Dual-task attention deficits in dysphoric mood.

The attentional functioning of nondysphoric, mildly dysphoric, and moderately to severely dysphoric college students was tested using the attentional blink (AB) paradigm. These groups performed equally well at reporting a single target appearing in a rapidly presented stream of stimuli. All groups showed an AB, with report sensitivity for a 2nd target being reduced when the 2 targets were presented less than 0.5 s apart. Nondysphoric and mildly dysphoric participants showed the same size ABs, but the ABs for moderately to severely dysphoric participants were larger and longer. As predicted, the results showed that moderately to severely dysphoric individuals have attentional impairments. These impairments, however, were evident only in the more demanding dual-task condition. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Illusion" of mental health does not explain positive illusions.

Comments on the argument by J. Schedler et al (see record 1994-09623-001) that standard mental health scales appear unable to distinguish between genuine mental health and the illusion of mental health created by psychological defenses. It is asserted that Schedler et al go beyond appropriate empirical and conceptual boundaries by extending their analysis to the body of research known as "positive illusions." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A profile of neuropsychological deficits in alcoholic women.

Neuropsychological deficits, most notable in executive, visuospatial, and functions of gait and balance, are detectable in alcoholic men even after a month of sobriety. Less well established are the severity and profile of persisting deficits in alcoholic women. The authors used an extensive test battery to examine cognitive and motor functions in 43 alcoholic women who were sober, on average, for 3.6 months. Functions most severely affected in alcoholic women involved visuospatial and verbal and nonverbal working memory processes as well as gait and balance. Areas of relative sparing were executive functions, declarative memory, and upper-limb strength and speed. The authors found that lifetime alcohol consumption was related to impairment severity on Block Design (Wechsler Adult Intelligence Scale--Revised, D. Wechsler, 1981) and verbal and nonverbal working memory, suggesting a dose effect of alcohol abuse. The alcohol-related deficits in working memory, visuospatial, and balance implicate disruption of prefrontal, superior parietal, and cerebellar brain systems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Depression does not aggravate the episodic memory deficits associated with Alzheimer's disease.

In a population-based study of persons between 75 and 96 years of age, normal old adults (n?=?296), patients with Alzheimer"s disease (AD; n?=?45), and patients with concomitant AD and depression (AD-D; n?=?9) were compared on free recall and recognition of slowly and rapidly presented words and digit span. With the exception of forward digit span, the normal old group outperformed the 2 AD groups across all tasks. In free recall, only the normal old group performed better as task pacing decreased; however, all groups benefited from more study time in recognition. This suggests that both AD and AD-D patients have deficits in the ability to use more study time for remembering. Of most importance, the 2 AD groups were indistinguishable for all task variables. This lack of comorbidity effects is discussed relative to the view that depression, much like many other individual-difference variables that affect memory performance in normal aging, may be overshadowed by the influence of the process in AD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Prospects for faking believable deficits on neuropsychological testing.

Compared the results of 16 volunteer malingerers (mean age, 24.4 yrs) with those of 16 cooperative, nonlitigating head-trauma patients (mean age, 24.4 yrs) on the WAIS, the Halstead-Reitan Test Battery, and the MMPI. The overall level of ability impairment shown by the malingerers equaled that of the head-injury group, but different patterns of strengths and deficits were produced by the 2 groups on testing. The malingerers also showed more severe personality disturbance on the MMPI. The test protocols were sent to 10 neuropsychologists, who made "blind" judgments as to whether each was probably produced by a malingerer or by a real head-injury patient. Neuropsychologists' diagnostic accuracies ranged from chance-level prediction to about 20% better than chance. Discriminant functions based on the neuropsychological test results and the MMPI, respectively, correctly classified 100 and 94% of Ss in both groups. In another sample of 84 head-injury patients, those who were involved in court actions and/or gave clinical evidence of faking were more likely to be classified as malingerers by the discriminant functions. (20 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Audiovisual bounce-inducing effect: Attention alone does not explain why the discs are bouncing.

