Estimating Cognitive Profiles Using Profile Analysis via Multidimensional Scaling (PAMS)

Two of the most popular methods of profile analysis, cluster analysis and modal profile analysis, have limitations. First, neither technique is adequate when the sample size is large. Second, neither method will necessarily provide profile information in terms of both level and pattern. A new method of profile analysis, called Profile Analysis via Multidimensional Scaling (PAMS; Davison, 1996), is introduced to meet the challenge. PAMS extends the use of simple multidimensional scaling methods to identify latent profiles in a multi-test battery. Application of PAMS to profile analysis is described. The PAMS model is then used to identify latent profiles from a subgroup (N = 357) within the sample of the Woodcock-Johnson Psychoeducational Battery-Revised (WJ-R; McGrew, Werder, & Woodcock, 1991; Woodcock & Johnson, 1989), followed by a discussion of procedures for interpreting participants' observed score profiles from the latent PAMS profiles. Finally, advantages and limitations of the PAMS technique are discussed.     

Confirmatory Factor Analysis and Profile Analysis via Multidimensional Scaling

This paper describes the Confirmatory Factor Analysis (CFA) parameterization of the Profile Analysis via Multidimensional Scaling (PAMS) model to demonstrate validation of profile pattern hypotheses derived from multidimensional scaling (MDS). Profile Analysis via Multidimensional Scaling (PAMS) is an exploratory method for identifying major profiles in a multi-subtest test battery. Major profile patterns are represented as dimensions extracted from a MDS analysis. PAMS represents an individual observed score as a linear combination of dimensions where the dimensions are the most typical profile patterns present in a population. While the PAMS approach was initially developed for exploratory purposes, its results can later be confirmed in a different sample by CFA. Since CFA is often used to verify results from an exploratory factor analysis, the present paper makes the connection between a factor model and the PAMS model, and then illustrates CFA with a simulated example (that was generated by the PAMS model) and at the same time with a real example. The real example demonstrates confirmation of PAMS exploratory results by using a different sample. Fit indexes can be used to indicate whether the CFA reparameterization as a confirmatory approach works for the PAMS exploratory results.     

Investigating the Relationship Between Attention and Working Memory in Clinical and Community Samples

The first aim of the present study was to investigate whether differences in core deficits in ADHD subtypes lead to dissociable working memory profiles. The second aim was to compare the working memory profiles of inattentive students with those identified as having poor working memory, as they exhibit very similar behavioral profiles. Finally, the relationship between working memory and academic attainment in these groups were also of interest. Four groups of 9-year-olds were recruited: a community sample of children with inattentive symptoms, a clinically diagnosed group of children with ADHD-Combined, children with low working memory, and a healthy comparison group. They were assessed on measures of working memory, IQ, academic attainment, and sustained attention. The findings indicated that the combined and inattentive subtypes could not be distinguished on the basis of their working memory profile. In contrast, those with inattentive symptoms did better on the short-term memory tasks than the low working memory group. The majority of all three atypical groups performed very poorly in reading and math. This pattern can be interpreted as reflecting the link between working memory and academic attainment, even in those with attention problems.     

Plasticity for recovery, plasticity for development: cognitive outcome in twins discordant for mid-childhood ischemic stroke.

Cognitive and language profiles in a set of likely monozygotic 13-year-old twins raised together and discordant for an extensive left hemisphere stroke are described 6 years post-stroke. Recovery differed across four skill profiles, created based on a model of plasticity. Full recovery of lost skills and full or partial development of new skills typically involved either semantic memory or right hemisphere lateralized functions such as visual perception skills. Limited development of new skills and full or partial recovery of lost skills took place in either active verbal memory or oral language skills that are left hemisphere lateralized. Language skills concerned with real-time lexical retrieval, or the use and understanding of morphology and grammar, phonological processing skills, and auditory working memory were least likely to recover and continue to develop.     

