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Department/Unit:Child and Adolescent Psychiatry

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Cognitive behavioral treatment of sleep disorders in children and adolescents

Chapter by: Pincus, Donna B; Elkins, R. Meredith; Weiner, Courtney; Hardway, Christina
in: The handbook of behavioral medicine by Mostofsky, David I [Eds]
[S.l.] : Wiley-Blackwell, 2014
pp. 223-250
ISBN: 978-1-118-45399-5
CID: 1775332

Neural specialization for speech in the first months of life

Shultz, Sarah; Vouloumanos, Athena; Bennett, Randi H; Pelphrey, Kevin
How does the brain's response to speech change over the first months of life? Although behavioral findings indicate that neonates' listening biases are sharpened over the first months of life, with a species-specific preference for speech emerging by 3 months, the neural substrates underlying this developmental change are unknown. We examined neural responses to speech compared with biological non-speech sounds in 1- to 4-month-old infants using fMRI. Infants heard speech and biological non-speech sounds, including heterospecific vocalizations and human non-speech. We observed a left-lateralized response in temporal cortex for speech compared to biological non-speech sounds, indicating that this region is highly selective for speech by the first month of life. Specifically, this brain region becomes increasingly selective for speech over the next 3 months as neural substrates become less responsive to non-speech sounds. These results reveal specific changes in neural responses during a developmental period characterized by rapid behavioral changes.
PMCID:4232861
PMID: 24576182
ISSN: 1467-7687
CID: 1769662

Vowel sounds in words affect mental construal and shift preferences for targets

Maglio, Sam J; Rabaglia, Cristina D; Feder, Michael A; Krehm, Madelaine; Trope, Yaacov
A long tradition in sound symbolism describes a host of sound-meaning linkages, or associations between individual speech sounds and concepts or object properties. Might sound symbolism extend beyond sound-meaning relationships to linkages between sounds and modes of thinking? Integrating sound symbolism with construal level theory, we investigate whether vowel sounds influence the mental level at which people represent and evaluate targets. We propose that back vowels evoke abstract, high-level construal, while front vowels induce concrete, low-level construal. Two initial studies link front vowels to the use of greater visual and conceptual precision, consistent with a construal account. Three subsequent studies explore construal-dependent tradeoffs as a function of vowel sound contained in the target's name. Evaluation of objects named with back vowels was driven by their high- over low-level features; front vowels reduced or reversed this differentiation. Thus, subtle linguistic cues appear capable of influencing the very nature of mental representation.
PMID: 24392711
ISSN: 1939-2222
CID: 1763502

Attentional problems

Chapter by: Adler, Lenard A; Boes, Thomas M; Shaw, David M; Alperin, Samuel
in: Neurologic differential diagnosis: A case-based approach by Ettinger, Alan B; Weisbrot, Deborah M [Eds]
New York, NY, US: Cambridge University Press, 2014
pp. 61-69
ISBN: 978-1-107-01455-8
CID: 1754292

The Impact of Children's Language Ability on Parent Cognitions and Harsh Discipline Practices

Del Vecchio, Tamara; Pochtar, Randi; Rhoades, Kimberly
This study examined associations between children's language ability and maternal cognitions about the intentionality and aversiveness of child behaviour, and mothers' reported harsh discipline responses to child misbehaviour. We tested associations with each type of cognition separately as well as in a single model to explore their unique associations. Participants included 69 mothers and their 18- to 37-month-old children. Mothers completed the Parenting Scale and were asked to rate the aversiveness and intentionality cognitions in response to eight common toddler problem behaviours. The Preschool Language Scale was administered to the children by an objective evaluator. A path analysis demonstrated that children's language ability was associated with maternal intentionality cognitions about their children's behaviour, which, in turn, was associated with mothers' harsh discipline. These findings highlight the importance of examining developmental markers of harsh parenting
ISI:000340470900003
ISSN: 1522-7227
CID: 1753142

A cross-cultural examination of preschool teacher cognitions and responses to child aggression

Pochtar, Randi; Del Vecchio, Tamara
The associations among preschool teachers' attributions about child responsibility, intentionality, knowledge, and the seriousness of hypothetical displays of children's aggressive behavior are examined in United States (N=82) and Vietnamese (N=91) preschool teachers. The results suggest cross-cultural differences as well as similarities in the relations among preschool teachers' cognitions, affect, and disapproval of physical aggression. Teachers' perceptions of the seriousness of and their negative affective responses to aggression, but not their beliefs about intent, predict teacher disapproval for both Vietnamese and US samples. Cross-cultural comparisons indicate in general US teachers express more negative attributions about, and Vietnamese teachers endorse more disapproval of, child aggression. Although the overall cognitive model is consistent across cultures, cross-cultural differences are found on teacher perception and responses to child aggression. It is important to consider such group differences in light of considerations to employ Western educational models or psychological interventions with individuals in non-Western countries.
ISI:000332974600006
ISSN: 1461-7374
CID: 1753152

