Executive function and memory in children with Fetal Alcohol Spectrum Disorder

A complex relation exists between memory and executive functioning (EF), particularly when learning and recalling multifaceted or extensive information (Moscovitch &; Winocur, 2002 Moscovitch, M. and Winocur, G. 2002. “The frontal cortex and working with memory”. In Principles of frontal lobe functioning, Edited by: Stuss, D. T. and Knight, R. T. 188–209. New York, NY: Oxford University Press.  [Google Scholar]). A common instrument for evaluating this relationship is the Rey-Osterrieth Complex Figure (ROCF; Rey, 1941 Rey, A. 1941. L'examen psychologique dans le cas d'encephalopathie traumatique [Psychological examination of traumatic encephalopathy]. Archives de Psychologie, 28: 286–340.  [Google Scholar]; Osterrieth, 1944 Osterrieth, P. A. 1944. Le test de copie d'une figure complexe: Contribution à l’étude de la perception et de la mémoire [The test of copying a complex figure: A contribution to the study of perception and memory]. Archives de Psychologie, 30: 286–350.  [Google Scholar]). The ROCF has proved particularly useful in pediatric research; however, little research has been conducted among children with Fetal Alcohol Spectrum Disorders (FASD).

Seventy children (35 FASD, 35 control), aged 6 to 12 years, were tested using the ROCF. All participants with FASD had received a diagnosis according to the Canadian guidelines for FASD (Chudley et al., 2005 Chudley, A. E., Conry, J., Cook, J. L., Loock, C., Rosales, T. and LeBlanc, N. 2005. Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis. The Canadian Medical Association Journal, 172: 1–21. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) using the 4-digit diagnostic code (Astley, 2004 Astley, S. J. 2004. Diagnostic guide for fetal alcohol spectrum disorders: The 4-digit diagnostic code, 3rd, Seattle, WA: University of Washington.  [Google Scholar]). Significant group differences were revealed with children with FASD demonstrating substantial difficulties in organization, accuracy, and memory. Among children with FASD, a distinctive profile emerged, lending support to the argument that children with FASD experience deficits in EF and memory throughout their development. Information from the present study will not only help to improve understanding of functioning in this population but also provide insight into how to deal with EF and memory deficits in terms of testing, treatment, and intervention.     

Changes of hardness and electronic work function of Zr41.2Ti13.8Cu12.5Ni10Be22.5 bulk metallic glass on annealing

The hardness and electronic work function (EWF) of a bulk metallic glass, namely Zr_41.2Ti_13.8Cu_12.5Ni₁₀Be_22.5, have been studied experimentally, with an emphasis on the effect of heat treatments. The glass was annealed at different time and temperatures, and its hardness and EWF measured using the Rockwell indentation technique and a scanning Kelvin probe system, respectively. It is found that the EWF decreases with annealing time and temperature, whereas the hardness increases. This study shows a close relationship between hardness and EWF, indicating that the EWF could be a sensitive parameter for characterising and investigating the mechanical behaviour of BMG at the electronic level.     

Validation of the BRIEF-P in a sample of Canadian preschool children

The Behavior Rating Inventory for Executive Function-Preschool (BRIEF-P) is an instrument designed to assess preschoolers’ executive function (EF) in the context of where the behavior occurs. The present study examined the psychometric properties and measurement structure of the BRIEF-P using parents’ and teachers’ reports on 625 typically developing children aged 25 to 74 months. Results indicated that the BRIEF-P scales had good internal consistency and convergent validity in this sample of children. However, the measurement models examined exhibited poor fit statistics and showed that the EF construct was not unidimensional but rather multidimensional with interrelated subconstructs. Further analyses showed that three of the clinical scales (Emotional Control, Plan/Organize, and Working Memory) were unidimensional and invariant across informant. The other two clinical scales (Inhibit and Shift) were multidimensional and differed by informant. Results support a multidimensional construct of EF and, accordingly, different measurement models are proposed by informant.     

Memories of past episodes shape current intentions and decisions

This research tested the hypothesis that people's decisions and future plans are influenced by recently activated autobiographical memories. University students rated the overall quality of their college experiences. They were also asked to describe a specific memory of being either satisfied or dissatisfied with the university. Control participants did not describe a memory. After statistically controlling for pre-existing attitudes towards the university, students who recounted a positive memory expressed the strongest intentions to donate money to the university, attend a class reunion, and recommend the university to others, and they were more likely than controls to specify that an actual donation be made to the university rather than to another charity. Emotional intensity of positive memories predicted future plans and donation decisions. Students who recounted a negative memory also tended to favour the university in their actual donation decisions compared to controls. Prompting the recall of emotional memories may be an effective way to influence intentions and decisions.     

