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Neal

Effects of physical activity interventions on cognitive and academic performance in chi... - 1 views

shared by Neal on 15 Jan 19 - No Cached
  • it is critical to advance our understanding of opportunities that have the potential to positively influence brain development.
  • less is known about the potential effects of PA on cognitive and academic performance.
  • PA is positively associated with cognition and with structural and functional brain health and a neutral association with academic performance for children. 12 Not all of these reviews were systematic,
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  • Several hypotheses have been proposed to explain posited PA-related effects on cognitive and academic performance. Regular PA alters neurogenesis and angiogenesis and enhances central nervous system metabolism. 20 Furthermore, it
  • has been suggested that regular PA increases the availability of certain growth factors, such as brain-derived neurotrophic factor (BDNF), insulin-like growth factor-1 (IGF-1) and vascular endothelial growth factor (VEGF). All these systems and factors are involved with the maintenance and plasticity of the structure and function of the brain, 20 21 and thus with learning and memory
  • The majority of the studies included in the current review assessed the effects of PA in children aged 6–12 years. Seven studies reported children aged 5 years or younger, 44 51 52 64 77 79 80 and 13 studies included youths (ie, older than 12 years) in their studies. 37 39 43
  • The shortest intervention duration was 1 week, 54 62 79 and the longest spanned a period of 9 years.
  • Stratifying the evidence synthesis at the level of outcome for academic performance we conclude that there is strong evidence for beneficial effects of PA on maths performance (beneficial effects on 86% of the outcomes), but inconclusive evidence for language performance (beneficial effect on 27% of the outcomes).
    • Neal
       
      Is one more EF and/or WM dependent than the other? Is this evidence for PA and FI but not PA and CI?
  • The majority of the intervention studies implemented PA sessions of at least 30 min (n=41).
  • Many studies applied interventions that were delivered 5 days a week (n=28). The lowest frequency was 1 43 44 and the highest frequency was 6 days per week. 36 65 Most studies (n=34) assessed the effects of PA consisting primarily of aerobic exercise.
  • nine studies implemented more cognitively engaging PA, consisting of either coordinative exercise, 58 71 72 86 skill-based training, 69 motor skills training, 35 gesturing physical exercise, 52 perceptual motor training, 64 and motor-enriched learning activities. 73
  • Six studies assessed the effects of motor demanding or cognitively engaging activities. 31 43 44 53 54 70 Three of these studies implemented PA games specifically tailored to challenge core executive functions in a gross-motor fashion. 43 44 54 The majority of studies implemented separate PA sessions, whereas 14 studies delivered physically active academic lessons. 42 48 51 62 66 77–80 83 85 87
  • The intervention also showed small significant beneficial effects on attentional performance and impulse control after 1and 2 years, which were not sustained into the third year. After 9 years, children in the intervention group had significantly higher qualification scores for upper school
    • Neal
       
      A change in trajectory?
  • Most studies reporting intervention effects on cognitive performance, assessed domains of executive functions (in particular inhibition, working memory , updating, attention, task switching, and planning), speed of information processing, fluid and crystallised intelligence.
  • In particular, enhanced performance accuracy and increased P3 amplitude were observed in tasks requiring higher amounts of attention, inhibition and cognitive flexibility . T asks requiring less executive control were unaffected by the FITKids intervention.
    • Neal
       
      Perhaps it is the amount of EF involvolved in the outcome measure that determinew whentehr PA is effective>
  • Subramanian et al 65 reported beneficial effects of structured PA versus unstructured physical and creative sedentary activities in 12- to 17-year-olds on tasks measuring attention, concentration, non-verbal fluency , and mental flexibility
  • Although we found no evidence for beneficial effects on cognitive performance or overall academic performance, we found strong evidence for beneficial effects of PA on maths performance.
  • Cognitive/academic performance can theoretically improve through biological or psychosocial pathways, 20 and an interplay between the two is possible and probable.
  • beneficial effects on maths performance assessed intervention programmes with a minimal frequency of three sessions per week and a minimal programme duration of two school years.
  • The study conclusions suggested that their findings provided evidence for a more efficient use of neural resources underlying executive functions after participation in PA interventions, reflected in enhanced neural activity in regions supporting attention and working memory functions. 49
  • PA intervention may result in a more adult-like recruitment of prefrontal brain regions, which is important for many aspects of executive functions.
  • To establish the effect of combining academic content and PA, there should be at least three groups: (a) the intervention group that combines PA with academic content; (b) the non-active control group that only receives the same academic content as the intervention group, but without PA; (c) the active control group that only receives the PA component.
  • One high-quality study 54 suggested larger effects of coordinative or perceptual– motor forms of exercise on cognitive performance, particularly on executive functions, than aerobic exercise.
  • V ariability of practice that is central to coordination and perceptual–motor exercise training, for example, may be an interface between motor and cognitive development promotion. 9
  • Regarding moderators, it is likely that some children may benefit more from additional PA such as children with low PA levels or overweight children.
  • Interrupting and limiting sedentary time with standing desks or short activity bouts may be more feasible in the school setting and, therefore, a promising form of intervention.
  • Based on 11 high-quality intervention studies, we found inconclusive evidence of a beneficial effect of PA interventions on cognitive and overall academic performance in children. However, based on academic outcomes related to mathematics, we found strong evidence for beneficial effects of PA.
Neal

