Mental Health Diagnostic Considerations in Racial/Ethnic Minority Youth

Misdiagnoses of racial/ethnic minority youth’s mental health problems can potentially contribute to inappropriate mental health care. Therefore, we conducted a systematic review that focuses on current theory and empirical research in an attempt to answer the following two questions: (1) What evidence exists that supports or contradicts the idea that racial/ethnic minority youth’s mental health problems are misdiagnosed? (2) What are the sources of misdiagnoses? Articles were reviewed from 1967 to 2014 using PsychINFO, PubMed, and GoogleScholar. Search terms included “race”, “ethnicity”, “minority”, “culture”, “children”, “youth”, “adolescents”, “mental health”, “psychopathology”, “diagnosis”, “misdiagnosis”, “miscategorization”, “underdiagnosis”, and “overdiagnosis”. Seventy-two articles and book chapters met criteria and were included in this review. Overall, evidence was found that supports the possibility of misdiagnosis of ethnic minority youth’s emotional and behavioral problems. However, the evidence is limited such that it cannot be determined whether racial/ethnic differences are due to differences in psychopathology, mental health biases, and/or inaccurate diagnoses. Cultural and contextual factors that may influence misdiagnosis as well as recommendations for research and practice are discussed.     

Play Behavior Differences Among Preschoolers with ADHD: Impact of Comorbid ODD and Anxiety

The acquisition of positive peer play behavior is an important aspect of child development and an indicator of social competence. Engaging in peer play may pose challenges for children with internalizing and externalizing disorders, particularly those with comorbid disorders. Existing literature contains little information on the peer play behaviors of children with attention-deficit/hyperactivity disorder (ADHD), and even less research is available examining the play behaviors of children with comorbid disorders. The present study assessed the peer play behaviors and social competence of 107 preschoolers with varying combinations of ADHD, oppositional defiant disorder (ODD), and anxiety symptoms. Assessment methods included direct observations and teacher ratings of child behavior. Results indicated there were no differences in observed peer play behaviors or negative behaviors toward peers, but there were differences in teacher-rated social competence between the groups. Results are discussed in terms of assessment method variations as well as directions for additional research in this critical area and implications for practice.     

Appearance-based inferences bias source memory

Previous research varying the trustworthiness of appearance has demonstrated that facial characteristics contribute to source memory. Two studies extended this work by investigating the contribution to source memory of babyfaceness, a facial quality known to elicit strong spontaneous trait inferences. Young adult participants viewed younger and older babyfaced and mature-faced individuals paired with sentences that were either congruent or incongruent with the target??s facial characteristics. Identifying a source as dominant or submissive was least accurate when participants chose between a target whose behavior was incongruent with facial characteristics and a lure whose face mismatched the target in appearance but matched the source memory question. In Experiment 1, this effect held true when older sources were identified, but not own-age, younger sources. When task difficulty was increased in Experiment 2, the relationship between face?Cbehavior congruence and lure facial characteristics persisted, but it was not moderated by target age even though participants continued to correctly identify fewer older than younger sources. Taken together, these results indicate that trait expectations associated with variations in facial maturity can bias source memory for both own- and other-age faces, although own-age faces are less vulnerable to this bias, as is shown in the moderation by task difficulty.     

Beery VMI performance in autism spectrum disorder

Few studies have examined the visuomotor integration (VMI) abilities of individuals with autism spectrum disorder (ASD). An all-male sample consisting of 56 ASD participants (ages 3–23 years) and 36 typically developing (TD) participants (ages 4–26 years) completed the Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI) as part of a larger neuropsychological battery. Participants were also administered standardized measures of intellectual functioning and the Social Responsiveness Scale (SRS), which assesses autism and autism-like traits. The ASD group performed significantly lower on the Beery VMI and on all IQ measures compared to the TD group. VMI performance was significantly correlated with full scale IQ (FSIQ), performance IQ (PIQ), and verbal IQ (VIQ) in the TD group only. However, when FSIQ was taken into account, no significant Beery VMI differences between groups were observed. Only one TD participant scored 1.5 standard deviations (SDs) below the Beery VMI normative sample mean, in comparison to 21% of the ASD sample. As expected, the ASD group was rated as having significantly higher levels of social impairment on the SRS compared to the TD group across all major domains. However, level of functioning on the SRS was not associated with Berry VMI performance. These findings demonstrate that a substantial number of individuals with ASD experience difficulties compared to TD in performing VMI-related tasks, and that VMI is likely affected by general cognitive ability. The fact that lowered Beery VMI performance occurred only within a subset of individuals with ASD and did not correlate with SRS would indicate that visuomotor deficits are not a core feature of ASD, even though they present at a higher rate of impairment than observed in TD participants.     

Individual differences in everyday retrospective memory failures

The present study examined individual differences in everyday retrospective memory failures. Undergraduate students completed various cognitive ability measures in the laboratory and recorded everyday retrospective memory failures in a diary over the course of a week. The majority of memory failures were forgetting information pertaining to exams and homework, forgetting names, and forgetting login and ID information. Using latent variable techniques the results also suggested that individual differences in working memory capacity and retrospective memory were related to some but not all everyday memory failures. Furthermore, everyday memory failures predicted SAT scores and partially accounted for the relation between cognitive abilities and SAT scores. These results provide important evidence for individual differences in everyday retrospective memory failures as well as important evidence for the ecological validity of laboratory measures of working memory capacity and retrospective memory.