Putting families in the center: family perspectives on decision making and ADHD and implications for ADHD care

Objective: To examine components of family-centered care in families' stories about treatment decision making for their child with ADHD. Method: Twenty-eight families participated in qualitative interviews that addressed families' perspectives on (a) the treatment decision-making process, (b) the cause and impact of their child's symptoms, and (c) treatment goals and preferences. Results: The majority of families preferred to be primary or shared decision makers regarding treatment decisions. Families' perspectives on the cause of the child's symptoms varied and often were not consistent with a biomedical framework. Families described multiple areas of impairment on child, family relationships, and family functioning. Perspectives toward evidence-based treatments were mixed, with families also expressing interest in and pursuing interventions not delineated in current treatment guidelines. Conclusion: These findings reinforce the importance of eliciting families' perspectives and involving these important stakeholders in shared decision making as critical components of family-centered care for children with ADHD.     

The recognition of facial expressions: An investigation of the influence of age and cognition

ABSTRACT The present study aimed to investigate changes in facial expression recognition across the lifespan, as well as to determine the influence of fluid intelligence, processing speed, and memory on this ability. Peak performance in the ability to identify facial affect was found to occur in middle-age, with the children and older adults performing the poorest. Specifically, older adults were impaired in their ability to identify fear, sadness, and happiness, but had preserved recognition of anger, disgust, and surprise. Analyses investigating the influence of cognition on emotion recognition demonstrated that cognitive abilities contribute to performance, especially for participants over age 45. However, the cognitive functions did not fully account for the older adults' impairments on expression recognition. Overall, the age-related deficits in facial expression recognition have implications for older adults' use of non-verbal communicative information.     

Learning new meanings for old words: effects of semantic relatedness

Changes to our everyday activities mean that adult language users need to learn new meanings for previously unambiguous words. For example, we need to learn that a "tweet" is not only the sound a bird makes, but also a short message on a social networking site. In these experiments, adult participants learned new fictional meanings for words with a single dominant meaning (e.g., "ant") by reading paragraphs that described these novel meanings. Explicit recall of these meanings was significantly better when there was a strong semantic relationship between the novel meaning and the existing meaning. This relatedness effect emerged after relatively brief exposure to the meanings (Experiment 1), but it persisted when training was extended across 7?days (Experiment 2) and when semantically demanding tasks were used during this extended training (Experiment 3). A lexical decision task was used to assess the impact of learning on online recognition. In Experiment 3, participants responded more quickly to words whose new meaning was semantically related than to those with an unrelated meaning. This result is consistent with earlier studies showing an effect of meaning relatedness on lexical decision, and it indicates that these newly acquired meanings become integrated with participants' preexisting knowledge about the meanings of words.     

Recognizing prosody across modalities, face areas and speakers: examining perceivers' sensitivity to variable realizations of visual prosody

Prosody can be expressed not only by modification to the timing, stress and intonation of auditory speech but also by modifying visual speech. Studies have shown that the production of visual cues to prosody is highly variable (both within and across speakers), however behavioural studies have shown that perceivers can effectively use such visual cues. The latter result suggests that people are sensitive to the type of prosody expressed despite cue variability. The current study investigated the extent to which perceivers can match visual cues to prosody from different speakers and from different face regions. Participants were presented two pairs of sentences (consisting of the same segmental content) and were required to decide which pair had the same prosody. Experiment 1 tested visual and auditory cues from the same speaker and Experiment 2 from different speakers. Experiment 3 used visual cues from the upper and the lower face of the same talker and Experiment 4 from different speakers. The results showed that perceivers could accurately match prosody even when signals were produced by different speakers. Furthermore, perceivers were able to match the prosodic cues both within and across modalities regardless of the face area presented. This ability to match prosody from very different visual cues suggests that perceivers cope with variation in the production of visual prosody by flexibly mapping specific tokens to abstract prosodic types.     

