Prediction of childhood problems at three years in children experiencing disorders of regulation during infancy

The objective of this study was to determine if symptoms of regulatory disorder (RD) during infancy were related to clinical status at three years. Two age‐matched RD groups based on severity (N = 10 in mild RD group; N = 22 in moderate–severe RD group) and an age‐matched control group (N = 38) were evaluated at 7 and 30 months. A fourth group with pervasive developmental disorders (N = 18) also were tested. Problems with self‐regulation, including sleep, feeding, state control, self‐calming, sensory reactivity, mood regulation, and emotional and behavioral control, were documented during infancy. Children were retested at 36 months in their development, behavior, and play. Two child psychiatrists unfamiliar with the subjects' diagnostic classification during infancy provided diagnoses at 36 months. At 36 months, 60% of children with mild regulatory disorders did not meet criteria for any disorders, while 95% of infants with moderate regulatory disorders had diagnoses that fell into two diagnostic clusters: (1) delays in motor, language, and cognitive development and (2) parent–child relational problems. Most toddlers in the pervasive developmental disorder group were diagnosed as having PDD or autism with mental retardation or borderline intelligence at 36 months. Early symptoms are discussed as they relate to later diagnostic outcomes for the clinical samples. © 2000 Michigan Association for Infant Mental Health.     

Creative Actions Scale: A Spanish Scale of Creativity in Different Domains

This article introduces the Creative Actions Scale (CAS), a Spanish self‐report assessment of individual differences in creative actions. The CAS consists of independent scales that assess the frequency of engagement in everyday creative actions across seven domains: Literature, Plastic Arts and Crafts, Science and Technology, Scenic Arts, Music, Social Participation, and Everyday Creativity. The sample included 1604 men and women who lived in different provinces in Argentina. The participants’ ages ranged from 18 to 94 years. All of the participants spoke Spanish and had an average socioeconomic level. People with different levels of education were included in the sample. We applied the following data collection instruments: CAS, Biographical Inventory of Creative Behaviors, and Domains of Creativity Scale. The analysis provided evidence of internal consistency and validity of the CAS. The confirmatory factor analysis showed an adequate fit of the seven‐domain model. The results also showed significant differences according to gender in some CAS domains. Inclusion of the Social Participation and Everyday Creativity domains is novel and useful for assessing creativity in the Spanish‐speaking population.     

DSM-IV-Defined Inattention and Sluggish Cognitive Tempo: Independent and Interactive Relations to Neuropsychological Factors and Comorbidity

The aim of the present study was to investigate the independent relations of DSM-IV-defined inattention and behaviors characteristic of sluggish cognitive tempo (SCT) to neuropsychological factors and problem behaviors often comorbid with attention deficit/hyperactivity disorder (ADHD). By controlling for symptoms of DSM-IV-defined inattention, unique relations to SCT could be ascertained. Additionally, interactive relations of DSM-IV-defined inattention and SCT were of interest. A community-based sample of school children (N = 209; the higher end of the ADHD-symptom range was oversampled) completed neuropsychological tasks designed to measure executive function (EF), sustained attention, and state regulation. Behavioral symptoms were measured using parental and teacher ratings of the DSM-IV criteria for ADHD and Oppositional Defiant Disorder (ODD). The results showed that these two domains of inattention, DSM-IV-defined inattention and SCT, have neuropsychological processes and comorbid behavioral problems in common. However, when controlling for the overlap, DSM-IV-defined inattention was uniquely related to EF and state regulation, while SCT was uniquely related to sustained attention. In addition, the results showed an interactive relation of DSM-IV-defined inattention and SCT to ODD. Findings from the present study support the notion that DSM-IV-defined inattention constitutes a somewhat heterogeneous condition. Such results can further our theoretical understanding of the neuropsychological impairments and comorbid behavioral problems associated with ADHD symptoms.     

Monitoring in clinical trials: benefit or bias?

Monitoring ongoing clinical trials for early signs of effectiveness is an option for improving cost-effectiveness of trials that is becoming increasingly common. Alongside the obvious advantages made possible by monitoring, however, there are some downsides. In particular, there is growing concern in the medical community that trials stopped early for benefit tend to overestimate treatment effect. In this paper, I examine this problem from the point of view of statistical methodology, starting from the observation that the overestimation is caused by the statistical method adopted. Consequently, I argue that some modifications can and should be made to the present statistical framework in order not to miss the advantages the possibility of monitoring can grant.     

Early Learning Experience and Adolescent Anxiety: A Cross-Cultural Comparison Between Japan and England

The main aim of this study was to compare the frequency of anxiety symptoms among adolescents in Japan and England, and to examine the association between early learning experiences and anxiety symptoms. A total of 299 adolescents (147 from England and 152 from Japan), aged 12 to 17 years were investigated. Results showed that adolescents in England reported significantly higher levels of anxiety symptoms than adolescents in Japan. For early learning experiences, no significant differences emerged between the two countries for parent punishment and reinforcement of anxious behavior. However, for non-anxiety physical symptoms (i.e. cold), adolescents in England scored significantly higher in parent punishment and the Japanese sample scored higher in parent reinforcement. Parent verbal transmission about the danger of anxiety and cold symptoms was more common in Japan than in England. The impact of learning experience on adolescent’s anxiety seemed to differ across cultures, which underscore the importance of cultural factors on adolescent’s anxiety.     

