Modeling the Information Preferences of Parents of Children with Mental Health Problems: A Discrete Choice Conjoint Experiment

Although materials informing parents about children’s mental health (CMH) problems can improve outcomes, we know relatively little about the design factors that might influence their utilization of available resources. We used a discrete choice conjoint experiment to model the information preferences of parents seeking mental health services for 6 to 18 year olds. Parents completed 30 choice tasks presenting experimentally varied combinations of 20 four-level CMH information content, transfer process, and outcome attributes. Latent class analysis revealed three segments with different preferences. Parents in the Action segment (43%) chose materials providing step-by-step solutions to behavioral or emotional problems. They preferred weekly meetings with other parents and coaching calls from a therapist. The Information segment (41%) chose materials helping them understand rather than solve their child’s problems. These parents were more sensitive to logistical factors such as receiving information in groups, the location where information was available, the modality in which the information was presented, and the time required to obtain and use the information. The Overwhelmed segment (16%) reported more oppositional and conduct problems, felt their children’s difficulties exerted a greater adverse impact on family functioning, and reported higher personal depression scores than those in the Action or Information segments. Nonetheless, they did not choose information about, or solutions to, the problems their children presented. Simulations predicted that maximizing utilization and realizing the potential benefits of CMH information would require knowledge transfer strategies consistent with each segment’s preferences.

Is Parental Knowledge of their Adolescent Offspring’s Whereabouts and Peer Associations Spuriously Associated with Offspring Delinquency?

Recent studies suggest that most of what parents know about their adolescent offspring's whereabouts and companions is the result of youth disclosure, rather than information gained through active parental monitoring. This raises the possibility that parental knowledge is spuriously correlated with youth delinquency solely because the most delinquent youth disclose the least information to parents (because they have the most to hide). We tested this spurious association hypothesis using prospective data on offspring of a nationally representative sample of US women, controlling demographic and contextual covariates. In separate analyses, greater parental knowledge of their offspring's peer associations at both 12-13 years and at 14-15 years was associated with lower odds of being in the top 1 standard deviation of youth-reported delinquency at 16-17 years, controlling for delinquency at the earlier ages. The extent to which parents set limits on activities with peers at 14-15 years did not mediate or moderate the association between parental knowledge and delinquency, but it did independently predict future delinquency among adolescents living in high-risk neighborhoods. This suggests that the association between parental knowledge and future delinquency is not solely spurious; rather parental knowledge and limit setting are both meaningful predictors of future delinquency.     

Face detection in normal and prosopagnosic individuals

Face detection, the process of finding a face in a visual scene, is a critical step in face processing, yet it has received relatively little attention compared with other face processes. The present study addresses this crucial first stage by investigating the effect of inversion on face detection and by examining how individuals with developmental prosopagnosia perform on face detection tasks. Fourteen control participants and fourteen individuals with developmental prosopagnosia (DPs) were tested with two face detection tasks: (1) Face versus Non‐Face, where arrays of small images were presented, one of which could contain a face and (2) Face versus Face Parts, where a two‐tone face could be embedded in a larger array of similar two‐tone face parts. On each trial, participants made a speeded response if a face was present in the visual display. On almost all measures both normal and prosopagnosic individuals showed strong inversion effects with significantly worse performance with inverted faces. This shows that the simple task of detection can show inversion effects comparable to those seen for other face tasks, including recognition. Finally, while there were prosopagnosics who were well within the normal range for detection, there were significant group differences, particularly for the case of the Face versus Face Parts, where prosopagnosics were worse than controls on upright but not on inverted face detection.     

Quality of Life in Patients with Recurrent Vasovagal or Unexplained Syncope: Influence of Sex, Syncope Type and Illness Representations

Health-related quality of life (QoL) is reduced in patients with recurrent vasovagal (VVS) or unexplained (US) syncope. Little is known regarding these patients’ QoL as pertains to their capacity to attain their life goals. Factors influencing QoL, such as sex, syncope type and illness representations have not been studied. Our objective is to examine the relationship between illness representations and QoL, as well as possible sex and syncope type differences. One hundred and four patients undergoing tilt-table testing (TTT) for recurrent syncope were interviewed one month before TTT, using questionnaires. Data were analysed using ANCOVAs, a-priori Helmert contrasts for illness representations, and regressions. Patients with US had a poor QoL compared to those with VVS [F(1, 91) = 10.46; p < 0.01], particularly in men (p < 0.01). Patients with higher perceived syncope severity showed an impoverished QoL relative to those with less severe perceptions [F(1, 91) = 5.47; p < 0.05]. A hierarchical regression revealed that illness representations mediate the impact of lifetime number of syncope on QoL. In conclusion, QoL is reduced in these patients, and is influenced by illness representations. Helping patients change their perceptions about their syncope may be an efficient way to promote QoL.     

The preferred level of face categorization depends on discriminability

People usually categorize objects more quickly at the basic level (e.g., “dog”) than at the subordinate (e.g., “collie”) or superordinate (e.g., “animal”) levels. Notable exceptions to this rule include objects of expertise, faces, or atypical objects (e.g., “penguin,” “poodle”), all of which show faster than normal subordinate-level categorization. We hypothesize that the subordinate-level reaction time advantage for faces is influenced by their discriminability relative to other faces in the stimulus set. First, we replicated the subordinate-level advantage for faces (Experiment 1) and then showed that a basic-level advantage for faces can be elicited by increasing the perceptual similarity of the face stimuli, making discrimination more difficult (Experiment 2). Finally, we repeated both effects within subjects, showing that individual faces were slower to be categorized in the context of similar faces and more quickly categorized among diverse faces (Experiment 3).     

Accurate forced-choice recognition without awareness of memory retrieval

Recognition confidence and the explicit awareness of memory retrieval commonly accompany accurate responding in recognition tests. Memory performance in recognition tests is widely assumed to measure explicit memory, but the generality of this assumption is questionable. Indeed, whether recognition in nonhumans is always supported by explicit memory is highly controversial. Here we identified circumstances wherein highly accurate recognition was unaccompanied by hallmark features of explicit memory. When memory for kaleidoscopes was tested using a two-alternative forced-choice recognition test with similar foils, recognition was enhanced by an attentional manipulation at encoding known to degrade explicit memory. Moreover, explicit recognition was most accurate when the awareness of retrieval was absent. These dissociations between accuracy and phenomenological features of explicit memory are consistent with the notion that correct responding resulted from experience-dependent enhancements of perceptual fluency with specific stimuli--the putative mechanism for perceptual priming effects in implicit memory tests. This mechanism may contribute to recognition performance in a variety of frequently-employed testing circumstances. Our results thus argue for a novel view of recognition, in that analyses of its neurocognitive foundations must take into account the potential for both (1) recognition mechanisms allied with implicit memory and (2) recognition mechanisms allied with explicit memory.