Stability of developmental status and risk of impairment at 24 and 36 months in late preterm infants

BackgroundFew studies investigated whether late preterm infants might have developmental delays in several domains in early life and how stable the lag in developmental status might be.AimWe aimed to examine the stability of potential delays across developmental domains at 24 and 36 months of age in late preterm (34°-36⁶ weeks) and term (≥37 weeks) children and whether the risk of delays remained high at 36 months.Study design, subjects, and outcome measureWe conducted a prospective cohort analysis of the children of pregnant women participating in the Vitamin Antenatal Asthma Reduction Trial (VDAART). 652 children who were prospectively followed up and had parent-completed Ages Stages Questionnaires (ASQ-3) questionnaires at both 24 and 36 months were analyzed to assess their domain-specific developmental status.Results6.61 % (42/635) of children had a late preterm birth. Developmental delays were stable between 24 and 36 months on all 5 domains for the children born preterm and on 4/5 domains for those born at term. The developmental domains with the status stability at 24 and 36 months in both late preterm and term children were the gross motor, communication, personal-social skills, and problem-solving. Late preterm children compared with term children remained at higher risk of delays at 36 months for gross motor, communication, and problem-solving skills (aOR = 4.54, 95 %CI: 1.81−10.79; aOR = 8.60, 95 %CI: 3.10−23.28 and aOR = 3.80, 95 %CI: 1.58−8.73, respectively).ConclusionLate preterm birth is associated with suboptimal development and stability in several domains at both 24 and 36 months and compared with term birth, requiring early monitoring and assessment of the developmental lag to avoid potential long-term implications.     

Evolution of Destructive Aggression

Aggression is defined as a mechanism of spacing by means of force or displays. It has evolved independently in different animal groups. The mechanisms underlying it are therefore not homologous throughout the animal kingdom. The phenomenon of aggression is so widespread, however, that strong selection pressures must be responsible for its development along analogous lines. Its most obvious functions are in competition for mates, natural resources, and territories, and in the preservation of group identity in many gregarious species. Aggression is often ritualized so that no damage is done to conspecifics. This ritualization may appear as modification of fighting into a tournament, or as the development of submissive postures which block further aggression in the opponent shortly after the onset of a potentially damaging fight. Animal aggression is preprogrammed by phylogenetic adaptation in well-defined ways, but can be modified by experience. The inborn programs involve motor patterns, innate releasing mechanisms, releasers, motivating mechanisms, and learning dispositions specific for the species. Aggression on this biological level can be observed in humans as intragroup aggression. Certain motor patterns and signals which lead to the release of aggression are universal. Some can even be found in deaf- and blind-born people, proving their innateness. A number of patterns of aggression in man are highly ritualized and - in a way analogous to that found in many animals - mechanisms of control have evolved inhibiting the killing of a conspecific. There are strong indications of the existence of motivating mechanisms within the brain, e.g., in the form of neuronal circuits, that show a degree of spontaneity. The type of destructive aggression which we call war, is a product of cultural evolution. War takes advantage of the given motivational structure of man, including his fear of strangers, which develops in every baby independently of experience and makes men inclined to form closed groups and causes them to be wary of or hostile to strangers. Based on these tendencies, man underwent a process of cultural subspeciation. Groups demarcated themselves from others by custom, erecting communication barriers. The development of languages demonstrates how fast and efficient this process is. Members of the same group, during this process, were defined as the “real man,” outsiders often were to be valued less -or even considered nonhuman. On the basis of this self-indoctrination, cultural codes of conduct developed, which allowed members of other groups to be killed when groups competed for resources. A cultural fiiter of norms was established which demanded killing under defined conditions, and was superimposed upon the biological filter of norms which inhibits the killing of a human being. This results in a conflict of norms, which is universally felt as guilt, since the biological filter of norms, though superimposed, is nonetheless working, particularly in the circumstance of a personal encounter. The more advanced the technique of armament, which allows fast and distant killing, the less the inhibitions are activated. Nonetheless, ritualizations occur on the cultural level. Warfare is sometimes ritualized and conventions are developed to prevent escalation into massacres, or the wholesale destruction of the subjugated enemy. To a great extent, this is certainly a result of our inborn moral code, If nothing like this were given to man our situation would be disastrous indeed. Whether cultural evolution will, in the future, be guided by moral maxims in accord with our human nature is a deeision men must make rationally. Although a ruthless ethnocentrism may bring advantage to a warring group, this may eventually prove fatal to mankind as a whole. In the escalating competition mankind runs the danger not only of exhausting its resources, but of destroying itself with its new weapons. If the outcome were not selfdestruction but domination by one group it would impoverish the diversity of human cultures, and thus seriously cut down man's spectrum of adaptability. War fulfills certain functions, similar to those found in animals. It is mainly a mechanism for preserving and extending one's territory, and a means of getting access to scarce resources. It is therefore dangerous to consider war merely as a pathological form of human behavior because this may distract our attention from the fact that, h order to overcome war, the functions of war have to be fulfilled by nonviolent means. Cultural evolution phenocopies biological evolution, due to similarities in the selection pressures shaping its course. This allows us to define the point of the evolutionary spiral we are at currently and to predict our future course.     

