Critical Thinking Article - Psychology
FAST-TRACK REPORT Peers increase adolescent risk taking by enhancing activity in the brain’s reward circuitry Jason Chein, Dustin Albert, Lia O’Brien, Kaitlyn Uckert and Laurence Steinberg Department of Psychology, Temple University, USA Abstract The presence of peers increases risk taking among adolescents but not adults. We posited that the presence of peers may promote adolescent risk taking by sensitizing brain regions associated with the anticipation of potential rewards. Using fMRI, we measured brain activity in adolescents, young adults, and adults as they made decisions in a simulated driving task. Participants completed one task block while alone, and one block while their performance was observed by peers in an adjacent room. During peer observation blocks, adolescents selectively demonstrated greater activation in reward-related brain regions, including the ventral striatum and orbitofrontal cortex, and activity in these regions predicted subsequent risk taking. Brain areas associated with cognitive control were less strongly recruited by adolescents than adults, but activity in the cognitive control system did not vary with social context. Results suggest that the presence of peers increases adolescent risk taking by heightening sensitivity to the potential reward value of risky decisions. Introduction Teenagers are known to engage in more risky behavior than children or adults: adolescents are more likely than older or younger individuals to binge drink, smoke cig- arettes, have casual sex partners, engage in violent and other criminal behavior, and to be involved in fatal or serious automobile crashes, the majority of which are caused by risky driving or driving under the influence of alcohol (Steinberg, 2008). Many experts agree that these preventable behaviors present the greatest threat to the well-being of young people in industrialized societies. Significantly, adolescent risk taking differs from that of adults in its social context as well as its incidence. One of the hallmarks of adolescent risk taking is that it is much more likely than that of adults to occur in the presence of peers, as evidenced in studies of reckless driving (Simons-Morton, Lerner & Singer, 2005), sub- stance abuse (Chassin, Hussong & Beltran, 2009), and crime (Zimring, 1998). Relatively greater adolescent risk taking in the presence of peers could be explained simply by the fact that adolescents spend more time with friends than do adults. However, recent experimental evidence (Gardner & Steinberg, 2005; O’Brien, Albert, Chein & Steinberg, in press) indicates that adolescents’ decisions are directly influenced by the mere presence of peers. Gardner and Steinberg (2005), for instance, examined risk taking in adolescents, college undergraduates, and adults who were randomly assigned to engage in a sim- ulated driving task alone or in the presence of two friends. They found that adolescents (and undergradu- ates to a lesser extent), but not adults, took a substan- tially greater number of risks when observed by peers. Many research groups (Casey, Getz & Galvan, 2008; Luna, Padmanabhan & O’Hearn, 2010; Somerville, Jones & Casey, 2010; Steinberg, 2008; Van Leijenhorst, Moor, de Macks, Rombouts, Westenberg & Crone, 2010a; see also Ernst, Pine & Hardin, 2006) have posited that adolescents’ relatively greater propensity toward risky behavior reflects the joint contribution of two brain systems that affect decision-making: (i) an incentive processing system involving the ventral striatum (VS; including the nucleus accumbens, NAcc) and the orbitofrontal cortex (OFC), among other regions, which biases decision-making based on the valuation and pre- diction of potential rewards and punishments; and (ii) a cognitive control system, including the lateral prefrontal cortex (LPFC), which supports goal-directed decision- making by keeping impulses in check and by providing the mental machinery needed for deliberation regarding alternative choices. Neuroimaging studies conducted in both adult and adolescent populations show that these systems con- tribute to decision-making in an interactive fashion, with impulsive or risky choices often coinciding with the increased engagement of incentive processing regions Address for correspondence: Jason M. Chein, Temple University, Department of Psychology, 6th Fl. Weiss Hall, 1701 N. 13th Street, Philadelphia, PA 19122, USA; e-mail: [email protected] � 2010 Blackwell Publishing Ltd, 9600 Garsington Road, Oxford OX4 2DQ, UK and 350 Main Street, Malden, MA 02148, USA. Developmental Science 14:2 (2011), pp F1–F10 DOI: 10.1111/j.1467-7687.2010.01035.x (Ernst, Nelson, McClure, Monk, Munson, Eshel, Zarahn, Leibenluft, Zametkin, Towbin, Blair, Charney & Pine, 2004; Hare, Camerer & Rangel, 2009; Kuhnen & Knutson, 2005; Matthews, Simmons, Lane & Paulus, 2004; McClure, Laibson, Loewenstein & Cohen, 2004) and the decreased involvement of cognitive control activity (e.g. Eshel, Nelson, Blair, Pine & Ernst, 2007; Fecteau, Knoch, Fregni, Sultani, Boggio & Pascual- Leone, 2007). Both of these brain systems undergo considerable modification during adolescence, but on different time- tables. The incentive processing system evinces dramatic remodeling in early adolescence, particularly with respect to the distribution and density of dopamine receptors (Laviola, Pascucci & Pieretti, 2001). Evidence suggests that changes in the mesocorticolimbic dopamine system result in heightened sensitivity to rewards (Spear, 2009). Regions in this brain pathway (especially the NAcc), which is implicated in the valuation and prediction of potential rewards (Breiter & Rosen, 1999; Delgado, 2007; O’Doherty, 2004; Schultz, 2010), have been found in several recent functional neuroimaging studies to show especially heightened activation during adolescence in response to reward-relevant cues and reward anticipation (Ernst, Nelson, Jazbec, McClure, Monk, Leibenluft, Blair & Pine, 2005; Ernst, Romeo & Andersen, 2009; Galvan, Hare, Parra, Penn, Voss, Glover & Casey, 2006; Geier, Terwilliger, Teslovich, Velanova & Luna, 2010; Van Leijenhorst, Zanolie, Van Meel, Westenberg, Rombouts & Crone, 2010b). Compellingly, Galvan and colleagues (Galvan, Hare, Voss, Glover & Casey, 2007) found that the degree of NAcc activity during reward anticipation was correlated with adolescents’ self- reported risk taking, providing convergent evidence that adolescents’ heightened reward sensitivity contributes to elevated real-world risk taking. Brain regions involved in cognitive control undergo comparatively gradual and protracted maturation, involving reductions in gray matter density and increases in myelination, from preadolescence through at least the mid-20s (Asato, Terwilliger, Woo & Luna, 2010; Giedd, 2008). This maturation is thought to support improve- ments in executive abilities such as response inhibition (Luna et al., 2010), strategic planning (Luciana, Collins, Olson & Schissel, 2009), impulse regulation (Steinberg et al., 2008), and flexible rule use (Crone, Donohue, Honomichl, Wendelken & Bunge, 2006). We propose that adolescents’ especially heightened propensity to take risks when with peers may derive from the maturational imbalance between these com- peting brain systems. Specifically, given the elevated reward value of peer interactions in adolescence (Blakemore, 2008; Spear, 2009), the presence of peers may sensitize the incentive processing system to respond to cues signaling the potential rewards of risky behav- ior. In the context of an immature capacity to down- regulate reward system outputs through control signaling, this reward-sensitive motivational state may bias adolescents’ decisions toward greater risk taking. At the neural level, the influence of peers on adoles- cents’ decisions may be manifested in the heightened activation of regions associated with reward valuation. Alternatively, peer presence may have a direct effect on cognitive control processes, and hence be reflected as altered activity within regions associated with impulse regulation. To test these alternative predictions, we measured brain activity in adolescent, young adult, and adult participants as they made a series of decisions in a sim- ulated driving game. In the game, participants rendered decisions about whether to stop at a given intersection, or to run through the intersection and chance a collision with another vehicle, with the goal of reaching the end of a track as quickly as possible to maximize a monetary reward. Risky decisions offered the potential payoff of experiencing no delay at the intersection, but also the potentially costly consequence of a crash, which added significantly to the delay. Social context was manipulated by having each participant play the game alone and while being observed by peers. Method Participants Data from 40 subjects (14 adolescents – eight female, ages 14–18 years, M = 15.7, SD = 1.5; 14 young adults – seven female, ages 19–22 years, M = 20.6, SD = 0.9; and 12 adults – six female, ages 24–29 years, M = 25.6, SD = 1.9) were included in analyses. Informed consent was obtained for each subject according to a protocol approved by the institutional review boards of Princeton and Temple Universities, and each received monetary compensation for