Gender differences on the Five to Fifteen questionnaire in a non‐referred sample with inattention and hyperactivity‐impulsivity and a clinic‐referred sample with hyperkinetic disorder

Lambek, R., Trillingsgaard, A., Kadesjö, B., Damm, D. & Thomsen, P. H. (2010). Gender differences on the Five to Fifteen questionnaire in a non‐referred sample with inattention and hyperactivity‐impulsivity and a clinic‐referred sample with hyperkinetic disorder. Scandinavian Journal of Psychology 51, 540–447. The aim of the present study was to examine gender differences in children with inattention, hyperactivity, and impulsivity on the Five to Fifteen (FTF) parent questionnaire. First, non‐referred girls (n = 43) and boys (n = 51) with problems of attention and hyperactivity‐impulsivity and then clinic‐referred girls (n = 35) and boys (n = 66) with hyperkinetic disorder (HKD) were compared on the FTF. Results suggested that non‐referred boys were more hyperactive‐impulsive than non‐referred girls, whereas clinic‐referred boys and girl with HKD were more similar than dissimilar on the FTF questionnaire. Secondly, it was examined whether the application of gender mixed norms versus gender specific norms would result in varying proportions of clinic‐referred children with HKD being identified as impaired on the subdomains of the FTF questionnaire. Based on results it was concluded that the use of a gender mixed normative sample may lead to overestimation of impairment in boys with HKD, but the type of sample applied to define impairment on the FTF should depend on the purpose for applying the questionnaire.     

The Children's Firesetting Interview with psychiatrically referred and nonreferred children

This study evaluated the Children's Firesetting Interview (CFI). The measure was developed to operationalize multiple domains of functioning derived from a riskfactor model of firesetting. The model poses that child, parent, and family characteristics promote firesetting and continuation of a pattern of firesetting. Major factors include curiosity about fire, involvement in and exposure to firerelated activities, and knowledge about first safety The CFI, consisting of 46 questions reflecting six a prioridimensions, was administered to 519 children (ages 6–13) recruited from nonpatient, outpatient, and inpatient samples. Internal consistency and testretest reliability of the measure were satisfactory. Criterion validity was supported by the findings that firesetters showed greater curiosity about fire, involvement in firerelated activities, exposure to models/materials, and knowledge about things that burn than did nonfiresetters. These findings did not vary as a function of the child's patient status or level of antisocial behavior. Implications for the evaluation of firesetting risk are discussed.This study was supported by grant MH-39976 from the Antisocial and Violent Behavior Branch of the National Institute of Mental Health and by a Research Scientist Development Award (MH00353) from the National Institute of Mental Health. The authors acknowledge the constructive suggestions of two anonymous reviewers.     

Enhanced gaze‐following behavior in Deaf infants of Deaf parents

Gaze following plays a role in parent–infant communication and is a key mechanism by which infants acquire information about the world from social input. Gaze following in Deaf infants has been understudied. Twelve Deaf infants of Deaf parents (DoD) who had native exposure to American Sign Language (ASL) were gender‐matched and age‐matched (±7 days) to 60 spoken‐language hearing control infants. Results showed that the DoD infants had significantly higher gaze‐following scores than the hearing infants. We hypothesize that in the absence of auditory input, and with support from ASL‐fluent Deaf parents, infants become attuned to visual‐communicative signals from other people, which engenders increased gaze following. These findings underscore the need to revise the ‘deficit model’ of deafness. Deaf infants immersed in natural sign language from birth are better at understanding the signals and identifying the referential meaning of adults’ gaze behavior compared to hearing infants not exposed to sign language. Broader implications for theories of social‐cognitive development are discussed. A video abstract of this article can be viewed at https://youtu.be/QXCDK_CUmAI     

Atypical maternal behavior toward feeding‐disordered infants before and after intervention

The display of atypical behaviors and disrupted communication during parent–infant interactions, as assessed by the Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE), has been linked to disorganized infant attachment, which, in turn, has been linked to psychopathology. The present study examined the usefulness of the AMBIANCE as an indicator of the efficacy of two brief interventions in reducing atypical behaviors and disrupted communication during play interactions. Twenty‐eight mother–infant dyads participated (14 per intervention). All infants had feeding problems. One intervention, Interaction Guidance, focused on training caregivers to respond sensitively to their infants (play‐focused intervention). The other intervention focused on training mothers to use new feeding techniques (feeding‐focused intervention). Results showed a significant decrease in AMBIANCE scores in the play‐focused group from pre‐ to postintervention, but not in the feeding‐focused group. There was a significant decrease in the level of disrupted communication from pre‐ to postintervention sessions in the play‐focused group but not in the feeding‐focused group. 73% of mothers from the play‐focused group and 17% of mothers from the feeding‐focused group initially classified as “disrupted” attained a classification of “nondisrupted” at the postintervention session. Some limitations of the study include small sample size, differences in timing of assessment for each intervention, and use of samples of convenience. Nonetheless, these findings provide preliminary evidence both of the usefulness of AMBIANCE as an instrument for assessing clinical efficacy and the efficacy of Interaction Guidance. ©2001 Michigan Association for Infant Mental Health.     

