Deficit in Response Inhibition in Children with Attention Deficit/Hyperactivity Disorder (ADHD): Impact of Motivation?

To date, neuropsychological and psycho-physiological studies have revealed inconsistent results regarding an executive or motivational deficit explaining the response inhibition deficit in children with attention deficit/hyperactivity disorder (ADHD). Research on differentiating neuropsychological processes in ADHD subtypes is still scarce. Therefore, the motivational impact on response inhibition among boys with ADHD was examined in this study. In the first study, 19 boys with ADHD-combined type (ADHD-C) and 19 age-matched healthy control subjects performed a modified Go/No-Go task with the following experimental conditions: neutral, auditory feedback, reward, response cost, and reward/response cost. Performance and physiological data (heart rate and skin conductance responses) were recorded. In a second study with the modified Go/No-Go task, data for six children with ADHD-C, six with ADHD-inattentive subtype (ADHD-I), and six healthy control subjects were compared. Neither of the two studies revealed group by condition interactions. In study 1, boys with ADHD-C generally made more commissions and omissions compared to the control group. However, feedback significantly improved the response inhibition in all children. The heart rate of all children was increased in the two conditions of reward and reward/response cost. Study 2 revealed that children with ADHD-I responded more slowly and showed increased reaction time variability compared to both other groups. The present study supports an executive rather than a motivational deficit in the response inhibition among children with ADHD-C, though further results also indicate the role of auditory feedback on response inhibition. Additionally, the findings support the differentiation of ADHD-C and ADHD-I, suggesting that ADHD-I children are characterized by a sluggish cognitive tempo.     

Pre-existing Perceptions of ADHD Predict Children’s Sociometrics Given to Classmates with ADHD

Considerable research documents that even young children possess stigma about mental illness, which may affect how they evaluate peers with mental health conditions. This study examined children’s pre-existing perceptions of Attention Deficit/Hyperactivity Disorder (ADHD) behaviors as predictors of their subsequent sociometric judgments of classmates with ADHD in a 2-week summer day camp. Participants were previously unacquainted children ages 6.8–9.8 years (113 typically-developing and 24 with ADHD; 48.2% boys; 81% White). Children initially more inclined to interact with a hypothetical classmate with ADHD gave fewer “dislike” nominations to real-life classmates with ADHD at camp. Children who initially believed that ADHD symptoms were uncontrollable gave more “dislike” nominations and lower liking ratings to classmates with ADHD when those classmates displayed severe ADHD symptoms. For children who had ADHD, their attribution of uncontrollability for ADHD symptoms predicted fewer “like” nominations and more “dislike” nominations given to classmates with ADHD. Lastly, children who initially reported they would help a hypothetical classmate with ADHD gave higher liking ratings to classmates with ADHD. These results were found after statistical control of the actual level of ADHD behaviors displayed by the classmates with ADHD. In summary, other children’s pre-existing or stigmatizing perceptions of ADHD behaviors may contribute, in part, to the substantial peer rejection typically experienced by ADHD populations. Findings have implications for understanding peer problems in children with this common mental health condition.     

Conners’ continuous performance test (CCPT-II) in children with ADHD,ODD, or a combined ADHD/ODD diagnosis

The current study investigated if results on the Conners’ Continuous Performance Test (CCPT-II) could discriminate between children with ADHD (n = 59), ODD (n = 10), ADHD+ODD (n = 15), and normal controls (n =160), and how the results are associated with and explained by the intellectual function of the child. The sample was derived from the Bergen Child Study (BCS), a longitudinal, ongoing, population-based study of children’s development and mental health. CCPT-II performance did not differentiate between the three diagnostic groups (i.e., ADHD, ODD, and ADHD+ODD). Children with ODD (with or without comorbid ADHD) did not differ from children in the control group on any CCPT-II parameters. Children with ADHD made statistically significant more errors of omissions and showed a more variable response time to targets than the control group. The correlations between CCPT-II measures and IQ were mild to moderate, and there was a statistically significant group difference in IQ: Children with ADHD, and children with ADHD+ODD, obtained lower IQ scores than normal controls. A hierarchical multiple regression analysis showed that IQ, but not diagnostic group status, was significant predictors of CCPT-II performance. CCPT-II performance should be interpreted with caution when assessing ADHD and/or ODD in children.     

Response patterns of young children from two contrasting SES contexts to different numerical tasks with numbers 1–5

This study contributes to a multifaceted picture of young children’s emergent number knowledge by focusing on the variety of ways in which children express and use quantitative information. The authors’ aims are to (a) explore the extent to which quantifying collections 1–5 and using that information pose different levels of difficulty to children from 33 to 47?months old, (b) identify intra- and intertask response patterns, and (c) analyze the influence of socioeconomic status and age on these response patterns. Sixty-six children from two contrasting socioeconomic status groups (very low and middle) were asked to solve tasks with 1–5 elements in the context of a game. Using quantitative information turned out to be more complex than quantification. Intra- and intertask response patterns showed that children gradually come to understand the first five numerical values according to the numerical sequence in a much less strict way than that proposed by the cardinal-knowers model that posits that children progress in an orderly way in their number knowledge. Children in different ages and socioeconomic status groups were found to be more similar to each other when the whole arc of responses provided was considered than when solely correct performance was measured.     

