Examining the contributions of desirable difficulty and reminding to the spacing effect

Although substantial evidence indicates that spacing repeated study events with intervening material generally enhances memory performance relative to massing study events, the mechanism underlying this benefit is less clear. Two experiments examined the role of reminding difficulty during the acquisition of material in modulating final memory performance for spaced repetitions utilizing recognition (Experiment 1) and recall tests (Experiment 2). Specifically, participants studied a list of words presented one or two times separated by one or five items. On each trial participants reported whether the item had been previously presented (i.e., repetition detection judgment), and the response latency served as a proxy for reminding difficulty such that longer response latencies reflected more difficult reminding. A third experiment extended this paradigm with the inclusion of a massed condition and novel lag conditions (three and ten items). Results revealed significant lag effects in final test performance across experiments despite comparable repetition detection difficulty between lag conditions during acquisition. Moreover, results from within-participant point-biserial analyses and mediation analyses converged on overall performance measures in suggesting that repetition detection difficulty failed to modulate final test performance in the current paradigm. Discussion considers the implications of the current results for mechanisms proposed to underlie the benefits of spaced study and spaced retrieval practice.     

Assessing Differences in Athlete-Reported Outcomes Between High and Low-Quality Youth Sport Programs

The purpose of this study was to examine differences in athlete-reported outcomes based on sport program quality. Twenty-four sport programs were observed using the Program Quality Assessment in Youth Sport (PQAYS) observation tool. A two-step cluster analysis based on total PQAYS scores revealed two groups (low quality = 16, high quality = 8). Athletes (N = 324) completed 3 questionnaires related to basic needs support, needs satisfaction, and developmental experiences. Results indicated that athletes in high-quality programs perceived significantly greater opportunities for autonomy, relatedness, and choice, as well as higher perceptions of goal setting and lower negative experiences compared to youth in lower quality programs.     

“Where Does it Come from?” Experiences Among Survivors and Parents of Children with Retinoblastoma in Kenya

Genetic testing and counseling have become integral to the timely control of heritable cancers, like the childhood eye cancer retinoblastoma. This study aimed to determine attitudes, knowledge and experiences related to retinoblastoma genetics, among survivors and parents of children with retinoblastoma in Kenya. This qualitative study used focus groups as the primary data collection method, coupled with a brief demographic questionnaire. Study settings were Kenyatta National Hospital and Presbyterian Church of East Africa Kikuyu Hospital. Thematic analysis was used to identify key themes. Thirty-one individuals participated in five focus groups. Two main concepts emerged: (1) the origins of retinoblastoma are unclear, and (2) retinoblastoma is associated with significant challenges. The lack of clarity surrounding the origins of retinoblastoma was linked to limited knowledge of retinoblastoma genetics, and limited genetic counseling delivery and uptake. The challenges associated with retinoblastoma were discussed in terms of the impact of the diagnosis on individuals and families, and unmet healthcare needs related to the diagnosis. Next steps will incorporate these findings to develop evidence-informed and accessible cancer genetic services in Kenya.     

Genetic Counselors’ Experience with and Opinions on the Management of Newborn Screening Incidental Carrier Findings

Newborn screening (NBS) is a public health program whose aim is to identify infants who will be clinically affected with a serious metabolic, genetic, or endocrine disorder; however, the technology utilized by many NBS programs also detects infants who are heterozygous carriers for autosomal recessive conditions. Discussion surrounding disclosure of these incidental carrier findings remains controversial. The purpose of this study was to assess genetic counselors’ attitudes about disclosure of carrier status results generated by NBS and to gather data on their experiences with incidental carrier findings. An electronic survey was distributed to genetic counselors of all specialties via the NSGC listserv, and a total of 235 survey responses were analyzed. Quantitative data were analyzed using IBM SPSS v24, and qualitative data were manually analyzed for thematic analysis. Results show that the counselor participants were overall in favor of routine disclosure. Those with experience in NBS were much more likely to strongly agree with one or more reasons for disclosure (p?<?0.001), whereas those with five or fewer years of experience were more likely to strongly agree with one or more reasons for non-disclosure (p?=?0.031). Qualitative analysis identified key motivating factors for disclosure, including helping parents to understand a positive screen, parents may otherwise be unaware of reproductive risk and they may not otherwise have access to this information, and, while genetic testing is inherently a complex and ambiguous process, this does not justify non-disclosure. The main motivating factor for non-disclosure was the need for better counseling and informed consent. The data suggest that implementation of an “opt-in/out” policy for parents to decide whether or not to receive incidental findings would be beneficial. The results of this study support the continued disclosure of incidental carrier findings; however, additional research is necessary to further determine and implement the most effective disclosure practices.     

