Creating new memories that are quickly accessed and confidently held

In two experiments involving a total of 542 subjects, a series of slides depicting a burglary was shown. After the initial event, subjects were exposed to one or more narratives about the event that contained some misinformation or neutral information about four critical details. Finally, subjects were tested on their memories of what they saw, and their reaction times and confidence levels were measured. When subjects took a standard test in which the misinformation item was a possible response option, they responded very quickly and confidently when making this incorrect choice. Misled subjects responded as quickly and confidently to these "unreal" memories as they did to their genuine memories. It does not seem, then, that the misinformation effect arises from a large proportion of subjects who must resolve a conflict between two memories when they are tested, a conflict that would be expected to take time. When subjects took a modified test in which the misinformation item was not a possible response, misled subjects were as accurate as were controls, but they responded more slowly, regardless of whether they ultimately chose the right or wrong option. These findings indicate that misinformation does introduce some form of interference not detected by a simple test of accuracy.     

Achievement in mathematics in grades 9 and 11 in Limpopo Province of South Africa: introduction of a problem-based approach

800 students in Grades 9 and 11 of schools in the Central Region of the Limpopo Province of South Africa completed the Study Orientation Questionnaire in Mathematics. Mean age in Grade 11 was 17.5 yr. (SD = 1.4) and in Grade 9 15.1 yr. (SD = 1.2). Intervention was aimed at teachers and students in this group. Teachers in the trained group received training in a problem-based approach to teaching and learning in mathematics and introduced these principles into their classes. Analysis of variance on the differences between post- and pretest scores of the six subscales and the marks in mathematics and English yielded no effects for grade, sex, or grade after 6 mo. Pearson correlations for students in Grade 11 were positive between study orientation and achievement in mathematics. Improving teachers' training and expertise, transforming disadvantaged learning environments, and developing necessary formal and informal mathematical knowledge seem both essential and difficult.     

Predictors of neuropsychological test performance after pediatric traumatic brain injury

The influence of neurological and demographic variables on neuropsychological test performance was examined in 100 9-to 16-year-old children with traumatic brain injury (TBI). Regression analyses were conducted to determine the relative contributions of coma, neuroimaging findings, ethnicity, socioeconomic status, and gender to variance in performance on the Wechsler Intelligence Scale for Children-Third Edition (WISC-III), California Verbal Learning Test--Children's Version (CVLT-C), and the Children's Category Test. Both neurological and demographic variables contributed to performance on various WISC-III factor index scores as well as the CVLT-C. No evidence for a moderating effect of demographic variables was found, but speed of information processing mediated the effect of neurological and demographic variables on CLVT-C performance. It is concluded that demographic variables have an incremental effect on the neuropsychological test performance of children with TBI above and beyond the influence of injury severity.     

WAIS-III factor index score patterns after traumatic brain injury

Profile subtypes, based on the Wechsler Adult Intelligence Scale-Third Edition (WAIS-III) factor index scores, were examined in a sample of 166 patients with traumatic brain injury (TBI) by means of a two-stage clustering procedure. Three reliable subtypes were found that were differentiated primarily by level of performance across all factor index scores, although each of them demonstrated a relative weakness on the Processing Speed index. These subtypes were then validated on the basis of demographic variables, injury parameters, and additional psychometric measures that had not been included in the clustering procedures. The results indicated that performance on the WAIS-III after TBI was affected by both injury severity and level of education. It is concluded that there is no unique "signature" profile on the WAIS-III after TBI, except that a relative strength on the Processing Speed index is uncommon with this condition.     

Latent structure of the Wisconsin Card Sorting Test after pediatric traumatic head injury.

The performance of 80 pediatric patients with traumatic head injury (THI) on the Wisconsin Card Sorting Test (WCST; Heaton, Chelune, Talley, Kay, & Curtiss, 1993) was examined to determine the underlying latent structure. Exploratory factor analysis with oblique rotation identified three factors: response accuracy, failure to self-monitor, and learning. The response accuracy factor was directly affected by both age and length of coma. Level of performance on this factor also covaried with post-injury psychometric intelligence. It is concluded that interpretation of the WCST results of children with THI should consider the multifactorial nature of the instrument in combination with injury severity characteristics and demographic variables.     

Career Adapt-Abilities Scale—South African Form: Psychometric properties and construct validity

The Career Adapt-Abilities Scale—South African Form (CAAS) consists of four scales, each with six items that measure concern, control, curiosity, and confidence as psychosocial resources for managing occupational transitions, developmental tasks and work traumas. Internal consistency estimates for the subscale and total scores ranged from good to excellent. The factor structure was similar to the structure computed for combined data from 13 countries.     

Cognitive reactivity as outcome and working mechanism of mindfulness-based cognitive therapy for recurrently depressed patients in remission

Major depressive disorder is a prevalent condition with high relapse rates. There is evidence that cognitive reactivity is an important vulnerability factor for the recurrence of depression. Mindfulness-based interventions are designed to reduce relapse rates, with cognitive reactivity as one of the proposed working mechanisms. In a randomised controlled trial we compared the effect of mindfulness-based cognitive therapy (MBCT) with treatment-as-usual (TAU) on cognitive reactivity in recurrently depressed patients (N?=?115). Depressive symptoms, cognitive reactivity, and mindfulness skills were assessed pre and post treatment. Patients in the MBCT group reported a significantly greater reduction in cognitive reactivity than those in the TAU group (d?=?.51). The reduction of cognitive reactivity appeared to mediate the association between MBCT/TAU and decrease of depressive symptoms, using pre and post scores. The current study provides evidence that MBCT reduces cognitive reactivity and preliminary evidence that cognitive reactivity is a working mechanism of MBCT.     

Prototypicality of responses of autistic,language disordered,and normal children in a word fluency task

This article describes an example of making pediatric neuropsychological assessments more time-efficient. Empirical support, including new data, for the utilization of an eight-subtest short form of the Wechsler Intelligence Scale for Children-Third Edition (WISC-III; Wechsler, 1991) is reviewed. It is concluded that this short form of the WISC-III is a valid substitute for the complete version under most clinical circumstances, allowing the practitioner to expand on interview, history or more specific neuropsychological tests without adding financial or time burdens to the evaluation.     

Pediatric Neuropsychological Reports: Do They Really Have To Be So Long?

This article offers a proposal to keep reports on pediatric neuropsychological assessments succinct and specific. A format is recommended that emphasizes interpretation and implications of assessment data, as opposed to detailed review of numeric test results. Practical applications and ramifications are discussed and are illustrated with case examples.     

Validity of a short form of the WISC-III in children with traumatic head injury

The concurrent, construct, and criterion validities of Donders' (in press) short form of the Wechsler Intelligence Scale for Children - Third Edition (WISC-III) were evaluated in a sample of 171 children with traumatic head injury (THI). Correlations between the short-form deviation quotients and their full-length counterparts were statistically significant. Confirmatory factor analysis revealed that a four-factor model (composed of Verbal Comprehension, Perceptual Organization, Freedom from Distractibility, and Processing Speed) fit the data relatively well. The short-form deviation quotients also had statistically significant correlations with length of coma. It is concluded that this short form is an accurate and valid alternative to the full-length WISC-III in children with THI.