Does d-Cycloserine Augmentation of CBT Improve Therapeutic Homework Compliance for Pediatric Obsessive–Compulsive Disorder?

Clinical studies in adults and children with obsessive–compulsive disorder (OCD) have shown that d-cycloserine (DCS) can improve treatment response by enhancing fear extinction learning during exposure-based psychotherapy. Some have hypothesized that improved treatment response is a function of increased compliance and engagement in therapeutic homework tasks, a core component of behavioral treatment. The present study examined the relationship between DCS augmented cognitive-behavioral therapy (CBT) and homework compliance in a double-blind, placebo controlled trial with 30 youth with OCD. All children received 10 CBT sessions, the last seven of which included exposure and response prevention paired with DCS or placebo dosed 1 h before the session started. Results suggested that DCS augmented CBT did not predict improved homework compliance over the course of treatment, relative to the placebo augmented CBT group. However, when groups were collapsed, homework compliance was directly associated with treatment outcome. These findings suggest that while DCS may not increase homework compliance over time, more generally, homework compliance is an integral part of pediatric OCD treatment outcome.     

Evidence-Based Assessment in Children and Adolescents with Obsessive–Compulsive Disorder

The assessment of varied psychiatric disorders, including obsessive–compulsive disorder (OCD), is shifting towards the use of evidence-based assessments (EBAs). This shift has fostered the development, validation and adaptation of several measures to rate obsessive–compulsive symptoms and other related problematic areas such as functional impairment or family attitudes among others. The aim of this paper is to present a systematic review of psychometric studies on pediatric OCD-specific measures to classify these according to assessment evidence-based criteria. Selection criteria that determined which studies were included in the review were: (1) analyzing an OCD measure and (2) including participants’ age being 18 years or younger. The literature search procedure was conducted in Medline, PsycINFO, PsycARTICLES, ERIC, Cochrane Library, and Scholar Google databases and enabled us to locate 42 studies which analyzed psychometric properties of 14 OCD measures studied in children and adolescents. Instruments were grouped into the following assessment areas: symptom presence and severity, functional impairment, family functioning and cognitive dimensions of OCD. Psychometric data regarding internal structure, internal consistency, reliability, validity and diagnostic precision were also reported. Further, measures were classified as well-established, approaching well-established and promising assessments in terms of reliability and validity. We concluded that the assessment of OCD in pediatric populations is a growing field that in a short-medium term could provide a wide variety of EBAs for the evaluation obsessive–compulsive symptoms and other OCD-related dimensions. The paper concludes by highlighting directions for future research.     

Graph Theoretical Analysis of Brain Network Characteristics in Brain Tumor Patients: A Systematic Review

Neuropsychology Review - Graph theory is a branch of mathematics that allows for the characterization of complex networks, and has rapidly grown in popularity in network neuroscience in recent...     

Examining the Relations between Preschooler’s Externalizing Behaviors and Academic Performance Using an S-1 Bifactor Model

Research on Child and Adolescent Psychopathology - Externalizing behaviors are associated with poor academic outcomes in community-based samples of children as young as preschool-age. However,...     

Altered attention for stimuli on the hands

Attention operates in the space near the hands with unique, action-related priorities. Here, we examined how attention treats objects on the hands themselves. We tested two hypotheses. First, attention may treat stimuli on the hands like stimuli near the hands, as though the surface of the hands were the proximal case of near-hand space. Alternatively, we proposed that the surface of the hands may be attentionally distinct from the surrounding space. Specifically, we predicted that attention should be slow to orient toward the hands in order to remain entrained to near-hand space, where the targets of actions are usually located. In four experiments, we observed delayed orienting of attention on the hands compared to orienting attention near or far from the hands. Similar delayed orienting was also found for tools connected to the body compared to tools disconnected from the body. These results support our second hypothesis: attention operates differently on the functional surfaces of the hand. We suggest this effect serves a functional role in the execution of manual actions.     

From Van Gogh to Lady Gaga: Artist eccentricity increases perceived artistic skill and art appreciation

We examined the impact of eccentricity on the evaluation of artistic skills and the quality of artworks. Based on the notion that artists are typically perceived as eccentric, creative and skilled, we tested the hypothesis that eccentricity increases perceptions of artistic quality. In Study 1, Van Gogh's Sunflowers painting was evaluated more positively when he was said to have cut off his left ear lobe than when this information was not presented. In Study 2, participants liked art more when the artist was eccentric. In Study 3, the evaluation of fictitious art increased because of the artist's eccentric appearance. Study 4 established that the eccentricity effect was specific to unconventional as opposed to conventional art. In Study 5, Lady Gaga's music was more appreciated when she was displayed as highly eccentric; however, the eccentricity effect emerged only when the display seemed authentic. These novel findings indicate that art evaluations are partly rooted in perceptions of artists' eccentricity and evidence the importance of perceived authenticity and skills for these attributions. Copyright © 2014 John Wiley & Sons, Ltd.     

Fictional Truth and Make-Believe

The statement “Mr. Darcy proposes to Elizabeth” seems true in Jane Austin’s Pride and Prejudice (even though it may not actually appear in the text) while the statement “Mr. Darcy is a detective” seems false. One explanation for this intuition is that when we read or talk about fictional stories, we implicitly employ the fictional operator “It is fictional that” or “It is part of the story that.” “It is fictional that Mr. Darcy proposes to Elizabeth” expresses a true proposition while “It is fictional that Mr. Darcy is a detective” does not. Fictive statements can be abbreviated as “In F, P”. Determining what statements are fictionally true in a story requires providing truth conditions for statements of the form “In F, P.” This paper proposes an analysis of truth in fiction and examines the notion of make-believe.     

It’s a Bird! It’s a Plane! It’s a Gender Stereotype!: Longitudinal Associations Between Superhero Viewing and Gender Stereotyped Play

Although content analyses have found that superhero programs in the media portray strong gender stereotypes of masculinity, little research has examined the effects of viewing such programs. In the current study, 134 mothers of preschool children (from the Western and Northwestern United States) reported their child’s superhero exposure in the media, male-stereotyped play, weapon play, and parental active mediation of the media at two time points (1 year apart). Results revealed that boys viewed superhero programs more frequently than girls, with nearly a quarter of boys viewing superhero programs at least weekly. Analyses revealed that superhero exposure was related to higher levels of male-stereotyped play for boys and higher levels of weapon play for both boys and girls from Time 1 to Time 2, even after controlling for initial levels. Parental active mediation did not negate these effects, and even served to strengthen one finding for girls. Specifically, among girls with high superhero exposure, weapon play was highest for girls who received frequent active mediation. Implications of the results are discussed with a focus on whether such programs are developmentally appropriate for preschool children.