Triadic interactions support infants’ emerging understanding of intentional actions

Infants’ understanding of the intentional nature of human action develops gradually across the first year of life. A key question is what mechanisms drive changes in this foundational social‐cognitive ability. The current studies explored the hypothesis that triadic interactions in which infants coordinate attention between a social partner and an object of mutual interest promote infants’ developing understanding of others as intentional agents. Infants’ spontaneous tendency to participate in triadic engagement was assessed in a semi‐structured play session with a researcher. Intentional action understanding was assessed by evaluating infants’ ability to visually predict the goal of an intentional reaching action. Study 1 (N = 88) revealed that 8‐ to 9‐month‐olds who displayed more bouts of triadic engagement showed better concurrent reasoning about the goal of an intentional reaching action. Study 2 (N = 114) confirmed these findings using a longitudinal design and demonstrated that infants who displayed more bouts of triadic engagement at 6–7 months were better at prospectively reasoning about the goal of an intentional reaching action 3 months later. Cross‐lagged path analyses revealed that intentional action understanding at 6–7 months did not predict later triadic engagement, suggesting that early triadic engagement supports later intentional action processing and not the other way around. Finally, evidence from both studies revealed the unique contribution of triadic over dyadic forms of engagement. These results highlight the importance of social interaction as a developmental mechanism and suggest that infants enrich their understanding of intentionality through triadic interactions with social partners.     

Age- and performance-related differences in encoding during early childhood: insights from event-related potentials

Previous studies have found that children show rapid and significant improvements in their ability to remember individual items and the contextual details that surround these items (i.e., episodic memory) during early childhood. Encoding processes have been suggested to contribute to the development of episodic memory; however, few studies have investigated encoding processes. The goal of the current study was to examine age- and performance-related effects on encoding in children between 4 and 8 years of age using event-related potentials (ERPs). Results revealed effects of both age and performance on encoding, as indexed by the ERPs response. However, the nature of these effects differed between subsequent recognition and subsequent recollection, as well as for the two ERP components (i.e., Nc and LSW) examined. These findings are important as they contribute empirical evidence that encoding processes show developmental change across early childhood. In addition, these findings highlight the importance of controlling for performance differences in future studies examining developmental changes in episodic memory.     

Maternal Executive Functioning and Scaffolding in Families of Children with and without Parent-Reported ADHD

Parental scaffolding robustly predicts child developmental outcomes, including improved self-regulation and peer relationships and fewer externalizing behaviors. However, few studies have examined parental characteristics associated with a parent’s ability to scaffold. Executive functioning (EF) may be an important individual difference factor associated with maternal scaffolding that has yet to be examined empirically. Scaffolding may be particularly important for children with attention-deficit/hyperactivity disorder (ADHD) and disruptive behavior disorder (DBD) symptoms due to their core difficulties with inattention, disorganization, EF, and self-regulation, their need for greater parental structure, and higher-than-average rates of parental EF deficits. Yet, little research has examined child ADHD in relation to parental scaffolding. This cross-sectional study examined: (1) the association between maternal EF (as measured by the Hotel Test, Barkley’s Deficits in Executive Functioning Scale, and Digit Span) and observed scaffolding, (2) the association between parent-reported child ADHD/DBD symptoms and scaffolding, and (3) the interaction between child ADHD/DBD symptoms and maternal EF in predicting scaffolding. In a sample of 84 mothers and their 5–10 year-old biological children (62% male) with and without parent-reported ADHD, we found that maternal EF, as measured by Digit Span and the Hotel Test, predicted observed maternal scaffolding. However, child ADHD/DBD symptoms did not significantly predict maternal scaffolding controlling for child age, maternal education, and maternal EF, nor did the interaction of maternal EF and parent-reported child ADHD/DBD symptoms. Working memory and task shifting may be key components of parental EF that could be targeted in interventions to improve parental scaffolding.     

Influence of Multiple Traumatic Event Types on Mental Health Outcomes: Does Count Matter?