Two discs moving from opposite points in space, overlapping and stopping at the other disc's starting point, can be seen as either bouncing or streaming through each other. With silent displays, observers report the discs as streaming, whereas if a sound is played when the discs touch each other, observers report the discs as bouncing. The origin of the switch from streaming to bouncing response is not known yet. The sound either shifts perception toward that of an impact-elastic event (i.e., a bounce) or subtracts the attention that is necessary to perceive the discs as streaming. We used either impact-similar (abrupt amplitude attack, gradual decay) or impact-dissimilar sounds (gradual amplitude attack, abrupt decay) and found that the first sounds induce the bouncing response, whereas the latter, although as distracting as the first, render streaming and bouncing responses equally frequent at most. We interpret the audiovisual bouncing effect as resulting from attention subtraction, which raises the number of bounce responses in comparison with silent displays, and from perception, which further increments the number of bounce responses and turns the response into a strong bounce response. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sleep-disordered breathing and neuropsychological deficits. A population-based study

The relationship of sleep-disordered breathing (SOB) to neuropsychological deficits was investigated with cross-sectional data from the Wisconsin Sleep Cohort Study, a population-based study of the natural history of SDB. A sample of 841 employed men and women ages 30 to 60 yr was studied by overnight polysomnography to assess the frequency of apneas and hypopneas per hour of sleep (apnea-hypopnea index, AHI). Prior to overnight polysomnography, the participants were given a battery of neuropsychological tests for functionally important capacities including motor skills, attention, concentration, information processing, and memory. Principal factor analysis of all the neuro-psychological test data revealed a psychomotor efficiency and a memory factor. Multiple regression analysis showed a significant negative association between logarithmically transformed AHI (LogAHI) and psychomotor efficiency score independent of age, gender, and educational status (p = 0.017). The relationship was not explained by self-reported sleepiness. No significant relationship was seen between LogAHI and memory score. In assessing the clinical significance of mild SDB, we estimate that an AHI of 15 is equivalent to the decrement in psychomotor efficiency associated with 5 additional yr of age, or to 50% of the decrement associated with hypnosedative use.     

Measurement invariance of neuropsychological tests in diverse older persons.

Objective: Comparability of meaning of neuropsychological test results across ethnic, linguistic, and cultural groups is important for clinicians challenged with assessing increasing numbers of older ethnic minorities. We examined the dimensional structure of a neuropsychological test battery in linguistically and demographically diverse older adults. Method: The Spanish and English Neuropsychological Assessment Scales (SENAS), developed to provide psychometrically sound measures of cognition for multiethnic and multilingual applications, was administered to a community dwelling sample of 760 Whites, 443 African Americans, 451 English-speaking Hispanics, and 882 Spanish-speaking Hispanics. Cognitive function spanned a broad range from normal to mildly impaired to demented. Multiple group confirmatory factor analysis was used to examine equivalence of the dimensional structure for the SENAS across the groups defined by language and ethnicity. Results: Covariance among 16 SENAS tests was best explained by five cognitive dimensions corresponding to episodic memory, semantic memory/language, spatial ability, attention/working memory, and verbal fluency. Multiple Group confirmatory factor analysis supported a common dimensional structure in the diverse groups. Measures of episodic memory showed the most compelling evidence of measurement equivalence across groups. Measurement equivalence was observed for most but not all measures of semantic memory/language and spatial ability. Measures of attention/working memory defined a common dimension in the different groups, but results suggest that scores are not strictly comparable across groups. Conclusions: These results support the applicability of the SENAS for use with multiethnic and bilingual older adults, and more broadly, provide evidence of similar dimensions of cognition in the groups represented in the study. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Pretraining does not ameliorate spatial learning deficits induced by intrahippocampal infusion of AP5.

Previous studies show discrepancies concerning the effects of pretraining on spatial learning deficits induced by blockade of the N-methyl-d-aspartate (NMDA) receptor. These inconsistencies might be attributed to the differences in the nature of the pretraining tasks and the method of blocking NMDA receptors. In the present study, the authors pretrained rats in a spatial water maze task. The authors then trained them with a novel spatial task in a novel environment under chronic blockade of hippocampal NMDA receptors by intrahippocampal infusion of 2-amino-5-phosphonopentanoic acid (AP5) using osmotic pumps. Although the rats had acquired the basic techniques needed to solve a water-maze spatial task during pretraining, those given high or low doses of AP5 showed acquisition deficits. As the spatial pretraining failed to ameliorate the acquisition deficits of a new task in a novel environment, it was suggested that NMDA receptors were necessary in forming spatial representations. Because neither dose of AP5 affected the performance of a spatial task in the retention phase, sensory motor disturbances could not have caused these deficits. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Identification of neuropsychological deficits in epilepsy using the Luria-Nebraska Neuropsychological Battery.

