Prediction of accidents in a standardized home environment.

Used a kitchen laboratory to study accidents incurred by 226 females who performed standardized household tasks under observation. 4 yrs of driving records were obtained for a subsample of 178 Ss possessing licenses. In addition, all Ss were assessed on a battery of psychomotor and personality tests (e.g., the MMPI). Kitchen criteria were classified as property damage accidents and personal injury accidents, summed to provide total kitchen accidents. Near accidents constituted the 4th kitchen criterion. Significant (p     

Immediate aftereffects of the Finnish sauna on psychomotor performance and mood.

Studied the psychological aftereffects of the Finnish sauna on complex psychomotor performance and subjective feelings of 20 healthy male volunteers, (mean age = 24 yr.). Ss were given a battery of tests (e.g., the Digit Symbol subtest of the WAIS and an adjective mood checklist). Results indicate that the effects of sauna bathing on performance that required rapid and adequate psychomotor adjustment did not differ from those of merely washing oneself. Slight differential effects on mood, however, were discovered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of acamprosate on psychomotor performance and driving ability in abstinent alcoholics

The possible effects of acute and long-term treatment of the antidipsotropic agent acamprosate on psychomotor performance and driving ability were studied in a prospective open clinical trial involving 5 alcoholic patients without any clinical evidence for cognitive impairement. Acamprosate 1995 mg/day was given for 6 months for relapse prevention with all patients being abstinent throughout the study. No side effects were reported during treatment. Psychomotor performance and driving ability were assessed using the ART 90, a standardized and computerized neuropsychological test battery. A number of relevant subtests measuring peripheral vision, split attention, sensomotoric function, reaction time, stress resistance and the capacity to integrate information was used at study entry, 6 weeks and 6 months after onset of treatment. While in two subtests a moderate improvement in psychomotor performance was found, in most subtests no differences compared to baseline could be shown. The results of this pilot study do not indicate any impairment of psychomotor performance by acamprosate.     

Residual effects of cigarette smoking on cognitive performance in normal aging.

The present study examined the residual effects of smoking status on cognitive function in 76 nondemented older adults. Current smokers, ex-smokers, and nonsmokers who were screened for health and intellectual impairments were adminstered a battery of standardized neuropsychological tests to measure problem solving, psychomotor speed, memory, attention span, perception, and language production. Performance decrements were found for smokers on measures of psychomotor speed. No between-group differences were noted on any of the nonspeeded tests. There were no differences between nonsmokers and ex-smokers on any measures. The results suggest that the residual effects of current cigarette smoking negatively influence speeded cognitive capabilities in older adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A comparative study of aptitude patterns in unskilled and skilled psychomotor performances.

"A cross-sectional and longitudinal comparison was made of abilities involved at early and late stages of proficiency on a variety of complex psychomotor tasks… [by]… giving extended practice on seven different tasks to the same Ss who also received a battery of reference tests [from factor analyses]… . Factors were defined by the reference tests, and the resulting loadings of these in different stages of practice in the psychomotor tasks were examined. The results confirm and extend previous findings… which indicate considerable, but systematic, changes in the patterns of abilities contributing to proficiency on complex tasks as training continues and proficiency increases." 18 references. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychomotor and intellectual development after deep hypothermia and circulatory arrest in early infancy

Somatic, psychomotor, and intellectual development were studied in 11 patients who had total correction of congenital cardiac malformation in early infancy by the method of surface-induced deep hypothermia and circulatory arrest up to 43 minutes. Time between operation and re-evaluation ranged from 3 to 11 years (average 7 years). Somatic development was normal in all children. Psychomotor and intellectual behavior, measured by a battery of specially adapted test methods, failed to show a statistically significant difference when compared between the study group, a matched control group, and the normal population. Normal scores in psychomotor tests and normal intelligence quotients (I.Q.) were present in 8 patients; mental retardation was found in 2 patients: and unstable behavior, evident from different tests, was present in one. Except for the last case, in none of the patients was the method was found to be the primary cause of the abnormal behavior. Deep hypothermia and circulatory arrest in early infancy does not appear to have a negative influence on somatic, psychomotor, or intellectual development.     

Interrelationships among everyday memory tests: Stability of factor structure with age.

