Deep Brain Stimulation of the Subthalamic Nucleus in Parkinson’s Disease: A Meta-Analysis of Mood Effects

Neuropsychology Review - This meta-analysis examines mood changes after bilateral subthalamic deep brain stimulation (STN-DBS) in patients with Parkinson’s disease (PD). Deep brain...     

Developing New Academic Programs in the Medical/Health Humanities: A Toolkit to Support Continued Growth

Journal of Medical Humanities - Academic programs in the medical/health humanities have proliferated widely in recent years, and the professional, academic, and cultural drivers of this growth...     

When and how did you go wrong? Characterizing mild functional difficulties in older adults during an everyday task

ABSTRACT

Mild functional difficulties associated with cognitive aging may be reliably measured by coding “micro-errors” during everyday tasks, like meal preparation. Micro-errors made by 25 older adult and 48 younger adults were coded on four dimensions to evaluate the influence of: 1) poor error monitoring; 2) goal decay; 3) competition for response selection when switching to a new subtask; and 4) interference from distractor objects. Micro-errors made by young adults under a dual task load also were analyzed to determine the influence of overall performance level. Older adults’ micro-errors were observed when switching to a new subtask and to unrelated distractors. Slowed error monitoring and goal decay also influenced micro-errors in older adults, but not significantly more so than younger adults under the dual task. Interventions to reduce interference from distractors and to increase attention at critical choice points during tasks may optimize everyday functioning and preclude decline in older adults.     

Performance of Asian elephants (Elephas maximus) on a quantity discrimination task is similar to that of African savanna elephants (Loxodonta africana)

Animal Cognition - Using an object-choice task, we measured the relative quantity discrimination ability of Asian elephants. Two zoo-housed elephants were given auditory cues of food being dropped...     

One of the troubles with outcome measures: Lost in translation

This paper presents the concerns of a client diagnosed with autism spectrum disorder about completing outcome measures. He was asked to complete CORE‐10 each time he attended a therapy session with the first author. This paper takes an epistemological position of co‐production, and written in response to the client's concerns, but this is limited by the client's wish and capacity to be involved in the writing up of this article. Implications of his experiences are drawn out for both clients with this diagnosis and more generally for all clients. Recommendations are made to recognise the limitations of measures and how to use outcome measures with more validity.     

Enhancing parental reflective functioning through early dyadic interventions: A systematic review and meta‐analysis

Parental reflective functioning (PRF) is an important predictor of infant attachment, and interventions that target parent–infant/toddler dyads who are experiencing significant problems have the potential to improve PRF. A range of dyadic interventions have been developed over the past two decades, some of which explicitly target PRF as part of their theory of change, and some that do not explicitly target PRF, but that have measured it as an outcome. However, no meta‐analytic review of the impact of these interventions has been carried out to date. The aim of this review was to evaluate the effectiveness of dyadic interventions targeting parents of infant and toddlers, in improving PRF and a number of secondary outcomes. A systematic review and meta‐analysis was conducted in which key electronic databases were searched up to October 2018. Eligible studies were identified and data extracted. Data were synthesised using meta‐analysis and expressed as both effect sizes and risk ratios. Six studies were identified providing a total of 521 participants. The results of six meta‐analyses showed a nonsignificant moderate improvement in PRF in the intervention group (standardised mean difference [SMD]: –0.46; 95% confidence interval [CI] [–0.97, 0.04]) and a significant reduction in disorganised attachment (risk ratio: 0.50; 95% CI [0.27, 0.90]). There was no evidence for intervention effects on attachment security (odds ratio: 0.71; 95% CI [0.19, 2.64]), parent–infant interaction (SMD: –0.10; 95% CI [–0.46, 0.26]), parental depression (SMD: –1.55; 95% CI [–3.74, 0.64]) or parental global distress (SMD: –0.19, 95% CI [–3.04, 22.65]). There were insufficient data to conduct subgroup analysis (i.e. to compare the effectiveness of mentalisation‐based treatment with non‐mentalization‐based treatment interventions). Relational early interventions may have important benefits in improving PRF and reducing the prevalence of attachment disorganisation. The implications for future research are discussed.     

The Sum Is Greater than its Parts: Intersectionality and Measurement Validity of the Eating Disorder Examination Questionnaire (EDE-Q) in Latinx Undergraduates in the United States

Previous research has demonstrated disparities in the diagnosis and treatment of eating disorders for men and ethnic minorities. The current study sought to investigate differences in eating pathology and measurement validity of the Eating Disorder Examination Questionnaire (EDE-Q) at the intersection of gender and ethnicity in a nonclinical sample of undergraduates. A total sample of 1173 undergraduates (177 Latino men, 133 non-Latino White men, 554 Latina women, 309 non-Latina White women) completed the EDE-Q as part of a larger study on eating habits. A series of ANOVAs indicated a similar pattern of effects for gender and ethnicity for the original four-factor, 22-item EDE-Q and an alternative three-factor, seven-item variant. Women scored significantly higher than men on all subscales, and Latinx participants scored significantly higher than non-Latinx White participants on the Shape Concern and Weight Concern subscales. A significant interaction of gender by ethnicity was observed on the Shape Concern subscale in which larger effects of ethnicity were observed for men compared to women. Tests of confirmatory factor analysis suggested only the three-factor, seven-item EDE-Q provided acceptable fit and demonstrated scalar invariance across gender and ethnicity. Our study highlights the importance of examining eating pathology and measurement validity at the intersection of demographic characteristics. Results suggest that Latino men may be at higher risk of eating pathology relative to non-Latino White men and that a three-factor, seven-item EDE-Q appears to be a valid measure of eating pathology across gender and ethnicity among U.S. undergraduates.

     

Assessing the Rising Emphasis on Muscularity for Women: Psychometric Properties of the Brazilian Version of the Female Muscularity Scale

The female appearance ideal has undergone considerable changes in recent years, resulting in increases in drive for muscularity among Brazilian women. The Female Muscularity Scale (FMS) was developed to assess muscularity concerns among U.S. women and was shown to be a promising measure of muscularity-related attitudes and behaviors. The present studies aimed to translate and culturally adapt the FMS to Brazilian Portuguese and to explore its factorial structure among Brazilian women (Study 1: n = 202, M_age = 24.40, SD = 5.03) and to confirm the factor structure as well as evaluate convergent and divergent validity and reliability of the FMS for young adult Brazilian women (Study 2: n = 382, M_age = 22.71, SD = 4.32). Exploratory factor analysis revealed a two-factor structure (Attitudes and Behaviors subscales), each comprising five items. Confirmatory factor analysis upheld the original two-factor structure with good fit indices. The full scale and its subscales presented convergent validity through associations with measures of body dissatisfaction, drive for muscularity, body-ideal internalization, body checking and avoidance behaviors, disordered eating, and exercise engagement. Evidence of divergent validity was obtained in relation to self-esteem and depressive symptoms. The Brazilian version of FMS also presented adequate values for internal consistency and 2-week test-retest reliability. These findings support the Brazilian version of the FMS as a useful tool for investigating muscularity-related aspects of body image and body change behaviors that are increasingly a source of concern for women.

     

School Connectedness and STEM Orientation in Adolescent Girls: The Role of Perceived Gender Discrimination and Implicit Gender-Science Stereotypes

Sex Roles - Girls and women continue to be underrepresented in STEM fields (science, technology, engineering, and mathematics), and this underrepresentation has been partly attributed to gendered...