Many caregivers of autistic people experience mental health issues, and the impact of disruptions due to COVID-19 may present additional challenges for these individuals. This study characterized caregiver stress, anxiety, and resilient coping during COVID-19 and investigated the impact of COVID-19 disruptions, demographic variables, and resilient coping on mental health. The majority of caregivers reported some degree of disruption associated with COVID-19, and more than half reported moderate levels of stress and high anxiety. Resilient coping did not emerge as a moderator between COVID-19 disruptions and caregiver mental health, but instead had a direct effect on outcomes. Future research is needed to understand additional factors impacting the mental health of caregivers of autistic people during the COVID-19 pandemic.
Among adolescents suffering from attention-deficit/hyperactivity disorder (ADHD), comorbid anxiety disorders are common, and symptoms need to be recognized early to minimize the potential impact on their quality of life. Anxiety disorders are recognized by using validated screening tools such as the Screen for Child Anxiety Related Emotional Disorders and the Spence Children's Anxiety Scale. Clinicians should first optimize ADHD therapy to ensure anxiety is not related to uncontrolled ADHD. This population benefits greatest from family-based cognitive behavioral therapy; however, best results are seen with the addition of pharmacotherapy. Pharmacological regimens include switching from stimulants to atomoxetine or the addition of selective serotonin reuptake inhibitors.
There is evidence that children begin to understand negation early in the preschool years, but children’s processing of negation is not well understood. We examined children’s processing of denial negation using a variant of the visual world paradigm called the Shopping Task. In this task, participants help a puppet to find the items on a shopping list, selecting from two potential items on each trial in response to the puppet’s affirmative (“the next item is an apple”) or negation (“the next item is not an orange”) sentence. In this binary decision context, participants’ eye gaze and reaching behavior were tracked as they selected the item the puppet wants. Participants were 78 children aged 4–5 years and a comparison group of 30 adults. Results showed that children took longer to process negation than affirmative sentences, and that this difference arose early in processing. Further, children’s eye gaze behavior suggested that on negation trials they regularly looked first to the negated object and were considering the negated meaning early in processing. Adults did not take longer to process negation than affirmative sentences, but their eye gaze behavior also indicated early consideration of negated meanings for negation sentences. We also examined relationships between children’s language and executive function skills and their processing of negation and found no significant relationships. We conclude that both adults and children activate to-be-negated information in the processing of negation. Children, however, are less efficient at processing negation in this context.
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