Psychological adjustment to cleft lip and/or palate: A narrative review of the literature

Objective: Adjustment to cleft lip and/or palate (CL/P) is multifaceted, involving several domains of psychological and social functioning. A substantial increase in research in this area has been evident in recent years, along with a preliminary shift in how adjustment to CL/P is conceptualised and measured. An updated and comprehensive review of the literature is needed in light of the rapidly expanding and changing field.

Design: A narrative review of 148 quantitative and qualitative studies published between January 2004 and July 2015.

Main outcome measures: Findings are presented according to five key domains of adjustment: Developmental Trajectory, Behaviour, Emotional Well-being, Social Experiences and Satisfaction with Appearance and Treatment. Data pertaining to General Psychological Well-being were also examined.

Results: The overall impact of CL/P on psychological adjustment appears to be low. Nonetheless, the review demonstrates the complexity of findings both within and across domains, and highlights recurring methodological challenges.

Conclusions: Research findings from the last decade are considered to be largely inconclusive, although some areas of emerging consensus and improvements in the approaches used were identified. Efforts to collect data from large, representative and longitudinal samples, which are comparable across studies and encompassing of the patient perspective, should be doubled.     

You can go your own way: effectiveness of participant-driven versus experimenter-driven processing strategies in memory training and transfer

Cognitive training programs that instruct specific strategies frequently show limited transfer. Open-ended approaches can achieve greater transfer, but may fail to benefit many older adults due to age deficits in self-initiated processing. We examined whether a compromise that encourages effort at encoding without an experimenter-prescribed strategy might yield better results. Older adults completed memory training under conditions that either (1) mandated a specific strategy to increase deep, associative encoding, (2) attempted to suppress such encoding by mandating rote rehearsal, or (3) encouraged time and effort toward encoding but allowed for strategy choice. The experimenter-enforced associative encoding strategy succeeded in creating integrated representations of studied items, but training-task progress was related to pre-existing ability. Independent of condition assignment, self-reported deep encoding was associated with positive training and transfer effects, suggesting that the most beneficial outcomes occur when environmental support guiding effort is provided but participants generate their own strategies.     

Connecting the dots between fantasy and reality: The social psychology of our engagement with fictional narrative and its functional value

This essay provides an overview of research and theory on narrative and its important, functional role in human experience, including the ways people use media to interrogate their own beliefs and feelings, and derive social meaning. Thought‐provoking film, television, and books can help us make meaning of our lives and grow in ways that are important for our successful social functioning. Research reviewed here demonstrates that exposure to fiction can increase empathy and social skills and reduce prejudice. Our connection to characters and stories has been studied in various ways as extensions of the self into another, while at the same time bringing the other into the self. Bringing together disparate perspectives, we propose that connecting to story worlds involves a process of “dual empathy”—simultaneously engaging in intense personal processing while also “feeling through” characters, both of which produce benefits. Because the value of entertainment narratives may not always be well understood, we explain how those experiences can be personal, social, and can serve important adaptive functions.     

The Factor Structure of MASC Youth Report in Norwegian School Children

Identifying children with symptoms of anxiety before they develop clinical disorders is important. The objective of our study was to examine the latent factor structure of the MASC (youth report version) in a large self-selected sample of school children in 4th to 6th grade, and examine if the measure had a comparable factor structure for gender and age. Gender and age differences in anxiety symptoms were also examined. Children (N?=?1686, 53.8% female) were recruited from schools during pretest of an ongoing randomized, controlled, indicative intervention. Latent variable modelling was used to determine the underlying concepts of the MASC. We found good model fit for the four-factor model, however some items on the Harm/Avoidance scale had low factor loadings. Invariance analysis indicated that the MASC had similar factor structure (comparable meaning) for boys and girls and for younger and older children in this sample. Girls scored significantly higher than boys on all subscales and on the Total Anxiety scale. Age differences were only found on the Separation Anxiety scale. Overall, the original four-factor structure of the MASC was confirmed within a large sample of school children and was invariant across gender and age. However, the Harm/avoidance scale warrants some attention. The MASC is a potentially useful measure to be used for screening purposes in a school setting.     

What triggers prosocial effort? A positive feedback loop between positive activities,kindness, and well-being

Across two studies, we found evidence supporting a positive feedback loop between positive activities, kindness and well-being. In Study 1, participants were randomly assigned to one of four distinct positive activities (versus a neutral writing activity) before spending three weeks engaging in kind acts. We found that the positive activities served as triggers – that is, they predicted greater prosocial effort, which in turn predicted greater well-being immediately following the intervention and at a two-week follow-up. In Study 2, we explored the specific effects of a gratitude trigger, and extended the intervention period to six weeks. Although, we did not replicate the direct effect of the gratitude trigger on prosocial effort, people who wrote gratitude letters (versus writing about their week) reported relatively greater elevation, which predicted greater prosocial effort during the six weeks. In turn, replicating Study 1, greater effort predicted higher well-being immediately following the study.     

Relationships,Human Nature,and the Four “Words” of Inspector Gamache1

The Inspector Gamache mysteries by Louise Penny are very popular, in no small part because of the appeal of the main character, Chief Inspector Armand Gamache. However, another main draw of the series is the small set of recurring main characters. In this article, I delve deeply into their lives and relationships, using as a lens the four sayings of Gamache as a means of illuminating both the brokenness and grace that characterize human relationality.     

Age-Related Differences in Locomotor Strategies During Adaptive Walking

Simultaneous control of lower limb stepping movements and trunk motion is important for skilled walking; adapting gait to environmental constraints requires frequent alternations in stepping and trunk motion. These alterations provide a window into the locomotor strategies adopted by the walker. The authors examined gait strategies in young and healthy older adults when manipulating step width. Anteroposterior (AP) and mediolateral (ML) smoothness (quantified by harmonic ratios) and stepping consistency (quantified by gait variability) were analyzed during narrow and wide walking while controlling cadence to preferred pace. Results indicated older adults preserved ML smoothness at the expense of AP smoothness, shortened their steps, and exhibited reduced stepping consistency. The authors conclude that older adults prioritized ML control over forward progression during adaptive walking challenges.