Examining Coping Strategies and Their Relation with Anxiety: Implications for Children Diagnosed with Cancer or Type 1 Diabetes and Their Caregivers.

The onset of chronic diseases in childhood represents a stressful event for both young patients and their caregivers. In this context, coping strategies play a fundamental role in dealing with illness-related challenges. Although numerous studies have explored coping strategies employed by parents of children with chronic diseases, there remains a gap in the understanding of children's coping strategies and their correlation with their and their parents' anxiety. This study aims to investigate coping strategies and their interaction with anxiety in groups of young patients with cancer, type 1 diabetes (T1D), and their respective caregivers, in comparison to healthy children and caregivers. We recruited a total of 61 control children, 33 with cancer, and 56 with T1D, 7 to 15 years old, along with their mothers. Each participant completed a customized survey and standardized questionnaires. No significant differences emerged in coping strategies used by children among the different groups. However, when examining the association between coping strategy and anxiety, we found specific patterns of interaction between children's use of coping strategies and their and their mothers' anxiety levels. This study underscores the importance of an illness-specific approach to gain deeper insights into this topic and develop targeted interventions aimed at enhancing the psychological well-being of these vulnerable populations.

Linking vestibular, tactile, and somatosensory rhythm perception to language development in infancy.

First experiences with rhythm occur in the womb, with different rhythmic sources being available to the human fetus. Among sensory modalities, vestibular, tactile, and somatosensory perception plays a crucial role in early processing. However, a limited number of studies so far have specifically focused on VTS rhythms in language development. The present work investigated VTS rhythmic abilities and their role in language acquisition through two experiments with 45 infants (21 females, sex assigned at birth; M age = 661.6 days, SD = 192.6) with middle/high socioeconomic status. Specifically, 37 infants from the original sample completed Experiment 1, assessing VTS rhythmic abilities through a vibrotactile tool for music perception. In Experiment 2, linguistic abilities were evaluated in 40 participants from the same cohort, specifically testing phonological and prosodic processing. Discrimination abilities for rhythmic and linguistic stimuli were inferred from changes in pupil diameter to contingent visual stimuli over time, through a Tobii X-60 eye-tracker. The predictive effect of VTS rhythmic abilities on linguistic processing and the developmental changes occurring across ages were explored in the 32 infants who completed both Experiments 1 and 2 by means of generalized, additive and linear, mixed-effect models. Results are discussed in terms of cross-sensory (i.e., haptic to hearing) and cross-domain (i.e., music to language) effects of rhythm on language acquisition, with implications for typical and atypical development.

Interconnected Pathways: Postural Stability and Vocabulary Skills in Preschool-Aged Children.

Previous research has highlighted an interplay between postural abilities and linguistic skills during infancy. However, this relationship could undergo further radical transformations in other periods of development. This current study explored a plausible network of relationships among postural abilities and vocabulary skills in a substantial cohort (N = 222) of preschoolers aged between 2 and 5 years-a developmental phase critical for refining both language and motor competencies. Here, postural stability was measured in terms of balance duration and accuracy, alongside an assessment of comprehension and expressive vocabulary skills. Employing a diverse set of techniques, i.e., data and missing data visualization and multilevel regression analysis, task complexity and age emerged as crucial factors explaining our data. In addition, network analysis indicates that language production plays a central role within postural and language interdomain networks. The resulting discussion focuses on the useful implications of this study for the assessment of typical preschool development, which would benefit from tailored methodological inspections guided by developmental theories that are framed in inter-domain approaches.

The pupil collaboration: A multi-lab, multi-method analysis of goal attribution in infants.