Executive Dysfunction Among Children With Reading Comprehension Deficits - 0 views

  • Emerging research supports the contribution of executive function (EF) to reading comprehension; however, a unique pattern has not been established for children who demonstrate comprehension difficulties despite average word recognition ability (specific reading comprehension deficit; S-RCD). To identify particular EF components on which children with S-RCD struggle, a range of EF skills was compared among 86 children, ages 10 to 14, grouped by word reading and comprehension abilities: 24 average readers, 44 with word recognition deficits (WRD), and 18 S-RCD.
  • An exploratory principal components analysis of EF tests identified three latent factors, used in subsequent group comparisons: Planning/Spatial Working Memory, Verbal Working Memory, and Response Inhibition.
  • The WRD group exhibited deficits (relative to controls) on Verbal Working Memory and Inhibition factors; S-RCD children performed more poorly than controls on the Planning factor. Further analyses suggested the WRD group’s poor performance on EF factors was a by-product of core deficits linked to WRD (after controlling for phonological processing, this group no longer showed EF deficits)
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  • In contrast, the S-RCD group’s poor performance on the planning component remained significant after controlling for phonological processing. Findings suggest reading comprehension difficulties are linked to executive dysfunction; in particular, poor strategic planning/organizing may lead to reading comprehension problems.
  • Executive Functions—Working Memory Sentence Span (Swanson, Cochran, & Ewers, 1989; based on Daneman & Carpenter, 1980) On this test, the examiner reads a set of sentences and asks a question about one of them. The child answers and then remembers the last word of each sentence. The number of sentences increases by one sentence with each set. The score for total number of words recalled was used in analyses.Spatial Span (WISC-III–Process Instrument; WISC-III-PI; Kaplan, Fein, Kramer, Delis, & Morris, 1999) This measure uses a spatial span board, upon which 10 blue cubes are mounted in a random order. The researcher taps cubes (one cube per second) in a specified sequence, and the child is asked to replicate the sequence, both forward and backward. Scaled scores from the Backward Span trial were used in analyses.Digit Span (WISC-IV; Wechsler, 2003) Children are asked to repeat aurally presented digit strings, both forward and backward. Scaled scores from the Backward Span trial were used in analyses.
  • Executive Functions—Planning, Organization, Self-Monitoring Elithorn Mazes (WISC-III-PI; Kaplan et al., 1999) This measure requires the child to examine a visually presented maze and choose a single path that passes through circles within a “lattice” of lines in an inverted triangular structure, without backtracking. The measure provides information about strategic planning and response organization skills. Scaled scores were used in analyses.Trail Making (Delis-Kaplan Executive Function System; D-KEFS; Delis, Kaplan, & Kramer, 2001) The entire D-KEFS Trail Making Test was administered; however, scaled scores from Trial 4: Number/Letter Sequencing, for which the participant was required to switch back and forth between connecting numbers and letters in sequence, were used in analyses.Tower (D-KEFS; Delis et al., 2001) The Total Achievement Score from the Tower Test, a measure of a novel problem solving that requires planning and organization, was also administered. For this task, participants must move disks varying in size across three pegs to build a designated tower using the fewest number of moves possible.
  • Executive Functions—Response Inhibition
  • Conflicting motor response
  • Contralateral motor response
Neal

City Research Online - The relationship between executive functions and motor coordinat... - 0 views

shared by Neal on 15 Jan 19 - No Cached
  • The relationship between executive functions and motor coordination: longitudinal impact on academic achievement and language
  • Developmental gains in EFs were similar between groups, although a gap between children with poor motor skills and TD children on nonverbal EFs persisted. Specifically, children with DCD performed significantly more poorly than TD children on all nonverbal EF tasks and verbal fluency tasks at both time points; and children with MD but no diagnosis showed persistent EF difficulties in nonverbal tasks of working memory and fluency. Both groups demonstrated EF difficulties over two years, which may impact on activities of daily living and academic achievement, in addition to their motor deficit.
  • Nonverbal EF did not predict performance in any of the academic achievement tasks, whereas verbal EF was a significant predictor of mathematical ability.
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  • Specifically, the interaction between motor coordination and EF had significant effects on language, as the association between EF and language was positive and significant at low and moderate levels of motor skills, but not at high levels of motor skills.
  • In conclusion, in this thesis interactions between EF and motor coordination produced complex effects on academic and language outcomes.
Neal

Sleep disorders in children with ADHD treated with off-label medications | MDedge Psych... - 2 views

  • Sleep problems in children diagnosed with attention-deficit/hyperactivity disorder are treated with a variety of medications, many off label for sleep and unstudied for safety and effectiveness in children, a study of Medicaid prescriptions has found.
Neal

Development of the adolescent brain: implications for executive function and social cog... - 0 views

