Performance on the dimensional change card sort and backward digit span by young children with autism without intellectual disability

The early development of executive function (EF) and its relation to autism symptom expression is of considerable theoretical interest, particularly in children without general cognitive delay. Executive function was tested in 23 children with autism spectrum disorders (ASD) without intellectual disability and 20 age- and IQ-matched typically developing children. Even though performance was equivalent between the two groups on tests of general intelligence, flexibility in card sorting was lower for children with ASD. Verbal working memory during the backward digit span did not differ between groups. Among children with ASD, poorer performance on card sorting distinguished a subgroup with worse social-communication functioning above and beyond IQ. Controlling for IQ social and repetitive symptoms of ASD did not differ based on card sorting ability.     

An evaluation of the effectiveness of Diploma-level training in cognitive behaviour therapy

Background

As part of the UK government’s initiative to Increase Access to Psychological Therapies (see http://www.iapt.nhs.uk/for full details of the IAPT programme) there has been an expansion in the provision of post-graduate Diploma training in cognitive behaviour therapy (CBT). Previous evaluations of such training programmes have yielded mixed results but have been limited by small sample sizes and/or limited assessment measures.

Aims

To evaluate the impact of a long-standing Diploma in CBT training programme on a variety of measures of CBT competence.

Method

Trainees’ levels of CBT skill are compared at the beginning and end of CBT training. The effect of therapist factors such as age, professional background and gender on the development of CBT competence is also examined.

Results

Results show that trainees demonstrate higher levels of CBT skills after completing the training than they did before, with the majority achieving pre-determined criteria for competence. Trainees’ gender was not related to their performance but trainees’ age showed a negative association with CBT skill (older trainees performed worse). Trainees’ professional background also had an impact on their level of CBT competence, with trainees who were clinical psychologists demonstrating the highest levels of competence across a range of measures.

Conclusions

CBT Diploma training leads to increases in the level of trainees’ CBT competence, with the majority achieving the levels demonstrated in research trials by the end of training. Thus, this training is likely to lead to improved outcomes for patients. Further research is needed to determine the most efficient ways of enhancing CBT skills.     

Cognitive change 5 years after coronary artery bypass surgery.

A longitudinal study of cognitive function after coronary artery bypass surgery examined 107 participants using 11 tests, preoperatively and at 6 days, 8 weeks, and 5 years after surgery. The overall neuropsychological (NP) change score declined at 6 days, showed some recovery at 8 weeks, and declined again at 5 years. The number of microemboli recorded during surgery, postoperative short-term cognitive change, and degree of recovery at 8 weeks were identified as predictors of change in NP score to 5 years. This suggests that even over a 5-year period, operative damage is detectable. Patients' vulnerability to short-term deterioration and resilience or ability to recover over a few weeks from operative cerebral insult are important processes of unknown mechanisms.     

Is there "feedback" during visual imagery? Evidence from a specificity of practice paradigm.

The specificity of practice hypothesis predicts the development of a sensorimotor representation specific to the afferent feedback available during skill acquisition (Proteau, 1992; Proteau, Marteniuk, Girouard, & Dugas, 1987). In the present investigation, we used the specificity of practice hypothesis to test whether skill acquisition through visual imagery would lead to the development of a sensory-specific movement representation similar to one resulting from actual practice. To accomplish this objective, participants practiced walking a 12-m linear path in one of three practice conditions, full-vision (FV), no-vision (NV), or visual imagery (VI), for either 10 or 100 trials. Knowledge of spatial and/or temporal results (KR) was provided to participants following each trial during this phase. Following acquisition, participants completed 10 NV trials without KR. An analysis of root-mean-squared-error (RMSE) indicated NV participants were more accurate than both FV and VI participants in the transfer condition. We believe the equivalence in transfer RMSE between FV and VI suggests that there are similarities between the movement representations attained by FV and VI practice.     

Spiritual Maturity and Social Support in a National Study of a Male Religious Order

This national study analyzed the relationship of spiritual maturity and valued relationships with social support and life satisfaction using a random sample of male religious from one Roman Catholic order (N = 251). Four measures were used: (a) NEO-Five Factor Inventory (NEO-FFI; Costa & McCrae, 1992), (b) Spiritual Maturity Index (SMI; Ellison, 1983), (c) Social Support Appraisals Scale (SS-A; Vaux, et al., 1986), and (d) Satisfaction With Life Scale (SWLS; Diener, Emmons, Larsen, & Griffin, 1985). Hierarchical regression results showed that Spiritual Maturity was a significant predictor of Perceived Social Support (F (1, 237) = 20.662, p ≤ .001) and Life Satisfaction (F(1, 237) = 13.205, p ≤ .001). The study also showed that valued relationships inside (versus outside) the order predicted Life Satisfaction (F(1, 236) = 4.722, p ≤ .05). These findings demonstrate the importance of spiritual development and peer relationships as a way of enhancing vocational stability and satisfaction in male religious.     

Utility of a CPT in diagnosing ADHD among a representative sample of high-risk children: a cautionary study.

Continuous performance tests (CPTs) are widely used in the assessment and study of attention deficit hyperactivity disorder (ADHD). Although CPTs have reliably found differences between children with ADHD and normal controls, discriminating between children with ADHD and children with subclinical levels of behavioral or cognitive problems is a more clinically relevant and difficult endeavor. Additionally, most studies use convenience samples from clinical care settings that may not represent the ADHD population as a whole. The current study assessed the utility of a clinically used CPT, the Test of Variables of Attention (TOVA), in distinguishing between children with ADHD and children with subclinical levels of attention/behavior problems. Participants constituted a representative sample of elementary school students at high risk for ADHD, including 116 children with ADHD and 51 subclinical controls. Results found no significant differences between the ADHD and subclinical group on CPT variables, and CPT performance did not reliably predict group membership. Implications of the findings are discussed.     

Concurrent cognitive task modulates coordination dynamics

Does a concurrent cognitive task affect the dynamics of bimanual rhythmic coordination? In‐phase coordination was performed under manipulations of phase detuning and movement frequency and either singly or in combination with an arithmetic task. Predicted direction‐specific shifts in stable relative phase from 0° due to detuning and movement frequency were amplified by the cognitive task. Nonlinear cross‐recurrence analysis suggested that this cognitive influence on the locations of the stable points or attractors of coordination entailed a magnification of attractor noise without a reduction in attractor strength. An approximation to these findings was achieved through parameter changes in a motion equation in relative phase. Results are discussed in terms of dual‐task performance as limited resources, dynamics rather than chronometrics, and reparameterization rather than degradation.     

The application of civil commitment law and practices to a case of delusional disorder: a cross-national comparison of legal approaches in the United States and the United Kingdom

Legal approaches to civil commitment in the United States and the United Kingdom are compared. A concise overview of the historical evolution of civil commitment in both countries precedes a discussion of the present scheme of commitment standards in each system. These current standards in U.S. and U.K. jurisdictions are then applied to a hypothetical case of delusional disorder. A discussion of the constructive use of civil commitment in patients with delusional disorder who may be dangerous focuses on its value as a preventive measure against potential harm to self or others, as well as the pros and cons of coercive assessment and treatment. Despite the many differences in approach to commitment, the authors concur that in both countries the patient with delusional disorder was committable before the commission of a serious criminal offense.