their participation. Procedure Task design The Stoplight task (Figure 1) is a simple driving task in which subjects control the progression of a vehicle along a straight track, from a driver’s point of view. Subjects completed four rounds of the task; two in the first social condition and two in the second social condition. Each round used a track with 20 intersections (treated as separate trials), which took under 6 minutes to tra- verse (dependent on subjects’ choices and providence). At each intersection subjects rendered a decision (by button press) about whether or not to brake as the vehicle approached a changing traffic signal (which cycled from green to yellow to red). As the vehicle approached the intersection, the traffic signal turned yellow, and the subject decided whether to chance a possible crash in the intersection (GO decision), or to brake and wait for the light to return to green (STOP F2 Jason Chein et al. � 2010 Blackwell Publishing Ltd. decision). Importantly, both the timing of the traffic signals and the probability of a crash in the associated intersections were varied so as to be unpredictable by the participant. Risk taking (i.e. not braking for the yellow light) was encouraged by offering monetary incentives for completing the course in a timely fashion. Successfully traveling through an intersection without braking saved time, whereas braking and waiting for the signal to turn green again was associated with a time delay. However, if the participant did not brake and a crash ensued, the loss of time was even greater than if the participant were to brake and wait for the light. Behavioral data from the scanner were acquired and temporally aligned to fMRI acquisitions using E-Prime (Psychology Software Tools, Pittsburgh, PA), interfaced with an LCD display, headphones, and a key-press unit. Additional task details are provided in the online Supporting Information. Manipulation of social context When reporting for the study, all participants were asked to bring two same-age (within 2 years of their own age), same-sex, friends. Social context was manipulated as a within-subjects variable, with counterbalancing for order across subjects. In an ALONE condition, participants completed the task with no observers. In a PEER con- dition, participants were informed that their friends were going to observe their actions from a monitor in the neighboring scanner control room. The change of social context was a surprise manipulation.1 In the break prior to the onset of the PEER condition, and in the breaks following each subsequent functional scan of this con- dition, the peers were asked to communicate with the scanned subject via the scanner’s intercom system. In order for the interaction to be ecologically valid, the peers were permitted to speak authentically while informing the scanned participant of their presence, demonstrating their ability to observe task performance on the monitor, and communicating that they had made predictions about the scanned participant’s pending performance. The peers were carefully instructed to make these specific points during the interaction, and to avoid comments that might explicitly or intentionally bias behavior. Self-report questionnaires Following the fMRI session, subjects were also asked to complete a series of self-report questionnaires. Scores obtained from these questionnaires were used to assess individual differences in impulsivity (shortened form of the Barratt Impulsiveness Scale, Version 1; Patton, Stanford & Barratt, 1995), sensation seeking (assessed using a subset of six items from the Zuckerman Sensa- tion Seeking Scale; Zuckerman, Eysenck & Eysenck, 1978), and resistance to peer influence (assessed using the Resistance to Peer Influence (RPI) scale; Steinberg & Wait, 3 s delay GO STOP Success, 0 s delay Crash, 6 s delay Figure 1 The Stoplight driving game. In each run of the Stoplight driving game, participants attempted to reach the end of a straight track as quickly as possible. The 20 intersections of the track were treated as separate trials, and were spaced by a variable distance (ITI). At each intersection, participants rendered a decision to either stop the vehicle (STOP) or to take a risk and run the traffic light (GO). Stops resulted in a short delay. Successful risk taking resulted in no delay. Unsuccessful risk taking resulted in a crash, and a relatively long delay. Subjects completed four runs of the task (two in each social condition). 