Response to Intervention (RtI) Model: a promising alternative for identifying students with learning disabilities?

Until recently, in the United States, the traditional way to identify students with Specific Learning Disabilities (SLD) was through the discrepancy model where student IQs were compared to their level of achievement. However, educators and researchers alike have questioned this model as a means to define and identify students with SLD. The 2004 reauthorization of the Individuals with Disabilities Education Improvement Act (IDEIA) includes the use of response to intervention (RtI) as possible alternative to the intelligence-achievement discrepancy for identifying SLD. Core components of RtI include high-quality classroom instruction, universal screening, continuous progress monitoring, research-based interventions, and fidelity of instructional interventions. In Spain, the last publication of Ley Orgánica 2/2006, May 3, of Education (LOE) uses the term, Specific Learning Disabilities (SLD), in the chapter on students with specific needs of educational support. Some Autonomous Communities in Spain like the Canary Islands region are regulating SLD identification that adds RtI as an option to use in the eligibility process. Nevertheless, this model it is still at an embryonic stage and many issues are unresolved. While no special issue can cover all of these themes and issues, the contributions included in this monograph examine relevant aspects of this approach. Indeed, this special section is an attempt to introduce in Spain an approach that could be an alternative for identifying and intervening with students who have learning disabilities.     

Correction to urošević et Al. (2012)

Reports an error in "Longitudinal Changes in Behavioral Approach System Sensitivity and Brain Structures Involved in Reward Processing During Adolescence" by Sne?ana Uro?evi?, Paul Collins, Ryan Muetzel, Kelvin Lim and Monica Luciana (Developmental Psychology, Advanced Online Publication, Mar 5, 2012, np). Figure 2 was distorted in production. The correct version is presented in the erratum. (The following abstract of the original article appeared in record 2012-05404-001.) Adolescence is a period of radical normative changes and increased risk for substance use, mood disorders, and physical injury. Researchers have proposed that increases in reward sensitivity (i.e., sensitivity of the behavioral approach system [BAS]) and/or increases in reactivity to all emotional stimuli (i.e., reward and threat sensitivities) lead to these phenomena. The present study is the first longitudinal investigation of changes in reward (i.e., BAS) sensitivity in 9- to 23-year-olds across a 2-year follow-up. Support was found for increased reward sensitivity from early to late adolescence, and evidence was found for decline in the early 20s. This decline is combined with a decrease in left nucleus accumbens (Nacc) volume, a key structure for reward processing, from the late teens into the early 20s. Furthermore, we found longitudinal increases in sensitivity to reward to be predicted by individual differences in the Nacc and medial orbitofrontal cortex (OFC) volumes at baseline in this developmental sample. Similarly, increases in sensitivity to threat (i.e., behavioral inhibition system sensitivity) were qualified by sex, with only females participants experiencing this increase, and predicted by individual differences in lateral OFC volumes at baseline. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Are sensation seeking and emotion processing related to or distinct from cognitive control in children with ADHD?

This study evaluated the relationship of (a) reactive inhibition and right-lateralized emotion processing to each other and (b) to executive control of response suppression, and (c) with regard to ADHD in 134 children ages 7-12 years. Reactive inhibition was indexed by child ratings of sensation seeking on the Sensation Seeking Scales, executive control by the Stop Signal Task, emotion processing by performance on the Chimeric Faces Test, and ADHD by parent- and teacher-reported symptoms. The results were consistent with a two-process model in which executive control, conceived as a right-hemisphere lateralized function, was distinct from sensation seeking and lateralized emotion processing. Supporting this distinction, ADHD was associated with executive control, but not with sensation seeking/reactive inhibition or lateralized emotion processing. The findings suggest that ADHD cannot be understood as a global right-lateralized neuropsychological weakness, but rather that it involves only particular functions that may be right lateralized. Findings further suggest that risk for comorbid disorders in ADHD (e.g., conduct disorder or mood disorders) may increase as a function of independent factors such as temperament. Mechanisms underlying executive inhibition and emotional processing could be functionally independent yet interact to multiply psychopathological risk in some children (leading, for example, to comorbid disorders).     

