Institutional care and iron deficiency increase ADHD symptomology and lower IQ 2.5–5 years post‐adoption

Increased ADHD symptomology and lower IQ have been reported in internationally adopted (IA) children compared to non‐adopted peers (Hostinar, Stellern, Schaefer, Carlson & Gunnar, 2012; Kreppner, O'Connor & Rutter, 2001). However, it is unclear whether these outcomes are due to institutional deprivation specifically or to co‐occurring micronutrient deficiencies that disrupt brain development (Fuglestad, Rao & Georgieff, 2008b). In this study, IA children were compared to children raised in their biological families to examine differences in ADHD symptomology and IQ 2.5–5 years post‐adoption and to assess the contributions of iron deficiency (ID) and duration of deprivation to these cognitive outcomes. ADHD symptoms (parent‐ and experimenter‐reported) and IQ were evaluated in 88 IA (M = 62.1 months, SD = 2.4) and 35 non‐adopted children (M = 61.4 months, SD = 1.6). IA children were assessed 29–64 months post‐adoption (M = 41.9 months, SD = 10.2). ID was assessed during the initial post‐adoption medical visit in 69 children, and children were classified into four groups by iron status, ranging from normal to ID anemia (most severe). IA children had greater ADHD symptomology, p < .01, and lower IQ, p = .001, than non‐adopted children. Within the IA group, children with more severe ID at adoption had greater ADHD symptomology, r(69) = 0.40, p = .001, and lower IQ, r(68) = −0.28, p < .05. Duration of institutional care was positively correlated with ADHD symptoms, r(86) = .28, p < .01, but not IQ, r(85) = −.08, p = .52. Longitudinal results indicate improvement in IQ from 12 months post‐adoption to age 5 for children with greater ID severity at adoption and longer duration of institutional care but no improvement in ADHD symptoms. These results signify continuing effects of early deprivation and ID on ADHD symptoms and IQ years after adoption. A video abstract of this article can be viewed at http://www.youtube.com/watch?v=vUFDAS3DD1c     

Structural Aspects of Synchronistic Moments in Psychotherapy—Findings of an Empirical Study of Synchronicities in Psychotherapy and Psychoanalysis1

Synchronicity describes a meaningful coincidence of events, which is familiar to us from treatments of our patients, but unfortunately has not yet been empirically substantiated. Adding to previous findings that point out beneficial aspects of synchronicity (Marlo, 2022; Lagutina, 2021; Connolly, 2015), in this paper I will show through a series of five synchronistic moments which happened in the context of therapy and analysis and which have been documented empirically, how synchronicities occur and can be used therapeutically. In my research I found several situational factors that can be considered structural aspects of synchronistic moments. Furthermore, I will show that synchronistic phenomena can have a positive influence if certain relational and transference-countertransference referential aspects are considered by the therapist and analyst. The concept of synchronicity brings the possibility of a further therapeutical instrument for the patient-analyst-dyad.     

Manual training of mental rotation

The aim of this study was to investigate the timing relations between phonological encoding that is, the generation of an abstract phonological representation of a to-be-produced utterance and the initiation of articulation. Previous research (Meyer &; Schriefers, 1991) using a picture-word paradigm suggested that, in the production of simple one-word naming responses, a speaker completes phonological encoding of the complete word before articulation is initiated. In the present study, this question was investigated for the production of German no-determiner noun phrases (e.g. roter Tisch, “red table”;). The results showed reliable facilitation effects for distractors that are identical to the first syllable of the first word of the noun phrase. For the second syllable of the first word, only weak facilitation effects were obtained. For the second word, no significant facilitation effects were obtained. However, additional analyses showed that two groups of speakers can be distinguished, one showing only facilitation effects for the first syllable of the first word, and the other showing an additional facilitation effect for the second syllable of the first word. Together with related results, our findings lead to two conclusions. First, the (phonological) word is not the lower limit of phonological encoding before articulation can be initiated. Second, speakers can adjust the size of the advance planning unit at the phonological level based on the specific speaking context.     

Psychosocial and Behavioural Assessment of Chronic Pain: Recommendations for Clinicians and Researchers

Abstract

A variety of methods have been developed for the assessment of chronic benign pain. In research or in clinical practise, choosing an adequate measurement technique can be a laborious task. This article has two main purposes: to report on some basic features to consider when selecting assessment instruments, and to present a review of some psychosocial and behavioural measurement methods for the assessment of chronic benign pain. The selected methods have, with one exception, been evaluated on Swedish chronic pain populations and are used in international pain research. In conclusion, we recommend the use of psychometrically sound instruments, and that the purposes for use of a measure have to be thoroughly considered in advance. We also emphasize that in clinical practise, each separate measure must be interpreted in a wider context, where clinical findings and judgements are considered as a whole. In addition, none of the single reviewed assessment techniques can replace the communication between the patient and the clinician.     

