Longitudinal change in language production: effects of aging and dementia on grammatical complexity and propositional content.

Mixed modeling was used to examine longitudinal changes in linguistic ability in healthy older adults and older adults with dementia. Language samples, vocabulary scores, and digit span scores were collected annually from healthy older adults and semiannually from older adults with dementia. The language samples were scored for grammatical complexity and propositional content. For the healthy group, age-related declines in grammatical complexity and propositional content were observed. The declines were most rapid in the mid 70s. For the group with dementia, grammatical complexity and propositional content also declined over time, regardless of age. Rates of decline were uniform across individuals. These analyses reveal how both grammatical complexity and propositional content are related to late-life changes in cognition in healthy older adults aswell as those with dementia. Alzheimer's disease accelerates this decline, regardless of age.     

External Validity of Conduct and Oppositional Defiant Disorders Determined by the NIMH Diagnostic Interview Schedule for Children

We administered the Diagnostic Interview Schedule for Children (DISC) two times to a group of youth (222 boys, 147 girls) entering residential care, once at their time of entry and once 1 year later. We then compared their DISC outcomes on Conduct Disorder (CD) and Oppositional Defiant Disorder (ODD) against changes in independent direct observations of diagnostically relevant behavior obtained over the course of that year. Results from hierarchical linear modeling analyses showed significant discriminative relationships between results from the DISC and the independent observations. Specifically, observations of symptomatic behaviors (CD or ODD) decreased for youth who met diagnostic criteria at the first administration of the DISC but not at the second, increased for youth who did not meet criteria at the first administration but did at the second, and did not change for youth who met criteria at both administrations. These results extend the data on the validity of the DISC and support continued research efforts to determine its clinical utility.     

Mind the gap: assessing impairment among children affected by proposed revisions to the diagnostic criteria for oppositional defiant disorder

The Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition (DSM-5) workgroup for disruptive behavior disorders is considering adopting a frequency threshold for symptoms of oppositional defiant disorder (ODD). In the present study, the impact of substituting the term "often" with a specific age-based frequency on impairment and prognosis among preschool children was tested in a longitudinal design. Mutually exclusive groups were created to identify children who met criteria for ODD based on a symptom threshold of "often," as in Diagnostic and Statistical Manual for Mental Disorders, Fourth Edition (DSM-4), and those that met criteria for ODD based on a threshold of "1-2 times per day," which approximated the proposal for DSM-5. Comparisons of these groups to each other and to nondiagnosed peers determined the impact of changing the symptom threshold on impairment and prognosis. Close to one-third of children who met DSM-4 criteria for ODD did not meet criteria under the alternative diagnosis; African American children were overrepresented in this group. Preschoolers who met DSM-4, but not the alternative criteria, had higher rates of ODD, conduct disorder (CD), and were more impaired than their nondiagnosed peers at baseline and follow-up. Preschoolers meeting DSM-4 criteria were less impaired than children meeting the alternative ODD criteria at baseline according to parent, but not according to teacher report. No differences could be detected between those meeting DSM-4 and those meeting the alternative criteria in rate of ODD, CD, or impairment at follow-up. Among clinically referred preschool children, changing the symptom threshold for ODD could result in a sizable group of children who would no longer meet diagnostic criteria, despite demonstrating significant morbidity concurrently and prospectively.     

Effects of grammatical categories on children's visual language processing: Evidence from event-related brain potentials

This study examined how school-aged children process different grammatical categories. Event-related brain potentials elicited by words in visually presented sentences were analyzed according to seven grammatical categories with naturally varying characteristics of linguistic functions, semantic features, and quantitative attributes of length and frequency. The categories included nouns, adjectives, verbs, pronouns, conjunctions, prepositions, and articles. The findings indicate that by the age of 9-10 years, children exhibit robust neural indicators differentiating grammatical categories; however, it is also evident that development of language processing is not yet adult-like at this age. The current findings are consistent with the hypothesis that for beginning readers a variety of cues and characteristics interact to affect processing of different grammatical categories and indicate the need to take into account linguistic functions, prosodic salience, and grammatical complexity as they relate to the development of language abilities.     