  • Adolescence is a time of considerable development at the level of behaviour, cognition and the brain. This article reviews histological and brain imaging studies that have demonstrated specific changes in neural architecture during puberty and adolescence, outlining trajectories of grey and white matter development. The implications of brain development for executive functions and social cognition during puberty and adolescence are discussed. Changes at the level of the brain and cognition may map onto behaviours commonly associated with adolescence. Finally, possible applications for education and social policy are briefly considered.
  • Recent MRI studies indicate that the time at which the brain reaches maturity may be much later than the end of adolescence. One such study of participants aged between 7 and 30 revealed that the loss of grey matter in the frontal cortex accelerated during adulthood between the early 20s and up to the age of 30 (Sowell et al., 2001).
  • The non‐linear decrease in grey matter was concomitant with a linear increase in white matter, consistent with earlier MRI data and with post‐mortem studies.
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  • post‐mortem cellular studies of human brains have revealed an extended period of development, in particular in the frontal and parietal cortices.
  • The term executive function is used to describe the capacity that allows us to control and coordinate our thoughts and behaviour (Luria, 1966; Shallice, 1982).
  • These skills include selective attention, decision‐making, voluntary response inhibition and working memory. Each of these executive functions has a role in cognitive control, for example filtering out unimportant information, holding in mind a plan to carry out in the future and inhibiting impulses.
  • Behavioural studies show that performance of adolescents on tasks including inhibitory control (Leon‐Carrion, Garcia‐Orza, & Perez‐Santamaria, 2004; Luna, Garver, Urban, Lazar, & Sweeney, 2004a), processing speed (Luna et al., 2004a), working memory and decision‐making (Luciana, Conklin, Cooper, & Yarger, 2005; Hooper, Luciana, Conklin, & Yarger, 2004) continues to develop during adolescence.
  • Different aspects of executive function, therefore, may have different developmental trajectories.
  • prospective memory continues to develop during adolescence, in line with the notion of frontal maturation in the brain. It is possible that the lack of improvement in performance between the 10‐ and 14‐year‐olds was related to their pubertal status.
  • The results suggest that there is a dip in performance on this kind of task at the onset of puberty.
  • The researchers linked this pubertal dip in performance to the proliferation of synapses that occurs at the onset of puberty.
  • the sudden proliferation of synapses that occurs at puberty results in a perturbation of cognitive performance.
  • In addition to neural development, there are major changes in hormones at puberty. While it is impossible to tease apart all of the important influences on the social and emotional behaviour of adolescents, significant neural development and hormonal changes are likely to influence social cognition.
  • Perspective taking is the ability to take on the viewpoint of another person. The ability to take another's perspective is crucial for successful social communication.
  • Functional neuroimaging studies have revealed that the parietal and frontal cortices are associated with making the distinction between 1PP and 3PP at the motor (Ruby & Decety, 2001), visuo‐spatial, (Vogeley et al., 2004), conceptual (Ruby & Decety, 2003) and emotional (Ruby & Decety, 2004) level.
  • It is proposed that ‘mirror neurons’ that fire when an agent both performs an action or observes another person performing the action provide a basis for integrating perceptual, motor and social functions (see Rizzolatti, Fogassi, & Gallese, 2001 for review).
  • Several neuroimaging studies have implicated the inferior parietal cortex in the distinction between the self and others at the sensorimotor level (Blakemore, Wolpert, & Frith, 1998; Farrer & Frith, 2002; Ruby & Decety, 2001).
  • hese data suggest that development of social perspective taking undergoes a perturbation during puberty in parallel with the discontinuous processes of brain maturation.
  • Cognitive processes that depend on the prefrontal cortex might undergo a perturbation at puberty due to the synaptic reorganisation that occurs at this time.
  • The greater and more diffuse activity in the dorsal region of the prefrontal cortex in children suggests that there is a heavier dependence on this region in children compared with in adults. The researchers suggested that during adolescence, the network recruited for this task is modified until adulthood, at which stage activation of a smaller, more focal region of the prefrontal cortex is used to perform the same task.
  • Thus, reaction times and imaging data together suggest that in children, an immature stage of the brain where excess synapses, possibly as a result of a burst of proliferation, accounts for the poorer performance and extensive and less efficient frontal activation. A pruned and more myelinated adult brain could explain the faster reaction times and focal activation of the frontal cortex, the area associated with generativity (Frith, Friston, Liddle, & Frackowiak, 1991) and the inhibitory response (Konishi et al., 1999).
  • One possibility is that extensive activation in children is a compensatory strategy used while the brain is less efficient in integrating executive functions.
  • To explain risky behaviour commonly associated with adolescence, the authors postulated that adolescents are driven to seek more extreme incentives to compensate for low recruitment of motivational brain circuitry.
  • It was proposed that when confronted with a risky scenario, adults’ relatively efficient responses were driven by mental images of possible outcomes and the visceral response to those images, in line with the somatic marker hypothesis (Damasio, 1996). However, adolescents relied more on reasoning capacities and therefore activated the DLPFC, hence the relatively effortful responses compared to adults.
  • Neural plasticity of the developing brain may underpin different propensities for learning new skills, such as problem solving, at different stages of the life cycle.
Neal

E‐Health interventions for anxiety and depression in children and adolescents... - 0 views

