Salivary testosterone in relation to social cognition and social anxiety in children and adolescents with 47,XXY (Klinefelter syndrome)

BackgroundApproximately 1 in 650 boys are born with an extra X chromosome. Boys and men with 47,XXY (Klinefelter syndrome) are at risk for neurodevelopmental disorders and specific cognitive impairments. This study was focused on social anxiety and social cognition. The aim was to assess if these aspects of the phenotype are related to testosterone deficiency, which is typically seen in 47,XXY from puberty onwards. MethodsIn the study 20 boys with 47,XXY and 25 non-clinical controls between 8 and 19 years participated. None had ever used testosterone supplements. Cognitive tests measuring the labeling of facial expressions and perspective taking (Theory of Mind) were administered. Self-report questionnaires were used to assess social anxiety. Testosterone was measured in saliva. ResultsWithin the 47,XXY group lower levels of salivary testosterone were significantly associated with higher levels of social anxiety. The correlation was strong, andindependent of age and pubertal development. However, salivary levels of testosterone were uncorrelated to social cognitive skills. DiscussionThese findings point out that lower testosterone levels might contribute to high social anxiety in 47,XXY, suggesting that anxiety should be monitored in pubertal boys with XXY presenting with testosterone deficiency. This should be done in addition to exploring cognitive behavioral therapy or psychopharmacologic treatments targeting anxiety, which are more evidence based. In contrast, testosterone levels were not associated with social cognitive functioning, suggesting that other mechanisms are driving vulnerabilities in this domain.Development Psychopathology in context: clinical setting

A review of neurocognitive functioning and risk for psychopathology in sex chromosome trisomy (47,XXY, 47,XXX, 47, XYY)

Purpose of review About one in 650–1000 children is born with an extra X or Y chromosome, referred to as sex chromosome trisomies (SCTs). Studying SCTs may uncover unique insights in neurodevelopmental pathways underlying the risk for neurobehavioral problems and psychopathology. There is also a clinical need for more knowledge about the phenotype of SCT with the recent introduction of noninvasive prenatal screening.Recent findings The reviewed studies illustrate an increased vulnerability for psychopathology such as (symptoms of) autism spectrum disorder, attention-deficit/hyperactivity disorder, anxiety, depression and, to a lesser degree, psychotic disorders. Although traditionally the primary focus has been on language and learning problems, recent research suggests that impairments in executive functioning, social cognition and emotion regulation may also be key factors underlying the risk for neurobehavioral problems.Summary The research field of SCT is in need of a more longitudinal perspective to identify early markers of ‘at risk’ development, and to assess the effectiveness of early interventions. Neurocognitive markers that signal compromised neurodevelopment may prove to be helpful in this. Variability in the SCT phenotype provides a unique opportunity to identify not only genetic but also environmental factors that shape neurodevelopmental outcome, calling for studies focused on understanding individual differences.Development Psychopathology in context: clinical setting

Practical sand transport formula for non-breaking waves and currents

Open Access funded by Engineering and Physical Sciences Research Council Under a Creative Commons license Acknowledgements This work is part of the SANTOSS project (‘SANd Transport in OScillatory flows in the Sheet-flow regime’) funded by the UK's EPSRC (GR/T28089/01) and STW in The Netherlands (TCB.6586). JW acknowledges Deltares strategic research funding under project number 1202359.09. Richard Soulsby is gratefully acknowledged for valuable discussions and feedback on the formula during the SANTOSS project.Peer reviewedPostprin

Discovering the brain stages of lexical decision:Behavioral effects originate from a single neural decision process

Lexical decision (LD) – judging whether a sequence of letters constitutes a word – has been widely investigated. In a typical lexical decision task (LDT), participants are asked to respond whether a sequence of letters is an actual word or a nonword. Although behavioral differences between types of words/nonwords have been robustly detected in LDT, there is an ongoing discussion about the exact cognitive processes that underlie the word identification process in this task. To obtain data-driven evidence on the underlying processes, we recorded electroencephalographic (EEG) data and applied a novel machine-learning method, hidden semi-Markov model multivariate pattern analysis (HsMM-MVPA). In the current study, participants performed an LDT in which we varied the frequency of words (high, low frequency) and “wordlikeness” of non-words (pseudowords, random non-words). The results revealed that models with six processing stages accounted best for the data in all conditions. While most stages were shared, Stage 5 differed between conditions. Together, these results indicate that the differences in word frequency and lexicality effects are driven by a single cognitive processing stage. Based on its latency and topology, we interpret this stage as a Decision process during which participants discriminate between words and nonwords using activated lexical information