Neurodevelopmental Disorders Across the Lifespan: A Neuroconstructivist Approach.

Objectives. To investigate neuropsychological and neurobehavioral outcome in children with arterial ischemic stroke (AIS).

Background. Childhood stroke can have consequences on motor, cognitive, and behavioral development. We present a cross-sectional study of neuropsychological and neurobehavioral outcome at least one year poststroke in a uniquely homogeneous sample of children who had experienced AIS.

Method. Forty-nine children with AIS aged 6 to 18 years were recruited from a specialist clinic. Neuropsychological measures of intelligence, reading comprehension, attention, and executive function were administered. A triangulation of data collection included questionnaires completed by the children, their parents, and teachers, rating behavior, executive functions, and emotions.

Key Findings. Focal neuropsychological vulnerabilities in attention (response inhibition and dual attention) and executive function were found, beyond general intellectual functioning, irrespective of hemispheric side of stroke. Difficulties with emotional and behavioral regulation were also found. Consistent with an “early plasticity” hypothesis, earlier age of stroke was associated with better performance on measures of executive function.

Conclusions. A significant proportion of children poststroke are at long-term risk of difficulties with emotional regulation, executive function, and attention. Data also suggest that executive functions are represented in widespread networks in the developing brain and are vulnerable to unilateral injury.     

Emotional experiences in youth tennis

ObjectivesTo explore adolescents' emotional experiences in competitive sport. Specifically, this study sought to identify, 1) The emotions adolescents' experience at tennis tournaments, 2) The precursors of the emotions they experience, and, 3) How adolescents attempt to cope with these emotions.DesignCase-study.MethodFour adolescent tennis players competed in four or five tennis matches under the observation of a researcher. Immediately following each match, participants completed a post-match review sheet and a semi-structured interview. A further semi-structured interview was completed at the end of the tournament. Review sheets, notes from match observations, and video recordings of matches were used to stimulate discussions during final interviews. All data were analyzed following the procedures outlined by Miles and Huberman (1994).ResultsParticipants cited numerous positively and negatively valenced emotions during matches and tournaments. Participants' emotions seemed to be broadly influenced by their perceptions of performance and outcomes, as well as their opponent's behavior and player's perceptions of their own behavior. Participants described various strategies to cope with these emotions, such as controlling breathing rate, focusing on positive thoughts, and individualized routines. Further, if participants perceived them to be facilitative, negative emotions could be beneficial for performance.ConclusionThis study provided original insights into the complexity of adolescent athletes' emotional experiences at competitions and highlights the critical need for further in-depth examinations of youth sport to fully comprehend the experiences of young people. Most notably, the findings highlight the necessity of considering the impact of both intra- and interpersonal influences on adolescents' emotional experiences, while also accounting for temporal changes.     

Implicit processing of emotional words by children with Post-Traumatic Stress Disorder: An fMRI investigation

Background/ObjectiveIn the last decade, socio-political violence in Colombia (South America) has created an environment of extreme/chronic stress. In this study, brain imaging technology (fMRI) and behavioral task performance were used to measure potential deficits in executive functioning for emotional processing in Colombian children.MethodParticipants (22 Post-Traumatic Stress Disorder, PTSD and 22 neurotypical, NT) were asked to perform a word task with implicit emotional salience, which required them to report the color of the ink in which a positive, negative or neutral word was printed.ResultsMixed design analysis of variance showed no group differences in accuracy for determining ink color when presented as a positive or neutral word. However, PTSD children were significantly less accurate (negative words) and notably slower (both positive and negative words) at determining ink color when presented in the context of an emotional word. PTSD processing of positive and negative words was associated with hypoactivation in the superior and middle frontal gyri of the right hemisphere in comparison to NT children.ConclusionsThese results may reflect a deficit in executive functioning for emotionally laden stimuli, perhaps induced as a by-product of their traumatic experiences.     

