Variations in Anxiety and Depression as a Function of ADHD Subtypes Defined by DSM-IV: Do Subtype Differences Exist or Not?

Concerns have been raised about the ability of diagnostic criteria for attention-deficit/hyperactivity disorder (ADHD) to distinguish subtypes that are clearly distinct from each other with regard to clinical correlates. One area of concern is that research regarding differences in anxiety and depression as a function of ADHD subtype has produced discrepant findings. This study was designed to systematically evaluate whether the ADHD subtypes differ with regard to level of internalizing symptoms. From a large pool of children referred to an ADHD center based in a pediatric hospital, children were differentiated into three groups: ADHD, Combined Type (ADHD/COM); ADHD, Inattentive Type (ADHD/I); and a non-ADHD, comparison group (COMP). Parent- and child-report measures using both dimensional and categorical methods were used to assess internalizing symptoms. The results indicated that children with ADHD/COM and ADHD/I had similar levels of anxiety and depression. Subtype differences related to parent-reported depression were accounted for by group differences in level of externalizing problems. The results were discussed with regard to their implications for refining the criteria used to differentiate children with ADHD into subtypes.     

On the relative contributions of positive reinforcement and escape extinction in the treatment of food refusal

We compared the effects of positive reinforcement alone, escape extinction alone, and positive reinforcement with escape extinction in the treatment of the food and fluid refusal of 4 children who had been diagnosed with a pediatric feeding disorder. Consumption did not increase when positive reinforcement was implemented alone. By contrast, consumption increased for all participants when escape extinction was implemented, independent of the presence or absence of positive reinforcement. However, the addition of positive reinforcement to escape extinction was associated with beneficial effects (e.g., greater decreases in negative vocalizations and inappropriate behavior) for some participants.     

Muscarinic cholinergic influences in memory consolidation

The central cholinergic system and muscarinic cholinergic receptor (mR) activation have long been associated with cognitive function. Although mR activation is no doubt involved in many aspects of cognitive functioning, the extensive evidence that memory is influenced by cholinergic treatments given after training either systemically or intra-cranially clearly indicates that cholinergic activation via mRs is a critical component in modulation of memory consolidation. Furthermore, the evidence indicates that activation of mRs in the basolateral amygdala (BLA) plays an essential role in enabling other neuromodulatory influences on memory consolidation. Memory can also be affected by posttraining activation of mRs in the hippocampus, striatum and cortex. Evidence of increases in hippocampal and cortical acetylcholine (ACh) levels following learning experiences support the view that endogenous ACh release is involved in long-term memory consolidation. Furthermore, the findings indicating that mR drug treatments influence plasticity in the hippocampus and in sensory cortices strongly suggest that mR activation is involved in the storage of information in these brain regions.     

Assessing Culturally Different Students for Attention Deficit Hyperactivity Disorder Using Behavior Rating Scales

Behavior rating scales are commonly used in the assessment of attention deficit-hyperactivity disorder (ADHD). However, there is little information available concerning the extent to which scales are valid with culturally different students. This study explored the use of the ADHD-IV Rating Scale School Version with male Caucasian (CA) and African American (AA) students from ages 5 to 18 years. Teachers rated AA students higher on all symptoms across all age groups. LISREL analysis indicated that scale does not perform identically across groups. This was supported by the results of multidimensional scaling with suggested that there is a different relation between items across groups. Implications for research and practice are discussed.     

Parenting and Children's Intrinsic Motivation in Age Group Swimming

The parenting correlates of children's intrinsic motivation in swimming were examined. Mothers and fathers of 135 9- to 12-year-old competitive swimmers completed questionnaires about their child's swimming ability and about their current parenting practices. Children provided information about their swimming motivations. Results showed that children's ability in swimming (based on both mother and father ratings and on objective swimming performance) was positively associated with children's reports of intrinsic motivation. After controlling for child ability, mothers', but not fathers', parenting practices predicted children's intrinsic motivation: maternal directiveness was negatively associated with intrinsic motivation and maternal performance goals showed a positive association. Curvilinear effects were significant as well, with the highest level of intrinsic motivation found among children whose mothers showed intermediate values on performance goals and either high or low levels of directiveness.     

The Contribution of Physical Activity to Health-Related Quality of Life: New Population Estimates from National Survey Data

Sedentary lifestyles have been linked to higher rates of stroke, hypertension, depression, certain types of cancers, and cardiovascular disease, and increased risk of mortality. The link between physical inactivity and health has led to research on how physical activity (PA) interventions might improve health-related quality of life (HRQoL). Estimates of HRQoL improvements are typically focused on targeted at-risk groups, however. Given that almost half of the U.S. adult population is physically inactive, it would be helpful to broaden our understanding of how PA relates to quality of life for the population at large. In this study, we calculated the HRQoL gains attributable to PA across three nationally representative data sets that use different quality of life measures, and assessed the reliability in the results. The data sets used were the Medical Expenditure Panel Survey (MEPS), the Behavioral Risk Factor Surveillance System (BRFSS), and the National Health Interview Survey (NHIS). Quasi-likelihood regression modeling with a beta distribution was used to generate the estimates. We found mean HRQoL scores were very similar across the three data sets and the estimated HRQoLs gained from PA varied only slightly, suggesting that all three provide reliable estimates for the general population.

     

In great-grandma's nursery

In recent decades, interest in the development of the baby during the first year of life has led to a prodigious explosion of information. Advantages and disadvantages of different methods of feeding infants have been considered, and many parents and professionals have advocated a return to breast-feeding. Parents of today make choices from a vast array of equipment available to stimulate and amuse their infants. Family relationships have been investigated in detail by researchers and discussed endlessly by the media. In particular, the father as caregiver has emerged as a topic of interest, and the role of this “New Father” has received extensive attention. Are these roles and concerns new? Or do they reflect a zeitgeist favoring their return? The purpose of this article is to provide a brief look at the advice given to parents of turn-of-the-century infants in the United States and at baby products advertised during this period.     

Amygdala modulation of memory consolidation: interaction with other brain systems

There is a strong consensus that the amygdala is involved in mediating influences of emotional arousal and stress on learning and memory. There is extensive evidence that the basolateral amygdala (BLA) is a critical locus of integration of neuromodulatory influences regulating the consolidation of several forms of memory. Many drug and stress hormone influences converge in activating the release of norepinephrine (NE) within the BLA. Evidence from studies using in vivo microdialysis and high-performance liquid chromatography indicates that increases in amygdala NE levels assessed following inhibitory avoidance training correlate highly with subsequent retention. Other evidence indicates that NE influences on memory consolidation require muscarinic cholinergic activation within the BLA provided by projections from the nucleus basalis magnocellularis (NB). Evidence from several experiments indicates that activation of the BLA plays an essential role in modulating memory consolidation processes involving other brain regions. These findings provide strong support for the hypothesis that the BLA plays a critical role in regulating the consolidation of lasting memories of significant experiences.