80 hospitalized patients, 22 diagnosed as having idiopathic seizures, 18 who developed epilepsy secondary to brain trauma or another CNS disorder, and 40 who demonstrated no evidence of CNS involvement, were given the Luria-Nebraska Neuropsychological Battery. Mean ages of Ss were 38.3, 35.2, and 41.1 yrs, respectively. Results demonstrate that the standardized Luria test may be useful in the evaluation of neuropsychological deficits in adult epileptics. (6 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parietal lobe syndrome and schizophrenia: Comparison of neuropsychological deficits.

Investigated reported communalities in the perceptual impairments and body image distortions found after parietal lobe lesions and in schizophrenia. To compare these 2 syndromes, 15 patients with lesions of the parietal lobe and 15 patients with schizophrenia were tested on a neuropsychological battery designed to assess deficits in proprioception, tactile functions, and body image experience. Control groups consisted of 15 normal persons and of a series of 15 brain-injured cases in which the parietal lobe had been spared. Results indicate that both schizophrenic and parietally damaged Ss showed significant impairments in weight-discrimination measures of proprioceptive acuity when compared to the control brain-injured and normal Ss. No significant differences among groups were found on a comparable tactile size-estimation task, but the group with parietal injury exhibited a significant deficit in tactile sensory perception on the Finger Agnosia Test. Only the schizophrenic group showed evidence of disturbed body image when reality factors of body dysfunction were taken into account in the brain-injured patients. It is concluded that persons with schizophrenia and parietal lobe damage share a deficit in proprioception that may be based on different neurological substrates leading to (a) tactile impairments in cases with parietal damage, and (b) body-image disturbance in schizophrenia. (24 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Depressed mood in Chinese children: Relations with school performance and family environment.

A sample of primary school children in Shanghai, People's Republic of China, participated in this 2-year longitudinal project. Information on the family environment, children's social functioning, academic achievement, and depression was collected from multiple sources. The mean depression scores in the Chinese children was found to be similar to those found for children in the West. Depression was positively associated with aggressive-disruptive behavior and negatively associated with social competence. School social and academic difficulties were concurrently and positively correlated with depression. Moreover, social adjustment problems at age 8 were associated with depression at age 10. Academic difficulties were predictive of later depression only for children from families in which the mother was rejecting and parents had a conflictual relationship. Finally, decline in social and academic performance was related to depressed affect. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Depressed mood in multiple sclerosis: Relationship to capacity-demanding memory and attentional functioning.

Because it is theorized that depression results in reduced available attentional capacity that, in turn, can explain the impaired performance on capacity-demanding tasks in depressed individuals, the authors predicted that multiple sclerosis (MS) patients with depressed mood would have difficulty with these types of tasks. Twenty depressed mood MS participants were compared with 41 nondepressed mood MS participants and 8 nondepressed mood controls on 5 attentional capacity-demanding clinical memory and attentional tasks and 3 tasks with minimal capacity demands. Depressed mood MS patients performed significantly worse than both nondepressed mood groups on the 3 speeded capacity-demanding attentional measures but not on any of the tasks requiring few capacity demands, supporting the authors' predictions. The possibility that the impaired performance of depressed mood MS patients on speeded attentional tasks was mediated by reduced verbal working memory capacity, impaired deployment of executive strategies that access working memory capacity, or psychomotor slowing is explored. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Chronically depressed mood and cancer risk in older persons

