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Biomedical subjects

M Jelicic

Publications and source records attributed to M Jelicic.

At least 19 recordsLinked to original sources

Enhanced memory performance on an internal-internal source monitoring test following acute psychosocial stress.

Research on the effect of acute stress and high levels of glucocorticoids on memory has largely focused on memory tasks involving the medial temporal lobe (e.g., declarative memory). Less is known, however, about the effects of stress and glucocorticoids on more strategic memory processes regulated by the prefrontal cortex (e.g., source monitoring). In the current study, the authors investigated whether exposure to acute psychosocial stress would result in altered source monitoring performance relative to the performance of a nonstressed control group. To this end, the authors assigned nonsmoking, healthy, young men to either a stress (n = 22) or a control (n = 18) condition, after which the men were given an internal source monitoring test. Results show that relative to control participants, stressed participants made fewer source monitoring errors. This study suggests that stress may have differential effects on memory, depending on whether the memory test is regulated by the prefrontal cortex or the medial temporal lobe.

Adult↗

Effect of low levels of serum vitamin B12 and folic acid on cognitive performance in old age: a population-based study.

We studied the effect of low levels of vitamin B12 and folic acid, alone or combined, on cognitive performance in a population-based sample of 698 older adults (mean age = 68.7 years). No evidence was found for a vitamin-related memory deficit, but research participants with low levels of vitamin B12 exhibited reduced information processing speed relative to participants with normal vitamin B12 levels.

Aged↗

Test-retest stability of the behavioural assessment of the dysexecutive syndrome in a sample of psychiatric patients.

The Behavioural Assessment of the Dysexecutive Syndrome (BADS) is a relatively new test battery designed to measure disorders of executive functions. We studied the temporal stability of the BADS in a sample of 22 adult psychiatric patients. All patients were administered the BADS twice with an interval of 3 weeks. Test-retest correlations for the BADS tests ranged from .22 to .85. On the repeat administration, patients obtained higher scores on one test as well as on the total BADS. Our results suggest that the BADS should not be administered on two occasions a few weeks apart.

Adult↗

Does migraine headache affect cognitive function in the elderly? Report from the Maastricht Aging Study (MAAS).

The aim of this study was to examine two aspects of cognitive functioning-information processing speed and memory-in both young/middle-aged and older subjects with and without migraine, using data from a large population-based sample. We found that, although age had a large effect on processing speed and memory, migraine did not influence cognitive performance. In addition, there was no significant interaction between age and migraine on processing speed and memory. Our results suggest that, in the general population, migraine does not seriously affect cognitive functioning in young/middle-aged or older adults.

Adult↗

Do health factors affect memory performance in old age?

OBJECTIVES: The aim of this study was to examine the effect of health factors on memory performance in a population-based sample of 679 older people (mean age=69.2 years). METHODS: Both subjective and objective indices of health were used as predictor variables. Memory performance was measured with an immediate recall test and a delayed recall test. RESULTS: Some of the objective health indices were correlated with performance on the memory tasks, but regression analysis showed that they hardly had a unique effect on memory performance. CONCLUSION: Health factors have only a weak relationship with memory performance in older adults.

Aged↗

Do psychological factors influence pain following a fracture of the extremities?

We studied the role of psychological factors on pain following a fracture of the extremities in older adults (n = 111) using a prospective design. Pain and psychological variables measured at baseline, postfracture anxiety and depression, and demographic variables were used to predict pain two months after the fracture. Both moderately severe and serious fractures lead to an increase in pain. Pain at baseline and postinjury anxiety were associated with pain following a fracture of the extremities.

Aged↗

Psychological well-being in older adults suffering from chronic headache.

OBJECTIVE: The aim of this study was to examine two components of psychological well-being--life satisfaction and affective well-being--in community-dwelling elderly with (n = 321) and without chronic headache (n = 4955). METHODS: A checklist of chronic medical conditions was used to determine whether respondents were suffering from headache. Cantril's ladder was employed to measure life satisfaction. The subscale, Mental Health, from the MOS SF-20 was used to assess affective well-being. RESULTS: Headache sufferers reported lower life satisfaction as well as lower affective well-being. However, the difference in life satisfaction between the two groups disappeared after controlling for comorbidity. The difference in affective well-being disappeared after controlling for neuroticism. CONCLUSIONS: Lower life satisfaction in patients with chronic headache is caused by more comorbid diseases in the headache group. Lower affective well-being in headache sufferers is due to higher levels of neuroticism in the headache group.

Aged↗

Cognitive function in community-dwelling elderly with chronic medical conditions.

