Identification and Follow-Up by Primary Care Doctors of Children with PTSD After Terrorist Attacks

Abstract

Many children and adolescents were among the victims of the suicide bomb attacks in Israel since March, 2000. While the number with emotional and behavioral symptoms was expected to be high, very few children who developed terrorism-related posttraumatic stress disorder (PTSD) were actually referred to mental health professionals for assessment or treatment. Prolonged exposure to terrorism lowers even further the number of children who remain in treatment. This article discusses reasons and presents a training program for primary care providers (pediatricians, family doctors) in identifying PTSD in child victims, and for mobilizing them to carry out long-term follow-up of these children.     

Preliminary Development of a Measure to Assess Children's Trauma Attributions

ABSTRACT

The Trauma Attribution Checklist (TAC) is a brief self-report measure of children's trauma-related attributions. A preliminary study with school-aged children, 12 months after exposure to a series of tornadoes, demonstrated significant correlations between TAC items and the Reaction Index, a measure of posttraumatic distress. Children with higher posttraumatic distress scores made more attributions of responsibility for negative tornado-related events, were more concerned with making attributions, had higher expectations of a tornado recurrence, and were more hypervigilant than children with less severe symptoms. Regression analyses indicated that items addressing expectations of recurrence and hypervigilance explained 53.3% of the variance in posttraumatic distress, with having made an attribution of responsibility for a tornado-related event accounting for an additional 5.6% of the variance.     

Encoding the target or the plausible preview word? The nature of the plausibility preview benefit in reading Chinese

Previous studies have shown that a plausible preview word can facilitate the processing of a target word as compared to an implausible preview word (a plausibility preview benefit effect) when reading Chinese (Yang, Wang, Tong, & Rayner, 2012; Yang, 2013). Regarding the nature of this effect, it is possible that readers processed the meaning of the plausible preview word and did not actually encode the target word (given that the parafoveal preview word lies close to the fovea). The current experiment examined this possibility with three conditions wherein readers received a preview of a target word that was either (1) identical to the target word (identical preview), (2) a plausible continuation of the pre-target text, but the post-target text in the sentence was incompatible with it (initially plausible preview), or (3) not a plausible continuation of the pre-target text, nor compatible with the post-target text (implausible preview). Gaze durations on target words were longer in the initially plausible condition than the identical condition. Overall, the results showed a typical preview benefit, but also implied that readers did not encode the initially plausible preview. Also, a plausibility preview benefit was replicated: gaze durations were longer with implausible previews than the initially plausible ones. Furthermore, late eye movement measures did not reveal differences between the initially plausible and the implausible preview conditions, which argues against the possibility of misreading the plausible preview word as the target word. In sum, these results suggest that a plausible preview word provides benefit in processing the target word as compared to an implausible preview word, and this benefit is only present in early but not late eye movement measures.     

The law of large numbers in children's diversity-based reasoning

Adults increase the certainty of their inductive inferences by observing more diverse instances. However, most young children fail to do so. The present study tested the hypothesis that children's sensitivity to instance diversity is determined by three variables: ability to discriminate among instances (Discrimination); an intuition that large numbers of instances increase the strength of conclusion (Monotonicity); ability to detect subcategories and evaluate numerical differences between the subcategories, or Extraction. A total of 219 Chinese children aged 6 to 11 were tested for sensitivity to diversity by means of Discrimination, Monotonicity, and Extraction. The results indicated that children at all ages were able to discriminate instances and attend to set size. However, only 9- and 11-year-olds demonstrated Extraction and sensitivity to diversity. Furthermore, among all children diversity scores increased linearly with the level of Extraction. These results suggest that the law of large numbers plays a role in children's diversity-based reasoning.     