Stuttering, cluttering, and phonological complexity: case studies

The phonological complexity of dysfluencies in those who clutter and/or stutter may help us better understand phonetic factors in these two types of fluency disorders. In this preliminary investigation, cases were three 14-year-old males, diagnosed as a Stutterer, a Clutterer, and a Stutterer–Clutterer. Spontaneous speech samples were transcribed, coded for dysfluent words which were then matched to fluent words on grammatical class (i.e., function vs. content), number of syllables and word familiarity. An Index of Phonological Complexity was determined per word, and word frequency, density and phonological neighborhood frequency were derived from an online database. Results showed that compared to fluent words, dysfluent words were more phonologically complex and ‘sparser’, implying that they have fewer phonological neighbors or words in which a single phoneme is added, deleted or substituted. Interpretations and future directions for research regarding phonological complexity in stuttering and cluttering are offered.Educational objectives: 1. The reader can list three key symptoms of cluttering. 2. The reader will define phonological neighborhood density and neighborhood frequency. 3. The reader can calculate the Index of Phonological Complexity (IPC) for a given word. 4. The reader can state two findings from the current study and how each relates to other studies of phonological complexity and fluency disorders.     

Uncertainty about the rest of the sentence

A word-by-word human sentence processing complexity metric is presented. This metric formalizes the intuition that comprehenders have more trouble on words contributing larger amounts of information about the syntactic structure of the sentence as a whole. The formalization is in terms of the conditional entropy of grammatical continuations, given the words that have been heard so far. To calculate the predictions of this metric, Wilson and Carroll's (1954) original entropy reduction idea is extended to infinite languages. This is demonstrated with a mildly context-sensitive language that includes relative clauses formed on a variety of grammatical relations across the Accessibility Hierarchy of Keenan and Comrie (1977). Predictions are derived that correlate significantly with repetition accuracy results obtained in a sentence-memory experiment (Keenan & Hawkins, 1987).     

Age of Onset of ADHD in a Sample of Elementary School Students

Examined the age of onset of ADHD symptoms and subtypes using parent ratings of a large sample of elementary school students. Results showed: (1) in children with ADHD-combined type, hyperactive-impulsive symptoms emerged at younger ages than inattention symptoms; (2) about one-fifth of children who met symptom count and impairment criteria for ADHD did not meet the age of onset criterion; (3) Children who did not meet the age of onset criterion consisted primarily of children with inattention problems; and (4) children who did not meet the age of onset criterion had more impaired parent-child relationships, self-esteem, family functioning, and higher overall impairment ratings than children who did meet the criterion. These results raise questions about the validity of the age of onset criterion for ADHD as formulated in DSM-IV.     

Assessing Interpersonal Subtypes in Depression

The context-free diagnoses outlined by the Diagnostic and Statistical Manual of Mental Disorders might not provide enough information to represent the heterogeneity observed in depressed patients. Interpersonal factors have been linked to depression in a mutually influencing pathoplastic relationship where certain problems, like submissiveness, are related to symptom chronicity. This study evaluated interpersonal pathoplasticity in a range of depressive presentations. We examined archival data collected from 407 participants who met criteria for major depressive disorder (MDD), dysthymic disorder (DD), or subthreshold depression (sD). Latent profile analysis (LPA) identified 5 interpersonal subtypes (vindictive, intrusive, socially avoidant, exploitable, and cold). Apart from gender, the subtypes did not differ significantly on demographic characteristics, psychiatric comorbidity, or self-report depression severity. Socially avoidant participants were more likely to meet criteria for a clinical depression diagnosis (MDD or DD), whereas vindictive participants were more likely to have sD. Our results indicate that interpersonal problems could account for heterogeneity observed in depression.     