Developmental differences in prefrontal activation during working memory maintenance and manipulation for different memory loads

The ability to keep information active in working memory is one of the cornerstones of cognitive development. Prior studies have demonstrated that regions which are important for working memory performance in adults, such as dorsolateral prefrontal cortex (DLPFC), ventrolateral prefrontal cortex (VLPFC), and superior parietal cortex, become increasingly engaged across school-aged development. The primary goal of the present functional MRI study was to investigate the involvement of these regions in the development of working memory manipulation relative to maintenance functions under different loads. We measured activation in DLPFC, VLPFC, and superior parietal cortex during the delay period of a verbal working memory task in 11-13-year-old children and young adults. We found evidence for age-related behavioral improvements in working memory and functional changes within DLPFC and VLPFC activation patterns. Although activation profiles of DLPFC and VLPFC were similar, group differences were most pronounced for right DLPFC. Consistent with prior studies, right DLPFC showed an interaction between age and condition (i.e. manipulation versus maintenance), specifically at the lower loads. This interaction was characterized by increased activation for manipulation relative to maintenance trials in adults compared to children. In contrast, we did not observe a significant age-dependent load sensitivity. These results suggest that age-related differences in the right DLPFC are specific to working memory manipulation and are not related to task difficulty and/or differences in short-term memory capacity.     

Parenting and the dysregulation profile predict executive functioning in children with acquired brain injury

Background: Children with acquired brain injury (ABI) present with high rates of psychological disorders commonly accompanied by deficits in hot and cold executive functions (EFs). Impairments in EFs have been reported to precede mental health problems. Moreover, children who are vulnerable to developing mental health problems in adulthood frequently present with a dysregulation profile in childhood, characterized by impairments in cognitive, behavioral and emotional regulation. Objective: To identify profiles of behaviors associated with impairment in hot and cold EFs and compare injury factors, environmental stressors and dysregulation profile between them. Methods: A latent profile analysis was conducted with 77 children with ABI aged between 6 and 12. Injury factors, child IQ, environmental stressors and the dysregulation profile were compared between these behavioral profiles. Logistic regressions were conducted to predict profile membership. Results: Two profiles were identified: Profile M, with mild deficits (1–2 SD above the mean) in working memory and social skills, and profile C, presenting clinically significant deficits (2–3 SD above the mean) in shift, initiate, working memory, planning and social skills and mild deficits in inhibit, emotional control and task monitor. Proximal environmental stressors (dysfunctional parenting practices, parental stress, parent’s executive dysfunction, anxiety-trait, and depressive symptoms) and dysregulation symptoms predicted profile membership, whereas injury factors, child IQ and distal environmental stressors did not. Conclusion: Following ABI, children with profile C are at risk of mental health problems and present with more proximal stressors. The dysregulation profile may be useful as a proxy for risk for later mental health problems in children with ABI.     

Oral language deficits in dyslexic children: weaknesses in working memory and verbal planning

This paper focuses on the relationships among language processing (word- and sentence-level), working memory, and verbal/nonverbal linguistic output. The study examined oral language abilities in a group of 26 French-speaking dyslexic children, compared to two control groups (26 normally developing age-matched children and 26 normally developing younger children). The experimental procedure consisted of tasks involving auditory memory skills (digit span, unfamiliar word repetition, sentence repetition), word retrieval (with semantic, phonological and grammatical criteria), and sentence processing (with verbal and act-out production). The major findings reveal that (a) compared with their age-mates, the dyslexic children exhibited a significant deficit affecting all tasks; and (b) the dyslexic children and the younger controls performed similarly on several tasks. The results are consistent with the processing limitation hypothesis and suggest that the core deficit is the formulation of cognitive plans from auditory input to verbal output.     

Working memory, psychiatric symptoms, and academic performance at school

Previous studies of the relationship among working memory function, academic performance, and behavior in children have focused mainly on clinical populations. In the present study, the associations of the performance in audio- and visuospatial working memory tasks to teacher reported academic achievement and psychiatric symptoms were evaluated in a sample of fifty-five 6-13-year-old school children. Working memory function was measured by visual and auditory n-back tasks. Information on incorrect responses, reaction times, and multiple and missed responses were collected during the tasks. The children's academic performance and behavioral and emotional status were evaluated by the Teacher Report Form. The results showed that good spatial working memory performance was associated with academic success at school. Children with low working memory performance, especially audiospatial memory, were reported to have more academic and attentional/behavioral difficulties at school than children with good working memory performance. An increased number of multiple and missed responses in the auditory and visual tasks was associated with teacher reported attentional/behavioral problems and in visual tasks with teacher reported anxiety/depressive symptoms. The results suggest that working memory deficits may underlie some learning difficulties and behavioral problems related to impulsivity, difficulties in concentration, and hyperactivity. On the other hand, it is possible that anxiety/depressive symptoms affect working memory function, as well as the ability to concentrate, leading to a lower level of academic performance at school.     