  • At present, the field of e‐health interventions for the treatment of anxiety or depression in children and adolescents with long‐term physical conditions is limited to five low quality trials. The very low‐quality of the evidence means the effects of e‐health interventions are uncertain at this time, especially in children aged under 10 years.
  • Although it is too early to recommend e‐health interventions for this clinical population, given their growing number, and the global improvement in access to technology, there appears to be room for the development and evaluation of acceptable and effective technologically‐based treatments to suit children and adolescents with long‐term physical conditions.
Neal

Partly randomised, controlled study in children aged 6-10 years to investigate motor an... - 1 views

  • The aim of this study is to investigate motor and cognitive effects of a 9-week exercise intervention in children aged 6–10 years.
  • It is hypothesised that all groups gain motor and cognitive effects, but highest benefits are expected for the combination of automatised coordination exercises with mental tasks.
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    2018
Neal

Brain Training in Children and Adolescents: Is It Scientifically Valid? - 2 views

  • Brain training products are becoming increasingly popular for children and adolescents. Despite the marketing aimed at their use in the general population, these products may provide more benefits for specific neurologically impaired populations. A review of Brain Training (BT) products analyzing their efficacy while considering the methodological limitations of supporting research is required for practical applications.
  • Overall, few independent studies have found far transfer and long-term effects. The majority of independent results found only near transfer. There is a lack of double-blind randomized trials which include an active control group as well as a passive control to properly control for contaminant variables. Based on our results, Brain Training Programs as commercially available products are not as effective as first expected or as they promise in their advertisements.
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    2018
Neal

Effects of IQ on Executive Function Measures in Children with ADHD: Child Neuropsycholo... - 0 views

  • These results suggest that clinical measures of EF may differ among children with ADHD and controls at average IQ levels, but there is poorer discriminatory power for these measures among children with above average IQ.
Neal

Physical activity, diet and other behavioural interventions for improving cognition and... - 0 views

  • Despite the large number of childhood and adolescent obesity treatment trials, we were only able to partially assess the impact of obesity treatment interventions on school achievement and cognitive abilities. School and community‐based physical activity interventions as part of an obesity prevention or treatment programme can benefit executive functions of children with obesity or overweight specifically. Similarly, school‐based dietary interventions may benefit general school achievement in children with obesity. These findings might assist health and education practitioners to make decisions related to promoting physical activity and healthy eating in schools. Future obesity treatment and prevention studies in clinical, school and community settings should consider assessing academic and cognitive as well as physical outcomes.
Neal

Moderators of Short-term and Working Memory Deficits in Children with Attention-deficit... - 0 views

shared by Neal on 15 Jan 19 - No Cached
  • with visuospatial tasks is the most valid measure of working memory between groups. The current study offers explanation for why previous studies did not find working memory deficits in children with ADHD and lends further support for working memory as a core deficit of the disorder.
Neal

Technological aids for the rehabilitation of memory and executive functioning in childr... - 0 views

  • This review provides low‐quality evidence for the use of technology‐based interventions in the rehabilitation of executive functions and memory for children and adolescents with TBI. As all of the included studies contained relatively small numbers of participants (12 to 120), our findings should be interpreted with caution. The involvement of a clinician or therapist, rather than use of the technology, may have led to the success of these interventions. Future research should seek to replicate these findings with larger samples, in other regions, using ecologically valid outcome measures, and reduced clinician involvement.
Neal

Executive and Non-Executive Cognitive Abilities in Teenagers: Differences as a Function... - 1 views

shared by Neal on 15 Jan 19 - No Cached
  • Intelligence can be understood as an ability to learn from experience and adapt to the environment
  • according to views based in neuropsychology, behavior is based on three major functional systems that, in addition to emotional aspects related to personality and emotion variables, include cognitive and executive functions (Lezak, Howieson, & Loring, 2004)
  • Cognitive functions involve behavioral aspects related to information processing.
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  • Executive functions reflect an individual’s ability to engage in independent and self- regulated behavior.
  • Considering that EF are also, to a certain extent, cognitive functions, we use in this paper the terminology “non-executive cognitive functions” to refer to information-processing abilities in order to differentiate between both constructs.
  • Cognitive functions encompass diverse abilities involved in information recording (input), its processing, maintenance and response (output). Among them, we address in this study linguist abilities, such as vocabulary and phonological short-term memory, and visual-spatial abilities, such as perception and visual short-term memory
  • among visual abilities, visual perception is a set of processes that enables recognizing, organizing, and interpreting information based on visual sensory stimulation, while visual memory refers to one’s ability to retain and recover visual representation in the absence of stimuli.
  • EF, in turn, refer to one’s ability to engage in objective-based behavior (Sullivan, Riccio, & Castillo, 2009). Three abilities are considered major EF: inhibition, which enables one to control inappropriate behavior and attention to distractors (selective attention); working memory that is responsible for maintaining and mentally handling information; and cognitive flexibility, which enables changing perspectives and adapting to different contexts (Diamond, 2013; Miyake et al., 2000).
  • These main abilities are involved in and can promote other complex EF such as planning, decision-making, and even fluency
  • From this perspective, EF cover “how” an individual does something, while cognitive
  • functions cover “what and how much” an individual is capable of.
  • even among EF-related abilities, some are more strongly associated with intelligence measures than others. For instance, in adults, working memory, and more specifically the central executive component, appears more strongly related both to Gc, and especially to Gf intelligence, while the relationship with other executive abilities is less consistent
  • In fact, studies have shown the contribution of Gf, together with working memory and inhibition, to solving EF traditional tests, such as the Tower of London, which assess planning (Zook, Dávalos, Delosh, & Davis, 2004).
  • Neuroimaging studies agree that the prefrontal cortex is a neurological subtract common to both EF and Gf (Abreu et al., 2014).
  • The group of gifted children presented higher performance on EF tests when compared to the other two groups, but this superior performance was not observed on non-executive tests assessing other cognitive abilities.
  • these findings enable us to infer that the higher the intelligence measured by the Raven’s Progressive Matrices—General Scale, i.e. a Gf measure, the better the performance in most executive and non-executive measures.
  • The VSI group presented the best performance in verbal fluency, a complex measure of EF, which involves auditory working memory, switching and inhibition, in addition to oral language abilities (Dias & Seabra, 2014). There were, however, no differences among the groups in regard to the measures of cognitive flexibility and attention/inhibitory control. This pattern of association between intelligence and EF has been already reported in the literature
  • The data allow the inference that, even though there is a relationship between EF and Gf, this relationship can be understood in a generic manner and seems to be specific to certain EF abilities (Abreu et al., 2014). Looking at the measures employed in this study, a more consistent relationship took place only between Gf and complex executive ability of verbal fluency, while associations with inhibition and flexibility were weak.
  • The results corroborate improved general performance due to superior intelligence, that is, the g effect.
Neal

