Multiple family therapy for Chinese families of children with attention deficit hyperactivity disorder (ADHD): treatment efficacy from the children’s perspective and their subjective experiences

This paper reports the results of our study that assessed the treatment efficacy of multiple family therapy (MFT) from the perspective of participating Chinese children with attention deficit hyperactivity disorder (ADHD) and identified their subjective experiences. Forty‐three children with ADHD in the experimental group (EG) completed a forty‐two‐hour MFT, whilst forty‐five children with ADHD in the control group (CG) had attended two writing classes scheduled three months apart that were similar to those of the MFT. Data from the outcome study were gathered using standardized questionnaires and data from the qualitative study were drawn from thirteen children with ADHD who had completed the MFT and attended the focus group interviews (n = 5) or individual interviews (n = 8) conducted in the post‐treatment phase. The results of the Paired sample t‐test and MANOVA indicated no significant changes on the scores for the four measures adopted (perception of competence, hopefulness, parent‐child relationship and perceived social support) in the pre‐ and post‐treatment for the EG and the CG. Five themes emerged from the narratives of children with ADHD, which revealed the children’s subjective experiences with the MFT: (a) full of fun; (b) building friendships through common experiences; (c) a happy family time; (d) safe space; and (e) positive parental responses and communications.     

Manipulations of distractor frequency do not mitigate emotion-induced blindness

Emotional distractors can impair perception of subsequently presented targets, a phenomenon called emotion-induced blindness. Do emotional distractors lose their power to disrupt perception when appearing with increased frequency, perhaps due to desensitisation or enhanced recruitment of proactive control? Non-emotional tasks, such as the Stroop, have revealed that high frequency distractors or conflict lead to reduced interference, and distractor frequency appears to modulate attentional capture by emotional distractors in spatial attention tasks. But emotion-induced blindness is thought to reflect perceptual competition between targets and emotional distractors, and it is unclear whether high frequency emotional stimuli cause less disruption at this relatively early stage of processing. In four experiments, participants searched streams of images for a rotated target image. A negative or neutral distractor appeared before the target, and their relative frequency was manipulated. Across all experiments, the frequency of emotional distractors did not modulate emotion-induced blindness even when participants were explicitly informed that they would appear often or seldom. Thus, increased distractor frequency does not appear to mitigate the priority allotted to emotional distractors during perceptual competition.     

Cognitive predictors of parent-rated inattention in very preterm children: The role of working memory and processing speed

Inattention is one of the most common neurobehavioral problems following very preterm birth. Attention problems can persist into adulthood and are associated with negative socio-emotional and educational outcomes. This study aimed to determine whether the cognitive processes associated with inattention differ between term-born and very preterm children. Sixty-five children born very preterm (<33+0 weeks’ gestation) aged 8–11 years were recruited alongside 48 term-born controls (?37 20 +0 weeks’ gestation). Both groups included children with a wide spectrum of parent-rated inattention (above average attention to severe inattention) measured as a continuous dimension using the Strengths and Weaknesses of ADHD and Normal-Behavior (SWAN) scale. The children completed tests to assess basic cognitive processes and executive function. A hierarchical multiple regression analysis was implemented to assess which neurocognitive processes explained variance in parent-rated inattention and whether these differed between preterm and term-born children. In both groups, poorer verbal and visuospatial short-term memory and poorer visuospatial working memory independently explained variance in parent-rated inattention. Slower motor processing speed explained variance in inattention among very preterm children only. The cognitive mechanisms associated with parent-rated inattention were predominantly overlapping between groups, but relationships between motor processing speed and inattention were unique to very preterm children. These associations may reflect risk factors for inattention in term and very preterm children. Future research should assess the efficacy of these cognitive processes as potential targets for intervention     

Human faces capture attention and attract first saccades without longer fixation

Human faces attract attention, evidenced by reaction time (RT) advantages over non-face stimuli in visual search tasks. In the current study, participants’ eye movements were tracked during a search task to test how the attentional capture of faces is related to looking behaviour. On each trial, participants were cued with a category name (automobiles, birds, chairs, dogs, faces, bodies, or plants). An array of images, one exemplar from each category, was then presented until participants indicated whether the target matched the cue. Results showed that faces as targets resulted in faster search times and were more likely to capture first fixations. Fixations on faces were also shorter compared to other categories. Faces captured attention, attracting first fixations, and participants appeared to be more fluent at processing faces, resulting in shorter fixations. Reaction time advantages for faces could be due to both attention capture and ultra-rapid processing.     

