Renita Almeida

In Western settings where solitary, continuous infant sleep throughout the night is emphasised, parents might perceive their infant's nightwaking as a problem and seek solutions. Interventions typically aim to reduce nighttime parent-infant interactions to facilitate independent infant sleep. There are concerns regarding the acceptability of these interventions to parents, and their applicability for families with diverse parenting practices, such as co-sleeping. The specific theories and strategies applied by evidence-based infant sleep interventions have not been systematically explored. This scoping review aimed to characterise infant sleep interventions for their theoretical underpinnings and behaviour change techniques (BCTs]. Where applicable, this review also aimed to explore associations between meaningful groupings of theory type and BCTs and outcomes including parent satisfaction and intervention adherence. Online databases were searched for Randomised Controlled and cluster Randomised Controlled Trials of non-pharmacological interventions delivered in non-acute primary care or community settings that targeted the prevention or treatment of sleep problems in infants (0–3 years). Twenty-eight of 34,898 retrieved articles were included, describing 34 unique interventions. Operant conditioning theory underpinned 50 % (13/26) of the theory-informed interventions. Interventions were found to be multicomponent and the application of BCTs was heterogeneous across interventions. Findings suggest a need for more diversity of theoretical underpinnings and a clear indication of BCTs included in interventions. Future research should identify theories that can be adapted to align with family cultural contexts and parenting practices, and BCTs that can be operationalised to facilitate acceptable and culturally sensitive approaches to infant sleep intervention.

Background/Objectives: Parent–child attachment and family relationships have been identified as risk factors for childhood internalising symptoms such as anxiety and depressive symptoms. This mixed-methods evaluation examined the feasibility of a recently developed attachment-based family intervention, Behaviour Exchange Systems Therapy-Foundations (BEST-F), delivering 16 h of therapy over 8 weeks to treat internalising symptoms in children aged between 3 and 11 years.

Methods: The quantitative outcomes of this uncontrolled study of 17 families were based on the parent-reported Child Behaviour Checklist (CBCL) measure, completed at four-timepoints (baseline, pre-, post-intervention, and follow-up), while qualitative data were collected from interviews with participants at follow-up.

Results: Pre- and post-BEST-F intervention results demonstrated a significant change in internalising symptoms from the borderline and clinical range to the normal range, with a large effect size (d = 0.85). Notably, additional reductions in internalising symptoms were reported two months after cessation of treatment, with a very large effect size (d = 1.85). Furthermore, there were substantial reductions in child externalising symptoms and parental mental health symptoms, with large effect sizes ranging from d = 0.80 to 1.12. Qualitative reports were consistent with these quantitative findings.

Conclusions: These pilot results suggest that children presenting with clinical-range internalising symptoms may benefit from family-based approaches where the parent–child relationship is a focus.

Trans youth are at high risk of mental health difficulties and negative life events. Strong parental support is highly protective however there is little understanding of what factors facilitate the process of parental understanding and acceptance of a child’s gender identity. We aimed to better understand a) preexisting factors influencing levels of parental acceptance of their child’s gender identity; b) the factors parents find helpful in facilitating acceptance of their child’s gender identity once they become aware; and c) how parents experience extended family, cultural and religious reactions. Using cross-sectional survey data, we explored the experiences of parents and guardians (N = 194). Quantitative data were primarily analyzed using Bayesian regression models and qualitative data were thematically analyzed. Several factors were salient in influencing parental acceptance, including the nature of their child’s gender identity, and levels of awareness and acceptance of the child’s gender identity at time of initial parental awareness. Multiple factors aided acceptance, including information, peer support, and the quality of the dyadic relationship. Findings provide a better understanding of how parental acceptance of a child’s gender identity develops. We provide recommendations on what may help parents to optimally support their child, such as accessible, good-quality information.

This paper examines developmental outcomes for children prenatally exposed to methamphetamine through maternal use. PSYCHINFO, Scopus, PubMed and ERIC databases were systematically searched for studies up to December 2020. The search identified 38 articles examining cognitive, language, motor and neuroanatomical outcomes in children from birth to 16 years. Study quality was appraised using the Newcastle Ottawa Quality Assessment Scale. Findings from neuroanatomical studies suggested that prenatal methamphetamine exposure may alter whole brain microstructure and reduce subcortical volumes across multiple brain regions. Meta-analysis of 14 studies using a random-effects model revealed associations between exposure and poorer intellectual functioning (Cohen’s d = 0.89, 95 % CI: 0.47–1.30), problem solving skills (Cohen’s d = 0.82, 95 % CI: 0.07 −1.56), short-term memory (Cohen’s d = 0.91, 95 % CI: 0.38–1.43), and language development (Cohen’s d = 0.74, 95 % CI: 0.30–1.18). These results emphasise the significant impact of intrauterine methamphetamine exposure across multiple areas of child development, noting that limited total sample size, heterogeneity between studies and control for confounds suggested further studies are required. There is a need for further intervention studies to identify effective prevention and harm minimisation approaches.

A significant proportion of trans and gender diverse (TGD) young people report membership of the gaming community and resultant benefits to wellbeing. To date their experiences and needs regarding a key feature of games, the avatar, are largely unexplored, despite increasing interest in the therapeutic role of avatars in the general population. The aim of this study was to better understand the role of the avatar in gaming, its impact on TGD young people’s mental health, and their unique needs regarding avatar design. N = 17 TGD young people aged 11–22 years (M = 16.3 years) participated in four focus groups. A general inductive approach was used to thematically analyze the transcribed data. TGD young people report considerable therapeutic benefits of using avatars with positive mental health implications. Importantly, TGD young people use avatars to explore, develop and rehearse their experienced gender identities, often as a precursor to coming out in the offline world. They also report negative experiences of feeling excluded due to the constraints of conventional notions of gender that are widely reflected in game design. Participants described simple design features to better reflect gender diversity, such as increased customization. Such changes would facilitate the positive gains reported by participants and better reflect the diversity of young people who use games. The findings have important implications for both recreational and serious or therapeutic game design.