Social functioning using direct and indirect measures with children with High Functioning Autism,nonverbal learning disability,and typically developing children

Social perception is an important underlying foundation for emotional development and overall adaptation. The majority of studies with children with High Functioning Autism (HFA) or nonverbal learning disabilities (NLD) evaluating social functioning have used measures of parent and/or teacher ratings. The present study utilized parent and teacher ratings of behavior as well as executive functioning in addition to direct measures of social perception. Three groups participated in this study (control [n = 38] HFA [n = 36], NLD [n = 31]). Results indicated that the HFA group experienced the most difficulty understanding emotional cues on the direct measure while both the HFA and NLD groups experienced difficulty with nonverbal cues. Significant difficulties were reported on the parent rating scale for sadness and social withdrawal for both clinical groups. Executive functioning was found to be particularly problematic for the clinical groups. The direct social perception measure was highly correlated with the measures of executive functioning and reflects the contribution that executive functions have on social functioning. These findings suggest that the clinical presentation on behavior rating scales may be very similar for children with HFA and NLD. Moreover, it appears that measures of executive functioning are sensitive to the clinical difficulties these groups experience. The findings also suggest there is a commonality in these disorders that warrants further investigation.     

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.     

The Adolescent Brain and the Emergence and Peak of Psychopathology

Adolescence is a period of heightened emotionality and increased risk for mental illness, affecting as many as one in five persons. This article reviews recent human imaging and animal studies that demarcate adolescent specific changes in brain and behavior that may help to explain this period of increased risk for psychopathology. We highlight adolescence as a sensitive period when: 1) the environment has particularly strong influences on brain and behavior and 2) normative changes in brain development can lead to an imbalance between rapidly changing limbic circuitry and relatively slower developing prefrontal circuitry. This imbalance can be exacerbated by both genetic and environmental influences leading to less capacity to regulate emotions and higher risk for psychopathology. We discuss these findings in the context of understanding who may be at greatest risk for psychopathology and when and how to best treat symptoms of emotional dysregulation.     

Bilinguals who stutter: A cognitive perspective

PurposeBrain differences, both in structure and executive functioning, have been found in both developmental stuttering and bilingualism. However, the etiology of stuttering remains unknown. The early suggestion that stuttering is a result of brain dysfunction has since received support from various behavioral and neuroimaging studies that have revealed functional and structural brain changes in monolinguals who stutter (MWS). In addition, MWS appear to show deficits in executive control. However, there is a lack of data on bilinguals who stutter (BWS). This literature review is intended to provide an overview of both stuttering and bilingualism as well as synthesize areas of overlap among both lines of research and highlight knowledge gaps in the current literature.MethodsA systematic literature review on both stuttering and bilingualism studies was conducted, searching for articles containing “stuttering” and/or “bilingualism” and either “brain”, “executive functions”, “executive control”, “motor control”, “cognitive reserve”, or “brain reserve” in the PubMed database. Additional studies were found by examining the reference list of studies that met the inclusion criteria.ResultsA total of 148 references that met the criteria for inclusion in this paper were used in the review. A comparison of the impact of stuttering or bilingualism on the brain are discussed.ConclusionPrevious research examining a potential bilingual advantage for BWS is mixed. However, if such an advantage does exist, it appears to offset potential deficits in executive functioning that may be associated with stuttering.     

The role of emotional maltreatment and looming cognitive style in the development of social anxiety symptoms in late adolescents

Background: Social looming constitutes a specific cognitive vulnerability that acts as a danger schema and biases the processing of threat-related information associated with the development of social anxiety disorder. This model characterizes early negative experiences as critical to the formation of looming cognitive style. Furthermore, research has found links between parental emotional abuse and peer victimization and social anxiety. Design: A three-wave longitudinal design was used to analyze the role of parents’ emotional abuse and peer victimization in the onset of social anxiety symptoms through the development of this cognitive style. Methods: The final sample was made up of 307 females and 243 males (M_age?=?16.97, SD_age?=?.81). Perceived parents’ emotional abuse and peer victimization by participants were measured at Time 1, social looming was measured at Time 1 and 2, and social anxiety symptoms were measured at Times 1, 2, and 3. Results: Parents’ emotional abuse and peer victimization were related to social anxiety cross-sectionally. Longitudinally, social looming acted as a mediator in the relationship between parents’ emotional abuse and social anxiety. Conclusions: These findings highlight the need to better understand the mechanisms through which emotional abuse and peer victimization impact social looming and contribute to social anxiety.     