How similar are fluid cognition and general intelligence? A developmental neuroscience ... - 1 views

shared by Neal on 15 Jan 19 - No Cached
  • Overall, the available evidence suggests that fluid cognition is an aspect of cognitive functioning that can be under considerable environmental influence both cumulatively over time and interactively within context in a way that indicates it to be a highly salient influence on behavior, but one that is distinct from general intelligence, psychometrically defined.
  • A third source of evidence is neuropsychological and concerns the extent to which cognitive impairments in identified developmental disorders are consistent with a pattern of dissociation between fluid cognitive functions and general intelligence.
  • Fluid cognitive functioning can be thought of as allpurpose cognitive processing not necessarily associated with any specific content domain and as involving the active or effortful maintenance of information, whether verbal or visual-spatial in working memory for purposes of planning and executing goal directed behavior (Baddeley 1986; Kane & Engle 2002).
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  • As a consequence, fluid functioning involves the inhibition of irrelevant, competing, or prepotent information likely to interfere with information maintenance and response execution and the alternate shifting and sustaining of attention important for organizing and executing sequential steps or actions.
  • Furthermore, fluid functioning is for the most part distinguishable from cognitive functioning associated with previously acquired knowledge available in long-term store, referred to as crystallized intelligence (gC).
  • As a unitary entity, however, fluid function has been described in the psychological literature under a variety of terms, including executive function, executive attention, effortful control, and working memory capacity.
  • By demonstrating increasing PFC activation with parametric increase in the working memory load or cognitive control demand of tasks performed during imaging, these studies have linked the PFC to fluid cognition
  • the term fluid cognitive functioning is utilized as a primary descriptor for these integrated aspects of cognition and is used interchangeably to some extent with the terms working memory and executive function.
  • PFC activation in response to diverse tasks has indicated that the integration of information in working memory, such as verbal and spatial information, or maintenance of information in working memory while executing subsidiary tasks (i.e., cognitive control functions that would seem to be the hallmark of general intelligence), is associated with greater PFC activation than that associated with either task on its own
  • At the very least, the analysis clearly lends itself to the conclusion that intelligence tests are not measurement invariant between cohorts and that, while some increase in general intelligence appears to have occurred, change associated with rising mean IQ is, by and large, subtest specific.
  • Overall, evidence for relations between areas of the PFC and ACC and specific aspects of cognition and emotion suggest that a variety of influences, particularly those associated with emotional arousal and the stress response, may impact fluid cognitive functioning and its apparent similarity to general intelligence.
  • While most explanations for rising mean IQ tend to be underspecified on this point (i.e., general increases in parenting skill, education, or nutrition), others that more directly address the types of skills tested for in measures of fluid intelligence (such as increased visual-spatial complexity or selective changes in specific aspects of education associated with fluidskills development) are perhaps more likely to be shown to account for the phenomenon (Dickens & Flynn 2001b; Williams 1998).
  • Further examination of the deficit displayed on measures of fluid IQ in patients with frontal lesions but intact IQ as assessed by the WAIS indicates that performance is dramatically impaired by the requirement of holding multiple relations in mind simultaneously when attempting to solve problems adapted from Raven’s matrices test. Individuals with prefrontal damage exhibit no deficits on problems whose solution requires holding in mind no relations or only one relation, but exhibit a near inability to solve problems involving two or more relations
  • The study of fluid function under the label of EF in children, however, is a rapidly growing area of research in which the definition of EF employed is essentially identical to that used by individuals studying working memory and intelligence in adults. Specifically, when cognitive researchers working with child populations define EF as the maintenance of an appropriate problem-solving set involving mental representation of a given task and goal state within a limited-capacity central processing system (Welsh & Pennington 1988), they are describing cognitive processes that are being studied under the name of working memory in adults (e.g., Carpenter et al. 1990; Conway et al. 2002; Prabhakaran et al. 1997; 2000).
Neal

