Neurological subtle signs and cognitive development: A study in late childhood and adolescence

Introduction and Aim: Neurological subtle signs (NSS) are often observed during the neurological examination of children and tend to disappear with age. Their persistence into late adolescence or young adulthood has been related to psychiatric and neurocognitive disorders. To provide a better understanding of their functional basis, a longitudinal correlational study with neurocognitive measurements was performed.

Method: We conducted multiple regression and correlation analyses of NSS with demographic and cognitive measures on a subset of 341 healthy children (56% males), taking part in a longitudinal dental study. Participants, whose ages ranged between 11–15 years, at first evaluation, undertook yearly, during 5 years, a 6-item NSS exam (producing a total score ranging between 0–18) and a comprehensive battery of neurocognitive tests. Effects of age, gender, IQ, and 7 neurocognitive factors on NSS were analyzed.

Results: Over the years, NSS scores correlated consistently with selective attention (Stroop test), motor speed (finger tapping), and visuomotor speed (pegboard speed).

Discussion: These results suggest that the disappearance of NSS in late childhood and adolescence occurs primarily in parallel with the development of motor and visuomotor functions and secondarily in relation to higher order functions such as selective attention (Stroop) and executive control (B-A Trails difference).     

Adopted children's language difficulties and their relation to symptoms of reactive attachment disorder: FinAdo study

This study investigated the potential association between symptoms of reactive attachment disorder and language difficulties among internationally adopted children in Finland (the FinAdo study). The language difficulties were assessed using a standardised Five to Fifteen (FTF) parental questionnaire and the symptoms of reactive attachment disorder using a FinAdo questionnaire. The study sample consisted of 689 6–15 year old children (49.2% boys, response rate 48%). Twenty-nine percent of the children were reported to have language difficulties and 8% severe language difficulties (10% and 2%, respectively, in the general population). A child's symptoms of reactive attachment disorder were associated with language difficulties and severe language difficulties, OR 2.15, 95% CI [1.39, 3.31] and OR 4.33, 95% CI [1.57, 11.98], respectively, the associations being robust to adjustments for background factors.     

Attention control: Relationships between self-report and behavioural measures,and symptoms of anxiety and depression

Previous research has demonstrated differences in processing between fear-relevant stimuli, such as snakes and spiders, and non-fear-relevant stimuli. The current research examined whether non-fear-relevant animal stimuli, such as dogs, birds and fish, were processed like fear-relevant stimuli following aversive learning. Pictures of a priori fear-relevant animals, snakes and spiders, were evaluated as negative in affective priming and ratings and were preferentially attended to in a visual search task. Pictures of dogs, birds and fish that had been trained as CS+ in an aversive conditioning design were evaluated more negatively and facilitated dot probe detection relative to CS? pictures. The current studies demonstrated that stimuli viewed as positive prior to aversive learning were negative and were preferentially attended to after a brief learning episode. We propose that aversive learning may provide a mechanism for the acquisition of stimulus fear relevance.     

Effects of spatial cues on locating emotional targets

Inhibition of return (IOR) refers to slower responding to a visual target appearing at a previously cued versus uncued location. In three experiments, we asked whether IOR would be affected by the emotional content of target stimuli. Participants reported the location of negative (spiders, angry faces) or neutral (objects, neutral faces) targets as quickly and accurately as possible after a valid or invalid location cue (a simple circle). IOR was significantly smaller when detecting negative versus neutral targets, but only after repeated exposures to these stimuli (i.e., with blocked presentations). This effect was eliminated when target type was randomized within blocks. By presenting negative versus neutral targets in short alternating blocks and examining IOR on the first trial of each new block, we show that the emotional modulation of IOR stems from the affective context in place before visual orienting is initiated, not by perceptual processing of the target after cue offset.     

Complicated Grief in Canada: Exploring the Client and Professional Landscape

Complicated grief (CG) is one of the central themes in bereavement research and advanced clinical practice today. Using a mixed-methods approach, we wanted to learn (a) what tools Canadian practitioners used to identify or diagnose CG and (b) what interventions or strategies they used to address CG. Sixty-three professionals responded to our survey. There were no straightforward answers to these questions: the state-of-the art of CG in Canada is, in fact, complicated. Practitioners used a wide assortment of tools and strategies with no consensus on any one approach or tool. Building a Canadian CG community of practice was recommended.     

