Attention and language in fragile X

Fragile X syndrome (FXS) is a well-recognized cause of mental retardation and developmental delay in males. Alongside the well-documented clinical characteristics of the condition, recent advances in technology and methodology have begun to define FXS at a number of different levels: genetic, brain structure and function, cognition, and behavior. This article suggests that the FXS phenotype is not merely a juxtaposition of spared and impaired functions but rather may be characterized by an inhibitory control deficit that interferes with the individual's ability to modulate output causing perseverative responding across various skill areas. It is further suggested that an inability to modulate arousal may be at least one cause for the inhibitory control deficit that typifies the FXS phenotype. The approach to understanding atypical development outlined here holds exciting promise for future research in FXS and other developmental disorders.     

How I feel: a self-report measure of emotional arousal and regulation for children

This article details the development and preliminary validation of a multidimensional self-report measure of emotion for 8- to 12-year-old children--the How I Feel (HIF). Item generation and selection occurred via 2 pilot administrations (ns = 250 and 378, respectively). Ten experts provided data on content validity. Exploratory factor analysis and subsequent confirmatory factor analysis with samples of 406, 524, 349, and 349 3rd-through 6th-grade children supported a 3-factor model, including the frequency and intensity of (a) positive emotion, (b) negative emotion, and (c) positive and negative emotion control. Results showed moderate longitudinal stability for 120 children over 2 years. Concurrent validity was established. The HIF can be useful in understanding the interplay between arousal and control in social-emotional adjustment in school-age children.     

Recognition Memory for Faces: Reliability and Validity of the Warrington Recognition Memory Test (RMT) in a Neurological Sample

In response to critiques regarding the psychometric limitations of the Warrington Recognition Memory Test for faces (RMT-F), the current study was conducted to examine the test-retest reliability and validity of the measure in a neurological sample. Forty adult outpatients, ages 35–81, were administered the RMT-F as part of their diagnostic exam. A second evaluation was conducted after an average interval of 7 months (range = 2–20 months). Results yielded a Pearson reliability coefficient of 0.81 (p < .001), indicating a clinically satisfactory index of stability. Correlations with other measures were conducted to examine convergent and divergent validity. Results indicate that the facial component of the RMT has adequate reliability for patients with established neurological disease, shows moderate correlations with other measures of complex visuospatial function, and shows no significant correlation with measures of verbal reasoning, visual problem-solving, or verbal fluency. These findings provide additional support for the clinical efficacy of this instrument for use in a diverse neurological patient sample.     

“Why My Child?”: Parental Attributions for Children's Special Needs1

Although research exists on how attributions for traumatic life events are related to adjustment, little has focused on parents’ attributions for their children's special needs. Parents were interviewed twice over 1 year about their attributions for their children's special needs. We used parents’ open-ended responses during the initial interview to construct a ratings survey for the second interview. Parents of children with Down's syndrome made attributions to genetic fluke, age, and fate/God's will; parents of autistic children made attributions to heredity and environment; parents of developmentally delayed children made attributions to medical problems and stress during pregnancy. Self-blame attributions and attributions to the environment were related to worse adjustment, whereas attributions to fate/God's will were related to better adjustment. Implications for family interventions and physicians are discussed.     

Power in Numbers: The Effect of Target Set Size on Prospective Person Memory in an Analog Missing Child Scenario

Efforts to find missing or wanted individuals have been characterized as an example of event‐based prospective memory called prospective person memory. We examined prospective person memory in the context of missing children. Participants studied 4 or 12 mock missing child posters. In Experiment 1, we equated total time per poster and found no difference between conditions in prospective person memory accuracy. In Experiment 2, we equated total time for all posters and found evidence of a decrease in prospective person memory accuracy in the 12‐poster condition. In Experiment 3, we allowed free study and also found a decrease in prospective person memory accuracy. Across all three experiments, we also found evidence of a more liberal response bias in the 12‐poster condition. Results are discussed in terms of both practical and theoretical implications. Copyright © 2012 John Wiley & Sons, Ltd.     