Trauma in the Lives of Older Men: Findings from the Normative Aging Study

Research on the prevalence of traumatic exposure has tended to focus on younger populations, limiting our knowledge about trauma and its effects in older adults. In this study, lifetime trauma exposure was assessed in a sample of 436 male military veterans of World War II and the Korean Conflict (age 59–92). A clinician-administered screening measure, the Brief Trauma Interview, was developed to assess lifetime exposure to 10 categories of trauma using DSM-IV criteria. PTSD was assessed in interview and questionnaires. Despite a high prevalence of trauma exposure, symptom levels were relatively low. Few men met criteria for current or lifetime PTSD. Secondary analyses found that lifetime symptom severity was higher in men who met the DSM-IV A.2 criterion, in contrast with men who did not meet A.2. Findings indicate that trauma is highly prevalent among older men, although many may be asymptomatic.     

Developmental change in attention-deficit hyperactivity disorder in boys: A four-year longitudinal study

One hundred six clinic-referred boys meeting criteria for DSM-III-R attention-deficit hyperactivity disorder (ADHD) (mean age 9.4 years) were assessed annually for 4 years using structured interviews of multiple informants. Hyperactivity—impulsivity symptoms declined with increasing age, but inattention symptoms did not. Rather, inattention declined only from the first to the second assessment and remained stable thereafter in boys of all ages. The rate of decline in hyperactivity—impulsivity symptoms was independent of the amount and type of treatment received. Boys who still met criteria for ADHD in Years 3 and 4 were significantly younger, more hyperactive—impulsive, and more likely to exhibit conduct disorder in Year 1 than boys who no longer met criteria in Years 3 and 4.This study was supported by grant 1-R01-MH42529 from the National Insitute of Mental Health to Rolf Loeber and Benjamin B. Lahey.     

The Use of Environmental Clues During Incubation

ABSTRACT: Three experiments tested the prediction that incubation effects are caused by interactions between activation and environmental clues. Participants worked on 20 experimental problems and then were informed that they would have a second chance to work on the problems. Half were told they might see clues before returning to the problems and were instructed to try to use such clues. Participants then had an incubation period during which they generated words from the letters of test words. The test words were either semantically related to experimental problem answers, the actual answers, or unrelated words. Finally, all participants again tried to solve the experimental problems. Resolution, calculated as the number of items solved during the second trial that were not solved initially, was measured. Participants who saw answers during incubation resolved more items than those who saw related words. In Experiment 3, participants receiving no instructions did not differ across clue conditions, whereas instructed participants who saw answers resolved more problems than those who received related words. Participants in the instructed and unrelated condition performed significantly worse than those in the instructed and answer condition. Incubation effects occurred only when participants who were shown answers were also given instructions. No support was found for the theory that incubation effects are caused solely by environmental clues and activation.     

Enhanced visual performance in obsessive compulsive personality disorder

Visual performance is considered as commanding modality in human perception. We tested whether Obsessive–compulsive personality disorder (OCPD) people do differently in visual performance tasks than people without OCPD. One hundred ten students of Ferdowsi University of Mashhad and non‐student participants were tested by Structured Clinical Interview for DSM‐IV Axis II Personality Disorders (SCID‐II), among whom 18 (mean age = 29.55; SD = 5.26; 84% female) met the criteria for OCPD classification; controls were 20 persons (mean age = 27.85; SD = 5.26; female = 84%), who did not met the OCPD criteria. Both groups were tested on a modified Flicker task for two dimensions of visual performance (i.e., visual acuity: detecting the location of change, complexity, and size; and visual contrast sensitivity). The OCPD group had responded more accurately on pairs related to size, complexity, and contrast, but spent more time to detect a change on pairs related to complexity and contrast. The OCPD individuals seem to have more accurate visual performance than non‐OCPD controls. The findings support the relationship between personality characteristics and visual performance within the framework of top‐down processing model.     