Conducted an experiment in which 158 normal adults (aged 18–77 yrs) completed a battery of tests employing computer and laser-disk technology to simulate learning and memory tasks encountered in daily life. The tests were based on different experimental paradigms and were designed to assess multiple variables related to memory performance across the adult age span. Principal components analyses yielded factors of general memory, attention, and psychomotor speed. The factors remained essentially unchanged when scores were residualized to account for differences in performance related to age. Clinical and research applications of the battery are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Increased rate of psychosis and psychomotor change in depression with age

BACKGROUND: We examined the phenomenology of depression in younger (< 60 years old) versus older (> or = 60 years) subjects and, more specifically, the interaction between age and psychomotor disturbance associated with depression. METHOD: Two hundred and eighty-five patients with a DSM-III-R diagnosis of unipolar major depression referred to a mood disorders unit were assessed using the CORE rating scale, a sign-based system for defining melancholia. Subjects were also assessed using the Hamilton Rating Scale for Depression, Zung Depression Scale, Newcastle Endogenous Depression Inventory and the General Health Questionnaire. RESULTS: The total CORE score (and each of its subscales) was found to interact with age. Rates of psychotic and melancholic depression increased with age. Elderly depressives suffered more severe depression (higher HRSD scores), appetite loss and weight loss. Level of psychomotor disturbance and rates of psychosis did not differ between those elderly subjects with an early onset (before the age of 60 years) and those with a late onset (at or after 60 years) of depression. CONCLUSIONS: There appear to be robust phenomenological differences in depression between older and younger subjects. The association between age and psychomotor change may assist our understanding of the neurobiology of depression.     

Discriminative-stimulus, self-reported, performance, and cardiovascular effects of atomoxetine in methylphenidate-trained humans.

Atomoxetine is marketed as a nonstimulant medication indicated for the treatment of attention-deficit/hyperactivity disorder in adults. Previous laboratory research suggests that atomoxetine has limited abuse potential but that some of its behavioral effects might overlap with traditional psychomotor stimulants like methylphenidate and d-amphetamine. A drug with this profile might be useful for the treatment of stimulant dependence. The aim of this experiment was to compare the discriminative-stimulus and self-reported effects of atomoxetine with methylphenidate, damphetamine, and triazolam in humans who had acquired a methylphenidate (30 mg) discrimination. Six healthy subjects with a recent history of nontherapeutic stimulant use were enrolled in this outpatient study. After subjects acquired the methylphenidate discrimination, a range of doses of methylphenidate (5-30 mg), atomoxetine (15-90 mg), d-amphetamine (2.5-15 mg), triazolam (0.06-0.375 mg), and placebo were tested. To more fully characterize the behavioral effects of atomoxetine, a battery of self-reported drug-effect questionnaires, a performance task, and cardiovascular assessments were also included. Methylphenidate and d-amphetamine increased drug-appropriate responding and produced typical stimulant-like effects (e.g., increased ratings of "Active, Alert, Energetic"). Atomoxetine partially substituted for methylphenidate (i.e., 33%-50%) and produced some dose-dependent, stimulant-like, subject-rated drug effects, although the magnitude of these effects was less than d-amphetamine and methylphenidate and generally did not attain statistical significance. These data suggest that the behavioral effects of atomoxetine overlap to a small degree with psychomotor stimulants and that it has low abuse potential. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Multiple sources of attentional dysfunction in adults with Tourette's syndrome: Comparison with attention deficit-hyperactivity disorder.

Seventeen adult Tourette's syndrome (TS) patients, 17 adult attention deficit-hyperactivity disorder (ADHD) patients, and 17 adult controls completed a battery of attentional tests and self-report measures of ADHD and obsessive-compulsive disorder (OCD) symptoms. ADHD but not TS participants performed significantly worse than controls on tests of mental flexibility and psychomotor speed. Both the ADHD and TS groups, however, had significantly greater test performance variability as well as several outliers on most of the measures. Among TS patients, those with comorbid ADHD performed significantly worse than TS patients without ADHD on tests of mental flexibility and psychomotor speed, suggesting ADHD-related attentional impairment in TS. In addition, greater amounts of OCD symptomatology were associated with poorer test performance among TS patients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interaction of H2-receptor antagonists and benzodiazepine sedation. A double-blind placebo-controlled investigation of the effects of cimetidine and ranitidine on recovery after intravenous midazolam

