Past attachment experiences, the potential link of mentalization and the transmission of behavior to the child by mothers with mental health problems: cross-sectional analysis of a clinical sample.

Maternal capacity to mentalize (= reflective functioning, RF), secure attachment and emotionally available parenting has an impact on the child's development. The transmission of mothers' past attachment experiences gained with both her caregivers in her own childhood and the impact on current mother-child interaction is part of the 'transmission gap.' This study explores the transgenerational transmission mechanisms and the potential moderating effect of RF in a clinical sample of 113 mother-child dyads suffering from mental health problems. In a cross-sectional study, the associations between maternal attachment experiences, RF (coded based on Adult Attachment Interviews) and current mother-child interaction (Emotional Availability Scales) were examined with univariate correlation, moderator analyses, and structural equation models. We found relationships between attachment experiences and mother-child interaction, but RF had no moderating effect. Past loving experiences and perceived neglection, particularly with the own father in childhood, were predictors for the present mother-child interaction. There seems to be an intergenerational transmission of attachment experiences to the ongoing generation. Particularly past adverse childhood experiences with the own father seem to explain currently disruptive interactions with the child.Trial registration: DRKS00017008 and DRKS00016353.

Efficacy of parent-infant psychotherapy compared to care as usual in children with regulatory disorders in clinical and outpatient settings: study protocol of a randomised controlled trial as part of the SKKIPPI project.

BACKGROUND: The first years of life are a significant period for child development, when children are particularly sensitive and prone to crises. This early phase lays the foundation for healthy growth. Clinical assessment of psychological symptoms in early infancy and adequate treatment are both important in improving the diagnostic outcome and preventing later long-term developmental consequences. The most common psychological problems in the first 3 years of life are regulatory disorders. The aim of this trial is to investigate the efficacy of Parent-Infant Psychotherapy (PIP) for infants and young children (aged 0-36 months, diagnosed with at least one regulatory disorder) and their mothers, compared to care as usual (CAU). METHODS: In this open multicentre randomised controlled trial, 160 mother-infant dyads are randomised to receive PIP or CAU for 6 weeks of intervention in clinical or outpatient (including home treatment) settings. The primary outcome is the maternal sensitivity (sensitivity scale of the Emotional Availability Scales (EAS)) after 6 weeks. Secondary outcomes include assessment of interaction, mental health problems, attachment, development, psychological factors, treatment adherence, health care system utilisation, and costs, after 6 weeks and 12 months. DISCUSSION: This study will evaluate whether a manualised focus-based short-term psychodynamic psychotherapeutic intervention in mother-child dyads improves the care situation for families of children diagnosed with regulatory disorders, and helps prevent long-term psychopathologies. Assessment of the intervention in different settings will support the development of more tailored interventions for affected infants and their mothers. TRIAL REGISTRATION: German Clinical Trial Register, ID: DRKS00017008 . Registered 03/20/2019.

[Inpatient Psychodynamic Therapy for Children and Adolescents with Complex ADHD: Results of a Naturalistic Clinical Trial]. / Stationäre psychodynamische Therapie bei Kindern und Jugendlichen mit komplexer ADHS: Ergebnisse einer naturalistischen klinischen Studie.

The Attention deficit/hyperactivity disorder (ADHD) is a common mental disorder in childhood and adolescence. However, it is a very heterogeneous disorder with subgroups of patients with mild symptoms and others with severe and complex impairments. Patients suffering from complex ADHD are usually characterized by multiple developmental disorders and impaired personality development. Due to the multimodal origin of the disorder, multimodal treatment approaches aimed at reducing the various deficits are usually indicated. The current study evaluated a multimodal inpatient psychodynamic treatment (PDT) for children and adolescents suffering from ADHD. 47 patients (age 9-17 years) were included in the study. Next to complex impairments (comorbid mental disorders, deficits regarding psychic structure, learning disorders and sensorimotor integration disorders), a high number of adverse childhood experiences (M = 11.71) was particularly remarkable in the sample. The PDT led to significant improvements regarding ADHD symptoms and general level of functioning. However, first symptom improvements were already evident at the end of the waiting period. For ten patients who participated in the follow-up assessment effects remained stable six months after treatment. Due to the high drop-out rate, however, the study results have to be regarded as preliminary.

