Differences in memory functioning between children with attention-deficit/hyperactivity disorder and/or focal epilepsy

Prior research has shown that attention-deficit/hyperactivity disorder (ADHD) and epilepsy are frequently comorbid and that both disorders are associated with various attention and memory problems. Nonetheless, limited research has been conducted comparing the two disorders in one sample to determine unique versus shared deficits. Hence, we investigated differences in working memory (WM) and short-term and delayed recall between children with ADHD, focal epilepsy of mixed foci, comorbid ADHD/epilepsy and controls. Participants were compared on the Core subtests and the Picture Locations subtest of the Children’s Memory Scale (CMS). Results indicated that children with ADHD displayed intact verbal WM and long-term memory (LTM), as well as intact performance on most aspects of short-term memory (STM). They performed worse than controls on Numbers Forward and Picture Locations, suggesting problems with focused attention and simple span for visual-spatial material. Conversely, children with epilepsy displayed poor focused attention and STM regardless of the modality assessed, which affected encoding into LTM. The only loss over time was found for passages (Stories). WM was intact. Children with comorbid ADHD/epilepsy displayed focused attention and STM/LTM problems consistent with both disorders, having the lowest scores across the four groups. Hence, focused attention and visual-spatial span appear to be affected in both disorders, whereas additional STM/encoding problems are specific to epilepsy. Children with comorbid ADHD/epilepsy have deficits consistent with both disorders, with slight additive effects. This study suggests that attention and memory testing should be a regular part of the evaluation of children with epilepsy and ADHD.     

Commitment to Islam in Kazakhstan and Kyrgyzstan: An Item Response Theory Analysis

Worthington conceptualized a model of religiosity assessment. The dimensions of the model include Religious Norms, Religious Doctrine, and Authority of Leaders. A 10-item scale for Islamic religious assessment was constructed and administered in Kazakhstan and Kyrgyzstan. First-order factor analysis conducted on the 10 items of the religiosity scale revealed factorial structure corresponding to Worthington’s model. A second-order factor analysis assured 1 underlying latent trait. Two-parameter logistic item response theory models were fit to responses collected in Kazakhstan and Kyrgyzstan. Results supported psychometric soundness of the instrument. The items on the scale revealed excellent discrimination properties between the populations of high and low religious commitment. The study offers a short, practical scale for assessment of commitment to Islam in Central Asian countries.     

How do Physicians Decide to Refer Their Patients for Psychiatric Genetic Counseling? A Qualitative Study of Physicians’ Practice

Psychiatric genetic counseling (PGC) is an emerging specialty discipline within the genetic counseling profession. A specialist PGC service was founded in 2012 in Vancouver, Canada, and though patient benefits have been demonstrated, many physicians do not regularly refer patients to the service despite awareness of its availability. We conducted a qualitative study involving semi-structured telephone interviews with Vancouver-based physicians who were aware of the PGC service to explore this phenomenon. Interviews were audio-recorded, transcribed verbatim, coded, and analysed for emergent themes. Consistent with a grounded theory approach, constant comparison was employed throughout data collection and analysis. Analyses of interviews conducted with 12 physicians revealed that referral practices were informed by perceptions about the purpose of PGC and interpretation of patient cues. Physicians perceived PGC as an information-focused intervention, and considered referral when patients explicitly expressed desire for information about recurrence risk or etiology that they felt unable to adequately address themselves. Even when physicians identified psychotherapeutic benefits of PGC, patient needs of this nature were not perceived as cues prompting referral to PGC. These data suggest that further work is necessary to position PGC in physicians’ minds as a service that could potentially benefit most individuals with psychiatric disorders and their families, and that it encompasses more than information provision. It is important to increase physicians’ awareness of the complementary role that genetic counselors can play to that of the physician in providing psychotherapeutically oriented counselling about illness etiology.     

Hot executive function following moderate‐to‐late preterm birth: altered delay discounting at 4 years of age

Interest in monitoring long‐term neurodevelopmental outcomes of children born moderate‐to‐late preterm (32–36 weeks gestation) is increasing. Moderate‐to‐late preterm birth has a negative impact on academic achievement, which may relate to differential development of executive function (EF). Prior studies reporting deficits in EF in preterm children have almost exclusively assessed EF in affectively neutral contexts in high‐risk preterm children (< 32 weeks gestation). Disrupted function in motivational or emotionally charged contexts (hot EF) following preterm birth remains uninvestigated, despite evidence that preterm children show differential development of neural circuitry subserving hot EF, including reduced orbitofrontal cortex volume. The present study is the first to examine whether low‐risk, healthy children born moderate‐to‐late preterm exhibit impairments in the development of hot EF. Preterm children at age 4.5 years were less likely to choose larger, delayed rewards across all levels of reward magnitude on a delay discounting task using tangible rewards, but performed more similarly to their full‐term peers on a delay aversion task involving abstract rewards and on measures of cool EF. The relationship between gestational age at birth and selection of delayed rewards extended across the entire gestational age range of the sample (32–42 weeks), and remained significant after controlling for intelligence and processing speed. Results imply that there is not a finite cut‐off point at which children are spared from potential long‐term neurodevelopmental effects of PT birth. Further investigation of reward processing and hot EF in individuals with a history of PT birth is warranted given the susceptibility of prefrontal cortex development to early environmental variations.     

