A methodological note on evaluating performance in a sustained-attention-to-response task

We evaluated the influence of speed–accuracy trade-offs on performance in the sustained attention to response task (SART), a task often used to evaluate the effectiveness of techniques designed to improve sustained attention. In the present study, we experimentally manipulated response delay in a variation of the SART and found that commission errors, which are commonly used as an index of lapses in sustained attention, were a systematic function of manipulated differences in response delay. Delaying responses to roughly 800 ms after stimulus onset reduced commission errors substantially. We suggest the possibility that any technique that affects response speed will indirectly alter error rates independently of improvements in sustained attention. Investigators therefore need to carefully explore, report, and correct for changes in response speed that accompany improvements in performance or, alternatively, to employ tasks that control for response speed.     

Randomized,placebo-controlled trial of cognitive-behavioral therapy alone or combined with sertraline in the treatment of pediatric obsessive–compulsive disorder

Background

To examine the efficacy of sequential sertraline and cognitive-behavioral therapy (CBT) treatment relative to CBT with pill placebo over 18 weeks in children and adolescents with obsessive–compulsive disorder (OCD).

Methods

Forty-seven children and adolescents with OCD (Range = 7–17 years) were randomized to 18-weeks of treatment in one of three arms: 1) sertraline at standard dosing + CBT (RegSert + CBT); 2) sertraline titrated slowly but achieving at least 8 weeks on the maximally tolerated daily dose + CBT (SloSert + CBT); or 3) pill placebo + CBT (PBO + CBT). Assessments were conducted at screening, baseline, weeks 1–9, 13, and 17, and post-treatment. Raters and clinicians were blinded to sertraline (but not CBT) randomization status. Primary outcomes included the Children's Yale-Brown Obsessive–Compulsive Scale, and response and remission status. Secondary outcomes included the Child Obsessive Compulsive Impact Scale–Parent/Child, Children's Depression Rating Scale-Revised, Multidimensional Anxiety Scale for Children, and Clinical-Global Impressions-Severity.

Results

All groups exhibited large within-group effects across outcomes. There was no group by time interaction across all outcomes suggesting that group changes over time were comparable.

Conclusions

Among youth with OCD, there was no evidence that sequentially provided sertraline with CBT differed from those receiving placebo with CBT.

ClinicalTrials.gov Identifier

NCT00382291.     

Cognitive reserve as a moderator of responsiveness to an online problem-solving intervention for adolescents with complicated mild-to-severe traumatic brain injury

Children and adolescents with traumatic brain injury (TBI) often experience behavior difficulties that may arise from problem-solving deficits and impaired self-regulation. However, little is known about the relationship of neurocognitive ability to post-TBI behavioral recovery. To address this question, we examined whether verbal intelligence, as estimated by Vocabulary scores from the Wechsler Abbreviated Scale of Intelligence, predicted improvements in behavior and executive functioning following a problem-solving intervention for adolescents with TBI. One hundred and thirty-two adolescents with complicated mild-to-severe TBI were randomly assigned to a six-month Web-based problem-solving intervention (CAPS; n = 65) or to an Internet resource comparison (IRC; n = 67) group. Vocabulary moderated the association between treatment group and improvements in metacognitive abilities. Examination of the mean estimates indicated that for those with lower Vocabulary scores, pre-intervention Metacognition Index scores from the Behavior Rating Inventory of Executive Function (BRIEF) did not differ between the groups, but post-intervention scores were significantly lower (more improved) for those in the CAPS group. These findings suggest that low verbal intelligence was associated with greater improvements in executive functioning following the CAPS intervention and that verbal intelligence may have an important role in response to intervention for TBI. Understanding predictors of responsiveness to interventions allows clinicians to tailor treatments to individuals, thus improving efficacy.     

Changing fit and fat bias using an implicit retraining task

Objective: To change implicit and explicit bias so that active obese people are regarded as more fit and normal weight sedentary people as less fit.

Design: Study one created a questionnaire that measured perceptions of active obese persons and sedentary normal weight persons on fitness-related items. Study two used a modified visual probe task to retrain perceptions regarding active obese persons and sedentary normal weight persons.

Main outcome measures: Self-reported explicit bias was measured with a questionnaire and implicit bias was measured with response times collected during a visual probe task.

