Risk for Injury in Preschoolers: Relationship to Attention Deficit Hyperactivity Disorder

Parental ratings of preschoolers’ risk for injury, direct assessment of preschoolers’ behavior thought related to risk for injury (e.g., Inattention, impulsivity) and number of documented injuries were examined in preschoolers with Attention Deficit Hyperactivity Disorder (ADHD) and their non-ADHD peers (Control). Of preschoolers with ADHD, 58.3% exhibited behavior which placed them at-risk for physical injury (0% Control), and their performance was significantly poorer on clinic-based tests. Nonetheless, preschoolers with ADHD did not actually sustain significantly more injuries which warranted medical treatment in an emergency department. Although preschoolers with ADHD may be at increased risk for minor injuries, further research is needed to determine whether they more frequently sustain more serious injuries.     

The Effects of Continuous and Intermittent Distractors on Cognitive Performance and Attention in Preschoolers

We investigated the effects of different amounts of distraction on preschoolers’ task performance and attention. Children 3.5 and 4 years of age completed problem-solving tasks in one of three conditions: no distraction, intermittent (periodic) distraction, or continuous distraction. The results revealed differential effects of the distractors at the different ages. The younger group was susceptible to any kind of distraction; task performance and attention were equally impaired during both distraction conditions. The older group was less susceptible to external distraction, with task performance and attention most impaired in the continuous distraction condition. The results are discussed in terms of the relevance of the amount of competition for attentional focus present in distractors and the development of executive functions in early childhood.     

Parenting Intervention to Reduce Attention and Behavior Difficulties in Preschoolers: A CUIDAR Evaluation Study

In this study, we evaluated CUIDAR, a program that provides community-based 10-week parent training to reduce attention and behavior problems in preschool children. We recruited 154 predominantly low-income and Latino preschoolers and their parents to participate in this evaluation study. We collected data prior to and immediately following intervention and one year later. At the time of follow-up, we also recruited 15 parents who had initially enrolled, but never participated in the program to serve as a comparison group for a limited set of analyses. From pre to post intervention, we observed significant, positive changes in eight out of ten measured parenting behaviors. From pre intervention to follow-up, improvements in the use of transitional statements and planning ahead were significant. Children’s SDQ Total Difficulties scores significantly decreased from pre to post intervention (d = .36), and we observed significant, positive changes in all SDQ subscales. From pre intervention to follow-up, children’s SDQ Total Difficulties scores significantly decreased (d = .71) and all SDQ subscales reflected significant, positive changes. We observed no significant differences in reported barriers to participation between parents who participated in the program and those who enrolled, but never participated. Intervention gains were moderated by several factors, including history of out-of-home care and family structure. Our results should be interpreted cautiously because not all analyses included a comparison group, and a randomized trial of CUIDAR effectiveness is still needed.     

Longitudinal validity of the Miller Assessment for Preschoolers: study II

The classificational accuracy of the Miller Assessment for Preschoolers was examined in relation to intelligence and achievement measures assessed four years later. Specifically, the test's predictive validity was evaluated using the recommended 5% (Refer) and 25% cut-offs (Watch). The results' implications for decision strategies in research on validity for preschool screening instruments are discussed.     

Assessment of Attention in Children with Attention Deficit Hyperactivity Problems in Primary Care Settings

Clinical child psychologists in primary care settings are often asked to evaluate children with suspected attention and learning problems. This paper will review some of the methods and assessments available to child psychologists to enable them to perform this task. Some problems with current practice will be described and some of the newer techniques will be introduced. A research-based understanding of areas of chronic impairment of children with Attention Deficit Hyperactivity Disorder (ADHD) will be discussed, and a new approach to the assessment of both executive functions and attention will be explored. This paper will primarily explore assessment in the primary care setting.     