The experience of potentially traumatizing events (PTEs) may be associated with conflicting outcomes: individuals may experience greater psychological distress (dose-response theory), or individuals may become more resilient against repeated PTEs (stress-inoculation theory). With limited empirical data comparing these theories, we examined the relationships between the count of lifetime PTE types and psychological outcomes [posttraumatic stress disorder (PTSD), depression, impaired distress tolerance] using linear and quadratic regressions. A linear relationship would support the dose-response theory, and a quadratic relationship would support the stress-inoculation theory. We also explored whether there was a threshold number of PTE types fostering resiliency before an increase of distressing outcomes. The sample included 123 (68.30% female) treatment-seeking patients at a community mental health center participating in a larger study (Contractor et al. in Psychiatry Research, 252, 252215–252222, 2017). Linear regression results indicated number of PTE types significantly predicted increasing PTSD and depression severity and distress tolerance difficulties. Quadratic regression model results were not significant. ROC analyses indicated exposure to at least 3.5 PTE types predicted PTSD with moderate accuracy. In conclusion, the dose-response theory was supported, with results indicating there may be a threshold count of lifetime PTE types (> 3) influencing traumatic stress outcomes.     

The Development and Initial Validation of the Adult Coping Inventory

There are few psychometrically sound measures of coping in adults. Widely used measures of coping have highly unstable sub-scale analyses, were developed on homogenous samples, and are outdated. The scarcity of empirically derived instruments is concerning given that coping skills are linked to a variety of positive and negative physical and mental health outcomes (e.g., substance use, depression). Thus, the aim of the current study was to develop a psychometrically sound measure of coping in adults: the Adult Coping Inventory (ACI). The study consisted of three phases: The aim of Phase 1 was to generate an initial item pool. After eliminating redundant items, 124 items remained. The purpose of Phase 2 was to eliminate items based on item frequency and factor loadings. A diverse sample of 526 adults participated in the study. Following item generation and elimination, an exploratory factor analysis produced a 57-item, five-factor model of coping which included the following subscales: Problem Solving, Mindfulness, Maladaptive Coping, Social Support, and Avoidance. Overall, reliability of the ACI was excellent and the internal consistency of the factors ranged from adequate to excellent. Evidence of convergent, concurrent, and incremental validity of the questionnaire was also established. Results provide initial support for the psychometric properties of the ACI.

     

The role of norepinephrine and acetylcholine in mediating escape deficits produced by inescapable shocks

This study examined the role of neurochemical changes produced by inescapable shock, specifically the depletion of norepinephrine (NE) and enhancement of acetylcholine (ACh), in mediating subsequent inescapable shock-induced deficits in escape acquisition in rats. Enhancement of these neurochemical changes by injections of the NE synthesis inhibitor, FLA-63 (10 mg/kg), or the anticholinesterase, eserine sulphate (3 X 0.5 mg/kg), during the inescapable shock enhanced the subsequent escape deficits observed 3 days later. In contrast, these drugs had no effect on the subsequent escape behavior of rats that were not exposed to inescapable shock. Since these effects could not be attributed to carry-over or state-dependent effects of the drugs, these data suggest that the magnitude of the escape deficit produced by prior inescapable shock is dependent on the magnitude of the initial inescapable shock-induced changes in NE and ACh.     

Comparing Alliance in Two Cognitive-Behavioural Therapies for Adolescents With ADHD Using a Randomized Controlled Trial

Alliance is defined as the client-therapist bond and their ability to collaborate on therapeutic activities. Treatment for adolescents with ADHD is rarely studied in terms of alliance. In this study, two cognitive-behavioral treatments (CBT; one structured treatment aimed at planning skills and one less-structured solution-focused treatment, both delivered in the style of Motivational Interviewing) were compared with regard to alliance and alliance-outcome association. The influence of therapist competence on this alliance-outcome association was also evaluated. The alliance between 69 adolescents diagnosed with ADHD and their therapists was measured early in treatment, using the Therapy Process Observational Coding System for Child Psychotherapy–Alliance scale. Observer-rated therapist competence was measured using the Motivational Interviewing Treatment Integrity scale (version 3.1.1.). Outcome variables were the adolescents’ reduction in planning problems and ADHD symptoms. The alliance, and, more specifically, collaboration on therapeutic activities, was significantly higher for the more structured CBT (p = .04; moderate effect size). Alliance was not related to outcome in the more structured CBT, while the alliance was positively related to the reduction in planning problems in the less structured CBT. Finally, alliance was a significant mediator between therapist competence and treatment outcome for the less-structured CBT. The clarity and structure of CBT may help facilitate alliance formation for adolescents with ADHD who often have difficulty implementing structure themselves. Therapists may need to invest more in alliance formation in less structured CBT as the alliance affects outcome. Moreover, enhancing therapist competence in less structured CBT may help improve outcomes in less structured CBT, as therapist competence may impact outcome through alliance.