Children's Sensitivity Research Articles

Significant sugar-reduction in dairy products targeted at children is possible without affecting hedonic perception

The objective of the present study was to evaluate children's hedonic sensitivity to sugar reduction in three dairy products: vanilla milk desserts, chocolate-flavoured milk, and vanilla yoghurt. For each product, a regular sample and five samples with different reduction in added-sugar content were formulated. The regular sample contained the sugar content of commercial products available in the marketplace. The reduction in added-sugar content ranged between 10.0 and 41.0%. A total of 126 children (8–13 years old) participated in the study. An A-not A test was used to evaluate children's hedonic sensitivity to sugar reduction. Sugar reductions up to 27% in chocolate flavoured milk and vanilla yoghurt, and up to 19% in vanilla milk desserts, did not cause significant changes in children's hedonic reaction. These results confirm that sugar-reduction strategies can be easily implemented in the dairy industry without significant risk of affecting sample appreciation and market share.

Effect of Fish Oil on Insulin Sensitivity in Children: A Systematic Review and Meta-Analysis of Randomized, Controlled Trials

ObjectivesFish oil has been shown to reduce the risk of metabolic disorders. However, the effects of fish oil intervention on glucose metabolism and insulin sensitivity are still controversial, especially in children. The current meta-analysis aimed to evaluate the effects of fish oil intervention on insulin sensitivity in children. MethodsThe Cochrane Library, PubMed, Embase, Web of Science, ClinicalTrials.gov and China National Knowledge Infrastructure databases were searched up to August 2020 for relevant studies evaluating fish oil intake compared with placebo on insulin sensitivity indications (Homeostatic Model for Insulin Resistance). A fixed-effects model was used to calculate the pooled effect. ResultsA total of 13 studies with 1,132 participants (567 in placebo group and 565 in fish oil group) were included in the meta-analysis. Compared with the placebo group, fish oil intervention had beneficial effects on insulin sensitivity in the pooled analysis (weighted mean difference, −0.219; 95% confidence interval, −0.392 to −0.046; p=0.013). In subgroup analyses, when the fish oil intervention period was short-term (≤6 months), low dose (eicosapentaenoic acid + docosahexaenoic acid dose <1.5 g/day) and high ratio (eicosapentaenoic acid to docosahexaenoic acid ≥1), it could improve insulin sensitivity. No heterogeneity was found for the pooled and subgroup analyses. ConclusionFish oil intervention has a beneficial effect on insulin sensitivity in children.

Assessment of Lingual Tactile Sensitivity in Children and Adults: Methodological Suitability and Challenges.

Few methodological approaches have been developed to measure lingual tactile sensitivity, and little information exists about the comparison between children and adults. The aims of the study were to: verify the cognitive and perceptive suitability of Von Frey filaments and a gratings orientation test in children of different ages; compare lingual tactile sensitivity between children and adults; investigate the relationships between lingual tactile sensitivity, preference and consumption of foods with different textures and level of food neophobia. One hundred and forty-seven children aged 6–13 years and their parents participated in the study, in addition to a separate sample of seventy adults. Participants filled in questionnaires, and lingual tactile sensitivity was evaluated through filaments and gratings. Results showed that gratings evaluation was more difficult than filaments assessment but enabled a better separation of participants according to their performance than filaments. R-indices from filaments were not correlated with those of gratings, suggesting that the tools measure different dimensions of lingual tactile sensitivity. No differences were found in lingual tactile sensitivity between children and adults, nor between children of different ages. Food neophobia was negatively associated with preferences of hard foods in children. Although a multifactor analysis concluded that neither texture preferences nor food consumption were strongly correlated with lingual tactile sensitivity, there was a weak but significant positive correlation between lingual tactile sensitivity to the finest Von Frey filament and food neophobia in the youngest age group, indicating that children with higher levels of food neophobia are more sensitive to oral tactile stimuli. Suitable child-friendly adaptations for the assessment of lingual sensitivity in children are discussed.