Localizing hand motor area using resting-state fMRI: validated with direct cortical stimulation [Case Report]

Qiu, Tian-ming; Yan, Chao-gan; Tang, Wei-jun; Wu, Jin-song; Zhuang, Dong-xiao; Yao, Cheng-jun; Lu, Jun-feng; Zhu, Feng-ping; Mao, Ying; Zhou, Liang-fu
BACKGROUND: Resting-state functional magnetic resonance imaging (R-fMRI) is a promising tool in clinical application, especially in presurgical mapping for neurosurgery. This study aimed to investigate the sensitivity and specificity of R-fMRI in the localization of hand motor area in patients with brain tumors validated by direct cortical stimulation (DCS). We also compared this technique to task-based blood oxygenation level-dependent (BOLD) fMRI (T-fMRI). METHODS: R-fMRI and T-fMRI were acquired from 17 patients with brain tumors. The cortex sites of the hand motor area were recorded by DCS. Site-by-site comparisons between R-fMRI/T-fMRI and DCS were performed to calculate R-fMRI and T-fMRI sensitivity and specificity using DCS as a "gold standard". R-fMRI and T-fMRI performances were compared statistically RESULTS: A total of 609 cortex sites were tested with DCS and compared with R-fMRI findings in 17 patients. For hand motor area localization, R-fMRI sensitivity and specificity were 90.91 and 89.41 %, respectively. Given that two subjects could not comply with T-fMRI, 520 DCS sites were compared with T-fMRI findings in 15 patients. The sensitivity and specificity of T-fMRI were 78.57 and 84.76 %, respectively. In the 15 patients who successfully underwent both R-fMRI and T-fMRI, there was no statistical difference in sensitivity or specificity between the two methods (p = 0.3198 and p = 0.1431, respectively) CONCLUSIONS: R-fMRI sensitivity and specificity are high for localizing hand motor area and even equivalent or slightly higher compared with T-fMRI. Given its convenience for patients, R-fMRI is a promising substitute for T-fMRI for presurgical mapping.
PMID: 25246146
ISSN: 0942-0940
CID: 1748942

Dialogue with the Novicks

Dowling, Scott; Lament, Claudia; Abrams, S; Dowling, AS; King, RA; Brinich, PM; Lament, C
Two of the editors of The Psychoanalytic Study of the Child converse with authors Kerry Kelly Novick and Jack Novick, Ph.D., about their paper "Concurrent Work with Parents of Adolescent Patients." Highlights include the authors' stated goal of restoring a positive relationship to the teen-parent bond, a new extension of the work of analysis with adolescents, the transference-countertransference complexities when the same analyst works with both adolescent and parents, and the uses of the term transformation-its traditional meaning in the developmental process of the individual and the authors' conceptualization of the term in their adolescent-parent treatment paradigm.
ISI:000353427100008
ISSN: 0079-7308
CID: 1718802

The Psychoanalytic Study of the Child An Introduction

Lament, Claudia; Abrams, S; Dowling, AS; King, RA; Brinich, PM; Lament, C
ISI:000353427100001
ISSN: 0079-7308
CID: 1718782

Improving Clinical Prediction of Bipolar Spectrum Disorders in Youth

Frazier, Thomas W; Youngstrom, Eric A; Fristad, Mary A; Demeter, Christine; Birmaher, Boris; Kowatch, Robert A; Arnold, L Eugene; Axelson, David; Gill, Mary K; Horwitz, Sarah M; Findling, Robert L
This report evaluates whether classification tree algorithms (CTA) may improve the identification of individuals at risk for bipolar spectrum disorders (BPSD). Analyses used the Longitudinal Assessment of Manic Symptoms (LAMS) cohort (629 youth, 148 with BPSD and 481 without BPSD). Parent ratings of mania symptoms, stressful life events, parenting stress, and parental history of mania were included as risk factors. Comparable overall accuracy was observed for CTA (75.4%) relative to logistic regression (77.6%). However, CTA showed increased sensitivity (0.28 vs. 0.18) at the expense of slightly decreased specificity and positive predictive power. The advantage of CTA algorithms for clinical decision making is demonstrated by the combinations of predictors most useful for altering the probability of BPSD. The 24% sample probability of BPSD was substantially decreased in youth with low screening and baseline parent ratings of mania, negative parental history of mania, and low levels of stressful life events (2%). High screening plus high baseline parent-rated mania nearly doubled the BPSD probability (46%). Future work will benefit from examining additional, powerful predictors, such as alternative data sources (e.g., clinician ratings, neurocognitive test data); these may increase the clinical utility of CTA models further.
PMCID:4136460
PMID: 25143826
ISSN: 2077-0383
CID: 1709482