Does Smoking by Pregnant Women Influence IQ, Birth Weight, and Developmental Disabilities in Their Infants? A Methodological Review and Multivariate Analysis

Neuropsychologists are asked frequently to address the issue of the cause of a variety of central nervous system problems that may affect higher cortical function. One such issue is the relationship of maternal smoking to adverse reproductive outcomes involving neocortical insult including mental retardation, learning disabilities, attention-deficit hyperactivity disorder, and other insults that may be related to prolonged hypoxic states in utero. The instant paper develops the issue of causation as a scientific inquiry, reviews several traditional, applicable models, and critiques these models. An additional model of motility is proposed and discussed. The issue of the relationship of maternal smoking to adverse reproductive outcomes is then addressed from a review perspective along with new empirical analyses, the latter demonstrating that researchers tend to draw causal conclusions independent of whether the respective design of their studies would support conclusions about the causation of an event. Causal conclusions in the absence of causal designs have often lead to incomplete and incorrect conclusions. It is necessary to match conclusions not only to the outcomes of a research project but also to its design and accompanying limitations.     

The Embodiment of Birth

This paper rejects dualism between mind and body toview the self as an embodied biological entity. Rather thanseeing the body operating by passive mechanisms as Descartesargues, it holds it actively moves in and even defines its world. Carrying this perspective to medicine presents an attempt toincorporate or work with internal processes of the body; it issensitive to how patients identify with their bodies. Thecurrent discussion over the extent to which women should try tohave natural childbirths provides a concrete example of thedifferences between mechanistic and embodied approaches tomedicine.     

Learning Painting Styles: Spacing is Advantageous when it Promotes Discriminative Contrast

Repetitions that are distributed over time benefit long‐term retention more than when massed. Recent research has suggested that the advantage of spacing may extend to induction learning‐‐learners were better able to identify the artists of previously unseen paintings when, during training, artists' paintings were spaced (paintings by different artists were interleaved) rather than massed (a given artist's paintings were blocked and presented consecutively). Increasing temporal spacing between paintings while maintaining a presentation sequence that was blocked by artist produced test performance no better than massed presentation (both worse than interleaved presentation) (Experiment 1). Displaying paintings by different artists simultaneously produced test performance as good as interleaved presentation and better than massed presentation (Experiment 2). Our findings argue that spacing benefits perceptual induction learning not because of increased temporal spacing per se but rather because interleaving paintings by different artists enhances discriminative contrast between the artists' styles. Copyright © 2011 John Wiley & Sons, Ltd.     

Birth cohort changes in Chinese adolescents' mental health

In China, rapid economic growth and increasing social problems constitute two basic characteristics of contemporary social change. During the process of dramatic social change, an emerging question is how adolescents' mental health has changed across birth cohorts. The present paper reviews four studies of crosstemporal meta-analysis conducted by us. By meta-analysis of previous literature, we examined changes in mean scores on mental health measures over time (from the early 1990s to the mid-2000s). It was found that since the early 1990s, Chinese adolescents' mental health deteriorated across birth cohorts, shown in increased scores on the negative indicators of mental health (e.g. mental problems, anxiety, and depression), whereas self-esteem as a positive trait decreased. The dropping trend in Chinese adolescents' mental health could be attributed to social change, especially increasing social problems. Therefore, adequate attention must be paid to potential influences of social change on individuals' psychological development.     

