Previous research has shown the capacity for mindfulness to be strongly associated with psychological well-being, that components of mindfulness show significant growth through young adulthood, and that this developing, malleable capacity is vital as individuals learn to deal appropriately with negative thoughts and unwelcome emotions. Smartphones, typically used in an automatic or experientially avoidant way, can undermine this development, leading to a decreased capacity for mindfulness. The purpose of these studies were to examine the extent to which smartphone use is negatively associated with young adults’ mindfulness and the degree to which increased cognitive and behavioral involvement with smartphones may exacerbate this relation using a newly developed conceptual model. Study 1 was conducted using self-report measures of mindfulness among a cross-sectional sample of university students aged 18–20 years (n = 668). Study 2 augmented Study 1 using objective measures of smartphone screen time and the cognitive regulatory components of mindfulness in a planned missingness design. Results indicate smartphone involvement (a compulsive pattern of use and cognitive preoccupation with one’s smartphone) to be significantly associated with lower trait mindfulness. Additionally, exploratory analysis of smartphone involvement as a mediator of the effect of smartphone use on mindfulness demonstrated a significant estimated indirect effect. These results provide preliminary empirical support for the newly proposed conceptual model which posits associations between mindfulness and the use of smartphones in a cognitively and behaviorally involved way. This study is not preregistered.

It has been postulated that the brain is organized by “metamodal,” sensory-independent cortical modules capable of performing tasks (e.g., word recognition) in both “standard” and novel sensory modalities. Still, this theory has primarily been tested in sensory-deprived individuals, with mixed evidence in neurotypical subjects, thereby limiting its support as a general principle of brain organization. Critically, current theories of metamodal processing do not specify requirements for successful metamodal processing at the level of neural representations. Specification at this level may be particularly important in neurotypical individuals, where novel sensory modalities must interface with existing representations for the standard sense. Here we hypothesized that effective metamodal engagement of a cortical area requires congruence between stimulus representations in the standard and novel sensory modalities in that region. To test this, we first used fMRI to identify bilateral auditory speech representations. We then trained 20 human participants (12 female) to recognize vibrotactile versions of auditory words using one of two auditory-to-vibrotactile algorithms. The vocoded algorithm attempted to match the encoding scheme of auditory speech while the token-based algorithm did not. Crucially, using fMRI, we found that only in the vocoded group did trained-vibrotactile stimuli recruit speech representations in the superior temporal gyrus and lead to increased coupling between them and somatosensory areas. Our results advance our understanding of brain organization by providing new insight into unlocking the metamodal potential of the brain, thereby benefitting the design of novel sensory substitution devices that aim to tap into existing processing streams in the brain.SIGNIFICANCE STATEMENTIt has been proposed that the brain is organized by “metamodal,” sensory-independent modules specialized for performing certain tasks. This idea has inspired therapeutic applications, such as sensory substitution devices, for example, enabling blind individuals “to see” by transforming visual input into soundscapes. Yet, other studies have failed to demonstrate metamodal engagement. Here, we tested the hypothesis that metamodal engagement in neurotypical individuals requires matching the encoding schemes between stimuli from the novel and standard sensory modalities. We trained two groups of subjects to recognize words generated by one of two auditory-to-vibrotactile transformations. Critically, only vibrotactile stimuli that were matched to the neural encoding of auditory speech engaged auditory speech areas after training. This suggests that matching encoding schemes is critical to unlocking the brain's metamodal potential.