Development of discrimination and categorization of voice gender cues in school-age children

Children's sensitivity to differences in speakers' voices continues to develop throughout childhood, but it remains unclear how it develops. In a cross-sectional design, we investigated how school-age children's discrimination, a lower-level perceptual task, and categorization, a higher-level cognitive task, of voice gender cues, fundamental frequency (F0) and vocal-tract length (VTL), develop and how these abilities are related. We used an adaptive 3AFC procedure to measure children's F0 and VTL discrimination thresholds and a categorization task to examine their weighting of F0 and VTL for voice gender categorization. Here we show that the acquisition of adult-like performance for discrimination and categorization differs across voice gender cues. Children's discrimination thresholds were adult-like around 8 years of age for VTL but still differed from adults' at 12 years of age for F0. Contrarily, children's cue weights were adult-like around 6 years of age for F0 but around 10 years of age for VTL. Therefore, the two abilities seem to develop at different rates for the different voice cues and do not seem to be closely related. Data from cochlear implant children will also be presented, as for them F0 and VTL discrimination and gender categorization depend on both cognitive development and perceptual limitations.

Topographies and functions of emerging problem behavior and appropriate requests in neurotypical preschoolers.

The current study builds on a small but growing body of research evaluating the formal and functional characteristics of emerging problem behavior before it becomes harmful and requires costly treatment. The researchers tested 21 preschool children's sensitivity to establishing operations that commonly precede severe problem behavior. Sensitivity tests were embedded in a small group play context to optimize safety, efficiency, and ecological validity. The tests screened several levels of problem-behavior severity as well as the presence of adaptive alternatives (i.e., communication) to problem behavior. Overall, outcomes suggested sources of reinforcement for minor- and moderate-severity problem behavior in 86% of children. Only 17% of children exhibiting problem behavior also engaged in appropriate requests in the same condition(s) as problem behavior. The present data are compared to published functional analyses of severe behavior. The results are discussed as a preliminary step towards a function-based model of risk identification and behavioral prevention of severe problem behavior.

Transactional effects between parental sensitivity and child social adjustment: Specifying trait-state aspects of parenting.

This study examined the reciprocal relations among maternal sensitivity, paternal sensitivity, and children's social adjustment from 54 months of age to 5th grade. Using a subsample from the National Institute of Child Health and Development Study of Early Child Care and Youth Development (N = 829), we employed an autoregressive latent trajectory model with structured residuals (ALT-SR) to unpack the trait and state aspects in the relations between parental sensitivity and children's social adjustment. After taking into account trait factors, among all the significant autoregressive and cross-lagged paths originally found in the autoregressive cross-lagged panel models, less than one third of them remained significant in the ALT-SR model. More specifically, in the ALT-SR model, more parent-driven effects were observed for fathers and child-driven effects were detected between children's social skills and fathers' sensitivity. Taken together, it appears that parents' central tendency to be sensitive in the long term is a stable trait, and experiences less state-level fluctuations, and these appear to matter more for children's general tendency to show well adjustment as opposed to change over time. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Dopamine Functioning and Child Externalizing Behavior: A Longitudinal Analysis of Polygenic Susceptibility to Parenting.

This study investigated how genetic susceptibility may affect children's sensitivity to parenting practices in their development of externalizing behavior. We created a continuous polygenic index composed of 5 dopamine polymorphisms to investigate the moderating role of dopamine-related genes in shaping parent-child gene-by-environment (Gc×E) interactions. Accumulating research supports that differences in children's dopamine neurotransmission make certain children more susceptible to both negative and positive parenting practices, a "for-better and for-worse" effect. Data from a 3-wave longitudinal study (4 months between waves) on 190 at-risk families with children aged 4 to 8 were used to investigate whether a heightened polygenic index score amplified the associations between negative and positive parenting and later children's externalizing behavior. Parenting practices and child externalizing behavior were assessed by parent-reported questionnaires. Findings were not in line with the expectation that there was a stronger association between positive and negative parenting and later externalizing behavior for children with higher scores on the polygenic susceptibility index. Rather, children with a lower score on the polygenic susceptibility index showed more later externalizing behavior in response to positive parenting behavior, whereas for children with a higher score on the polygenic index, positive parenting was predictive of relatively lower levels of later child externalizing behavior. The results indicate that not only are children with higher but also lower scores on the polygenic index sensitive to parenting, they suggest that different phenotypical characteristics related to reward processing might underlie these genetic susceptibilities to parenting practices.