[Postpartum mental health problems: healthcare service situation and effectiveness of parent-infant psychotherapy. Presentation of the SKKIPPI project funded by the German Innovationsfonds]. / Postpartale psychische Erkrankungen: Versorgungslage und Wirksamkeit der Eltern-Säugling-Kleinkind-Psychotherapie. Vorstellung des Innovationsfondprojektes SKKIPPI.

After the birth of a child, parents may experience episodes of stress and psychological strain. Some infants show psychological or somatic stress in the form of early regulatory disorders. While the close connection between parental psychological stress, early regulatory disorders, and the development of the parent-child relationship is well documented, current data on effective treatment options are lacking. Previous care services mostly operate on a preventive basis; evidence-based psychotherapeutic services with a special focus on the parent-child relationship are rare.SKKIPPI is a multicenter research project (Berlin, Flensburg, Hamburg, Leipzig) and consists of several study parts with a mixed methods approach: an epidemiological cohort study, two randomized controlled intervention studies (RCTs), and a qualitative study. A population-based cohort study records the occurrence and determinants of psychosocial stress and mental health disorders, as well as the use of health and social services by parents and their children within the first two years of life, using online questionnaires and telephone interviews. The aim of the two RCTs is to evaluate the efficacy of a focused, dyadic parent-infant psychotherapy (Eltern-Säugling-Kleinkind-Psychotherapie, ESKP) compared to routine treatment in inpatient and outpatient settings. The focus of these RCTs is on the improvement of maternal sensitivity and on mother-child attachment, as well as child development and the reduction of mother-child psychopathological symptoms. The qualitative study intends to reconstruct the perspectives of parents on the assistance system and to explore reasons for underuse. The results are expected to help develop preventive as well as therapeutic strategies in the German health system.

Individual differences in emotion processing: how similar are diffusion model parameters across tasks?

The goal of this study was to replicate findings of diffusion model parameters capturing emotion effects in a lexical decision task and investigating whether these findings extend to other tasks of implicit emotion processing. Additionally, we were interested in the stability of diffusion model parameters across emotional stimuli and tasks for individual subjects. Responses to words in a lexical decision task were compared with responses to faces in a gender categorization task for stimuli of the emotion categories: happy, neutral and fear. Main effects of emotion as well as stability of emerging response style patterns as evident in diffusion model parameters across these tasks were analyzed. Based on earlier findings, drift rates were assumed to be more similar in response to stimuli of the same emotion category compared to stimuli of a different emotion category. Results showed that emotion effects of the tasks differed with a processing advantage for happy followed by neutral and fear-related words in the lexical decision task and a processing advantage for neutral followed by happy and fearful faces in the gender categorization task. Both emotion effects were captured in estimated drift rate parameters-and in case of the lexical decision task also in the non-decision time parameters. A principal component analysis showed that contrary to our hypothesis drift rates were more similar within a specific task context than within a specific emotion category. Individual response patterns of subjects across tasks were evident in significant correlations regarding diffusion model parameters including response styles, non-decision times and information accumulation.

The Temporal Pole Top-Down Modulates the Ventral Visual Stream During Social Cognition.

The temporal pole (TP) has been associated with diverse functions of social cognition and emotion processing. Although the underlying mechanism remains elusive, one possibility is that TP acts as domain-general hub integrating socioemotional information. To test this, 26 participants were presented with 60 empathy-evoking film clips during fMRI scanning. The film clips were preceded by a linguistic sad or neutral context and half of the clips were accompanied by sad music. In line with its hypothesized role, TP was involved in the processing of sad context and furthermore tracked participants' empathic concern. To examine the neuromodulatory impact of TP, we applied nonlinear dynamic causal modeling to a multisensory integration network from previous work consisting of superior temporal gyrus (STG), fusiform gyrus (FG), and amygdala, which was extended by an additional node in the TP. Bayesian model comparison revealed a gating of STG and TP on fusiform-amygdalar coupling and an increase of TP to FG connectivity during the integration of contextual information. Moreover, these backward projections were strengthened by emotional music. The findings indicate that during social cognition, TP integrates information from different modalities and top-down modulates lower-level perceptual areas in the ventral visual stream as a function of integration demands.