Trauma‐focused CBT with maltreated children: A clinic‐based evaluation of a new treatment manual

The effectiveness of a locally developed trauma‐focused cognitive behavioural therapy (TF‐CBT) program for maltreated children with post‐traumatic stress disorder (PTSD) was examined across different therapists in a child protection clinic setting. An earlier phase of the research piloting the program had provided promising results. This second phase involved two studies evaluating the completed TF‐CBT manual delivered by (a) the developer and (b) other therapists. A single‐case multiple‐baseline design was used to demonstrate the controlling effects of the treatment on PTSD symptoms and child coping. Eight 9–13‐year‐old abused children with PTSD were treated. Positive outcomes support the effectiveness of the TF‐CBT program delivered by both the developer and other therapists. The study design and methodology were robust enough to confirm empirically the clinically beneficial effects and potential for this new program. It was also apparent, however, from study limitations, including missing data for some patients, that there are a number of challenges in carrying out such research in a busy child protection service setting with multiply‐abused patients. This paper considers implications and ways forward for engaging in empirically supported practice as well as future development and research.     

Effectiveness of the ‘Hold me Tight’ Relationship Enhancement Program in a Self‐referred and a Clinician‐referred Sample: An Emotionally Focused Couples Therapy‐Based Approach

While evidence‐based couple therapies are available, only a minority of troubled couples seek help and they often do this too late. To reach more couples earlier, the couple relationship education (CRE) group program “Hold me Tight” (HmT) based on Emotionally Focused Couples Therapy (EFCT) was developed. This study is the first to examine the effectiveness of HmT. Using a three‐wave (waiting period, treatment, and follow‐up) within‐subject design, HmT was delivered to 79 self‐referred couples and 50 clinician‐referred couples. We applied a comprehensive outcome measure battery. Our main findings were that (1) self‐referred couples significantly improved during HmT on all measures, that is relationship satisfaction, security of partner‐bond, forgiveness, daily coordination, maintenance behavior, and psychological complaints, with a moderate‐to‐large mean effect size (d = .63), which was maintained (d = .57) during the 3.5 month follow‐up; (2) in clinician‐referred couples, who were vulnerable in terms of insecure attachment status and psychopathology, the improvement during HmT was moderate (d = .42), but this was reduced during the 3.5‐month follow‐up to a small effect (d = .22); (3) emotional functioning (typical HmT target) as well as behavioral functioning (typical Behavioral Couples Therapy‐based CRE target) improved during HmT; and (4) individual psychological complaints, although not specifically targeted, were reduced during HmT. These findings suggest that HmT is a promising intervention for enhancement of relationship functioning. Clinical implications are discussed.     

Nap‐dependent learning in infants

Sleep has been shown to aid a variety of learning and memory processes in adults ( Stickgold, 2005 ). Recently, we showed that infants’ learning also benefits from subsequent sleep such that infants who nap are able to abstract the general grammatical pattern of a briefly presented artificial language ( Gomez, Bootzin & Nadel, 2006 ). In the present study, we demonstrate, for the first time, long‐term effects of sleep on memory for an artificial language. Fifteen‐month‐old infants who had napped within 4 hours of language exposure remembered the general grammatical pattern of the language 24 hours later. In contrast, infants who had not napped shortly after being familiarized with the language showed no evidence of remembering anything about the language. Our findings support the view that infants’ frequent napping plays an essential role in establishing long‐term memory.     

