Based on earlier studies, an adult's imitations of the behaviors of children with autism lead to increased social behavior in the children. The present study explored the effects of repeated sessions of imitation. Twenty children were recruited from a school for children with autism to attend three sessions during which an adult either imitated all of the children's behaviors or simply played with the child. During the second session the children in the imitation group spent a greater proportion of time showing distal social behaviors toward the adult including: (1) looking; (2) vocalizing; (3) smiling; and (4) engaging in reciprocal play. During the third session, the children in the imitation group spent a greater proportion of time showing proximal social behaviors toward the adult including: (1) being close to the adult; (2) sitting next to the adult; and (3) touching the adult. These data suggest the potential usefulness of adult imitative behavior as an early intervention.
These observations indicate that anterior EEG asymmetry may be a marker of motivation and emotion processes that refract the autism taxon into important individual differences in social presentation among higher functioning children.
Three types of commonly used massage therapy techniques were assessed in a sample of 36 healthy adults, randomly assigned to: (1) moderate massage, (2) light massage, or (3) vibratory stimulation group (n = 12 per group). Changes in anxiety and stress were assessed, and EEG and EKG were recorded. Anxiety scores decreased for all groups, but the moderate pressure massage group reported the greatest decrease in stress. The moderate massage group also experienced a decrease in heart rate and EEG changes including an increase in delta and a decrease in alpha and beta activity, suggesting a relaxation response. Finally, this group showed increased positive affect, as indicated by a shift toward left frontal EEG activation. The light massage group showed increased arousal, as indicated by decreased delta and increased deta activity and increased heart rate. The vibratory stimulation group also showed increased arousal, as indicated by increased heart rate and increased theta, alpha, and beta activity.
Maternal emotional and physical unavailability have differential effects on infant interaction behavior as noted in a study by Field, Vega-Lahr, Scafidi, and Goldstein ͑1986͒. In that study, fourmonth-old infants experienced their mother's still face and a brief separation from the mother. Spontaneous interactions preceded and followed these to serve as baseline and reunion episodes. Although the infants became more negative and agitated during both conditions, the still face elicited more stressful behaviors. The present study replicated the Field et al. ͑1986͒ study but also compared infants of depressed and infants of nondepressed mothers. The infants of depressed versus those of nondepressed mothers were less interactive during the spontaneous interactions, as were their mothers, and they showed less distress behaviors during the still-face condition. During the "return to spontaneous interaction" following the still-face condition, they were also less interactive, as evidenced by fewer positive as well as fewer negative behaviors. Their mothers were also less active. The nondepressed mothers and infants were extremely active, as if trying to reinstate the initial spontaneous interaction. Minimal change occurred during the separation condition except that both groups of infants vocalized less than they had during the spontaneous interaction. During the reunion following the separation period, the infants of depressed versus nondepressed mothers were paradoxically more active, although their mothers continued to be less interactive.RESUMEN: Tal como fue presentado en un estudio por Field et al. ͑1986͒, la falta de disponibilidad maternal, tanto emocional como física, tiene efectos diferenciales sobre la conducta interactiva del infante. En dicho estudio, infantes de cuatro meses de nacidos experimentaron las duras caras de sus madres y una breve separación de ellas. Estas experiencias fueron precedidas y seguidas de interacciones espontáneas que servían como línea de base y episodios de reunión. A pesar de que los infantes fueron más negativos y se agitaban más en ambas situaciones, las caras duras de las madres produjeron más conductas estresantes. El presente estudio replicó el anterior estudio de Field et al. ͑1986͒, pero también comparó a infantes de madres depresivas con infantes de madres no depresivas. Los infantes de madres depresivas, en comparación con aquéllos de madres no depresivas, se mostraron menos interactivosWe would like to thank the mothers and infants who participated in this study. 314durante las interacciones espontáneas, lo cual ocurrió con sus madres también, y mostraron menos conductas de aflicción en los momentos de la condición de la cara dura. Durante el "retorno a la interacción espontánea" después de la condición de la cara dura, ellos también fueron menos interactivos, tal como lo demuestran sus menos conductas positivas y menos conductas negativas. Sus madres fueron también menos activas. Las madres no depresivas y sus infantes fueron extremadamente activas, como si ...
The COVID-19 pandemic has presented both challenges and opportunities for those working in health and social care in the United Kingdom (UK). With much focus on secondary and acute care at this time, there has been less communication and understanding about the impact on primary care. This discussion paper is based on the experience of one of the authors working as a general practitioner/family doctor during the pandemic and rapid changes are described during this time (April 2020). Two important themes emerged from this experience focusing on the importance of supporting one another and new roles and ways of working. It can be argued that the challenges presented by COVID-19 have expedited positive and potentially sustainable change in UK primary care that has been needed for some time. The authors discuss the implications for future working and make a series of recommendations for primary care relating to the importance of supporting the workforce, remote consultations and communication, regular team meetings, and development of integrated care. It is suggested that many of the challenges highlighted can be addressed by placing a greater emphasis on the use of interprofessional education (IPE) to underpin and support effective collaborative working.
Reports that sweet taste calms crying in newborns and is analgesic against the pain caused by a heel lance served as the basis for this study. Electroencephalographic (EEG) activity, heart rate activity, and infants' facial behaviors were recorded before and after a noninvasive, but noxious, heelstroke (procedure from the Brazelton Neonatal Behavior Assessment Scale). In a randomized and controlled trial, 34 newborns were administered 2 mL of water or sucrose solution before the heelstroke. Frontal EEG asymmetry scores were computed, and power in the 3 to 6 Hz frequency band was analyzed. Infants who received water showed increased relative right frontal EEG activation from baseline to the post-heelstroke phase, a pattern that typifies negative affect. The EEG of infants in the sucrose group did not change. Heart rate increased rapidly in both groups during the heelstroke phase. However, after the heelstroke, the heart rate of infants who received sucrose returned to baseline, whereas the heart rate of infants who tasted water remained elevated. During the heelstroke, the infants in the water group cried and grimaced twice as long as the infants in the sucrose group. These findings add to the growing literature showing that sucrose attenuates newborns' negative response to aversive or noxious stimuli.
Older adults with HIV/AIDS living in rural areas face unique challenges to accessing HIV care and medications, and suffer greater mortality than non-rural HIV-infected individuals. This qualitative study examined the intersection of aging and HIV to identify factors that affect overall health, engagement in care, and medication adherence among this understudied population. Qualitative interviews were conducted by phone with 29 HIV-positive adults over the age of 50 living in US rural counties and analyzed using thematic content analysis. Individuals reported complex medical needs in addition to their HIV and noted difficulty discerning whether symptoms were associated with HIV or aging. Although reported medication adherence rates were high, participants also cited several barriers to maintaining adherence. Given the increase in rural individuals living with HIV coupled with an aging population of HIV-infected individuals, interventions are needed to address the complex intersection of aging and HIV, especially for those in rural environments.
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