Biomedical subjects

Bjørn Helge Johnsen

Publications and source records attributed to Bjørn Helge Johnsen.

12 recordsLinked to original sources

PubMed2005

Trauma narratives and emotional processing.

The present study examined the relations between indicators of emotional processing (e.g. trauma narratives), posttraumatic stress symptoms, and psychological distress in two military samples (N = 120) exposed to significant training accidents. Trauma narratives were collected at 2-3 weeks, while outcome measures (e.g. IES-15, PTSS-10, and GHQ-30) were collected at 2-3 weeks, and 4 months after the accidents. Emotional processing was indexed by the content of positive and negative emotional expressions in the trauma narratives. The results showed that positive emotional expressions were associated with lower levels of psychological distress, whereas negative emotional expressions were linked to trauma specific symptoms and psychological distress at 2-3 weeks. Negative emotional expressions explained between 6-8% of the variance in trauma specific symptoms at 2-3 weeks, and 11% of the variance in psychological distress symptoms at 4 months after the traumatic event.

Adolescent↗

PubMed2005

Dispositional optimism and self-assessed situation awareness in a Norwegian military training exercise.

The current study examined the relationship between dispositional optimism and situation awareness. A sample of 77 Royal Norwegian Naval Academy and 57 Royal Norwegian Army Academy cadets were administered the Life Orientation Test prior to participating in a field-training exercise involving a series of challenging missions. Following an infantry mission component of the exercise, situation awareness was measured using the Mission Awareness Rating Scale (MARS), a self-assessment tool. The analysis indicated that dispositional optimism correlated negatively with situation awareness under these conditions. The role of intrapersonal variables in mediating situation awareness and decision-making in stressful situations is discussed.

Adaptation, Psychological↗

PubMed2004

Heart rate variability and its relation to prefrontal cognitive function: the effects of training and detraining.

The aim of the present study was to investigate the relationship between physical fitness, heart rate variability (HRV) and cognitive function in 37 male sailors from the Royal Norwegian Navy. All subjects participated in an 8-week training program, after which the subjects completed the initial cognitive testing (pretest). The subjects were assigned into a detrained group (DG) and a trained group (TG) based on their application for further duty. The DG withdrew from the training program for 4 weeks after which all subjects then completed the cognitive testing again (post-test). Physical fitness, measured as maximum oxygen consumption (VO2(max)), resting HRV, and cognitive function, measured using a continuous performance task (CPT) and a working memory test (WMT), were recorded during the pre-test and the post-test, and the data presented as the means and standard deviations. The results showed no between-group differences in VO2(max) or HRV at the pre-test. The DG showed a significant decrease in VO2(max) from the pre- to the post-test and a lower resting HRV than the TG on the post-test. Whereas there were no between-group differences on the CPT or WMT at the pre-test, the TG had faster reaction times and more true positive responses on tests of executive function at the post-test compared to the pre-test. The DG showed faster reaction times on non-executive tasks at the post-test compared to the pre-test. The results are discussed within a neurovisceral integration framework linking parasympathetic outflow to the heart to prefrontal neural functions.

Adolescent↗

PubMed2004

Sleep deprivation and hemispheric asymmetry for facial recognition reaction time and accuracy.

We investigated the processing of emotional stimuli during a non-sleep-deprived state and following sleep deprivation in 36 right-handed men. Using the visual half-field technique, cartoon line drawings of emotional facial expressions were flashed on a computer screen for 250 msec. The participants were instructed to remember the content of the picture seen and to recognize it among nine alternatives shown immediately after the display of a single picture. Compared to the nondeprived condition, response latencies increased and accuracy decreased in sleep deprivation. Moreover, response latencies indicated that the performance of the right hemisphere deteriorated more following sleep deprivation than did the performance of the left hemisphere. The results also showed that hemispheric preference (for response latencies and response accuracy) tended to favour the left hemisphere when the participants were tested during sleep deprivation.

Adult↗

PubMed2004

Stress and coping in a week-long disabled submarine exercise.

