Young Adults with MSUD and Their Transition to Adulthood: Psychosocial Issues

Maple Syrup Urine Disease (MSUD) is an autosomal recessive condition with an incidence of 1 in 185,000 births worldwide. Regardless of the type of MSUD, treatment includes immediate and lifelong dietary restriction of isoleucine, leucine and valine. There is little known about the psychosocial impact of MSUD on the developmental milestones of emerging adulthood. We used a qualitative case study approach to explore the human experiences of MSUD on young adults (n?=?8) and parents (n?=?8). All participants were administered a semi-structured, qualitative interview as well as quantitative measures. Six core themes emerged: 1) lifelong strain of dietary management; 2) social isolation from peers and impact on dating; 3) impact of MSUD on academics and employment; 4) medical experiences and transition to adult care; 5) impact on family functioning; and 6) positive effects and growth. The results of this investigation highlight and expand awareness of the psychological and social needs of young adults with MSUD. This study calls for a collaborative, multidisciplinary effort in the treatment of these patients and their families.     

Learning strategy differentially impacts memory connections in children and adults

Even once children can accurately remember their experiences, they nevertheless struggle to use those memories in flexible new ways—as in when drawing inferences. However, it remains an open question as to whether the developmental differences observed during both memory formation and inference itself represent a fundamental limitation on children's learning mechanisms, or rather their deployment of suboptimal strategy. Here, 7–9-year-old children (N = 154) and young adults (N = 130) first formed strong memories for initial (AB) associations and then engaged in one of three learning strategies as they viewed overlapping (BC) pairs. We found that being told to integrate—combine ABC during learning—both significantly improved children's ability to explicitly relate the indirectly associated A and C items during inference and protected the underlying pair memories from forgetting. However, this finding contrasted with implicit evidence for memory-to-memory connections: Adults and children both formed A-C links prior to any knowledge of an inference test—yet for children, such links were most apparent when they were told to simply encode BC, not integrate. Moreover, the accessibility of such implicit links differed between children and adults, with adults using them to make explicit inferences but children only doing so for well-established direct AB pairs. These results suggest that while a lack of integration strategy may explain a large share of the developmental differences in explicit inference, children and adults nevertheless differ in both the circumstances under which they connect interrelated memories and their ability to later leverage those links to inform flexible behaviours.

Research Highlights

• Children and adults view AB and BC pairs related through a shared item, B. This provides an opportunity for learners to connect A–C in memory.
• Being encouraged to integrate ABC during learning boosted performance on an explicit test of A–C connections (children and adults) and protected from forgetting (children).
• Children and adults differed in when implicit A–C connections were formed—occurring primarily when told to separately encode BC (children) versus integrate (adults), respectively.
• Adults used implicit A–C connections to facilitate explicit judgments, while children did not. Our results suggest developmental differences in the learning conditions promoting memory-to-memory connections.

     

Emotional face expressions recognition in childhood: developmental markers,age and sex effect

Cognitive Processing - Recognizing emotional face expressions in others is a valuable non-verbal communication and particularly relevant throughout childhood given that children’s language...     

Search Strategies in Practice: Testing the Effect of Inherent Variability on Search Patterns

Abstract

To execute a motor solution to a given task, individuals search through the space of movement possibilities guided by information that arises from the interaction with task and environment. Through this search, individuals seek to avoid inappropriate solutions through local minima in the task space. The processes that lead to some but not all individuals avoiding local minima and finding solutions is not yet understood. Based on the tenets of ecological psychology for perception and action, we examined in two experiments the hypothesis that the incapacity to differentiate errors (performance of an inappropriate solution) from inherent variability would interfere with the perception of properties of the task space and result in a longer time performing an inappropriate solution for the task before exploration of other solutions. Inherent variability was shown to be a direct predictor of the changes in the search strategies. Also, we found that the specifics of the search patterns could predict the performance in the task. Thus, the pattern of motion through the task space affords perception of specific properties of this space guiding individuals in the evolving dynamics of exploration or exploitation.