Neurocognitive Functioning in Depressed Young People: A Systematic Review and Meta-Analysis

Background: Depression is among the most common mental health problems for young people. In adults, depression is associated with neurocognitive deficits that reduce the effectiveness of treatment and impair educational and vocational functioning. Compared to adults, less is known about the neurocognitive functioning of young people with depression, and existing research has reported inconsistent findings. Method: This systematic review and meta-analysis synthesized the literature on neurocognitive functioning in currently depressed youth aged 12–25 years in comparison to healthy controls. Results: Following a systematic review of the literature, 23 studies were included in the meta-analysis. Poorer performance in the domains of attention (SMD: .50, 95% CI: .18–.83, p?=?.002), verbal memory (SMD: .78, 95% CI: .50–1.0, p?<?.001), visual memory (SMD: .65, 95% CI: .30–.99, p?<?.001), verbal reasoning/knowledge (SMD: .46; 95% CI: .14–.79; p?<?0.001) and IQ (SMD: .32; 95% CI: .08–.56; p?=?0.01) were identified in depressed youth. Relative weaknesses in processing speed/reaction time and verbal learning were also evident, however, these findings disappeared when the quality of studies was controlled for. Moderator analysis showed a tendency for poorer set-shifting ability in younger depressed participants relative to controls (although non-significant; p?=?.05). Moderator analysis of medication status showed taking medication was associated with poorer attentional functioning compared to those not taking medication. Conclusion: The findings suggest that currently depressed young people display a range of neurocognitive weaknesses which may impact treatment engagement and outcome. The findings support the need to consider neurocognitive functioning when treating youth with depression.     

Fechner, information, and shape perception

How do retinal images lead to perceived environmental objects? Vision involves a series of spatial and material transformations—from environmental objects to retinal images, to neurophysiological patterns, and finally to perceptual experience and action. A rationale for understanding functional relations among these physically different systems occurred to Gustav Fechner: Differences in sensation correspond to differences in physical stimulation. The concept of information is similar: Relationships in one system may correspond to, and thus represent, those in another. Criteria for identifying and evaluating information include (a)?resolution, or the precision of correspondence; (b)?uncertainty about which input (output) produced a given output (input); and (c)?invariance, or the preservation of correspondence under transformations of input and output. We apply this framework to psychophysical evidence to identify visual information for perceiving surfaces. The elementary spatial structure shared by objects and images is the second-order differential structure of local surface shape. Experiments have shown that human vision is directly sensitive to this higher-order spatial information from interimage disparities (stereopsis and motion parallax), boundary contours, texture, shading, and combined variables. Psychophysical evidence contradicts other common ideas about retinal information for spatial vision and object perception.     

A REEXAMINATION OF SEX DIFFERENCES IN INTERPERSONAL VERBS

A study by Thompson, Hatchett, and Phillips (1981) found that males and females differed in their judgment of interpersonal verbs (IPVs). Females were said to give more extreme affect ratings and less extreme control ratings to IPVs than did males. The present study re–examined these findings utilizing multidimensional scaling techniques. Similarity/dissimilarity ratings of 105 combinations of 15 paired IPVs were made by 43 female and 39 male students. Analysis via COSPA yielded two dimensions of meaning underlying IPVs which were similar to those used by Thompson et al.: Affect and Control. Analyses of the data using three different approaches failed, however, to bear out Thompson et al.'s findings of sex differences in the judgment of IPVs.     

Repetition increases false recollection in older people

Aging is accompanied by an increase in false alarms on recognition tasks, and these false alarms increase with repetition in older people (but not in young people). Traditionally, this increase was thought to be due to a greater use of familiarity in older people, but it was recently pointed out that false alarms also have a clear recollection component in these people. The main objective of our study is to analyze whether the expected increase in the rate of false alarms in older people due to stimulus repetition is produced by an inadequate use of familiarity, recollection, or both processes. To do so, we carried out an associative recognition experiment using pairs of words and pairs of images (faces associated with everyday contexts), in which we analyzed whether the repetition of some of the pairs increases the rate of false alarms in older people (compared to what was found in a sample of young people), and whether this increase is due to familiarity or recollection (using a remember‐know paradigm). Our results show that the increase in false alarms in older people due to repetition is produced by false recollection, calling into question both dual and single‐process models of recognition. Also, older people falsely recollect details of never studied stimuli, a clear case of perceptual illusions. These results are better explained in terms of source‐monitoring errors, mediated by people's retrieval expectations.     