Classroom Behavior and the Ability to Decode Nonverbal Cues in Boys With Severe Emotional Disturbance

Abstract

Nonverbal decoding skills are important for successful social functioning, particularly for emotionally disturbed children. Boys with severe emotional disturbance (n = 25) and a control group of boys (n = 22) were compared regarding the relationship between ratings of classroom social behaviors and nonverbal decoding skills. Participants were predominantly African American. The Diagnostic Analysis of Nonverbal Accuracy (Nowicki, 2001; Nowicki & Duke, 1994) was administered individually to the boys while teachers completed ratings of their social behavior in the classroom. The 2 groups of boys did not differ in nonverbal skills. However, aggressive classroom behaviors were associated with specific nonverbal skills only for the boys with severe emotional disturbance. These findings suggest that nonverbal abilities may have a greater impact on the social behavior of emotionally disturbed boys. Future research is needed to better understand the social difficulties of boys with severe emotional disturbance.     

Posttraumatic Stress Disorder and executive dysfunction among children and adolescents: A Latent Profile Analysis

Background/ObjectiveThe current study aimed to examine the relationship between Posttraumatic Stress Disorder (PTSD) symptoms and executive dysfunction in children and adolescents after psychological trauma.MethodParticipants were 13,438 of children and adolescents aged 6 to 18 years exposed to the 2008 Wenchuan earthquake. PTSD and dysexecutive symptoms were assessed using the UCLA PTSD Reaction Index for Children and the Self-Report Dysexecutive Questionnaire. Latent Profile Analysis (LPA) was conducted using Mplus version 7.4. Subgroup differences in trauma exposure and quality of life were calculated using ANCOVA.ResultsA 4-class parallel model was found to best describe latent PTSD symptom profiles and executive dysfunction. Individuals in higher symptom groups showed more trauma exposure and lower quality of life.ConclusionsThis LPA study shed light on the relationship between PTSD and executive dysfunction symptoms in children and adolescents. The correlation between PTSD and executive dysfunction was maintained after individual differences were taken into consideration. Our findings provide a new view on how PTSD relates to executive dysfunction and several suggestions for treating child and adolescent PTSD patients.     

Adolescent Neural Responses to Antismoking Messages,Perceived Effectiveness,and Sharing Intention

ABSTRACT

Health communication delivered via media channels can substantially influence adolescents’ choices, and the effects of messages are amplified through interpersonal sharing. However, the underlying psychological and neurocognitive mechanisms that influence message effectiveness and likelihood of sharing are not well understood, especially among adolescents. Based on research in adults, we hypothesized and preregistered that message-induced neural activation in regions associated with self-reflection, social processing, and positive valuation would be related to greater perceived ad effectiveness and intentions to share messages. We focused on brain activity in meta-analytically defined regions associated with these three processes as 40 adolescent nonsmokers viewed advertisements from “The Real Cost” antismoking campaign. Perceived message effectiveness was positively associated with brain activity in the hypothesized social processing regions and marginally associated with brain activity in self-relevance regions, but not associated with brain activity in valuation regions. By contrast, intentions to share the messages were not associated with neural response in these 3 systems. In contrast to previous neuroimaging studies with adult subjects, our findings highlight the role of social cognition in adolescent processing of persuasive messages. We discuss the possibility that the mental processes responsive to effective and shareworthy messages may reflect developmental processes pertinent to media effects.     

Top-down influences in social perception

The present chapter makes a case for the importance of the study of social perception as a phenomenon separate from impression formation and social categorisation, and of great significance for social psychology. We claim specifically that the development of tasks for studying perception is critical for addressing the question of whether top-down processes influence perception. Three series of studies conducted by the authors, and which relied on newly developed tasks, are presented. The first two series examine the effects of emotion and adult attachment orientation on the perception of facial expression of emotion. The third examines the influences of emotion concepts on perceptual memory for facial expression. The studies together provide good support for influences of emotional state, personality factors, and prior knowledge on the perception of facial expression of emotion, and call, we hope, for greater attention to perceptual processes in social psychology.     

