A model point of view

This paper reports a study of planning processes in the five-disc Tower of London (TOL) task in 20 younger and 20 older adult participants. A concurrent direct “think-aloud” method was used to obtain data on planning processes prior to moving discs in the TOL. A check was made of the effects of verbalising by comparing performance data from the experimental groups with data from control groups who did not verbalise during planning or moving. Verbalising slowed down planning and moving but did not appear to distort the participants' approaches to the task. Older and younger participants did not differ in average moves taken to solve the tasks. However, older participants' planning was less complete and more error-prone than that of younger participants. The planning processes were characterised as showing a means-ends “goal selection” strategy. In this strategy participants (1) identify a single active goal disc at the start, (2) select moves and move sequences to enable the placing of the current goal disc in its target position, and (3) continue in this way until all discs are in their target positions. Age differences were found in the planning stage, during which there was no stimulus support and hence a substantial working memory load. During the move phase there was stimulus support and hence little loading of working memory. Age differences in moves required were not found in the move phase. As older participants tend to have depleted working memory capacity the present results suggest that working memory is heavily loaded in TOL planning but less so in the move phase of TOL.     

Gait and risk of falls associated with frontal cognitive functions at different stages of Alzheimer's disease

ABSTRACT

The decline in frontal cognitive functions contributes to alterations of gait and increases the risk of falls in patients with dementia, a category which included Alzheimer's disease (AD). The objective of the present study was to compare the gait parameters and the risk of falls among patients at different stages of AD, and to relate these variables with cognitive functions. This is a cross-sectional study with 23 patients with mild and moderate AD. The Clinical Dementia Rating was used to classify the dementia severity. The kinematic parameters of gait (cadence, stride length, and stride speed) were analyzed under two conditions: (a) single task (free gait) and (b) dual task (walking and counting down). The risk of falls was evaluated using the Timed Up-and-Go test. The frontal cognitive functions were evaluated using the Frontal Assessment Battery (FAB), the Clock Drawing Test (CDT) and the Symbol Search Subtest. The patients who were at the moderate stage suffered reduced performance in their stride length and stride speed in the single task and had made more counting errors in the dual task and still had a higher fall risk. Both the mild and the moderate patients exhibited significant decreases in stride length, stride speed and cadence in the dual task. Was detected a significant correlation between CDT, FAB, and stride speed in the dual task condition. We also found a significant correlation between subtest Similarities, FAB and cadence in the dual task condition. The dual task produced changes in the kinematic parameters of gait for the mild and moderate AD patients and the gait alterations are related to frontal cognitive functions, particularly executive functions.     

Assessing mindfulness in children and adolescents: development and validation of the Child and Adolescent Mindfulness Measure (CAMM)

This article presents 4 studies (N = 1,413) describing the development and validation of the Child and Adolescent Mindfulness Measure (CAMM). In Study 1 (n = 428), the authors determined procedures for item development and examined comprehensibility of the initial 25 items. In Study 2 (n = 334), they reduced the initial item pool from 25 to 10 items through exploratory factor analysis. Study 3 (n = 332) evaluated the final 10-item measure in a cross-validation sample, and Study 4 (n = 319) determined validity coefficients for the CAMM using bivariate and partial correlations with relevant variables. Results suggest that the CAMM is a developmentally appropriate measure with adequate internal consistency. As expected, CAMM scores were positively correlated with quality of life, academic competence, and social skills and negatively correlated with somatic complaints, internalizing symptoms, and externalizing behavior problems. Correlations were reduced but generally still significant after controlling for the effects of 2 overlapping processes (thought suppression and psychological inflexibility). Overall, results suggest that the CAMM may be a useful measure of mindfulness skills for school-aged children and adolescents.     

Obesity, cardiovascular fitness, and physically active adolescents’ motivations for activity: A self-determination theory approach

Objectives

Overweight and obesity pose significant health problems for adolescents. Rates of overweight and obesity in children have increased 45% in the last decade and have increased three-fold since 1980. Because children who are physically active are at lower risk for the development of obesity, it is important to understand some of the factors that influence children’s physical activity patterns. The purpose of this study was to examine the relationship between motivation, cardiorespiratory fitness, and weight status, defined as obese or non-obese. We predicted that the association between motivation and weight status would become non-significant when controlling for cardiorespiratory fitness.

Design

The study employed a correlational, cross-sectional design.

