Inattention/Overactivity Following Early Severe Institutional Deprivation: Presentation and Associations in Early Adolescence

The current study examined the persistence and phenotypic presentation of inattention/overactivity (I/O) into early adolescence, in a sample of institution reared (IR) children adopted from Romania before the age of 43 months. Total sample comprised 144 IR and 21 non-IR Romanian adoptees, and a comparison group of 52 within-UK adoptees, assessed at ages 6 and 11 years. I/O was rated using Rutter Scales completed by parents and teachers. I/O continued to be strongly associated with institutional deprivation, with continuities between ages 6 and 11 outcomes. There were higher rates of deprivation-related I/O in boys than girls, and I/O was strongly associated with conduct problems, disinhibited attachment and executive function but not IQ more generally, independently of gender. Deprivation-related I/O shares many common features with ADHD, despite its different etiology and putative developmental mechanisms. I/O is a persistent domain of impairment following early institutional deprivation of 6 months or more, suggesting there may be a possible pathway to impairment through some form of neuro-developmental programming during critical periods of early development.     

Visual-Motor Integration Problems in Low Birth Weight Infants

This paper represents a review of the research that focuses on a population of strong clinical interest on a national and international scale—infants born with low birth weight (LBW). Among the numerous developmental deficits commonly associated with this group, one of the most frequently cited problems is poor fine- and visual-motor integration. In addition to the direct perceptual-motor development concern, the literature provides a reasonable case that such deficits place this population at increased risk for subnormal academic performance and difficulties with specific daily living (self-help) activities. By assessing the infant at an early age and designing specific strategies for intervention, clinical psychologists can play a major role in improving fine- and visual-motor behavior in this population.     

Psychological Sequelae in Parents of Extreme Low and Very Low Birth Weight Infants

The current study evaluated the psychological sequelae in 66 parents of extreme low and very low birth weight infants (mean weight of 842 g). Parents who had given birth within a 3-year period prior to the study were chosen from the archives of a neonatal ward and surveyed regarding posttraumatic stress, coping strategies, and social support. Thirty-five percent of the parents reported that their child had a handicap. Twenty percent of the women met the criteria of posttraumatic stress disorder (PTSD) at the time of the study, and an additional 10% met the criteria for a subclinical PTSD diagnosis. Female gender, handicap of the child, general distress during hospitalization, distressing contact with hospital staff, experienced distress at homecoming, and emotional coping, explained 72% of the degree of traumatization. Psychological support and intervention is recommended during the hospital stay of a premature infant who has a handicap and after the homecoming to prevent the development of chronic PTSD and reduce the associated distress.     

Sex Differences in the Presentation of Chronic Low Back Pain

Sex differences in 351 patients with chronic low back pain were examined. Biological, psychological, and psychosocial factors were considered. Sex differences in adaptive functioning were consistent with traditional gender roles. Significant interactions were found for sex and employment status, and sex and marital status. Retired women reported more pain and less activity than retired men. Retired men reported the least pain of any group. Outdoor work and social activities show opposite within–group patterns for men and women when stratified by employment status. Marriage was associated with more household work for women and less for men. The financial and social contexts of employment status and marriage are different for men and women. Results suggest the treatment of women with chronic low back pain requires attention to work in the home and the financial and social context of work outside the home.     

处于生存极限的低出生体重儿该如何决策救治

我国极低及超低出生体重儿的出生比例已接近发达国家。但因为经济、文化、技术及社会保障制度等原因,相当多的患儿得不到合理救治。这与发达国家相比有很大差距。让医护人员做到合理评估和告知,适时放弃治疗,完善社会保障制度,加强社会舆论监督和教育,加快相关制度、法规的建立等措施有望改变这一现状。     

Sex Differences in Referral Rates of Children with Gender Identity Disorder: Some Hypotheses