1 Participants believed that their peers would be completing a different set of computer-based decision-making tasks in a testing room located outside of the scanner suite. Peer influence on risk taking F3 � 2010 Blackwell Publishing Ltd. Monahan, 2007). Self-report data from individual questionnaires were missing or incomplete for some subjects. fMRI data acquisition Subjects were scanned using a head-only 3 Tesla Siemens (Erlangen, Germany) Allegra magnet located at Prince- ton University. A T1-weighted magnetization-prepared rapid-acquisition gradient echo (MPRAGE) scan col- lected in the sagittal plane provided high resolution (1 mm3) 3D structural imaging of the whole head, for use in subject coregistration. Each functional scan of Stop- light task performance included 195 acquisitions col- lected with a whole brain T2*-weighted echoplanar imaging (EPI) sequence (TR = 2.0s, TE = 30 ms, flip = 70�, 33 slices, 3 mm slice thickness with 1 mm gap, 3 · 3 mm in-plane resolution).2 fMRI data analysis fMRI data analysis was performed using AFNI (Cox, 1996). Preprocessing of functional data consisted of several stages, beginning with a six-parameter rigid-body motion correction in three dimensions, and coregistra- tion of the corrected functional and structural images. fMRI acquisitions requiring motion correction greater than 4 mm of translation or 4 degrees of rotation in any dimension were censored out of the dataset. Data were then interpolated to correct for slice acquisition order effects, normalized to Montreal Neurological Institute (MNI) coordinates, and smoothed with a 6 mm full- width at half maximum Gaussian kernel. The corrected fMRI data from each individual subject were analyzed in an event-related fashion using a general linear model (GLM). To explore the neurobiological correlates of age differences in the impact of social context on risky decision-making, we examined BOLD fMRI activity associated with the decision-making peri- od of the Stoplight task.3 Specifically, event-related time- series indexing the moment when the traffic signal at each intersection cycled from green to yellow were cre- ated, and the resulting time-series were convolved with a canonical model of the hemodynamic response function (Boynton, Engel, Glover & Heeger, 1996). These event- related time-series were combined according to the social context in which they occurred to form separate PEER and ALONE condition regressors. These two regressors were entered into a single GLM equation to identify voxels exhibiting fMRI signal changes at the point of decision-making in each social context. The GLM equation also included covariates of non-interest that captured noise due to variation in run-based means, linear and quadratic scanner drift, and estimated motion. To further reduce noise, voxel-wise parameter estimates obtained from individual subjects were further subjected to outlier detection (> 2.5 SD) and removal prior to group testing. The voxel-wise parameter estimates (beta coefficients) obtained from individual subjects were entered into a group random-effects analysis in order to identify regions exhibiting main and interactive effects for age and social context. These group analyses were based on a two-way repeated measures ANOVA, treating age group as a between-subjects factor and social context as a within-subjects (repeated) factor. Additional planned, pair-wise contrasts were conducted to further clarify the differences driving significant main and interactive effects. Group-wise statistical maps obtained for all effects were constrained to an anatomical mask including cortical and subcortical gray matter, and were corrected for multiple comparisons using a voxel-wise probability threshold (p < .005) and contiguity requirement (seven adjacent voxels) that resulted in a family-wise error (FWE) rate below .05, based on Monte Carlo simula- tions. Results Behavioral results We assessed behavioral sensitivity to social context by contrasting decision-making in the PEER and ALONE conditions. As in Gardner and Steinberg (2005), we found that adolescents and older participants behaved comparably when tested alone, but that performance in the adolescent group was sensitive to social context. Although the age by social context interaction did not reach statistical significance at this sample size [F(2, 38) = 2.66, p = .084], only adolescents took significantly more risks when observed by peers than when alone (Figure 2), as evidenced by a significantly increased number of GO decisions [t(13) = 2.16, p = .025, one- tailed] and subsequent crashes [t(13) = 4.06, p< .001, one-tailed]. Additional behavioral results are provided in the online Supporting Information. In order to assess the construct validity for the scanner implementation of the Stoplight task, we examined