Parent-rated socio-emotional development in children with language impairment in comparison with typically developed children

Children with language impairment (LI) and children with typical development (TD) were assessed by their respective parents using The MacArthur Communicative Development Inventories (Swedish version SECDI) and Greenspan Socio Emotional Growth Chart (GSEGC). The aim was to investigate socio-emotional and language development in children with LI and TD with respect to possible differential patterns and relations between the groups. The results highlight a clear association between language and socio-emotional development. Children with LI were rated similar to young language-matched children with TD, but significantly lower relative to age-matched TD children, particularly concerning symbolic stages of development: the use of linguistic symbols as well as related areas such as symbol play and symbolic mental ability. The results are discussed in light of presumable background factors and possible consequences for children or sub-groups of children with LI.     

Hearing Impairment, Coping Strategies, and Anxiety Sensitivity

The aim was to study coping strategies among hearing-impaired individuals by using a validated coping instrument—The Ways of Coping Questionnaire (WOCQ; S. Folkman & R. Lazarus, 1988)—and to relate the use of coping with anxiety sensitivity and experience of hearing impairment. A questionnaire booklet was sent out to the members of the local branch of the Swedish Hard of Hearing Association. Ninety-four members responded to the questionnaire, yielding a 53% response rate. Primary outcome measures were the WOCQ, the Anxiety Sensitivity Index, and visual analogue scale rating of discomfort from hearing impairment. Repeated measures analysis of WOCQ subscales showed that the participants used planful problem solving and self-controlling coping strategies whereas escape/avoidance responses were less frequently used than the other coping strategies. Anxiety sensitivity was associated with escape/avoidance coping (r = .63, p < .0001). In conclusion, hearing-impaired individuals do not use escape/avoidance coping more than other coping strategies. However, escape/avoidance coping is associated with anxiety sensitivity, suggesting that sensitivity to anxiety sensations is an important associated factor. Coping strategies were not associated with discomfort from hearing impairment in any meaningful way.     

Age-associated memory impairment—pathological memory decline or normal aging?

The aim of the study was to determine whether the memory capacity of individuals with age-associated memory impairment (AAMI) over a period of approximately 3½ years declines more, if at all, than the memory capacity of persons without AAMI. Four computerized and three non-computerized memory tests, a naming test, and a test of visuo-motor speed were administered twice. Two estimates of intellectual capacity were made, one at the first examination and the other 3½ years later. One person in the AAMI group (n=44) developed vascular dementia. The group of AAMI subjects did less well on two of the seven memory tests after 3½ years than they did initially; the control group (n=18) had lower scores on one memory test at follow-up than they had previously. The data suggest that the memory capacity of subjects with AAMI is not pathologically impaired. The general intellectual level significantly influences whether an individual with memory complaints will be classified AAMI or not. People with high intelligence are less likely than people with lower intellectual capacity to fulfill the AAMI criteria. This suggests that AAMI lacks in construct validity.     

Effects of facial expression on working memory

In long‐term memory (LTM) emotional content may both enhance and impair memory, however, disagreement remains whether emotional content exerts different effects on the ability to maintain and manipulate information over short intervals. Using a working‐memory (WM) recognition task requiring the monitoring of faces displaying facial expressions of emotion, participants judged each face as identical (target) or not (non‐target) to that presented 2 trials back (2‐back). Negative expression was better and faster recognised, illustrated by higher target discriminability and target detection. Positive and negative expressions also induced a more liberal detection bias compared with neutral. Taking the preceding item into account, additional accuracy impairment (negative preceding negative target) and enhancement effects (negative or positive preceding neutral target) appeared. This illustrates a differential modulation of WM based on the affective tone of the target (mirroring LTM enhancement‐ and recognition bias effects), and of the preceding item (enhanced and impaired target detection).     

