Non-stimulant treatment for Attention-Deficit/Hyperactivity Disorder

A variety of compounds with a common noradrenergic/dopaminergic activity have shown documented anti-Attention-Deficit/Hyperactivity Disorder (ADHD) activity. There is a substantial body of literature documenting the efficacy of tricyclic antidepressants on ADHD in over 1,000 subjects. There is an equally large database on the efficacy of the specific norepinephrlne reuptake inhibitor, atomoxetine, of greater than 2,000 Individuals. In addition, the atypical antidepressant buproplon also has been documented to be effective in the treatment of ADHD in controlled clinical trials. Despite wide use, the scientific base supporting the efficacy of alpha-2, noradrenergic agonists is somewhat limited. Several lines of evidence provide preliminary support for the potential benefits of cholinergic cognitive enhandng drugs, such as anticholinesterase inhibitors (tacrine, donepezil) as well as novel nicotinic analogues (ABT-418). Despite these promising results, more research is needed on alternative pharmacological treatments for the treatment of ADHD.     

The dynamic time course of stereotype activation: activation, dissipation, and resurrection

Stereotypes activated upon initial exposure to a stereotyped individual may dissipate as the exposure continues. Participants observing a videotaped interview with a Black person showed activation of the stereotype of Black people following 15 s of observation but not following 12 min of observation. However, the discovery of a disagreement with the stereotyped individual may bring the dissipated stereotype back to mind. Participants who discovered, at the end of a 12-min videotaped interview with a Black person, that this person disagreed with them about the verdict in a court case showed activation of the stereotype of Black people, whereas participants who discovered instead that the Black person agreed with them did not. Participants who disagreed with a Black person also applied the Black stereotype to him, but this stereotype application was detected only on an implicit measure of application, not on an explicit measure.     

Research ethics for mental health science involving ethnic minority children and youths

In response to U.S. Public Health Service projects promoting attention to disparities in the outcomes of mental health treatments, in July 2001, the American Psychological Association, the National Institute of Mental Health, and the Fordham University Center for Ethics Education convened a group of national leaders in bioethics, multicultural research, and ethnic minority mental health to produce a living document to guide ethical decision making for mental health research involving ethnic minority children and youths. This report summarizes the key recommendations distilled from these discussions.     

Speech motor programming in hypokinetic and ataxic dysarthria

It is widely accepted that the cerebellar and basal ganglia control circuits contribute to the programming of movement. Converging evidence from neuroimaging, limb control, and neuropsychological studies suggests that (1) people with cerebellar disease have reduced ability to program movement sequences in advance of movement onset and (2) people with Parkinson's disease are unable to maintain a programmed response or to rapidly switch between responses. Despite a substantial supporting literature, no studies have addressed these potential areas of speech programming disruption for speakers with ataxic and hypokinetic dysarthria. Control participants and adults with dysarthria completed speech reaction time protocols designed to capture these aspects of utterance preparation. Results provided initial support for processing deficits in speakers with ataxic and hypokinetic dysarthria that are separable from motor execution impairments.     

Neural correlates of temporal-order judgments versus those of spatial-location: deactivation of hippocampus may facilitate spatial performance

The retrieval of temporal-order versus spatial-location information was investigated using fMRI. The primary finding in the hippocampus proper, seen in region of interest analyses, was an increase in BOLD signal intensity for temporal retrieval, and a decrease in signal intensity for spatial retrieval, relative to baseline. The negative BOLD signal change with spatial memory processing, while unexpected, is consistent with the recent fMRI literature indicating decreased BOLD can be associated with neuronal activation, and it is argued that the deactivation observed here may facilitate spatial performance. Spatial-location judgments also yielded a stronger (positive) response in the right midfrontal gyrus, while temporal-order judgments (autobiographic condition only) showed greater activity in the left superior temporal gyrus, suggesting greater working memory demands and greater semantization for each judgment type, respectively. Finally, all conditions activated the left midfrontal gyrus, although autobiographic memories showed additional activity in the medial frontal gyrus.     

Factor structure and stability of the Anxiety Sensitivity Index in a longitudinal study of anxiety disorder patients

The past decade witnessed considerable debate over the factor structure of the Anxiety Sensitivity Index (ASI), with an eventual consensus emerging that supported a hierarchically organized factor structure. The present study attempted to replicate and examine the overall stability and utility of the hierarchical ASI factor pattern using a large sample of outpatients participating in an ongoing longitudinal study of anxiety disorders. Results supported a hierarchical factor structure for the ASI consisting of three lower-order factors measuring physical concerns, mental incapacitation concerns, and social concerns, all of which loaded significantly on a single second-order factor. Correlational analyses show good test-retest reliability and consistent patterns of intercorrelation for these factor-derived subscales across a 10-month time frame. Additional analyses provide support for the discriminant validity of the ASI subscales with regard to individuals with specific anxiety disorders. The theoretical implications of these findings for future evaluations of anxiety sensitivity are discussed.     

Developmental continuity in the processes that underlie spatial recall

This study investigated whether children's spatial recall performance shows three separable characteristics: (1) biases away from symmetry axes (geometric effects); (2) systematic drift over delays; and (3) biases toward the exemplar distribution experienced in the task (experience-dependent effects). In Experiment 1, the location of one target within each geometric category was varied. Children's responses showed biases away from a midline axis that increased over delays. In Experiment 2, multiple targets were placed within each category at the same locations used in Experiment 1. After removing geometric effects, 6-year-olds'--but not 11-year-olds'--responses were biased toward the average remembered location over learning. In Experiment 3, children responded to one target more frequently than the others. Both 6- and 11-year-olds showed biases toward the most frequent target over learning. These results provide a bridge between the performance of younger children and adults, demonstrating continuity in the processes that underlie spatial memory abilities across development.