The rise of pupillometry in infant research over the last decade is associated with a variety of methods for data preprocessing and analysis. Although pupil diameter is increasingly recognized as an alternative measure of the popular cumulative looking time approach used in many studies (Jackson & Sirois, 2022), an open question is whether the many approaches used to analyse this variable converge. To this end, we proposed a crowdsourced approach to pupillometry analysis. A dataset from 30 9-month-old infants (15 girls; Mage = 282.9 days, SD = 8.10) was provided to 7 distinct teams for analysis. The data were obtained from infants watching video sequences showing a hand, initially resting between two toys, grabbing one of them (after Woodward, 1998). After habituation, infants were shown (in random order) a sequence of four test events that varied target position and target toy. Results show that looking times reflect primarily the familiar path of the hand, regardless of target toy. Gaze data similarly show this familiarity effect of path. The pupil dilation analyses show that features of pupil baseline measures (duration and temporal location) as well as data retention variation (trial and/or participant) due to different inclusion criteria from the various analysis methods are linked to divergences in findings. Two of the seven teams found no significant findings, whereas the remaining five teams differ in the pattern of findings for main and interaction effects. The discussion proposes guidelines for best practice in the analysis of pupillometry data.

First steps into the pupillometry multiverse of developmental science.

Pupillometry has been widely implemented to investigate cognitive functioning since infancy. Like most psychophysiological and behavioral measures, it implies hierarchical levels of arbitrariness in preprocessing before statistical data analysis. By means of an illustrative example, we checked the robustness of the results of a familiarization procedure that compared the impact of audiovisual and visual stimuli in 12-month-olds. We adopted a multiverse approach to pupillometry data analysis to explore the role of (1) the preprocessing phase, that is, handling of extreme values, selection of the areas of interest, management of blinks, baseline correction, participant inclusion/exclusion and (2) the modeling structure, that is, the incorporation of smoothers, fixed and random effects structure, in guiding the parameter estimation. The multiverse of analyses shows how the preprocessing steps influenced the regression results, and when visual stimuli plausibly predicted an increase of resource allocation compared with audiovisual stimuli. Importantly, smoothing time in statistical models increased the plausibility of the results compared to those nested models that do not weigh the impact of time. Finally, we share theoretical and methodological tools to move the first steps into (rather than being afraid of) the inherent uncertainty of infant pupillometry.

Linguistic identity as a modulator of gaze cueing of attention.

Eye-gaze stimuli can elicit orienting of attention in an observer, a phenomenon known as gaze cueing of attention. Here, we explored whether gaze cueing can be shaped by the linguistic identity of the cueing face. In two experiments, participants were first familiarized with different faces together with auditory sentences. Half of the sentences were associated with the native language of the participants (Italian) and the other half with an unknown language (Albanian and Basque, in Experiments 1 and 2, respectively). In a second phase, participants performed a gaze-cueing task. In a third recognition phase, the auditory sentences were presented again, and participants were required to decide which face uttered each sentence. Results indicated that participants were more likely to confuse faces from the same language category than from the other language category. Results of the gaze-cueing task revealed a greater gaze-cueing effect for faces associated with the native vs. unknown language. Critically, this difference emerged only in Experiment 1, which may reflect differences in social status between the two language groups. Our findings revealed the impact of language as a social cue on the gaze-cueing effect, suggesting that social attention is sensitive to the language of our interlocutors.

Attentional shift within and between faces: Evidence from children with and without a diagnosis of autism spectrum disorder.

Evidence of attentional atypicalities for faces in Autism Spectrum Disorders (ASD) are far from being confirmed. Using eye-tracking technology we compared space-based and object-based attention in children with, and without, a diagnosis of ASD. By capitalizing on Egly's paradigm, we presented two objects (2 faces and their phase-scrambled equivalent) and cued a location in one of the two objects. Then, a target appeared at the same location as the cue (Valid condition), or at a different location within the same object (Same Object condition), or at a different location in another object (Different Object condition). The attentional benefit/cost in terms of time for target detection in each of the three conditions was computed. The findings revealed that target detection was always faster in the valid condition than in the invalid condition, regardless of the type of stimulus and the group of children. Thus, no difference emerged between the two groups in terms of space-based attention. Conversely the two groups differed in object-based attention. Children without a diagnosis of ASD showed attentional shift cost with phase-scrambled stimuli, but not with faces. Instead, children with a diagnosis of ASD deployed similar attentional strategies to focus on faces and their phase-scrambled version.

The unique role of novel linguistic labels on the disengagement of visual attention.

