The Role of a State‐Level Prevention Support System in Promoting High‐Quality Implementation and Sustainability of Evidence‐Based Programs

Although numerous evidence‐based programs (EBPs) have been proven effective in research trials and are being widely promoted through federal, state, and philanthropic dollars, few have been “scaled up” in a manner likely to have a measurable impact on today's critical social problems. The Interactive Systems Framework for Dissemination and Implementation (ISF) explicates three systems that are critical in addressing the barriers that prevent these programs from having their intended public health impact. In this article we describe the relevance of these systems in a real‐world context with a specific focus on the Prevention Support System (PSS). We expand on the ISF model by presenting funders and policy‐makers as active and engaged stakeholders, and demonstrate how a state‐level PSS has used empirical evidence to inform general and program‐specific capacity‐building and support interactions among researchers, funders, and practitioners in Pennsylvania. By embracing this expanded ISF framework as a conceptual model for the wide‐scale dissemination and support of EBPs, and recognizing the need for a distinct state‐level PSS, Pennsylvania has created an infrastructure to effectively address the primary barriers to moving from lists of EBPs to achieving population‐level public health improvement. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith     

Inappropriate and Excessive Guilt: Instrument Validation and Developmental Differences in Relation to Depression

Inappropriate or excessive guilt is listed as a symptom of depression by the American Psychiatric Association (1994). Although many measures of guilt have been developed, definitional and operational problems exist, especially in the application of such measures in childhood and adolescence. To address these problems, the current study introduces the Inappropriate and Excessive Guilt Scale (IEGS), assesses its validity for use with children and adolescents, and tests its relation to depression across development. From a sample of 370 children between 7 and 16 years old, results provided (1) evidence that items designed to assess inappropriate and excessive guilt converged onto a single underlying factor, (2) support for the convergent, discriminant, and construct validity of the IEGS in a general youth population, and (3) evidence of incremental validity of the IEGS over-and-above other measures of guilt. Results also supported the hypothesis that inappropriate and excessive guilt as well as negative cognitive errors become less normative and more depressotypic with age.     

Perinatal Factors, Parenting Behavior, and Reactive Aggression: Does Cortisol Reactivity Mediate this Developmental Risk Process?

Little is known about the mechanisms of action that link perinatal risk and the development of aggressive behavior. The aim of this study was to examine whether perinatal risk and parenting interacted to specifically predict reactive aggression, as opposed to general aggressive behavior, and to examine cortisol reactivity as a mediator of this developmental risk process. In a community sample of 99 elementary school-aged children, prenatal risk was measured by a count of minor physical anomalies (MPAs), reactive aggression was measured by laboratory observations of aggression in response to provocation, and general aggression was measured by parent report. Cortisol reactivity was not found to mediate the association between MPAs and reactive aggression or general aggression. However, MPAs were found to interact with parenting behaviors to predict reactive aggression and general aggression, as well as cortisol reactivity. Specifically, as the deficits in parenting increased, MPAs became more strongly and positively associated with reactive aggressive and general aggressive outcomes. Similarly, in cases of poor parenting behaviors, MPAs were positively associated with higher cortisol reactivity. Implications for theory and prevention are discussed.     

Effective connectivity hierarchically links temporoparietal and frontal areas of the auditory dorsal stream with the motor cortex lip area during speech perception

A left-hemispheric cortico-cortical network involving areas of the temporoparietal junction (Tpj) and the posterior inferior frontal gyrus (pIFG) is thought to support sensorimotor integration of speech perception into articulatory motor activation, but how this network links with the lip area of the primary motor cortex (M1) during speech perception is unclear. Using paired-coil focal transcranial magnetic stimulation (TMS) in healthy subjects, we demonstrate that Tpj → M1 and pIFG → M1 effective connectivity increased when listening to speech compared to white noise. A virtual lesion induced by continuous theta-burst TMS (cTBS) of the pIFG abolished the task-dependent increase in pIFG → M1 but not Tpj → M1 effective connectivity during speech perception, whereas cTBS of Tpj abolished the task-dependent increase of both effective connectivities. We conclude that speech perception enhances effective connectivity between areas of the auditory dorsal stream and M1. Tpj is situated at a hierarchically high level, integrating speech perception into motor activation through the pIFG.     

