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Department/Unit:Child and Adolescent Psychiatry

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The neurobiology of infant maternal odor learning

Raineki, C; Pickenhagen, A; Roth, T L; Babstock, D M; McLean, J H; Harley, C W; Lucion, A B; Sullivan, R M
Infant rats must learn to identify their mother's diet-dependent odor. Once learned, maternal odor controls pups' approach to the mother, their social behavior and nipple attachment. Here we present a review of the research from four different laboratories, which suggests that neural and behavioral responses to the natural maternal odor and neonatal learned odors are similar. Together, these data indicate that pups have a unique learning circuit relying on the olfactory bulb for neural plasticity and on the hyperfunctioning noradrenergic locus coeruleus flooding the olfactory bulb with norepinephrine to support the neural changes. Another important factor making this system unique is the inability of the amygdala to become incorporated into the infant learning circuit. Thus, infant rats appear to be primed in early life to learn odors that will evoke approach responses supporting attachment to the caregiver
PMCID:3602791
PMID: 20835686
ISSN: 1414-431x
CID: 134394

Antagonism of lateral amygdala alpha1-adrenergic receptors facilitates fear conditioning and long-term potentiation

Lazzaro, Stephanie C; Hou, Mian; Cunha, Catarina; LeDoux, Joseph E; Cain, Christopher K
Norepinephrine receptors have been studied in emotion, memory, and attention. However, the role of alpha1-adrenergic receptors in fear conditioning, a major model of emotional learning, is poorly understood. We examined the effect of terazosin, an alpha1-adrenergic receptor antagonist, on cued fear conditioning. Systemic or intra-lateral amygdala terazosin delivered before conditioning enhanced short- and long-term memory. Terazosin delivered after conditioning did not affect consolidation. In vitro, terazosin impaired lateral amygdala inhibitory postsynaptic currents leading to facilitation of excitatory postsynaptic currents and long-term potentiation. Since alpha1 blockers are prescribed for hypertension and post-traumatic stress disorder, these results may have important clinical implications
PMCID:2948893
PMID: 20870745
ISSN: 1549-5485
CID: 135005

Aligning Research and Policy on Social-Emotional and Academic Competence for Young Children

Nadeem, Erum; Maslak, Kristi; Chacko, Anil; Hoagwood, Kimberly Eaton
RESEARCH FINDINGS: The purpose of this article is to describe current education policies as they relate to the promotion of social, emotional, and academic (SEA) development and competence for young children. Academic and social-emotional competencies are described and conceptualized as developmentally linked, reciprocal processes that should be supported by education in an integrated, holistic manner. PRACTICE OR POLICY: The article reviews major public policies and national initiatives that have implications for the education of young children (e.g., Head Start, No Child Left Behind, IDEA) and highlights opportunities within these policies to promote programs that can support SEA competencies, as well as the limitations of these policies. The article also includes a review of the limitations of existing resources available to educators to identify evidence-based programs that support SEA competencies and concludes with recommendations for better alignment between research and policy to support SEA competencies.
PMCID:4306577
PMID: 25632216
ISSN: 1040-9289
CID: 1456262

Bipolar disorder and valproate-induced hyperammonemic encephalopathy in an adolescent with diabetes

Young, Lawrence; Coffey, Barbara J
PMID: 20973717
ISSN: 1557-8992
CID: 114197

A national study of the impact of outpatient mental health services for children in long-term foster care

Bellamy, Jennifer L; Gopalan, Geetha; Traube, Dorian E
Despite the tremendous mental health need evidenced by children in foster care and high rates of use of mental health services among children in foster care, little is known about the impact of outpatient mental health services on the behavioral health of this population. This study utilizes data from the National Survey of Child and Adolescent Well-being (NSCAW), the first nationally representative study of child welfare in the United States. A subsample of 439 children who have experienced long-term foster care were included in this study. These data were used to estimate the impact of outpatient mental health services on the externalizing and internalizing behavior problems of children in long-term foster care. A propensity score matching model was employed to produce a robust estimate of the treatment effect. Results indicate that children who have experienced long-term foster care do not benefit from the receipt of outpatient mental health services. Study results are discussed in the context of earlier research on the quality of mental health services for children in foster care.
PMCID:3049724
PMID: 20923897
ISSN: 1359-1045
CID: 586842

First graders' literacy and self-regulation gains: The effect of individualizing student instruction

Connor, Carol McDonald; Ponitz, Claire Cameron; Phillips, Beth M; Travis, Q Monet; Glasney, Stephanie; Morrison, Frederick J
We examined the effect of individualizing student instruction (ISI; N=445 students, 46 classrooms) on first graders' self-regulation gains compared to a business-as-usual control group. Self-regulation, conceptualized as a constellation of executive skills, was positively associated with academic development. We hypothesized that the ISI intervention's emphasis on teacher planning and organization, classroom management, and the opportunity for students to work independently and in small groups would promote students' self-regulation. We found no main effect of ISI on self-regulation gains. However, for students with weaker initial self-regulation, ISI was associated with greater self-regulation gains compared to peers in control classrooms. The ISI effect on self-regulation was greater when the intervention was more fully implemented
PMCID:2976978
PMID: 20728691
ISSN: 1873-3506
CID: 143266