Attention network test: Assessment of cognitive function in chronic fatigue syndrome

Information processing difficulties are common in patients with chronic fatigue syndrome (CFS). It has been shown that the time it takes to process a complex cognitive task, rather than error rate, may be the critical variable underlying CFS patients' cognitive complaints. The Attention Network Task (ANT) developed by Fan and colleagues may be of clinical utility to assess cognitive function in CFS, because it allows for simultaneous assessment of mental response speed, also called information processing speed, and error rate under three conditions challenging the attention system. Comparison of data from two groups of CFS patients (those with and without comorbid major depressive disorder; n = 19 and 22, respectively) to controls (n = 29) consistently showed that error rates did not differ among groups across conditions, but speed of information processing did. Processing time was prolonged in both CFS groups and most significantly affected in response to the most complex task conditions. For simpler tasks, processing time was only prolonged in CFS participants with depression. The data suggest that the ANT may be a task that could be used clinically to assess information processing deficits in individuals with CFS.     

Attention After Pediatric Traumatic Brain Injury: A Multidimensional Assessment

Attentional disturbance is a common complaint after TBI in children and adolescents, however, few studies have assessed post-traumatic attentional functions. The attentional constructs proposed by Mirsky, Anthony, Duncan, Ahearn, and Kellam (1991) provided a multidimensional framework for prospective assessment of late attentional disturbance after mild-moderate (n = 34) and severe (n = 57) traumatic brain injury (TBI). Attention was evaluated from 5 to 8 years after TBI in children ages 0 to 15 years at the time of injury. Children with severe TBI performed more poorly than children with mild-moderate TBI on tests comprising the focus/execute and shift constructs. Younger children scored below older children irrespective of injury severity on the Digit Span subtest and interstimulus interval scores from an adaptive rate continuous performance test reflecting the encode and sustain constructs of Mirsky et al. (1991). Age × Severity interaction effects were found for speeded perceptual-motor tests; scores were reduced following mild-moderate and severe TBI in younger children and following severe TBI in older patients. Results are discussed in terms of the vulnerability of skills in a rapid stage of development to disruption by acquired brain injury.     

Preschoolers search for hidden objects

The issue of whether young children use spatio-temporal information (e.g., movement of objects through time and space) and/or contact-mechanical information (e.g., interaction between objects) to search for a hidden object was investigated. To determine whether one cue can have priority over the other, a dynamic event that put these cues into conflict was created, with only spatio-temporal information being valid. The 3-year-olds used in the study were found to use the valid spatio-temporal cue exclusively and seemed to ignore the contact-mechanical cue. Both search behavior and eye tracking during the event support the view of a sophisticated sensitivity to the validity of a cue in indicating a target’s hidden location.     

The Assessment and Diagnosis of Attention Deficit Hyperactivity Disorder in Adult Forensic Psychiatric Outpatients

The primary purpose of the present study was to examine the validity of commonly utilized ADHD rating scales within an adult forensic population. Participants were 120 patients assessed for dysfunctional anger and impulsive aggression at a hospital-based clinic. Two psychiatrists made independent diagnoses about the presence or absence of ADHD among individuals presenting with symptoms consistent with this disorder. Following the diagnoses, participants were assessed with multiple ADHD measures, including measures based on self-report, observer-report, or a computerized neuropsychological measure (IVA + Plus). With the exception of the IVA + Plus, the ADHD measures significantly differentiated individuals diagnosed with ADHD from individuals who were not so diagnosed. These measures also demonstrated good diagnostic utility via test specific parameters (sensitivity, specificity, positive predictive power, and negative predictive power). A sub-set of measures demonstrated particularly good classification accuracy, with high sensitivity (91 %) and good specificity (81 %). Implications of these findings for the effective assessment and diagnosis of ADHD in adult outpatient psychiatric settings are discussed.     

