“If We’re Going to Change Things, It Has to Be Systemic:” Systems Change in Children’s Mental Health

Communities that undertake systems change in accordance with the system of care philosophy commit to creating new systems entities for children and adolescents with serious emotional disturbance. These new entities are values-based, voluntary, and cross-agency alliances that include formal child-serving entities, youth, and families. Describing the scope and intent of one such implementation of systems of care, a mental health administrator commented, "If we're going to change things, it has to be systemic" (B. Baxter, personal communication, December 2, 2005). This paper explores the concept of "systemic" in the context of systems of care. Systems theory is used to understand strategies of purposeful systems change undertaken by stakeholders in established system of care communities. The paper presents a conceptual model of systems change for systems of care that is grounded in data from a national study of system of care implementation (Research and Training Center for Children's Mental Health in Case Studies of system implementation: Holistic approaches to studying community-based systems of care: Study 2, University of South Florida, Louis de la Parte Florida Mental Health Institute, Research and Training Center for Children's Mental Health, Tampa, FL, 2004). The model is based on Soft Systems Methodology, an application of systems theory developed to facilitate practical action around systems change in human systems (Checkland in Systems thinking, systems practice, Wiley, Chichester, 1999). The implications of these findings to real world actions associated with systems change in systems of care are discussed.     

Chronic stress, but not hypercaloric diet, impairs vascular function in rats

The aim of this study was to evaluate vascular and metabolic effects of chronic mild unpredictable stress (CMS) and hypercaloric diet (HD) without carbohydrate supplementation in rats. Male Sprague-Dawley rats were randomly assigned to four groups: Control, HD, CMS, and HD plus CMS. CMS consisted of the application of different stressors for 3 weeks. The rats were killed 15 days after CMS exposure. The HD group presented higher plasma lipid concentrations, without changes in fasting glucose concentration, glucose tolerance test, and vascular function and morphology, in comparison with the control group. Stressed rats presented higher fasting blood concentration of insulin, higher homeostasis model assessment index values and area under the curve in an oral glucose tolerance test, in comparison with non-stressed rats. CMS increased the plasma concentrations of corticosterone and lipids, and the atherogenic index values, without change in high-density lipoprotein level. CMS increased intima-media thickness and induced endothelium-dependent supersensitivity to phenylephrine, and lowered the relaxation response to acetylcholine in the thoracic aorta isolated from rats fed with control or HD, in comparison with non-stressed groups. CMS effects were independent of diet. In non-stressed rats, the HD induced dyslipidemia, but did not change glucose metabolism, vascular function, or morphology. The data from this study indicate that CMS promotes a set of events which together can contribute to impair function of the thoracic aorta.     

Memory traces compete under regimes of limited Arc protein synthesis: Implications for memory interference

Recently encoded information can be lost in the presence of new information, a process called 'retrograde interference'. Retrograde interference has been extensively described for more than a century; however, little is known about its underlying mechanisms. Different approaches agree on the need of the synthesis of plasticity related proteins (PRPs) to consolidate a long-term memory (LTM). Our hypothesis is that when PRPs are limited, interference of a task over LTM formation of another may be due to the utilization of protein resources common to both tasks. Here, by combining the tasks of inhibitory avoidance (IA) and open field (OF) exploration in rats, we show that memory traces compete for their stabilization if PRPs are limited. As a result, LTM is formed for only one of the tasks with a consequent decrease in the memory for the other. Furthermore, infusing Arc antisense oligonucleotide into the dorsal hippocampus, we found that Arc is necessary for LTM formation of these two types of learning tasks and is one of the PRPs that can be shared between them when animals are trained in both OF and IA. In sum, these findings suggest that under conditions of reduced protein availability, a learning task interferes with LTM formation of another by using the available PRPs.     

Targeting regressions: Do readers pay attention to the left?

The perceptual span during normal reading extends approximately 14 to 15 characters to the right and three to four characters to the left of a current fixation. In the present study, we investigated whether the perceptual span extends farther than three to four characters to the left immediately before readers execute a regression. We used a display-change paradigm in which we masked words beyond the three-to-four-character range to the left of a fixation. We hypothesized that if reading behavior was affected by this manipulation before regressions but not before progressions, we would have evidence that the perceptual span extends farther left before leftward eye movements. We observed significantly shorter regressive saccades and longer fixation and gaze durations in the masked condition when a regression was executed. Forward saccades were entirely unaffected by the manipulations. We concluded that the perceptual span during reading changes, depending on the direction of a following saccade.     

Personality styles and suggestibility: A differential approach

This study addresses the relationship between personality styles measured with the Portuguese adaptation of the Millon Index of Personality Styles Revised – MIPS-R and interrogative suggestibility assessed by the Portuguese adaptation of the Gudjonsson Suggestibility Scale – GSS1. Hypotheses predicted individual differences in suggestibility and that these differences correspond to differences in individuals’ personality styles. The study was conducted with a sample of 258 individuals (M_age = 31.8 years, SD = 12.0). Results showed that there were individual differences in suggestibility and that these differences corresponded to certain personality characteristics, mainly related to the Thinking Styles and some Behaving Styles.     