Auditory and visual differences in time perception? An investigation from a developmental perspective with neuropsychological tests

Adults and children (5- and 8-year-olds) performed a temporal bisection task with either auditory or visual signals and either a short (0.5-1.0s) or long (4.0-8.0s) duration range. Their working memory and attentional capacities were assessed by a series of neuropsychological tests administered in both the auditory and visual modalities. Results showed an age-related improvement in the ability to discriminate time regardless of the sensory modality and duration. However, this improvement was seen to occur more quickly for auditory signals than for visual signals and for short durations rather than for long durations. The younger children exhibited the poorest ability to discriminate time for long durations presented in the visual modality. Statistical analyses of the neuropsychological scores revealed that an increase in working memory and attentional capacities in the visuospatial modality was the best predictor of age-related changes in temporal bisection performance for both visual and auditory stimuli. In addition, the poorer time sensitivity for visual stimuli than for auditory stimuli, especially in the younger children, was explained by the fact that the temporal processing of visual stimuli requires more executive attention than that of auditory stimuli.     

GUEST EDITORIAL MBR: RETROSPECT AND PROSPECT

It was hypothesized that paired-comparison judgments of multiple-cue profiles would be a joint function of instruction set,- cue-inconsistency, and individual differences. Thirty-one subjects judged all possible pairs of 22 profiles containing eight cues in an own-control, counterbalanced design. A comparison of instructions providing no attribute for judging similarity with those which did provide an attribute revealed systematic differences with respect to both the number and kind of perceived profile dimensions. However, within each instruction set individual differences emerged with respect to the perceived profile dimensionality which would have been obscured with a group-averaging multidimensional scaling procedure. Further, more individual difference variability was present in the instructional set providing no attribute for judgment. Finally, many subgroups of response-homogeneous judges were found to base their judgments of profile similarity on discrepant cues whereas others did not. The possibility was raised that resolution of inconsistent cues may involve either weighting of one or the other of the cues or utilizing an entirely new cue for judgment.     

A Latent Profile Analysis of Co-occurring Youth Posttraumatic Stress and Conduct Problems Following Community Trauma

Although most research with youth exposed to violent manmade disasters has focused on internalizing problems, recent work suggests conduct problems (CPs) may also manifest in exposed youth. However, the extent to which youth postevent CPs present independently, versus co-present in conjunction with PTSD symptoms, remains unclear. The present study examined PTS and CP symptom profiles among affected Boston-area youth following the 2013 Boston Marathon bombing. This study used latent profile analysis to identify distinct PTS and CP symptom profiles among Boston-area youth ages 4–19 years (N?=?344) affected by the Boston Marathon bombing events. PTS and CPs were measured using the UCLA-PTSD-RI and the SDQ parent reports, respectively. Analyses identified 3 distinct profiles: presentations characterized by (a) low PTS, low CPs, (b) moderate PTS, low CPs, and (c) high PTS, elevated CPs. The profile characterized by the highest PTS was the only profile with elevated CPs; hyperarousal and emotional numbing/avoidance symptoms showed the greatest distinguishing properties among profiles with and without elevated CP. Types of traumatic exposure experienced by youth were differentially associated with profiles. Specifically, direct (but not relational) exposure distinguished youth classified in the profile showing elevated CPs. Findings suggest interventions following violent manmade disasters may do well to incorporate CP modules when working with youth showing the greatest hyperarousal and emotional numbing, and/or who have directly witnessed the most violence.     

The foreperiod effect revisited

This paper explores four factors which could be important in accounting for the discrepant results which have previously been obtained with respect to the effect of foreperiod duration on reaction time (RT). In some studies a clear effect of foreperiod duration on auditory RT has been found, in contrast to a recent finding that foreperiod duration affected visual RT but not auditory RT. By means of two experiments, the effects of practice, time-on-task, reaction task (a-reaction versus selective reaction) and signal intensity were studied. The latter variable appears to be the principal determinant of the discrepant results in that there is an interaction between signal intensity, foreperiod duration and modality. The results fit the hypothesis that signals beyond a given intensity exert an immediate arousing effect which counteracts the foreperiod effect.     

