The Children’s Attention-Deficit Hyperactivity Disorder Telemental Health Treatment Study: Caregiver Outcomes

The Children’s Attention-deficit Hyperactivity Disorder (ADHD) Telemental Health Treatment Study (CATTS) tested the hypotheses that children and caregivers who received guideline-based treatment delivered through a hybrid telehealth service delivery model would experience greater improvements in outcomes than children and caregivers receiving treatment via a comparison delivery model. Here, we present caregiver outcomes. 88 primary care providers (PCPs) in seven geographically underserved communities referred 223 children (ages 5.5 ? 12.9 years) to the randomized controlled trial. Over 22 weeks, children randomized to the CATTS service delivery model received six sessions of telepsychiatry and six sessions of caregiver behavior management training provided in person by community therapists who were trained and supervised remotely. Children randomized to the comparison Augmented Primary Care (APC) service model received management in primary care augmented by a single telepsychiatry consultation. Caregiver outcomes included changes in distress, as measured by the Patient Health Questionnaire (PHQ-9), Parenting Stress Index (PSI), Caregiver Strain Questionnaire (CSQ) and Family Empowerment Scale (FES). Caregivers completed five assessments. Multilevel mixed effects regression modeling tested for differences between the two service delivery models in caregiver outcomes from baseline to 25 weeks. Compared to caregivers of children in the APC model, caregivers of children in the CATTS service model showed statistically significantly greater improvements on the PHQ-9 (β?=?-1.41, 95 % CI?=?[?2.74, ?0.08], p?<?.05), PSI (β?=??4.59, 95 % CI?=?[?7.87, ? 1.31], p?<?.001), CSQ (β?=??5.41, 95 % CI?=?[? 8.58, ?2.24], p?<?.001) and FES (β?=?6.69, 95 % CI?=?[2.32, 11.06], p?<?.01). Improvement in child ADHD symptoms mediated improved caregiver scores on the PSI and CSQ. Improvement in child ODD behaviors mediated caregiver CSQ scores. The CATTS trial supports the effectiveness of a hybrid telehealth service delivery model for reducing distress in caregivers of children with ADHD and suggests a mechanism through which the service model affected caregiver distress.     

Adaptive constructive processes: evidence from priming verbal reasoning with false memories

Previous research has demonstrated that false memories produced by the Deese–Roediger–McDermott paradigm serve adaptive functions both in related memory tasks and in various cognitive processes. The present study investigated whether memory errors induced by associated words could influence performance on verbal reasoning tasks. Participants were asked to solve sentence-based verbal reasoning problems, half of which had been primed by the presentation of word lists where the critical lures were also the solutions to the problems. The results showed that when false memories were generated, problems were solved more often and significantly faster than those that were primed without false memories or those that were unprimed, and that there was no evidence that the effect of priming with false memories observed in experiments was due to testing effects. The findings extend false memory priming effects to verbal reasoning processes, providing evidence with adaptive constructive processes.     

跨期选择和风险决策的认知神经机制

经济决策包含两个传统问题：跨期选择和风险决策。跨期选择分为冲动决策和自我控制,当冲动决策时,优先激活了与中脑多巴胺神经元相联系的旁边缘区域,包括伏隔核、眶额皮层中部和前额叶中部;自我控制即选择延迟决策时大脑双侧前额叶和后顶叶皮层神经活动增强。在风险和不确定性条件下,大脑皮层和杏仁核与风险决策联系密切。     

矩阵完成问题的项目生成研究

依据Embretson提出的认知设计系统方法,设计并编制了矩阵完成问题的项目生成系统,实际生成了矩阵完成问题测验。探讨矩阵测验与瑞文测验的关系,以及认知模型对矩阵问题的难度和区分度的预测能力。结果表明所设计的认知模型对矩阵项目的性能参数有一定的预测能力,生成的矩阵测验与瑞文测验有基本相同的心理测量属性。可以使用该系统生成的矩阵项目来测量被试的抽象推理能力。     

The developmental trajectories of attention focusing, attentional and behavioral persistence, and externalizing problems during school-age years

The developmental trajectories of attention focusing (by parents' and teachers' reports) and attentional and behavioral persistence (observed during a laboratory task)--2 indexes of effortful control--and externalizing problems from ages 5 to 10 years were examined for 356 children combined from a pair of 3-wave (2 years apart) longitudinal studies. The authors identified clusters of children with distinct trajectories for these variables and examined the links between the effortful control trajectories and the externalizing problem trajectories. Although attention focusing remained relatively stable, attentional and behavioral persistence continued to show mean-level changes (especially among the children with lower levels of persistence). Children with high and stable trajectories of effortful control tended to exhibit low and stable trajectories of externalizing problems, whereas those with lower and/or less stable trajectories of effortful control showed more elevated and/or fluctuating trajectories of externalizing problems.     