Dysfunctional body investment versus body dissatisfaction: Relations with well-being and controlled motivations for obesity treatment

In this study, we investigated the associations between body image and psychological well-being, exploring the mediating role of controlled regulation for entering obesity treatment. In addition, we analyzed whether investment body image was more strongly associated with controlled regulation (and subsequent well-being) compared to evaluative body image. These analyses were performed controlling for baseline BMI effects. Participants were 139 overweight women (age: 38.0 ± 6.7 year; BMI: 32.0 ± 4.1 kg/m²) entering treatment. Evaluative and investment body image, controlled regulation, and psychological well-being were assessed. Body image investment was positively associated with controlled regulation; evaluative body image was not. Controlled regulation was negatively associated with self-esteem and psychological functioning. Controlled regulation partially mediated the effects of body image investment on self-esteem, but did not mediate its effects on psychological functioning. Results suggest that dysfunctional body image investment might undermine well-being within overweight women, partly by increasing controlled regulation for entering obesity treatment. Discussion focuses on the importance of enhancing body image and autonomy during treatment to improve well-being and weight outcomes.     

Training social cognition: from imitation to Theory of Mind

Evidence for successful socio-cognitive training in typical adults is rare. This study attempted to improve Theory of Mind (ToM) and visual perspective taking in healthy adults by training participants to either imitate or to inhibit imitation. Twenty-four hours after training, all participants completed tests of ToM and visual perspective taking. The group trained to inhibit their tendency to imitate showed improved performance on the visual perspective-taking test, but not the ToM test. Neither imitation training, nor general inhibition training, had this effect. These results support a novel theory of social cognition suggesting that the same self-other discrimination process underlies imitation inhibition and perspective taking. Imitation, perspective taking and ToM are all pro-social processes--ways in which we reach out to others. Therefore, it is striking that perspective taking can be enhanced by suppressing imitation; to understand another, sometimes we need, not to get closer, but to pull away.     

What's social about social learning?

Research on social learning in animals has revealed a rich variety of cases where animals--from caddis fly larvae to chimpanzees--acquire biologically important information by observing the actions of others. A great deal is known about the adaptive functions of social learning, but very little about the cognitive mechanisms that make it possible. Even in the case of imitation, a type of social learning studied in both comparative psychology and cognitive science, there has been minimal contact between the two disciplines. Social learning has been isolated from cognitive science by two longstanding assumptions: that it depends on a set of special-purpose modules--cognitive adaptations for social living; and that these learning mechanisms are largely distinct from the processes mediating human social cognition. Recent research challenges these assumptions by showing that social learning covaries with asocial learning; occurs in solitary animals; and exhibits the same features in diverse species, including humans. Drawing on this evidence, I argue that social and asocial learning depend on the same basic learning mechanisms; these are adapted for the detection of predictive relationships in all natural domains; and they are associative mechanisms--processes that encode information for long-term storage by forging excitatory and inhibitory links between event representations. Thus, human and nonhuman social learning are continuous, and social learning is adaptively specialized--it becomes distinctively "social"--only when input mechanisms (perceptual, attentional, and motivational processes) are phylogenetically or ontogenetically tuned to other agents.     

The roles of categorical and coordinate spatial relations in recognizing buildings

Categorical spatial information is considered more useful for recognizing objects, and coordinate spatial information for guiding actions??for example, during navigation or grasping. In contrast with this assumption, we hypothesized that buildings, unlike other categories of objects, require both categorical and coordinate spatial information in order to be recognized. This hypothesis arose from evidence that right-brain-damaged patients have deficits in both coordinate judgments and recognition of buildings and from the fact that buildings are very useful for guiding navigation in urban environments. To test this hypothesis, we assessed 210 healthy college students while they performed four different tasks that required categorical and coordinate judgments and the recognition of common objects and buildings. Our results showed that both categorical and coordinate spatial representations are necessary to recognize a building, whereas only categorical representations are necessary to recognize an object. We discuss our data in view of a recent neural framework for visuospatial processing, suggesting that recognizing buildings may specifically activate the parieto-medial-temporal pathway.     

Psychosocial Factors Predicting SARS-Preventive Behaviors in Four Major SARS-Affected Regions

This multinational study examined intended and actual adoption of SARS-preventive behaviors in major SARS-affected regions: Guangdong (China), Hong Kong, Singapore, and Toronto (Canada). The theory of reasoned action (TRA) and the theory of planned behavior (TPB) were adopted as theoretical frameworks. A measure was constructed to assess attitude, subjective norm, perceived behavioral control (PBC), knowledge of SARS, and SARS-preventive behaviors. Seventy-five working adults were recruited from each region. They completed the new measure in an initial study, and reported their actual behaviors 2 weeks later. Results provided cross-cultural generalizability of the TRA by showing that attitude and subject norm predicted SARS-preventive behaviors for all the groups. PBC was a statistically significant predictor for all participants except those from Guangdong, indicating that the TPB is applicable only to people from Hong Kong, Singapore, and Toronto. Knowledge of SARS also was found to be an independent predictor.