Developmental change in the neuropsychological functioning of very low birth weight infants

Research on very low birth weight (VLBW) infants has not carefully evaluated developmental patterns of neurological and neuropsychological functioning across time. This study reports on a broad range of developmental outcomes for VLBW infants of low (LR, n = 116) and high (HR, n = 84) medical risk compared to full term infants (FT, n = 120) across 6, 12, and 24 months of age. While low risk infants showed initial delays in most areas, faster rates of change in motor and neurological development resulted in catch-up by 2 years of age as compared to the FT infants. The lack of acceleration in development of mental skills demonstrates a persistent lag in this area. In contrast, HR infants showed initial delays in all areas as compared to both LR and FT infants with slower rates of change in mental and expressive language skills. Although faster rates of change were evident for HR infants in motor, neurological, and receptive language skills, scores in these areas remain lower than those for the LR and FT infants. The absence of accelerated rates of development for certain VLBW infants has implications for prognosis and patient access to early intervention services.     

Auditory repetition priming is impaired in pure alexic patients

Alexia without agraphia, or "pure" alexia, is an acquired impairment in reading that leaves writing skills intact. Repetition priming for visually presented words is diminished in pure alexia. However, it is not possible to verify whether this priming deficit is modality-specific or modality independent because reading abilities are compromised. Hence, auditory repetition priming was assessed with lexical decision and word stem completion tasks in pure alexic patients with lesions in left inferior temporal-occipital cortex and the splenium. Perceptually based, modality-specific priming models predict intact auditory priming, since auditory association cortex is spared in the patients. Alternatively, modality-independent models, which suggest that priming reflects the temporary modification of an amodal system, might predict impairments. Baseline performance was matched in the patients and controls, although lexical decision priming measures showed an interaction between group and repetition lag. The patients showed intact immediate priming but significantly less priming than controls at longer delays. Furthermore, word stem completion priming was abolished in the patients. One explanation for the deficit is that left inferior temporal-occipital cortex supports amodal aspects of priming, as suggested by recent neuroimaging results. Another possibility is that long-term auditory priming relies on covert orthographic representations which were unavailable in the patients. The results provide support for interactive models of word identification.     

Presuicide attempt communications between parasuicides and consulted caregivers.

A high percentage of parasuicides visit professional caregivers prior to the attempted suicide. The content or outcome of these consultations is unknown. We interviewed hospitalized attempters and the professional caregivers they identified as having been consulted prior to their attempts. About half of these patients directly disclosed suicidal symptoms or intentions, especially to mental health professionals. These professionals more often inquired about suicidal ideations than did nonpsychiatric physicians. However, few caregivers noted suicidal thinking or probed suicidal symptoms. The data suggest that professional caregivers and especially nonpsychiatric physicians should be more sensitive and responsive to the signs and symptoms of suicidality.     

Adaptation to juvenile rheumatic disease: a controlled evaluation of functional disability with a one-year follow-up.

Compared the adaptation of 165 patients with juvenile rheumatic disease (JRD) to that of their healthy siblings. Patients were divided into those with mild functional disability and those with moderate/severe disability. Adaptation in several domains was assessed by parents and children on two occasions 1 year apart. The adjustment difficulties of the JRD children were limited primarily to social functioning but appeared also in the psychological and family problems domains. Compared to "mild" patients, "moderate/severe" patients had more adjustment difficulties; in some areas, mild patients functioned as well as their healthy siblings. Some Time 1 differences were replicated at Time 2. The results help to delineate (a) the specific domains in which children with chronic disease have adjustment difficulties and (b) the factors that put children at risk for developing adjustment problems.     

VARIABLES RELATED TO BREAST SELF-EXAMINATION: Model Generation

Using a prospective design, variables from several relevant social psychological theories that would predict breast self-examination were identified. The participants included a probability sample of 362 women who were 35 or older. Instruments were tested for validity and reliability. Data were collected from each participant twice, 1 year apart, using an in-person interview for Time 1 and a telephone interview for Time 2. Results of standardized path coefficients (beta) indicated that breast self-examination (BSE) at Time 2 was directly related to BSE at Time 1 (.76). Indirect paths for susceptibility (.40), health motivation (.46), and barriers (-.54) were identified. All paths mentioned were significant (p5.01). Findings have implications for interventions to increase BSE in women 35 and older.     

Effects of group decision rules on decisions involving continuous alternatives: The unanimity rule and extreme decisions in mock civil juries

Two experiments examined the effects of majority and unanimity decision rules on group decisions involving continuous alternatives. Each experiment used mock civil juries to test three hypotheses related to the claim that when the distribution of group members’ initial preferences is skewed, the group’s decision will be influenced more by the presence of outlier members under unanimity rule than under majority rule. Experiment 1 tested the hypotheses using a punitive damages case and positively skewed preference distributions. Experiment 2 tested the hypotheses using a compensatory damages case and manipulating the skewness of preference distributions in a 2 (group decision rule) × 2 (valence of skewness) factorial design. In both experiments, the extreme (outlier) member’s individual preference was significantly correlated with the group decision only under unanimity rule. A simple thought experiment based on the experimental results is suggested regarding the implications of using unanimity or majority rule for making decisions in civil juries.     

An exploratory study of delinquency, criminal offenses, and juvenile status offenses via the cross-validation design

This article reports the results of an exploratory study of thirty variables that may have an effect on delinquency, criminal offenses, and juvenile status offenses. The study is based on secondary data, and the split-sample cross-validation procedure is used for analysis. Prediction equations were generated in Sample 1; Sample 2 was used for validation. In Sample 1, seven significant predictors of delinquency were found, five for criminal offenses, and five for juvenile status offenses. When these prediction equations were subjected to validation in Sample 2, the number of significant predictors was reduced from seven to four for delinquency, from five to four for criminal offenses, and from five to three for juvenile status offenses. The researchers interpreted these findings within the framework of the cross-validation procedure.