Neurodevelopmental Disorders Across the Lifespan: A Neuroconstructivist Approach.

Objectives. To investigate neuropsychological and neurobehavioral outcome in children with arterial ischemic stroke (AIS).

Background. Childhood stroke can have consequences on motor, cognitive, and behavioral development. We present a cross-sectional study of neuropsychological and neurobehavioral outcome at least one year poststroke in a uniquely homogeneous sample of children who had experienced AIS.

Method. Forty-nine children with AIS aged 6 to 18 years were recruited from a specialist clinic. Neuropsychological measures of intelligence, reading comprehension, attention, and executive function were administered. A triangulation of data collection included questionnaires completed by the children, their parents, and teachers, rating behavior, executive functions, and emotions.

Key Findings. Focal neuropsychological vulnerabilities in attention (response inhibition and dual attention) and executive function were found, beyond general intellectual functioning, irrespective of hemispheric side of stroke. Difficulties with emotional and behavioral regulation were also found. Consistent with an “early plasticity” hypothesis, earlier age of stroke was associated with better performance on measures of executive function.

Conclusions. A significant proportion of children poststroke are at long-term risk of difficulties with emotional regulation, executive function, and attention. Data also suggest that executive functions are represented in widespread networks in the developing brain and are vulnerable to unilateral injury.     

Domestic Abuse Across the Lifespan

ABSTRACT

Domestic abuse has reached epidemic proportions in the United States. Occupational therapists working in many different settings will encounter children, adults, elders and individuals with disabilities who have experienced intimate violence and abuse. This article presents common definitions and illustrative examples of each type of violence. Issues related to the difficulty inherent in identifying victims of abuse are discussed with an elaboration of indicators that are likely to be seen by an occupational therapist in the clinical setting. Risk factors for becoming a victim or an abuser for each population group and the effects of violence on victims are presented. A brief discussion of the legal and ethical implications of identifying and treating abuse victims concludes the article.     

Contextual Cueing Effects Across the Lifespan

The authors evaluated age-related variations in contextual cueing, which reflects the extent to which visuospatial regularities can facilitate search for a target. Previous research produced inconsistent results regarding contextual cueing effects in young children and in older adults, and no study has investigated the phenomenon across the life span. Three groups (6, 20, and 70 years old) were compared. Participants located a designated target stimulus embedded in a context of distractor stimuli. During exposure, the location of the target could be predicted from the location of the distracters in each display. During test, these predictable displays were intermixed with new displays that did not predict the target location. Response times to locating predictable relative to unpredictable targets were compared. All groups exhibited facilitation effects greater than 0 (95% CIs [.02, .11], d = .4; [.01, .12], d = .4; and [.01, .10], d = .4, for the children, young adults, and older adults, respectively) indicating that contextual cueing is robust across a wide age range. The relative magnitude of contextual cueing effects was essentially identical across the age range tested, F(2, 103) = 1.71, ηρ² = .02. The authors argue that a mechanism that uses environmental covariation is available to all age ranges, but the expression of the contextual cueing may depend on the way it is measured.     

Knowledge of Memory Aging Across the Lifespan

ABSTRACT. The authors examined knowledge of normal and pathological memory aging in a lifespan sample of 198 individuals who ranged in age from 13 to 88 years. Participants completed the Knowledge of Memory Aging Questionnaire (Cherry, Brigman, Hawley, & Reese, 2003). The authors hypothesized that high school students would be less knowledgeable about memory aging issues than college students, middle-aged, and community-dwelling older adults. Consistent with this hypothesis, response accuracy was lower for high school students compared to their older counterparts. Follow-up analyses revealed that high school students’ responses to a subset of questions that tap ageist views of adult cognition were less accurate than the other age groups, implying a response bias toward stereotypical images of memory aging. Implications for research and the design of instructional materials to increase people's knowledge about normative changes in adult cognition are discussed.     

Religious Doubt and Mental Health Across the Lifespan

The current study examined the connections among religious doubt, mental health, and aging in a nationwide sample of individuals 18 years and older (N = 1629). Findings indicate that that religious doubt emerging from the recognition of suffering and evil in the world has a deleterious impact on mental health. Results also show that as people grow older, religious doubts continue to be associated with psychopathology, but the magnitude of this association becomes weaker across age categories. In other words, the impact of doubt on mental distress declines as one ages. These effects were found across various measures of mental distress, including depression, general anxiety, interpersonal sensitivity, paranoia, hostility, and obsessive-compulsive symptoms. Findings are explored within the context of psychosocial development and the experiential trajectory of religious maturity.     