Do novel linguistic labels have privileged access to attentional resources compared to non-linguistic labels? This study explores this possibility through two experiments with a training and an attentional overlap task. Experiment 1 investigates how novel label and object-only stimuli influence resource allocation and disengagement of visual attention. Experiment 2 tests the impact of linguistic information on visual attention by comparing novel tones and labels. Because disengagement of attention is affected both by the salience of the perceptual stimulus and by the degree of familiarity with the stimulus to be disengaged from, we compared pupil size variations and saccade latency under different test conditions: (a) consistent with (i.e., identical to) the training; (b) inconsistent with the training (i.e., with an altered feature), and (c) deprived of one feature only in Experiment 1. Experiment 1 indicated a general consistency advantage (and deprived disadvantage) driven by linguistic label-object pairs compared to object-only stimuli. Experiment 2 revealed that tone-object pairs led to higher pupil dilation and longer saccade latency than linguistic label-object pairs. Our results suggest that novel linguistic labels preferentially impact the early orienting of attention.

An Integrated Perspective on Spatio-Temporal Attention and Infant Language Acquisition.

Efficiency in the early ability to switch attention toward competing visual stimuli (spatial attention) may be linked to future ability to detect rapid acoustic changes in linguistic stimuli (temporal attention). To test this hypothesis, we compared individual performances in the same cohort of Italian-learning infants in two separate tasks: (i) an overlap task, measuring disengagement efficiency for visual stimuli at 4 months (Experiment 1), and (ii) an auditory discrimination task for trochaic syllabic sequences at 7 months (Experiment 2). Our results indicate that an infant's efficiency in processing competing information in the visual field (i.e., visuospatial attention; Exp. 1) correlates with the subsequent ability to orient temporal attention toward relevant acoustic changes in the speech signal (i.e., temporal attention; Exp. 2). These results point out the involvement of domain-general attentional processes (not specific to language or the sensorial domain) playing a pivotal role in the development of early language skills in infancy.

Attentional engagement during syllable discrimination: The role of salient prosodic cues in 6- to 8-month-old infants.

Prosodic cues drive speech segmentation and guide syllable discrimination. However, less is known about the attentional mechanisms underlying an infant's ability to benefit from prosodic cues. This study investigated how 6- to 8-month-old Italian infants allocate their attention to strong vs. weak syllables after familiarization with four repeats of a single CV sequence with alternating strong and weak syllables (different syllables on each trial). In the discrimination test-phase, either the strong or the weak syllable was replaced by a pure tone matching the suprasegmental characteristics of the segmental syllable, i.e., duration, loudness and pitch, whereas the familiarized stimulus was presented as a control. By using an eye-tracker, attention deployment (fixation times) and cognitive resource allocation (pupil dilation) were measured under conditions of high and low saliency that corresponded to the strong and weak syllabic changes, respectively. Italian learning infants were found to look longer and also to show, through pupil dilation, more attention to changes in strong syllable replacement rather than weak syllable replacement, compared to the control condition. These data offer insights into the strategies used by infants to deploy their attention towards segmental units guided by salient prosodic cues, like the stress pattern of syllables, during speech segmentation.

The role of prosody in infants' preference for speech: A comparison between speech and birdsong.

Speech preferences emerge very early in infancy, pointing to a special status for speech in auditory processing and a crucial role of prosody in driving infant preferences. Recent theoretical models suggest that infant auditory perception may initially encompass a broad range of human and nonhuman vocalizations, then tune in to relevant sounds for the acquisition of species-specific communication sounds. However, little is known about sound properties eliciting infants' tuning-in to speech. To address this issue, we presented a group of 4-month-olds with segments of non-native speech (Mandarin Chinese) and birdsong, a nonhuman vocalization that shares some prosodic components with speech. A second group of infants was presented with the same segment of birdsong paired with Mandarin played in reverse. Infants showed an overall preference for birdsong over non-native speech. Moreover, infants in the Backward condition preferred birdsong over backward speech whereas infants in the Forward condition did not show clear preference. These results confirm the prominent role of prosody in early auditory processing and suggest that infants' preferences may privilege communicative vocalizations featured by certain prosodic dimensions regardless of the biological source of the sound, human or nonhuman.