Differential Outcomes of Adolescents with Chronically Ill and Healthy Parents

Approximately 10% of children grow up with a parent who has been diagnosed with a chronic medical condition (CMC) and seem to be at risk for adjustment difficulties. We examined differences in behavioral, psychosocial and academic outcomes between 161 adolescents from 101 families with a chronically ill parent and 112 adolescents from 68 families with healthy parents, accounting for statistical dependence within siblings. Children between 10 and 20 years and their parents were visited at home and filled in questionnaires. Multilevel analyses showed that 20–60% of the variance in most adolescent outcomes was due to the family cluster effect, especially in internalizing problem behavior, caregiving variables and quality of parent attachment. Conversely, the variance in stress and coping variables and grade point average (GPA) was mainly due to individual characteristics. Adolescents with parents affected by CMC displayed more internalizing problems than the comparison group and scored higher on frequency of household chores, caregiving responsibilities, activity restrictions, isolation, daily hassles and stress. In addition, their grade point average was comparatively worse. No group differences in externalizing problems, coping skills and quality of parent attachment were found. In conclusion, the family cluster effect largely explains adolescent outcomes and should be accounted for. Adolescents with parents affected by CMC are subject to an increased risk for internalizing problems, adverse caregiving characteristics, daily hassles, stress and a low GPA. According to a family-centered approach, school counselors and health care practitioners should be alert to adjustment difficulties of children with a chronically ill parent.     

Contrasting graded effects of semantic similarity and association across the concreteness spectrum

Evidence from healthy individuals and neuropsychological patients with deep dyslexia or semantic refractory access dysphasia suggests that abstract and concrete concepts have different dependencies upon associative and similarity-based representational frameworks. However, the importance of information about semantic similarity for concepts that lie across the full concreteness spectrum has not been investigated. Here we report the performance of healthy individuals on an odd-one-out task involving semantically related word triplets that showed continuous variation for the key variables of concreteness, similarity strength, and association strength. In addition, data from a stroke aphasic patient tested on a matching-to-sample task based on the same abstract, middle-concreteness, and concrete stimuli are also presented. The effects of similarity and association strength upon performance were both shown to interact significantly with concreteness, but in opposite directions. The effect of semantic similarity increased with concreteness but the effect of association decreased with concreteness. This research provides further evidence for the proposal that abstract and concrete words have different dependencies upon associative and similarity-based information. It also develops the proposal by providing data that are consistent with a graded and not binary or ungraded model of the relationship between concreteness and these two forms of semantic relationship.     

Mental rotation does not account for sex differences in left-right confusion

Several studies have demonstrated that women believe they are more prone to left-right confusion (LRC) than men. However, while some studies report that there is also a sex difference in LRC tasks favouring men, others report that men and women perform equally well. Recently, it was suggested that sex differences only emerge in LRC tasks when they involve mental rotation. That is, sex differences that are reported for some LRC tasks are strongly affected by the well-documented male advantage in mental rotation. To test this assumption, 91 participants were investigated on two LRC tasks: The Left-Right Commands Task and the Bergen Left-Right Discrimination Test. Additionally, participants were asked to complete an LRC self-rating questionnaire. To rule out the possibility that sex differences in LRC are confounded by sex differences in mental rotation, male and female participants were matched for mental rotation performance, resulting in a sample of 46 matched participants. These matched participants showed robust sex differences in favour of men in all LRC measurements. This suggests that pronounced sex differences in LRC are a genuine phenomenon that exists independently of sex differences in mental rotation.     

Implicit and explicit emotional behavior and mindfulness

The objective of this study was to examine whether the “step back and watch” attitude of mindfulness manifests in less emotional behavior. We hypothesized that the “acceptance” facet of mindfulness, but not the “presence” facet, is negatively associated with the magnitude of emotional behavior in four tests, i.e., (1) rating of words, (2) rating of aversive and neutral pictures, and (3) evaluative conditioning (EC). Additionally, we hypothesized that (4) the acceptance facet is associated with increased reaction time (RT) in an emotional Stroop test, and that the presence facet is associated with decreased RT and lower error rate. The sample consisted of N = 247 non-clinical adults and was tested in a cross-sectional study. The results provide partial evidence that the acceptance facet of mindfulness may be associated with less aversive reactions towards aversive stimuli. Future studies should substantiate these findings but also determine their clinical relevance.     

