Mild Head Injury in Children and Adolescents

Although mild head injury is the most prevalent type of head injury in children and adolescents, only a relatively small number of studies on this kind of head injury have been reported. This article summarizes a review of studies examining cognitive, academic, and psychosocial outcomes in children who sustained mild head injuries. Despite earlier claims of mild head injury being a "silent epidemic," the studies, which were published from 1970 to 1998, provide no compelling evidence to support this view.     

Discourse after Closed Head Injury in Young Children

This study examined narrative discourse in 23 children, ages 6 to 8 years, who sustained a severe closed head injury (CHI) at least 1 year prior to assessment. Narratives were analyzed at multiple levels using language and information structure measures. Results revealed significant discourse impairments in the CHI group on all measures of information structure, whereas differences in the linguistic domain failed to reach significance. In addition, effects of age at injury and lateralization of lesion on discourse were considered. Although no significant differences were found according to age at injury, a consistent pattern of generally poorer discourse scores was found for the early injured group (<5 years). With regard to lesion focus, the group findings were unimpressive. However, preliminary examination of individual CHI cases with relatively large lateralized lesions suggested that the late injured children may show the language–brain patterns reported in brain-injured adults, whereas early injured children may not.     

Executive Functioning and Emotion Regulation in Children with and without ADHD

Research on Child and Adolescent Psychopathology - Difficulties with emotion regulation affect the majority of youth with attention-deficit/hyperactivity disorder (ADHD) and predict greater...     

Emotion Regulation in Families of Children with Behavior Problems and Nonclinical Comparisons

The current study compared parents’ emotion regulation (ER) in clinical (those with a child with externalizing behavioral problems) and low-risk comparison families. Additionally, mediation models were explored with parent ER predicting child behavior problems through child ER. Participants were 60 families with children (71.7% boys; 73% Caucasian) ages 2 through 8 years (M?=?4.62; SD?=?1.69) from a rural population in the United States: 34 clinical families referred for parent training and 26 nonclinical families. A blocking design was used to balance the two groups on key demographic characteristics. Parents’ and children’s ER was assessed using parent-report surveys and structured behavioral observations. Analyses indicated higher rates of parental emotion dysregulation (specifically, more difficulty when upset with achieving goal-directed behaviors, p?=?.01, d?=?0.67; controlling impulses, p?=?.01, d?=?0.64; limited use of ER strategies, p?=?.02, d?=?0.62; and more negative verbalizations to their child during the observed task, p?<?.01, d?=?0.73) and child emotion dysregulation (specifically, more difficulty as reported by parents, p?<?.01, d?=??2.42) in the clinical group. Mediational analyses indicated there were indirect paths from parental ER to children’s behavioral problems through child ER. Findings from this research suggest a need to measure and target ER in both parents and their children when working with families who are referred for treatment of child behavior problems.     

学习障碍儿童情绪理解特点比较研究

本研究以90名学习障碍儿童和90名一般儿童为对象,采用表情图片和情境故事法, 探讨学习障碍儿童情绪理解特点.研究发现,学习障碍儿童在情绪理解方面存在一定缺陷,具体表现为:(1)表情识别能力差;(2)自我意识情绪识别水平低下;(3)混合情绪识别较差;(4)情绪原因理解落后;(5)情绪隐藏理解较差;(6)情绪改变理解水平低下.     

Using Parent Target Problem Narratives to Evaluate Outcomes in Children with Autism Spectrum Disorder

Research on Child and Adolescent Psychopathology - This paper examines the reliability and validity of parent target problems (PTPs) in a multi-site randomized controlled trial of parent training...     

Narrative Discourse in Children with Early Focal Brain Injury

Children with early brain damage, unlike adult stroke victims, often go on to develop nearly normal language. However, the route and extent of their linguistic development are still unclear, as is the relationship between lesion site and patterns of delay and recovery. Here we address these questions by examining narratives from children with early brain damage. Thirty children (ages 3;7–10;10) with pre- or perinatal unilateral focal brain damage and their matched controls participated in a storytelling task. Analyses focused on linguistic proficiency and narrative competence. Overall, children with brain damage scored significantly lower than their age-matched controls on both linguistic (morphological and syntactic) indices and those targeting broader narrative qualities. Rather than indicating that children with brain damage fully catch up, these data suggest that deficits in linguistic abilities reassert themselves as children face new linguistic challenges. Interestingly, after age 5, site of lesion does not appear to be a significant factor and the delays we have witnessed do not map onto the lesion profiles observed in adults with analogous brain injuries.     