Attention-Deficit/Hyperactivity Disorder (Adhd), Working Memory and Hyperactivity: an E... - 0 views

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  • Latent variable analysis was used to determine that activity level associated with the central executive was significantly greater in the ADHD group.
  • This study is the first to demonstrate a functional relationship between ADHD-related activity and working memory demands, particularly on the central executive, in adults. Results are consistent with findings in children and refute the notion that excessive activity is a ubiquitous feature of ADHD unrelated to task demands.
Neal

Executive function in children with ADHD. - 0 views

  • Luria's concept of three functional units (blocks) of the brain (Luria, 1973) permits an understanding of the many problems associated with abnormal child development. The last unit that is maturated is the brain, providing the control and voluntary regulation of activities, later called executive function. The voluntary regulation of mental activity includes the following: (i) an objective setting, in accordance with motivation and the purpose of actual or planned activity, (ii) planning a program and the best ways to achieve a goal, (iii) monitoring the implementation of the program and the timely correction of inadequate actions and associations, and (iv) comparisons of objectives with intermediate and final results.
  • Broadly defined, executive function refers to a complex set of cognitive abilities that underlie adaptive, goal-directed behaviors and enable individuals to override more automatic or established thoughts and responses (Garon, Bryson, & Smith, 2008; Diamond, 2013). At a more fine-grained level, a set of cognitive control skills (e.g., attention, inhibitory control, self-monitoring, and flexibility) is defined as specific interrelated information-processing abilities that are involved in the control and coordination of information in the service of goal-directed actions and has been studied in the cognitive development literature
Neal

Psychological Flexibility as a Fundamental Aspect of Health - 0 views

  • Psychological flexibility spans a wide range of human abilities to: recognize and adapt to various situational demands; shift mindsets or behavioral repertoires when these strategies compromise personal or social functioning; maintain balance among important life domains; and be aware, open, and committed to behaviors that are congruent with deeply held values.
  • Psychological Flexibility as a Fundamental Aspect of Health Achieving psychological health is one of the foremost goals of human existence.
  • We are not disputing that positive emotions are important (Fredrickson, 1998), strengths or positive traits are important (Peterson & Seligman, 2004), or that the satisfaction of basic needs for belonging, competence, and autonomy are important (Deci & Ryan, 2000). However, these static approaches fail to capture the dynamic, fluctuating, and contextually-specific behaviors that people deploy when navigating the challenges of daily life.
    • Neal
       
      positive emotions positive traits strengths
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  • Indeed, research on psychological flexibility has for the past five decades traveled by a multitude of different names, among them ego-resiliency (Block, 1961), executive control (Posner & Rothbart, 1998), response modulation (Patterson & Newman, 1993), and self-regulation (Carver & Scheier, 1998; Muraven & Baumeister, 2000)
    • Neal
       
