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.     

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.     

Baby steps: investigating the development of perceptual–motor couplings in infancy

There are cells in our motor cortex that fire both when we perform and when we observe similar actions. It has been suggested that these perceptual‐motor couplings in the brain develop through associative learning during correlated sensorimotor experience. Although studies with adult participants have provided support for this hypothesis, there is no direct evidence that associative learning also underlies the initial formation of perceptual–motor couplings in the developing brain. With the present study we addressed this question by manipulating infants’ opportunities to associate the visual and motor representation of a novel action, and by investigating how this influenced their sensorimotor cortex activation when they observed this action performed by others. Pre‐walking 7–9‐month‐old infants performed stepping movements on an infant treadmill while they either observed their own real‐time leg movements (Contingent group) or the previously recorded leg movements of another infant (Non‐contingent control group). Infants in a second control group did not perform any steps and only received visual experience with the stepping actions. Before and after the training period we measured infants’ sensorimotor alpha suppression, as an index of sensorimotor cortex activation, while they watched videos of other infants’ stepping actions. While we did not find greater sensorimotor alpha suppression following training in the Contingent group as a whole, we nevertheless found that the strength of the visuomotor contingency experienced during training predicted the amount of sensorimotor alpha suppression at post‐test in this group. We did not find any effects of motor experience alone. These results suggest that the development of perceptual–motor couplings in the infant brain is likely to be supported by associative learning during correlated visuomotor experience.     

False belief in infancy: a fresh look

Can infants appreciate that others have false beliefs? Do they have a theory of mind? In this article I provide a detailed review of more than 20 experiments that have addressed these questions, and offered an affirmative answer, using nonverbal ‘violation of expectation’ and ‘anticipatory looking’ procedures. Although many of these experiments are both elegant and ingenious, I argue that their results can be explained by the operation of domain‐general processes and in terms of ‘low‐level novelty’. This hypothesis suggests that the infants' looking behaviour is a function of the degree to which the observed (perceptual novelty) and remembered or expected (imaginal novelty) low‐level properties of the test stimuli – their colours, shapes and movements – are novel with respect to events encoded by the infants earlier in the experiment. If the low‐level novelty hypothesis is correct, research on false belief in infancy currently falls short of demonstrating that infants have even an implicit theory of mind. However, I suggest that the use of two experimental strategies – inanimate control procedures, and self‐informed belief induction – could be used in combination with existing methods to bring us much closer to understanding the evolutionary and developmental origins of theory of mind.     

Development and Validation of an Explicit Aggressive Beliefs and Attitudes Scale

This work outlines the development and validation of a new self-report measure that assesses explicit aggressive beliefs and attitudes within the normal adult population (using 7 samples, total N = 3,533). These explicit aggressive beliefs and attitudes are expected to reflect aggressive biases including hostile attribution, potency, retribution, victimization by powerful others, derogation of target, and social discounting. The resulting scale is reliable with a hierarchical 6-factor structure, and displays convergent and discriminant validity. Criterion-related validity studies indicate incremental effects over socially desirable response bias, related implicit and explicit aggression measures, and is predictive of self-reported and other-reported aggression-related behaviors.     

Validation of the Inventory of Parent and Peer Attachment in Cypriot Clinical and non-Clinical Adolescents

Journal of Child and Family Studies - Being able to assess attachment during adolescence is important for clinical practice and research addressing adolescents’ well-being and mental health....     

Does the character-based dimension of stories impact narrative processing? An event-related potentials (ERPs) study

Cognitive Processing - This event-related potentials (ERPs) study investigated online processes of integration of information relating to characters in narrative comprehension. The final sample...