H2-receptor antagonists differentially inhibit cytochrome P450 and this may affect the rate at which benzodiazepines are metabolised. However, it is not known whether this delayed clearance results in prolonged psychomotor impairment. In a randomised double-blind trial 28 healthy volunteers received two single doses of midazolam (0.07 mg.kg-1) at an interval of one week during which they took cimetidine 400 mg, ranitidine 150 mg or placebo, each twice daily. Recovery from the benzodiazepine was monitored on each occasion over a 12 h period using a battery of psychometric tests. There was wide individual variation in performance; however, an overall measure of impairment indicated a significant difference at 2.5 h (p < 0.05), the cimetidine group having a high impairment score. This decrement appeared to be in cognitive and psychomotor functions and was not reflected in the subjective assessment.     

Memory and psychomotor effects of oxcarbazepine in healthy human volunteers

Cognitive and psychomotor impairments can be unwanted adverse effects of antiepileptic drugs. The present double-blind, cross-over study with healthy volunteers was designed to assess the effects of two doses of oxcarbazepine (OXCZ) (150 mg b.i.d.; 300 mg b.i.d.) and a placebo, each given over a two week period. Twelve subjects completed a battery of tests before and 4 h after morning doses on days 1, 8 and 15. Results of objective tests indicated that OXCZ improved performance on a focussed attention task and increased manual writing speed. Subjective ratings showed OXCZ increased feelings of altertness, clear-headedness and quickwittedness. OXCZ had no effect on the range of long-term memory processes assessed in this study. It is concluded that at the doses employed, OXCZ has a slightly stimulant effect on some aspects of psychomotor functioning.     

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.     

Screening for neuropsychological impairment in alcoholics.

A short self-report instrument that could predict neuropsychological impairment in at-risk patients would be advantageous to clinicians treating alcoholics. Seventy-three Veterans Administration alcoholics and 36 control subjects were administered a 50-item self-report symptom checklist, the Neuropsychological Impairment Scale (NIS); psychological measures of anxiety and depression; and a battery of neuropsychological tests known to be sensitive to brain dysfunction. Alcoholics differed from control subjects on the neuropsychological tests and in their NIS profiles. Multiple regression analyses revealed that select NIS subscales could predict neuropsychological impairment in alcoholic subjects. These subscales, however, were found to be more strongly correlated with standard measures of anxiety and depression than with cognitive performance. The confounding role of affect in predicting neuropsychological impairment from self-report questionnaires is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clocks regulating developmental processes

The goal of this study was to investigate the role of chronic otitis media with effusion as a cause of childhood imbalance. Nineteen 4- to 6-year-old children with chronic otitis media with effusion and 14 matched control children underwent a series of laboratory tests, including two standardized tests of balance and locomotion: the Peabody Developmental Motor Scales (PDMS) and the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP). The children in the chronic otitis media with effusion group underwent tympanostomy tube insertion. Both groups underwent the same battery of tests within 6 to 8 weeks of initial testing. Analysis of variance for the PDMS and BOTMP demonstrated significantly lower performance in the balance subscales for the otitis group before (P < .01). Both otitis and control groups improved when retested. The improvement was greater and approaching significance in the otitis group on the PDMS and BOTMP (P = .056 and .097, respectively). It is concluded that chronic otitis media with effusion significantly affects balance and coordination skills in 4- to 6-year-old children. These skills improve after tympanostomy tube insertion at a rate greater than that of the control group.     

Gender differences in acute tobacco withdrawal: Effects on subjective, cognitive, and physiological measures.

Gender differences in tobacco withdrawal are of considerable clinical importance, but research findings on this topic have been mixed. Methodological variation in samples sizes, experimental design, and measures across studies may explain the inconsistent results. The current study examined whether male (n = 101) and female (n = 102) smokers (≥15 cigarettes/day) differed in abstinence-induced changes on a battery of self-report measures (withdrawal, affect, craving), cognitive performance tasks (attention, psychomotor performance), and physiological responses (heart rate, blood pressure, brain electroencephalogram). Participants attended 2 counterbalanced laboratory sessions, 1 following 12 hr of abstinence and the other following ad libitum smoking. Results showed that women reported greater abstinence-induced increases in negative affect, withdrawal-related distress, and urge to smoke to relieve withdrawal distress. In contrast, both genders reported similar abstinence-induced changes in positive affect and urge to smoke for pleasure. Men and women exhibited generally similar abstinence-induced changes in physiological and cognitive performance measures. In addition, gender did not moderate the association between withdrawal symptoms and baseline measures of smoking behavior and dependence. Abstinence-induced changes in withdrawal distress mediated the effect of gender on latency until the 1st cigarette of the day at trend levels ( p     