Electrophysiological correlates of the drift diffusion model in visual word recognition.

This study was designed to explore the electrophysiological correlates of the diffusion models drift rate parameter in cognitive decision making. Eighty-two participants completed a lexical decision task while their stimulus-dependent event-related potentials (ERP) and theta frequency band power were measured. A mass univariate approach was applied to examine the timeline at which correlations were evident. Individual differences in drift rate parameter and condition-wise within-subject differences in drift rates for word emotionality and item repetition were found to be related to amplitude differences in the late positive complex (LPC). No relations to theta frequency band power changes were obtained. The drift rate parameter captures information accumulation of noisy evidence, while LPC amplitudes are discussed to reflect the strength of a memory trace. While these results point to a common underlying cognitive mechanism to explain drift rates and LPC modulation, they also provide a new angle on the timeline of visual word processing following word identification. Further confirmations of the results are needed to approve the LPC as neurophysiological marker of information accumulation. Hum Brain Mapp 38:5616-5627, 2017. © 2017 Wiley Periodicals, Inc.

Individual differences in emotion word processing: A diffusion model analysis.

The exploratory study investigated individual differences in implicit processing of emotional words in a lexical decision task. A processing advantage for positive words was observed, and differences between happy and fear-related words in response times were predicted by individual differences in specific variables of emotion processing: Whereas more pronounced goal-directed behavior was related to a specific slowdown in processing of fear-related words, the rate of spontaneous eye blinks (indexing brain dopamine levels) was associated with a processing advantage of happy words. Estimating diffusion model parameters revealed that the drift rate (rate of information accumulation) captures unique variance of processing differences between happy and fear-related words, with highest drift rates observed for happy words. Overall emotion recognition ability predicted individual differences in drift rates between happy and fear-related words. The findings emphasize that a significant amount of variance in emotion processing is explained by individual differences in behavioral data.

Processing of face identity in the affective flanker task: a diffusion model analysis.

Affective flanker tasks often present affective facial expressions as stimuli. However, it is not clear whether the identity of the person on the target picture needs to be the same for the flanker stimuli or whether it is better to use pictures of different persons as flankers. While Grose-Fifer, Rodrigues, Hoover & Zottoli (Advances in Cognitive Psychology 9(2):81-91, 2013) state that attentional focus might be captured by processing the differences between faces, i.e. the identity, and therefore use pictures of the same individual as target and flanker stimuli, Munro, Dywan, Harris, McKee, Unsal & Segalowitz (Biological Psychology, 76:31-42, 2007) propose an advantage in presenting pictures of a different individual as flankers. They state that participants might focus only on small visual changes when targets and flankers are from the same individual instead of processing the affective content of the stimuli. The present study manipulated face identity in a between-subject design. Through investigation of behavioral measures as well as diffusion model parameters, we conclude that both types of flankers work equally efficient. This result seems best supported by recent accounts that propose an advantage of emotional processing over identity processing in face recognition. In the present study, there is no evidence that the processing of the face identity attracts sufficient attention to interfere with the affective evaluation of the target and flanker faces.

Emotions in reading: Dissociation of happiness and positivity.

The hierarchical emotion model proposed by Panksepp (1998) predicts that affective processing will rely on three functionally and neuroanatomically distinct levels, engaging subcortical networks (primary level), the limbic system (secondary level), and the neocortex (tertiary level). In the present fMRI study, we manipulated happiness and positivity, which are assumed to rely on secondary- and tertiary-level processes, respectively, to test these assumptions in a word recognition task. In accordance with the model predictions, evidence for a double dissociation was found in the brain activation patterns: Secondary-level processes engaged parts of the limbic system-specifically, the right hemispheric amygdala. Tertiary-level processes, in contrast, relied predominantly on frontal neocortical structures such as the left inferior frontal and medial frontal gyri. These results are interpreted as support for Panksepp's (1998) model and as an indicator of a semantic foundation of affective dimensions.