cor- relations between task performance and subject’s self- report responses. Variation in Stoplight performance may reflect inter-subject differences in both sensation seeking (i.e. by impelling a player to take risks) and inhibitory control (i.e. by moderating a player’s ability to regulate braking). However, a previous large-scale indi- vidual differences study found that variation in Stoplight task performance was significantly predicted by self- reported sensation seeking, but not self-reported impul- sivity (Steinberg, Albert, Cauffman, Banich, Graham & 2 Each run included a pre- and post-task baseline period of at least 30 seconds. The duration of the latter baseline period varied depending on the time taken to reach the end of the track. 3 Analyses of outcome-dependent differences in the BOLD response were underpowered in the present design, and are reported in the online Supporting Information. F4 Jason Chein et al. � 2010 Blackwell Publishing Ltd. Woolard, 2008). Despite the much smaller sample size, the present results replicate these earlier findings. As in the larger-scale study, we conducted a regression analysis in which self-report measures of sensation seeking and impulsivity were entered as simultaneous predictors of risky driving in the Stoplight task (ALONE condition), and found that behavior was significantly predicted by sensation seeking (ß = .438, t = 2.40, p = .024), but not impulsivity (ß = ).009, t = .049, ns). These findings provide further validation for the scanner implementa- tion of the task, and suggest that differences in individ- uals’ reward- or thrill-seeking biases have an especially strong influence on task performance. fMRI results Regions exhibiting significant main and interactive effects of age and social context are shown in Table 1. In light of our neurodevelopmental framework, we focused subsequent planned analyses on regions showing either a main effect of age, or an age by social context interac- tion. Pair-wise contrasts between age groups (adolescents vs. young adults, adolescents vs. adults, young adults vs. adults) indicated that for all of the regions exhibiting a main effect of age, the effect was driven by significantly stronger engagement in adults relative to adolescents (no significant clusters were present for the other pair-wise comparisons). Notably, this pattern of greater regional activation for adult participants was observed in several left LPFC sites (Figure 3a), with young adults demon- strating an intermediate (not significantly different from either adolescents or adults) level of LPFC engagement (Figure 3c, left). Consistent with the prediction that peer presence especially sensitizes incentive processing in adolescents, significant age by social context interactions were found selectively in the VS and OFC – regions known to be involved in reward prediction and valuation (Figures 3b and 3c). Planned within-group contrasts of PEER versus ALONE condition activity indicated significantly greater PEER condition activation of the VS and OFC among adolescents, but not in the other two groups. Further- more, direct comparison of age groups within each social condition indicated greater activation in these incentive Table 1 Regions showing significant (FWE < .05) main and interactive effects of age and social condition in association with Stoplight task decision-making Region BA x y z mm3 Main effect of age Adults > Adols. L Middle Frontal 6 )31 5 56 1404 L Inferior Parietal 40 )52 )37 41 243 L Middle Frontal (LPFC) 46 )46 11 26 540 L Middle Temporal 19 )53 )62 15 972 L Middle Frontal 10 )25 56 8 351 L Fusiform 37 )52 )55 )19 540 ns for all other pair-wise contrasts Main effect of social context Peer > Alone L Cuneus ⁄ Sup. Occipital 19 )22 )82 32 297 Alone > Peer Precuneus 7 )2 )58 32 891 L Superior Frontal 9 ⁄ 8 )10 53 38 540 Cingulate 24 ⁄ 23 )1 )22 35 351 R Middle Temporal 21 ⁄ 38 59 8 )16 189 Interaction of age · social context Ventral Striatum (VS) 9 12 )8 297 Mid. Orbitofrontal (OFC) 11 )22 47 )10 459 BA = Brodmann’s Area x, y, z = MNI coordinates 0 1 2 3 4 5 6 7 N u m b er o f C ra sh es 40 45 50 55 60 65 70 % R is ky D ec is io n s Alone Peer a b Figure 2 Stoplight task performance. Mean (a) percentage of risky decisions and (b) number of crashes for adolescent, young adult, and adult participants when playing the Stoplight task alone and with a peer audience. Error bars indicate standard error of the mean. Peer influence on risk taking F5 � 2010 Blackwell Publishing Ltd. processing regions among adolescents, relative to adults, in the PEER but not the ALONE condition. These results were further corroborated by an independent