Repetition and Spacing Effects on True and False Recognition in the DRM Paradigm

Dubuisson, J.-B., Fiori, N. & Nicolas, S. (2012) Repetition and spacing effects on true and false recognition in the DRM paradigm. Scandinavian Journal of Psychology 53, 382-389. With the Deese-Roediger-McDermott (DRM) paradigm, the repetition effect on false memory had never been clarified. More importantly, the spacing effect on false memory was never directly investigated. So, we carried out two experiments to examine these effects on true and false recognition. In experiment 1, participants studied DRM lists which were presented one, three or five times. In experiment 2, we manipulated the repetition mode (massed vs. spaced with a short interval or a long interval) to explore the spacing effect. The results showed that true recognition increased monotonically with list repetition (experiment 1) and repetition spacing (experiment 2). The most striking finding was a similar spacing effect but no repetition effect on false recognition. Thus, these results were principally discussed in the light of the activation-monitoring framework.     

父母差别对待与青少年问题行为的关系：一个有调节的中介模型

通过问卷调查的方式,采用同胞不同经历问卷、关系网络问卷和问题行为量表对开封市1179名初高中学生进行研究。研究结果显示：（1）父母差别对待与外/内化问题行为呈显著正相关;同胞关系与外/内化问题行为呈显著负相关;父母差别对待和同胞关系呈显著负相关。（2）同胞关系在父母差别对待与外/内化问题行为之间起部分中介作用。（3）“父母差别对待→同胞关系→外/内化问题行为”这一中介路径的前半段受出生顺序调节;与年幼个体相比,父母差别对待对年长个体的同胞关系影响更大。出生顺序会调节父母差别对待对同胞关系的影响,提示二胎家庭要更关注年长个体的变化。     

Oculomotion mediates attentional guidance toward temporarily close objects

Previous research has identified multiple features of individual objects that are capable of guiding visual attention. However, in dynamic multi-element displays not only individual object features but also changing spatial relations between two or more objects might signal relevance. Here we report a series of experiments that investigated the hypothesis that reduced inter-object spacing guides visual attention toward the corresponding objects. Our participants discriminated between different probes that appeared on moving objects while we manipulated spatial proximity between the objects at the moment of probe onset. Indeed, our results confirm that there is a bias toward temporarily close objects, which persists even when such a bias is harmful for the actual task (Experiments 1a and 1b). Remarkably, this bias is mediated by oculomotor processes. Controlling for eye-movements reverses the pattern of results (Experiment 2a), whereas the location of the gaze tends toward the temporarily close objects under free viewing conditions (Experiment 2b). Taken together, our results provide insights into the interplay of attentional and oculomotor processes during dynamic scene processing. Thereby, they also add to the growing body of evidence showing that within dynamic perception, attentional and oculomotor processes act conjointly and are hardly separable.     

The effect of preterm birth on infant negative affect and maternal postpartum depressive symptoms: A preliminary examination in an underrepresented minority sample

ObjectiveTo examine the effect of preterm birth on maternal postpartum depressive symptoms and infant negative affect in an underrepresented minority sample.MethodParticipants were 102 mothers and their 3- to 10-month-old infants. Mothers completed the Edinburgh Postnatal Depression Scale and the Infant Behavior Questionnaire-Revised.ResultsRelative to normative samples, the current underrepresented minority sample of mostly Hispanics and Blacks displayed high rates of preterm birth (30%) and maternal postpartum depressive symptoms (17%). Preterm birth had a significant direct effect on postpartum depressive symptoms and infant negative affect. Additionally, there was an indirect effect of postpartum depressive symptoms on the relation between preterm birth and infant negative affect. Specifically, lower birth weight and gestational age predicted higher levels of depressive symptoms in the mother, and higher levels of depressive symptoms in the mother, in turn, predicted higher levels of infant negative affect.ConclusionFindings emphasize the importance of screening for postpartum depressive symptoms and infant negative affect among mothers and their preterm infants, especially among families from underrepresented minority backgrounds.