Identity Horizons Among Finnish Postsecondary Students: A Comparative Analysis

This article examines the identity horizons of postsecondary students in Finland—a country in which social welfare provisions buffer education-to-work transitions—comparing their identity horizons to those previously reported for U.S. and Japanese students. Confirmatory factor analyses revealed scalar invariance of the Finnish version of the Identity Horizons Scales with the English and Japanese versions. Latent mean comparisons found that Finnish students had the broadest educational and work horizons, and the lowest education-to-work identity anxiety. Finnish men reported lower levels of educational horizons and higher levels of identity anxiety than Finnish women, replicating previous findings. Social class differences were also detected, with higher levels of identity anxiety and narrower educational horizons among those whose parents had no postsecondary education. Based on the apparent impacts on identity development of the different educational policies in the three countries, results are discussed in terms of policy implications supporting more effective education-to-work transitions.     

Marital Relationship,Body Image and Psychological Quality of Life among Breast Cancer Patients: The Moderating Role of the Disease’s Phases

In this cross-sectional study we analyzed the links between marital quality and intimacy, body image, and psychological quality of life (PQoL) of breast cancer patients, as well as the moderating role of cancer phase (treatment, survivorship) on the aforementioned links. We also evaluated whether body image mediated the associations between marital relationship variables and PQoL. An analysis of the data from 128 patients (66 undergoing treatment, 62 survivors) indicated that the majority of links between variables were significant only during the treatment phase. Mediating effect of body image on the associations between relationship variables and PQoL was found only at the treatment phase.     

Theory of Mind and Executive Functions in Young Bilingual Children

Few studies have explored the relationship between theory of mind (ToM), executive function (EF), and bilingualism at the same time. In this study 14 young bilingual children were compared with monolingual children on a test battery composed of 5 ToM tests, 5 EF tests, and 1 test of general language ability. The result showed that despite significantly lower verbal ability, the bilingual children outperformed the monolingual ones on tests of EF. There were no differences in ToM performance. The authors argue that there is a strong relationship between bilingualism and EF, but, contrary to results from earlier studies, they could not find any relationship between bilingualism and ToM. EF did not predict ToM performance. Lack of a significant relationship could be due to the children's young age and consequently their low scores on the ToM tasks.     

Using Participatory System Dynamics Modeling to Examine the Local HIV Test and Treatment Care Continuum in Order to Reduce Community Viral Load

Achieving community‐level goals to eliminate the HIV epidemic requires coordinated efforts through community consortia with a common purpose to examine and critique their own HIV testing and treatment (T&T) care system and build effective tools to guide their efforts to improve it. Participatory system dynamics (SD) modeling offers conceptual, methodological, and analytical tools to engage diverse stakeholders in systems conceptualization and visual mapping of dynamics that undermine community‐level health outcomes and identify those that can be leveraged for systems improvement. We recruited and engaged a 25‐member multi‐stakeholder Task Force, whose members provide or utilize HIV‐related services, to participate in SD modeling to examine and address problems of their local HIV T&T service system. Findings from the iterative model building sessions indicated Task Force members’ increasingly complex understanding of the local HIV care system and demonstrated their improved capacity to visualize and critique multiple models of the HIV T&T service system and identify areas of potential leverage. Findings also showed members’ enhanced communication and consensus in seeking deeper systems understanding and options for solutions. We discuss implications of using these visual SD models for subsequent simulation modeling of the T&T system and for other community applications to improve system effectiveness.     

Stimulus competition in pre/post and online ratings in an evaluative learning design

Evaluative learning is said to differ from Pavlovian associative learning in that it reflects stimulus contiguity, not contingency. Thus, evaluative learning should not be subject to stimulus competition, a proposal tested in the current experiments. Participants were presented in elemental and compound training phases with pictures of shapes as CSs. Each shape/pair of shapes was followed by a picture of a happy or an angry face as the US. In Experiments 1 and 2, evaluative ratings were collected before and after the experiment, and, in Experiment 3, participants provided evaluations online. Stimulus competition was evident in all experiments confirming that evaluative learning is sensitive to stimulus contingencies.