voxel-wise test for regions showing a correlation between age and the magnitude of the neural peer effect (i.e. the difference between activity in the PEER and ALONE -0.75 -0.25 0.25 0.75 1.5 2 2.5 3 3.5 Adols. YA Adults Resistance to Peer Influence (RPI) V S P ee r E ffe ct ( β p ee r – β a lo ne ) b Age Group V S % S ig na l C ha ng e a Adols. YA Adults –0.3 –0.2 –0.1 0.0 0.1 0.2 0.3 0.4 0.5 GO STOP Figure 4 Activity in the right ventral striatum (VS). Estimated activity was extracted from an average of the four peak voxels in the VS ROI. (a) Estimated VS activity for all GO and STOP trials in adolescents (adols.), young adults (YA), and adults. Significantly different VS activity for GO relative to STOP trials was found for only the adolescents. Error bars indicate standard error of the mean. (b) Scatterplot of activity in the VS indicating an inverse linear correlation between self-reported resistance to peer influence (RPI) and the neural peer effect (bpeer – balone). –0.3 –0.2 –0.1 0 0.1 0.2 0.3 0.4 Alone Peer LPFC VS OFC Adols. YA Adults Adols. YA Adults Adols. YA Adults Age Group E st im at ed % S ig na l C ha ng e c LPFC VS OFC Older > Younger Younger > Older a b Age x Social Context InteractionMain Effect of Age p<.01 p<.01 p<.01 p<.0005 p<.0005 p<.0005 Figure 3 Regions showing a main effect of age and an age by social condition interaction. (a) Regions showing a main effect of age, including the left lateral prefrontal cortex (LPFC, MNI peak coordinates: x = )46, y = 11, z = 26, BA 46), (b) Regions exhibiting an age · social condition interaction, including the right ventral striatum (VS, MNI peak coordinates: x = 9, y = 12, z = )8) and left orbitofrontal cortex (OFC, MNI peak coordinates: x = )22, y = 47, z = )10), and (c) Mean estimated BOLD signal change (beta coefficients) from the four peak voxels of the LPFC (left), VS (middle), and OFC (right) in adolescents (adols.), young adults (YA), and adults under ALONE and PEER conditions. Error bars indicate standard error of the mean. Brain images are shown by radiological convention (left on right), and thresholded at p < .01 for presentation purposes. F6 Jason Chein et al. � 2010 Blackwell Publishing Ltd. conditions), which indicated significant inverse correla- tions [r(38) < ).40, p < .01] between age and context- dependent activation in both the VS and OFC. We additionally examined trial-based variation in the magnitude of decision-related activity to determine if it could explain the riskiness of the subsequent decision (GO vs. STOP). Specifically, we treated the obtained LPFC, VS, and OFC clusters as regions-of-interest (ROI) and compared activity in these regions during GO versus STOP trials (collapsing across social context). Among adolescent subjects, greater activity in both the VS (Figure 4a) and OFC was associated with risky decision-making, as indicated by significantly increased activity in these regions for GO relative to STOP trials. No decision-dependent differences were found in these regions for older age groups, and activity in the LPFC was statistically equivalent for GO and STOP trials regardless of age (additional detailing of activation in the VS, OFC, and LPFC clusters is provided with the online Supporting Information). Additional evidence of the relationship between anticipatory incentive processing and the peer influence on adolescent risk taking was obtained by testing the correlations between activity in each ROI and self- reported sensation seeking, impulsivity, and resistance to peer influence. Whereas individual differences in self- reported sensation seeking and impulsivity were not predicted by the activity patterns observed in any ROI, self-reported resistance to peer influence correlated significantly with individual variation in the neural peer effect (Peer vs. Alone) exhibited by the VS [r(28) = ).54, p < .01; Figure 4b]. This relationship remained significant even when age was controlled [r(28) = ).51, p < .01]. In other words, participants’ perception of their susceptibility to peer influence was predicted by the sensitivity of VS output to social context, and this relationship was not diminished when the relationship between age and these two variables was taken into account. Discussion As expected, we found that adolescents, but not adults, exhibited increased risk taking when observed by their peers. This behavioral outcome replicates past findings (Gardner & Steinberg, 2005) despite the unique manip- ulation of social context that was required to accom- modate the fMRI environment. Indeed, these behavioral findings have intrinsic value (even without the comple- mentary fMRI results) in