The influence of stimulus-set size on developmental changes in cognitive control and conflict adaptation

Cognitive control abilities substantially improve from early childhood to adulthood. The primary aim of this study was to examine the influence of stimulus-set size on developmental changes in cognitive control abilities such as task switching, interference control, and conflict adaptation. We assumed that a small stimulus set used in a task-switching paradigm would induce stronger task-stimulus priming that might increase the need for control, thereby amplifying age differences in cognitive control abilities. Therefore, we compared task-switching performance in a group of participants responding to a small stimulus-set (N=4) with a group responding to a large stimulus-set (N=96) in three age groups: kindergarten children (4.1-6.0 years of age), elementary school children (6.1-9.0 years of age), and young adults (21.0-28.0 years of age) on conflicting vs. non-conflicting trials (interference control) and following conflicting vs. non-conflicting trials (conflict adaptation). Results on the basis of error rates support the view that a small stimulus-set size during task switching (i.e., larger task-stimulus priming) increases the need for control as we found (a) worse conflict adaptation on task-repetition trials only for small but not for large set sizes and (b) larger interference costs under small than large set-size condition for elementary school children as compared with young adults. Kindergarten children were less sensitive to the set-size manipulation and showed major problems in interference control while being in a task-switching situation, even if no actual task switch was required, possibly reflecting their inability to represent complex higher-order task rules.     

Longitudinal Assessment of Sleep–Wake Regulation and Attachment Security with Parents

The development of sleep–wake regulation occurs within the context of the infant–parent relationship. The present study investigated (1) patterns of change in night waking across infancy and attachment to parents and (2) if dependency, a characteristic of secure subgroup B4 and insecure‐resistant infants, accounted for differences in night waking. Forty‐six families reported on the number of infant night wakings at 7, 12, and 14 months of age. Attachment was measured at 12 (infant–mother) and 14 (infant–father) months. Findings suggest that infants with a secure (including the dependent‐secure, B4) pattern of attachment with mothers decreased in the number of night wakings over time, whereas infants with an insecure‐resistant pattern of attachment with mothers continued to wake at night into the second year. Attachment dependency did not account for differences in night waking. These findings are important to understanding the mechanism(s) underlying the relation between attachment and sleep–wake regulation. Copyright © 2012 John Wiley & Sons, Ltd.     

Authenticity affects the recognition of emotions in speech: behavioral and fMRI evidence

The aim of the present study was to determine how authenticity of emotion expression in speech modulates activity in the neuronal substrates involved in emotion recognition. Within an fMRI paradigm, participants judged either the authenticity (authentic or play acted) or emotional content (anger, fear, joy, or sadness) of recordings of spontaneous emotions and reenactments by professional actors. When contrasting between task types, active judgment of authenticity, more than active judgment of emotion, indicated potential involvement of the theory of mind (ToM) network (medial prefrontal cortex, temporoparietal cortex, retrosplenium) as well as areas involved in working memory and decision making (BA 47). Subsequently, trials with authentic recordings were contrasted with those of reenactments to determine the modulatory effects of authenticity. Authentic recordings were found to enhance activity in part of the ToM network (medial prefrontal cortex). This effect of authenticity suggests that individuals integrate recollections of their own experiences more for judgments involving authentic stimuli than for those involving play-acted stimuli. The behavioral and functional results show that authenticity of emotional prosody is an important property influencing human responses to such stimuli, with implications for studies using play-acted emotions.     

Attachment dismissal predicts frontal slow-wave ERPs during rejection by unfamiliar peers

Attachment representations are thought to provide a cognitive-affective template, guiding the way individuals interact with unfamiliar social partners. To examine the neural correlates of this process, we sampled event-related potentials (ERPs) during exclusion by unfamiliar peers to differentiate insecure-dismissing from securely attached youth, as indexed by the child attachment interview. Thirteen secure and 10 dismissing 11- to 15-year-olds were ostensibly connected with two peers via the Internet to play a computerized ball-toss game. Actually, peers were computer generated, first distributing the ball evenly, but eventually excluding participants. Afterward children rated their distress. As in previous studies, distress was related to a negative left frontal slow wave (500-900 ms) during rejection, a waveform implicated in negative appraisals and less approach motivation. Though attachment classifications were comparable in frontal ERPs and distress, an attachment-related dismissal dimension predicted a negative left frontal slow wave during rejection, suggesting that high dismissal potentially involves elevated anticipation of rejection. As expected, dismissal and self-reported distress were uncorrelated. Yet, a new approach to quantifying the dissociation between self-reports and rejection-related ERPs revealed that dismissal predicted underreporting of distress relative to ERPs. Our findings imply that evaluations and regulatory strategies linked to attachment generalize to distressing social contexts in early adolescence.     

Feeling the need for (personalized) speed: how natural controls and customization contribute to enjoyment of a racing game through enhanced immersion

Prior research suggests that video game features that appear natural or that otherwise allow players to identify with their in-game experience will promote enjoyment. Using a 2 × 2 experiment, this study demonstrates the positive effects of a steering-wheel controller and the opportunity to customize the driven vehicle on enjoyment of a console driving game, as mediated by transportation and challenge-skill balance. The role of presence is also probed, with results suggesting no direct link to enjoyment.