Do pulmonary function and smoking behavior predict cognitive function? findings from a british sample

Abstract

The relationship of smoking behavior, pulmonary function, and four measures of cognitive function was studied in a sample of 4,399 men and women (mean age = 44.7 f 17.1 years; age range: 18 to 94 years) randomly selected from British electoral registers. Each subject was assessed with a face-to-face structured interview (including demographic data, smoking history, and health-related questions) as well as cognitive testing [simple reaction time (SRT), choice reaction time (CRT), incidental memory, and spatial reasoning] and pulmonary function testing. Results indicated that smoking was associated with somewhat better performance on the CRT and memory tasks, and that smoking behavior was not associated with decrements in cognitive performance. Impaired pulmonary function was generally associated with poorer cognitive performance on all of the cognitive measures, suggesting that pulmonary function may be a relevant factor to consider in experimental studies of smoking and cognitive function among healthy adults.     

Factorial validity of the Behavior Rating Inventory of Executive Function (BRIEF)-Teacher form

Deficits in executive function (self-regulatory mechanisms) have been linked with many childhood disorders including attention deficit/hyperactivity disorder (ADHD), autism spectrum disorder, and conduct disorder. Executive functioning is typically assessed by individually administering performance-based measures in a clinical setting. However, performance-based methods are inefficient for school psychologists. A more feasibly implemented measure for applied settings is the Behavior Rating Inventory of Executive Function (BRIEF), but researchers have raised questions about the internal validity and the proposed factors. In this study, we examined the factor structure of the teacher form of the BRIEF in a sample of 2,044 general education elementary students and 131 teachers in a multilevel design. Results revealed support for a model with three factors at Level 1 and one general factor at Level 2. The results of our study do not support the current two-factor model of the published BRIEF protocol.     

Prepotent response inhibition predicts treatment outcome in attention deficit/hyperactivity disorder

Objective: Inhibition deficits, including deficits in prepotent response inhibition and interference control, are core deficits in ADHD. The predictive value of prepotent response inhibition and interference control was assessed for outcome in a 10-week treatment trial with methylphenidate. Methods: Thirty-four children with ADHD (ages 8–12) received 10 weeks of methylphenidate treatment. At pretest prepotent response inhibition was assessed using the Stop-Signal Task; interference control was assessed using the Stroop Color-Word task. Methylphenidate was individually titrated to an optimal dose. Treatment outcome was assessed by parent- and teacher-rated ADHD behavior. Results: Only stop-signal reaction time of the Stop-Signal Task was a significant predictor of parent-rated levels of inattention and hyperactivity/impulsivity at outcome. Children with lower levels of inhibition showed worse outcome after 10 weeks of treatment, independent of medication dose. Conclusions: Low levels of prepotent response inhibition are associated with worse response to treatment with methylphenidate. Prepotent response inhibition may be an intermediate phenotypical predictor of treatment outcome.     

Performance on the dimensional change card sort and backward digit span by young children with autism without intellectual disability

The early development of executive function (EF) and its relation to autism symptom expression is of considerable theoretical interest, particularly in children without general cognitive delay. Executive function was tested in 23 children with autism spectrum disorders (ASD) without intellectual disability and 20 age- and IQ-matched typically developing children. Even though performance was equivalent between the two groups on tests of general intelligence, flexibility in card sorting was lower for children with ASD. Verbal working memory during the backward digit span did not differ between groups. Among children with ASD, poorer performance on card sorting distinguished a subgroup with worse social-communication functioning above and beyond IQ. Controlling for IQ social and repetitive symptoms of ASD did not differ based on card sorting ability.     

Some psychoanalytic and philosophical reflections on the signification of residence in the therapeutic care of people with schizophrenia

Last year saw the 20th anniversary of the Wagner report Residential care: A positive choice. The report tried to shift the emphasis away from the view that residential care is the last resort and to value its role as a vital part of community care. However, over the last few years there has been a move away from residential care for people suffering from mental ill-health. The rationale for this shift has been the prevailing idea that it is better to treat people in their own homes. Although this is to a large extent driven by financial constraints on the part of health and social service commissioners, running parallel is the development of policy informed by ideas of normalization, anti-stigma and the increasing drive to empower service users, and diminish the authoritarian relationship that professionals have with them. While much of this is commendable, there has been very little serious thinking about the meaning of residence or dwelling in relation to care and treatment. This has resulted in the ensuing ideological shift often amounting to little more than a fashionable mantra. In this paper the author discusses the meaning of residence and its relation to care, with reference to the work of Lacan and Heidegger, in an attempt to re-situate the debate about the therapeutic potential of residential care at a more fundamental level.