Biomedical subjects

A Pulver

Publications and source records attributed to A Pulver.

7 recordsLinked to original sources

PubMed2005

Coping strategies, social support, life orientation and health-related quality of life following traumatic brain injury.

OBJECTIVE: To study coping strategies, social support and life orientation in patients following moderate and severe traumatic brain injury (TBI) in relation to health-related quality of life. SUBJECTS: Eighty-five patients with moderate or severe TBI and 68 control persons. METHODS: Estonian versions of the COPE-D test, the Brief Social Support Questionnaire, the Life Orientation Test and the RAND-36 questionnaire. RESULTS: Persons with TBI reported using task-oriented and social/emotional support strategies less often and avoidance-oriented strategies more often than control persons (p < 0.05). The social support network, satisfaction with it and optimism as life orientation were lower in the patient group (p < 0.05). Task-oriented coping styles, satisfaction with social support and optimistic life orientation were associated with the majority of the domains of health-related quality of life and resuming work after TBI. CONCLUSIONS: To achieve effective rehabilitation and to enhance patients' well-being, it is important to improve the quality and amount of social support network, as well as to support patients' adequate coping efforts for promoting an active lifestyle.

Adaptation, Psychological↗

PubMed2001

Coping strategies in patients following subarachnoid haemorrhage.

OBJECTIVES: To assess psychological coping strategies and their relationship with outcome in patients after primary subarachnoid haemorrhage (SAH). PATIENTS AND METHODS: In 51 unselected patients (24 males, 27 females; mean age 46 years) in an average 15.7+/-12.0 months after SAH usage of coping strategies were assessed by means of Estonian COPE-D test with 15 four-items scales and compared to those obtained from 51 age-, sex- and education-matched healthy persons. The data were analysed according to age, sex and education of the patients, initial severity of disease, localization of aneurysm and outcome characteristics. RESULTS: Patients after SAH reported using social support strategy less than control persons (P<0.05) with a tendency of using acceptance-oriented strategy. Task-oriented coping styles were less used (P<0.05) by patients with severe initial state, who had more marked late disability and dependence in daily living. Healthy women used social support more than men; patients and control persons 50 years or older used task-oriented strategies less than younger persons (P<0.05). CONCLUSION: The structure of coping strategies used by patients after SAH differs compared to healthy persons. The differences in using coping strategies are related to age of the patients, functional state and degree of adaptation after SAH.

Adaptation, Psychological↗

PubMed2000

Personality as a predictor of coping efforts in patients with multiple sclerosis.

The aim of the study was to explore personality traits as predictors of coping with disease-related distress in patients with multiple sclerosis (MS). All patients with clinically definite MS in a city with a population of approximately 100000 were asked to complete the NEO Personality Inventory and a multidimensional coping inventory (COPE). There was an 83% response rate yielding 49 patients for the study population and 49 controls, matched for age, gender and educational level to the MS-patients, were used as comparison. Only Neuroticism correlated significantly with emotion-focused coping in both groups. Extraversion and Openness to Experience were linked to task-oriented coping strategies in normal controls but not in the MS-group. Agreeableness was associated with avoidance-oriented coping strategies only in the MS-group. Thus, the relation of certain personality characteristics to the choice of strategies for coping with the disease-related distress appear to differ from coping with stressful problems in everyday life. As dispositional characteristics may interfere with adaptive coping responses, analysis of personality traits and coping strategies could contribute while attempting to relieve the consequences of chronic disease on everyday life.

Adaptation, Psychological↗

PubMed1995

Reversal of asymmetry of the planum temporale in schizophrenia.