Smoking and Non-Clinical Panic Attacks: An Initial Empirical Test of Panic-Relevant Cognitive Processes

The present study evaluated panic-relevant cognitive processes in a sample of persons ( n = 70) who met criteria for either: (a) a positive panic attack history and regular smoking (smoking at least 10 cigarettes per day for S 12 months); (2) a positive panic attack history but no history of smoking; or (3) regular smoking history alone (smoking at least 10 cigarettes per day for S 12 months). As hypothesized, participants in group (a) demonstrated significantly greater bodily vigilance and anxiety sensitivity Mental Incapacitation Concerns compared with persons in either groups (b) or (c). Effects involving other dimensions of anxiety sensitivity, suffocation fear and trait anxiety did not discriminate between panickers as a function of smoking status. The observed effects could not be attributed to self-reported physical health status or history of medical problems. The implication of the present findings for understanding the potential role of smoking in panic pathology is discussed.     

Tracking the identity of moving words: Stimulus complexity and familiarity affects tracking accuracy

In two experiments, participants tracked the identity and location of moving words. The task bears resemblance to one performed by air traffic controllers who track multiple moving aircraft, where they are identified with relatively complex alphanumeric call signs. In Experiment 1, stimulus familiarity was manipulated by comparing the tracking of familiar words and pseudowords. In Experiment 2, also stimulus complexity was varied by having the participants track short and long words. Stimulus complexity affected tracking: Short words were easier to track than long words. Moreover, familiarity of identity affected tracking of short words (short familiar words were easier to track than short pseudo-words) but not of long words. The results are interpreted within the framework of the model of multiple identity tracking model. Mathematical simulations suggest that observers may not have enough time for full identification of complex identities in a dynamic situation. Practical implications of the results for air traffic control are discussed.     

Depressive personality disorder: rates of comorbidity with personality disorders and relations to the five-factor model of personality

Depressive personality disorder (DPD) is listed in the DSM-IV as one of the "Disorders for Further Study." In this investigation we examined (1) the rates of comorbidity of DPD with the 10 personality disorders (PDs) in the main text of DSM-IV, and (2) the convergent and discriminant validity of DPD in its relation to the 30 facet traits of the Five-Factor Model of personality (FFM). One hundred and sixty-nine participants with psychiatric diagnoses were interviewed with the Structured Clinical Interview for DSM-IV Personality Disorders Questionnaire (SCID-II) and completed the Revised NEO Personality Inventory (NEO PI-R). A total of 26 (15%) of the participants met diagnostic criteria for at least one of the 10 main text PDs, and 15 (9%) met criteria for DPD. Of those who met criteria for DPD, 10 (59%) of the participants also met criteria for one or more of the 10 main text PDs. Regression analyses indicated a four-facet trait set derived from the NEO PI-R thought to be uniquely associated with DPD accounted for a significant amount of variance in DPD SCID-II PD scores and was significantly larger for DPD than it was for the 9 of the 10 main text PDs; the sole exception was for avoidant PD. Diagnostically, DPD overlaps significantly with other PDs but is distinguishable in its unique relation with traits from the FFM.     

Aging and the vulnerability of speech to dual task demands

Tracking a digital pursuit rotor task was used to measure dual task costs of language production by young and older adults. Tracking performance by both groups was affected by dual task demands: time on target declined and tracking error increased as dual task demands increased from the baseline condition to a moderately demanding dual task condition to a more demanding dual task condition. When dual task demands were moderate, older adults' speech rate declined but their fluency, grammatical complexity, and content were unaffected. When the dual task was more demanding, older adults' speech, like young adults' speech, became highly fragmented, ungrammatical, and incoherent. Vocabulary, working memory, processing speed, and inhibition affected vulnerability to dual task costs: vocabulary provided some protection for sentence length and grammaticality, working memory conferred some protection for grammatical complexity, and processing speed provided some protection for speech rate, propositional density, coherence, and lexical diversity. Further, vocabulary and working memory capacity provided more protection for older adults than for young adults although the protective effect of processing speed was somewhat reduced for older adults as compared to the young adults.     

