Congruence couple therapy for alcohol use and gambling disorders with comorbidities (part I): Outcomes from a randomized controlled trial

A nonblinded randomized trial was conducted at two Canadian provincial outpatient addiction clinics that tested the effectiveness of a systemic congruence couple therapy (CCT) versus individual-based treatment-as-usual (TAU) on nine clinical outcomes: (1) primary outcomes—alcohol use and gambling, psychiatric symptoms, and couple adjustment; (2) secondary outcomes—emotion regulation, substance use, depression, post-traumatic stress symptoms, and life stress. Data of primary clients and partners (N = 46) were analyzed longitudinally across baseline, posttreatment (5 months), and follow-up (8 months). Alcohol use disorder (95%) and gambling disorder (5%) were in the severe range at baseline, and co-addiction was 27%. Psychiatric comorbidity was 100%, and 18% of couples were jointly addicted. Between-group comparison favored CCT in primary outcomes with medium-to-large effect sizes (Cohen's h = 0.74–1.44). Secondary outcomes were also significantly stronger for CCT (Cohen's h = 0.27–1.53). Within-group, for all primary outcomes, a significant proportion of symptomatic CCT clients and partners improved, converging with ANOVA results of large effect sizes (0.14–0.29). All secondary outcomes improved significantly in CCT with large effect sizes (0.14–0.50). TAU showed significant within-group improvement in alcohol use, other substance use, and life stress with large effect sizes (0.16–0.40). Primary clients and partners made largely equivalent improvement within CCT and within TAU. Results were triangulated with clients' satisfaction ratings and counselors' reports. Overall, significant within-group effects were detected for CCT both clinically and statistically and between-group difference favored CCT. Future trials are required to validate these promising findings.     

At the root of the left–right asymmetries in spatial–numerical processing: From domestic chicks to human subjects

In this review, we discuss evidence showing that birds (Gallus gallus and Nucifraga columbiana) represent numerical magnitudes as being oriented from left to right. Subjects, trained to identify a target element (i.e. the 4th) in a series of sagittally oriented identical elements, when required to generalise on an identical series oriented spatially from left to right, correctly identified the target element “counting” from the left of the array. Moreover, chicks, when presented with sets of 5 vs. 10 or 6 vs. 9 imprinting objects, which were made to disappear one at a time behind one of two identical screens, spontaneously inspected the screen which occluded the larger set. Interestingly, chicks scored a higher percentage of correct choices when the larger of the two sets was on their right side. Similarities with the phenomenon of the spatially oriented (left to right) number line in humans are discussed. Animal models promise a fresh approach to the understanding of developmental mechanisms underlying the expression of knowledge, offering attractive arguments for doubting the uniqueness of human numerical cognition.     

Mathematical Abilities in Elementary School Children with Autism Spectrum Disorder

Although clinical practitioners often express concerns about the mathematical functioning of children with autism spectrum disorder (ASD), the field of mathematics remains a relatively unexplored topic in individuals with ASD. Moreover, research findings are fragmentary and hold inconclusive results. The present study aimed to examine whether grade 1 (aged 6–7 years) to 4 (aged 9–10 years) elementary school children with ASD scored significantly different from age‐adequate norms on mathematics. To this end, a multi‐componential approach of mathematics was used. Four domains of mathematics were assessed in 121 children with ASD: procedural calculation, number fact retrieval, word/language problems, and time‐related competences. All children attended general education classrooms, following the standard curriculum, and were coached by integrated educational services. Children with ASD showed a strength in word/language problems in second and fourth grade. There was evidence of a weakness for procedural calculation in first grade and for time‐related competences in first and third grade. In all other cases, average scores were shown. As such, results revealed a profile of strengths, average abilities, and weaknesses in mathematics and highlighted the importance of focusing on different domains of mathematics. Because a high variability in mathematical performance could be observed, we recommend an individual assessment when considering the mathematical trajectory of children with ASD. Copyright © 2015 John Wiley & Sons, Ltd.     

Reduced emotional stress reactivity to a real-life academic examination stressor in students participating in a 20-week aerobic exercise training: A randomised controlled trial using Ambulatory Assessment

ObjectivesTo examine if a preventive 20-week aerobic exercise intervention (AET) can improve emotional stress reactivity during real-life stress.DesignRandomised controlled trial; within-subject design.MethodSixty-one inactive students were randomly assigned to a waiting control and an AET group. To capture the situation-specific, intra-individual data in real life, electronic diaries were used. Participants reported their moods and perceived stress (PS) repeatedly over two days during their daily routines pre- and post-intervention. The pre-intervention baseline assessment was scheduled at the beginning of the semester, and the post-intervention assessment was scheduled at a real-life stressful episode, an academic examination. For the aerobic fitness assessment, both groups completed a cardiopulmonary exercise test on the treadmill before and after the intervention. Multilevel models (MLMs) were conducted to compare within- and between-subject associations.ResultsSignificant emotional stress reactivity was evident in both groups during all assessment periods. However, participants in the AET group showed lower emotional stress reactivity compared with their control counterparts after the 20-week training programme during the real-life stress episode (the academic examination).ConclusionsAET conferred beneficial effects on emotional stress reactivity during an academic examination, which is likely an extremely stressful real-life situation for students.AET appears to be a promising strategy against the negative health effects of accumulated emotional stress reactivity.     

Extra‐powerful on the visuo‐perceptual space,but variable on the number space: Different effects of optokinetic stimulation in neglect patients

We studied the effects of optokinetic stimulation (OKS; leftward, rightward, control) on the visuo‐perceptual and number space, in the same sample, during line bisection and mental number interval bisection tasks. To this end, we tested six patients with right‐hemisphere damage and neglect, six patients with right‐hemisphere damage but without neglect, and six neurologically healthy participants. In patients with neglect, we found a strong effect of leftward OKS on line bisection, but not on mental number interval bisection. We suggest that OKS influences the number space only under specific conditions.     

The paradox between the numerically competent baby and the slow learning of two- to four-year-old children / La paradoja entre el bebé numéricamente competente y el lento aprendizaje de los niños de dos a cuatro años de edad

Abstract

Since the 1980s, numerous laboratory investigations have been arguing that infants are numerically competent. This work presents a critical review of this line of research. We propose that despite the repertoire of numerical abilities attributed to infants and the seemingly natural character of the very first numbers in the numerical series, the semiotic complexity of their use and comprehension poses a cognitive challenge that children undertake, motivated, supported and often guided by others. This challenge involves a high degree of semiotic organization of the material world as well as an ability to manage early sign systems, systems which children learn how to use during their first years of life and which form the platform on which numbers are based.     

Objects,pictures and words. Effects of representational format on four-year-olds’ quantity knowledge / Objetos,imágenes y palabras. Efectos del formato representacional en el conocimiento de la cantidad a los cuatro años

Abstract

This study explores whether and how different external representations of quantity influence the performance of four-year-old children when constructing sets of a given cardinal number. Three representations of quantity were presented (objects, pictures and number words) in an adaptation of the ‘Give-a-number’ task, in sets that contained 2–6 items. The results show that the use of pictures facilitated children’s performance with quantities of three and four. These results are discussed by analysing the cognitive demands of representational formats, in terms of dual representation and iconicity, and according to the magnitude of the quantities involved.