False belief understanding in maltreated children

2003 ◽  
Vol 15 (4) ◽  
pp. 1067-1091 ◽  
Author(s):  
DANTE CICCHETTI ◽  
FRED A. ROGOSCH ◽  
ANGELINE MAUGHAN ◽  
SHEREE L. TOTH ◽  
JACQUELINE BRUCE
Keyword(s):  
Theory Of Mind ◽  
Low Socioeconomic Status ◽  
False Belief ◽  
Chronological Age ◽  
Contextual Influences ◽  
Low Socioeconomic ◽  
Mental Age ◽  
False Belief Understanding ◽  
Language Assessments ◽  
The Impact

False belief understanding was investigated in maltreated (N = 203), low socioeconomic status (SES) nonmaltreated (N = 143), and middle SES nonmaltreated (N = 172) 3- to 8-year-old children. Contrasts among the three groups provided an opportunity to examine the impact of family contextual influences on theory of mind development. Specifically, child maltreatment served as an “experiment of nature” in order to elucidate theory of mind abilities. Two false belief tasks and language assessments were administered. Among children with a verbal mental age of 49 months or greater, maltreatment was related to delays in the development of theory of mind, beyond the influence of chronological age and SES. The occurrence of maltreatment during the toddler period, onset during the toddler years, and physical abuse were features of maltreatment associated with delay in the development of theory of mind. Findings are discussed in terms of the influence of harsh caregiving on the development of theory of mind. Implications for the understanding of normal developmental processes are highlighted.

scholarly journals Children's understanding of homonymy: metalinguistic awareness and false belief

2000 ◽  
Vol 27 (2) ◽  
pp. 367-392 ◽  
Author(s):  
MARTIN J. DOHERTY
Keyword(s):  
Theory Of Mind ◽  
False Belief ◽  
Control Measures ◽  
Chronological Age ◽  
Metalinguistic Awareness ◽  
Older Children ◽  
Mental Age ◽  
And Control ◽  
Selection Of

The aim of this study was to explain why children have difficulty with homonymy. Two experiments were conducted with forty-eight children (Experiment 1) and twenty-four children (Experiment 2). Three- and four-year-old children had to either select or judge another person's selection of a different object with the same name, avoiding identical objects and misnomers. Older children were successful, but despite possessing the necessary vocabulary, younger children failed these tasks. Understanding of homonymy was strongly and significantly associated to understanding of synonymy, and more importantly, understanding of false belief, even when verbal mental age, chronological age, and control measures were partialled out. This indicates that children's ability to understand homonymy results from their ability to make a distinction characteristic of representation, a distinction fundamental to both metalinguistic awareness and theory of mind.

The Perspective of Older Men With Depression on Suicide and Its Prevention in Primary Care

Crisis ◽  
2018 ◽  
Vol 39 (5) ◽  
pp. 397-405 ◽  
Author(s):  
Steven Vannoy ◽  
Mijung Park ◽  
Meredith R. Maroney ◽  
Jürgen Unützer ◽  
Ester Carolina Apesoa-Varano ◽  
...  
Keyword(s):  
Primary Care ◽  
Low Socioeconomic Status ◽  
Thematic Analysis ◽  
Older Men ◽  
Primary Care Providers ◽  
Depression Treatment ◽  
Care Providers ◽  
Low Socioeconomic ◽  
Self Image ◽  
The Impact

Abstract. Background: Suicide rates in older men are higher than in the general population, yet their utilization of mental health services is lower. Aims: This study aimed to describe: (a) what primary care providers (PCPs) can do to prevent late-life suicide, and (b) older men's attitudes toward discussing suicide with a PCP. Method: Thematic analysis of interviews focused on depression and suicide with 77 depressed, low-socioeconomic status, older men of Mexican origin, or US-born non-Hispanic whites recruited from primary care. Results: Several themes inhibiting suicide emerged: it is a problematic solution, due to religious prohibition, conflicts with self-image, the impact on others; and, lack of means/capacity. Three approaches to preventing suicide emerged: talking with them about depression, talking about the impact of their suicide on others, and encouraging them to be active. The vast majority, 98%, were open to such conversations. An unexpected theme spontaneously arose: "What prevents men from acting on suicidal thoughts?" Conclusion: Suicide is rarely discussed in primary care encounters in the context of depression treatment. Our study suggests that older men are likely to be open to discussing suicide with their PCP. We have identified several pragmatic approaches to assist clinicians in reducing older men's distress and preventing suicide.

scholarly journals Segregación Social y Desigualdad de Logros Educativos en Argentina

2013 ◽  
Vol 21 ◽  
pp. 86 ◽  
Author(s):  
Natalia Krüger
Keyword(s):  
Low Socioeconomic Status ◽  
Social Inclusion ◽  
Multilevel Models ◽  
Family Background ◽  
Low Socioeconomic ◽  
Social Composition ◽  
The Social ◽  
Educational Risk ◽  
Socioeconomic Segregation ◽  
The Impact

