Children's understanding of mental states as causes of emotions

Theory of Mind studies of emotion usually focus on children?s ability to predict other people's feelings. This study examined children?s spontaneous references to mental states in explaining others? emotions. Children (4-, 6- and 10-year-olds, n = 122) were told stories and asked to explain both typical and atypical emotional reactions of characters. Because atypical emotional reactions are unexpected, we hypothesized that children would be more likely to refer to mental states, such as desires and beliefs, in explaining them than when explaining typical emotions. From the development of lay theories of emotion, derived the prediction that older children would refer more often to mental states than younger children. The developmental shift from a desire-psychology to a belief-psychology led to the expectation that references to desires would increase at an earlier age than references to beliefs. Our findings confirmed these expectations only partly, because the nature of the emotion (happiness, anger, sadness or fear) interacted with these factors. Whereas anger, happiness and sadness mainly evoked desire references, fear evoked more belief references, even in four-year-olds. The fact that other factors besides age can also play an influential role in children?s mental state reasoning is discussed

Psychometric properties of the Emotion Awareness Questionnaire for children

In order to broaden the alexithymia concept, we identified six aspects in a newly developed questionnaire for children which aims to measure emotion awareness: Differentiating Emotions, Verbal Sharing of Emotions, Bodily Awareness, Acting Out Emotions, Analyses of Emotions, and Others? Emotions. First, the six-factor structure of this Emotion Awareness Questionnaire was identified in children (692 children, 9-16 years old), although the scale Acting Out Emotions showed poor psychometric properties. Second, the predictive validity of the Emotion Awareness Questionnaire showed promise with respect to self-reported somatic complaints (in samples from two different countries, the UK and the Netherlands), depression and worry. Only Acting Out Emotions did not contribute to any of the criterion variables whilst Bodily Awareness and Others? Emotions contributed in the unexpected direction. It is proposed that the Emotion Awareness Questionnaire could help to identify which specific elements of emotional (dys)functioning are related to different kinds of psychological problems

Preschoolers’ free play : connections with emotional and social functioning

Play has an important role in various aspects of children’s development. However, time for free play has declined substantially over the last decades. To date, few studies have focused on the relationship between opportunities for free play and children’s social functioning. The aims of this study are to examine whether children´s free play is related to their social functioning and whether this relationship is mediated by children´s emotional functioning. Seventy-eight children (age, 55- 77 months) were tested on their theory of mind and emotion understanding. Parents reported on their children’s time for free play, empathic abilities, social competence and externalizing behaviors. The main findings showed that free play and children’s theory of mind are negatively related to externalizing behaviors. Empathy was strongly related to children’s social competence, but free play and social competence were not associated. Less time for free play is related to more disruptive behaviors in preschool children, however certain emotional functioning skills influence these behaviors independently of the time children have for free play. These outcomes suggest that free play might help to prevent the development of disruptive behaviors, but future studies should further examine the causality of this relationship.peer-reviewe

Anger communication in deaf children

In this study, we investigated how deaf children express their anger towards peers and with what intentions. Eleven-year-old deaf children (n = 21) and a hearing control group (n = 36) were offered four vignettes describing anger-evoking conflict situations with peers. Children were asked how they would respond, how the responsible peer would react, and what would happen to their relationship. Deaf children employed the communicative function of anger expression differently from hearing children. Whereas hearing children used anger expression to reflect on the anguish that another child caused them, deaf children used it rather bluntly and explained less. Moreover, deaf children expected less empathic responses from the peer causing them harm. Both groups did, however, expect equally often that the relationship with the peer would stay intact. These findings are discussed in the light of deaf children's impaired emotion socialization secondary to their limited communication skills