Diagnostic test evaluation of a nasal flow monitor for obstructive sleep apnea detection in sleep apnea research

In this diagnostic test evaluation of a nasal flow monitoring device for obstructive sleep apnea (OSA), 34 patients referred for polysomnography were studied at home for three consecutive nights with the monitor. The mean age of subjects (+/-SD) was 41.9+/-10.3 years, and their mean apnea-hypopnea index (AHI) was 31.5+/-27.2. The difference between the average AHI from three nights at home on the monitor and the polysomnogram (PSG) result was 1.8+/-17.1. The area under the receiver operating characteristic curve (AUC) for PSG AHI > or = 10 was .96. With a threshold AHI of 18 on the flow monitor, sensitivity was .92, specificity .86, positive predictive value .96, and negative predictive value .75. For detecting severe OSA (AHI > or = 30), the AUC was .85. With knowledge of appropriate thresholds and the pretest risk of OSA, the flow monitor can be used to detect or exclude OSA for sleep-related research, as well as to identify severe cases needing priority for further evaluation.     

A comparison of AME and CR100 for scaling perceived exertion

In psychophysical studies of the relation between perceived magnitude and physical stimulus, interest has focused on the preciseness of growth functions. Very little interest has been devoted to natural levels of an "absolute" character and to the validity of direct measurements. In this article, the Category (C)-Ratio (R) (CR) scaling methodology, developed by Borg (1973, 1977, 1982) is presented together with a new CR scale: the CR100 scale. In an experiment on perceived exertion, CR100 was compared with Absolute Magnitude Estimation (AME). Perceived exertion has the advantage of having easily measured physiological variables that can function as validity criteria. 32 persons (16 men and 16 women) participated as subjects on two different occasions, and the presentation order was counterbalanced. Results from CR100 and AME could be described equally well with psychophysical functions. The exponents obtained with CR100 were n = 1.60 for women and n = 1.69 for men, and the corresponding exponents for AME were n = 1.60 for women and n = 1.46 for men (with a "noise" constant included in the function). ANOVA showed that CR100 could make the predicted differentiation between sexes, whereas AME could not. This drawback with AME was also found when using the methods to predict working capacity.     

Being implicated: on the fittingness of guilt and indignation over outcomes

Philosophical Studies - When is it fitting for an agent to feel guilt over an outcome, and for others to be morally indignant with her over it? A popular answer requires that the outcome happened...     

Outsourcing the deep self: Deep self discordance does not explain away intuitions in manipulation arguments

According to manipulation arguments for incompatibilism, manipulation might undermine an agent’s responsibility even when the agent satisfies plausible compatibilist conditions on responsibility. According to Sripada (2012 Sripada, C. (2012). What makes a manipulated agent unfree? Philosophy and Phenomenological Research, 85, 563–593.[Crossref], [Web of Science ®] , [Google Scholar]), however, empirical data suggest that people take manipulation to undermine responsibility largely because they think that the manipulated act is in discord with the agent’s “deep self,” thus violating the plausible compatibilist condition of deep self concordance. This paper defends Sripada’s general methodological approach but presents data that strongly suggest that, contrary to Sripada’s contention, most of the effect of manipulation on attributions of moral responsibility is unmediated by worries about inadequate information or deep self discordance. Instead, it depends largely on worries that the action is ultimately explained by factors outside the agent’s control, just as proponents of manipulation arguments have proposed. More generally, data suggest that judgments of deep self discordance are themselves explained by worries about responsibility, and that the everyday notion of what an agent wants or is “deep down” is sensitive not only to the agent’s internal psychological structure, but also its source. This casts some doubt on recent claims about the explanatory role of deep self judgments.     

Reinforcement sensitivity theory and major motivational and self-regulatory processes in children

The present research explores the role of sensitivity in the BIS and the BAS as antecedents to cognitive and affective motivational processes in middle-school children. Two studies were initiated to examine the relationship between sensitivity in the behavioral inhibition system (BIS) and behavioral approach system (BAS) and several important motivational factors. The first study looked at the assumption that the BIS and the BAS are systematically linked to motives and achievement goals. The second study investigated the links between BIS/BAS and individual differences in self-regulatory processes and affect during problem-solving. The findings indicate that the motive to avoid failure, the inability to take action after failure and to initiate intended goal-directed activities, as well as the tendency to focus on avoiding misunderstanding are all grounded in threat responsiveness. Conversely, the motive to approach success, self-efficacy and the tendency to focus on comparison with others in a problem-solving setting are grounded in incentive responsiveness.