Unraveling the Aging Skein: Disentangling Sensory and Cognitive Predictors of Age‐related Differences in Decision Making

Age‐related differences in sensory functioning, processing speed, and working memory have been identified as three significant predictors of the age‐related performance decline observed in complex cognitive tasks. Yet, the assessment of their relative predictive capacity and interrelations is still an open issue in decision making and cognitive aging research. Indeed, no previous investigation has examined the relationships of all these three predictors with decision making. In an individual‐differences study, we therefore disentangled the relative contribution of sensory functioning, processing speed, and working memory to the prediction of the age‐related decline in cognitively demanding judgment and decision‐making tasks. Structural equation modeling showed that the age‐related decline in working memory plays an important predictive role, even when controlling for sensory functioning, processing speed, and education. Implications for research on decision making and cognitive aging are discussed. Copyright © 2015 John Wiley & Sons, Ltd.     

Timed performance weaknesses on computerized tasks in pediatric brain tumor survivors: A comparison with sibling controls

With more children surviving a brain tumor, insight into the late effects of the disease and treatment is of high importance. This study focused on profiling the neurocognitive functions that might be affected after treatment for a pediatric brain tumor, using a broad battery of computerized tests. Predictors that may influence neurocognitive functioning were also investigated. A total of 82 pediatric brain tumor survivors (PBTSs) aged 8–18 years (M = 13.85, SD = 3.15, 49% males) with parent-reported neurocognitive complaints were compared to a control group of 43 siblings (age M = 14.27, SD = 2.44, 40% males) using linear mixed models. Neurocognitive performance was assessed using measures of attention, processing speed, memory, executive functioning, visuomotor integration (VMI), and intelligence. Tumor type, treatment, tumor location, hydrocephalus, gender, age at diagnosis, and time since diagnosis were entered into regression analyzes as predictors for neurocognitive functioning. The PBTSs showed slower processing speeds and lower intelligence (range effect sizes .71–.82, p < .001), as well as deficits in executive attention, short-term memory, executive functioning, and VMI (range effect sizes .40–.57, p < .05). Older age at assessment was associated with better neurocognitive functioning (B = .450, p < .001) and younger age at diagnosis was associated with lower intelligence (B = .328, p < .05). Medical risk factors, e.g., hydrocephalus, did not show an association with neurocognitive functioning. Late effects in PBTSs include a broad range of neurocognitive deficits. The results suggest that even PBTSs that were traditionally viewed as low risk for neurocognitive problems (e.g., surgery only, no hydrocephalus) may suffer from decreased neurocognitive functioning.     

The effect of speed limit credibility on drivers' speed choice

Credibility of speed limits is a key factor affecting drivers’ compliance with speed limits. Two experiments were conducted to investigate how credibility of speed limits affects judgments of appropriate speed. The first experiment aimed to establish speeds deemed appropriate by investigating Malaysians drivers’ judgments of the appropriate speed to drive based on photographs of roads with the speed limit sign erased. Drivers chose speeds which correlated with but were higher than the actual speed limits of the roads. Analysis of road characteristics suggested they based their decisions mainly on features of the road itself rather than of the roadside. The second experiment tested the impact of credibility of speed limit information on the speed drivers judged appropriate. Drivers judged the appropriate speed to drive for the same photographs as in Experiment 1 with speed limit information provided. Four conditions were included: two conditions where the speed limit posted was 10% higher or 10% lower than the appropriate speed established in Experiment 1 (credible speed limits), and two conditions where the posted speed limit was 50% higher or 50% lower than the appropriate speed (non-credible speed limits). Posted speed limits did affect drivers’ judgments about the appropriate speed to drive. Credibility also influenced judgments whereby drivers selected appropriate speeds consistent with the speed limits for the 10% lower condition, but not for speed limits that deviated highly from the appropriate speed judged in Experiment 1.     

Chest reconstructive surgeries in transmasculine youth: Experience from one pediatric center

Background: For many trans males, having chest reconstruction is a very important part of the transitioning process. Guidelines from WPATH and the Endocrine Society suggest 16 to 18 years old as an acceptable age for this surgical intervention. In clinical practice, the decision depends on factors such as a person's desires, insurance coverage, and availability of local surgical experts. We present data about chest reconstructive surgeries in transgender youth from a Pediatric Gender Management (GeM) clinic.

Methods: For this retrospective, observational study, data were collected from GeM clinic patients seen from 10/1/2011 to 1/31/2017. All subjects consented or assented to being included in an IRB-approved clinical database.

Results: Of 210 patients from our clinic, 167 consented to being added to an institutional review board–approved database and followed prospectively. The average age at the initial visit was 15.2 years (range, 4.7–20.9). Among consenting subjects, 55 were trans females, 108 were trans males, and four identified as nonbinary. Fourteen subjects had chest reconstruction with the mean age being 17.2 years (range, 13.4–19.7); three subjects were under age 16. For five subjects, including the youngest one, insurance paid for the procedure. All participants but one were receiving testosterone treatment. Per the surgeons' preferences, testosterone was usually not temporarily stopped prior to the procedure. Six subjects had the procedure done locally; others sought surgical care out of the town, state, or country. All subjects were very satisfied with the aesthetics of the surgical outcome. The self-reported complication rate was low. Many more GeM clinic patients wish to have breast/chest surgery but lack of insurance coverage makes the surgery cost prohibitive.