From 1978 through 1995, a sex ratio of 6.6:1 of boys to girls (N = 275) was observed for children referred to a specialty clinic for gender identity disorder. This article attempts to evaluate several hypotheses regarding the marked sex disparity in referral rates. The sexes did not differ on four demographic variables (age at referral, IQ, and parent's social class and marital status) and on five indices of general behavior problems on the Child Behavior Checklist; in addition, there was only equivocal evidence that boys with gender identity disorder had significantly poorer peer relations than girls with gender identity disorder. Although the percentage of boys and girls who met the complete DSM-III-R criteria for gender identity disorder was comparable, other measures of sex-typed behavior showed that the girls had more extreme cross-gender behavior than the boys. Coupled with external evidence that cross-gender behavior is less tolerated in boys than in girls by both peers and adults, it is concluded that social factors partly account for the sex difference in referral rates. Girls appear to require a higher threshold than boys for cross-gender behavior before they are referred for clinical assessment.     

Attention-Deficit/Hyperactivity Disorder symptoms in an adult sample: Associations with Cloninger’s temperament and character dimensions

Relationships between C.R. Cloninger’s temperament and character dimensions and the Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms of inattention (IA) and hyperactivity/impulsivity (HI) were examined in 231 adults from the general population. Regression analyses that predicated overall ADHD, IA and HI by the seven temperament/character dimensions revealed: IA was predicted positively by Harm Avoidance and negatively by Self-Directedness; HI was predicted positively by Persistence; and overall ADHD was predicted negatively by Self-Directedness. These findings are also interpreted in terms of current theories of ADHD, and the related original and revised versions of Gray’s reinforcement sensitivity theory (RST) of personality.     

道德判断中的性别差异研究

通过问卷形式呈现给被试道德两难故事,对491名大学生的道德判断进行了研究,发现：1）人类道德判断存在着结果主义和非结果主义两种不同的倾向;2）在小范围内道德判断可能存在性别差异,但在大多数情况下,男女道德判断是极其相似的;3）男女道德判断的性别差异更大程度上是研究所假设的情境引起的,而不是真正的道德判断差异。     

Sex differences in the adolescent brain

Adolescence is a time of increased divergence between males and females in physical characteristics, behavior, and risk for psychopathology. Here we will review data regarding sex differences in brain structure and function during this period of the lifespan. The most consistent sex difference in brain morphometry is the 9–12% larger brain size that has been reported in males. Individual brain regions that have most consistently been reported as different in males and females include the basal ganglia, hippocampus, and amygdala. Diffusion tensor imaging and magnetization transfer imaging studies have also shown sex differences in white matter development during adolescence. Functional imaging studies have shown different patterns of activation without differences in performance, suggesting male and female brains may use slightly different strategies for achieving similar cognitive abilities. Longitudinal studies have shown sex differences in the trajectory of brain development, with females reaching peak values of brain volumes earlier than males. Although compelling, these sex differences are present as group averages and should not be taken as indicative of relative capacities of males or females.     

Birth Weight and Childhood Psychopathology in the ABCD Cohort: Association is Strongest for Attention Problems and is Moderated by Sex

Research on Child and Adolescent Psychopathology - Many studies have shown low birth weight is associated with psychopathology later in life, particularly attention-deficit/hyperactivity disorder...     

Differences Between and Within Genders in Gender Role Orientation According to Age and Level of Education

This study analyses the masculinity and femininity in a Spanish sample made up of 164 adult workers (88 men and 76 women). To be specific, the objective was to demonstrate whether age and level of education were related to differences in masculinity and femininity, both when comparing between the two genders and when the comparisons are made within the same gender. The results indicated that the two variables predicted differences in women, but not in men. There were only differences between genders in masculinity and femininity between the ages of 20 and 39, and when the level of education is low. The results appear to support Hofstede’s hypothesis that there are fewer differences between genders in gender role orientation in feminine countries.     