BACKGROUND AND METHODS:Based on an established ongoing prospective-longitudinal study examining anxiety in response to COVID-19, a representative sample of 1018 Jewish-Israeli adults were recruited online. A baseline assessment was employed two days prior to the first spread of COVID-19, followed by six weekly assessments. Three classes of general anxiety and virus-specific anxiety were identified: (1) "Panic" (a very high and stable anxiety throughout the spread), (2) "Complacency" (a very low and stable anxiety throughout the spread), and (3) "Threat-Sensitivity" (a linear increase, plateauing at the 5th wave). For general-anxiety only, a fourth, "Balanced," class was identified, exhibiting a stable, middle-level of anxiety. We tested theory-based, baseline, social-cognitive predictors of these classes: self-criticism, perceived social support, and perceptions/attitudes towards the Israeli Ministry of Health. We also controlled for trait anxiety. Multinomial regression analyses in the context of General Mixture Modeling were utilized.RESULTS:Baseline virus-specific anxiety linearly predicted emerging virus-specific anxiety classes. Virus-specific panic has higher trait anxiety than the other two classes. The general anxiety panic class was over-represented by women and exhibited higher baseline general anxiety and self-criticism than all other classes, and higher baseline virus-specific anxiety along with lower perceived support and less positive perceptions of the ministry of health than two of the three other classes.CONCLUSIONS:Preexisting anxiety shapes subsequent anxious responses to the spread of COVID-19. The general-anxiety panic class may be markedly demoralized, requiring targeted public-health interventions.

The goal of this chapter is to describe how international collaborative research can contribute to understanding of Positive Youth Development (PYD). Throughout the chapter, we draw on examples from the Parenting Across Cultures project, a collaboration among investigators from nine countries (China, Colombia, Italy, Jordan, Kenya, the Philippines, Sweden, Thailand, and the United States) in which we have collected longitudinal data annually for 10 years on youth development and parenting, as well as examples from other research groups’ international collaborations. The chapter begins by defining PYD, drawing from emic and etic perspectives to understand how cultural insiders and outsiders may regard positive youth development. The chapter then describes examples from international collaborative research on within- and between-group differences in PYD as well as predictors of PYD in a cultural perspective. Next, the chapter highlights measurement and methodological issues that are salient in international collaborative research on PYD, such as how to handle invariance of instruments and whether to create new measures for new cultural contexts or to adapt existing measures for new contexts. The chapter concludes with implications for future research, policy, and practice, including the potential for researchers in one country to learn from researchers in other countries about strategies, policies, and programs that have worked well in one locale and might be worth adapting in others.

Engaging in adaptive parenting behaviors can improve child and adolescent well-being across a wide range of ethnic groups. Yet, comparatively little is known about whether or how parenting behaviors change over the course of childhood and adolescence and how such changes differ between ethnic groups. To explore this question, we examined trajectories of four parenting domains (warmth, behavioral control, rules/limit-setting, and knowledge solicitation) in three different ethnic groups residing in Durham, North Carolina, in the United States. Specifically, utilizing a multilevel modeling analytic framework, we examined parent trajectories as reported by children, mothers, and fathers in African American (n = 102), Latin American (n = 98), and European American (n = 110) families followed for eight consecutive years in a sample ranging from ages 8 to 19 across all waves. Parents decrease the frequency with which they exhibit all parenting behaviors to some extent in mid-to-late adolescence. Parent use of some behaviors, such as warmth and knowledge solicitation, appears to remain consistently higher and more stable across ethnic groups. Other parenting behaviors, such as parent use of rules and limit-setting, vary more widely between ethnic groups. Some parenting behaviors (especially behavioral control) vary more widely across a variety of other sociodemographic factors (i.e., levels of parent education, parent age at the time of the child's birth, and child gender). Collectively, these results point to the importance of longitudinally evaluating parenting domains by highlighting differences in some domains (e.g., parent behavioral control and rules/limit-setting) and similarity in other domains (e.g., parent warmth and knowledge solicitation) between and within ethnic groups.