This paper analyzes the impact of high school socioeconomic segregation on educational equity in Argentina. The presence of segregation means that students are unevenly distributed throughout the system, concentrating in certain schools according to their social origin. The aim is to assess whether this process can increase educational attainment inequality. Using the PISA 2009 database, multilevel models are estimated in order to examine the effects of schools` social composition on individual reading performance. The evidence supports the existence of significant compositional effects which help explain test score dispersion. This suggests that young people of low socioeconomic status face a double educational risk: i) an initial disadvantage related to their social and family background; and ii) a high probability of assisting a school with a vulnerable student population, where they may be exposed to negative peer effects. The findings support the need to consider the social composition of schools as a key educational policy factor, and the relevance of analyzing ways to promote social inclusion in the system.

Do children understand desires before they understand beliefs? A comparison of 3-year-olds’ grasp of incompatible desires, competitive games and false beliefs

2021 ◽  
Author(s):  
Marina Proft ◽  
Cornelia Hoss ◽  
Katharina Manfredini Paredes ◽  
hannes rakoczy
Keyword(s):  
Theory Of Mind ◽  
Propositional Attitudes ◽  
False Belief ◽  
False Beliefs ◽  
False Belief Understanding ◽  
Active Choice ◽  
The Asymmetry ◽  
Competitive Games ◽  
Cognitive Attitudes

A long-standing dispute in theory of mind research concerns the development of understanding different kinds of propositional attitudes. The asymmetry view suggests that children understand conative attitudes (e.g., desires) before they understand cognitive attitudes (e.g., beliefs). The symmetry view suggests that notions of cognitive and conative attitudes develop simultaneously. Relevant studies to date have produced inconsistent results, yet with different methods and dependent measures. To test between the two accounts more systematically, we thus combined different forms of desire tasks (incompatible desires and competition) with different forms of measurement (verbal ascription and active choice) in a single design. Additionally, children’s performance in the desire tasks was compared to their false-belief understanding. Results revealed that 3-year-olds were better at ascribing desires than at ascribing beliefs for both desire tasks whereas they had difficulties actively choosing the more desired option in the competition task. The present findings thus favor the asymmetry theory.

scholarly journals Medical Students’ Participation in Longitudinal Community Service During Preclerkship Years: A Qualitative Study on Experiences and Perceived Outcomes

2020 ◽  
Vol 7 ◽  
pp. 238212052093661
Author(s):  
Amier Haidar ◽  
Samuel G Erickson ◽  
Tiffany Champagne-Langabeer
Keyword(s):  
Medical Students ◽  
Nutrition Education ◽  
Community Service ◽  
Low Socioeconomic Status ◽  
Well Being ◽  
Low Socioeconomic ◽  
Volunteer Program ◽  
Semistructured Interviews ◽  
Community Issues ◽  
The Impact

The aim of this study was to qualitatively evaluate medical students perspectives of the benefits of a longitudinal volunteering experience compared with a 1-day community service experience. Fifteen medical students participated in 2 types of community service: (1) longitudinal, weekly volunteering from February to April of 2019 and (2) a single day of community service in March of 2019. Semistructured interviews were conducted to identify medical students perspectives of the impact of volunteering. Interview data was analyzed thematically based on the common ideas expressed by the participants. Four themes emerged: development of communication and interpersonal skills; understanding how to teach; ability to understand community issues in a low socioeconomic status (SES) neighborhood and the improvement of overall well-being. Medical students’ participation in a longitudinal nutrition education volunteer program was perceived as being an effective way to develop communication, interpersonal, and teaching skills. Medical students were able to interact with a diverse and vulnerable community located in a low SES neighborhood, to help them understand current community issues and risk factors.

scholarly journals Epigenetic clocks may come out of rhythm—implications for the estimation of chronological age in forensic casework

2020 ◽  
Vol 134 (6) ◽  
pp. 2215-2228
Author(s):  
Barbara Elisabeth Koop ◽  
Alexandra Reckert ◽  
Julia Becker ◽  
Yang Han ◽  
Wolfgang Wagner ◽  
...  
Keyword(s):  
Dna Methylation ◽  
Low Socioeconomic Status ◽  
Methylation Pattern ◽  
Chronological Age ◽  
Future Research ◽  
Confounding Factors ◽  
Post Traumatic Stress ◽  
Low Socioeconomic ◽  
Forensic Casework ◽  
Epigenetic Age