Tactile Short-term Memory Revisited

In spite of a large body of empirical research demonstrating the importance of multisensory integration in cognition, there is still little research about multimodal encoding and maintenance effects in working memory. In this study we investigated multimodal encoding in working memory by means of an immediate serial recall task with different modality and format conditions. In a first non-verbal condition participants were presented with sequences of non-verbal inputs representing familiar (concrete) objects, either in visual, auditory or audio-visual formats. In a second verbal condition participants were presented with written, spoken, or bimodally presented words denoting the same objects represented by pictures or sounds in the non-verbal condition. The effects of articulatory suppression were assessed in both conditions. We found a bimodal superiority effect on memory span with non-verbal material, and a larger span with auditory (or bimodal) versus visual presentation with verbal material, with a significant effect of articulatory suppression in the two conditions.     

3岁幼儿抑制和工作记忆的可分离性研究

尽管成年期个体的执行功能结构被认为是可分离的,然而,学龄前儿童的抑制和工作记忆的可否分离还存在争议。本文使用验证性因子分析研究181名三岁儿童执行功能的主要成分抑制和工作记忆的可分离性。抑制测查采用包礼物任务、糖果延迟任务和昼夜Stroop任务,工作记忆测查采用找贴画任务、Beads任务和数点数任务。通过探索性和验证性因素分析显示:3岁幼儿的测验任务数据更为拟合抑制和工作记忆两因素结构模型, 这说明三岁幼儿的抑制和工作记忆是独立发挥作用的,抑制和工作记忆功能早在学龄前期就已分离, 并且通过测量恒等性检验发现无性别差异。     

Phonological sensitivity and memory in children with a foreign language learning difficulty

The phonological processing and memory skills of 12- and 13-year-old Italian children with difficulty in learning English as a foreign language (foreign language learning difficulty, FLLD) were examined and compared with those of a control group matched for age and nonverbal intelligence. Three experiments were conducted. A dissociation between verbal and visuo-spatial working memory was observed when compared to the control group; children with FLLD showed a poorer performance in a phonological working memory task but performed to a comparable level in a visuo-spatial working memory task (Experiment 1). In Experiment 2 the word length and the response modality of an auditory word span task were manipulated in order to examine the efficiency of the phonological loop and the relevance of the spoken output. The FLLD group did not show sensitivity to the word length effect and showed no advantage in the picture pointing recall condition. In Experiment 3 children with FLLD were shown to be sensitive to phonological similarity but again they showed neither a word length effect nor a slower articulation speed. Furthermore, in all three experiments children with FLLD were shown to be less efficient in phonological sensitivity tasks and this deficit appeared to be independent of the phonological memory problem. All three experiments consistently showed that children with FLLD have an impairment in phonological memory and phonological processing, which appear to be independent from one other but both contribute to the children's difficulty in learning a second language.     

A comparison of working memory profiles in children with ADHD and DCD

The main objective of present study was to investigate whether the patterns of working memory performance differ as a function of attention and motor difficulties, and whether children with ADHD and DCD could be reliably discriminated on the basis of their memory deficits. A related aim was to investigate the link between their working memory profiles and academic attainment. Fifty children with ADHD-Combined, 55 children with DCD, and an age-matched group of 50 typically developing children with average working memory were assessed on standardized measures of working memory, IQ, and academic attainment (reading, spelling, comprehension, and math). The normal controls performed significantly better than both clinical groups on all working memory tests. Specific patterns emerged in the memory profile of the clinical groups: The children with DCD had a depressed performance in all working memory tests, with particularly low scores in visuospatial memory tasks; children with ADHD performed within age-expected levels in short-term memory but had a pervasive working memory deficit that impacted both verbal and visuospatial domains. The clinical groups could reliably be discriminated on the basis of their short-term memory scores. Their learning profiles were similar. It is possible that the working memory profiles of the children with ADHD and DCD are influenced by distinct underlying cognitive mechanisms, rather than a general neurodevelopmental delay. Despite these distinctive patterns of memory performance, both clinical groups performed similarly on academic attainments, suggesting that memory may underlie learning difficulties, independent of related clinical disorders.     

