Is the Association of ADHD with Socio-Economic Disadvantage Explained by Child Comorbid Externalizing Problems or Parent ADHD?

It has been unclear whether an associations of child ADHD with socio-economic disadvantage (SES) could be accounted for by (a) parental ADHD explaining both low SES and child ADHD, and/or (b) the joint overlap of ODD or CD with low SES and ADHD. Study 1 used a community-recruited case-control sample with detailed evaluation of SES indicators, child ADHD, child externalizing, and parent ADHD symptoms (n = 931 children, 521 ADHD, 577 boys, 354 girls) in a path modeling analysis with latent variables. Study 2 evaluated ADHD and externalizing behavior in a regression model using a poverty index for SES, in 70,927 children (48.2% female) aged 5–17 years from the US 2011–2012 National Survey of Children’s Health (NSCH). In Study 1, lower SES was related to the ADHD latent variable, β = ?.18, p < .001; 95%CI [?.25,-.12]. This effect held when parent ADHD and child ODD and CD were in the model, β = ?.11, p < .01, 95% CI [?.09,-.03], equivalent to OR = 1.50, 95% CI[1.12–2.04]). In Study 2, these results replicated. Adjusting only for age and sex, children from families who were below 200% of the federal poverty line were more likely to have moderate or severe ADHD than no ADHD, versus children above that line, OR = 2.13, 95% CI[1.79,2.54], p < .001. The effect held after adjusting for disruptive/externalizing problems, OR = 1.61, p < .01, 95%CI [1.32,1.96]. The effect size for comparable models was similar across both studies, lending higher confidence to the results. It is concluded that the SES association with child ADHD is not explained by artifact and requires a mechanistic explanation.     

What Matters Most to the Left-Behind Children’s Life Satisfaction and School Engagement: Parent or Grandparent?

This study compared the role of the parent and grandparent in the adjustment of children who had, and who had not, been left behind when their parents moved to urban areas for work, and tested whether self-esteem mediated the association between these family relationships and child adjustment. The sample included 428 middle school students in central China, 204 of whom were left-behind children who were cared for by grandparents and 224 of whom were not left behind. The students responded to five questionnaires measuring parent–child relationships, grandparent–child relationships, self-esteem, life satisfaction and school engagement. Regression analyses showed that self-esteem mediated the association between parent–child and grandparent–child relationships and children’s adjustment, but there were different patterns of association for the non-left-behind children and left-behind children groups. Furthermore, the unique effect of parent–child relationships was higher than that of grandparent–child relationships for the non-left-behind children, but for the left-behind children, grandparent–child relationships played a more important role than grandparent–child relationships in predicting their school engagement, and parent–child relationships played a more important role in predicting their life satisfaction. Parents who are far away and grandparents who are close at hand can shape different psychological and behavioral development outcomes of left-behind children.     

High fatigue and its associations with health and work related factors among female medical personnel at 54 hospitals in Zhuhai,China

The present study aimed to investigate the prevalence of fatigue and determine factors associated with fatigue in female medical personnel. Based on a cross-sectional study, a total of 1608 female medical personnel at 54 hospitals in Zhuhai, China were recruited by a multistage stratified cluster sampling method. The Symptoms Checklist-90-Revised and Chalder Fatigue Scale were used to assess psychiatric symptoms and fatigue, respectively. Data regarding demographic, health, and work related variables were also collected. Multivariate logistic regression model was constructed to determine the influencing factors of fatigue. Approximately 83% of participants had experienced fatigue in the past week. The risk of fatigue was higher in aged 30–39 years old than older or younger participants; Longer sleeping time predicted a lower prevalence of fatigue (OR = .35), while tense physician-patient relationship predicted a higher prevalence of fatigue (OR = 1.77). Depression (OR = 1.76) and anxiety (OR = 1.96) were found related to fatigue. Additionally, fatigue was associated with marital status, occupation, health related factors (exercise, regular diet, and health status), and work related factors (hospital rank and turnover intention). These study findings might facilitate development and implementation of targeted interventions and preventive measures.     