The role of peer influence on girls’ body dissatisfaction and dieting

IntroductionPeer influence is considered a global construct, although the effects of its various dimensions on body dissatisfaction and dieting via internalisation of the thin ideal and social comparison have yet to be analysed.ObjectiveThe aim of this study was to analyse how the different dimensions of peer influence (i.e., perception of teasing, appearance conversation with friends and peer attributions about the importance of appearance with regard to popularity) affect body dissatisfaction and dieting.MethodA total of 298 Italian adolescent girls and young women completed a questionnaire assessing different dimensions of peer influence, internalisation of the thin ideal, social comparison, body dissatisfaction and dieting.ResultsThe results indicated that peer attributions and appearance conversations with friends affect body dissatisfaction and dieting through internalisation and social comparison. Teasing had a direct effect on girls’ dissatisfaction levels.ConclusionsThe current findings have important preventive and treatment implications. Preventive interventions should not target sociocultural influences as a whole, rather they should analyse the specific dimensions of peer influence, with consideration for the degree to which girls internalise sociocultural messages and engage in social comparison.     

Adjustment Problems and Emerging Personality Characteristics from Early to Late Adolescence

This 6-year longitudinal study extended earlier findings of contextual influences on adolescent adjustment problems by examining relationships between adolescent emotional and behavioral problems and late adolescent personality among more than 400 youths who were followed from 7th grade to the last year of high school. Results suggest that psychological distress and behavioral problems experienced during the adolescent years (7th–10th grades) are significantly related to personality structure during the final year of high school (12th grade). Psychological distress in adolescence was primarily related to the Multidimensional Personality Questionnaire (MPQ) superfactors of negative and positive emotionality, whereas delinquency and substance use problems were primarily related to the MPQ superfactor of constraint. These relationships remained significant even when personality characteristics in 9th grade were taken into account. That is, emotional and behavioral problems predicted change in personality traits during the adolescent years. Moreover, both initial level and change in distress and problem behaviors were predictive of late adolescent or early adult personality. This finding suggests that personality formation is a dynamic process, dependent on the growth or decline, as well as the magnitude of earlier developmental problems. Because earlier research has shown that these developmental problems are affected by both distal and proximal environmental contexts as well as by the formative nature of adolescence, intervention efforts aimed at the reduction of maladjustment and the enhancement of healthy personality development should target early adolescent social contexts. Other theoretical implications of the findings also are discussed.     

Developing emotion abilities and regulation strategies in a sport organization: An action research intervention

ObjectivesThis study aimed to improve the practice of individuals operating in a sport organization by providing an intervention to develop emotion abilities and strategies.DesignA two-phase action research approach was adopted to facilitate the objective and to assess the intervention's effectiveness.MethodIn the first phase of the intervention, 25 individuals fulfilling a range of roles (i.e., board of directors, chief executive officer, heads of performance and development, staff, administrators, national coaches and team managers, club coaches, national talent academy athletes) attended educational workshops over a 6 month period. In the second phase, three pivotal operators (i.e., national managers) received one-to-one coaching for a further 3 months. Data were collected using a range of self-report and performance measures, participant daily diaries, a researcher's log, and social validation interviews.ResultsFollowing social validation procedures the findings suggest that both phases were effective at improving the practice of participants, with significant improvements in regulation strategy use, perceptions of relationship quality, and closeness. However, only participants receiving the extended one-to-one coaching showed improvement in emotional intelligence ability scores.ConclusionsThe findings indicate that short-term generic interventions to promote the use of adaptive emotion regulation strategies may be effective in sport organizations, but the purposive development of emotional intelligence may require more longitudinal and idiographic approaches.     