BACKGROUND: Depression has been proposed as a predisposing factor for cancer, but prospective studies have been inconclusive. We examined whether a high level of depressive symptoms, present for a long time, is associated with increased risk of cancer in the elderly. METHODS: Data were obtained and analyzed from persons who lived in three communities (Massachusetts, Iowa, and Connecticut) of the Established Populations for Epidemiologic Studies of the Elderly, a prospective cohort study with a mean follow-up of 3.8 years that included 4825 persons (1708 men and 3117 women) aged 71 years and older. Chronically depressed mood was defined as present when the number of depressive symptoms exceeded specific cut points on the Center for Epidemiologic Studies-Depression scale at baseline (1988) and 3 and 6 years before baseline. New cases of cancer were identified from Medicare hospitalization records and death certificates. RESULTS: Of the 4825 persons studied, 146 (3.0%) were chronically depressed. The incidence rate of cancer was 30.5 per 1000 person-years for the 146 persons with chronic depression and 21.9 per 1000 person-years for the 4679 nonchronically depressed persons. After adjustment for age, sex, race, disability, hospital admissions, alcohol intake, and smoking, the hazard ratio for cancer associated with chronically depressed mood was 1.88 (95% confidence interval = 1.13-3.14). The excess risk of cancer associated with chronic depression was consistent for most types of cancer and was not specific to cigarette smokers. CONCLUSION: When present for at least 6 years, depression was associated with a generally increased risk of cancer.     

Short-course prophylaxis against tuberculosis in HIV-infected persons. A decision and cost-effectiveness analysis

Kidney ectopeptidases play an important role in the metabolism of different peptides. They activate precursor proteins or inactivate peptides including hormones, cytokines, vasoactive peptides (angiotensin II, endothelin), neuroendocrine hormones, changing local concentration in active peptides. Kidney ectopeptidase regulate cell proliferation, adhesion, matrix synthesis, cell signaling, cell activation, differentiation and cell-cell communication. The role of four major ectopeptidases (aminopeptidase A and N, dipeptidylpeptidase IV, and neutral endopeptidase) is presented.     

Significance of MRI in clarifying whether neuropsychological deficits after head injury are organically based.

Reviews evidence from studies using magnetic resonance imaging (MRI) that bears on the problem of determining the extent of brain damage. It is argued that it is a mistake to focus narrowly on the results of computerized tomography (CT) examination or records of coma. Studies using MRI show that neither a normal CT scan nor a history of short or negligible loss of consciousness precludes the presence of significant brain damage after trauma. Information from a variety of sources should be considered, and posttraumatic amnesia should not be overlooked. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Amphetamine disrupts negative patterning but does not produce configural association deficits on an alternative task

Three experiments investigated the effects of d-amphetamine on the performance of rats on tasks that required the discrimination of configural cues (i.e., those in which two stimulus elements, tone and light, have a meaning when presented together that is distinct from the meaning of the same elements presented in isolation from each other). In a negative patterning task (Experiment 1), rats were trained in a GO/NO-GO task in which either stimulus alone signalled reward availability whilst the compound did not. Amphetamine (0.5, 1.0 and 2.0 mg/kg) was found to disrupt performance by increasing responses to the unrewarded compound. Responses were also increased during the ITI. In contrast, in Experiments 2 and 3 amphetamine had little impact on performance on a task in which the rats had to respond to either of the single stimuli with one response (lever-press or chain-pull) and to the compound stimulus with the other response. The results add credence to the suggestion of Davidson et al. (Behav. Neurosci., 1993, 107, 227-234) that hippocampal lesions disrupt negative patterning by increasing responsiveness rather than by disrupting a configural association system and do not support the idea that increased dopamine activity disrupts configural associations. The findings are discussed in the context of hippocampal-dopamine interactions.     

Supervised exercise training improves cardiopulmonary fitness in HIV-infected persons

We attempted to measure cardiopulmonary effects, CD4 counts, and perceived sense of well-being in 25 individuals moderately to severely immunocompromised from HIV infection (mean entry CD4 count = 144.microliters-1) before and after a 24-wk program of exercise training. Only six subjects completed the 24-wk program. All six showed evidence of a training effect. Statistically significant improvements were seen in maximal oxygen consumption (VO2max), oxygen pulse, and minute ventilation. Submaximal exercise performance improved significantly by 12 wk in the 10 individuals available for testing: decreases were seen in heart rate, rate pressure product, and rate of perceived exertion. White blood cell counts and T-lymphocyte subsets were stable at 12 and 24 wk in the subjects available for testing. High depression/anxiety scores on a mental health inventory (General Health Questionnaire) correlated with low CD4 counts. Scores did not correlate with compliance with the exercise program. There was a trend (P < 0.10) for scores to improve over time among those individuals who attended > or = 80% of scheduled exercise sessions. We conclude that exercise training is feasible and beneficial for some HIV-infected individuals.