Method

Participants included physically active middle school students (N = 82. 51% female) of aged 12–14 years, who participated in the Teen Eating and Activity Mentoring in Schools (TEAMS) study aimed at improving health and preventing obesity among middle school students. Students completed attitudinal questionnaires about physical activity and self-determination on a computer-based system and participated in a number of fitness performance, health behavior, and anthropometric assessments.

Results

Non-obese adolescents showed higher intrinsic motivation scores than obese adolescents. Mediational analyses showed that cardiorespiratory fitness mediated the relationship between motivation and weight status.

Conclusions

The results of this study demonstrate differences in physical activity motivation as a function of adolescent weight status, but only for intrinsic motivation. As predicted, adolescents who were intrinsically motivated for physical activity were more fit and thereby less likely to be obese. The findings are consistent with self-determination theory.     

Toward a technology of derived stimulus relations: an analysis of articles published in the journal of applied behavior analysis, 1992-2009

Every article on stimulus equivalence or derived stimulus relations published in the Journal of Applied Behavior Analysis was evaluated in terms of characteristics that are relevant to the development of applied technologies: the type of participants, settings, procedure (automated vs. tabletop), stimuli, and stimulus sensory modality; types of relations targeted and emergent skills demonstrated by participants; and presence versus absence of evaluation of generalization and maintenance. In most respects, published reports suggested the possibility of applied technologies but left the difficult work of technology development to future investigations, suggestions for which are provided.     

Speechreading and the Bruce-Young model of face recognition: early findings and recent developments

In the context of face processing, the skill of processing speech from faces (speechreading) occupies a unique cognitive and neuropsychological niche. Neuropsychological dissociations in two cases (Campbell et al., 1986) suggested a very clear pattern: speechreading, but not face recognition, can be impaired by left-hemisphere damage, while face-recognition impairment consequent to right-hemisphere damage leaves speechreading unaffected. However, this story soon proved too simple, while neuroimaging techniques started to reveal further more detailed patterns. These patterns, moreover, were readily accommodated within the Bruce and Young (1986) model. Speechreading requires structural encoding of faces as faces, but further analysis of visible speech is supported by a network comprising several lateral temporal regions and inferior frontal regions. Posterior superior temporal regions play a significant role in speechreading natural speech, including audiovisual binding in hearing people. In deaf people, similar regions and circuits are implicated. While these detailed developments were not predicted by Bruce and Young, nevertheless, their model has stood the test of time, affording a structural framework for exploring speechreading in terms of face processing.     

Peritraumatic dissociation and experiential avoidance as prospective predictors of posttraumatic stress symptoms

Peritraumatic dissociation (PD) and experiential avoidance (EA) have been implicated in the etiology of posttraumatic stress symptomatology (PTSS); however, the function of these two factors in the onset and maintenance of PTSS following a potentially traumatic event is unclear. The temporal relationships between EA, PD, and the four clusters of PTSS proposed by the Simms/Watson dysphoria model (Simms, Watson, & Doebbeling, 2002) were examined in a three-wave prospective investigation of 532 undergraduate women participating in an ongoing longitudinal study at the time of a campus shooting. Path analyses indicated that preshooting EA predicted greater PD, intrusions, and dysphoria symptoms approximately one month postshooting. PD was associated with increased symptomatology across all four clusters 1-month postshooting, while 1-month postshooting EA was associated with higher dysphoria and hyperarousal symptoms eight months postshooting. PD had a significant indirect effect on all four PTSS clusters eight months postshooting via 1-month postshooting symptom reports. The results suggest that both EA and PD show unique influences as risk factors for PTSS following a potentially traumatic event.     

��If This is What I��m ��Meant to be������: The Journeys of Students Participating in a Conversation Partner Scheme for People with Aphasia

The development of speech language therapy students into clinicians is an area of increasing interest as educators focus on how knowledge, skills and attitudes are taught and learnt within the profession. The personal journeys of students through experiences of service learning have potential to further our understanding of the impact of civic engagement on the student experience and their learning. This paper explores the journeys of first year speech and language therapy students through a Thematic Analysis of reflective letters written by students to themselves at the beginning and completion of a service learning module. Analysis demonstrates development of interpersonal and preclinical skills as well as an understanding of attitudes and values inherent in the social model of disability. The skills and attitudes developed by the students through participation in the Conversation Partner Scheme are consistent with social model principles that support therapists to fully address the long-term, real life needs of clients with aphasia (the acquired communication disorder that frequently follows stroke). The interface between the social model of disability and the role of service learning in nurturing the attitudes and values which underpin this model are explored.