Pathways from Birth Weight to ADHD Symptoms through Fluid Reasoning in Youth with or without Intellectual Disability

Although individual differences in fluid reasoning reliably mediate predictions of attention-deficit/hyperactivity disorder (ADHD) symptoms from birth weight in youth with typical cognitive development (TD), it is unknown if this indirect effect operates similarly in the development of ADHD symptoms secondary to intellectual disability (ID). Thus, we evaluated mediation by fluid reasoning in a longitudinal sample of 163 youth (45% female) with (n = 52) or without (n = 111) ID who were followed prospectively from age 5 to age 13. At age 9, youth completed the Arithmetic subtest of the Wechsler Intelligence Scale for Children, a measure of fluid reasoning. At ages 9 and 13, mothers and teachers separately rated youth ADHD symptoms and mothers completed a diagnostic interview. Mediation was tested via path analysis with bootstrapped confidence intervals, and moderated mediation estimated whether indirect effects differed between ID and TD youth or based on youth IQ. Controlling for demographic factors and age 9 ADHD symptoms, age 9 Arithmetic mediated birth weight and multi-method/informant age 13 ADHD symptoms, such that birth weight positively predicted Arithmetic, which negatively predicted ADHD symptoms. Neither ID status nor IQ moderated the observed indirect effect through Arithmetic, suggesting that it was similar for ID and TD youth as well as across the range of youth IQs. These findings support previous evidence that fluid reasoning, as measured by Arithmetic, may causally mediate birth weight and ADHD symptoms, and suggest that this pathway operates similarly with respect to the development of ADHD symptoms in youth with ID.     

Differences in memory functioning between children with attention-deficit/hyperactivity disorder and/or focal epilepsy

Prior research has shown that attention-deficit/hyperactivity disorder (ADHD) and epilepsy are frequently comorbid and that both disorders are associated with various attention and memory problems. Nonetheless, limited research has been conducted comparing the two disorders in one sample to determine unique versus shared deficits. Hence, we investigated differences in working memory (WM) and short-term and delayed recall between children with ADHD, focal epilepsy of mixed foci, comorbid ADHD/epilepsy and controls. Participants were compared on the Core subtests and the Picture Locations subtest of the Children’s Memory Scale (CMS). Results indicated that children with ADHD displayed intact verbal WM and long-term memory (LTM), as well as intact performance on most aspects of short-term memory (STM). They performed worse than controls on Numbers Forward and Picture Locations, suggesting problems with focused attention and simple span for visual-spatial material. Conversely, children with epilepsy displayed poor focused attention and STM regardless of the modality assessed, which affected encoding into LTM. The only loss over time was found for passages (Stories). WM was intact. Children with comorbid ADHD/epilepsy displayed focused attention and STM/LTM problems consistent with both disorders, having the lowest scores across the four groups. Hence, focused attention and visual-spatial span appear to be affected in both disorders, whereas additional STM/encoding problems are specific to epilepsy. Children with comorbid ADHD/epilepsy have deficits consistent with both disorders, with slight additive effects. This study suggests that attention and memory testing should be a regular part of the evaluation of children with epilepsy and ADHD.     

Gender Differences in the Media Interviews of Bill and Hillary Clinton

Does gender make a difference in the way politicians speak and are spoken to in public? This paper examines perspective in three television interviews and two radio interviews with Bill Clinton in June 2004 and in three television interviews and two radio interviews with Hillary Clinton in June 2003 with the same interviewers. Our perspectival approach assumes that each utterance has a dialogically constructed point of view. Earlier research has shown that markers of conceptual orality and literacy as well as referencing (name and pronoun use for self and other reference) do reflect perspective. This paper asks whether perspective is gendered. Our data analysis demonstrates that some markers of perspective show gender differences while others do not. Those that do include the number of syllables spoken by each interlocutor, referencing, the use of the intensifier so, the use of the hedge you know, the use of non-standard pronunciations, turn transitions, and lastly the use of laughter.     