Self-regulatory driving behaviours amongst older drivers according to cognitive status

Self-regulation of older drivers was explored according to their cognitive status in this pilot study by examining situations commonly avoided by older drivers. In addition, the role of driver insight on self-regulation was examined via passenger reports. Telephone interviews were conducted comprising 49 drivers aged 65 years and above and 40 passengers who acted as informants. Self-regulation was found to be common, with the majority of drivers (71.4%) reporting sometimes or always avoiding one of seven driving situations. However, drivers with cognitive impairment reported self-regulating more often than drivers without cognitive impairment. The largest discrepancy between passenger and driver reports of self-regulation behaviours was found for the drivers with cognitive impairment. These results possibly reflect a decreased awareness of self-regulatory driving behaviours in this subgroup of older drivers and may suggest that other external factors are contributing to self-regulation in older drivers with cognitive impairment. A discussion of these factors is provided with the aim of maintaining mobility and enhancing quality of life in this growing segment of the driver population.     

Following Inspiration: A Conversation With Former First Lady Rosalynn Carter

Our distinguished guest for the 3rd installment in this inaugural Hearing our Elders series is former First Lady Rosalynn Carter. Mrs. Carter is arguably among the most active former First Ladies since she and her husband, the 39th President of the United States, James Earl “Jimmy” Carter, left the White House in 1981. The zeitgeist of the mid‐1950s through the 1970s provides the context that frames Mrs. Carter's responses to questions about her involvement in the mental health movement that continues to the present day. The historical as well as contemporary social and political environments relative to understanding and appreciating mental health and wellness in the United States, then and now, are explored and illuminated in portions of the interview with Mrs. Carter. The interview revealed 6 critical themes: really listening with an empathic ear, resilience/persistence, commitment across time, thinking like a global citizen, a quiet‐storm leadership style, and self‐discovery in service to others. Nuestra distinguida invitada en la 3ª entrega de esta serie inaugural de Escuchar a Nuestros Mayores es la ex Primera Dama Rosalynn Carter. La señora Carter es sin duda una de las ex primeras damas más activas desde que en 1981 dejó la Casa Blanca junto con su marido, el 39° Presidente de los Estados Unidos James Earl “Jimmy” Carter. El espíritu cultural del periodo entre la mitad de la década de los años 50 hasta los 70 proporciona el contexto en el que se enmarcan las respuestas de la señora Carter a preguntas sobre su implicación en el movimiento para la salud mental que continúa hasta hoy. Los entornos social y político de ayer y hoy, tanto en su perspectiva histórica como contemporánea, y cómo estos se relacionan con la comprensión y valoración de la salud y bienestar mental en los Estados Unidos se exploran e ilustran en varios segmentos de la entrevista con la señora Carter. Esta entrevista reveló 6 temas críticos: la escucha con atención y empatía, la resiliencia/persistencia, el compromiso a lo largo del tiempo, el pensamiento como ciudadanos globales, un estilo de liderazgo firme pero calmado, y el autodescubrimiento a través del servicio a otros.     

Mirror-drawing skill in children with specific language impairment: Improving generalization by incorporating variability into the practice session

This study aimed to investigate the procedural deficit hypothesis (PDH) in children with specific language impairment (SLI) by using a mirror-drawing task, a sensorimotor adaptation paradigm that does not involve sequence learning and has never before been used in SLI. A total of 30 school-aged children with SLI matched to 30 typically developing (TD) control children had to trace several figures seen only in mirror-reversed view in two practice sessions separated by a one-week interval. Two practice conditions were compared: a constant condition in which children had to trace the same figure throughout the learning trials, and a variable one in which they had to trace different figures in each trial. The results revealed a similar learning pattern between SLI and TD children in both practice conditions, suggesting that initial learning for a non-sequential procedural task is preserved in SLI. However, the children with SLI generalized the mirror-drawing skill in the same way as the TD children only if there was variability in the way the material was trained (variable practice). No significant schedule effects were observed in the control group.