Background While few countries and healthcare systems are on track to meet the World Health Organization’s hepatitis C virus (HCV) elimination goals, the US Veterans Health Administration (VHA) has been a leader in these efforts. We aimed to determine which implementation strategies were associated with successful national viral elimination implementation within the VHA. Methods We conducted a five-year, longitudinal cohort study of the VHA Hepatic Innovation Team (HIT) Collaborative between October 2015 and September 2019. Participants from 130 VHA medical centers treating HCV were sent annual electronic surveys about their use of 73 implementation strategies, organized into nine clusters as described by the Expert Recommendations for Implementing Change taxonomy. Descriptive and nonparametric analyses assessed strategy use over time, strategy attribution to the HIT, and strategy associations with site HCV treatment volume and rate of adoption, following the Theory of Diffusion of Innovations. Results Between 58 and 109 medical centers provided responses in each year, including 127 (98%) responding at least once, and 54 (42%) responding in all four implementation years. A median of 13–27 strategies were endorsed per year, and 8–36 individual strategies were significantly associated with treatment volume per year. Data warehousing, tailoring, and patient-facing strategies were most commonly endorsed. One strategy—“identify early adopters to learn from their experiences”—was significantly associated with HCV treatment volume in each year. Peak implementation year was associated with revising professional roles, providing local technical assistance, using data warehousing (i.e., dashboard population management), and identifying and preparing champions. Many of the strategies were driven by a national learning collaborative, which was instrumental in successful HCV elimination. Conclusions VHA’s tremendous success in rapidly treating nearly all Veterans with HCV can provide a roadmap for other HCV elimination initiatives.

The goal of sensory substitution is to convey the information transduced by one sensory system through a novel sensory modality. One example is vibrotactile (VT) speech, for which acoustic speech is transformed into vibrotactile patterns. Despite an almost century-long history of studying vibrotactile speech, there has been no study of the neural bases of VT speech learning. We here trained hearing adult participants to recognize VT speech syllables. Using fMRI, we showed that both somatosensory (left post-central gyrus) and auditory (right temporal lobe) regions acquire selectivity for VT speech stimuli following training. The right planum temporale in particular was selective for both VT and auditory speech. EEG source-estimated activity revealed temporal dynamics consistent with direct, low-latency engagement of right temporal lobe following activation of the left post-central gyrus. Our results suggest that VT speech learning achieves integration with the auditory speech system by “piggybacking” onto corresponding auditory speech representations. Significance statement In sensory substitution, the information conveyed by one sensory system is used to replace the function of another. Blind individuals, for example, can learn to use a visual-to-acoustic sensory substitution device to navigate the world. We tested the hypothesis that sensory substitution can more generally occur in typical individuals, by exploiting the existence of multi-sensory convergence areas in the brain. We trained hearing participants to recognize speech syllables presented as vibrotactile stimulation patterns. Using fMRI and EEG, we show that vibrotactile speech learning integrates with the auditory speech system by “piggybacking” onto corresponding auditory speech representations. These results suggest that the human brain can bootstrap new senses by leveraging one sensory system to process information normally processed by another.

Convolutional neural networks (CNNs) trained to identify abnormalities on upper extremity radiographs achieved an AUC of 0.844 with a frequent emphasis on radiograph laterality and/or technologist labels for decision-making. Covering the labels increased the AUC to 0.857 (p = .02) and redirected CNN attention from the labels to the bones. Using images of radiograph labels alone, the AUC was 0.638, indicating that radiograph labels are associated with abnormal examinations. Potential radiographic confounding features should be considered when curating data for radiology CNN development.

Children, mothers, and fathers in 12 ethnic and regional groups in nine countries ( N  = 1,338 families) were interviewed annually for 8 years ( M age child = 8–16 years) to model four domains of parenting as a function of child age, puberty, or both. Latent growth curve models revealed that for boys and girls, parents decrease their warmth, behavioral control, rules/limit-setting, and knowledge solicitation in conjunction with children’s age and pubertal status as children develop from ages 8 to 16 across a range of diverse contexts, with steeper declines after age 11 or 12 in three of the four parenting domains. National, ethnic, and regional differences and similarities in the trajectories as a function of age and puberty are discussed.