We‐Language and Sustained Reductions in Drinking in Couple‐Based Treatment for Alcohol Use Disorders

Couple‐based treatments for alcohol use disorders (AUDs) produce higher rates of abstinence than individual‐based treatments and posit that active involvement of both identified patients (IPs) and significant others (SOs) is partly responsible for these improvements. Separate research on couples’ communication has suggested that pronoun usage can indicate a communal approach to coping with health‐related problems. The present study tested whether communal coping, indicated by use of more first‐person plural pronouns (“we” language), fewer second‐person pronouns (“you” language), and fewer first‐person singular pronouns (“I” language), predicted improvements in abstinence in couple‐based AUD treatment. Pronoun use was measured in first‐ and mid‐treatment sessions for 188 heterosexual couples in four clinical trials of alcohol behavioral couple therapy (ABCT). Percentages of days abstinent were assessed during treatment and over a 6‐month follow‐up period. Greater IP and SO “we” language during both sessions was correlated with greater improvement in abstinent days during treatment. Greater SO “we” language during first‐ and mid‐treatment sessions was correlated with greater improvement in abstinence at follow‐up. Greater use of IP and SO “you” and “I” language had mixed correlations with abstinence, typically being unrelated to or predicting less improvement in abstinence. When all pronoun variables were entered into regression models, only greater IP “we” langue and lower IP “you” language predicted improvements in abstinence during treatment, and only SO “we” language predicted improvements during follow‐up. Most pronoun categories had little or no association with baseline relationship distress. Results suggest that communal coping predicts better abstinence outcomes in couple‐based AUD treatment.     

Number discrimination in 10‐month‐old infants

Two experiments investigated developmental changes in large number discrimination with visual‐spatial arrays. Previous studies found that 6‐month‐old infants were able to discriminate arrays that differ by a ratio of 1:2 but not 2:3. We found that by 10 months, infants were able to reliably discriminate 8 from 12 elements (2:3) but not 8 from 10 elements (4:5). Thus, number discrimination improves in precision during the first year, and these findings converge with studies using auditory stimuli.     

Fourteen‐month‐old infants learn similar‐sounding words

Can infants, in the very first stages of word learning, use their perceptual sensitivity to the phonetics of speech while learning words? Research to date suggests that infants of 14 months cannot learn two similar‐sounding words unless there is substantial contextual support. The current experiment advances our understanding of this failure by testing whether the source of infants’ difficulty lies in the learning or testing phase. Infants were taught to associate two similar‐sounding words with two different objects, and tested using a visual choice method rather than the standard Switch task. The results reveal that 14‐month‐olds are capable of learning and mapping two similar‐sounding labels; they can apply phonetic detail in new words. The findings are discussed in relation to infants’ concurrent failure, and the developmental transition to success, in the Switch task.     

Two‐month‐old infants match phonetic information in lips and voice

Infants aged 4.5 months are able to match phonetic information in the face and voice ( Kuhl & Meltzoff, 1982 ; Patterson & Werker, 1999 ); however, the ontogeny of this remarkable ability is not understood. In the present study, we address this question by testing substantially younger infants at 2 months of age. Like the 4.5‐month‐olds in past studies, the 2‐month‐old infants tested in the current study showed evidence of matching vowel information in face and voice. The effect was observed in overall looking time, number of infants who looked longer at the match, and longest look to the match versus mismatch. Furthermore, there were no differences based on male or female stimuli and no preferences for the match when it was on the right or left side. These results show that there is robust evidence for phonetic matching at a much younger age than previously known and support arguments for either some kind of privileged processing or particularly rapid learning of phonetic information.     

Joint attention and object learning in 5‐ and 7‐month‐old infants

We examined the effects of joint attention for object learning in 5‐ and 7‐month‐old infants. Infants interacted with an adult social partner who taught them about a novel toy in two conditions. In the Joint Attention condition, the adult spoke about the toy while alternating gaze between the infant and the toy, while in the Object Only condition, the adult looked to the toy and to a spot on the ceiling, but never at the infant. In the test trials following each social interaction, we presented infants with the ‘familiarization’ toy and a novel toy, and monitored looking times to each object. We found that 7‐month‐olds looked significantly longer to the novel toy following the Joint Attention relative to the Object Only condition, while 5‐month‐old infants did not show a significant difference across conditions. We interpret these results to suggest that joint attention facilitated 7‐month‐old infants' encoding of information about the familiarization object. Implications for the ontogeny of infant learning in joint attention contexts are discussed. Copyright © 2007 John Wiley & Sons, Ltd.     

Shared musical knowledge in 11‐month‐old infants

Five‐month‐old infants selectively attend to novel people who sing melodies originally learned from a parent, but not melodies learned from a musical toy or from an unfamiliar singing adult, suggesting that music conveys social information to infant listeners. Here, we test this interpretation further in older infants with a more direct measure of social preferences. We randomly assigned 64 11‐month‐old infants to 1–2 weeks’ exposure to one of two novel play songs that a parent either sang or produced by activating a recording inside a toy. Infants then viewed videos of two new people, each singing one song. When the people, now silent, each presented the infant with an object, infants in both conditions preferentially chose the object endorsed by the singer of the familiar song. Nevertheless, infants’ visual attention to that object was predicted by the degree of song exposure only for infants who learned from the singing of a parent. Eleven‐month‐olds thus garner social information from songs, whether learned from singing people or from social play with musical toys, but parental singing has distinctive effects on infants’ responses to new singers. Both findings support the hypothesis that infants endow music with social meaning. These findings raise questions concerning the types of music and behavioral contexts that elicit infants’ social responses to those who share music with them, and they support suggestions concerning the psychological functions of music both in contemporary environments and in the environments in which humans evolved.     