      Psychological flexibiligy
  • Psychological flexibility actually refers to a number of dynamic processes that unfold over time. This could be reflected by how a person: (1) adapts to fluctuating situational demands, (2) reconfigures mental resources, (3) shifts perspective, and (4) balances competing desires, needs, and life domains.
  • one might question whether any regulatory strategy provides universal benefits, as opposed to contingent benefits that hinge on the situation and the values and goals that we import.
  • These pathological processes span cognitive rigidities such as rumination and worry (Nolen-Hoeksema, Wisco, & Lyubomirsky, 2008), patterns of behavioral perseveration, as well as a relative inability to rebound following stressful events, and difficulties planning and working for distant goals.
  • As these skills flourish, people become more versatile and more adept at committing finite attention and energy to meaningful interests and values (Hayes, Strosahl, & Wilson, 1999)
  • At subjective, behavioral, and biological levels of analysis, researchers continue to find that psychopathology is relatively independent from positive experiences
  • Thus, rather than focusing on specific content (within a person), definitions of psychological flexibility have to incorporate repeated transactions between people and their environmental contexts.
  • The work on ego-resiliency is extensive. Briefly, an important prediction is that ego-resilience would be associated with greater progression through the stage of identity development from being young and impulsive to learning social rules and conforming and for the most mature, advanced stages such as being wise and self-determined (Loevinger, 1987)
  • Instead, consider the flexible application of different types of emotional expression as the situation warrants.
  • the ability to modulate behavior as required by the situation contributed to real-world adjustment over and above any particular regulatory strategy.
  • Interestingly, variability in appraisals and coping strategies was positively related to the effectiveness of handling stressors. More importantly, the 30% of people demonstrating coping flexibility were better adjusted on a daily basis and showed less anxiety and depressive symptoms over a 1-week period than people demonstrating more rigid adherence to particular coping strategies, regardless of whether they were problem- or emotion-focused, active- or passive-focused. These findings on the benefits of flexibility compared with any particular configuration of self-regulatory strategies have been replicated in subsequent experimental and prospective studies (e.g., Cheng, 2003; Cheng & Cheung, 2005).
  • By ego-resiliency, we meant…a dynamic ability to temporarily change from modal reaction or perceptual tendencies to reactions and percepts responsive to the immediately pressing situation and, more generally, to the inevitably fluctuating situational demands of life. In particular, the ego-resiliency construct entailed the ability to, within personal limits, situationally reduce behavioral control as well as to situationally increase behavioral control, to expand attention as well as to narrow attention, to regress in the service of the ego as well as to progress in the service of the ego…The relatively unresilient or vulnerable individual displayed little adaptive flexibility, was disquieted by the new and altered, was perseverative or diffuse in responding to the changed or strange, was made anxious before competing demands, and had difficulty in recouping from the traumatic.
  • Rumination involves stereotypical and perseverative thinking about the reasons for and meaning of one’s own sad, dysphoric affect. Not only is a ruminative response style inflexible in that it involves habitual application of circular, looping thoughts, it also represents a passive, inactive mode that displaces more active engagement with the environment; engagement that could potentially relieve depressed mood.
  • For adolescents at age 14 and adults at age 23, ego-resilience was strongly associated with higher stages of identity development.
  • Upon reaching more mature stages of identity development, young adults are visibly more flexible in multiple contexts compared with less mature peers.
  • Besides the development of maturity and wisdom, the most characteristic features of ego-resilient children and adolescents (as rated by teachers, parents, and independent observers) include: vitality, curious and exploratory, self-reliant and confident, creative, an abundance of meaningful experiences, abilities to effectively master challenges, and quick recovery following stressful events (Gjerde, Block, & Block, 1986; Klohnen, 1996).
  • Equally useful to understanding the psychologically flexible person are the least representative features of ego-resilient youth: rigid repetitive strategies to handle stress, socially inappropriate emotional expressiveness, and discomfort in unpredictable and challenging environments.
  • Although causality cannot be determined, flexibility appears to move people from extrinsic motivated actions toward self-determination and the related health benefits
  • In the ACT model, flexibility is about being aware of thoughts and feelings that unfold in the present moment without needless defense, and depending on what the situation affords, persisting or changing behavior to pursue central interests and goals.
  • psychological flexibility was on average correlated .42 with outcomes ranging from job performance and satisfaction over a 1-year interval, daily activity engagement in pain patients, and mental health (Hayes, Luoma, Bond, Masuda, & Lillis, 2006)
  • Being more open and accepting of emotional experiences, being willing to engage in difficult activities to persist in the direction of important values, allows a person to pursue a rich, meaningful life right away.
  • Emotional preferences should hinge on the goals people are inclined to pursue. We have not given due consideration to the task of identifying which emotions are functional and at what levels of intensity and type of expressiveness. Sometimes negative, unpleasant emotions can be more useful than positive emotions. Taking advantage of this knowledge, teaching people this knowledge, is to explicitly address psychological flexibility.
  • Another perspective on the health benefits of psychological flexibility arrives from work on the ability to switch one’s focus from one life domain to another, one time perspective to another, and ensure that various important elements of a person’s identity are being satisfied in a harmonious manner.
  • If these examples suggest anything, it is that greater satisfaction and meaning in life can be captured by shifting temporal perspectives when the situation requires a particular mode of being (Boniwell & Zimbardo, 2004).
  • Similarly, recent daily-diary and prospective studies show that when time is allocated effectively in important life domains (e.g., work, school, leisure, relationships) to minimize discrepancy between a person’s actual day-to-day activities and their ideal, greater well-being is experienced. This includes life satisfaction, frequent positive emotions, infrequent negative emotions, and the ability to satisfy needs involving belonging, competence, and autonomy (Sheldon, Cummins, & Khamble, in press)
  • As we will highlight below, a signal feature of many disorders is that a person’s fluid transactions with the environment break down and responses become stereotyped and invariable.
  • Ironically, by being flexible and living in service of our deepest values instead of being narrowly focused on achieving happiness, we end up experiencing more frequent joy and meaning in life and less distress; we end up with greater vitality and degrees of freedom for how to live each moment (Hayes et al., 1999, 2004).
  • Recent extensions add important layers of complexity by suggesting that researchers and clinicians should look beyond the stereotypically negative content of attributions as a marker of depression risk to consider (1) the process of fixedly deploying the same attributions across different situations, a construct known as explanatory inflexibility (Moore & Fresco, 2007), and (2) the connections between an inflexible explanatory style and inflexible coping behavior (Fresco, William, & Nugent, 2006).