OBJECTIVE: The planum temporale is intimately involved in the generation and understanding of language and has been suggested to be a key area affected in schizophrenia. To explore temporal lobe abnormalities in schizophrenia, the authors measured the planum temporale, a normally asymmetric area lying on the superior part of the temporal lobe, in schizophrenic patients. METHOD: High-resolution magnetic resonance imaging (MRI) scans were obtained for 14 right-handed schizophrenic patients and 14 healthy comparison subjects individually matched for age, sex, handedness, race, and parental socioeconomic status. The surface area of the planum temporale was measured by using MRI reconstruction techniques. RESULTS: There was striking reversal of the normal asymmetry (left larger than right) in planum temporale surface area in 13 of the schizophrenic patients but in only two of the comparison subjects. However, Heschl's gyrus (primary sensory cortex), which served as an anatomically contiguous nonheteromodal cortical comparison region, showed no difference between the left and right sides in either group. Severity of thought disorder in the patients was related to asymmetry. CONCLUSIONS: This is a clear demonstration of a reversal of expected symmetry in the brains of right-handed schizophrenic patients, which involves a region of key importance in normal human behavior. The nature of the abnormality strongly suggests that schizophrenia is a neurodevelopmental disorder.

Adult↗

PubMed1995

Contrast response of a movement-encoding system.

The ability to identify the direction of apparent motion in a sequence of two short light pulses of different amplitudes at separate spatial locations was studied. The product of pulse amplitudes is a very poor predictor of such performance when one of the two signals is much higher in amplitude than the other: above a certain amplitude the probability of correct identification becomes virtually independent of the amplitude of the larger pulse. There was no noticeable difference in performance between low-high and high-low contrast sequences. Both the direction identification and the simple contrast-detection probabilities can be represented by the same psychometric function of the luminance increment delta L, provided that delta L is normalized by the nth power of the background luminance level, Lb. These results suggest that the general Reichardt-type scheme of movement encoding should be modified in the manner proposed for the fly's visual system [J. Opt. Soc. Am. A 6, 116 (1989)]: (1) the mean luminance is subtracted from the input signal before the signal is subjected to a nonlinear compression and (2) saturation characteristics are inserted into both branches of the two mirror-symmetric motion-detection subunits before multiplication of the input signals. The identical metric of the contrast response suggests that movement discrimination and luminance detection are two different special-purpose computations performed on the output of the same encoding network.

Contrast Sensitivity↗

PubMed1995

Magnitude of luminance modulation specifies amplitude of perceived movement.

A compelling impression of movement, which is perceptually indistinguishable from a real displacement, can be elicited by patterns containing no spatially displaced elements. An apparent oscillation, w-movement, was generated by a stationary pattern containing a large number of horizontal pairs of spatially adjacent dots modulated in brightness. The observer's task was to adjust the perceived amplitude of the w-motion to match the amplitude of a real oscillation. All of the data can be accounted for by a simple rule: If the relative change in the luminance, W = delta L/L, between two adjacent stationary dots is kept constant, the distance over which these dots appeared to travel in space comprises a fixed fraction of the total distance by which they are separated. The apparent amplitude of the w-motion increases strictly in proportion with luminance contrast, provided that the contrast is represented in the motion-encoding system by a rapidly saturating compressive Weibull transformation. These findings can be explained in terms of bilocal motion encoders comparing two luminance modulations occurring at two different locations.

Attention↗

PubMed1994

Timing of visual events for motion discrimination.

The observer's task was to identify the temporal order of the two adjacent luminance excursions one of which was a step-function and the other a linear increase in luminance starting from zero and reaching various final amplitude A after some period of time D. The interstimulus delay, delta t, between these two transitions was determined at which they appeared isochronous. The point of the subjective equality (PSE) depended on both ramp parameters, the rise-time duration D and its amplitude A. All of the data can be accounted for by supposing that judgements about the temporal order are based on the comparison of a simple attribute of these luminance excursions, the time moments when the luminous energy concentrated on low temporal frequencies exceeds some level. The perceived temporal order, which was experienced as a leftward or rightward displacement of the whole pattern, was determined by the sequence in which low-frequency portion of these two luminance excursions reached the threshold value. The implications of this simple contrast detection explanation for theories of motion analysis are discussed.

Discrimination, Psychological↗