Infants were followed longitudinally to document the relationship between docosahexaenoic acid (DHA) levels and the development of attention. Erythrocyte (red-blood cell; RBC) phospholipid DHA (percentage of total fatty acids) was measured from infants and mothers at delivery. Infants were assessed in infant-control habituation at 4, 6, and 8 months augmented with psychophysiological measures, and on free-play attention and distractibility paradigms at 12 and 18 months. Infants whose mothers had high DHA at birth showed an accelerated decline in looking over the 1st year and increases in examining during single-object exploration and less distractibility in the 2nd year. These findings are consistent with evidence suggesting a link between DHA and cognitive development in infancy.

A longitudinal sample of 226 infants were tested monthly on habituation and novelty preference tasks, augmented with simultaneous heart rate recording from 3 to 9 months of age. Infants were then administered the Bayley Scales of Infant Development II (BSID) and MacArthur Communicative Development Inventory (MCDI) at 12, 18, and 24 months. Prior findings regarding the decline in look duration with age were replicated. Age‐based factors were extracted from the monthly assessments, an early attention factor from 3 to 6 months and a late attention factor from 7 to 9 months. A novelty preference factor, which grouped recognition performance at 4 and 6 months of age, was also derived. The late attention factor correlated negatively with a factor score derived from the BSID mental index, and the novelty preference aggregate was correlated positively with a factor score derived from the MCDI production scores. Two clusters of infants were derived based on the developmental course of change from the early attention to late attention look duration aggregates: One cluster (n= 150) decreased strongly, and another (n= 50) increased. Infants belonging to these clusters subsequently differed on both the BSID and MCDI outcomes, with the former cluster showing distinct advantages that increased as the outcome assessments progressed from 12 to 24 months of age. This finding was bolstered by subsequent analyses of data from infants who completed all tests run from 3 to 9 months. The results of this study suggest that the developmental course of attention during infancy is an important clue to cognitive and language outcomes in early childhood.

Four-month-old infants (N = 68) were tested in a paired-comparison familiarization-novelty recognition task in which the length of choice trials was systematically manipulated. Peak look duration during pretest and familiarization periods significantly predicted a dichotomous measure of recognition performance, but recognition was unaffected by choice-trial length. Heart rate (HR) was simultaneously assessed during the task, and the amount of time infants spent in various HR-defined phases of attention was assessed. Longer durations of looking during pretest and familiarization were significantly associated with more time spent in both sustained attention (SA) and attention termination (AT). Of these two variables, only individual differences in AT accounted for significant variance in recognition memory performance. A final analysis addressed the possibility that individual differences in AT mediated the relation between look duration and recognition performance. These findings provide support for the hypothesis that individual differences in the disengagement of attention underlie the relation between look duration and cognitive performance in early to midinfancy.

Findings suggest mechanisms for identifying patients that may be at risk for nonadherence and components for intervention programs to improve adherence rates among pediatric transplant recipients.

The current study examined child- and parent-reported child psychosocial functioning in a large sample of children who received solid organ transplantation. Participants included 64 children who received kidney or liver transplantation and 64 parents who completed a standardized measure of children's psychosocial functioning (BASC; Reynolds & Kamphaus, 1992). Although post-transplant children reported significantly fewer psychosocial difficulties than the normative average, parents reported that children had some psychosocial difficulties, particularly internalizing problems. There were no differences in psychosocial functioning between deceased donor organ and living donor organ recipients. Given the discrepancy between parent and child report, the results suggest that children may underreport psychosocial difficulties following transplantation or parents may over-report children's difficulties. Clinicians and researchers are encouraged to obtain assessment information from multiple reporters when assessing psychosocial functioning in this population.