This chapter uses evidence from the Parenting Across Cultures (PAC) project to illustrate ways in which longitudinal data can help achieve the Sustainable Development Goals (SDGs.) The chapter begins by providing an overview of the research questions that have guided the international PAC as well as a description of the participants, procedures, and measures. Next, empirical findings from PAC are summarized to illustrate implications for six specific SDGs related to child and adolescent development in relation to education, poverty, gender, mental health, and well-being. Then the chapter describes how longitudinal data offer advantages over cross-sectional data in operationalizing SDG targets and implementing the SDGs. Finally, limitations, future research directions, and conclusions are provided.

We examined whether a policy banning corporal punishment enacted in Kenya in 2010 is associated with changes in Kenyan caregivers' use of corporal punishment and beliefs in its effectiveness and normativeness, and compared to caregivers in six countries without bans in the same period. Using a longitudinal study with six waves of panel data (2008-2016), mothers (N = 1086) in Colombia, Italy, Jordan, Kenya, Philippines, Thailand, and United States reported household use of corporal punishment and beliefs about its effectiveness and normativeness. Random intercept models and multi-group piecewise growth curve models indicated that the proportion of corporal punishment behaviors used by the Kenyan caregivers decreased post-ban at a significantly different rate compared to the caregivers in other countries in the same period. Beliefs of effectiveness of corporal punishment were declining among the caregivers in all sites, whereas the Kenyan mothers reported increasing perceptions of normativeness of corporal punishment post-ban, different from the other sites. While other contributing factors cannot be ruled out, our natural experiment suggests that corporal punishment decreased after a national ban, a shift that was not evident in sites without bans in the same period.

We compared 3 hypothetical trajectories of change in both general and coronavirus disease 2019 (COVID-19)-specific anxiety during the first wave of the spread in the state of Israel: panic (very high anxiety, either from the outset or rapidly increasing), complacency (stable and low anxiety), and threat-sensitive (a moderate, linear increase compatible with the increase in threat). A representative sample of 1,018 Jewish-Israeli adults was recruited online. A baseline assessment commenced 2 days prior to the identification of the first case, followed by 6 weekly assessments. Latent mixture modeling analyses revealed the presence of 3 trajectories: 1) "threat-sensitivity" (29% and 66%, for general and virus-specific anxiety, respectively), 2) panic (12% and 25%), and 3) complacency (29% and 9%). For general anxiety only, a fourth class representing a stable mid-level anxiety was identified ("balanced": 30%). For general anxiety, women and the initially anxious-both generally and specifically from the spread of the virus-were more likely to belong to the panic class. Men and older participants were more likely to belong to the complacency class. Findings indicate a marked heterogeneity in anxiety responses to the first wave of the spread of COVID-19, including a large group evincing a "balanced" response.

Families from nine countries ( N = 1,338) were interviewed annually seven times ( M age child = 7–15) to test specificity and commonality in parenting behaviors associated with child flourishing and moderation of associations by normativeness of parenting. Participants included 1,338 children ( M = 8.59 years, SD = 0.68, range = 7–11 years; 50% girls), their mothers ( N = 1,283, M = 37.04 years, SD = 6.51, range = 19–70 years), and their fathers ( N = 1,170, M = 40.19 years, SD = 6.75, range = 22–76 years) at Wave 1 of 7 annual waves collected between 2008 and 2017. Families were recruited from 12 ethnocultural groups in nine countries including: Shanghai, China ( n = 123); Medellín, Colombia ( n = 108); Naples ( n = 102) and Rome ( n = 111), Italy; Zarqa, Jordan ( n = 114); Kisumu, Kenya ( n = 100); Manila, Philippines ( n = 120); Trollhättan & Vänersborg, Sweden ( n = 129); Chiang Mai, Thailand ( n = 120); and Durham, NC, United States ( n = 110 White, n = 102 Black, n = 99 Latinx). Intergenerational parenting (parenting passed from Generation 1 to Generation 2) demonstrated specificity. Children from cultures with above‐average G2 parent warmth experienced the most benefit from the intergenerational transmission of warmth, whereas children from cultures with below‐average G2 hostility, neglect, and rejection were best protected from deleterious intergenerational effects of parenting behaviors on flourishing. Single‐generation parenting (Generation 2 parenting directly associated with Generation 3 flourishing) demonstrated commonality. Parent warmth promoted, and parent hostility, neglect, and rejection impeded the development of child flourishing largely regardless of parenting norms.