  • one commonality involves psychological inflexibility with respect to responses involving fear and anxiety.
  • Our premise, shared with the “acceptance-based approaches,” is that a flexible approach to one’s experiences will be associated with health and well-being, even when those experiences are sometimes painful.
  • There is growing evidence that the anxiety disorders are characterized by experiential avoidance for a variety of experiences, whether it is the experience of bodily arousal in panic disorder (Zvolensky & Eifert, 2000), the fear of strong emotional impulses in generalized anxiety disorder (McLaughlin, Mennin, & Farach, 2007), or concerns about openly expressing and exposing intense emotional experiences to other people (Kashdan & Steger, 2006). In turn, avoidance responses, as they become the default behavioral response, maintain the disorder over time.
  • Finally, as with depression, anxiety disorders are associated with inflexibility of physiological responding. Perhaps most notably, researchers have shown repeatedly that individuals with anxiety disorder exhibit reduced flexibility in autonomic responding (e.g., Thayer, Friedman, & Borkovec, 1996)
  • In fact, the pervasive and widespread nature of evidence for inflexibility in so many different response systems in so many different mental disorders is potentially overwhelming. Can these problems be reduced to a smaller core set? If so, what are the most important forms of inflexibility?
  • For example, individuals with higher resting CVC perform better than low CVC individuals on experimental tasks that require executive function. High CVC is associated with good performance on the Stroop task, which requires people to overcome attentional interference, as well as good performance on the n-back task (Johnsen et al., 2003; Hansen, Johnsen, & Thayer, 2003), which is a working memory task that requires people to monitor a continuous sequence of stimuli and remember which stimuli were presented n trials ago.
  • Relative to participants who did not maintain the exercise routine, those who maintained the exercise regimen had higher resting CVC and better functioning on an executive functioning task
  • The Building Blocks of Psychological Flexibility
  • Now that we have demonstrated the benefits of psychological flexibility and the costs of inflexibility, we consider three critical factors that influence the likelihood of being psychologically flexible and gaining access to its benefits:
  • Acceptance and awareness processes, coupled by a curious and receptive attitude toward negative or potentially negative experiences appear to be a precursor to psychological flexibility
  • prioritize and integrate cognitive capacities.
  • Essentially, executive functioning provides critical neuropsychological support for self-regulation
  • In fact, as discussed below, it is hard to imagine psychological flexibility without at least adequate performance in this domain.
  • When someone is described as being psychologically flexible, they are more apt to be versatile, using top-down strategies. That is, they show an awareness of what a situation requires and an ability to organize and prioritize strategies that “fit” the situation rather than relying on dominant, default strategies (Fleeson, 2001).
  • Another related, essential cognitive function is the ability to tolerate distress and develop an open, receptive attitude toward emotions, thoughts, and sensations.
  • executive functioning, default mental states, and personality configurations
  • When a person is unable to accept frustration and unwanted negative experiences, attentional capacity and decision-making capabilities are narrowed.
  • Instead of flexibly responding to a situation in an active manner, a person preoccupied with avoiding experiences is psychologically unavailable to adapt to the cues afforded by an existing situation.
  • This is because negative emotions and obstacles are an inevitable part of being a human that is constantly learning and growing, going through developmental changes in identity and social roles across the lifespan, experiencing daily hassles and stressors, and striving to organize a life built around meaningful goals and values (
  • Other social neuroscience studies provide additional support for the notion that acceptance of and openness to experience, and related emotion regulation processes are bound to executive functioning
  • Finally, executive functioning also typically includes working memory and recall, information processing speed, and the ability to inhibit behavior. These, too, are relevant to psychological flexibility, for similar reasons.
  • A weak danger cue in the environment may be prepotent, shutting down executive control, leading a person to conflate their anxious feelings as evidence of the dangerous potential that was never actualized. In the end, this person will be more worried and avoidant in similar, future situations, constricting their life space by tiny portions; a precedent that interferes with flexibility and the pursuit of a pleasurable, engaging, and meaningful life.
  • Taken together, robust executive functioning is critical for modulating responses to suit the circumstances and achieving desired outcomes—whether it is extracting rewards, reducing behavioral control, or some other situationally-bound strategy.
  • Social situations impose even greater demands upon executive functioning because of the need to simultaneously represent the desired outcomes of both the self and the other parties, without compromising either one
  • If human beings lacked predictive ability and were required to be in conscious control of how to interpret and respond to each gesture in each interaction, social interactions would slow to a crawl, relationships would have to be continually renewed, and it is hard to imagine how social groups and societies would ever form.
  • in enhancing psychological flexibility
  • To be adept at forming and maintaining significant, meaningful social relationships, there is utility in recognizing the limitations of our biased social judgments.
  • end our search for new and potentially useful information about each situation being different (even slightly) from any other (Kashdan, 2009). Although this can be energy consuming, this act prevents misjudgments of people and situations, and increases engagement, creativity, and the type of mindful, compassionate style of communication that is attractive and desirable to other people.
  • The problem is that habitual thoughts, feelings, behaviors, and goals are easily activated automatically, pulling us toward common well-worn directions as opposed to being sensitive to the unique hedonic or utilitarian value of acting differently (Aarts & Dijksterhuis, 2000; Foa & Kozak, 1986). Essentially, conscious free will and flexible responding is subtly reduced by habits.
  • Unfortunately, the default mindset of most adults is a relatively inactive state where the past unduly influences the presen
  • Regardless of origin, there is evidence that humans commonly fail to detect novel distinctions and opportunities in the immediate environment and this can erode psychological flexibility.
  • Relatively few people can marshal the psychological flexibility to override default mental state in demanding visual tasks.
  • There is other evidence that experts often attempt to adapt old templates to new situations because of inflated confidence in their abilities to the neglect of contextual information.
  • Taken together, this line of research suggests that people are relatively insensitive to context and perspective in the present when there is the potential to rely on prior knowledge and experience.
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    "The Relationship Between Heart Rate Variability, Psychological Flexibility, and Pain in Neurofibromatosis Type 1"
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