Attention and social functioning in children with malformations of cortical development and stroke

Attention and social functioning and their interrelationships have not been routinely examined in children with early brain insult (EBI). This study aimed to describe attention and social functioning in children with two types of EBI: malformations of cortical development (MCD) and stroke. Children diagnosed with MCD (n = 14, 6 males) or stroke (n = 14, 8 males) aged 8 to 14 years (M = 12 years 11 months) completed neuropsychological assessments to examine attention processes. Primary caregivers completed a questionnaire to assess executive components of children's attention and teachers completed a questionnaire to measure children's social functioning. Brain scans (MRI or CT) were coded by a pediatric neuroradiologist. Higher rates of impairments in attention and social function were found in children with EBI compared with normative expectations. Children with MCD experienced more global and clinically significant levels of impairment than children with stroke; though impairments were present in both groups. A strong association between executive components of attention and social function was observed. In addition, complex attention processes were associated with social function. The findings emphasize the reciprocity between attention, behavior and social outcomes, and the vulnerability of social function following EBI.     

Synthesizing single-case studies: A Monte Carlo examination of a three-level meta-analytic model

Numerous ways to meta-analyze single-case data have been proposed in the literature; however, consensus has not been reached on the most appropriate method. One method that has been proposed involves multilevel modeling. For this study, we used Monte Carlo methods to examine the appropriateness of Van den Noortgate and Onghena's (2008) raw-data multilevel modeling approach for the meta-analysis of single-case data. Specifically, we examined the fixed effects (e.g., the overall average treatment effect) and the variance components (e.g., the between-person within-study variance in the treatment effect) in a three-level multilevel model (repeated observations nested within individuals, nested within studies). More specifically, bias of the point estimates, confidence interval coverage rates, and interval widths were examined as a function of the number of primary studies per meta-analysis, the modal number of participants per primary study, the modal series length per primary study, the level of autocorrelation, and the variances of the error terms. The degree to which the findings of this study are supportive of using Van den Noortgate and Onghena's (2008) raw-data multilevel modeling approach to meta-analyzing single-case data depends on the particular parameter of interest. Estimates of the average treatment effect tended to be unbiased and produced confidence intervals that tended to overcover, but did come close to the nominal level as Level-3 sample size increased. Conversely, estimates of the variance in the treatment effect tended to be biased, and the confidence intervals for those estimates were inaccurate.     

Is the Positive Illusory Bias Illusory? Examining Discrepant Self-Perceptions of Competence in Girls with ADHD

It has been claimed that excessively positive self-perceptions of competence are a key risk factor for concurrent and subsequent impairments in youth with attention-deficit/ hyperactivity disorder (ADHD). We examined whether girls with ADHD demonstrate positive illusory self-perceptions in scholastic competence, social acceptance, and behavioral conduct domains. We then tested, across a five-year longitudinal span, whether (a) such self-perceptions versus (b) the constituent informant ratings or test scores were more strongly predictive of adolescent impairment and positive adjustment. Participants included an ethnically diverse sample of 140 girls with ADHD and 88 comparison girls, aged 6-12 at baseline (M?=?9.0, SD?=?1.7). Girls with ADHD rated themselves as more positive than indicated by external ratings, but these self-reports were still in a negative direction (comparison girls rated themselves as less positive than these indicators). ADHD subtypes were not related to discrepancy scores. Higher rates of depression symptoms were associated with attenuated discrepancy scores. Crucially, measures of actual competence were more strongly associated with adolescent impairment and positive adjustment than were "illusory" self-perceptions for girls with ADHD. Our findings challenge the view that, at least in girls with ADHD, overly positive and "illusory" appraisals of competence are strongly associated with future impairment and adjustment. The key psychometric point is that, in difference or discrepancy scores, the individual components of such scores should be separately examined.