A process-dissociation analysis of semantic illusions

We examine semantic illusions from a dual-process perspective according to which the processes that go into failing or succeeding to detect such illusions can be decomposed into controlled processes (checking the facts in the sentence against the information in memory) and automatic processes (the impression of truth that comes from the semantic associations between the elements in the sentence). These processes, we argue, make largely independent contributions to truth judgments about semantic-illusory sentences. The Process Dissociation Procedure was used to obtain estimates of these two kinds of processes. In Study 1, participants judged whether sentences were true or false while under high or low cognitive load. Cognitive load increased the rate of semantic illusions by specifically affecting controlled processing but not automatic processing. In Study 2, a previous paired-associate learning task also increased the rate of semantic illusions, but it did so by specifically affecting automatic processing, not controlled processing.     

The early development of human mirror mechanisms: evidence from electromyographic recordings at 3 and 6 months

In primates and adult humans direct understanding of others' action is provided by mirror mechanisms matching action observation and action execution (e.g. Casile, Caggiano & Ferrari, 2011). Despite the growing body of evidence detailing the existence of these mechanisms in the adult human brain, their origins and early development are largely unknown. In this study, for the first time, electromyographic (EMG) measures were used to shed light on the emergence of mirror motor mechanisms in infancy. EMG activity was recorded while 6‐ and 3‐month‐old infants watched two videos displaying an agent reaching for, grasping and bringing an object either to the mouth or to the head. Results indicate that the motor system of 6‐month‐olds, but not 3‐month‐olds, was recruited and selectively modulated during observation of the goal‐directed actions, favoring the idea that mirror mechanisms driving action understanding gradually emerge during early development.     

Differential Memory Test Sensitivity for Diagnosing Amnestic Mild Cognitive Impairment and Predicting Conversion to Alzheimer's Disease

ABSTRACT

Episodic memory is the first and most severely affected cognitive domain in Alzheimer's disease (AD), and it is also the key early marker in prodromal stages including amnestic mild cognitive impairment (MCI). The relative ability of memory tests to discriminate between MCI and normal aging has not been well characterized. We compared the classification value of widely used verbal memory tests in distinguishing healthy older adults (n = 51) from those with MCI (n = 38). Univariate logistic regression indicated that the total learning score from the California Verbal Learning Test-II (CVLT-II) ranked highest in terms of distinguishing MCI from normal aging (sensitivity = 90.2; specificity = 84.2). Inclusion of the delayed recall condition of a story memory task (i.e., WMS-III Logical Memory, Story A) enhanced the overall accuracy of classification (sensitivity = 92.2; specificity = 94.7). Combining Logical Memory recognition and CVLT-II long delay best predicted progression from MCI to AD over a 4-year period (accurate classification = 87.5%). Learning across multiple trials may provide the most sensitive index for initial diagnosis of MCI, but inclusion of additional variables may enhance overall accuracy and may represent the optimal strategy for identifying individuals most likely to progress to dementia.     

Measuring Optimism in Organizations: Development of a Workplace Explanatory Style Questionnaire

Some researchers measure optimism by analysing explanations for hypothetical scenarios in explanatory style questionnaires. The most commonly used instrument, the Attributional Style Questionnaire (ASQ), has been shown to predict success in business, education and sport. However, these predictions were achieved by using composite scores of subscales. Our analysis of 15 measures revealed the ASQ and many other explanatory style questionnaires have low internal consistency. Furthermore, the majority of these measures use situations that have poor face validity for corporate applications, while some work-specific scenarios are only relevant to narrow domains such as selling insurance. To fulfil the need for a work-related explanatory style measure that could assess levels of optimism in any organizational setting, we developed the Workplace Explanations Survey (WES). This 5-factor measure was tested on a sample of 341 individuals working in a range of organizations and it has good internal consistency. We anticipate the WES will stimulate research into workplace optimism and provide clearer insights for optimism training, thus boosting both individual and organizational success.     

The Joint Effects of Stress,Coping, and Coping Resources on Depressive Symptoms in the Elderly

The objective of the present study was to examine the joint effects of stress, coping, and coping resources in predicting depressive symptoms. A community sample comprising 194 people aged 65 and older was interviewed. Task-oriented coping and emotion-oriented coping both appeared to be directly related to depressive symptoms. In addition, emotion-oriented coping moderated the impact of stress to varying degrees, depending on the amount of stress experienced. Coping resources (social support and coping self-efficacy) also were directly related to depressive symptoms. Furthermore, coping self-efficacy appeared to be related to the kind of coping strategies used. Respondents with higher coping self-efficacy used more task-oriented coping and less emotion-oriented coping. These findings suggest that it is advisable to include coping resources when studying stress-coping processes. Developing prevention and intervention programs aimed at teaching people adaptive coping strategies and helping them to build up their coping resources seems advisable.