School-aged Children’s Psychobiological Divergence as a Prospective Predictor of Health Risk Behaviors in Adolescence

Recent attachment research suggests that children with avoidant attachment often underreport their psychological distress compared to their physiologic indicators of distress (neuroendocrine reactivity, startle response, event-related potentials). This pattern of behavior (referred to as psychobiological divergence) may confer risk for suboptimal coping behaviors, including substance use, sexual risk-taking, and non-suicidal self-injury (NSSI), because individuals who are not aware of or cannot express their emotional needs may engage in maladaptive strategies to regulate their emotions. In the current pilot study (N?=?45 youth), we investigate whether psychobiological divergence of neuroendocrine and self-reported reactivity in middle childhood prospectively predicts health risk behaviors (HRBs) in adolescence. The results revealed that divergence was significantly associated with adolescents’ substance use and non-suicidal self-injury (NSSI), but not with their sexual behavior. Among adolescents currently reporting low levels of attachment security, divergence was associated with greater self-reported NSSI. Our results provide initial evidence that psychobiological divergence confers risk for substance use and NSSI in combination with current relational distress. We discuss the implications of our findings for adolescent development and clinical risk.     

Treatment of Maternal Depression With In-Home Cognitive Behavioral Therapy Augmented by a Parenting Enhancement: A Case Report

Depression is prevalent among mothers who participate in home visitation programs. This case study describes In-Home Cognitive Behavioral Therapy (IH-CBT), an empirically based treatment for depressed mothers that is strongly integrated with ongoing home visitation. The use of a Parenting Enhancement for Maternal Depression (PEMD) module was added to address parenting difficulties in a depressed mother. This case describes issues and challenges encountered in delivering treatment in the home with low-income, depressed mothers. Issues involving engagement, adaptation to the setting, responding to the unique needs of low-income mothers, and partnership with concurrent home visiting to optimize outcomes are considered. Long-term follow-up (18 months after the end of treatment) permits examination of sustainability of gains. Implications for treating this high-risk population are discussed.     

Adult Male Perpetrators’ Perspectives on What Prevention Approaches Work Best for Young Boys at Risk of Future Intimate Partner Violence Perpetration

As part of a 2-year ethnographic study, 49 adult men who had been convicted of intimate partner violence (IPV) perpetration were interviewed on what they thought would have prevented them from engaging in perpetration behaviors, or rather what they believed prevention with young boys needed to include in order to prevent future IPV perpetration. The authors’ open-ended interviews yielded five main themes: (a) messages about healthy relationship behaviors, (b) the need to promote respect for women, (c) teaching effective skills for communicating and managing anger, (d) programs that provide role models and are school-based, and (e) addressing the impact of experiencing violence as a child. The authors conclude that prevention efforts focused on changing both attitudes regarding IPV and behaviors might be most effective for reducing perpetration, and that greater attention needs to be paid towards prevention among youth most at risk of IPV perpetration, those experiencing violence in their homes.     

Probing the depth of infants’ theory of mind: disunity in performance across paradigms

There is currently a hot debate in the literature regarding whether or not infants have a true theory of mind (ToM) understanding. According to the mentalistic view, infants possess the same false belief understanding that older children have but their competence is masked by task demands. On the other hand, others have proposed that preverbal infants are incapable of mental state attribution and simply respond to superficial features of the events in spontaneous‐responses tasks. In the current study, we aimed to clarify the nature of infants’ performance in tasks designed to assess implicit theory of mind (ToM) by adopting a within‐subject design that involved testing 18‐month‐old infants on two batteries of tasks measuring the same four ToM constructs (intention, desire, true belief, and false belief). One battery included tasks based on the violation‐of‐ expectation (VOE) procedure, whereas the other set of tasks was based on the interactive, helping procedure. Replication of the original findings varied across tasks, due to methodological changes and the use of a within‐subject design. Convergent validity was examined by comparing performance on VOE and interactive tasks that are considered to be measures of the same theory of mind concept. The results revealed no significant relations between performance on the pairs of tasks for any of the four ToM constructs measured. This pattern of results is discussed in terms of current conflicting accounts of infants’ performance on implicit ToM tasks. A video abstract of this article can be viewed at: https://www.youtube.com/watch?v=U3vqfe_zdhA&feature=youtu.be