Conclusion: For many trans males, chest reconstructive surgery is an integral part of the transition process. Patients' age at the time of surgical procedure varies greatly; some have chest surgery before age 16. In the United States, chest reconstruction surgery is usually not covered by insurance. Therefore, many patients seeking surgical care are forced to pay out of pocket.     

Assessment and treatment of high-risk challenging behavior of adolescents with autism in an aquatic setting

Aquatic-based activities produce positive skill and health benefits for individuals with Autism Spectrum Disorder (ASD); however, aquatic contexts, such as the pool, introduce the risk of injury and drowning. This risk is heightened when individuals with ASD engage in challenging behavior in the pool context. The purpose of the study was to evaluate the effects of differential reinforcement without extinction for 2 participants diagnosed with ASD who engaged in challenging behavior when asked to transition from the pool. The treatment successfully decreased participants' transition latencies and challenging behavior during transitions from the pool for up to 2 months following treatment. Lifeguard staff rated the procedures as highly acceptable and helpful, and noted high degrees of satisfaction with improvements for each participant's behavior.     

Assessing inhibitory control in early-stage Alzheimer's and Parkinson's disease using the Hayling Sentence Completion Test

The ability to inhibit irrelevant information is essential for coping with the demands of everyday life. Inhibitory deficits are present in all stages of dementia and commonly observed in people with Parkinson's disease (PwPD). Inhibition is frequently tested with the Stroop test, but this may lack ecological validity. This study investigates inhibitory control in people with Alzheimer's disease dementia (PwD) and PwPD using the Hayling Sentence Completion Test (HSCT), which aspires to be a more ecologically valid task. A total of 117 people completed the HSCT, a test where participants have to complete a sentence with an unrelated word. The sample comprised 30 PwD, 33 PwPD, and 54 healthy older controls. We compared response times and the number and type of errors across the three groups. Completion time in Part B (Inhibition) did not distinguish between PwD, PwPD, and controls when controlling for the initiation speed, but a higher proportion of Category A errors (producing a word that fits the sentence when instructed otherwise) was a unique characteristic of inferior performance in PwD and PwPD. While not part of the standard test scoring protocol, controlling for the initiation speed and distinguishing between speed and accuracy in test performance appear to be essential for accurate evaluation of the inhibitory control in HSCT in older people. The findings suggest that the HSCT may be sensitive to verbal suppression deficits and may provide insight into inhibitory control in PwD and PwPD.     

Beauty in the blink of an eye: The time course of aesthetic experiences

Under normal circumstances, perception runs very fast and seemingly automatic. In just a few ms, we go from sensory features to perceiving objects. This fast time course does not only apply to general perceptual aspects but also to what we call higher-level judgements. Inspired by the study on ‘very first impressions’ by Bar, Neta, and Linz (2006, Emotion, 6 , 269) the current research examined the speed and time course of three aspects of the aesthetic experience, namely beauty, specialness, and impressiveness. Participants were presented with 54 reproductions of paintings that covered a wide variety of artistic styles and contents. Presentation times were 10, 50, 100 and 500 ms in Experiment 1 and 20, 30 and 40 ms in Experiment 2. Our results not only show that consistent aesthetic judgements can be formed based on very brief glances of information, but that this speed of aesthetic impression formation also differs between different aesthetic judgements. Apparently, impressiveness judgements require longer exposure times than impressions of beauty or specialness. The results provide important evidence for our understanding of the time course of aesthetic experiences.     

抑制和加工速度与液态智力的年老化

研究抑制能力和加工速度在液态智力年老化过程中的相对作用。被试为142名18~85岁健康成年人,完成包括抑制优势反应、加工速度和液态智力共13项测验。分层回归分析显示,抑制能力与年龄相关的特异性变异,在控制简单的速度变量时较控制复杂的速度变量时更大;结构方程分析表明,对液态智力年老化的中介作用,当选取较复杂的速度变量时加工速度的作用更大,而当选取较简单的速度变量时抑制能力的作用更大。研究结果表明,在液态智力的年老化过程中,除了加工速度的作用之外,抑制能力也起重要的中介作用。该结果为认知年老化的抑制理论和执行衰退假说提供了认知行为学研究的证据,并且对加工速度理论作了有益的补充和修正     

不同任务定向下小学儿童学习时间分配决策水平的发展

研究包含3个实验,分别探查了儿童在“速度定向”、 “准确性定向” 以及“速度和准确性定向”3种任务定向下学习时间分配决策水平的发展。3个实验均采用3×3混合设计,选择小学2年级、小学4年级、小学6年级学生各24人为被试,提供难度不同的3种材料,考查在限定的时间内儿童在3种材料间进行的学习时间分配决策水平的发展。结果：（1）在三种任务定向下,儿童学习时间分配决策水平均随年龄增长而提高。（2）不同的任务定向要求对不同年级儿童学习时间分配决策的影响不同。（3）在本实验条件下,儿童学习时间分配策略的使用,经历了三个阶段：第一个阶段,不使用策略;第二个阶段,使用策略但效果不稳定;第三个阶段,使用策略且有稳定效果