Background: It is known that persons with dementia (PWD) suffer a variety of difficulties, with increased agitation as well as lowered mood, focus and lucidity being amongst their greatest challenges. Caregivers are also affected and report increased stress levels, as well as lower energy, mood and focus. The aim of the current study was to explore whether engagement in a singing program could result in improvement in these variables for both PWD and Caregivers.

Methods: Stage 1 investigated the impact of a structured singing session, with a verbal quiz functioning as a control activity. Participants were from both community and residential care contexts, the PWD having a diagnosis of mild or moderate dementia, and no significant differences in age between them and their caregivers. Stage 2 explored the effects of musical engagement over a six-week intervention with community- based participants.

Results: After the one-off singing session, quantitative positive changes in all PWD (both groups) were found on all four PWD variables from pre- to post-singing session. Further, caregivers' energy levels, mood, and focus were improved from pre-to post-singing session. Note that the quiz control group showed no such benefit. The six weeks of group singing demonstrated that the more regular attendance at the singing group sessions affected the PWD's baseline level of lucidity, mood, and focus, and on the caregivers' baseline relaxation level improved. Though participants were few, reflecting the real world circumstance of the organisations supporting the singing groups, increases in the baseline levels of the variables were detected from session to session, suggesting positive effect. Qualitative data offered supportive insights into the positive experience and powerful impact on PWD and the carers.

Conclusions: This exploratory work indicates the positive potential of using group singing to improve lucidity, mood, focus and to relax for PWD and their carers. Finding a cheap and easy route to improving quality of life for those affected by dementia is essential, and from this preliminary data it seems that singing may offer such a course.

Individuals with autistic traits (measured with Autism-spectrum Quotient, AQ) often excel in detecting shapes hidden within complex structures (e.g. on the Embedded Figures Test, EFT). This facility has been attributed to either weaker global integration of scene elements or enhanced local processing, but 'local' and 'global' have various meanings in the literature. The function of specific global visual mechanisms involved in integrating contours, similar to EFT targets was examined. High AQ scorers produced enhanced performance on the EFT and an alternative Radial Frequency Search Task. Contrary to 'generic' interpretations of weaker global pooling, this group displayed stronger pooling of contour components that was correlated with search ability. This study therefore shows a global contour integration advantage in high AQ observers. Crown Copyright (C) 2014 Published by Elsevier Ltd. All rights reserved.

Relative to low scorers, high scorers on the Autism-Spectrum Quotient (AQ) show enhanced performance on the Embedded Figures Test and the Radial Frequency search task (RFST), which has been attributed to both enhanced local processing and differences in combining global percepts. We investigate the role of local and global processing further using the RFST in four experiments. High AQ adults maintained a consistent advantage in search speed across diverse target-distracter stimulus conditions. This advantage may reflect enhanced local processing of curvature in early stages of the form vision pathway and superior global detection of shape primitives. However, more probable is the presence of a superior search process that enables a consistent search advantage at both levels of processing.

Global processing of form information has been studied extensively using both Glass and radial frequency (RF) patterns. Models, with common early stages, have been proposed for the detection of properties of both pattern types but human performance has not been examined to determine whether the two pattern types interact in the manner this would suggest. The experiments here investigated whether low RF patterns and concentric Glass patterns, which are thought to tap the same level of processing in form-vision, are detected by a common mechanism. Six observers participated in two series of masking experiments. First: sensitivity to the presence of either coherent structure, or contour deformation, was assessed. The computational model predicted that detection of one pattern would be masked by the other. Second: a further experiment examined position coding. The model predicted that localizing the center of form in a Glass pattern would be affected by the presence of an RF pattern: sensitivity to a change of location should be reduced and the apparent location should be drawn toward the center of the masking pattern. However, the results observed in all experiments were inconsistent with the interaction predicted by the models, suggesting that separate neural mechanisms for global processing of signal are required to process these two patterns, and also indicating that the models need to be altered to preclude the interactions that were predicted but not obtained.

Adaptation in the visual system frequently results in properties of subsequently presented stimuli being repelled along identifiable axes. Adaptation to radial frequency (RF) patterns, patterns deformed from circular by a sinusoidal modulation of radius, results in a circle taking on the appearance of having modulation in opposite phase. Here we used paths of spatially localized gratings (Gabor patches) to examine the role of local orientation adaptation in this shape aftereffect. By applying the tilt aftereffect (TAE) as a function of the local orientation difference between adaptor and test, concomitant with adjustment of local position to accommodate the orientation change and preserve path continuity (Euler's method), we show that a TAE field can account for this misperception of shape. Spatial modulation is also observed spontaneously in a circular path of Gabor patches when the local patch orientations are rotated from tangential to the path. This illusory path modulation is consistent with the path orientation being attracted to the orientation of the patches. This consistent local rule implies a local explanation for the global effect and is consistent with a known illusion with a local cause, the Fraser illusion (FI). A similar analysis to that used for the TAE shows that the Fraser illusion can account for this particular alteration of perceived shape. A model which proposes that local orientations are encoded after considering the activation in a population of neurons with differing orientation tuning can accommodate both effects. It is proposed that these distinct processes rely on the same neural architecture.