Age-related decline in the reflexive component of overt gaze following

Previous research has found age-related declines in social perception tasks as well as the ability to engage in joint attention and orienting covert attention (i.e., absence of eye movements) in response to an eye gaze cue. We used an overt gaze following task to explore age differences in overt gaze following whilst people searched for a target. Participants were faster to detect targets appearing at the looked-at location, and although the gaze cue biased the direction in which saccades were executed, no age differences were found in overt gaze following. There were, however, age effects relating to involuntary eye movements. In the younger adults, anticipatory saccades were biased in the direction of the gaze cue, but this bias was not observed in the older group. Moreover, in the younger adults, saccades that followed the gaze were initiated more rapidly, illustrating the reflexive nature of gaze following. No such difference was observed in the older adults. Importantly, our results showed that whilst the general levels of gaze following were age invariant, there were age-related differences in the reflexive components of overt gaze following.     

Realism in confidence judgements of performance based on implicit learning

In two experiments we employed calibration methods to investigate the realism of participants' confidence ratings of their own classification performance based on knowledge acquired after training on an artificial grammar. In Experiment 1 participants showed good realism (but overconfidence) for grammatical strings but very poor realism for non-grammatical strings. Method of training (string repetition in writing or mere exposure) did not affect the realism. Furthermore, the participants underestimated their overall performance. In Experiment 2, using a more complex grammar and controlling for two types of associative chunk-strength, participants showed good realism (but still overconfidence) for both letter and symbol strings, irrespective of grammaticality. Together, these experiments show that implicit learning can give rise to knowledge products that are associated with fairly realistic meta-knowledge. It is argued that both the zero-correlation criterion and the guessing criterion are misplaced when used to define implicit knowledge; two reasons being that confidence judgements may be affected both by implicit knowledge and by inferences.     

Differences in target monitoring in a prospective memory task

The goal of the present study was to examine individual differences in the degree to which controlled attention is allocated towards a prospective memory (PM) task. Using a PM task that should require high levels of controlled attention in a sample of 138 young, middle-aged, and older adults, two subgroups of participants could be identified, i.e., participants who clearly demonstrated evidence for monitoring and those for whom no clear evidence for monitoring was revealed. A control group (n=95) was tested to control for practice effects in the ongoing task. Differences between subgroups were examined in terms of age, PM accuracy, baseline ongoing task performance, and general negative mood. Nonmonitorers and monitorers differed in age (more older adults being nonmonitorers), ongoing task accuracy (a nonsignificant trend was observed here), PM task accuracy (both young and middle-aged/older monitorers were more accurate than nonmonitorers), and the number of reported depressive symptoms (nonmonitorers > monitorers). Moreover, results showed that even in nonmonitorers PM accuracy was above floor level, indicating that noticing and reacting to some of PM cues is possible without strongly investing in resource demanding monitoring processes.     

Treatment Adherence in Children with Sickle Cell Disease: Disease-Related Risk and Psychosocial Resistance Factors

To identify disease-related risk factors and psychosocial resistance factors that impact adherence to prescribed treatment in the context of admission to a Hematology Acute Care Unit (HACU) designed to provide acute care for children with sickle cell disease (SCD) presenting with pain or fever. A total of 73 primary caregivers and 24 children (if age 8 or older) completed standardized forms during the HACU admission. Treatment adherence variables (medical staff rating, SCD-related care activities, percentage of agreement between treatment recommendations made and care activities, and attendance at hematology clinic) indicated moderate-to-high adherence. Based on regression analyses, the risk variable of disease-related stress and the resistance variables of family flexibility and less reliance on passive coping accounted for significant portions of the variance in treatment adherence. Empirical evaluation of interventions designed to improve communication regarding expectations for the care of children with SCD and to support active family problem solving during times of SCD-related stress must be ongoing.     

Helping Children Access and Use Services: A Review

High rates of dropping out from mental health services are documented for children and their families. These high rates exist at different treatment stages, in different service settings, and for different populations of children and families. Some researchers have developed and tested engagement interventions to address barriers to service access and use and increase participation in services by children and their families. Studies of engagement interventions for children and their families are critically reviewed in this paper. Overall, the engagement interventions were effective in increasing attendance at first appointments. Only those with an ecological and total service delivery approach reduced the drop-out rate. However, even then, the drop-out rate was 26% to 29%. Suggestions for future research are made, including ascertaining from children and families their reasons for quitting or staying in treatment, comparing the outcomes of drop-outs with the outcomes of those who remain in treatment, developing and testing conceptual models of engagement for subgroups of at-risk children and their families, and examining the cost-effectiveness of engagement interventions.     

Treatment Foster Care in a System of Care: Sequences and Correlates of Residential Placements

We examined Treatment Foster Care (TFC) in residential trajectories for youth with psychiatric disorders and aggressive behavior. We analyzed residential placements of a statewide sample of youth during the 12 months preceding and following admission to TFC. Prior to TFC, the majority of youth were residing in more restrictive settings (group homes or residential treatment). Two-thirds of youth remained in TFC throughout the follow-up year. Of those who left, nearly half returned home, and slightly fewer were discharged to group homes. By the end of the 12-month follow-up period, rates of group home use were similar to those seen in the pre-TFC period. Movement out of TFC during the year was associated with being older at placement and with increased problem behavior (particularly externalizing behaviors). TFC serves as a step-down placement for a substantial number of youth. However, this is not the only way it is used, and models based on short-term transitioning or reunification with families may not be widely implemented or relevant in practice. Additional research is needed to understand current functions of TFC in residential trajectories and to maximize its utility in systems of care.     

A linear growth curve analysis of inpatient treatment response by conduct‐disordered,ADHD, and comorbid preadolescents

Conduct disorder (CD) comorbid with attention deficit hyperactivity disorder (ADHD) is widely reputed to be treatment refractory, particularly when accompanied by aggression and early‐onset symptoms. Few studies, however, have assessed inpatient treatment response among early onset CD/ADHD children in detail. In the present investigation, behavioral and rating scale data were compared among CD (n=13), ADHD (n=20), and CD/ADHD (n=45) preadolescents during one‐month of multimodal inpatient treatment that included methylphenidate administration. As expected, linear growth curve analyses revealed that CD/ADHD children were the most symptomatic of the three groups. However, all groups benefited from hospitalization, with few differences in treatment responsiveness observed. Analyses of residualized symptoms suggested that methylphenidate administration was effective in curbing impulsive but not aggressive behaviors. Aggr. Behav. 29:440–456, 2003. © 2003 Wiley‐Liss, Inc.     

Barriers to evidence-based treatment: developmental psychopathology and the interdisciplinary disconnect in school mental health practice

Reframing the role of school psychologists and related school professionals in a public health and primary prevention model represents a proactive antidote to their more traditional reactive stance to mental health problems. Two additional concepts, developmental psychopathology and complex comorbidity, are suggested as critical to complete this transition, and illustrations of these concepts for more effective school mental health services are provided.     

Personality characteristics of women with alcohol addiction: A Rorschach study of women in an early treatment programme

This study identifies personality characteristics in a group of Swedish women (N=60) attending their first treatment for alcohol problems.The treatment programme specifically addressed women in an early phase of their drinking career, and was called "Early Treatment of Women with Alcohol Addiction" (EWA). Rorschach personality profiles of the 60 women differed significantly in almost all investigated aspects in a psychopathological direction from norms reported by Exner for a reference group of female non-patients. The findings are consistent with the assumption that, although the EWA women were socially well-functioning and fairly early in their drinking career, they nevertheless reveal serious underlying psychopathology. Clinical implications of the findings are discussed.