Does silent reading speed in normal adult readers depend on early visual processes? evidence from event-related brain potentials

Little is known about the relationship of reading speed and early visual processes in normal readers. Here we examined the association of the early P1, N170 and late N1 component in visual event-related potentials (ERPs) with silent reading speed and a number of additional cognitive skills in a sample of 52 adult German readers utilizing a Lexical Decision Task (LDT) and a Face Decision Task (FDT). Amplitudes of the N170 component in the LDT but, interestingly, also in the FDT correlated with behavioral tests measuring silent reading speed. We suggest that reading speed performance can be at least partially accounted for by the extraction of essential structural information from visual stimuli, consisting of a domain-general and a domain-specific expertise-based portion.     

Hemispheric asymmetries and cognitive flexibility: an ERP and sLORETA study

Although functional cerebral asymmetries (FCAs) affect all cognitive domains, their modulation of the efficacy of specific executive functions is largely unexplored. In the present study, we used a lateralized version of the task switching paradigm to investigate the relevance of hemispheric asymmetries for cognitive control processes. Words were tachistoscopically presented in the left (LVF) and right visual half field (RVF). Participants had to categorise the words either based on their initial letters, or according to their word type. On half of the trials the task changed (switch trials) whereas on the other half it stayed the same (repeat trials). ERPs were recorded and the neural sources of the ERPs were reconstructed using standardised low resolution brain electromagnetic tomography (sLORETA). In the word type task, participants were faster on repeat trials when stimuli were presented in the RVF. In contrast, in the initial letter task participants were faster on repeat trials and in general more accurate after stimulus presentation in the LVF. In both tasks, no hemispheric asymmetries in reaction times were observed on switch trials. On the electrophysiological level, we observed a left lateralization of the N1 that was mediated by activation in the left extrastriate cortex as well as a greater positivity of the P3b after stimulus presentation in the RVF compared to the LVF that was mediated by activation in the superior parietal cortex. These results show that FCAs affect the neurophysiological correlates of executive functions related to task switching. The relation of neurophysiological and behavioural asymmetries is mediated by task complexity, with more complex tasks leading to more interhemispheric interaction and smaller left-right differences in behavioural measures. These findings reveal that FCAs are an important modulator of executive functions related to cognitive flexibility.     

Age effects in emotional prospective memory: cue valence differentially affects the prospective and retrospective component

While first studies suggested that emotional task material may enhance prospective memory performance in young and older adults, the extent and mechanisms of this effect are under debate. The authors explored possible differential effects of cue valence on the prospective and retrospective component of prospective memory in young and older adults. Forty-five young and 41 older adults performed a prospective memory task in which emotional valence of the prospective memory cue was manipulated (positive, negative, neutral). The multinomial model of event-based prospective memory was used to analyze effects of valence and age on the two prospective memory components separately. Results revealed an interaction indicating that age differences were smaller in both emotional valence conditions. For older adults positive cues improved the prospective component, while negative cues improved the retrospective component. No main effect of valence was found for younger adults on an overt accuracy measure, but model-based analyses showed that the retrospective component was enhanced in the positive compared with the negative cue condition. The study extends the literature in demonstrating that processes underlying emotional effects on prospective memory may differ depending on valence and age.     

Seeing why they cannot see: Understanding the syndrome and causes of posterior cortical atrophy

Posterior cortical atrophy (PCA) is a syndrome defined by focal neurodegeneration of the parietal, occipital, and occipito‐temporal cortices and associated with progressive dysfunction of visual processing, praxis, numeracy and reading. The condition is most commonly caused by (and viewed as an atypical presentation of) Alzheimer's disease, although can also be caused by other degenerative diseases. The current paper examines the relationship of PCA to other degenerative syndromes, and considers what comparisons of these syndromes and disease phenotypes can tell us about underlying disease mechanisms. The focus then turns to neuropsychological investigations of the cognitive basis of symptoms which, although unusual in the broader context of a dementia clinic, are particularly characteristic of the PCA syndrome, before exploring implications for clinical management and patient and carer support.