BACKGROUND: Emotional stress could impair cognitive performance and decision-making in the initial period within a disabled submarine (SUBSUNK). The aim of the present study was to explore stress reactions over time in submarine crewmembers exposed to a simulated SUBSUNK trial. METHODS: There were 18 Norwegian sailors who were confined within the front section of a conventional diesel-electric submarine for 6 d 18 h complying with emergency SUBSUNK procedures. Self-reported measures of habitual coping and personality hardiness were completed before the simulation, and measures of emotional stress symptoms and quality of life were assessed daily during the exercise and at 2 wk after the exercise. RESULTS: A repeated measures analysis of variance showed that emotional stress symptoms declined [F (6,14) = 2.76, p < 0.05], while quality of life improved over time [F (6,14) = 4.00, p < 0.01] from the first day compared with subsequent days of the experiment. Personality hardiness was negatively associated with emotional stress (r = -0.52) and lower quality of life (r = -0.47), while avoidant coping was positively associated with lower quality of life (r = 0.53) in the first 24 h of the SUBSUNK situation (all p < 0.05). CONCLUSIONS: These findings suggest that the level of emotional stress was highest in the first 24-h period, and that the level of distress was related to scores on personality hardiness and personality traits. These data have possible implications for selection and healthcare of personnel, and also suggest that crews will benefit from external help especially in the first 24 h of emergency response techniques.

Adaptation, Physiological↗

PubMed2003

Vagal influence on working memory and attention.

The aim of the present study was to investigate the effect of vagal tone on performance during executive and non-executive tasks, using a working memory and a sustained attention test. Reactivity to cognitive tasks was also investigated using heart rate (HR) and heart rate variability (HRV). Fifty-three male sailors from the Royal Norwegian Navy participated in this study. Inter-beat-intervals were recorded continuously for 5 min of baseline, followed by randomized presentation of a working memory test (WMT) based on Baddeley and Hitch's research (1974) and a continuous performance test (CPT). The session ended with a 5-min recovery period. High HRV and low HRV groups were formed based on a median split of the root mean squared successive differences during baseline. The results showed that the high HRV group showed more correct responses than the low HRV group on the WMT. Furthermore, the high HRV group showed faster mean reaction time (mRT), more correct responses and less error, than the low HRV group on the CPT. Follow-up analysis revealed that this was evident only for components of the CPT where executive functions were involved. The analyses of reactivity showed a suppression of HRV and an increase in HR during presentation of cognitive tasks compared to recovery. This was evident for both groups. The present results indicated that high HRV was associated with better performance on tasks involving executive function.

Adult↗

PubMed2003

Attentional and physiological characteristics of patients with dental anxiety.

Twenty patients with dental anxiety were investigated while seated in a dental chair in a dental clinic. Heart rate (HR), heart rate variability (HRV), and skin conductance level (SCL) were recorded while the patients were exposed to scenes of dental treatment as well as a Stroop attentional task. Results showed an attentional bias with longer manual reaction times (RT's) to the incongruent compared to the congruent color words as well as the threat compared to the neutral words. Longer RT's to the incongruent and the threat words were found in the low HRV patients compared to the high HRV patients. Furthermore, all patients showed an increase in HR during exposure and the Stroop task compared to baseline. The HRV showed a decrease during the exposure and the Stroop task compared to baseline. HR and HRV did not differ between exposure and the Stroop task. Moreover, HR and HRV did not return to baseline levels during the recovery period. The SCL showed an increase from baseline to exposure, from exposure to the Stroop task and a decrease in the recovery phase. Results showed the importance of vagal cardiac control in attentional, emotional, and physiological processes in patients suffering from dental fear.

Adult↗

PubMed2002

Treatment of dental anxiety disorders. Outcome related to DSM-IV diagnoses.

In this study we evaluated treatment effects in 70 consecutively admitted patients in a specialized university clinic for treatment of dental fear. Thirty-three (47%) of the patients fulfilled the diagnostic criteria for Specific Phobia alone (Dental Phobia, DP), 24 (33%) had severe dental anxiety without fulfilling the criteria for phobia (ND), and 13 (19%) fulfilled the criteria for multiple DSM-IV diagnoses (MD). Dental anxiety was measured prior to, immediately after and at follow-up (mean = 19 months) using Corah's Dental Anxiety Scale and Dental Fear Survey. Dental attitudes were measured by Getz' Dental Beliefs Survey. Dental attendance and everyday functioning were measured by self-report. DP patients received significantly more treatment-sessions as compared to the ND group. Despite significant overall reductions in scores on all psychometric instruments from pretreatment to follow up, patients in the MD group reported significantly more severe anxiety at pre- and post-treatment and at follow-up as compared to patients in the ND group. There was no interaction between diagnostic group and assessment occasion (pre treatment, post treatment and follow up) on the self-reported anxiety. Patients reported significant improvements in self-esteem, social relations and everyday functioning, regardless of diagnostic group. Sixty-three percentage of the respondents had been to the dentist within 1 year after completed treatment. Patients treated by dentists who had received supervised training in exposure treatment had significantly more often seen the dentist at follow-up.