Phonological sensitivity and memory in children with a foreign language learning difficulty

The phonological processing and memory skills of 12- and 13-year-old Italian children with difficulty in learning English as a foreign language (foreign language learning difficulty, FLLD) were examined and compared with those of a control group matched for age and nonverbal intelligence. Three experiments were conducted. A dissociation between verbal and visuo-spatial working memory was observed when compared to the control group; children with FLLD showed a poorer performance in a phonological working memory task but performed to a comparable level in a visuo-spatial working memory task (Experiment 1). In Experiment 2 the word length and the response modality of an auditory word span task were manipulated in order to examine the efficiency of the phonological loop and the relevance of the spoken output. The FLLD group did not show sensitivity to the word length effect and showed no advantage in the picture pointing recall condition. In Experiment 3 children with FLLD were shown to be sensitive to phonological similarity but again they showed neither a word length effect nor a slower articulation speed. Furthermore, in all three experiments children with FLLD were shown to be less efficient in phonological sensitivity tasks and this deficit appeared to be independent of the phonological memory problem. All three experiments consistently showed that children with FLLD have an impairment in phonological memory and phonological processing, which appear to be independent from one other but both contribute to the children's difficulty in learning a second language.     

The unique contributions of the facilitation of procedural memory and working memory to individual differences in intelligence

Individual differences in working memory account for a substantial portion of individual differences in complex cognitive processes (e.g., comprehension) and fluid intelligence. However, a large portion of the variance in fluid intelligence and comprehension is unexplained. The current investigation was conducted to evaluate whether individual differences in the facilitation of procedural memory accounts for unique variance in intelligence not accounted for by working memory. To measure variability in the facilitation of procedural memory, we used a task that required participants to first classify exemplars of two categories; facilitation was then operationalized by subsequent improvements in the speed of classifying new exemplars from those categories (i.e., an operation-specific memory procedure). Three measures of each focal construct (facilitation in procedural memory, working memory, comprehension and fluid intelligence) were administered to 256 participants. We used structural equation modeling to examine the relationships among these latent variables. Working memory did account for variance in fluid intelligence and comprehension, but most important, individual differences in facilitation of procedural memory accounted for unique variance in fluid intelligence and comprehension.     

Working memory resources are shared across sensory modalities

A common assumption in the working memory literature is that the visual and auditory modalities have separate and independent memory stores. Recent evidence on visual working memory has suggested that resources are shared between representations, and that the precision of representations sets the limit for memory performance. We tested whether memory resources are also shared across sensory modalities. Memory precision for two visual (spatial frequency and orientation) and two auditory (pitch and tone duration) features was measured separately for each feature and for all possible feature combinations. Thus, only the memory load was varied, from one to four features, while keeping the stimuli similar. In Experiment 1, two gratings and two tones—both containing two varying features—were presented simultaneously. In Experiment 2, two gratings and two tones—each containing only one varying feature—were presented sequentially. The memory precision (delayed discrimination threshold) for a single feature was close to the perceptual threshold. However, as the number of features to be remembered was increased, the discrimination thresholds increased more than twofold. Importantly, the decrease in memory precision did not depend on the modality of the other feature(s), or on whether the features were in the same or in separate objects. Hence, simultaneously storing one visual and one auditory feature had an effect on memory precision equal to those of simultaneously storing two visual or two auditory features. The results show that working memory is limited by the precision of the stored representations, and that working memory can be described as a resource pool that is shared across modalities.     

Gains in fluid intelligence after training non-verbal reasoning in 4-year-old children: a controlled, randomized study

Fluid intelligence (Gf) predicts performance on a wide range of cognitive activities, and children with impaired Gf often experience academic difficulties. Previous attempts to improve Gf have been hampered by poor control conditions and single outcome measures. It is thus still an open question whether Gf can be improved by training. This study included 4-year-old children (N = 101) who performed computerized training (15 min/day for 25 days) of either non-verbal reasoning, working memory, a combination of both, or a placebo version of the combined training. Compared to the placebo group, the non-verbal reasoning training group improved significantly on Gf when analysed as a latent variable of several reasoning tasks. Smaller gains on problem solving tests were seen in the combination training group. The group training working memory improved on measures of working memory, but not on problem solving tests. This study shows that it is possible to improve Gf with training, which could have implications for early interventions in children.