Children are sensitive to mutual information in intermediate-complexity face and non-face features.

Understanding developmental changes in children's use of specific visual information for recognizing object categories is essential for understanding how experience shapes recognition. Research on the development of face recognition has focused on children's use of low-level information (e.g. orientation sub-bands), or high-level information. In face categorization tasks, adults also exhibit sensitivity to intermediate complexity features that are diagnostic of the presence of a face. Do children also use intermediate complexity features for categorizing faces and objects, and, if so, how does their sensitivity to such features change during childhood? Intermediate-complexity features bridge the gap between low- and high-level processing: they have computational benefits for object detection and segmentation, and are known to drive neural responses in the ventral visual system. Here, we have investigated the developmental trajectory of children's sensitivity to diagnostic category information in intermediate-complexity features. We presented children (5–10 years old) and adults with image fragments of faces (Experiment 1) and cars (Experiment 2) varying in their mutual information, which quantifies a fragment's diagnosticity of a specific category. Our goal was to determine whether children were sensitive to the amount of mutual information in these fragments, and if their information usage is different from adults. We found that despite better overall categorization performance in adults, all children were sensitive to fragment diagnosticity in both categories, suggesting that intermediate representations of appearance are established early in childhood. Moreover, children's usage of mutual information was not limited to face fragments, suggesting the extracting intermediate-complexity features is a process that is not specific only to faces. We discuss the implications of our findings for developmental theories of face and object recognition.

Childhood experiences and adult health: the moderating effects of temperament

Existing literature demonstrates a strong relationship between childhood experiences and adult health outcomes. The Differential Susceptibility to Environment Theory suggests that there are several factors, including personality, that affect a child's sensitivity to adverse and advantageous experiences. A sample of 246 adults (ages 19–57) were asked questions about extroverted personality characteristics, adverse and advantageous childhood experiences (ACEs and counter-ACEs), and several indicators of adult health, including executive functioning, perceived stress levels, depression, and past smoking habits. The sample was then stratified based on level of extroversion scores with the top quartile being labeled as “extroverts”, the bottom quartile as “introverts”, and those in between as “ambiverts”. Regression analyses were then used to assess the relationship between childhood experiences and each adult health outcome. The results of the study showed that the relationship between childhood experiences and adult health was generally stronger among extroverted individuals. These results suggest that extroverts may be more sensitive to environmental influences in childhood as compared to introverts and ambiverts. More research is needed to understand the neurobiological mechanisms that increase environmental sensitivity among extroverts.

