Building capacity in neurodevelopment assessment of children in sub-Saharan Africa: A quality assurance model to implement standardized neurodevelopment testing

Compromised neurodevelopment (ND) among infants and children is prevalent in sub-Saharan Africa. Standardized testing of ND is frequently prohibitive in these contexts, as tests require skilled staff for their application. In this paper, we present a quality assurance (QA) model (QualiND) for standardized ND testing, discussing findings and implications from our experience applying the Kaufman Assessment Battery for Children second edition (KABC-II). The QualiND model was implemented within IMPAACT P1104s study, a multisite, prospective study including 615 children affected by HIV. From 2014 to 2016, the QualiND managed 18 testers across 6 sites located in 4 African countries applying the KABC-II in 9 local languages. The QualiND is a multilevel, video-assisted iterative model incorporating remote evaluation, feedback, and supervision roles. Using an ad hoc rubric, videos of test application were evaluated by experienced staff in a centralized QA center. At each study site, testers and supervisors reviewed feedback from videos received via email from the QA center and devised an action plan to address testing errors and deficiencies. There were few instances of invalid tests and few barriers to test completion. Over 97% of KABC-II tests across sites were considered to be valid by the QA center. Overall, the QualiND model was a useful platform for remote supervision to nonspecialist and minimally trained research staff. The QualiND model may be useful to researchers and organizations involved in measuring early child development using standardized tests in low and middle-income countries.     

Learning to teach through video playback: student teachers confronting their own practice

The aim of this study was to examine the use of video playback with student teachers to promote teacher learning and to analyse patterns of reflection. A total of 14 student teachers video recorded their lessons in the practice setting and later confronted their performance, facing their videotaped lesson during the course of an interview with their university supervisor. The interviews were then transcribed and coded. Our results indicate that video playback facilitates student teacher learning and that the quality of reflection ranges from routine to dialogic. This suggests that further research into how to elicit higher levels of reflection is needed. The role of the supervisor in promoting deeper thinking should be further examined.     

Dissociative Experiences and Trauma Exposure Among Newly Arrived and Settled Young War Refugees

War-traumatized refugee adolescents are a vulnerable and understudied group. This study of two different groups of war-traumatized youth (N = 77) resettled in Sweden (newly arrived refugee adolescents, n = 42, 13–19 years, and settled students with childhood war experiences, n = 35, 11–18 years) evaluated their war experiences, refugee journey, general trauma exposure, posttraumatic stress symptoms, and dissociative experiences. Both groups had experienced many traumas and a substantial proportion reported levels consistent with posttraumatic stress (71% in the newly arrived group and 34% among the settled students) and dissociation (36% and 23%, respectively). The study also provides information about the type of adverse events experienced by war-refugee adolescents, including their own subjective appraisals of the worst events. The results show that the extent of trauma exposure and posttraumatic and dissociative symptomatology among refugee adolescents are considerable even after a period of resettlement, a finding that has educational, clinical, and social implications.     

Changes with Age in Subjective Well-Being Through the Adolescent Years: Differences by Gender

A one-year follow up study was conducted on a sample of 940 Spanish adolescents aged mostly from 10 to 15 in order to explore the extent to which their subjective well-being (SWB) changes from one year to the next, and whether these changes are the same for both genders regardless of the instrument used to measure SWB. Participants responded to the same four SWB scales twice, with an interval of a year in between. A decrease in the levels of SWB is identified from the years 11–12 onwards, the decrease in girls being more marked. Multiple-item, domain-based scales (Brief Multidimensional Student’s Life Satisfaction Scale and Personal Well-Being Index) are more sensitive than single-item scales (Overall Life Satisfaction and Happiness Taking into Account Overall Life) in detecting this decrease. Implications for the study of SWB are discussed from a developmental perspective.     

