Sleepwalking Into Infertility: The Need for a Public Health Approach Toward Advanced Maternal Age

In Western countries today, a growing number of women delay motherhood until their late 30s and even 40s, as they invest time in pursuing education and career goals before starting a family. This social trend results from greater gender equality and expanded opportunities for women and is influenced by the availability of contraception and assisted reproductive technologies (ART). However, advanced maternal age is associated with increased health risks, including infertility. While individual medical solutions such as ART and elective egg freezing can promote reproductive autonomy, they entail significant risks and limitations. We thus argue that women should be better informed regarding the risks of advanced maternal age and ART, and that these individual solutions need to be supplemented by a public health approach, including policy measures that provide women with the opportunity to start a family earlier in life without sacrificing personal career goals.     

Exploring Factor Model Parameters across Continuous Variables with Local Structural Equation Models

Using an empirical data set, we investigated variation in factor model parameters across a continuous moderator variable and demonstrated three modeling approaches: multiple-group mean and covariance structure (MGMCS) analyses, local structural equation modeling (LSEM), and moderated factor analysis (MFA). We focused on how to study variation in factor model parameters as a function of continuous variables such as age, socioeconomic status, ability levels, acculturation, and so forth. Specifically, we formalized the LSEM approach in detail as compared with previous work and investigated its statistical properties with an analytical derivation and a simulation study. We also provide code for the easy implementation of LSEM. The illustration of methods was based on cross-sectional cognitive ability data from individuals ranging in age from 4 to 23 years. Variations in factor loadings across age were examined with regard to the age differentiation hypothesis. LSEM and MFA converged with respect to the conclusions. When there was a broad age range within groups and varying relations between the indicator variables and the common factor across age, MGMCS produced distorted parameter estimates. We discuss the pros of LSEM compared with MFA and recommend using the two tools as complementary approaches for investigating moderation in factor model parameters.     

Aging,Identity, and Women: Constructing the Third Age

The “Third Age” offers a conceptualization of the lives of those who are retired and beyond middle age but not facing any disability stereotypically associated with the “old.” Emphasizing good health, freedom from the responsibilities of younger adulthood, and continuing engagement with the world, it articulates a specific form of positive aging that has received very little attention within psychology. We adopted a feminist and critical discursive approach in exploring how eight women, who fit the Third Age profile, understand their lives and who they are. Audiotaped semi-structured interviews were transcribed and analyzed. The participants drew on four pairs of interpretative repertoires in constructing the meanings of aging. Their identity work involved positioning themselves as “not old” and establishing continuity between who they have been in the past and who they are now. The results highlight the women’s agency as they negotiated between the discursive resources available to them. Drawing on a framework for feminist therapy that incorporates an emphasis on social change, we discuss the implications of these results.     

A longitudinal investigation of children internationally adopted at school age

Most existing research on children adopted internationally has focused on those adopted as infants and toddlers. The current study longitudinally tracked several outcomes, including cognitive, behavioral, emotional, attachment, and family functioning, in 25 children who had been internationally adopted at school age (M = 7.7 years old at adoption, SD = 3.4, range = 4–15 years). We examined the incidence of clinically significant impairments, significant change in outcomes over the three study points, and variables that predicted outcomes over time. Clinically significant impairments in sustained attention, full-scale intelligence, reading, language, executive functioning, externalizing problems, and parenting stress were common, with language and executive functioning impairments present at higher levels in the current study compared with past research focusing on children adopted as infants and toddlers. Over the three study points, significant improvements across most cognitive areas and attachment functioning were observed, though significant worsening in executive functioning and internalizing problems was present. Adoptive family-specific variables, such as greater maternal education, smaller family size, a parenting approach that encouraged age-expected behaviors, home schooling, and being the sole adopted child in the family were associated with greater improvement across several cognitive outcomes. In contrast, decreased parenting stress was predicted by having multiple adopted children and smaller family sizes were associated with greater difficulties with executive functioning. Child-specific variables were also linked to outcomes, with girls displaying worse attachment and poorer cognitive performance and with less time in orphanage care resulting in greater adoption success. Implications for future research and clinical applications are discussed.     