语句中协同发音对音节知觉的影响

采用音节相似度听辨实验,以大学生为被试,对音节间协同发音现象所引起的音节知觉差异进行了考察,结果发现：音节之间的协同发音影响音节音段内容的变化,而这种变化主要取决于相邻前音节末尾韵母部分的差异,以及相邻后音节首辅音发音部位的差异;对于发音相同、语境不同的音节,音节在超音段内容变化所引起的知觉效应明显大于协同发音引起的知觉效应     

再探汉字加工中语音、语义激活的相对时间进程

在Zhou和Marslen-Wilson（2000）基础之上,进一步探讨汉字加工中语音和语义信息激活的相对时间进程及其对汉字加工理论的含义。采用启动范式,用同一目标字与语义相关启动字、同音启动字以及无关控制启动字配对,变化同音启动字读音与其声旁的规则性,变化启动字与目标字呈现之间的时间间隔（SOA,57ms或200ms）,使用两种实验任务（真假字判断和命名）,考察语义、语音效应发生的时间先后与效应量的大小。真假字判断实验发现,不管SOA如何,语义启动效应都非常显著,而同音启动效应则随SOA的增长而逐渐加大,从不显著到显著;同音启动字读音规则性对启动效应没有明显影响。命名实验发现,语义启动、同音启动效应同时存在于长、短SOA条件中。长SOA时,两者在数值上没有显著差异;短SOA时,同音不规则字产生的启动效应等同于语义启动效应,而同音规则字产生的启动效应则大于语义启动效应。结合其它实验发现,这些结果说明,在熟练的汉字加工中,语音信息的激活并不比语义信息早,语音激活也不是语义激活的先决条件;但汉字各种信息激活的相对激活量和时间进程会随任务性质和材料性质而在一定范围内有所改变。     

学习困难儿童元记忆能力的实验研究

该研究以有和无意义联系的两种中文词对为材料,采用2×3×2混合实验设计,对小学三到五年级的学习困难儿童与学优儿童的JOL监测判断水平和学习时间分配之间的差异及其发展特点进行研究。结果表明：（1）学习困难儿童的JOL判断等级显著低于学优儿童;（2）在自定步骤学习过程中,随着年级增长,学习困难儿童能够根据学习材料的性质决定其学习时间的分配策略,表现出一定的元记忆控制能力,但其分配策略的有效性不高;（3）学习困难儿童的JOL监测判断水平和学习时间分配策略从小三到小五在缓慢提高;（4）学习困难儿童的JOL监测判断和学习时间分配之间存在交互影响。     

西方元伦理学与规范伦理学的争鸣与融合

元伦理学和规范伦理学在现代西方进行了尖锐对峙与激烈争鸣,但在后现代西方进行了富有戏剧性的融合.分析西方元伦理学与规范伦理学之间的现代争鸣和后现代融合,不仅有助于我们了解西方伦理学在现代和后现代的发展轨迹,而且能够为我们认识伦理学的学科性质提供一些有益的启示.     

前运动皮质与数字加工:脑功能成像研究的元分析研究

许多应用PET与fMRI技术的脑功能成像研究发现,数字加工任务会显著引起前运动皮质的激活。习惯上认为,这一结果可能与任务执行过程中的动作反应,如手指按键、默读或眼动等有关。近年来的研究则表明,这一区域不仅具有动作功能,同时也具有其它非动作的认知功能。在本研究中,对17篇关于数字加工的脑功能成像研究进行了元分析,以考察前运动皮质在数字加工中的作用。研究结果发现,运动前区的背外侧(PMd)与腹外侧(PMv)在大多数数字加工任务中有显著激活,而运动辅助区(SMA)的激活则相对较少。数字比较、加法与减法任务在PMd区域有更多的激活,而乘法任务则在PMv区域有更多激活。数字自身特征对PMd、PMv与SMA喙部区域的激活有显著的调节作用。这一结果表明,前运动皮质在数字加工过程中可能扮演着比动作反应更为重要的角色。