OBJECTIVES: The aim of this study was to examine the effect of chronic medical conditions on cognitive function in a sample of community-dwelling elderly (N = 4528). METHODS: A checklist of 18 chronic medical conditions was used to determine whether respondents were suffering from specific disease states. The Mini Mental Status Examination (MMSE) was administered to assess cognitive functioning. RESULTS: Statistically controlling for the effects of age, education and depression, respondents with asthma/bronchitis and stroke had a tendency to perform worse on the MMSE than those without these conditions. None of the 18 medical conditions was associated with a greater proportion of respondents scoring below the cutoff for cognitive dysfunction. CONCLUSION: It appears that--with the possible exception of stroke and asthma/bronchitis-cognitive function in community-dwelling elderly is not consistently affected by specific disease states.

Activities of Daily Living↗

Personality, chronic medical morbidity, and health-related quality of life among older persons.

This article examines the main and moderating effects of 3 personality characteristics on the association between chronic medical morbidity and health-related quality of life (HRQL) in a large (N = 5,279) community-based older sample. Reasonably high unique contributions of neuroticism, mastery, and self-efficacy to HRQL were found. The additional amounts of variance explained beyond and above medical morbidity and age vary from about 4% (bodily pain) to above 30% (mental health). Little empirical evidence was found for the moderating effects of personality. In conclusion, personality characteristics such as neuroticism, mastery, and self-efficacy influence the reported levels of HRQL. The extent to which this is due to an influence of personality on true versus perceived levels of HRQL is unclear.

Age Distribution↗

Memory during general anesthesia: practical and methodological aspects.

Evidence coming from several studies into memory and awareness during general anesthesia suggests that in surgical patients who seem to be adequately anesthetized (i.e., unaware of what happens in the operating theater), some form of cognitive functioning is preserved. This finding has important implications both for clinical practice and for memory research. In order to give the methodological background of the present situation in this field of research, this article deals, on the basis of recent experiments, with important methodological aspects of studies into perception and memory during general anesthesia.

Anesthesia, General↗

Exposure and participant modelling in a case of injection phobia.

BACKGROUND: From the literature it appears that there may be two types of injection phobia, (1) the 'vasovagal' type, and (2) the 'resistant' type. The first type is characterized by a diphasic cardiovascular response during or after injection and by a tendency to react in a passive, nonresisting way when injected. The second type is characterized by strong, sometimes violent resistance and no vasovagal reaction to an injection. Characteristics of blood injury phobia apply to the first type, but not to the second. The possibility is considered that exposure may be an effective treatment in the first type, and participant modelling in the second type. METHOD: A single case study was carried out with a case of injection phobia of the second type in which exposure with modelling, followed by participant modelling of the injection, was applied. Measures of state anxiety (STAI) and heart rate were obtained. RESULTS: According to expectation, participant modelling of injections was effective in eliminating the fear of injections in a patient of the second type of injection phobia. CONCLUSIONS: The results of this study warrant further investigation of the model in a group design in which the differential treatment effects of exposure and participant modelling are tested.

Adult↗

Brief correspondence: impaired perceptually-based implicit memory in Alzheimer's disease.

Alzheimer's Disease (AD) patients and normal controls were administered three different memory tests: a perceptual implicit memory task (word-fragment completion), a conceptual implicit task (category-association) and an explicit task (recognition). AD patients were outperformed by controls on word-fragment completion but not on the other tasks. Word completion tests may be of use to clinicians involved in memory assessment.

Aged↗

Implicit memory performance of patients with Alzheimer's disease: a brief review.

Memory can be assessed with either explicit or implicit tasks. Implicit memory tasks, in contrast with explicit tasks, do not refer to conscious recollection of a previous learning experience. Implicit memory is revealed by a change in task performance that can be attributed to previous learning. Amnesic patients perform poorly on explicit memory tasks, but exhibit normal performance on implicit tasks. Recently, researchers have studied the implicit memory performance of patients with Alzheimer's disease. This article aims to give an overview of the performance of Alzheimer patients on four tasks of implicit memory. Compared with normal elderly controls, patients with Alzheimer's disease seem to demonstrate impaired performance on conceptual, but not on perceptual, implicit memory tasks. This dissociation could yield important information about the neurologic systems subserving implicit memory processes. Some suggestions for future research into the implicit memory of Alzheimer patients are given.

Aged↗

Assessment of preoperative anxiety: comparison of measures in patients awaiting surgery for breast cancer.

We have compared three measurements of anxiety to determine their equivalence in assessing anxiety before surgery. Forty-four patients awaiting breast cancer surgery completed the state scale of the state-trait anxiety inventory (STAI), the hospital anxiety and depression scale (HAD) and a 100-mm visual analogue scale (VAS). Analysis restricted to correlations between the scales gave the misleading impression that VAS scores were inconsistent with those of the HAD and STAI. However, when scores were considered in relation to normative cut-off values to categorize anxiety levels, the three scales showed good agreement. We conclude that the scales were equivalent in their assessment of anxiety before surgery, but that reference to normative data was important in establishing such equivalence and in determining the patient's state.

Adult↗