Using self-monitoring to increase on-task behaviors of students with attention deficit hyperactivity disorders (ADHD) in inclusive classrooms in Turkey (Türkiye)

Self-monitoring interventions have been found to be effective in improving the on-task behaviors of students with a wide range of disabilities. However, there are ongoing limitations in the literature, including the (a) lack of planning in generalization and maintenance, (b) interventions are predominantly conducted in segregated settings, and (c) inadequate number of data points collected in each condition. In the current study, self-monitoring was used to improve the on-task behavior of three elementary school students with ADHD in inclusive classrooms in Turkey. A concurrent multiple-baseline across-participants design was used. Generalization and maintenance were programmed via sequential modification, partial withdrawal, and continuous data collection. Additionally, classroom teachers rated the students' overall classroom behaviors in each data collection session. Based on the visual and the effect size analyses (i.e., performance criteria-based effect size [PCES]), the intervention was effective in improving the students' on-task behaviors. The self-monitoring intervention had 1.18 (high effect), 1.06 (effective) in generalization, and 1.14 (effective) in the first maintenance set and 1.03 (effective) in the second maintenance data set. The teacher ratings aligned with the increased on-task behaviors of the students. Implications for practice are discussed.     

Commentary: Response to Reviews of “Cultural Psychotherapy: Working with Culture in the Clinical Encounter”

Pastoral Psychology -     

The Positive Illusory Bias: Do Inflated Self-Perceptions in Children with ADHD Generalize to Perceptions of Others?

This study examined whether children with symptoms of attention-deficit/hyperactivity disorder (ADHD) demonstrate positive illusory perceptions of their own competence and others' competence. Participants (67 children with ADHD symptoms; 40 non-ADHD children) completed the Self-Perception Profile for Children and rated actors' competence in videos clips where inconsistent cues of performance had to be integrated in order to determine the actor's competence. Teachers completed the Teacher Rating Scale of Child's Actual Behavior. Children with ADHD symptoms overestimated their own competence relative to teachers' estimates in all domains significantly more than non-ADHD children. There were no significant group differences in perceptions of others' competence. Findings suggest that positive illusions are exclusive to perceptions of self and do not extend to perceptions of others.     

Australian speech-language pathologists’ experiences and perceptions of working with children who stutter: A qualitative study

PurposeEffective early intervention is recommended to ameliorate the potential long term negative effects of stuttering. Efficacious treatments are available, but speech-language pathologists (SLPs) report finding implementation to be challenging due to a range of clinician, client and clinical context factors. Previous survey-based research has found that SLPs lack self-efficacy working with CWS, however the reasons contributing to this are not well understood. This study presents the first in-depth analysis of the current practices and perceptions of SLPs working with children who stutter (CWS).MethodsIn this qualitative study 18 Australian SLPs who provide services to CWS were interviewed using a semi-structured interview approach. Data were analysed using reflexive thematic analysis.ResultsThe thematic analysis identified four themes: (1) A stronger sense of self-efficacy is needed in stuttering management compared to other areas of clinical practice; 2) SLPs’ sense of self-efficacy in stuttering management is influenced by early career experiences, client factors and the practice context; 3) Professional development and collaboration strengthen self-efficacy; and 4) Parental involvement and engagement are crucial to treatment success.ConclusionSLP self-efficacy for working with CWS appears a critical factor in the provision of effective management for this population. This study provides an in-depth analysis of the role of SLP self-efficacy and the factors that influence it.     

Is One Dimension Enough? A Response to Simonton's Varieties of (Scientific) Creativity (2009)

ABSTRACT— We admire Simonton's valiant attempt to bring all of creativity under a single dimension. We offer a view that is sometimes complementary and sometimes distinct from Simonton's model: Our own multidimensional amusement park theoretical model, which tries to integrate domain-specific and domain-general points of view. We eagerly await future research on Simonton's model and are curious of how his hard–soft dimension can be included into the creativity pantheon.     

Forensic interviews with preschool children: An analysis of extended interviews in Norway (2015–2017)

This study examined the quality of forensic interviews conducted by specially trained police officers in the Norwegian Barnahus between 2015 and 2017, using the sequential interview (SI) model, a Norwegian version of the extended interview model that has not previously been studied. Two hundred and seven interviews of alleged abused preschool children (3–7 years old) were selected from around the country. Developmental trends in interview dynamics and the pattern of disclosure were analyzed. Analyses showed that the interviews were long but involved few open-ended and many suggestive questions, especially in interviews with the youngest children who did not disclose. Because similar findings were obtained in previous studies of Norwegian interviews not using this model, the findings suggest that the SI interview model does little to improve the formal quality of forensic interviews with very young children, and show the need to develop new forms of interviewer training which are more intensive than those currently employed.     

Response to ‘Somatic Intentionality Bifurcated: A Sellarisan Response to Sachs’s Merleau-Pontyan Account of Intentionality’

ABSTRACT

This article advances a new analysis of stupidity as a distinctive form of cognitive failing. Section 1 outlines some problems in explicating this notion and suggests some desiderata. Section 2 sketches an existing model of stupidity, found in Kant and Flaubert, which serves as a foil for my own view. In Section 3, I introduce my theory: I analyse stupidity as form of conceptual self-hampering, characterised by a specific aetiology and with a range of deleterious effects. In Section 4, I show how this proposal meets the desiderata and I clarify how it diverges from existing accounts. My position is close to a ‘public health approach’, in contrast to the virtue/vice framework employed by Engel or Mulligan.