Children, mothers, and fathers in 12 ethnic and regional groups in nine countries (N = 1,338 families) were interviewed annually for 8 years (M-age child = 8-16 years) to model four domains of parenting as a function of child age, puberty, or both. Latent growth curve models revealed that for boys and girls, parents decrease their warmth, behavioral control, rules/limit-setting, and knowledge solicitation in conjunction with children's age and pubertal status as children develop from ages 8 to 16 across a range of diverse contexts, with steeper declines after age 11 or 12 in three of the four parenting domains. National, ethnic, and regional differences and similarities in the trajectories as a function of age and puberty are discussed.

Grounded in Interpersonal Acceptance-Rejection Theory, this study assessed children’s (N = 1315) perceptions of maternal and paternal acceptance-rejection in nine countries (China, Colombia, Italy, Jordan, Kenya, the Philippines, Sweden, Thailand, and the United States) as predictors of children’s externalizing and internalizing behaviors across ages 7–14 years. Parenting behaviors were measured using children’s reports on the Parental Acceptance-Rejection Questionnaire. Child externalizing and internalizing behaviors were measured using mother, father, and child reports on the Achenbach System of Empirically-Based Assessment. Using a multilevel modeling framework, we found that in cultures where both maternal and paternal indifference/neglect scores were higher than average–compared to other cultures–children’s internalizing problems were more persistent. At the within-culture level, all four forms of maternal and paternal rejection (i.e., coldness/lack of affection, hostility/aggression, indifference/neglect, and undifferentiated rejection) were independently associated with either externalizing and internalizing problems across ages 7–14 even after controlling for child gender, parent education, and each of the four forms of parental rejection. Results demonstrate that the effects of perceived parental acceptance-rejection are panculturally similar.

We investigated whether bidirectional associations between parental warmth and behavioral control and child aggression and rule-breaking behavior emerged in 12 cultural groups. Study participants included 1,298 children (M = 8.29 years, standard deviation [SD] = 0.66, 51% girls) from Shanghai, China (n = 121); Medellín, Colombia (n = 108); Naples (n = 100) and Rome (n = 103), Italy; Zarqa, Jordan (n = 114); Kisumu, Kenya (n = 100); Manila, Philippines (n = 120); Trollhättan/Vänersborg, Sweden (n = 101); Chiang Mai, Thailand (n = 120); and Durham, NC, United States (n = 111 White, n = 103 Black, n = 97 Latino) followed over 5 years (i.e., ages 8-13). Warmth and control were measured using the Parental Acceptance-Rejection/Control Questionnaire, child aggression and rule-breaking were measured using the Achenbach System of Empirically-Based Assessment. Multiple-group structural equation modeling was conducted. Associations between parent warmth and subsequent rule-breaking behavior were found to be more common across ontogeny and demonstrate greater variability across different cultures than associations between warmth and subsequent aggressive behavior. In contrast, the evocative effects of child aggressive behavior on subsequent parent warmth and behavioral control were more common, especially before age 10, than those of rule-breaking behavior. Considering the type of externalizing behavior, developmental time point, and cultural context is essential to understanding how parenting and child behavior reciprocally affect one another.

This study investigated the association between perceived material deprivation, children's behavior problems, and parents’ disciplinary practices. The sample included 1,418 8- to 12-year-old children and their parents in China, Colombia, Italy, Jordan, Kenya, the Philippines, Sweden, Thailand, and the United States. Multilevel mixed- and fixed-effects regression models found that, even when income remained stable, perceived material deprivation was associated with children's externalizing behavior problems and parents’ psychological aggression. Parents’ disciplinary practices mediated a small share of the association between perceived material deprivation and children's behavior problems. There were no differences in these associations between mothers and fathers or between high- and low- and middle-income countries. These results suggest that material deprivation likely influences children's outcomes at any income level.