Understanding atypical emotions among children with autism

Children with autism are said to be poor mind readers: They have a limited understanding of the role that mental states play in determining emotions and behavior. In this research, 23 high-functioning children from the autistic spectrum (M age 9 years 3 months), 42 6-year-old controls, and 43 10-year-old controls were presented with six emotion-evoking stories and they were asked to explain protagonists' typical and atypical emotions. In the case of typical emotions, as expected on the basis of the mindblind hypothesis, children from the autistic spectrum gave few mental state explanations, referring to fewer than even the 6-year-old control group. However, in the case of atypical emotions, the autistic group performed as well as the 10-year-old controls. Their explanations for the atypical emotions demonstrate that children from the autistic spectrum indeed have the capacity to mind read (with respect to both desires and beliefs), although they do not always use this capacity in the same way as normally developing children. It is argued that the mind-reading capacity of high-functioning children from the autistic spectrum might be basically intact; unused in everyday circumstances but not necessarily defective

Deaf children's use of beliefs and desires in negotiation

Although several studies have shown that deaf children demonstrated impaired performances on false-belief tasks, the children's belief understanding appeared intact when asked to explain emotions or behavior. However, this finding does not necessarily indicate a full-fledged theory of mind. This study aimed to investigate deaf children's negotiation strategies in false-belief situations, because situations that require negotiation provide a natural context with a clear motivational aspect, which might appeal more strongly to deaf children's false-belief reasoning capacities. The purpose of this study was to compare the reactions of 11- to 12-year-old deaf and hearing children to scenarios in which a mother, who is unaware of a change in the situation, threatens to block the fulfillment of the child's desire. The results showed that deaf children more often failed to correct the mother's false beliefs. In contrast with hearing children, who frequently left their own desires implicit, deaf children kept stressing their desires as a primary argument, even though the mother could be expected to be fully aware of these desires. Moral claims were used to the same extent by both groups. In general, deaf children more often used arguments that did not provide new information for their conversation partners, including repetitions of the same argument. The results were interpreted in terms of the special needs that are required by the hampered communication between deaf and hearing people as well as in terms of the ongoing discussion regarding theory-of-mind development in deaf children

Reasons why patients by-pass their GP to visit a hospital Emergency Department.

Knowledge about what motivates patients to visit the emergency department (ED) of a hospital for minor complaints, instead of visiting their general practitioner (GP), can help to reduce unnecessary utilization of expensive services. This paper reports on a study designed to investigate the reasons why patients visit the ED and to determine the influence of patient characteristics on specific motives. A multidimensional measurement instrument was designed to identify the motives of patients who bypass their GP and visit the ED. The instrument assessed 21 motives, all measured by means of three questions in Likert format. During a period of 1 week, all patients who visited the ED of two hospitals in Amsterdam were asked to complete a questionnaire when they were 'self-referred' with minor complaints. A total of 403 questionnaires were analysed, and the results show that motives relating to the GP play a minor role in the decision of patients to visit the ED. Profiles of two major patient groups could be identified. One group comprised patients with a high socio-economic status living in suburbs, whose motives for visiting the ED are mainly of a financial nature. Patients in the second group mainly lived in the inner-city, and preferred the expertise and facilities provided by the ED

Social skills in preschool children with unilateral and mild bilateral hearing loss

Hearing loss may represent a risk for developing social skills difficulties; however, little is known about the potential risk resulting from unilateral or mild bilateral hearing loss (UMHL). We compared the social skills of 14 children with UMHL and 21 children with moderate to severe hearing loss (MSHL) with those of 123 children with typical hearing (TH). All the children were 4–5 years old, and all the children with hearing loss used hearing aids. The study was carried out in Norway. Associations between social skills and age at amplification and vocabulary skills were examined. The children with UMHL had lower social skills than the TH children, whereas the children with MSHL received scores similar to those of the TH children. The children with UMHL were detected and amplified later than the children with MSHL. Early amplification was associated with better social skills but not with better vocabulary. The results suggest that despite a limited effect on vocabulary development, early intervention is likely to promote social skills development in children with UMHL