Integrated cross-network connectivity of amygdala,insula, and subgenual cingulate associated with facial emotion perception in healthy controls and remitted major depressive disorder

Emotion perception deficits could be due to disrupted connectivity of key nodes in the salience and emotion network (SEN), including the amygdala, subgenual anterior cingulate cortex (sgACC), and insula. We examined SEN resting-state (rs-)fMRI connectivity in rMDD in relation to Facial Emotion Perception Test (FEPT) performance. Fifty-two medication-free people ages 18 to 23 years participated. Twenty-seven had major depressive disorder (MDD) in remission (rMDD, 10 males), as MDD is associated with emotion perception deficits and alterations in rsfMRI. Twenty-five healthy controls (10 males) also participated. Participants completed the FEPT during fMRI, in addition to an 8-minute eyes-open resting-state scan. Seed regions of interest were defined in the amygdala, anterior insula and sgACC. Multiple regression analyses co-varied diagnostic group, sex and movement parameters. Emotion perception accuracy was positively associated with connectivity between amygdala seeds and regions primarily in the SEN and cognitive control network (CCN), and also the default mode network (DMN). Accuracy was also positively associated with connectivity between the sgACC seeds and other SEN regions, and the DMN, particularly for the right sgACC. Connectivity negatively associated with emotion perception was mostly with regions outside of these three networks, other than the left insula and part of the DMN. This study is the first to our knowledge to demonstrate relationships between facial emotion processing and resting-state connectivity with SEN nodes and between SEN nodes and regions located within other neural networks.     

Age slowing down in detection and visual discrimination under varying presentation times

The reaction time has been described as a measure of perception, decision making, and other cognitive processes. The aim of this work is to examine age‐related changes in executive functions in terms of demand load under varying presentation times. Two tasks were employed where a signal detection and a discrimination task were performed by young and older university students. Furthermore, a characterization of the response time distribution by an ex‐Gaussian fit was carried out. The results indicated that the older participants were slower than the younger ones in signal detection and discrimination. Moreover, the differences between both processes for the older participants were higher, and they also showed a higher distribution average except for the lower and higher presentation time. The results suggest a general slowdown in both tasks for age under different presentation times, except for the cases where presentation times were lower and higher. Moreover, if these parameters are understood to be a reflection of executive functions, these findings are consistent with the common view that age‐related cognitive deficits show a decline in this function.     

Inverse reference in subtraction performance: an analysis from arithmetic word problems

Studies of elementary calculation have shown that adults solve basic subtraction problems faster with problems presented in addition format (e.g., 6 ± =?13) than in standard subtraction format (e.g., 13 - 6?=?). Therefore, it is considered that adults solve subtraction problems by reference to the inverse operation (e.g., for 13 - 6?=?7, "I know that 13 is 6?+?7") because presenting the subtraction problem in addition format does not require the mental rearrangement of the problem elements into the addition format. In two experiments, we examine whether adults' use of addition to solve subtractions is modulated by the arrangement of minuend and subtrahend, regardless of format. To this end, we used arithmetic word problems since single-digit problems in subtraction format would not allow the subtrahend to appear before the minuend. In Experiment 1, subtractions were presented by arranging minuend and subtrahend according to previous research. In Experiment 2, operands were reversed. The overall results showed that participants benefited from word problems where the subtrahend appears before the minuend, including subtractions in standard subtraction format. These findings add to a growing body of literature that emphasizes the role of inverse reference in adults' performance on subtractions.     

How modality specific is the iambic-trochaic law? Evidence from vision

The iambic-trochaic law has been proposed to account for the grouping of auditory stimuli: Sequences of sounds that differ only in duration are grouped as iambs (i.e., the most prominent element marks the end of a sequence of sounds), and sequences that differ only in pitch or intensity are grouped as trochees (i.e., the most prominent element marks the beginning of a sequence). In 3 experiments, comprising a familiarization and a test phase, we investigated whether a similar grouping principle is also present in the visual modality. During familiarization, sequences of visual stimuli were repeatedly presented to participants, who were asked to memorize their order of presentation. In the test phase, participants were better at remembering fragments of the familiarization sequences that were consistent with the iambic-trochaic law. Thus, they were better at remembering fragments that had the element with longer duration in final position (iambs) and fragments that had the element with either higher temporal frequency or higher intensity in initial position (trochees), as compared with fragments that were inconsistent with the iambic-trochaic law or that never occurred during familiarization.