Face Emotion Processing in Depressed Children and Adolescents with and without Comorbid Conduct Disorder

Studies of adults with depression point to characteristic neurocognitive deficits, including differences in processing facial expressions. Few studies have examined face processing in juvenile depression, or taken account of other comorbid disorders. Three groups were compared: depressed children and adolescents with conduct disorder (n = 23), depressed children and adolescents without conduct disorder (n = 29) and children and adolescents without disorder (n = 37). A novel face emotion processing experiment presented faces with ‘happy’, ‘sad’, ‘angry’, or ‘fearful’ expressions of varying emotional intensity using morphed stimuli. Those with depression showed no overall or specific deficits in facial expression recognition accuracy. Instead, they showed biases affecting processing of low-intensity expressions, more often perceiving these as sad. In contrast, non-depressed controls more often misperceived low intensity negative emotions as happy. There were no differences between depressed children and adolescents with and without conduct disorder, or between children with comorbid depression/conduct disorder and controls. Face emotion processing biases rather than deficits appear to distinguish depressed from non-depressed children and adolescents.     

Children Expressing Mixed Emotion in a Nonsocial Context

Abstract

Efforts to demonstrate children’s ability to report experiencing mixed emotions have typically used an allocentric approach, asking children to report on emotions of other individuals in response to stories or movie clips demonstrating social themes. In contrast, literature examining children’s personal experiencing and understanding of their own mixed emotions, typified as an egocentric approach, in nonsocial situations remains underdeveloped. The current study examined the development of children’s reported understanding and experience of mixed emotions egocentrically. By examining a nonsocial context, this investigation extends existing gender- and age-related research on expressing egocentric mixed emotion. Using a computerized game with a disappointing wins paradigm, egocentric mixed emotional experience was elicited in 142 children (80 boys, 62 girls) aged 6 to 12?years. Results revealed that age, but not gender, was a statistically significant predictor of expressing egocentric mixed emotion experience and understanding. When studying mixed emotion development in a nonsocial context, gender did not contribute to differences in child reports. A significant positive relationship between egocentric mixed emotion experiencing and understanding also emerged. These findings contribute to our understanding of children’s emotion development and offer future directions for examining the broad domain of nonsocial contexts in youth expression of mixed emotions.     

纳西族和汉族儿童情绪理解能力的发展

选取3～5岁的纳西族儿童107人,3～5岁的汉族儿童90人,使用情绪理解任务系统地考察了他们情绪理解的发展,同时还测量了两个民族儿童的错误信念理解和语言能力。结果表明,两个民族儿童情绪理解能力具有相似的发展规律,但完成各任务的成绩有显著差异,提示了两个民族儿童情绪理解能力发展的不同步性。研究还发现,心理理论社会知觉成分与认知成分随年龄的增长相互促进和相互制约,并且都与语言能力有关。     

儿童二级错误信念认知与二级情绪理解的发展

以来自两所幼儿园的133名儿童为被试,探讨了3~6岁儿童二级错误信念认知和二级情绪理解的发展分化与联系。结果发现,6岁左右是儿童的二级错误信念认知和二级情绪理解发展的关键期;4岁左右的儿童能够掌握二级未知知识,获得情绪解码能力;儿童的二级未知与二级错误信念认知之间,儿童的情绪解码与二级情绪理解之间,在发展上存在1~2年的差距;二级推理能力是儿童进行二级心理状态认知的关键。     

听障儿童外部情绪理解研究

通过自编的外部情绪理解问卷,考察了听障儿童表情识别、情绪情景识别和提示物理解等外部情绪理解三个成分的发展状况。结果表明:(1)听力障碍儿童在外部情绪整体理解、表情识别、情绪情景识别和提示物理解四方面的得分都显著低于普通儿童;(2)不同年级听力障碍儿童的外部情绪理解、表情识别、情绪情景识别和提示物理解四方面得分存在显著差异,不同性别听力障碍儿童外部情绪理解差异不显著;年级和性别的交互作用显著;(3)父母听力状况不同的听障儿童,其外部情绪理解水平差异显著。DD儿童的外部情绪整体理解、表情识别和情绪情景识别得分显著高于DH儿童。     