Reach tracking reveals dissociable processes underlying inhibitory control in 5‐ to 10‐year‐olds and adults

Researchers have proposed that two processes featuring distinct types of inhibition support inhibitory control: a response threshold adjustment process involving the global inhibition of motor output and a conflict resolution process involving competitive inhibition among co‐active response alternatives. To target the development of these processes, we measured the reaching behavior of 5‐ to 10‐year‐olds (Experiment 1) and adults (Experiment 2) as they performed an Eriksen flanker task. This method provided two key measures: initiation time (the time elapsed between stimulus onset and movement onset) and reach curvature (the degree to which a movement deviates from a direct path to the selected target). We suggest that initiation time reflects the response threshold adjustment process by indexing the degree of motoric stopping experienced before a movement is started, while reach curvature reflects the conflict resolution process by indexing the degree of co‐activation between response alternatives over the course of a movement. Our results support this claim, revealing different patterns effects in initiation time and curvature, and divergent developmental trajectories between childhood and adulthood. These findings provide behavioral evidence for the dissociation between global and competitive inhibition, and offer new insight into the development of inhibitory control.     

Vocabulary growth rate from preschool to school‐age years is reflected in the connectivity of the arcuate fasciculus in 14‐year‐old children

The acquisition of language involves the functional specialization of several cortical regions. Connectivity between these brain regions may also change with the development of language. Various studies have demonstrated that the arcuate fasciculus was essential for language function. Vocabulary learning is one of the most important skills in language acquisition. In the present longitudinal study, we explored the influence of vocabulary development on the anatomical properties of the arcuate fasciculus. Seventy‐nine Chinese children participated in this study. Between age 4 and age 10, they were administered the same vocabulary task repeatedly. Following a previous study, children's vocabulary developmental trajectories were clustered into three subgroups (consistently good, catch‐up, consistently poor). At age 14, diffusion tensor imaging data were collected. Using ROI‐based tractography, the anterior, posterior and direct segments of the bilateral arcuate fasciculus were delineated in each child's native space. Group comparisons showed a significantly reduced fractional anisotropy in the left arcuate fasciculus of children in the consistently poor group, in particular in the posterior and direct segments of the arcuate fasciculus. No group differences were observed in the right hemisphere, nor in the left anterior segment. Further regression analyses showed that the rate of vocabulary development, rather than the initial vocabulary size, was a specific predictor of the left arcuate fasciculus connectivity.     

The role of the oath in credibility assessment

Based on the adaptive lie detector theory, this study is an examination of whether taking an oath, as context‐general information, increases the credibility of a suspect. The consistency of the testimonies of 6 eyewitnesses was manipulated so that it could be used as individuating information. There were 2 sets of testimonies: one that was consistent and one that was inconsistent. The results supported the adaptive lie detector theory. The participants judged those persons who took an oath to be more credible than those who did not, but this only happened in situations where the testimonies of the eyewitnesses were inconsistent. The theoretical and practical implications of the findings and future directions are then discussed.     

肠促胰素对2型糖尿病胰岛功能的影响

胰岛β细胞功能障碍是2型糖尿病的重要发病机制之一,而现有治疗手段保护β细胞功能作用有限。最新的研究发现,肠促胰素不仅能够改善口细胞功能,而且能够避免低血糖、体重增加等不良反应,是治疗2型糖尿病的新途径。本文通过回顾公开发表的临床研究,对2型糖尿病口细胞功能、传统治疗及肠促胰素对β细胞功能的保护及延缓疾病进展作用进行了综...     

大学生在双趋冲突和趋避冲突中的折扣率差异

目的探讨大学生被试在双趋冲突和趋避冲突条件下的折扣率差异。方法让70名大学生完成两种条件下的延迟折扣任务（DDT）。结果趋避冲突条件下大学生被试的折扣率显著低于双趋冲突条件下的折扣率,在延迟奖赏为中幅度（50-60元）时折扣率最大。结论相对于双趋冲突,损益情况和延迟时间同时影响着被试在趋避冲突条件下的选择。