Perfectionistic self-presentation, socially prescribed perfectionism, and suicide in youth: a test of the perfectionism social disconnection model

The role of interpersonal components of perfectionism in suicide outcomes among youth was assessed and the Perfectionism Social Disconnection Model (PSDM) was tested by determining whether the links between socially prescribed perfectionism (SPP) and perfectionistic self-presentation (PSP) and suicide outcomes are mediated by experiences of social disconnection, as indicated by social hopelessness and being bullied. PSP, trait perfectionism, suicide outcomes, and experiences of being bullied and social hopelessness were measured in 152 psychiatric outpatient children and adolescents. Correlational tests confirmed that PSP and SPP were associated with suicide outcomes and these interpersonal perfectionism components were associated significantly with bullying and social hopelessness. Support was also obtained for the PSDM. The relationship between the PSP facets, particularly nondisplay of imperfections, and suicide outcomes were mediated by being bullied. Additionally, the relationship between all interpersonal components of perfectionism and suicide risk was mediated by social hopelessness. Theoretical and clinical implications of interpersonal components of perfectionism and social disconnection in suicide outcomes for youth are discussed.     

A Picture-Based Activity Schedule Intervention to Teach Adults with Mild Intellectual Disability to Use an iPad During a Leisure Activity

Individuals with developmental disabilities have limited opportunities to participate in leisure activities, frequently due to lack of skills. The purpose of the current study was to teach three adults diagnosed with mild intellectual disability to use an iPad in the context of playing the video game Angry Birds. We used an adapted multiple baseline across participants research design to teach the task, which included opening the cover of the iPad, unlocking the device, opening Angry Birds, playing the game, and putting the iPad away. Instruction took place during breaks in a private room at a sheltered workshop. During intervention, participants had access to an activity schedule to aid in completion of the task. In some cases, extra prompts were provided to increase attention to the activity schedule. All three participants showed improvement in the target skill with intervention and gains were sustained during the maintenance phase.     

A Sequential Examination of Parent–Child Interactions at Anesthetic Induction

Parental presence is often employed to alleviate distress in children within the context of surgery under general anesthesia. The critical component of this intervention may not be the presence of the parent per se, but more importantly the behaviors in which the parent and child engage when the parent is present. The purpose of the current study was to examine the sequential and reciprocal relationships between parental behaviors and child distress during induction of general anesthesia. Participants were 32 children (3–6 years) receiving dental surgery as a day surgery procedure, and their parents. A modified Child Adult Medical Procedures Interaction Scale-Revised was used to code parent and child behaviors. Initial child distress led to increased parental provision of reassurance and decreased provision of physical comfort. Our findings may inform the development of preoperative preparation programs whereby parents can be appropriately educated about what behaviors will be helpful/unhelpful for their child during induction of general anesthesia.     

Caregiving Arrangements and Caregiver Well-being when Infants are Born to Mothers in Prison

Journal of Child and Family Studies - Each year in the United States, over 1000 women give birth while in prison. Little is known about who cares for the infants after they are separated from their...     

Subjective Well-Being Predictors of Academic Citizenship Behavior

Two studies tested the hypothesis that SWB predicts unique variance in academic citizenship attitudes, even while accounting for personality traits. In Study 1, participants (n?=?2,566) completed an online questionnaire assessing their positive and negative affect, ACBs and personality. The results indicated that positive affect predicted consideration, civic virtue, and conscientiousness, whereas negative affect predicted citizenship conscientiousness and sportsmanship while controlling for personality. In Study 2, participants (n?=?260) completed measures of life satisfaction, ACBs and personality. The results showed that life satisfaction predicted all ACBs while controlling for personality. Based on these results, it can be concluded that SWB is an important predictor of ACBs. Implications for the selection of student aids in academic settings are discussed.     

Strategies for the Control of Unwanted Thoughts in Adolescents: The Adolescent Thought Control Questionnaire (TCQ-A)

A paucity of research on thought suppression exists among adolescents. The present study describes the preliminary psychometrics of the Adolescent Thought Control Questionnaire (TCQ-A) and its relationships with internalizing symptomatology in adolescents. Adolescents between 12 and 18 years of age completed the TCQ-A and other self-report instruments. Principal components analysis yielded five-factors theoretically derived from an adult measure: distraction, social, re-appraisal, worry, and punishment control strategies. The five-factor structure was well fitted to the data in a confirmatory factor analysis. Adequate evidence of reliability was obtained; however, internal consistency of the punishment factor was not adequate in the sample. The TCQ-A evidenced convergent and divergent validity with internalizing and externalizing symptomatology respectively. Future research applications of the TCQ-A, suggestions for further analyses, and refinement of the instrument are also discussed.