further explicating the origins of the peer effect on adolescent decision-making. Since peers were located in a separate room and were prevented from interacting with participants during the decision- making task, adolescents’ heightened inclination to take risks when watched by their friends cannot be explained, at least in this study, by greater explicit encouragement from their peers to engage in risky behavior. In other words, the observed peer effect was not due to overt ‘peer pressure’. We posited that the risk-promoting effect of peer presence on adolescent decision-making could arise from a neural ‘vulnerability’ that emerges due to the discor- dant maturation of the brain systems that support deci- sion-making. Accordingly, we sought to determine whether the peer effect might result from alterations to the activity of neural systems underlying cognitive con- trol, incentive processing, or both. As in several prior studies of age-dependent effects on reward processing, we observed differential anticipatory activity in the VS and OFC across age groups. However, our key finding is that this age difference in reward sys- tem activity … To complete this assignment, you will read  one  article related to adolescent cognition and submit a written critique of the article (2-3 pages minimum). While you are welcome to discuss the article with your classmates in online discussion boards, the written critique must be completed independently. Plagiarism and unauthorized collaboration (“copying”) will result in a grade of zero on the assignment. The articles you may choose from are attached to this assignment. Remember, you will read and write about  ONE . They are: · Peers increase adolescent risk taking by enhancing activity in the brain's reward circuitry · (Im)maturity of judgment in adolescence: Why adolescents may be less culpable than adults Your written critique should contain the following sections (be sure to address all points in each section): a.     Complete & proper APA style citation (5 points)  b.    Purpose & Design (10 points) In this section you should describe the author’s general purpose for conducting this study. 1.     What were the research questions and hypotheses that the author(s) presented? (Note that some authors are very explicit and list research questions & hypotheses; others will provide them in summary format, typically at the end of the introductory section). 2.     Provide a brief  description of the study design – was it correlational? Experimental? Qualitative? A case study? That is, provide a brief description of how the authors intended to test their hypotheses. c.     Participants (5 points) In this section, you should provide a description of the participants recruited for the study. Include descriptive information about: 1.     The participants themselves (age, gender, race). Some studies do not provide this information—that is important to state and is a major weakness of the study (something you could discuss in your critique section) 2.     Where they were recruited from (organization, geographical location) 3.     Any other information that might be important to the study’s purpose. (ex. if the study examines adolescent smoking behavior after watching a film featuring tobacco use, it would be important to note if participants in the study reported consistent tobacco use prior to participation) d.    Measured Variables (5 points) Here you should: 1.     Name the independent variables (or predictors) and dependent variables (outcomes), 2.     Discuss how they were measured. (ex. teen’s smoking behavior measured with self-report tobacco use questionnaire). e.     Results (10 points) In this section, you should: 1.     Briefly describe the most important results of the study. You do NOT need to provide the statistics 2.     Note whether these results supported the researchers’ hypotheses. f.      Critique (15 points) In this section, you should provide a thoughtful analysis of the strengths and weaknesses of the research design, analysis, and interpretation of the results. In other words, if you were to run this study yourself, what would you do differently to make the study better? Why? Note that this section is worth the most points! Try to spend at least 1-2 paragraphs discussing your thoughts on the study. Hint #1: You should consider some of the following factors as you make this assessment: demographic characteristics of the participants, recruitment strategies, how the variables were operationalized and measured, data collection procedures, and statistical or thematic analyses performed. Hint #2: Some articles will include a limitations section, and reference to these in your papers is allowed, but be sure to describe these weaknesses or limitations in your own words in addition to incorporating some of your own thoughts.