Development of logical reasoning: children's ability to verbally explain the nature of the distinction between logical and nonlogical forms of argument

Previous research by D. Moshman and B. Franks (1986) supported the hypothesis that children do not explicitly understand the nature of the distinction between logical and nonlogical forms of argument. This research examined the performance of 8-11-year-olds (N = 220) on Moshman and Franks's experimental tasks when the children were cued to apply particular comprehension strategies. Findings from 2 experiments indicated that a significant number of children are capable of explicitly recognizing the necessity of logical forms and the indeterminacy of nonlogical forms and that this competence must be distinguished from their tendency to fail to attend to structural relationships between propositions and to monitor the intrusion of extraneous personal knowledge in assessing the validity of an argument. The findings suggest that all of these competencies are important components of the ability to distinguish logical and nonlogical arguments.     

Motivated cultural cognition: the impact of implicit cultural theories on dispositional attribution varies as a function of need for closure

The authors propose that need for closure (NFC) leads attributors to respond to an ambiguous social event by increasing reliance on implicit theories received from acculturation. Hence, the influence of NFC should be shaped by chronically accessible knowledge structures in a culture, and, likewise, the influence of culture should be moderated by epistemic motives such as NFC. The specific hypotheses drew on past findings that North American and Chinese attributors possess differing implicit social theories, North Americans conceiving of individuals as autonomous agents and Chinese conceiving of groups as autonomous. The present studies found the predicted pattern that among North American participants, NFC increased attributions to personal but not group dispositions. Among Chinese participants, NFC increased attributions to group but not personal dispositions. The findings are discussed in light of an emerging dynamic account of culture and cognition.     

Lexical processing and text integration of function and content words: Evidence from priming and eye fixations

The results of two experiments comparing processing of function words and content words are reported. In Experiment 1, priming was present for both related function and related content word pairs, as measured in lexical decision response times. In Experiment 2, participants' eye movements were monitored as they read sentences containing either a high- or a low-frequency function or content target word. Average word length and word frequency were matched across the function and content word conditions. Function words showed frequency effects in first-fixation and gaze duration that were similar to those seen for content words. Clear differences in on-line processing of function and content words emerged in later processing measures. These differences were reflected in reading patterns and reading time measures. There was inflated processing time in the phrase immediately following a low-frequency function word, and participants made more regressions to the target word in this condition than in the other three conditions. The priming effects in lexical decision and the word frequency effects in initial processing measures in silent reading for both word types were taken as evidence of common lexical processing for function and content words. The observed differences in later processing measures in the eye-movement data were taken as evidence of differences in the role that the two word types have in sentence processing beyond the lexical level.     

Using fMRI to study recovery from acquired dysphasia

We have used functional magnetic resonance imaging (fMRI) to characterize brain activations associated with two distinct language tasks performed by a 28-year-old woman after partial recovery from dysphasia due to a left frontal hemispheric ischemic stroke. MRI showed that her ischemic lesion extended posteriorly from the left inferior frontal to the perisylvian cortex. fMRI scans of both language tasks revealed substantial differences in activation pattern relative to controls. The nature of this difference was task-specific. During performance of a verbal semantic decision task, the patient, in contrast to controls, activated a network of brain areas that excluded the inferior frontal gyrus (in either hemisphere). A second task involving rhyme judgment was designed to place a heavier cognitive load on language production processes and activated the left inferior frontal gyrus (Broca's area) strongly in normal controls. During this task, the most prominent frontal activation in the patient occurred in the right homologue of Broca's area. Subsequent analysis of this data by methods able to deal with responses of changing amplitude revealed additional, less sustained recruitment by the patient of cortex adjacent to the infarct in the region inferior to Broca's area during rhyming. These results suggest that in addition to changes in cognitive strategy, recovery from dysphasia could be mediated by both the preservation of neuronal networks in and around the infarct and the use of homologous regions in the contralateral hemisphere.     

Cognitive resource limitations during sentence comprehension in Parkinson's disease

We report a single-case study of peripherally acquired dyslexia that meets the clinical criteria of "alexia without agraphia." The patient, AA, has a large infarct involving the left posterior cerebral artery. The most striking feature is a severe impairment in recognizing single visually presented letters that precludes explicit or implicit access to reading, even in a letter-by-letter fashion. AA can, however, differentiate letters from similar nonsense characters and digits, and he is also able to identify alphanumeric signs when the visual channel is bypassed (through somesthesic or kinesthesic presentation). Spelling tasks are also well performed. Since there is a breakdown in mapping a visually presented letter to its abstract graphemic representation, we propose the term "visuographemic alexia" for this kind of reading disorder. The pattern of deficits is interpreted following theoretical models previously developed in cognitive neuropsychology. An alexia for arabic numerals with preserved comprehension lends additional support for the crucial processing of different notational systems (e.g., phonographic vs logographic). More general perceptive disorders do not seem to account for these patterns; they are material-specific. Finally, we attempt to specify functional correlations with the implied neural networks.