Childhood Socioeconomic Status: Distinct Correlates Of Specific Types Of Experience

Childhood socioeconomic status (SES) is often studied alongside a number of related constructs, such as subjective SES, race/ethnicity, and childhood maltreatment. At times, these and other constructs are considered together as measures of ‘cumulative risk’ or ‘early life stress.’ However, little is known about their similar or distinct impact on development. The present research was aimed at better understanding the ways that childhood SES and related constructs predict a range of developmental outcomes. Chapter 1 examined the relations between childhood SES, childhood maltreatment and the structure of the hippocampus and amygdala in young adulthood. Childhood maltreatment, but not childhood SES, predicted smaller hippocampal volumes. The research in Chapter 2 examined the relationship between childhood SES, race, and parent and teacher report of ADHD symptoms in two samples of school-aged children. Results showed that these relationships differed depending on whether parents or teachers were reporting symptoms: lower SES and African American race were associated with higher levels of symptoms as reported by teachers, but not by parents. Chapter 3 examined objective SES and subjective SES as predictors of academic achievement in a diverse sample of high school seniors. Analyses revealed that objective SES and subjective SES showed opposite relationships with achievement: while adolescents from higher SES backgrounds, as measured objectively, showed higher achievement on a range of measures, those who perceived themselves as higher SES earned lower grades and standardized test scores and were less likely to be enrolled full-time in college after high school. Collectively, these results suggest that childhood SES and related experiences show distinct relationships to a range of behavioral and neural outcomes

A Meta-Analysis of the Relationship between Socioeconomic Status and Executive Function Performance Among Children

The relation between childhood socioeconomic status (SES) and executive function (EF) has recently attracted attention within psychology, following reports of substantial SES disparities in children’s EF. Adding to the importance of this relation, EF has been proposed as a mediator of socioeconomic disparities in lifelong achievement and health. However, evidence about the relationship between childhood SES and EF is mixed, and there has been no systematic attempt to evaluate this relationship across studies. This meta-analysis systematically reviewed the literature for studies in which samples of children varying in SES were evaluated on EF, including studies with and without primary hypotheses about SES. The analysis included 8,760 children between the ages of 2 and 18 gathered from 25 independent samples. Analyses showed a small but statistically significant correlation between SES and EF across all studies (r random = .16, 95% CI [.12, .21]) without correcting for attenuation due to range restriction or measurement unreliability. Substantial heterogeneity was observed between studies, and a number of factors, including the amount of SES variability in the sample and the number of EF measures used, emerged as moderators. Using only the 15 studies with meaningful SES variability in the sample, the average correlation between SES and EF was small-to-medium in size (r random = .22, 95% CI [.17, .27]). Using only the 6 studies with multiple measures of EF, the relationship was medium in size (r random = .28, 95% CI [.18-.37]). In sum, this meta-analysis supports the presence of SES disparities in EF and suggests that they are between small and medium in size, depending on the methods used to measure them

Childhood Socioeconomic Status and Executive Function in Childhood and Beyond

Socioeconomic status (SES) predicts health, wellbeing, and cognitive ability, including executive function (EF). A body of recent work has shown that childhood SES is positively related to EF, but it is not known whether this disparity grows, diminishes or holds steady over development, from childhood through adulthood. We examined the association between childhood SES and EF in a sample ranging from 9–25 years of age, with six canonical EF tasks. Analyzing all of the tasks together and in functionally defined groups, we found positive relations between SES and EF, and the relations did not vary by age. Analyzing the tasks separately, SES was positively associated with performance in some but not all EF measures, depending on the covariates used, again without varying by age. These results add to a growing body of evidence that childhood SES is associated with EF abilities, and contribute novel evidence concerning the persistence of this association into early adulthood

Relation of Childhood Home Environment to Cortical Thickness in Late Adolescence: Specificity of Experience and Timing

What are the long-term effects of childhood experience on brain development? Research with animals shows that the quality of environmental stimulation and parental nurturance both play important roles in shaping lifelong brain structure and function. Human research has so far been limited to the effects of abnormal experience and pathological development. Using a unique longitudinal dataset of in-home measures of childhood experience at ages 4 and 8 and MRI acquired in late adolescence, we were able to relate normal variation in childhood experience to later life cortical thickness. Environmental stimulation at age 4 predicted cortical thickness in a set of automatically derived regions in temporal and prefrontal cortex. In contrast, age 8 experience was not predictive. Parental nurturance was not predictive at either age. This work reveals an association between childhood experience and later brain structure that is specific relative to aspects of experience, regions of brain, and timing

Childhood socioeconomic status and childhood maltreatment: Distinct associations with brain structure

The present study examined the relationship between childhood socioeconomic status (SES), childhood maltreatment, and the volumes of the hippocampus and amygdala between the ages of 25 and 36 years. Previous work has linked both low SES and maltreatment with reduced hippocampal volume in childhood, an effect attributed to childhood stress. In 46 adult subjects, only childhood maltreatment, and not childhood SES, predicted hippocampal volume in regression analyses, with greater maltreatment associated with lower volume. Neither factor was related to amygdala volume. When current SES and recent interpersonal stressful events were also considered, recent interpersonal stressful events predicted smaller hippocampal volumes over and above childhood maltreatment. Finally, exploratory analyses revealed a significant sex by childhood SES interaction, with women’s childhood SES showing a significantly more positive relation (less negative) with hippocampus volume than men’s. The overall effect of childhood maltreatment but not SES, and the sex-specific effect of childhood SES, indicate that different forms of stressful childhood adversity affect brain development differently