Abstract There is a growing perception that DNA methylation may be influenced by exogenous and endogenous parameters. Knowledge of these factors is of great relevance for the interpretation of DNA-methylation data for the estimation of chronological age in forensic casework. We performed a literature review to identify parameters, which might be of relevance for the prediction of chronological age based on DNA methylation. The quality of age predictions might particularly be influenced by lifetime adversities (chronic stress, trauma/post-traumatic stress disorder (PTSD), violence, low socioeconomic status/education), cancer, obesity and related diseases, infectious diseases (especially HIV and Cytomegalovirus (CMV) infections), sex, ethnicity and exposure to toxins (alcohol, smoking, air pollution, pesticides). Such factors may alter the DNA methylation pattern and may explain the partly high deviations between epigenetic age and chronological age in single cases (despite of low mean absolute deviations) that can also be observed with “epigenetic clocks” comprising a high number of CpG sites. So far, only few publications dealing with forensic age estimation address these confounding factors. Future research should focus on the identification of further relevant confounding factors and the development of models that are “robust” against the influence of such biological factors by systematic investigations under targeted inclusion of diverse and defined cohorts.

scholarly journals The Role of Social Media for Patients and Consumer Health

2011 ◽  
Vol 20 (01) ◽  
pp. 131-138 ◽  
Author(s):  
K. A. Siek ◽  
L. Fernandez-Luque ◽  
H. Tange ◽  
P. Chhanabhai ◽  
S. Y. W. Li ◽  
...  
Keyword(s):  
Social Media ◽  
Low Socioeconomic Status ◽  
Computer Games ◽  
Health Behaviours ◽  
Chronically Ill ◽  
Human Factors Engineering ◽  
Low Socioeconomic ◽  
People Search ◽  
The Impact

SummaryTo provide an overview on social media for consumers and patients in areas of health behaviours and outcomes.A directed review of recent literature.We discuss the limitations and challenges of social media, ranging from social network sites (SNSs), computer games, mobile applications, to online videos. An overview of current users of social media (Generation Y), and potential users (such as low socioeconomic status and the chronically ill populations) is also presented. Future directions in social media research are also discussed.We encouragethe health informaticscommunity to consider the socioeconomic class, age, culture, and literacy level of their populations, and select an appropriate medium and platform when designing social networkedinterventionsforhealth.Little isknown about the impact of second-hand experiences faciliated by social media, nor the quality and safety of social networks on health. Methodologies and theories from human computer interaction, human factors engineering and psychology may help guide the challenges in design-ingand evaluatingsocial networkedinterventionsforhealth. Further, by analysing how people search and navigate social media for health purposes, infodemiology and infoveillance are promising areas of research that should provide valuable insights on present and emergening health behaviours on a population scale.

scholarly journals Iron profiles of preterm infants at two months of chronological age

2017 ◽  
Vol 56 (5) ◽  
pp. 277 ◽  
Author(s):  
Henny Adriani Puspitasari ◽  
Endang Windiastuti ◽  
Aryono Hendarto
Keyword(s):  
Socioeconomic Status ◽  
Birth Weight ◽  
Iron Deficiency ◽  
Preterm Infants ◽  
Low Socioeconomic Status ◽  
Ferritin Level ◽  
Educational Background ◽  
Deficiency Anemia ◽  
Chronological Age ◽  
Low Socioeconomic

Background Preterm infants are vulnerable to iron deficiency (ID) due to lack of maternal iron stores, repeated phlebotomy, and the body’s increased demand for iron during growth. The risk of ID increases at 2 months of age, when hemoglobin (Hb) levels start to decrease. Adequacy of body iron level is assessed by ferritin, serum iron (SI), transferrin saturation (Tfsat), total iron-binding capacity (TIBC), and Hb measurements.Objective To describe iron profiles in preterm infants at 2 months of chronological age (CA).Methods This cross-sectional study was conducted in 2-month-old infants, born at 32-36 weeks of gestational age, and who visited the Growth and Development Clinics at Cipto Mangunkusumo, Fatmawati, or Budi Kemuliaan Hospitals. Parental interviews and medical record reviews were done during the clinic visits. Complete blood count, blood smear, SI, TIBC, Tfsat, and ferritin level tests were performed.Results Eighty-three subjects were enrolled in this study. Most subjects were male (51%) and born to mothers >20 years of age (93%). Subjects’ birth weights ranged from 1,180 g to 2,550 g. The prevalence of iron deficiency anemia (IDA) was 6% and that of ID was 10%. The lowest Hb level found in IDA infants was 6.8 g/dL, while the lowest ferritin level was 8.6 ng/mL. Median values for the other tests were as follows: SI 48 µg/dL, TIBC 329µg/dL, and Tfsat 17%. Subjects with IDA were all male (5/5), mostly achieved more than twice their birth weight (4/5), were non-iron supplemented (3/5), born to mothers with low educational background (3/5), and of low socioeconomic status (3/5).Conclusion The prevalence of IDA is 6% and that of ID is 10%. Most subjects with ID and IDA have low SI, high TIBC, low Tfsat, and low ferritin level. Most of the all-male IDA subjects weigh more than twice their birth weight, are non-iron supplemented, and born to mothers with low educational background and low socioeconomic status.

