Predictive validity of the Westmead Post-Traumatic Amnesia Scale for functional outcomes in school-aged children who sustained traumatic brain injury

The Westmead Post-Traumatic Amnesia Scale (WPTAS) is routinely used for the assessment of post-traumatic amnesia (PTA) in children who sustained traumatic brain injury (TBI). Yet, the WPTAS' predictive validity for functional outcomes is largely unknown. We aimed to determine whether PTA duration measured by the WPTAS (i) differentially predicts functional outcomes and (ii) contributes to predictions of outcomes beyond the Glasgow Coma Scale (GCS) in children who sustained TBI. Participants were children and adolescents with moderate-to-severe TBI (n = 55) aged 8–15 years. PTA duration was assessed with the WPTAS. Outcomes at the first outpatient follow-up were scored on the Kings Outcome Scale for Childhood Head Injury (KOSCHI) and the TBI Outcome Domain Scale-Extended (ODS-E). Longer PTA and lower GCS were both significantly correlated with worse (i) global outcomes: presence of disability on the KOSCHI and lower score on the ODS-E and (ii) select specific outcomes on the ODS-E: mobility, mood and cognition. PTA duration predicted cognitive outcome on the ODS-E independently, beyond GCS. Together, PTA duration and GCS, predicted the global KOSCHI outcome, as well as the ODS-E mobility and mood outcomes. Neither GCS nor PTA duration correlated with the ODS-E communication, impulsivity/disinhibition, headache, fatigue, sensory impairments or somatic complaints outcomes. PTA duration measured by the WPTAS is a significant unique predictor of functional cognitive outcomes in children who sustained moderate-to-severe TBI, and in combination with the GCS, a significant predictor of global, and several specific functional outcomes.     

The social behaviours of inhibited children in and out of preschool

The goal of the present study was to explore the social behaviours of inhibited children in familiar social contexts, including: (1) free play with peers at preschool and (2) social activities at home and in the community. The initial participants were N =248 preschool children between the ages of 42 and 66 months. From this initial data, two smaller groups of inhibited (N =12) and uninhibited comparison (N =12) children were identified. These children were observed during free play at preschool and parents completed daily logs of children's social activities outside of school. Among the findings, inhibited children were observed to display more reticent (on looking, unoccupied) and anxious behaviours during free play preschool than uninhibited children. As well, inhibited children participated less in structured social activities outside school and were more likely to engage in dyadic play at home with a single friend as compared to their uninhibited counterparts.     

Does emotion influence visual perception? Depends on how you look at it

ABSTRACT

One of the biggest challenges in the study of emotion–cognition interaction is addressing the question of whether and how emotions influence processes of perception as distinct from other higher-level cognitive processes. Most theories of emotion agree that an emotion episode begins with a sensory experience – such as a visual percept – that elicits a cascade of affective, cognitive, physiological, and/or behavioural responses (the ordering and inclusion of those latter components being forever debated). However, for decades, a subset of philosophers and scientists have suggested that the presumed perception → emotion relationship is in fact bidirectional, with emotion also altering the perceptual process. In the present review we reflect on the history and empirical support (or, some might argue, lack thereof) for the notion that emotion influences visual perception. We examine ways in which researchers have attempted to test the question, and the ways in which this pursuit is so difficult. As is the case with the ongoing debate about the cognitive penetrability of perception, we conclude that nothing is conclusive in the debate about the emotional penetrability of perception. We nonetheless don rose-coloured glasses as we look forward to the future of this research topic.     

Identifying Misfitting Achievement Estimates in Performance Assessments: An Illustration Using Rasch and Mokken Scale Analyses

Researchers apply individual person fit analyses as a procedure for checking model-data fit for individual test-takers. When a test-taker misfits, it means that the inferences from their test score regarding what they know and can do may not be accurate. One problem in applying individual person fit procedures in practice is the question of how much misfit it takes to make the test score an untrustworthy estimate of achievement. In this paper, we argue that if a person’s responses generally follow a monotonic pattern, the resulting test score is “good enough” to be interpreted and used. We present an approach that applies statistical procedures from the Rasch and Mokken measurement perspectives to examine individual person fit based on this good enough criterion in real data from a performance assessment. We discuss how these perspectives may facilitate thinking about applying individual person fit procedures in practice.