Children and Aging: Attitudes,Differentiation Ability,and Quantity and Quality of Contact

The attitudes and age differentiation ability of forty-seven 3- to 5-year-old children toward pictures of older and younger people were assessed. In addition, cognitive performance on a seriation task as well as the quantity and quality of each child's contact with adults over 60 years of age were measured. Chi squares were performed by sex and age of stimulus photograph on the attitudinal questions. One of the chi squares reached signficance on the age comparison and two on the sex comparison. In addition, sign tests were used to assess the direction of the trends on the questions, and both age and sex trends were significant at the .05 level with children being more likely to choose pictures of younger rather than older models and female rather than male models. Ability to correctly order pictures by age was signficantly related (r = .53, p < .001) to the seriation ordering task. Four of the 18 correlations between contact and attitudinal variables were significant and negative.     

Family-Centered Care to Promote Successful Community Reintegration After War: It Takes a Nation

The papers in this section focus on public health responses and implementation considerations in addressing the challenges military families confront when parents go to war. While many military families show resilience, the challenges resulting from a decade of war with multiple deployments are detailed, as are innovative military and civilian programs designed to help service members and their families reintegrate successfully into the community. As more and more service members leave active duty, the burden of meeting military families’ psychological needs will transition from the Department of Defense (DoD) and into the Veterans Administration (VA) and civilian arenas. While many strategies to support successful readjustment are offered, in this time of dwindling mental health resources and competing needs, it is unclear what priority the broader society places on meeting the needs of returning service members and their families. A growing emphasis on family-centered care in the Veterans Administration may help meet this gap.     

Depression at 3 Months Poststroke in the Elderly: Predictors and Indicators of Prevalence

The prevalence and determinants of depression in 79 elderly patients were assessed at 3 months poststroke. Predictor variables included gender, age, history of previous stroke, and hemispheric location of stroke. Indicator variables included two measures of physical functioning and seven aspects of cognitive functioning. Results indicated that 56% of patients had impairment in activities of daily living, and 39% reported clinically significant levels of depression. Prevalence of cognitive impairment ranged from 31% on a measure of basic cognitive functioning, through to 89% on a measure of complex attention. The results from a hierarchical multiple regression analysis showed that the combination of predictor and indicator variables explained 53% of the variance in depression scores. The three individual variables of history of previous stroke, physical functioning, and simple attention all made significant unique contributions to the variance in depression scores. The contribution of these findings to the ongoing debate concerning lesion location and poststroke depression is discussed.     

A naturalistic longitudinal evaluation of counselling in primary care

This study evaluated the effectiveness of generic counselling in a primary healthcare setting during three months of counselling and followed up the patients' progress after counselling had finished for the next twenty-one months. Questionnaires were completed by patients within the Dorset Primary Care counselling service on referral to counselling and at set points afterwards. A naturally occurring waiting-list group was compared with patients receiving counselling at baseline and three months. Measurements were taken of patients' psychiatric symptomatology, quality of life (QOL) and self-esteem. Patients who received counselling made highly significant improvements compared with those on the waiting list. These improvements were maintained throughout the long-term follow-up. This would indicate that generic counselling has positive effects that can be maintained for a long period of time after counselling has been completed.     

Relative frequency of attribute relevance and response times in visual search

Two experiments, one using a between-Ss and one a within-Ss design, showed that response latencies to single attribute probe stimuli were longer when the target stimulus embodied two attributes (form and color) rather than a single attribute. The magnitude of this "mixed attribute effect" was influenced by the probability of attribute relevance, but the "probability effect" was mostly due to a "repetition effect," such that latencies on trials involving repetitions of the same attribute were shorter than when the relevant attribute was shifted. Implications of these results are drawn for the issues of holistic vs attributized representation of the target stimulus and serial vs parallel search of a set of attributes. Although no class of models can be ruled out on the basis of these experiments, constraints can be imposed on the versions of each that are compatible with the data presented.     