Neuropsychological functioning in HIV-positive African-American women with a history of drug use

This preliminary investigation examined neuropsychological performance in a sample of human immunodeficiency virus (HIV)-positive and HIV-negative African-American women with a history of drug use. The study population was comprised of 10 HIV-negative, 9 asymptomatic HIV-positive, 13 symptomatic HIV-positive, and 10 acquired immunodeficiency virus (AIDS) patients. A neuropsychological battery designed to assess attention, psychomotor processing, verbal memory, and visual memory was administered to participants. No evidence of HIV-related cognitive impairment was found in patients in the early stages of HIV infection. Multivariate analyses of variance revealed significant deficits in psychomotor processing and verbal recall in persons with AIDS. These individuals showed greater difficulty in tasks requiring maintained attention and performed poorly on measures of immediate and delayed verbal recall. In contrast, HIV status was not related to visual memory, verbal recognition, or the number of errors made during a verbal recall task. The pattern of cognitive deficits observed in persons with AIDS resembles that commonly associated with subcortical pathology. The cognitive deficits observed were not related to depression or recentness of drug use.     

Behavioral deficits in groups with cerebral vascular lesions.

Established 3 groups of patients with cerebrovascular disease (right hemisphere, left hemisphere, or generalized involvement) by matching 15 triads for age, sex, education, and duration of diagnosed cerebrovascular disease. Intergroup and intragroup comparisons were made of results on a large battery of measures, including psychometric intelligence, motor strength and speed, psychomotor performance, and sensory functions. Tests given included halstead's finger tapping test, halstead's tactual performance test, and wechsler-bellevue, form i, verbal and performance iq values. Significant differences were found between groups with lateralized lesions, whereas the group with generalized involvement tended to occupy an intermediate position. The group with left cerebral damage had a significantly lower verbal than performance iq, whereas this relationship was reversed in the group with right cerebral damage. Motor, psychomotor, and sensory functions were consistently impaired on the side contralateral to the damage hemisphere for the groups with lateralized lesions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neuropsychological performance and CD4 levels in HIV-1 asymptomatic infection

The performance of 68 HIV-1 seropositive asymptomatic (HIV+) subjects stratified on CD4 levels were compared with 82 HIV-1 seronegative (HIV-) subjects on a battery of neuropsychological, mood state, and perceived health status measures. The neuropsychological test battery included measures of attention, reaction time, memory, intellectual ability, psychomotor speed, frontal lobe or "executive" function, and decision time. None of the HIV+ subjects were taking antiviral agents. The groups did not differ for age, mood state, or WAIS-R Verbal and Performance IQ scores. Due to group differences for education and weekly ethanol consumption, both variables were used as covariates in multivariate analyses of variance. Relatively few differences were observed between subgroups of HIV+ patients or between these subgroups and control subjects. These data suggest that factors other than absolute levels of immunosuppression as expressed by CD4 levels alone, appear to be responsible for the deficits observed in HIV+ asymptomatic patients.     

The effects of transnasal butorphanol on mood and psychomotor functioning in healthy volunteers

Transnasal butorphanol is effective in relieving migraine and postoperative pain. The extent to which this drug preparation impacts on cognitive and psychomotor performance, as well as mood, has not been examined. Accordingly, the cognitive and psychomotor, subjective, and physiological effects of two clinically relevant doses of transnasal butorphanol (1 and 2 mg) were compared to that of placebo, and a common analgesic drug combination given for pain relief in ambulatory settings, 600 mg of acetaminophen and 60 mg of codeine, in healthy volunteers (n = 10). The larger transnasal butorphanol dose impaired psychomotor performance for up to 2 h, and produced subjective effects for up to 3 h. The smaller dose had no psychomotor-impairing effects, but had subjective effects (including increased ratings of "sleepy"). All three active drug conditions including miosis. These laboratory results suggest that patients should use caution when using the 1-mg dose of transnasal butorphanol, and should curtail certain activities if they administer the 2-mg dose of transnasal butorphanol for analgesia.