The Attention and Executive Function Rating Inventory (ATTEX): Psychometric properties and clinical utility in diagnosing ADHD subtypes

Klenberg, L., Jämsä, S., Häyrinen, T., Lahti‐Nuuttila, P. & Korkman, M. (2010). The Attention and Executive Function Rating Inventory (ATTEX): Psychometric properties and clinical utility in diagnosing ADHD subtypes. Scandinavian Journal of Psychology, 51, 439–448. This study presents a new inventory, the Attention and Executive Function Rating Inventory (ATTEX), and examines the psychometric properties and the clinical utility of ATTEX in indentifying the attention deficit hyperactivity disorder combined type (ADHD‐C) and the ADHD predominantly inattentive type (ADHD‐I) in school environments. A normative sample of Finnish 7‐ to 15‐year‐old children and adolescents (N = 701) and a clinical sample consisting of children with ADHD‐C (N = 190) and ADHD‐I (N = 25) were examined with the ATTEX and the ADHD Rating Scale‐IV. The ATTEX and its scales had good internal consistency reliability (0.67–0.98) and criterion validity (0.68–0.95). Normative data was provided for the total normative sample and for boys and girls separately. Gender differences were noted in the ATTEX scores, boys having consistently higher scores on all ATTEX scales. The effect of age was significant only for one of the ten scales, the Motor hyperactivity scale, 7‐year‐olds having more problems of hyperactivity than 14‐year‐olds. Lower parent education level and the child’s learning difficulties were related to higher ratings of EF problems in ATTEX. When different cutoff scores for boys and girls were applied, ATTEX was sensitive in identifying children with attention deficit disorders. In addition, ATTEX was accurate in differentiating children with ADHD‐I from children with ADHD‐C. In this Finnish sample, ATTEX showed solid psychometric properties and could be used as a reliable tool in the diagnostic evaluation of ADHD‐C and ADHD‐I.     

针刺作用四大规律的统一与现代针灸学理论的发展

探求事物的内在联系或内在统一性是科学活动的重要目标。针刺作用的四大规律：针刺作用的双向调节规律、针刺手法作用的基本规律、针刺时间作用的基本规律、针刺作用的时效规律,其所涉及的影响因素各不相同,但这四大作用规律在“机能状态”这个基本环节获得了统一。     

No class: Russell on contextual definition and the elimination of sets

The article rebutts Michael Kremer’s contention that Russell’s contextual definition of set-theoretic language in Principia Mathematica constituted the ontological achievement of eliminating commitment to classes. Although Russell’s higher-order quantifiers, used in the definition, need not range over classes, none of the plausible substitutes provide a solid basis for eliminating them. This point is used to defend the presentation, in The Dawn of Analysis, of Russell’s logicist reduction, using a first-order version of naive set theory.

Further differentiating item and order information in semantic memory: students’ recall of words from the “CU Fight Song”, Harry Potter book titles,and Scooby Doo theme song

University of Colorado (CU) students were tested for both order and item information in their semantic memory for the “CU Fight Song”. Following an earlier study by Overstreet and Healy [(2011). Item and order information in semantic memory: Students’ retention of the “CU fight song” lyrics. Memory & Cognition, 39, 251–259. doi:10.3758/s13421-010-0018-3], a symmetrical bow-shaped serial position function (with both primacy and recency advantages) was found for reconstructing the order of the nine lines in the song, whereas a function with no primacy advantage was found for recalling a missing word from each line. This difference between order and item information was found even though students filled in missing words without any alternatives provided and missing words came from the beginning, middle, or end of each line. Similar results were found for CU students’ recall of the sequence of Harry Potter book titles and the lyrics of the Scooby Doo theme song. These findings strengthen the claim that the pronounced serial position function in semantic memory occurs largely because of the retention of order, rather than item, information.     

A Practical Approach to Revising Prioritized Knowledge Bases

This paper investigates simple syntactic methods for revising prioritized belief bases, that are semantically meaningful in the frameworks of possibility theory and of Spohn's ordinal conditional functions. Here, revising prioritized belief bases amounts to conditioning a distribution function on interpretations. The input information leading to the revision of a knowledge base can be sure or uncertain. Different types of scales for priorities are allowed: finite vs. infinite, numerical vs. ordinal. Syntactic revision is envisaged here as a process which transforms a prioritized belief bases into a new prioritized belief base, and thus allows a subsequent iteration.     

The Possibility of Meaning in Human Evolution

Science undermines the certitude of non-naturalistic answers to the question of whether human life has meaning. I explore whether evolution can provide a naturalistic basis for existential meaning. Using the work of philosopher Daniel Dennett and scientist Ursula Goodenough, I argue that evolution is the locus of the possibility of meaning because it has produced intentionality, the matrix of consciousness. I conclude that the question of the meaning of human life is an existentialist one: existential meaning is a product of the individual and collective tasks human beings undertake.     

Written expression in boys with ADHD: The mediating roles of working memory and oral expression

The written expression difficulties experienced by children with ADHD are widely recognized; however, scant empirical evidence exists concerning the cognitive mechanisms and processes underlying these deficiencies. The current study investigated the independent and potentially interactive contributions of two developmentally antecedent cognitive processes – viz., working memory (WM) and oral expression – hypothesized to influence written expression ability in boys. Thirty-three boys with ADHD-Combined Presentation and 27 neurotypical (NT) boys 8–12 years of age were administered standardized measures of oral and written expression, and multiple counterbalanced tasks to assess WM central executive (CE) processes, WM phonological short-term memory (PH STM), and WM visuospatial short-term memory (VS STM). Bias-corrected bootstrapped mediation analyses revealed a significant mediation effect, wherein the independent and interactive effects of PH STM and oral expression collectively explained 76% of the diagnostic status to written expression relation. The implications of the obtained results for clinical practice suggest that children with ADHD may benefit by incorporating a blended approach that simultaneously strengthens PH STM capacity and oral expression abilities as antecedents to engaging in writing-related activities.     

ADHD outside the laboratory: boys' executive function performance on tasks in videogame play and on a visit to the zoo

One current theory of attention-deficit/hyperactivity disorder (ADHD) proposes that a primary deficit in behavioral inhibition gives rise to secondary deficits in 4 executive functions and motor control. To date, empirical support for this model is based primarily on laboratory-based cognitive methods. This study assessed behavioral inhibition and executive functioning in children with ADHD in 2 real-life contexts: videogames (motor-skill target game, cognitively demanding adventure game) and an outing at the zoo (route tasks). Participants were a community sample of 57 boys diagnosed with ADHD (20 inattentive, 37 combined type) and 57 normally developing control boys, matched individually for age and nonverbal IQ. Operationally defined measures of behavioral inhibition and specific executive functions were derived from these activities and assessed under contrasting conditions of low or high working memory and distractor loads. There were no group differences in basic motor skills on the target game, nor in terms of the ability to inhibit a prepotent or ongoing response in the adventure videogame. However, boys with ADHD exhibited more self-talk, more effortful response preparation, and completed fewer challenges in the latter videogame. Also, they manifested inhibition deficits in terms of interference control during the route task at the zoo and took longer to complete the tasks. Typically, these differences were greatest under conditions of high working memory and distractor loads. Findings from this study suggest that cognitive difficulties in ADHD may be context dependent and that ADHD is associated with deficits in some but not all aspects of behavioral inhibition.