictions about their upcoming speech performance than low anxious participants in all conditions. The impact of imagery during post-event processing in social anxiety and its implications are discussed.     

INCREASING RURAL HEAD START CHILDREN'S CONSUMPTION OF MIDDLE-CLASS MEALS1

Rural black, economically impoverished Head Start children, whose normal diets were deficient in nutritional requirements, were not consuming the nutritional breakfasts of, to them, unfamiliar foods provided by the county school system. This study investigated a positive simple method to increase the amount of food consumed and thereby ensure proper nutrition. Teachers dispensed sugar-coated cereal and small candies paired with praise contingent on eating behaviors and rewarded children who finished the entire meal with additional treats and praise. Substantial increases were produced in the proportion of meals consumed and in the number of children observed engaged in eating behaviors. These simple traditional behavioral procedures are readily available for any staff working with economically impoverished children as one method of increasing their sampling and consumption of unfamiliar nutritious foods.     

The Holy Spirit,Eco‐Justice,and an African Lutheran Response to Ecological Peril

In response to the environmental degradation that is taking place right now in much of Africa—and in light of a traditional African emphasis on interdependence—this article seeks to provide an African Lutheran “eco‐pneumatological” contribution to the ongoing conversation about eco‐justice. To do so, it draws on classic Lutheran understandings of creation and grace, even as it calls for a more expanded—and more deeply biblical—understanding of the Holy Spirit's presence and activity throughout all of creation.