Activities of Daily Living↗

PubMed2002

The effect of sensitization and coping style on post-traumatic stress symptoms and quality of life: two longitudinal studies.

The present study investigated the effects of multiple trauma exposure and coping style on post-traumatic stress symptoms and quality of life. It was hypothesized that sensitization would occur in subjects repeatedly exposed to life-threatening situations (study 1), and different coping styles would act as a resilience or facilitating factor in symptom development (study 2). The results showed that the single-exposure group revealed a decrease in trauma specific stress reactions from three weeks to four months, with a persistent reduction at 12-month follow-up, while the repeated-exposure group showed an increase in symptom reporting over the 12-month period. The same pattern emerged for perceived quality of life-measured by the General Health Questionnaire (GHQ-30). The second study revealed a correlation between scores on avoidant-focused coping style and the Impact of Event Scale-avoidance dimension, Post-traumatic Symptom Scale and GHQ-30. Furthermore, only subjects with a dominant coping style of emotion-focused or task-focused coping showed a reduction in trauma-specific symptom scores over time.

Adaptation, Psychological↗

PubMed2002

Dichotic listening and sleep deprivation: vigilance effects.

Twelve sleep-deprived and 13 non-deprived Navy cadets were tested with the dichotic listening procedure for effects of sleep deprivation on hemispheric asymmetry and sustained attention. Consonant-vowel syllables were presented to the subjects in three different conditions, a divided (non-forced) attention condition, a forced right ear and a forced left ear attention condition. In the two forced attention conditions the subjects were instructed to focus attention only on the right or left ear stimulus. The results showed an expected right ear advantage for both groups during the non-forced and forced right attention conditions, indicating superior left hemisphere processing. During the forced left attention condition, the sleep-deprived subjects showed no ear advantage at all, while the non-deprived subjects showed an expected left ear advantage. The results are discussed within a theoretical framework of a dual process model, where sleep deprivation disrupts the ability to sustain attention, caused by a temporary failure of the right hemisphere's top-down (instruction-driven) processing to override the left hemisphere's bottom-up (stimulus-driven) processing.

Adult↗

PubMed2002

Psychological characteristics of elderly insomniacs.

Sixty insomniacs, aged 60 years or over, fulfilling the DSM-IV criteria for primary insomnia, completed a set of questionnaires measuring psychological distress. These included the Sleep Impairment Index (SIM), the Symptom Check List 90-Revised (SCL-90-R), the Penn State Worry Questionnaire (PSWQ), the Toronto Alexithymia Scale-20 (TAS-20) and the Elders Life Stress Inventory (ELSI). The insomniacs were compared on these measures with two contrast groups, one of elderly good sleepers and one an elderly community sample. As norms were developed for the SCL-90-R and PSWQ, insomniacs were also contrasted with the norm groups on these measures. In general, the results indicated a higher level of psychological distress among insomniacs than among the good sleepers, while there were negligible differences between insomniacs and the community sample on most measures. Overall, elderly insomniacs scored higher on measures of worry compared with the other groups, followed by measures of somatization, obsessive-compulsion and depression. It is concluded that excessive worrying was the most characteristic feature of elderly insomniacs.

Aged↗

PubMed2002

Acute stress reactions after submarine accidents.

The aim of the present study was to explore contextual and individual factors associated with acute stress reactions in three Norwegian submarine crews exposed to different significant peacetime maneuver accidents. Approximately 2 to 3 weeks after the accidents, crew members completed the Coping Style Questionnaire, the General Health Questionnaire, the Impact of Event Scale, and the Post-Traumatic Symptom Scale. Although exposed subjects (N = 47) revealed more posttraumatic stress symptoms than nonexposed crew members on shore leave (N = 7), they showed less acute stress reactions than survivors from a surface ship accident in the Norwegian Navy. Inspection of individual cases revealed that 4% of the exposed submariners showed high loads of acute stress symptoms. Unit cohesion and habitual coping styles emerged as resilience factors, whereas previous exposure to critical incidents and personal experience of not coping in the accident situation emerged as vulnerability factors, explaining 32% of the acute stress reactions reported by submarine crew members.

Accidents, Occupational↗