Early language patterns of toddlers on the autism spectrum compared to toddlers with developmental delay

Ellis Weismer, Susan; Lord, Catherine; Esler, Amy
This study characterized early language abilities in toddlers with autism spectrum disorders (n = 257) using multiple measures of language development, compared to toddlers with non-spectrum developmental delay (DD, n = 69). Findings indicated moderate to high degrees of agreement among three assessment measures (one parent report and two direct assessment measures). Performance on two of the three measures revealed a significant difference in the profile of receptive-expressive language abilities for toddlers with autism compared to the DD group, such that toddlers with autism had relatively more severe receptive than expressive language delays. Regression analyses examining concurrent predictors of language abilities revealed both similarities in significant predictors (nonverbal cognition) and differences (frequency of vocalization, imitation) across the diagnostic groups
PMCID:2941531
PMID: 20195735
ISSN: 1573-3432
CID: 142999

Social network influences on service use among urban, African American youth with mental health problems

Lindsey, Michael A; Barksdale, Crystal L; Lambert, Sharon F; Ialongo, Nicholas S
PURPOSE: To examine the associations between the size and quality of African-American adolescents' social networks and their mental health service use, and to examine whether these social network characteristics moderate the association between need for services because of emotional or behavioral difficulties and use of services. METHOD: Participants were a community sample of African-American adolescents (N = 465; 46.2% female; mean age, 14.78) initially recruited in 1st grade for participation in an evaluation of two preventive intervention trials. Social network influences and adolescents' mental health service use in schools and community were accessed. RESULTS: A significant positive association between adolescents' perception that their social network was helpful and their use of school mental health services was identified. The significant associations between need for services for anxiety, depression, or behavior problems, and school and outpatient service use were moderated by size of the social network. Specifically, among youth in need of services for anxiety or depression, school-based service use was higher for those with larger social networks. CONCLUSIONS: Implications for enhancing access to formal mental health services include further examination of key social network influences that potentially serve as facilitators or barriers to formal help-seeking. The findings also suggest that it might be important to integrate social network members into interventions to address the mental health needs of adolescents.
PMCID:2945602
PMID: 20864006
ISSN: 1879-1972
CID: 1850832

Emotional and behavioral sequelae of childhood maltreatment

Perepletchikova, Francheska; Kaufman, Joan
PURPOSE OF REVIEW: To summarize research on the emotional and behavioral consequences of childhood maltreatment published between January 2009 and April 2010. RECENT FINDINGS: Many studies published during this time frame replicated prior research studies that have shown that childhood maltreatment is a nonspecific risk factor for a range of different emotional and behavioral problems. Two research groups highlighted the high revictimization rate among abused girls, with more than one in five abused girls found to have subsequent experiences of rape by young adulthood. The association between physical and sexual abuse and subsequent perpetration of violence toward self and other was also demonstrated, with one study noting the particular vulnerability of sexually abused boys to these negative outcomes. In this study, sexually abused boys had a 15-fold increased risk of making a suicide attempt, and a 45-fold increased risk of perpetrating domestic violence. A three-generation longitudinal study of the intergenerational transmission of abuse is also highlighted in the review, together with emerging findings on genetic and environmental risk and protective factors associated with variability in child outcomes. SUMMARY: Maltreated children are at-risk for a host of negative outcomes. Although marked gains have been made in treating trauma-related psychopathology, these recent studies highlight the need to examine long-term outcomes of youths who have received state-of-the-art evidence-based interventions, and determine if there is a need for more comprehensive and sustained intervention approaches
PMCID:4113480
PMID: 20736837
ISSN: 1531-698x
CID: 142948

Using social information to guide action: infants' locomotion over slippery slopes

Adolph, Karen E; Karasik, Lana B; Tamis-LeMonda, Catherine S
In uncertain situations such as descending challenging slopes, social signals from caregivers can provide infants with important information for guiding action. Previous work showed that 18-month-old walking infants use social information selectively, only when risk of falling is uncertain. Experiment 1 was designed to alter infants' region of uncertainty for walking down slopes. Slippery Teflon-soled shoes drastically impaired 18-month-olds' ability to walk down slopes compared with walking barefoot or in standard crepe-soled shoes, shifting the region of uncertainty to a shallower range of slopes. In Experiment 2, infants wore Teflon-soled shoes while walking down slopes as their mothers encouraged and discouraged them from walking. Infants relied on social information on shallow slopes, even at 0 degrees , where the probability of walking successfully was uncertain in the Teflon-soled shoes. Findings indicate that infants' use of social information is dynamically attuned to situational factors and the state of their current abilities.
PMCID:2963195
PMID: 20875725
ISSN: 1879-2782
CID: 1651802