The role of religion in moderating the impact of life events on material life goals: some evidence in support of terror management theory

How would religion and a life event carrying an existential threat (LEET) jointly impact a person's life goals of becoming wealthy and successful in one's career? Goal reprioritisation, socioemotional selectivity, and gerotranscendence theories predict a shift away from material goals following a LEET, independent of the effect of religion. However, terror management theory (TMT) predicts that the effect of death thoughts depends on one's prevailing cultural values. As religion can be regarded as a culture, it is possible that Christians' and non-believers' material life goals would be differentially altered by LEET. Data from 1259 young Chinese adults reveal no main effect of LEET, but a strong effect of religion. Moreover, there was an interaction effect between LEET and religion on material life goals: LEET weakened material goals for Christians but not for non-believers. These findings suggest that TMT is more suitable than the other theories for predicting life goal changes.     

Working memory and vocabulary development in Greek preschool and primary school children

The present research investigated the relative contributions of verbal short-term memory (STM) and working memory (WM) to vocabulary development in the early years among Greek-speaking children. Participants were 5.5-, 7.5-, 8.5- and 9.5-year-old (N = 216) native speakers of Greek, a language differing from English in which most investigations have been conducted. Children were assessed with a receptive vocabulary task, four verbal STM measures (word, digit, and non-word list recall, as well as word list matching), and three verbal WM tasks (listening, counting, and backward digit recall). Results offer support to the view that both STM and WM influence vocabulary development in early stages. Vocabulary was associated with verbal STM at 7.5 and 8.5 years, but only with verbal WM at 5.5 years. Associations declined with age (by 9.5 years), earlier than in English-speaking children. Findings are discussed in relation to Greek language characteristics, demonstrating the importance of cross-cultural investigations.     

The interference effect of emotional expressions on facial identity recognition in preschool-aged children

The present study aims to explore the influence of facial emotional expressions on pre-scholars' identity recognition was analyzed using a two-alternative forced-choice matching task. A decrement was observed in children's performance with emotional faces compared with neutral faces, both when a happy emotional expression remained unchanged between the target face and the test faces and when the expression changed from happy to neutral or from neutral to happy between the target and the test faces (Experiment 1). Negative emotional expressions (i.e. fear and anger) also interfered with children's identity recognition (Experiment 2). Obtained evidence suggests that in preschool-age children, facial emotional expressions are processed in interaction with, rather than independently from, the encoding of facial identity information. The results are discussed in relationship with relevant research conducted with adults and children.     

Correlation of motor skill,mental rotation,and working memory in 3- to 6-year-old children

A relationship between motor processes and mental rotation has been suggested by current research; however, the influence of working memory on this relationship has not yet been determined. Therefore, a correlation between motor tests, paper–pencil and chronometric mental rotation tests, and working memory tests were conducted in 3- to 6-year-old children. A stepwise multiple-regression showed that 55.5% of the variance was explained by the working memory tests: digit span forward and Corsi forward. This indicates that working memory and executive functions may play an important role in mental rotation and motor processes.     

Cultural transmission of irrelevant tool actions in diffusion chains of 3- and 5-year-old children

We used the diffusion chain method in order to investigate whether irrelevant actions would be transmitted along chains of 3- and 5-year-old children. Four chains of eight children witnessed a trained “expert” child perform a sequence of actions in order to retrieve a reward from either a transparent or an opaque puzzle box. The action sequence involved both goal relevant and goal irrelevant actions. In the transparent box chains the participants could potentially determine which of the actions were irrelevant as the causal effects were clearly visible. Results indicated that irrelevant actions transmitted down chains of 3-year-old children irrespective of box transparency. In contrast, irrelevant actions dropped out of the transparent box chain extremely quickly at 5 years, but were maintained within the opaque chain. These findings highlight the power of the diffusion chain method as a tool for exploring cultural learning.     

Developmetrics A balanced and short Best Friend Index for children and young adolescents

This study evaluated a short friendship questionnaire providing a balanced assessment of positive (e.g., support) and negative (e.g., jealousy) friendship features. In addition, associations with indices of adaptive functioning versus psychopathology were tested. The friendship questionnaire was presented to 548 typically developing children and young adolescents (M _age = 11;01 years). Results confirmed validity and independence of the two friendship features, and showed that negative friendship features were uniquely associated with symptoms of psychopathology, whereas both positive and negative features were, in opposite directions, uniquely associated with aspects of socioemotional functioning.