Results: The questionnaire reliably measured ‘fitness and fatness’ perceptions. In study two, pairing images of active obese persons with positive activity-related words resulted in active obese persons being explicitly rated more fit; pairing images of normal weight sedentary persons with negative words associated with sedentary lifestyles increased endorsement of normal weight people as unfit. There were no changes in implicit bias.

Conclusions: Bias regarding how body weight is thought of relative to fitness can be altered by pairing images of obese persons being active with words such as ‘health’ and ‘fit’. This is evidence that representations of persons of all body weight should be used when promoting physical activity.     

Self-Regulation and Other Executive Functions Relationship to Pediatric OCD Severity and Treatment Outcome

The intersection of obsessive-compulsive disorder (OCD) and executive functioning (EF) in children and adolescents is an emerging topic in the current literature. Spurred by the consistent association between increased EF deficits and higher adult obsessive-compulsive severity, a few initial studies have replicated this relationship in pediatric OCD samples and also have found preliminary evidence that EF deficits are associated with worse response to first-line psychotherapeutic or psychopharmacological treatments for pediatric OCD. This study aimed to extend the literature by providing the first comprehensive investigation of how multiple EF domains, measured repeatedly over the course of treatment, impact pediatric obsessive-compulsive severity and response to multimodal treatment. Multi-level modeling results found that deficits in shifting, inhibition, emotional control, planning/organizing, monitoring and initiating all predicted higher average obsessive compulsive severity across treatment. Interestingly, out of the eight domains of EF investigated, only emotional control moderated treatment outcome such that those with worse emotional control experienced less of a reduction in obsessive-compulsive severity during treatment. The findings generally align with previous theories for the link between EF and OCD and indicate that emotional control has important implications in the treatment of pediatric OCD. In fact, emotional control may provide one explanation for why factors such as disgust sensitivity, oppositional behavior, and third-wave behavioral treatment techniques have all been linked to pediatric OCD treatment outcome. Future research should investigate augmentation strategies that target emotional control in children and adolescents.     

Correction to: Children’s Perspectives on Emotions Informing a Child-Reported Screening Instrument

Journal of Child and Family Studies -     

Perceptual learning evidence for contextually-specific representations

Listeners rapidly adjust to talkers’ pronunciations, accommodating those pronunciations into the relevant phonemic category to improve subsequent perception. Previous work has suggested that such learning is restricted to pronunciations that are representative of how the speaker talks (Kraljic, Samuel, & Brennan, 2008). If an ambiguous pronunciation, for example, can be attributed to an external source (such as a pen in the speaker’s mouth), or if it is preceded by normal pronunciations of the same sound, learning is blocked.In three experiments, we explore this blocking effect in more detail. Our aim is to better understand the nature of the representations underlying the perceptual learning process. Experiment 1 replicates the blocking effect. Experiments 2 and 3 demonstrate that it can be eliminated when certain visual information occurs simultaneously with the auditory signal. The pattern of learning and non-learning is best accounted for by the view that speech perception is mediated by episodic representations that include potentially relevant visual information.     

School psychology publishing contributions to the advancement of knowledge, science, and its application: an introduction to the themed issue

This introductory article briefly reviews the studies and commentaries making up this themed issue on the process and products of professional publications in school psychology. Each article highlights important considerations for advancing scholarly scientific publishing in the field of school psychology. A case is made that enhancing the quality of scientific publications, as well as accumulating scholarly findings over time, serve as the primary mechanisms for improving practice for children, families, and school professionals. This article highlights features of the studies and commentaries directly related to advancing knowledge, science, and its application in school psychology.     

Closing the Vocabulary Gap?: A Review of Research on Early Childhood Vocabulary Practices

Our qualitative literature review of 31 published studies found that (a) three major approaches are used in early childhood classrooms to support children's vocabulary learning—exposing children to advanced words, providing direct word-meaning instruction, and employing mixed-method interventions; (b) these practices support children's learning of targeted vocabulary words and/or general vocabulary knowledge gains, but various methods have differential impacts on children's depth of word knowledge; and (c) theme-based multimethod interventions are the most likely approach to close the gap. Based on these findings, we suggest future research directions and discuss implications for classroom practice.