“I control my own emotions for the sake of the team”: Emotional self-regulation and interpersonal emotion regulation among female high-performance curlers

ObjectivesThe purpose of this study was to examine emotional self-regulation and interpersonal emotion regulation within a team of competitive athletes.DesignInstrumental case study approach (Stake, 1995).MethodData collection involved multiple semi-structured interviews with all four members of a female high-performance curling team, as well as observation of team meetings, practices, and games over the entire season.ResultsAnalyses produced the main themes of emotional self regulation (body language and self-censorship) and interpersonal emotional regulation (providing positive and/or technical feedback, humour, cueing teammates about their emotions, prosocial actions and indirect actions). We also identified factors influencing emotional regulation (length of time together, team dynamics/cohesion, context, social norms and team roles, and seeking support outside the team).ConclusionsAthletes were aware of and took into account social and contextual factors (e.g., social norms and role on team) when regulating emotions in a team context, and they also identified challenges associated with emotional regulation within the team. Findings highlight the complex interplay between athletes' emotions, emotional expression, and self-regulation to achieve multiple goals (e.g., positive performances, positive social relationships), as well as the importance of examining interpersonal processes related to emotion and emotion regulation within team sports.     

Occupational Therapist,Biomedical Science Corps Officer and Former Firefighter

Abstract

What the literature reports that adolescents need within their parent-adolescent relationships, as well as what adolescents with serious emotional disturbances may experience within their parent-adolescent relationships are discussed. A framework for providing parent-adolescent group intervention for psychiatrically hospitalized adolescents and their parents to promote positive interaction and co-occupation are provided. Summaries of the parent-adolescent activity group experiences of three families are provided to illustrate how different adolescent psychiatric issues and family dynamics might be addressed in a parent adolescent activity group.     

The influence of peer groups in organized sport on female adolescents' identity development

IntroductionEngagement in the process of identity development has been identified as the most significant milestone of adolescence (Erikson, 1968) and peer groups serve as a key facilitator in this process (Kroger, 2007). Peer groups are particularly significant in the lives of female adolescents, as females derive a substantial part of their identity through these relationships (Josselson, 1987). Despite the significance of personal identity development in adolescence and the importance of peer groups in this process, this area has not been explored in the extant sport psychology literature.PurposeTo investigate the potential influence of peer groups in organized sport on female adolescent identity development.MethodsData were collected through photo-elicitation and semistructured interviews of eight female athletes between the ages of 13 and 17 years. Participants in the study played a variety of sports and competed at various levels. Data were analysed using a thematic narrative approach.ResultsParticipant stories suggest that interactions with peers in sport assist female adolescent athletes in developing their psychological (including emotional and intellectual), social, and physical selves.ConclusionStories shared by the female athletes suggest that a relationship exists between peer influence and identity development in sport. Findings are interpreted through Erikson's (1968) Theory of Psychosocial Development and the nature of the relationships in which peer influence on identity development occurs are discussed. Recommendations for future research are proposed.     

Direct and indirect effects of family violence on child-to-parent violence / Efectos directos e indirectos de la violencia familiar sobre la violencia filio-parental

Abstract

This study analyses the impact of family violence on adolescent maladjustment and child-to-parent violence in a community sample. It also explores a possible mediating effect of adolescent behavioural and/or emotional problems in the relationship between family violence and child-to-parent violence. The sample included 485 adolescents of both sexes, with an age range of 12 to 18 years. Two structural equation models are presented in the data analysis. The results support previous findings indicating that all forms of family violence appear to contribute to adolescent maladjustment. Moreover, indirect effects of family violence on child-to-parent violence through behavioural and emotional problems were found. The implications of these results are discussed.     

Emotional maturity,dispositional coping,and coping effectiveness among adolescent athletes

ObjectivesAlthough some scholars have suggested that coping is constrained by emotional maturity, little is known about the relationship between these constructs. In this paper we assessed a model that included emotional maturity, dispositional coping, and coping effectiveness. We predicted that emotional maturity would have a direct effect on coping effectiveness in addition to an indirect effect via task-, distraction-, and disengagement-oriented coping.DesignCross-sectional.MethodsSeven hundred and ninety athletes completed measures of emotional maturity, dispositional coping, and coping effectiveness. The data was analyzed using structural equation modeling, which revealed partial support for our model.ResultsSeveral of the predicted paths were significant. In particular, there was a significant path between emotional maturity and task-oriented coping, but the paths between emotional maturity and distraction- and disengagement-oriented coping were not significant.ConclusionOur findings indicate that how an athlete copes might be limited by his or her level of emotional maturity, which provides further evidence that coping is constrained by maturation among adolescent athletes.