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Throughout your nurse practitioner program Vignette Understanding Gender Fluidity Providing Inclusive Quality Care Affirming Clinical Encounters Conclusion References Nurse Practitioner Knowledge Mechanics and word limit is unit as a guide only. The assessment may be re-attempted on two further occasions (maximum three attempts in total). All assessments must be resubmitted 3 days within receiving your unsatisfactory grade. You must clearly indicate “Re-su Trigonometry Article writing Other 5. June 29 After the components sending to the manufacturing house 1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard.  While developing a relationship with client it is important to clarify that if danger or Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business No matter which type of health care organization With a direct sale During the pandemic Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record 3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015).  Making sure we do not disclose information without consent ev 4. Identify two examples of real world problems that you have observed in your personal Summary & Evaluation: Reference & 188. Academic Search Ultimate Ethics We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities *DDB is used for the first three years For example The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case 4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972) With covid coming into place In my opinion with Not necessarily all home buyers are the same! When you choose to work with we buy ugly houses Baltimore & nationwide USA The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be · By Day 1 of this week While you must form your answers to the questions below from our assigned reading material CliftonLarsonAllen LLP (2013) 5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda Urien The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. The greatest obstacle From a similar but larger point of view 4 In order to get the entire family to come back for another session I would suggest coming in on a day the restaurant is not open When seeking to identify a patient’s health condition After viewing the you tube videos on prayer Your paper must be at least two pages in length (not counting the title and reference pages) The word assimilate is negative to me. I believe everyone should learn about a country that they are going to live in. It doesnt mean that they have to believe that everything in America is better than where they came from. It means that they care enough Data collection Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an I would start off with Linda on repeating her options for the child and going over what she is feeling with each option.  I would want to find out what she is afraid of.  I would avoid asking her any “why” questions because I want her to be in the here an Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych Identify the type of research used in a chosen study Compose a 1 Optics effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. Clients often implement recommended inte I think knowing more about you will allow you to be able to choose the right resources Be 4 pages in length soft MB-920 dumps review and documentation and high-quality listing pdf MB-920 braindumps also recommended and approved by Microsoft experts. The practical test g One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research Elaborate on any potential confounds or ethical concerns while participating in the psychological study 20.0\% Elaboration on any potential confounds or ethical concerns while participating in the psychological study is missing. Elaboration on any potenti 3 The first thing I would do in the family’s first session is develop a genogram of the family to get an idea of all the individuals who play a major role in Linda’s life. After establishing where each member is in relation to the family A Health in All Policies approach Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum Chen Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change Read Reflections on Cultural Humility Read A Basic Guide to ABCD Community Organizing Use the bolded black section and sub-section titles below to organize your paper. For each section Losinski forwarded the article on a priority basis to Mary Scott Losinksi wanted details on use of the ED at CGH. He asked the administrative resident