A Conceptual Framework for Understanding the Stigmatization of Children of Incarcerated Parents

Stigmatization is often listed as one of the adverse consequences of parental incarceration; yet, there is very little research on this phenomenon. We address this knowledge deficit by providing a conceptual model of stigmatization and describing how it may apply to children with parents in jail or prison. This model helps to explain why families conceal the fact that a child’s parent is incarcerated; the potentially protective function of social withdrawal; possible links between stigmatization and childhood emotional and behavioral problems; how fear of stigmatization may impede help seeking; and the possibility for research and advocacy to contribute to the stigmatization of children who experience parental incarceration. It also helps to define specific aspects of stigmatization requiring further study.     

Processing capacity defined by relational complexity: implications for comparative, developmental, and cognitive psychology

Working memory limits are best defined in terms of the complexity of the relations that can be processed in parallel. Complexity is defined as the number of related dimensions or sources of variation. A binary relation has one argument and one source of variation; its argument can be instantiated in only one way at a time. A binary relation has two arguments, two sources of variation, and two instantiations, and so on. Dimensionality is related to the number of chunks, because both attributes on dimensions and chunks are independent units of information of arbitrary size. Studies of working memory limits suggest that there is a soft limit corresponding to the parallel processing of one quaternary relation. More complex concepts are processed by "segmentation" or "conceptual chunking." In segmentation, tasks are broken into components that do not exceed processing capacity and can be processed serially. In conceptual chunking, representations are "collapsed" to reduce their dimensionality and hence their processing load, but at the cost of making some relational information inaccessible. Neural net models of relational representations show that relations with more arguments have a higher computational cost that coincides with experimental findings on higher processing loads in humans. Relational complexity is related to processing load in reasoning and sentence comprehension and can distinguish between the capacities of higher species. The complexity of relations processed by children increases with age. Implications for neural net models and theories of cognition and cognitive development are discussed.     

The role of the bereavement group in the face of 9/11: a self-psychology perspective

The sudden traumatic loss of a spouse equates to an assault on self and the loss of both an internal and external self-object. Mourning requires compensatory self-objects to help in the restoration of self and in the creation of new self-structure. The catastrophe of 9/11 not only assaulted thousands with unanticipated traumatic loss, but also devastated the usual networks of support. In this light, the bereavement group became a valuable venue for self-restoration and recovery. In her group work with 9/11 corporate and uniformed service widows, the author applies a self-psychology perspective that considers that empathic immersion not only affords safety and stabilization, but the opportunity to have self-object needs met in a process that restores and develops self-structure. She proposes the bereavement group as a cohesive self-object milieu serving mirroring, twinship, and idealizing needs. Drawing upon clinical examples, she illuminates the capacity of the group to establish safety, regulate affect, reduce isolation and shame, rekindle memory, and foster coping skills. As such, the group affords a restoration of the assaulted self, an integration of the loss, and an emerging redefinition of self.     

Acquired surface alexia in Spanish: a case report

This paper reports a case study of acquired surface alexia in Spanish and discusses the most suitable tests to detect this syndrome in a writing system that is very regular for reading at the segmental and supra-segmental levels. Patient MM has surface alexia characterized by quantitatively good performance in reading words and pseudowords; accurate but slow and syllabic reading of words, nonwords and sentences; good performance in lexical decision tasks including words and nonwords; errors in lexical decision with pseudohomophones; and homophone confusions. This pattern of reading can be interpreted as a disorder in the lexical reading route and overdependence on the non-lexical route. We discuss nonlexical impairments and the interpretation of alexia and suggest tasks to identify surface alexia in a shallow orthography.