Predictors of Food Sensitization in Children and Adults Across Europe

The geographical variation and temporal increase in the prevalence of food sensitization (FS) suggest environmental influences. To investigate how environment, infant diet, and demographic characteristics, are associated with FS in children and adults, focusing on early-life exposures. Data on childhood and adult environmental exposures (including, among others, sibship size, day care, pets, farm environment, and smoking), infant diet (including breast-feeding and timing of introduction to infant formula and solids), and demographic characteristics were collected from 2196 school-age children and 2185 adults completing an extensive questionnaire and blood sampling in the cross-sectional pan-European EuroPrevall project. Multivariable logistic regression was applied to determine associations between the predictor variables and sensitization to foods commonly implicated in food allergy (specific IgE ≥0.35 kUA/L). Secondary outcomes were inhalant sensitization and primary (non-cross-reactive) FS. Dog ownership in early childhood was inversely associated with childhood FS (odds ratio, 0.65; 95% CI, 0.48-0.90), as was higher gestational age at delivery (odds ratio, 0.93 [95% CI, 0.87-0.99] per week increase in age). Lower age and male sex were associated with a higher prevalence of adult FS (odds ratio, 0.97 [95% CI, 0.96-0.98] per year increase in age, and 1.39 [95% CI, 1.12-1.71] for male sex). No statistically significant associations were found between other evaluated environmental determinants and childhood or adult FS, nor between infant diet and childhood FS, although early introduction of solids did show a trend toward prevention of FS. Dog ownership seems to protect against childhood FS, but independent effects of other currently conceived environmental and infant dietary determinants on FS in childhood or adulthood could not be confirmed.

Early Life Domestic Pet Ownership, and the Risk of Pet Sensitization and Atopic Dermatitis in Preschool Children: A Prospective Birth Cohort in Shanghai.

Background: Although domestic pet ownership is on the rise, the impact of early life pet ownership on children's pet sensitization and atopic dermatitis (AD) remains controversial.Methods: Shanghai Allergy Cohort is an ongoing prospective study followed up to the age of 5 years. Pregnant mothers were recruited and their offspring were followed up every year by a group of pediatricians. Information on furred pet ownership was collected by the questionnaire. AD was diagnosed by dermatologists according to disease history and Williams criteria at 5 years ± 1 months. Skin prick test (SPT) was performed to determine sensitization to specific allergens. Multiple logistic regression models were used to evaluate the associations between pet ownership and AD, dog/cat sensitization.Results: In the 538 children at preschool age, 112 (20.82%) were diagnosed with AD. Dermatophagoides pteronyssinus and Dermatophagoides farina were the most common allergens, and almost 10% of children were positive to dog and cat. The percentage of positive SPT reactors at 5-year old was 65.28% in the group of children with AD, higher than that in non-AD group (44.57%). Domestic pet ownership at both infant and preschool period was positively associated with an increased risk of sensitization to dog (OR adjusted = 2.85 [95% CI: 1.08–7.50 for infant exposure], OR adjusted = 2.73 [95% CI: 1.33–5.61] for preschool exposure), and interestingly, pet ownership at infant period negatively associated with higher risk of AD at 5-year old (OR adjusted = 0.33 [95% CI: 0.12–0.88]).Conclusion: This is the first prospective birth cohort study in Shanghai that found half of preschool children had positive allergen sensitization even in the non-AD children. Although early life exposure to dog may increase the risk of dog sensitization, it significantly decreased the risk of AD. The underlying mechanisms warrant further investigations.

Trends of Sensitization to Inhalant Allergens in Korean Children Over the Last 10 Years.

PurposeClimate and lifestyle changes increase an individual's susceptibility to various allergens and also the incidence of allergic diseases. We aimed to examine the changes in sensitization rate for aeroallergens over a 10-year period in Korean children.Materials and MethodsWe retrospectively reviewed the medical records of 4493 children who visited the allergy clinic at a tertiary hospital in Korea for allergic rhinitis or asthma from January 2009 to December 2018. The serum specific immunoglobulin E (IgE) levels were measured to confirm the sensitization against Dermatophagoides farinae (D. farinae), Alternaria, weed and tree pollen mixtures, as well as cat and dog dander through ImmunoCAP test.ResultsD. farinae was the most common sensitizing aeroallergen (45.9%) during the 10-year span. The sensitization rate for tree pollen mixture (p for trend <0.001), weed pollen mixtures (p for trend <0.001), dog dander (p for trend=0.025), and cat dander (p for trend=0.003) showed ascending trends during the 10-year study period. Furthermore, the sensitization rate for multiple allergens (≥2) in 2018 increased significantly compared to that in 2009 (p for trend=0.013). Compared with children without sensitization to D. farinae, those with sensitization to D. farinae showed higher sensitization rates to other aeroallergens (p for interaction <0.001).ConclusionChildren's sensitization rate to cat and dog dander and weed and tree pollen mixtures significantly increased during the 10-year period in Korea. Children with sensitization to D. farinae are likely to be sensitized to other aeroallergens as well.