Laterality of the frontal aslant tract (FAT) explains externalizing behaviors through its association with executive function

We investigated the development of a recently identified white matter pathway, the frontal aslant tract (FAT) and its association with executive function and externalizing behaviors in a sample of 129 neurotypical male and female human children ranging in age from 7 months to 19 years. We found that the FAT could be tracked in 92% of those children, and that the pathway showed age‐related differences into adulthood. The change in white matter microstructure was very rapid until about 6 years, and then plateaued, only to show age‐related increases again after the age of 11 years. In a subset of those children (5–18 years; n = 70), left laterality of the microstructural properties of the FAT was associated with greater attention problems as measured by the Child Behavior Checklist (CBCL). However, this relationship was fully mediated by higher executive dysfunction as measured by the Behavior Rating Inventory of Executive Function (BRIEF). This relationship was specific to the FAT—we found no relationship between laterality of a control pathway, or of the white matter of the brain in general, and attention and executive function. These findings suggest that the degree to which the developing brain favors a right lateralized structural dominance of the FAT is directly associated with executive function and attention. This novel finding provides a new potential structural biomarker to assess attention deficit hyperactivity disorder (ADHD) and associated executive dysfunction during development.     

The vocabulary spurt predicts the emergence of backward semantic inhibition in 18‐month‐old toddlers

The current study examines the relationship between 18‐month‐old toddlers’ vocabulary size and their ability to inhibit attention to no‐longer relevant information using the backward semantic inhibition paradigm. When adults switch attention from one semantic category to another, the former and no‐longer‐relevant semantic category becomes inhibited, and subsequent attention to an item that belongs to the inhibited semantic category is impaired. Here we demonstrate that 18‐month‐olds can inhibit attention to no‐longer relevant semantic categories, but only if they have a relatively large vocabulary. These findings suggest that an increased number of items (word knowledge) in the toddler lexical‐semantic system during the “vocabulary spurt” at 18‐months may be an important driving force behind the emergence of a semantic inhibitory mechanism. Possessing more words in the mental lexicon likely results in the formation of inhibitory links between words, which allow toddlers to select and deselect words and concepts more efficiently. Our findings highlight the role of vocabulary growth in the development of inhibitory processes in the emerging lexical‐semantic system.     

Inside bilingualism: Language background modulates selective attention to a talker's mouth

Previous findings indicate that bilingual Catalan/Spanish‐learning infants attend more to the highly salient audiovisual redundancy cues normally available in a talker's mouth than do monolingual infants. Presumably, greater attention to such cues renders the challenge of learning two languages easier. Spanish and Catalan are, however, rhythmically and phonologically close languages. This raises the possibility that bilinguals only rely on redundant audiovisual cues when their languages are close. To test this possibility, we exposed 15‐month‐old and 4‐ to 6‐year‐old close‐language bilinguals (Spanish/Catalan) and distant‐language bilinguals (Spanish/”other”) to videos of a talker uttering Spanish or Catalan (native) and English (non‐native) monologues and recorded eye‐gaze to the talker's eyes and mouth. At both ages, the close‐language bilinguals attended more to the talker's mouth than the distant‐language bilinguals. This indicates that language proximity modulates selective attention to a talker's mouth during early childhood and suggests that reliance on the greater salience of audiovisual speech cues depends on the difficulty of the speech‐processing task.     

Metacognitive scaffolding boosts cognitive and neural benefits following executive attention training in children

Interventions including social scaffolding and metacognitive strategies have been used in educational settings to promote cognition. In addition, increasing evidence shows that computerized process‐based training enhances cognitive skills. However, no prior studies have examined the effect of combining these two training strategies. The goal of this study was to test the combined effect of metacognitive scaffolding and computer‐based training of executive attention in a sample of typically developing preschoolers at the cognitive and brain levels. Compared to children in the regular training protocol and an untrained active control group, children in the metacognitive group showed larger gains on intelligence and significant increases on an electrophysiological index associated with conflict processing. Moreover, changes in the conflict‐related brain activity predicted gains in intelligence in the metacognitive scaffolding group. These results suggest that metacognitive scaffolding boosts the influence of process‐based training on cognitive efficiency and brain plasticity related to executive attention.     

聋人副中央凹字N+1预视效益的眼动研究

聋人听觉受损后,在低水平的视觉认知任务中,表现出副中央凹注意增强效应。这种增强效应是否也会发生在高水平的汉语认知加工任务中？本研究采用边界范式,探究副中央凹注意增强效应对聋人读者合体字N+1预视效益的影响。研究发现,高技能聋人读者,可以获得合体字N+1语音和语义预视效益。研究表明,副中央凹注意增强促进了高技能聋人读者N+1预视信息的获得。