学前儿童性别恒常性的发展

采用改进的访谈方法,考察了3、4、5、6岁儿童的性别恒常性的发展。结果表明：3、4岁儿童已获得性别认同的能力,4、5岁儿童逐步获得性别稳定性的能力,5、6岁是性别一致性发展的快速期,大多数的6岁被试儿童已获得性别恒常性。研究还发现,在提示条件下,各年龄获得性别恒常性的被试人数大大增加;儿童对自己的性别恒常性的认知发展早于对他人,但这一差异仅表现在3岁儿童身上     

Quantitative EEG Assessment During Neuropsychological Task Performance in Adults with Attention Deficit Hyperactivity Disorder

This study evaluated the neuropsychological performance of adults with and without Attention Deficit Hyperactivity Disorder (ADHD) during the Paced Auditory Serial Addition Test (PASAT), Wisconsin Card Sorting Test: Computerized Version 3 (WCST), and the Integrated Visual and Auditory Continuous Performance Test (IVA). Quantitative electroencephalographic (QEEG) data were also collected during task performance to examine differences in cortical activity between groups and tasks. Results suggest that adults with ADHD demonstrated lower levels of performance on the PASAT and IVA, tasks that involve working memory and processing speed, and sustained attention, respectively. Adults with ADHD also had more upper alpha activity during the IVA. Lastly, for the ADHD group, an increased theta/beta ratio during the IVA was significantly related to poorer attentional performance. The current results support reinforcing specific types of cortical activity though EEG operant conditioning (neurofeedback) as a treatment option in adults with ADHD. This paper is based largely in part on a dissertation by J. Noland White in partial fulfillment of the requirements of his doctoral program at The University of Tennessee. Portions of this study have been presented in summary form at several professional conferences.     

Sex-Role Differentiation in Preschoolers: Effects of Maternal Employment

The purpose of the present study was to determine whether maternal employment affects sex-role differentiation in preschoolers, and whether this relationship varies as a function of the sex of the child, father's presence or absence, and/or the sex of the child's siblings (N = 398 boys and girls, mean age 51.2 months). The dependent measure consisted of a maximally reliable composite z score derived from five tests (Draw-A-Person, Occupational Preference, Nadleman Recall, Toy Preference, It Scale for Children). The fact of the mother working and the social status of her occupation were unrelated to sex-role differentiation, regardless of whether the child was a girl or a boy; had brothers, sisters, both, or was an only child; or came from an intact or nonintact family. However, the main effect for sex and the sex of child × sex of sibling interaction were significant.     

Preschoolers monitor the relative accuracy of informants

In 2 studies, the sensitivity of 3- and 4-year-olds to the previous accuracy of informants was assessed. Children viewed films in which 2 informants labeled familiar objects with differential accuracy (across the 2 experiments, children were exposed to the following rates of accuracy by the more and less accurate informants, respectively: 100% vs. 0%, 100% vs. 25%, 75% vs. 0%, and 75% vs. 25%). Next, children watched films in which the same 2 informants provided conflicting novel labels for unfamiliar objects. Children were asked to indicate which of the 2 labels was associated with each object. Three-year-olds trusted the more accurate informant only in conditions in which 1 of the 2 informants had been 100% accurate, whereas 4-year-olds trusted the more accurate informant in all conditions tested. These results suggest that 3-year-olds mistrust informants who make a single error, whereas 4-year-olds track the relative frequency of errors when deciding whom to trust.     

Characteristics of Preschoolers with Lower Perceived Competence

The goal of the present study was to identify preschool children with "age-inappropriate" less positive self-perceptions, and to explore their parental and peer relationships as compared to their classmates with "age normal" self-perceptions. Participants were n = 127 preschool children (Mage = 54.98 mos., SD = 8.21). Data were collected from multiple sources including parental ratings, child self-reports, and teacher ratings. Results indicated that as compared to their peers, children with less positive self-perceptions demonstrated more internalizing problems (i.e., loneliness, social-withdrawal), were more excluded by peers, and had mothers with less positive parenting styles. Results are discussed in terms of the implications of poorer self-perceptions in early childhood.