Women, Weight, and Age: Social Comparison to Magazine Images Across the Lifespan

The finding that rates of body dissatisfaction in women remain relatively stable across the adult lifespan may be due to older women having fewer but heavier age-relevant comparisons in the media. To examine this, magazine images that depict women’s full bodies were coded for age, body size, and clothedness. Analyses suggest that overall, older women are not well represented in this medium. In addition, magazines aimed at younger women depict younger and thinner models than do those magazines with a larger percentage of older readers. Moreover, across magazines, younger models are thinner and less clothed than older models. Thus, larger body ideals portrayed in the media, in combination with increased weight with age, may contribute to similarities in body satisfaction over the lifespan. An earlier version of this paper was presented at the annual meeting of the Association for Psychological Science, New York, NY, May 2006.     

Sex Differences in the Psychological Well-Being of Chinese Adolescents

This study assessed sex differences affecting the psychological wellbeing of Chinese adolescents. Various instruments were used to measure psychiatric symptoms and positive mental health. The results showed that female adolescents displayed significantly more psychiatric as well as somatic symptoms and scored lower on scales reflecting positive mental health. The findings are generally consistent with those found in the Western literature, but suggest that, in the Chinese culture, sex differences in mental health begin to appear in adolescents.     

Sex Differences and/in the Self: Classic Themes, Feminist Variations, Postmodern Challenges

This article examines perspectives on and intersections between two recurrent themes in the history of American psychology: sex differences and theories of self. These themes and certain connections between them are considered in three eras: early American psychology, feminist psychology coincident with the second wave of feminism, and the recent postmodern turn in psychology. A contextual analysis of parallels and contrasts among theories of sex differences and of the self in these three eras highlights problems with modernist understandings, especially with essentialist construals of gender and individualistic understandings of self. The article presents relationally defined postmodern views of gender and self, and comments on their promise for the present era of globalization and the consequent increasing attention to interconnections among people.     

肝素、低分子肝素诱导的重症血小板减少2例救治分析

探讨肝素/低分子肝素诱导的重症血小板减少救治经验与规律.对2例分别使用肝素、低分子肝素后出现重症血小板减少患者发病、临床特征、实验室检查等进行分析,进一步提高该类重症病的认识,总结救治经验：严密监测,早期发现,一旦出现重症血小板减少,及时停用肝素和/或低分子肝素,换用非肝素类抗凝药;立即激素（地塞米松30mg/d）冲击治疗2天,重症血小板减少（PLT≤3×109/L）并出血者酌情输注血小板.     

Retrospective Analysis of Gender Differences in Reaction to Media Coverage of Crisis Events: New Insights on the Justice and Care Orientations

We surveyed 2,125 men and 3,735 women (N = 5,860) across the USA to test hypothesized relationships regarding women’s and men’s use of justice and care orientations when they confront crisis events with moral implications. Consistent with previous research, we found that women were more likely than men to adopt a care orientation. Contrary to expectations, however, women also adopted a justice response to a greater degree than did men. We found that, in response to a crisis, women, unlike men, were more likely to believe they would connect with others and take action. Implications for explaining inconsistencies in prior research findings on the justice and care orientations, and for conceptualizing these important constructs in a new way, are discussed.     

Sex and Aggression: The Relationship Between Gender and Abuse Experience in Youngsters Referred to Residential Treatment

We examined the relationship of gender and different forms of abuse experience on internalizing symptoms, externalizing symptoms, and IQ in a sample of 397 youngsters who were admitted to a residential treatment program. Three types of abuse experience were examined in this study: sexual abuse only, physical abuse only, and both sexual and physical abuse. Results indicate that girls exhibited higher levels of internalizing and externalizing symptoms even though abuse experience was accounted for in the analyses. Moreover, youngsters who had experienced sexual abuse (but not physical abuse) exhibited higher levels of internalizing and externalizing symptoms than youngsters who had not been abused. Implications for developing individualized interventions based on gender and abuse experience in residential treatment programs is discussed.