儿童和少年情绪障碍相关社会心理因素探讨

儿童和少年情绪障碍是一组由家庭环境因素、认知倾向和个性心理等多种社会心理因素共同作用、相互影响的疾病。家庭是一个系统,对儿童和少年的心理和行为的塑造存在影响。家庭环境和个性因素是以认知倾向为中介产生对情绪的影响,家庭环境因素又影响了认知倾向的形成和个性的发展。从以上三个方面进行探讨,旨在为儿童和少年情绪障碍者的心理干预提供科学的理论依据。     

儿童和少年情绪障碍相关社会心理因素探讨

儿童和少年情绪障碍是一组由家庭环境因素、认知倾向和个性心理等多种社会心理因素共同作用、相互影响的疾病.家庭是一个系统,对儿童和少年的心理和行为的塑造存在影响.家庭环境和个性因素是以认知倾向为中介产生对情绪的影响,家庭环境因素又影响了认知倾向的形成和个性的发展.从以上三个方面进行探讨,旨在为儿童和少年情绪障碍者的心理干预提供科学的理论依据.     

Recognition of Facial Expressions of Emotion by Children with Emotional and Behavioral Disorders

Interpreting and responding appropriately to facial expressions of emotion are important aspects of social skills. Some children, adolescents, and adults with various psychological and psychiatric disorders recognize facial expressions less proficiently than their peers in the general population. We wished to determine if such deficits existed in a group of 133 children and adolescents with emotional and behavioral disorders (EBD). The subjects were receiving in-patient psychiatric services for at least one of substance-related disorders, adjustment disorders, anxiety disorders, mood disorders or disruptive behavior disorders. After being read stories describing various emotional reactions, all subjects were tested for their ability to recognize the 6 basic facial expressions of emotion depicted in Ekman and Friesen's (1976) normed photographs. Overall, they performed well on this task at levels comparable to those occurring in the general population. Accuracy increased with age, irrespective of gender, ethnicity, or clinical diagnosis. After adjusting for age effects, the subjects diagnosed with either adjustment disorders, mood disorders, or disruptive behavior disorders were significantly more accurate at identifying anger than those without those diagnoses. In addition, subjects with mood disorders identified sadness significantly more accurately than those without this diagnosis, although the effect was greatest with younger children.     

Physiological Emotion Regulation in Children with ADHD with and without Comorbid Internalizing Disorders: a Preliminary Study

Children with Attention-Deficit/Hyperactivity Disorder (ADHD) experience deficits in emotion regulation that can be measured physiologically under environmental stress conditions by examining respiratory sinus arrhythmia (RSA), a marker of parasympathetic nervous system (PNS) withdrawal. The current pilot study examined the impact of comorbid internalizing disorders and comorbid Oppositional Defiant Disorder (ODD) on emotion regulation in children with ADHD by measuring RSA as an indicator of dysregulated emotional reactivity. Twenty-four 7–10 year old children with ADHD participated in the current study. Children completed a 5-min resting attending baseline while electrocardiogram data (ECG) were recorded to examine baseline RSA. Children then completed a stress inducing, blocked goal, Card Sorting Task to measure RSA reactivity to stress. Results revealed a significant effect of internalizing disorder status on RSA difference score, F (1, 18)?=?5.83, p?=?.03, η² = .25. Children in the comorbid internalizing disorder group had a significantly greater decrease in RSA from the baseline time period to the card sorting task. There was no significant effect of ODD diagnostic status on RSA difference score, p?>?.05. The results of this preliminary study suggest that among children with ADHD, the presence of a comorbid internalizing disorder predicts greater withdrawal of the PNS. These findings represent an important step in understanding autonomic functioning of children with ADHD and comorbid disorders.     

Parental Meta-Emotion Philosophy and Emotion Coaching in Families of Children and Adolescents with an Anxiety Disorder

Using a multi-method approach, this study examined differences in parental meta-emotional philosophy (including, parental emotional awareness and emotion coaching) for families with anxiety disordered (AD; n = 74) and non-AD (n = 35) children (aged 7 to 15). Further, it was investigated whether children’s emotion regulation (ER) varied across the AD and non-AD groups. Parent(s) were interviewed about their awareness of emotions and emotion coaching; completed a battery of questionnaires that included a measure assessing children’s emotion regulation; and engaged in a parent-child discussion task. Results indicated that compared to parents of non-AD youth, parents of AD youth were less aware of their own emotions and their children’s emotions, and these results varied by emotion type. Parents of AD youth engaged in significantly less emotion coaching than parents of non-AD youth. AD youth were identified as having significantly greater difficulty regulating their emotions when compared to non-AD youth. Implications for the role of parental meta-emotional philosophy and AD youth’s emotion regulation are discussed.