Cue-type manipulation dissociates two types of task set inhibition: backward inhibition and competitor rule suppression

Backward inhibition (BI) reflects the suppression of a recently abandoned task set to allow for smooth transition to a new task even when the rules do not generate a response conflict. Competitor rule suppression (CRS) reflects the inhibition/suppression of irrelevant task rules when these rules generate a response conflict even if they have not recently been abandoned. We assessed whether BI and CRS are differentially affected by the difficulty in retrieving category-response mappings from memory. Retrieval demands were manipulated via the information provided by the task cues, which either indicated the relevant dimension (dimension cues; “color”) or the relevant dimension with its category-to-key mapping (mapping cues; “red green”, indicating that “red” and “green” go with the left/right responses, respectively). CRS was larger with dimension compared to mapping cues when cue-type varied between groups and was larger after trials involving dimension cues when cue-type varied on a trial-by-trial basis. In contrast, BI was not influenced by cue-type. These results suggest that task switching involve at least two distinct inhibitory processes, with CRS being related to the ease of retrieval of category-response mappings from memory.     

Concurrent validity of the differential ability scales,second edition with the Mullen Scales of Early Learning in young children with and without neurodevelopmental disorders

Estimates of intelligence in young children with neurodevelopmental disorders are critical for making diagnoses, in characterizing symptoms of disorders, and in predicting future outcomes. The limitations of standardized testing for children with developmental delay or cognitive impairment are well known: Tests do not exist that provide developmentally appropriate material along with norms that extend to the lower reaches of ability. Two commonly used and interchanged instruments are the Mullen Scales of Early Learning (MSEL), a test of developmental level, and the Differential Ability Scales, second edition (DAS-II), a more traditional cognitive test. We evaluated the correspondence of contemporaneous MSEL and the DAS-II scores in a mixed sample of children aged 2–10 years with autism spectrum disorder (ASD), non-ASD developmental delays, and typically developing children across the full spectrum of cognitive ability. Consistent with published data on the original DAS and the MSEL, scores on the DAS-II and MSEL were highly correlated. However, curve estimation revealed large mean differences that varied as a function of the child’s cognitive ability level. We conclude that interchanging MSEL and DAS-II scores without regard to the discrepancy in scores may produce misleading results in both cross-sectional and longitudinal studies of children with and without ASD, and, thus, this practice should be implemented with caution.     

Factors Influencing Level of Stress During the Nursing Home Decision Process

This investigation examined whether characteristics of elders and their caregivers and facets of the nursing home decision-making context were associated with recalled levels of stress during nursing home decision-making. Employing a conceptual framework based upon the literature on caregiver stress and nursing home decision-making, we considered a number of factors that might influence sponsors' stress as decisions were being made about nursing home placements. We examined data from telephone interviews with a sample of 142 sponsors (responsible parties) of first-time, recently admitted nursing home residents. Higher levels of reported stress were directly associated with more factors triggering the decision to admit, higher levels of competing demands, and limited time. Employment was indirectly related to higher stress through its impact on demands. Hospitalization and being the spouse or an adult child of the resident were indirectly related to stress because they were associated with limited available time. The results offer some insights into the types of individuals who may be vulnerable to higher levels of stress and the kinds of interventions that might avert high stress in the nursing home decision process.     

Peer-mediated social-skills training and generalization in group homes

A multiple baseline across subjects design was used to evaluate generalization effects of a peer-tutoring procedure to teach social skills for individuals with developmental disabilities. Three residents with poor social skills living in community-based group homes served as participants in this study. Generalization data were collected during four conditions: (i) baseline (ii) social-skills training by therapist (iii) social-skills training by peer-tutor, and (iv) follow-up. Results demonstrated that participants did not generalize trained social skills to untrained settings (i.e., living room of a group home and community bowling alley) until the first participant was trained as a peer-tutor to train two other participants. These results were maintained 6 months after training was withdrawn. © 1998 John Wiley & Sons, Ltd.     

Generalization of social skills to peer interactions in a child with language delays

Researchers in this study have attempted to determine whether integrating generalization promoting strategies into intervention procedures would enhance the generalization and maintenance of social skills to peer interactions in a preschoold child with language delays. This intervention took place in the natural environment of the day care facility where the child was enrolled. A multiple baseline across behaviors design addressed social response behavior, approach behavior, and play organizers. The intervention utilized a prompting and social reinforcement procedure with minimal adaptations of the onging classroom activities to systematically improve the target child's peer interactions. Several generalization promoting strategies were also used. Improvements in all three types of behavior and generalization of treatment effects across persons, settings, and time were observed. These results lend support for the value of integrating several generalization promoting strategies pre-experimentally into the intervention instead of relying on post hoc evaluation of intervention. ©1997 John Wiley & Sons, Ltd.