scholarly journals Impact of Socioeconomic Status on Return to Work after Acute Ankle Fracture

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0020
Author(s):  
Alessandra L. Falk ◽  
Regina Hanstein ◽  
Chaiyaporn Kulsakdinun
Keyword(s):  
Socioeconomic Status ◽  
Return To Work ◽  
Low Socioeconomic Status ◽  
Ankle Fracture ◽  
Low Ses ◽  
Insurance Status ◽  
Low Socioeconomic ◽  
The Impact ◽  
Zip Code

Category: Ankle; Trauma Introduction/Purpose: Socioeconomic status has been recognized throughout the medical literature, both within orthopedics and beyond, as a factor that influences outcomes after surgery, and can result in substandard care. Within the foot and ankle subspecialty, there is limited data regarding socioeconomic status and post-operative outcomes, with the current literature focusing on outcomes for diabetic feet. However, ankle fractures are among the most common fractures encountered by orthopedic surgeons. While a few studies have explored the impact of ankle fractures on employment and disability status, the effect of socioeconomic status on return to work post operatively has not yet been investigated. The purpose of this study was to determine the impact of low socioeconomic status on return to work. Methods: We retrospectively reviewed 592 medical charts of patients with CPT code 27766, 27792, 27814, 27822, 27823, 27827, 27829, 27826, 27828 from 2015-2018. Included were patients >18 yrs of age who sustained an acute ankle fracture, were employed prior to the injury, and with information on return to work after ankle surgery, zip code, race, ethnicity and insurance status. Excluded were patients who were not employed prior to their injury. Socioeconomic status was either defined by insurance status - Medicaid/Medicare, commercial, or workman’s compensation -, or by assessing socioeconomic status (SES) using medial household per capita income by zip code as generated and reported by the US National Census Bureau’s 2013-2017 American Community Survey 5-Year Estimates. The national dataset was divided into quartiles with the lowest quartile defined as low SES. Patients who had income that fell within this income category were classified as low SES. Results: 174 patients were included with an average follow-up of 10.2months. 22/174 (12.6%) patients didn’t return to work post-operatively. Univariate analysis identified non-sedentary work to decrease the likelihood of return to work (HR:0.637; p=0.03). Patients with a low SES were more prevalent in the no return group compared to the return to work group (86% vs 60%; p=0.028). 95% of patients with low SES were a minority compared to 56% with average/high SES (p<0.005). Patients with low SES had a higher BMI (p=0.026), a longer hospitalization (p=0.04) and more wound complications (p=0.032). Insurance type didn’t affect return to work (p=0.158). Patients with workman’s compensation had a longer follow-up time and a longer time to return to work compared to other insurances (p<0.005 for each comparison). Conclusion: Low socioeconomic status based on income, not insurance type, affected return to work after an ankle fracture ORIF. Patients with workman’s compensation took a longer time to return to work compared to other insurance types. These findings warrants the need to consider socioeconomic status when allocating resources to treat these patients.

scholarly journals Health Disparities in Kidney Transplantation for African Americans

2017 ◽  
Vol 46 (2) ◽  
pp. 165-175 ◽  
Author(s):  
Kimberly Harding ◽  
Tesfaye B. Mersha ◽  
Phuong-Thu Pham ◽  
Amy D. Waterman ◽  
Fern J. Webb ◽  
...  
Keyword(s):  
Kidney Transplantation ◽  
African Americans ◽  
Low Socioeconomic Status ◽  
Cultural Sensitivity ◽  
National Level ◽  
Risk Factor Control ◽  
Low Socioeconomic ◽  
Policy Interventions ◽  
The Impact ◽  
Timely Referral

Background: The persistent challenges of bridging healthcare disparities for African Americans (AAs) in need of kidney transplantation continue to be unresolved at the national level. This healthcare disparity is multifactorial: stemming from limited kidney donors suitable for AAs; inconsistent care coordination and suboptimal risk factor control; social determinants, low socioeconomic status, reduced access to care; and mistrust of clinicians and the healthcare system. Summary: There are numerous opportunities to significantly lessen the disparities in kidney transplantation for AAs through the following measures: the adoption of new care and patient engagement models that include education, enhanced practice-level cultural sensitivity, and timely referral as well as increased research on the impact of the environment on genetic risk, and implementation of new transplantation-related policies. Key Messages: This systematic review describes pretransplant concerns related to access to kidney transplantation, posttransplant complications, and policy interventions to address the challenging issues associated with kidney transplantation in AAs.

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