Odor Emotional Quality Predicts Odor Identification.

It is commonly agreed upon a strong link between emotion and olfaction. Odor-evoked memories are experienced as more emotional compared with verbal, visual, and tactile stimuli. Moreover, the emotional quality of odor cues increases memory performance, but contrary to this, odors are poor retrieval cues for verbal labels. To examine the relation between the emotional quality of an odor and its likelihood of identification, this study evaluates how normative emotion ratings based on the 3-dimensional affective space model (that includes valence, arousal, and dominance), using the Self-Assessment Manikin by Bradley and Lang (Bradley MM, Lang PJ. 1994. Measuring emotion: the Self-Assessment Manikin and the Semantic Differential. J Behav Ther Exp Psychiatry. 25(1):49-59.) and the Positive and Negative Affect Schedule (Watson D, Clark LA, Tellegen A. 1988. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol. 54(6):1063-1070.) predict the identification of odors in a multiple choice condition. The best fitting logistic regression model includes squared valence and dominance and thus, points to a significant role of specific emotional features of odors as a main clue for odor identification.

Occipital and orbitofrontal hemodynamics during naturally paced reading: an fNIRS study.

Humans typically read at incredibly fast rates, because they predict likely occurring words from a given context. Here, we used functional near-infrared spectroscopy (fNIRS) to track the ultra-rapid hemodynamic responses of words presented every 280 ms in a naturally paced sentence context. We found a lower occipital deoxygenation to unpredictable than to predictable words. The greater hemodynamic responses to unexpected words suggest that the visual features of expected words have been pre-activated previous to stimulus presentation. Second, we tested opposing theoretical proposals about the role of the medial orbitofrontal cortex (OFC): Either OFC may respond to the breach of expectation; or OFC is activated when the present stimulus matches the prediction. A significant interaction between word frequency and predictability indicated OFC responses to breaches of expectation for low- but not for high-frequency words: OFC is sensitive to both, bottom-up processing as mediated by word frequency, as well as top-down predictions. Particularly, when a rare word is unpredictable, OFC becomes active. Finally, we discuss how a high temporal resolution can help future studies to disentangle the hemodynamic responses of single trials in such an ultra-rapid event succession as naturally paced reading.

Being an Infant in a Pandemic: Influences of the COVID-19 Pandemic on Infants, Toddlers and Their Mothers in a Clinical Population.

The COVID-19 pandemic and the ongoing lockdowns might have had a strong impact on mental health of mothers and their infants/toddlers. For example, families had to deal with health issues and social isolation, which might have affected mental health and parent-child interactions. The aim of this study is to evaluate differences in (1) infantile regulatory disorders, (2) maternal mental health, (3) the impact of maternal mental health on infantile regulatory disorders, and (4) alterations in the mother-child interaction for participants recruited before versus after the onset of the first German lockdown. For this reason, mother-child dyads have been divided into two groups and were compared by analyzing clinical interviews on psychopathology of mother and child (M.I.N.I. & DC:05) and mother-child-interactions (Emotional Availability Scales). Results showed that (1) differences in infantile sleeping disorders emerged (phi = 0.243; p = 0.016) compared to the pre-lockdown group, while (2) the occurrence of maternal panic and anxiety increased in the post-lockdown group (phi = 0.229; p = 0.022). Moreover, there was (3) an association for maternal panic and child's sleep disorder, and (4) specific associations with maternal non-hostility in the mother-child-interaction. In conclusion, the present study highlights the differences of maternal mental health occurrences and infants' regulatory problems, as well as the possible effects of the COVID-19 pandemic for infants. In the pre-lockdown group, maternal non-hostility might have acted as a promotive factor against regulatory disorders, while this mechanism was mitigated in the post-lockdown group.

Human striatal activation during adjustment of the response criterion in visual word recognition.