A comparison of two group cognitive behavioral therapy protocols for anxiety in urban schools: appropriateness, child outcomes, and cost-effectiveness

BackgroundCognitive behavioral therapy (CBT) for pediatric anxiety is efficacious for reducing anxiety symptoms and improving functioning, but many children are unable to access CBT for anxiety in community settings. Schools are an important setting in which children access mental health care, including therapy for anxiety. In this setting, therapy is usually delivered by Masters-level therapists.ObjectivesFriends for Life (FRIENDS), a 12-session, manualized, group CBT program for anxiety has demonstrated effectiveness when implemented in schools. However, prior research has also found challenges regarding feasibility and cultural fit when delivering FRIENDS in the urban school context. To address these challenges, we adapted FRIENDS for implementation in the school setting so that it might be more feasible and culturally appropriate for low-income, urban schools in the United States, while maintaining the core components of treatment. The current study uses a mixed-method approach to compare the effectiveness, cost-effectiveness, and perceived appropriateness of FRIENDS and CATS when delivered by Masters-level therapists with train-the-trainer support.Materials and methodsFirst, we compared change scores for student outcomes (i.e., child-report MASC-2 total score, parent-report MASC-2 total score, teacher-report Engagement and Disaffection subscale scores) from pre- to post- treatment between students receiving FRIENDS and students receiving CATS to assess whether the two conditions resulted in equivalent outcomes. Second, we compared the cost and cost-effectiveness between the groups. Finally, we used an applied thematic analysis to compare appropriateness of the interventions as perceived by therapists and supervisors.ResultsThe mean change score for the child-reported MASC-2 was 1.9 (SE = 1.72) points in the FRIENDS condition and 2.9 (SE = 1.73) points in the CATS condition; results indicated that the conditions were similar in their treatment effects, and symptom reductions were small in both groups. The modified protocol, CATS, was shown to cost significantly less to implement compared to FRIENDS and showed greater cost-effectiveness. Finally, compared to therapists and supervisors in the CATS condition, therapists and supervisors in the FRIENDS condition more strongly described aspects of the intervention that were not appropriate for their context and in need of more extensive adaptations.ConclusionRelatively brief, group CBT for anxiety, with adaptations to improve cultural fit, is a promising approach to treat youth anxiety symptom when delivered by school-based therapists with train-the-trainer implementation support

The Long-Lived Disks in the Eta Chamaeleontis Cluster

We present IRS spectra and revised MIPS photometry for the 18 members of the Eta Chamaeleontis cluster. Aged 8 Myr, the Eta Cha cluster is one of the few nearby regions within the 5-10 Myr age range, during which the disk fraction decreases dramatically and giant planet formation must come to an end. For the 15 low-mass members, we measure a disk fraction ~50%, high for their 8 Myr age, and 4 of the 8 disks lack near-IR excesses, consistent with the empirical definition of "transition'' disks. Most of the disks are comparable to geometrically flat disks. The comparison with regions of different ages suggests that at least some of the "transition" disks may represent the normal type of disk around low-mass stars. Therefore, their flattened structure and inner holes may be related to other factors (initial masses of the disk and the star, environment, binarity), rather than to pure time evolution. We analyze the silicate dust in the disk atmosphere, finding moderate crystalline fractions (~10-30%) and typical grain sizes ~1-3 micron, without any characteristic trend in the composition. These results are common to other regions of different ages, suggesting that the initial grain processing occurs very early in the disk lifetime (<1 Myr). Large grain sizes in the disk atmosphere cannot be used as a proxy for age, but are likely related to higher disk turbulence. The dust mineralogy varies between the 8-12micron and the 20-30 micron features, suggesting high temperature dust processing and little radial mixing. Finally, the analysis of IR and optical data on the B9 star Eta Cha reveals that it is probably surrounded by a young debris disk with a large inner hole, instead of being a classical Be star.Comment: 35 pages, 6 tables, 8 figures; Accepted by Ap

Factors Associated with Revision Surgery after Internal Fixation of Hip Fractures

Background: Femoral neck fractures are associated with high rates of revision surgery after management with internal fixation. Using data from the Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) trial evaluating methods of internal fixation in patients with femoral neck fractures, we investigated associations between baseline and surgical factors and the need for revision surgery to promote healing, relieve pain, treat infection or improve function over 24 months postsurgery. Additionally, we investigated factors associated with (1) hardware removal and (2) implant exchange from cancellous screws (CS) or sliding hip screw (SHS) to total hip arthroplasty, hemiarthroplasty, or another internal fixation device. Methods: We identified 15 potential factors a priori that may be associated with revision surgery, 7 with hardware removal, and 14 with implant exchange. We used multivariable Cox proportional hazards analyses in our investigation. Results: Factors associated with increased risk of revision surgery included: female sex, [hazard ratio (HR) 1.79, 95% confidence interval (CI) 1.25-2.50; P = 0.001], higher body mass index (fo