Emotional Intelligence: An Opportunity for Occupational Therapy

Emotional intelligence theory developed within the psychology and business fields and is described as an ability to monitor emotions and to use the information to guide thinking and problem solving. Emotional intelligence skills are needed by occupational therapy practitioners to support therapeutic use of self, promote client-centered care, and foster communication skills within the workplace. A scenario illustrates how emotional intelligence supports the therapeutic use of self during a clinical interaction. The Mayer Salovey Caruso Emotional Intelligence Test is introduced as a resource for occupational therapy practitioners to measure and develop therapeutic relationship skills based upon emotional intelligence research.     

Four Worlds: An Approach to Occupational Guidance

Because existing career patterns are changing so rapidly and radically, new approaches to vocational guidance are needed. One approach, used by a team of teachers instructing a vocational guidance course in a junior high school, was to broaden students' overall understanding and awareness of the world, rather than to focus on specific career areas. The rationale for this approach was that if students are even to begin making meaningful vocational investigations they must first become more aware of the almost infinite possibilities that are open to them—their worlds must be enlarged. Students were, therefore, introduced to four worlds: the Natural, the Technological, the Aesthetic, and the Human World. Students seemed to become not only more aware of new worlds, but also more cognizant of the problems and challenges confronting man today.     

Crying: Call for a Lifespan Approach

Although crying is woven through the life course, from the doctor’s slap to a deathbed vigil, there is no well‐established lifespan tradition of studying crying. Instead the study of crying is broken into separate bodies of work on childhood (mostly on infants) and on adults. In this contribution, we share our enthusiasm and our ideas for the construction of a lifespan narrative of crying behavior. The evolutionary and phylogenic basis of crying is first outlined. We highlight the most important transitions in humans, including changes in the antecedents of crying, and the ways crying is increasingly regulated. We piece together existing research on these transitions and identify key gaps in knowledge, including the developmental periods, such as adolescence and old age, that have been the most seriously neglected. Finally, we suggest key empirical and methodological future directions that will most invigorate the study of crying as a developmental phenomenon.     

Mental Illness and Mental Health: The Two Continua Model Across the Lifespan

Mental health has long been defined as the absence of psychopathologies, such as depression and anxiety. The absence of mental illness, however, is a minimal outcome from a psychological perspective on lifespan development. This article therefore focuses on mental illness as well as on three core components of positive mental health: feelings of happiness and satisfaction with life (emotional well-being), positive individual functioning in terms of self-realization (psychological well-being), and positive societal functioning in terms of being of social value (social well-being). The two continua model holds that mental illness and mental health are related but distinct dimensions. This model was studied on the basis of a cross-sectional representative internet survey of Dutch adults (N = 1,340; 18–87 years). Mental illness was measured with the Brief Symptom Inventory and mental health with the Mental Health Continuum Short Form. It was found that older adults, except for the oldest-old, scored lower on psychopathological symptoms and were less likely to be mentally ill than younger adults. Although there were fewer age differences for mental health, older adults experienced more emotional, similar social and slightly lower psychological well-being. In sum, today’s older adults have fewer mental illness problems, but they are not in a better positive mental health than today’s younger adults. These findings support the validity of the two continua model in adult development.     

Developmental Features of Rapid Aiming Arm Movements Across the Lifespan

Using a lifespan approach, the authors investigated developmental features of the control of ballistic aiming arm movements by manipulating movement complexity, response uncertainty, and the use of precues. Four different age groups of participants (6- and 9-year-old boys and girls and 24- and 73-year- old men and women, 20 participants in each age group) performed 7 types of rapid aiming arm movements on the surface of a digitizer. Their movement characteristics such as movement velocity, normalized jerk, relative timing, movement linearity, and intersegment intervals were profiled. Analyses of variance with repeated measures were conducted on age and task effects in varying movement complexity (Study 1), response uncertainty (Study 2), and precue use (Study 3) conditions. Young children and senior adults had slower, more variant, less smooth, and less linear arm movements than older children and young adults. Increasing the number of movement segments resulted in slower and more variant responses. Movement accuracy demands or response uncertainty interacted with age so that the 6- and 74-year-old participants had poorer performances but responded similarly to the varying treatments. Even though older children and young adults had better performances than young children and senior adults, their arm movement performance declined when response uncertainty increased. The analyses suggested that young children's and senior adults' performances are poorer because less of their movement is under central control, and they therefore use on-line adjustments. In addition, older children and young adults use a valid precue more effectively to prepare for subsequent movements than do young children and senior adults, suggesting that older children and young adults are more capable of organizing motor responses than arc young children and senior adults.     