Results of recent computational modelling studies suggest that a general function of the striatum in human cognition is related to shifting decision criteria in selection processes. We used functional magnetic resonance imaging (fMRI) in 21 healthy subjects to examine the hemodynamic responses when subjects shift their response criterion on a trial-by-trial basis in the lexical decision paradigm. Trial-by-trial criterion setting is obtained when subjects respond faster in trials following a word trial than in trials following nonword trials - irrespective of the lexicality of the current trial. Since selection demands are equally high in the current trials, we expected to observe neural activations that are related to response criterion shifting. The behavioural data show sequential effects with faster responses in trials following word trials compared to trials following nonword trials, suggesting that subjects shifted their response criterion on a trial-by-trial basis. The neural responses revealed a signal increase in the striatum only in trials following word trials. This striatal activation is therefore likely to be related to response criterion setting. It demonstrates a role of the striatum in shifting decision criteria in visual word recognition, which cannot be attributed to pure error-related processing or the selection of a preferred response.

Discrete emotion norms for nouns: Berlin affective word list (DENN-BAWL).

The Berlin Affective Word List (BAWL, Võ, Jacobs, & Conrad, Behavior Research Methods, 35, 606-609, 2006) and the BAWL-R (Võ et al. in Behavior Research Methods 38, 606-609, 2009) are two commonly used lists to investigate affective properties of German words. The two-dimensional valence and arousal model of affect underlying the BAWL is traditionally contrasted with models describing affect in discrete emotional categories, which, however, are not currently incorporated in the BAWL. In order to allow future studies to investigate affective processing from both perspectives--or to directly compare them--in the present study, we collected data by assigning nouns taken from the BAWL-R to discrete emotion intensities, which in turn allowed the assignment to discrete emotion categories. In the study, we present Discrete Emotion Norms for Nouns-Berlin Affective Word List (DENN-BAWL). Using these ratings and the psycholinguistic indexes from the BAWL-R, the DENN-BAWL allows researchers to design experiments using highly controlled and reliable word material. Data have been archived at www.fu-berlin.de/allgpsy/DENN-BAWL.

Language Models Explain Word Reading Times Better Than Empirical Predictability.

Though there is a strong consensus that word length and frequency are the most important single-word features determining visual-orthographic access to the mental lexicon, there is less agreement as how to best capture syntactic and semantic factors. The traditional approach in cognitive reading research assumes that word predictability from sentence context is best captured by cloze completion probability (CCP) derived from human performance data. We review recent research suggesting that probabilistic language models provide deeper explanations for syntactic and semantic effects than CCP. Then we compare CCP with three probabilistic language models for predicting word viewing times in an English and a German eye tracking sample: (1) Symbolic n-gram models consolidate syntactic and semantic short-range relations by computing the probability of a word to occur, given two preceding words. (2) Topic models rely on subsymbolic representations to capture long-range semantic similarity by word co-occurrence counts in documents. (3) In recurrent neural networks (RNNs), the subsymbolic units are trained to predict the next word, given all preceding words in the sentences. To examine lexical retrieval, these models were used to predict single fixation durations and gaze durations to capture rapidly successful and standard lexical access, and total viewing time to capture late semantic integration. The linear item-level analyses showed greater correlations of all language models with all eye-movement measures than CCP. Then we examined non-linear relations between the different types of predictability and the reading times using generalized additive models. N-gram and RNN probabilities of the present word more consistently predicted reading performance compared with topic models or CCP. For the effects of last-word probability on current-word viewing times, we obtained the best results with n-gram models. Such count-based models seem to best capture short-range access that is still underway when the eyes move on to the subsequent word. The prediction-trained RNN models, in contrast, better predicted early preprocessing of the next word. In sum, our results demonstrate that the different language models account for differential cognitive processes during reading. We discuss these algorithmically concrete blueprints of lexical consolidation as theoretically deep explanations for human reading.

Neurocognitive Effects of Self-Determined Choice and Emotional Arousal on Time Estimation.