Individual Differences in Verb Bias Sensitivity in Children and Adults With Developmental Language Disorder.

A number of experiments support the hypothetical utility of statistical information for language learning and processing among both children and adults. However, tasks in these studies are often very general, and only a few include populations with developmental language disorder (DLD). We wanted to determine whether a stronger relationship might be shown when the measure of statistical learning is chosen for its relevance to the language task when including a substantial number of participants with DLD. The language ability we measured was sensitivity to verb bias – the likelihood of a verb to appear with a certain argument or interpretation. A previous study showed adults with DLD were less sensitive to verb bias than their typical peers. Verb bias sensitivity had not yet been tested in children with DLD. In Study 1, 49 children, ages 7–9 years, 17 of whom were classified as having DLD, completed a task designed to measure sensitivity to verb bias through implicit and explicit measures. We found children with and without DLD showed sensitivity to verb bias in implicit but not explicit measures, with no differences between groups. In Study 2, we used a multiverse approach to investigate whether individual differences in statistical learning predicted verb bias sensitivity in these participants as well as in a dataset of adult participants. Our analysis revealed no evidence of a relationship between statistical learning and verb bias sensitivity in children, which was not unexpected given we found no group differences in Study 1. Statistical learning predicted sensitivity to verb bias as measured through explicit measures in adults, though results were not robust. These findings suggest that verb bias may still be relatively unstable in school age children, and thus may not play the same role in sentence processing in children as in adults. It would also seem that individuals with DLD may not be using the same mechanisms during processing as their typically developing (TD) peers in adulthood. Thus, statistical information may differ in relevance for language processing in individuals with and without DLD.

Patch Test Results of Contact Sensitization in Children Without Atopic Dermatitis: A Single Tertiary Center Experience.

Allergic contact dermatitis (ACD) has become more frequent in children. The prevalence of contact sensitization varies with respect to age, sex, and geographic localization. The aim of the study was to investigate the experience of a tertiary health center regarding the patch test results of contact sensitization in children without atopic dermatitis. This is a retrospective review of 89 children (30 boys and 59 girls) who were aged between 3 and 18 years and who were diagnosed with ACD between July 2013 and July 2017. Children with a known history of atopic dermatitis were excluded. All patients were tested with the TRUE (Thin-layer Rapid Use Epicutaneous) test series. The most frequently determined allergens by TRUE test were methylchloroisothiazolinone (n = 7 [16.3%]), disperse blue 106 (n = 5 [11.6%]), and bacitracin (n = 5 [11.6%]). Formaldehyde-related allergens produced 15 positives. Preservatives, such as methylchloroisothiazolinone, formaldehyde, and formaldehyde releasers, emerge as the most frequent allergens in children who undergo patch testing because of ACD. This finding might be attributed to the increase in the utilization of these chemical compounds in personal hygiene products for children.

Prevalence and Risk Factors of Allergic Bronchopulmonary Aspergillosis and Aspergillus Sensitization in Children with Poorly Controlled Asthma.