Orienting of attention: Then and now

It is nearly 35 years since I gave the 7th Sir Frederick Bartlett lecture at Oxford University. This was published as a paper entitled “Orienting of attention in the quarterly journal”. The topic was then primarily in psychology, but now equally often in neuroscience. This paper summarizes the background of the reaction time methods used in the original paper and findings that emerged later on the sensory consequences of orienting, mainly in the visual system. It then discusses the brain network that is the source of the sensory amplification and other brain networks that are involved in attention. Next, it reviews studies of the development of attentional networks in early life. Finally, it indicates how the new tools available to explore the human brain can lead to further progress.     

Is more choice always worse? Age differences in the overchoice effect

Current research on the overchoice effect has been mainly conducted from an adult point of view and with adult subjects. This study investigates whether children, adolescents, and seniors suffer the same negative consequences as adults when facing an overabundance of choice. Findings showed that the overchoice effect did not equally extend to all age groups. While adolescents were affected by the phenomenon in a very similar way as adults, children and seniors suffered fewer negative consequences of an overabundance of choice. Theoretical and practical implications are discussed.     

The Moderating Effects of Age on the Relationships of Self‐Compassion,Self‐Esteem,and Mental Health

This study investigated the interactive effects of self‐compassion, self‐esteem, and age on mental health. Numerous previous studies have found that self‐compassion has a significant positive association with well‐being but most of these studies were conducted with young adults represented by college students. This study extended the previous findings by comparing its distinctive functions in different age groups. A total of 1,813 adults whose age ranged from twenties to fifties (M = 39.28 years, SD = 11.27) completed a questionnaire measuring self‐compassion, self‐esteem, subjective well‐being, and depression. The results of hierarchical regression analysis indicated that the positive relationship between self‐compassion and subjective well‐being was rendered stronger with older adults. In addition, self‐compassion moderated the relationship between self‐esteem and depression regardless of age. These results imply that self‐compassion may be complimentary to self‐esteem in improving mental health, especially for older adults.     

双元孝道代际传递:亲子性别和子女年龄的调节作用

配对调查了591户家庭的亲子被试,考察了亲子女性别、子女年龄对双元孝道代际传递的影响。结果显示：（1）权威性孝道和互惠性孝道分别在父亲、母子与子女之间具有相似传递模式,但母亲互惠性孝道还能够预测子女权威性孝道;（2）子女性别能显著调节整个模型,母亲互惠性孝道能预测男性子女权威性孝道,但不能预测女性子女的权威性孝道,且母子之间互惠性孝道传递效应显著高于母女,并显著高于父子之间的同一路径系数;（3）子女年龄对模型的部分路径系数具有显著调节作用,母亲互惠性孝道仅能预测成年子女权威性孝道,母亲对成年子女的互惠性孝道代际传递效应显著高于父亲对成年子女,而父亲对青少年子女的互惠性孝道代际传递效应显著高于其对成年子女。据此研究结果,亲子性别和子女年龄是影响双元孝道代际传递的重要“传递带”。     

Exploring predictors of change in behavioral problems over a 1-year period in preterm born preschoolers

ObjectiveAlthough predictors of the prevalence of behavioral problems in preterm-born children have been frequently studied, predictors of behavioral change in these children remain unknown. Therefore, in this study we explore predictors of short-term changes in problem behavior in preterm-born preschoolers, an age period characterized by rapid behavioral change.MethodTwo- to 5-year-old children born with a gestational age <32 weeks and/or birth weight <1500 g were eligible, because of their high risk for behavioral problems. Following screening, 59 children with a t-score ≥60 on either the internal, external or total problem scale of the Child Behavior Checklist were included in the study. Linear mixed modeling was used to investigate predictors of change in behavior over a 1-year period.ResultsHigher levels of parenting stress, parent perceived child vulnerability, and parental hostility towards the child and lower educational levels of the mother significantly predicted increases in externalizing behavior. The higher the age of the child, the more internalizing problems decreased.ConclusionsParenting stress, parent perceived child vulnerability and parental hostility towards the child were the only modifiable predictors of increases in externalizing behavior, whilst no modifiable predictors of internalizing behavior were found. There may be a reciprocal interaction between stress in parents and child externalizing problems. Furthermore, stress and worries may directly influence parents’ reports on behavioral measures, because it could cause them to be concerned by behavior otherwise perceived as normal. Therefore, future interventions for parents of preterm-born children should primarily address parental stress and concerns regarding their child.