Gender Differences in Loneliness Across the Lifespan: A Meta‐Analysis

Different theoretical contentions on gender differences in loneliness exist, often including the emergence of gender differences in particular developmental periods. To explain those ideas, the current meta‐analysis synthesizes the available evidence on gender differences in loneliness across the lifespan. Three‐level meta‐analyses were conducted with 751 effect sizes, covering 399,798 individuals (45.56% males). Results showed a close‐to‐zero overall effect (g = 0.07). Most examined moderators were non‐significant, except for age, the scope of the sampling area, and year of publication. Most importantly, all effects were small, suggesting that across the lifespan mean levels of loneliness are similar for males and females.     

Coping with Crisis Across the Lifespan: The Role of a Telephone Hotline

We describe over 300,000 crisis calls made to a large national hotline over a 5-year period. Callers consisted of males and females between the ages of 10 and 89. Overall, a slight majority of callers were first time callers (52%) and most (73%) sought assistance with issues related to parenting, youth concerns, and mental health. Across the lifespan, issues dealing with loneliness increased with age whereas depression-related calls decreased. Additionally, females were more likely than their male counterparts to call the hotline by over a 2- to 1-margin. Findings lend preliminary support to the efficacy of crisis call centers to utilize a flexible, yet well-defined problem-solving approach to assist those of all ages calling with the wide range of problems.     

共情的毕生发展:一个双过程的视角

共情中包含情绪和认知两种加工过程,二者有着不同的发展轨迹和机制。其中情绪共情是一种与生俱来的能力,从婴儿期直到成年期呈现下降趋势,到老年阶段有所上升,呈现出U形发展轨迹。其发展可能是由于镜像神经元储存的共享表征日益丰富和精细。认知共情发展相对较晚,从出生直到成年期呈现上升趋势,在老年阶段逐渐下降,呈现倒U形的发展轨迹。其发展是随着颞顶联合区和前额叶皮层成熟、个体区分自我他人和抑制自我中心能力增强而逐渐发展的。只有分别考察两个成分的发展才能了解共情发展的本质和机制。     

The Death of a Pet: Implications for Loss and Bereavement Across the Lifespan

Abstract

Companion animals play a distinct role in our lives and for many, they are a part of the family and not simply just a pet. Today, in the United States, there is an increasing emphasis placed on the relationships that we build with our pets. A healthy relationship with our pets also lends to translate into a healthier lifestyle. However, we usually learn at a fairly young age that these beloved creatures do not live as long as we do. The loss of a pet in childhood is frequently our first face-to-face encounter with death and often affects how we will grieve as adults. Particularly within the field of psychology, the way we mourn our animal friends has gained increasing importance. This article looks at the literature concerning bereavement across the adult lifespan and focuses on the similarities between the way we grieve for our loved ones, both human and animal. We address some of the controversies associated with euthanasia and the treatment and support available to those in mourning. Finally, recommendations are offered to address some of the methodological problems in current bereavement research along with suggestions for further work in this area     

Femininity and Dominance Across the Lifespan: Longitudinal Findings from Two Cohorts of Women

The Intergenerational Studies (IGS) began in 1929 designed with the overarching goal of describing and predicting normal human development. Here we focus on original IGS participant women and daughters of original participants, with respect to development in femininity and dominance, as measured by the CPI. Three-level HLM indicates older cohort women are higher in femininity than younger cohort women in early adulthood; both cohorts show an equivalent linear decrease with age. In contrast, the two cohorts show equivalent levels of dominance in early adulthood, but the younger cohort women show a greater increase with age than the older cohort women. Results illustrate both cohort and developmental movement toward less femininity and more dominance in women.     

Hope I Die before I Get Old: Mispredicting Happiness Across the Adult Lifespan

The tendency to overestimate the influence of circumstances on well-being has been demonstrated for a range of life events, but the perceived impact of aging on well-being has been largely overlooked. People seem to dread growing old, despite evidence that well-being improves with age. We compared the self-reported happiness of younger adults (mean age = 31) and older adults (mean age = 68) with their estimates of happiness at different ages. Self-reports confirmed increasing happiness with age, yet both younger and older participants believed that happiness declines. Both groups estimated declining happiness for the average person, but only older adults estimated this decline for themselves.