Allergic bronchopulmonary aspergillosis (ABPA) may be a risk factor for poorly controlled asthma in children. The studies regarding prevalence and risk factors of ABPA in children with poorly controlled asthma are limited in number. To determine prevalence and risk factors of ABPA and aspergillus sensitization (AS) in children with poorly controlled asthma. In this prospective cross-sectional study from a tertiary care center in India, we enrolled asthmatic children 5-15 years of age with poorly controlled asthma. We did the following investigations: spirometry, skin prick test, serum total immunoglobulin E (IgE), aspergillus-specific IgE and immunoglobulin G, serum precipitin for Aspergillus, absolute eosinophil count, chest X-ray and high-resolution computed tomography of the chest. ABPA and AS were diagnosed as per the recently proposed criteria. We enrolled 106 children [boys 72 (67.9%); mean age of 10.2 ± 2.6 years] with poorly controlled asthma. The prevalence of ABPA and AS were 11.3% (95% CI, 5.2-17.5%) and 61.3% (95% CI, 52.0-70.7%), respectively. The presence of brownish sputum was significantly more in ABPA compared with non-ABPA patients (33.3 vs. 4.2%, p = 0.002). The age, gender, allergic rhinitis and gastroesophageal reflux were not significantly different in ABPA compared with non-ABPA patients. The prevalence of ABPA and AS was 11.3 and 61.3%, respectively in children with poorly controlled asthma. We could not find any risk factors for ABPA except that the presence of brownish sputum was more in children with ABPA. Spirometry parameters were not significantly different in ABPA compared with non-ABPA patients.

Group conquers efficacy: Preschoolers' imitation under conflict between minimal group membership and behavior efficacy.

Research has found that preschoolers’ imitation demonstrates in-group bias and is guided by behavior efficacy. However, little is known about whether children’s sensitivity to behavior efficacy affects their in-group imitation. This study aimed to investigate preschoolers’ imitation tendency when group preference and behavior efficacy are in conflict. Participants were 4-year-old (N = 72) and 6-year-old (N = 72) preschoolers in China. They observed two demonstrators (one in-group and one out-group) pressing two different buttons, respectively, to turn on a music box, and were then asked to try it themselves. In the experimental condition, the out-group demonstrator always succeeded, whereas the in-group demonstrator failed half the time. The results showed that more 6-year-old children imitated the less-effective behaviors of the in-group demonstrator, whereas 4-year-old children showed no such inclination. Two control conditions confirmed that children chose to imitate in-group rather than out-group members (Control 1: both in-group and out-group demonstrators succeeded all four times), and could imitate according to efficacy (Control 2: two in-group demonstrators succeeded two and four times, respectively). These results indicated that 6-year-olds faithfully followed the in-group modeled behavior, regardless of behavior efficacy. Results are discussed through the social function of in-group imitative learning.

Looking smart: Preschoolers' judgements about knowledge based on facial appearance.

Preschoolers use others' behaviours to make inferences about what traits they possess (Harris etal., 2018, Ann. Rev. Psychol., 69, 251). The current study examined whether 4- and 5-year-olds also associate others' behaviour with how they appear on the surface. Specifically, we asked whether children's sensitivity to different face-traits (e.g., Cogsdill etal., 2014, Psychol. Sci., 25, 1132) would bias them to associate knowledgeable behaviours with faces that adults rate as highly competent- or trustworthy-looking. We find that preschoolers expect puppets with trustworthy-looking faces to be knowledgeable about the functions of familiar objects. In contrast, children did not match a puppet's knowledge to facial features that adults rate as varying in competence. These data suggest that children, like adults, are biased to associate facial appearance and behaviour. Furthermore, this bias appears to be rooted in a response to the same facial features that have been found to govern judgements of trustworthiness across development (e.g., Jessen & Grossmann, 2016, J. Cogn. Neurosci., 28, 1728). Statement of contribution What is already known on this subject? Preschoolers selectively trust others using epistemic and non-epistemic cues (Harris etal., 2018). Preschoolers associate specific faces with trustworthiness and competence (Cogsdill etal., 2014). What the present study adds? Preschoolers infer that trustworthy-looking characters will behave knowledgeably. Preschoolers do not infer that competent-looking characters will behave knowledgeably. Children's reliability judgements are influenced by others' appearance.