Even though effects of emotion and motivation on cognition are well documented, the interaction of all three factors is rarely investigated. Here, we used electroencephalography (EEG) to examine the effects of self-determined choice-as an experimental manipulation of intrinsic motivation - and emotional stimulus content on task preparation and engagement in a temporal production task. Behavioral results indicated a modulation of time processing depending on choice and emotional content. Underlying EEG signals revealed differential modulations by choice on the contingent negative variation (CNV) during task and response preparation and by emotional content on the late positive potential (LPP) in response to the onset of an emotional picture during temporal production. Also, we obtained preliminary evidence for interaction effects of choice and emotional content on the LPP. The feedback-related negativity (FRN) in response to information regarding temporal production success was also affected by interactions of choice and emotional content. These findings indicate that besides separate effects of motivation and emotion, there may be time windows during task engagement in which both factors jointly affect cognitive processing. These results are interpreted as dynamic modulations of attentional resource allocation.

Effects of visual map complexity on the attentional processing of landmarks.

In the era of smartphones, route-planning and navigation is supported by freely and globally available web mapping services, such as OpenStreetMap or Google Maps. These services provide digital maps, as well as route planning functions that visually highlight the suggested route in the map. Additionally, such digital maps contain landmark pictograms, i.e. representations of salient objects in the environment. These landmark representations are, amongst other reference points, relevant for orientation, route memory, and the formation of a cognitive map of the environment. The amount of visible landmarks in maps used for navigation and route planning depends on the width of the displayed margin areas around the route. The amount of further reference points is based on the visual complexity of the map. This raises the question how factors like the distance of landmark representations to the route and visual map complexity determine the relevance of specific landmarks for memorizing a route. In order to answer this question, two experiments that investigated the relation between eye fixation patterns on landmark representations, landmark positions, route memory and visual map complexity were carried out. The results indicate that the attentional processing of landmark representations gradually decreases with an increasing distance to the route, decision points and potential decision points. Furthermore, this relation was found to be affected by the visual complexity of the map. In maps with low visual complexity, landmark representations further away from the route are fixated. However, route memory was not found to be affected by visual complexity of the map. We argue that map users might require a certain amount of reference points to form spatial relations as a foundation for a mental representation of space. As maps with low visual complexity offer less reference points, people need to scan a wider area. Therefore, visual complexity of the area displayed in a map should be considered in navigation-oriented map design by increasing displayed margins around the route in maps with a low visual complexity. In order to verify our assumption that the amount of reference points not only affects visual attention processes, but also the formation of a mental representation of space, additional research is required.

Affective processing within 1/10th of a second: High arousal is necessary for early facilitative processing of negative but not positive words.

Lexical decisions to high- and low-arousal negative words and to low-arousal neutral and positive words were examined in an event-related potentials (ERP) study. Reaction times to positive and high-arousal negative words were shorter than those to neutral (low-arousal) words, whereas those to low-arousal negative words were longer. A similar pattern was observed in an early time window of the ERP response: Both positive and high-arousal negative words elicited greater negative potentials in a time frame of 80 to 120 msec after stimulus onset. This result suggests that arousal has a differential impact on early lexical processing of positive and negative words. Source localization in the relevant time frame revealed that the arousal effect in negative words is likely to be localized in a left occipito-temporal region including the middle temporal and fusiform gyri. The ERP arousal effect appears to result from early lexico-semantic processing in high-arousal negative words.

Differences in processing of taxonomic and sequential relations in semantic memory: an fMRI investigation.

Conceptual knowledge of our world is represented in semantic memory in terms of concepts and semantic relations between concepts. We used functional magnetic resonance imaging (fMRI) to examine the cortical regions underlying the processing of sequential and taxonomic relations. Participants were presented verbal cues and performed three tasks: (1) a sequential relation judgement task judging the sequential relation between two script events, (2) a taxonomic relation judgement task judging the taxonomic relation between two objects, and (3) a grammatical judgement task (control condition) judging whether a presented word was a verb or a noun. We hypothesized that the processing of sequential and taxonomic relations were supported by dissociable cortical regions. The results showed that both semantic relation types activated large-scale neural networks including the left inferior and middle frontal gyrus. The activation in left inferior frontal gyrus correlated with higher processing demands during the sequential relation condition. The processing of sequential relations additionally activated left medial and middle frontal gyrus, whereas the processing of taxonomic relations activated the left superior temporal gyrus and posterior cingulate.