选择性注意在人工语法学习中的作用——回应Eitam，Schul和Hassin(2009)中的两点疑问

从语法规则复杂性（复杂语法vs.简单语法）的角度考察选择性注意在人工语法学习中的必要性,并且比较两种非法序列下的成绩差异来检验被选择忽视的语法规则是否能被习得却未能在测验阶段体现出来。结果表明纵使降低被选择注意的语法的复杂性,被忽视的语法也未被成功习得,只有被选择注意的语法才能被习得;两种非法序列下的正确率无显著差异,即非法序列b所遵循的被忽略的语法未能在分类判断中起作用。选择性注意是语法规则被习得的关键。     

Piecing together numerical language: children's use of default units in early counting and quantification

When asked to ‘find three forks’, adult speakers of English use the noun ‘fork’ to identify units for counting. However, when number words (e.g. three) and quantifiers (e.g. more, every) are used with unfamiliar words (‘Give me three blickets’) noun‐specific conceptual criteria are unavailable for picking out units. This poses a problem for young children learning language, who begin to use quantifiers and number words by age 2, despite knowing a relatively small number of nouns. Without knowing how individual nouns pick out units of quantification – e.g. what counts as a blicket– how could children decide whether there are three blickets or four? Three experiments suggest that children might solve this problem by assigning ‘default units’ of quantification to number words, quantifiers, and number morphology. When shown objects that are broken into arbitrary pieces, 4‐year‐olds in Experiment 1 treated pieces as units when counting, interpreting quantifiers, and when using singular–plural morphology. Experiment 2 found that although children treat object‐hood as sufficient for quantification, it is not necessary. Also sufficient for individuation are the criteria provided by known nouns. When two nameable things were glued together (e.g. two cups), children counted the glued things as two. However, when two arbitrary pieces of an object were put together (e.g. two parts of a ball), children counted them as one, even if they had previously counted the pieces as two. Experiment 3 found that when the pieces of broken things were nameable (e.g. wheels of a bicycle), 4‐year‐olds did not include them in counts of whole objects (e.g. bicycles). We discuss the role of default units in early language acquisition, their origin in acquisition, and how children eventually acquire an adult semantics identifying units of quantification.     

Naming of grammatical classes in frontotemporal dementias: linguistic and non linguistic factors contribute to noun-verb dissociation

We studied noun and verb naming in three main variants of frontotemporal dementia: the frontal variant(Fv-FTD), primary progressive aphasia (PPA) and semantic dementia (SD). We further distinguished PPA in nonfluent and fluent forms and restricted diagnosis of SD to subjects with progressive semantic breakdown leading to agnosia for words and objects. Fv-FTD and nonfluent-PPA named objects better than actions, SD showed an inverse dissociation and no specific pattern emerged in fluent-PPA. In this last group, in spite of the broad definition of fluent aphasia, quite heterogeneous patterns of language disorders and word class dissociation emerged when single-subject analyses were performed. In fv-FTD correlations between executive tasks and action naming were stronger than between executive tasks and object naming. We conclude that both linguistic and non linguistic factors, in particular an executive deficit, contribute to grammatical class dissociation. We also suggest that the fluent vs. nonfluent distinction does not reflect the complexity of primary aphasia.     

Symptom Expression and Somatization Among Elderly Korean Immigrants

In a study of expression of symptoms of somatization, depression, and other biopsychological conditions, 70 elderly Korean immigrants in the greater Washington, D.C., metropolitan area (35 who met the criteria for major depression and 35 who did not meet those criteria) were administered a Korean version of the Brief Symptom Inventory (BSI). Subjects who met the criteria for depression had the highest mean score on the BSI somatization dimension compared with other normative samples including a sample of psychiatric inpatients. A factor analysis of data from the BSI showed that for elderly Korean immigrants, a factor of somatization was identified that included the items from the original BSI obsessive-compulsive, somatization, and anxiety dimensions. Items loading on the somatization factor suggest that elderly Korean subjects experience body and mind as a unitary system and tend to communicate the distress associated with old age, cultural adjustment, and family and social changes through somatic symptoms.