Correlates of loneliness in nonreferred and psychiatrically hospitalized children

We investigated psychosocial correlates of loneliness using self- and caretaker-reports in 6–12 year old nonreferred and psychiatrically hospitalized children. In Phase 1, 109 nonreferred children completed self-report measures of internalizing problems, mothers completed the Child Behavior Checklist (CBCL), and teachers completed the CBCL-Teacher's Report Form. In Phase 2, a similar assessment battery was completed for 109 psychiatrically hospitalized children. Results indicated a moderate to strong relationship between loneliness and self-reported depression, hopelessness, low self-esteem, and anxiety. Children reporting high and low levels of loneliness were not differentiated by parent or teacher reports. Lonely children had lower IQs than their non-lonely peers.     

The usefulness of self‐reported psychopathy‐like traits in the study of antisocial behaviour among non‐referred adolescents

The present study addresses the question of whether it is possible to use a self‐report measure of psychopathic traits on non‐referred youth samples to identify a subgroup of problematic youths who are particularly problematic and different from other problem youths. A large sample of eighth‐grade, non‐referred adolescents, and their parents were assessed. Results showed that the adolescents exhibiting a low‐socialized psychopathy‐like personality constellation had a more frequent, violent, and versatile conduct‐problem profile than other low‐socialized and well socialized adolescents. The psychopathy‐like adolescents also differed from other poorly socialized adolescents in ways that suggested that their etiological background was different from adolescents with non‐psychopathy‐like conduct problems. We conclude that self‐report measures can indeed be useful for research purposes in subtyping youths with conduct problems. Copyright © 2002 John Wiley & Sons, Ltd.     

Learning from others in 9‐18‐month‐old infants

The use of an adult as a resource for help and instruction in a problem solving situation was examined in 9, 14, and 18‐month‐old infants. Infants were placed in various situations ranging from a simple means‐end task where a toy was placed beyond infants' prehensile space on a mat, to instances where an attractive toy was placed inside closed transparent boxes that were more or less difficult for the child to open. The experimenter gave hints and modelled the solution each time the infant made a request (pointing, reaching, or showing a box to the experimenter), or if the infant was unable to solve the problem. Infants' success on the problems, sensitivity to the experimenter's modelling, and communicative gestures (requests, co‐occurrence of looking behaviour and requests) were analysed. Results show that older infants had better success in solving problems although they exhibited difficulties in solving the simple means‐end task compared to the younger infants. Moreover, 14‐ and 18‐month‐olds were sensitive to the experimenter's modelling and used her demonstration cues to solve problems. By contrast, 9‐month‐olds did not show such sensitivity. Finally, 9‐month‐old infants displayed significantly fewer communicative gestures toward the adult compared to the other age groups, although in general, all infants tended to increase their frequency of requests as a function of problem difficulty. These observations support the idea that during the first half of the second year infants develop a new collaborative stance toward others. The stance is interpreted as foundational to teaching and instruction, two mechanisms of social learning that are sometime considered as specifically human. Copyright © 2006 John Wiley & Sons, Ltd.     

Predictors of help‐seeking behavior: Distinction between help‐seeking intentions and help‐seeking behavior

The overall goals of this research were to: (a) examine whether help‐seeking intentions, subjective needs, depressive symptoms, and social support can predict actual help‐seeking behavior; and (b) clarify the moderating effects of social support on help‐seeking behavior using a longitudinal design. University students (N = 370) completed questionnaires that measured social support, subjective needs, depressive symptoms, and help‐seeking intentions during Time1, and questionnaires that measured actual help‐seeking behavior during Time2. Only subjective needs showed a positive effect on both help‐seeking intentions and actual help‐seeking behavior. Although depressive symptoms had a negative effect on help‐seeking intentions, they had a positive effect on actual help‐seeking behavior. Moreover, social support had a positive effect on help‐seeking intentions, and moderated the influence of subjective needs on actual help‐seeking behavior. Simple slope analysis indicated that subjective needs did not facilitate help‐seeking behavior among those with low levels of social support.