Using the Delis–Kaplan Executive Function System Tower Test to Examine ADHD Sensitivity in Children: Expanding Analysis Beyond the Summary Score

Attention-deficit/hyperactivity disorder (ADHD) affects many children and is commonly regarded as a disorder of executive function (EF; Willcutt et al. Journal of Biological Psychiatry, 57, 1336–1346, 2005). EF is thought to be housed primarily within the brain’s prefrontal cortex (PFC), with different areas of the PFC orchestrating different EF components (Jurado and Rosselli Neuropsychology Review, 17, 213–233, 2007). Key PFC areas for this study included the dorsolateral PFC and orbitofrontal cortex. A measure on the Delis–Kaplan Executive Function System (D-KEFS), the Tower Test, has been infrequently studied with child populations, particularly those with ADHD. The limited research that does exist has primarily focused on the Tower’s summary score, overlooking available optional scores. The current study involved investigation of Tower performance in children ages 8 to 18 with ADHD (n = 252) to look for impaired scores, examine correlations with common ADHD measures, and compare Tower scores to clinical (n = 49) and normative controls (n = 110). Children with ADHD showed deficits on multiple Tower scores. Notably, more than half of the children with ADHD scored more than 1 standard deviation below the norm on the Move Accuracy Ratio (MAR) score, and children younger than 14 completed the Tower less efficiently than older children (i.e., lower MAR). Lower MAR scores were also correlated with higher parent ratings of inhibition on the Behavior Rating Inventory of Executive Function (BRIEF) and more errors of impulsivity on the Conners’ Continuous Performance Test, second edition (CPT II). Normative controls significantly outperformed children with ADHD on five of six Tower measures. The sensitivity of these optional measures was evident even while the total score was not sensitive to group differences, which highlights the importance of analyzing Tower optional scores and underscores the need for future research applying similar methods.

The relationship between greenery and self-regulation of children: The mediation role of nature connectedness

This study aimed to investigate the relationship between greenery around children's homes and their self-regulation skills through the mediator role of nature connectedness. The moderator role of perceptual sensitivity in the relationship between greenery and nature connectedness was also examined. Two hundred and ninety-nine children aged between 8 and 11 years old and their mothers participated in the study. The results indicated that the relationship between greenery and emotional and cognitive regulation was mediated by nature connectedness. However, nature connectedness did not mediate the relationship between greenery and behavioral regulation. The results also revealed that children's perceptual sensitivity was positively associated with nature connectedness. However, the mediation was not moderated by perceptual sensitivity, which means the indirect effect of greenery on emotional and cognitive regulation through nature connectedness did not depend on perceptual sensitivity.

A Two-Interval, Forced-Choice, Observer-Based Procedure for Evaluating Hearing Sensitivity in Children With Motor and Developmental Impairments.

Purpose It can be challenging to collect reliable behavioral responses to sound from individuals with significant motor or developmental impairments, the most common types of comorbid disability found in children with hearing loss (e.g., Gallaudet Research Institute, 2011). The purpose of this study was to test the feasibility of using a 2-interval, forced-choice, observer-based method for individuals considered to be difficult-to-test using behavioral audiometric assessments. Method Participants were 5 children with motor and developmental impairments, ages 5-15 years (M = 11.6, SD = 4.6). The functional abilities of all participants were greater than 2 SDs below the mean, as measured by the Vineland-II Parent Caregiver Rating Form. Participants listened to either a male talker saying the word "playground" or a 1000-Hz warble tone, presented via an insert earphone or a sound field speaker. An observer, blind to signal presentation, selected 1 of 2 temporal intervals, determining which contained the signal based only on participant behavior. Criterion was reached when the observer correctly identified the interval containing the signal for 8 of the last 10 trials. Results An 80%-correct criterion was met for all participants, suggesting feasibility for use in children with motor or developmental impairment. Two participants were tested using an adaptive tracking procedure; a reliable threshold estimate was obtained for both children. This method offers promise for children who have difficulty performing behavioral audiometric assessments currently in use clinically.