Larger brain and white matter volumes in children with developmental language disorder

Developmental language disorder (DLD) is predominantly a language disorder, but children with DLD also manifest non-language impairments, and neuroanatomical abnormalities have been found in multiple areas of the brain, not all language-associated. We therefore performed a whole brain general segmentation analysis of all major brain regions on MRI scans of 24 DLD subjects (16M, 8F) and 30 controls (15M, 15F), ages 5.7 to 11.3 years. Children with DLD showed increased total brain volume, driven predominantly by a substantial increase in the volume of cerebral white matter. Cerebral cortex and caudate were relatively but not absolutely smaller in DLD. These findings are discussed in relation to issues of specificity vs. generality as they arise in debates about (1) modular vs. general processing deficits and connectionist modeling in DLD, (2) language-specific vs. pervasive, non-specific deficits in DLD and (3) specificity of the disorder vs. overlap with other disorders, notably autism.     

Preferences for arthritis care among urban African Americans: "I don't want to be cut".

Despite greater disability from knee osteoarthritis among Blacks, Whites are 3-5 times more likely to have total knee replacement (TKR). The authors explored whether beliefs among Blacks about arthritis and surgery contribute to this disparity. Ninety-four Blacks, ages 50 to 89, with knee arthritis underwent semistructured qualitative interviews regarding disability, beliefs about arthritis, beliefs about TKR, and treatment preferences. Content analyses yielded 6 themes: preference for natural remedies, negative expectations of surgery, beliefs about God's control, preference for continuing in their current state, relationships with specialists, and fear of surgery or death. Given its high levels of disability, this cohort had low expectations of TKR. Culturally sensitive educational programs might improve patient altitudes and beliefs regarding TKR, ultimately increasing appropriate usage.     

Computer-assisted intervention improves patient-centered diabetes care by increasing autonomy support.

OBJECTIVE: To determine if a patient-centered, computer-assisted diabetes care intervention increased perceived autonomy support, perceived competence (from self-determination theory), and if these constructs mediated the effect of the intervention on ADA/NCQA recommended diabetes care outcomes. DESIGN: A randomized controlled trial of 866 adult type 2 diabetes patients in heterogeneous primary care settings in Colorado. MAIN OUTCOME MEASURES: Perceived autonomy support, perceived competence, patient satisfaction, glycemic control (HbA1c), ratio of total to HDL cholesterol, diabetes distress, and depressive symptoms. RESULTS: The computer-assisted intervention increased patient perception of autonomy support relative to a computer-based control condition ( p = .05). Change in perceived competence partially mediated the effects of increased autonomy support on the change in lipids, diabetes distress, and depressive symptoms. The construct of autonomy support was found to be separate from that of patient satisfaction. CONCLUSIONS: A patient-centered, computer-assisted intervention was effective in improving diabetes self-management outcomes, in part, because it increased patients' perception that their autonomy was supported which changed perceived competence. These findings support the self-determination model for health behavior change and the chronic care model and support the further study of the use of these technologies to motivate patients to improve their health outcomes.     

Evaluating the quality and impact of mediators for learning when using associative memory strategies

Recently, a series of studies has reported much greater recall for factual information when students were asked to generate elaborations in response to ‘why’ questions (elaborative interrogation) relative to studying provided elaborations. The two experiments reported here extend and clarify research regarding the strategic benefits of generating elaborations versus providing elaborations. In both experiments, undergraduates studied 30 sentences, all of which described one particular man doing one activity. Students used one of three study strategies. In two conditions, students studied provided elaborations (PE). Half of the elaborations explained why the particular man engaged in the particular activity and half did not explain the specific relations. In the remaining condition, students generated their own elaborations. In both experiments, students were provided with their generated/provided elaborations as cues for recalling the fact at testing. When students were not explicitly cued to use the generated/ provided elaboration at recall, elaborative interrogation (EI) consistently outperformed the PE condition. Recall in the EI condition did not exceed recall in the PE condition, however, when students were provided with good explanatory elaborations and were cued with them at testing. These experiments demonstrate that the poorer performance associated with providing relative to generating elaborations can be mediated by encouraging more meaningful processing of materials and prompting students to access their mediators at recall.     

The Effects of Hindsight Bias and Causal Attribution on Human Response to Environmental Events1

This research examined the influence of hindsight bias and causal attribution on perceptions of a technological disaster. After reading a fictitious account of a toxic substance spill near a populated area, subjects were provided with information that disease rates had either increased or had remained stable (hindsight conditions), or were presented with no outcome information (control condition). Subjects were then asked to predict the likelihood of increases in disease rates and to make causal attributions regarding the target company and residents of the disaster community. When compared to subjects provided with either no outcome information or with information that disease rates remained stable (positive-outcome condition), subjects told that disease rates had increased (negative-outcome condition) showed elevated predictions regarding future disease rates, ascribed greater responsibility for the accident to the target company, and reported more anger toward the company and greater sympathy for the residents. Subjects receiving positive outcome information and no outcome information did not significantly differ on these measures. In addition, results from a path analysis supported the efficacy of attribution theory to account for the cognitive, affective, and behavioral consequences resulting from hindsight bias following a negative environmental event.     

Varieties of contrast: a review of incentive relativity by charles f. Flaherty

The phenomenon of contrast has been studied from two quite separate perspectives, one derived from the classic studies of incentive contrast such as Crespi (1942) and the other from the study of behavioral contrast within behavior analysis. This book reviews both of these types of contrast effects and finds both differences and similarities between them. Still at issue is the validity of the interpretation of contrast that assumes that the value of some target level of reward is modified in inverse relation to the level of reward from other sources in the same context. This concept works well for the classic studies of incentive contrast, but is challenged by the emerging importance of anticipatory contrast and the finding in both of the separate research traditions that anticipatory contrast is inversely related to other measures of reinforcement value.     

Counselor Trainee Perceptions of Hispanic,Black, and White Teenage Expectant Mothers and Fathers

This study investigated the perceptions of counselors-in-training of Black, Hispanic, and White male and female adolescents in a teen pregnancy situation. Findings and implications for counselor training are discussed.