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Biomedical subjects

R Pignatti

Publications and source records attributed to R Pignatti.

8 recordsLinked to original sources

Decision-making in obesity: a study using the Gambling Task.

The present study addresses the issue of whether a "decision-making disorder" could account for the behavioral problems of severely obese patients (BMI score >34) who are not classified by traditional psychiatric Eating Disorder tests. The neuropsychological test employed, the Gambling Task (GT), is not directly related to the food domain, but it is sensitive to failure in making long-term advantageous choices. A comparison was made of 20 obese subjects (OS) and 20 normal-weight subjects (NWS) matched in age, education and IQ. The subjects' personalities and food behavior were assessed from psychological questionnaires, and then the Gambling Task was administered. The number of "good" choices made by the two groups during GT performance differed significantly, and the OS did not learn to maximize advantageous choices like the NWS did. OS behavior could be consistent with a prefrontal cortex defect that implies difficulties in inhibition of excessive food intake.

Adult↗

Evaluating two group programmes of cognitive training in mild-to-moderate AD: is there any difference between a 'global' stimulation and a 'cognitive-specific' one?

This study evaluated the efficacy of two different group procedures of non-pharmacological treatment in mild-to-moderate Alzheimer's disease (AD). Thirty-two patients entered the study and were divided in groups of four subjects. We compared recreational activities ('global' stimulation) with a combination of procedural memory training on activities of daily living and neuropsychological rehabilitation of 'residual' functions ('cognitive-specific'). All patients and caregivers were ensured psychological support. Both group treatments were delivered for six weeks. Multidimensional efficacy assessment of functional, behavioural and neuropsychological aspects was performed. Patients receiving 'global' stimulation showed a substantial reduction in behavioural disturbances (Neuropsychiatric Inventory [NPI]: frequency p = 0.034; severity p = 0.012); Revised Memory Behaviour Problems Checklist (frequency p = 0.008; reaction p = 0.027), and better performance in the Functional Living Skills Assessment (FLSA), a standardized direct measure of performance in everyday life (p = 0.021) and Verbal Fluency for Letters (p = 0.000). Patients receiving 'cognitive-specific' treatment improved only on the scale evaluating functional competence in daily living (Nurses' Observation Scale for Geriatric Patients [NOSGER] p = 0.018). At follow-up (six months later), compared with baseline, patients following the 'global' stimulation treatment showed an improvement at caregiver distress on NPI (p = 0.04). No other significant difference was detected. Our results support the contention that a 'global' treatment can lead to a significant improvement in AD patients, both for behavioural and functional aspects. The 'cognitive-specific' treatment we used in this research did not show better efficacy.

Activities of Daily Living↗

Common daily activities in the virtual environment: a preliminary study in parkinsonian patients.

Patients with Parkinson's disease (PD) create behavioral motor strategies by using external cues to facilitate their movements. Virtual reality (VR) could work as an external stimulus in order to explore the motor plans by means of creation of mental images. We tested 2 women with PD aged 68 and 69 years, and 10 normal control subjects. Patients underwent a neuropsychological assessment to evaluate cognitive abilities involved in the tasks required by the VR session. VR environment reproduces common daily activities situations at home, such as eating or using the bathroom. VR describes the alterations of the motor plans in PD by a point of view different from the clinical one, by testing "pure" mental sequences of the execution of a movement, without the interference of motor disability.

Activities of Daily Living↗

Comparing two programs of cognitive training in Alzheimer's disease: a pilot study.

OBJECTIVES: To evaluate the efficacy of two different procedures of individual cognitive training in mild to moderate Alzheimer's Disease (AD). MATERIAL AND METHODS: Twenty-two AD patients entered the study. We compared stimulation of procedural memory (group 1) with training of partially spared cognitive functions (group 2). Assessment included: neuropsychological tests, scales, and the Functional Living Skills Assessment (FLSA), a standardized battery built to directly evaluate patients' performance in everyday life. RESULTS: We observed a significant improvement for both groups after training in FLSA total score (P=0.005) and subscales. For group 1, we also found a slightly improved performance in two tests: Attentional Matrices (P=0.041), and Verbal Fluency for Letters (P=0.059). After 3 months, patients' results showed a tendency to regress to the pre-training level. CONCLUSION: Both AD groups showed a substantial improvement after training in a direct performance measure of everyday functioning. However, results at neuropsychological tests suggest that training activities of daily living (supported by procedural memory) may be more effective than stimulating "residual" cognitive functions.

Aged↗

Lateralization of detour behaviour in poeciliid fish: the effect of species, gender and sexual motivation.

We studied detour responses of two species of poeciliid fish (Gambusia hoolbroki and Girardinus falcatus) faced with a vertical-bar barrier, through which conspecifics of the same or different sex or a simulated-predator (which induced detour behaviour for predator-inspection responses) were visible. Both species showed a consistent bias to turn leftward when faced with the predator, and a consistent bias to turn rightward when faced with an opaque barrier. Sexual stimuli (conspecifics of different sex) elicited a leftward bias in females that had been deprived of the presence of males for 2 months, whilst no bias was apparent in non-deprived females. Social stimuli (conspecifics of the same sex) elicited a consistent rightward bias in females but not in males in both species. Results suggest that males and females of both species show basically the same pattern of laterality and that sex differences, when present, can be accounted for in terms of differences in sexual and/or social motivation.

Animals↗

Laterality in detour behaviour: interspecific variation in poeciliid fish

We measured whether males of five species of poeciliid fish made detours to the right or left of a vertical-bar obstacle in order to approach a group of females. Three of these species, Gambusia holbrookiGambusia nicaraguensis and Poecilia reticulata showed a significant bias to the left, whereas Brachyrhaphis roseni and Girardinus falcatus showed a significant bias to the right. When tested for direction of turning in front of an opaque barrier, or when a dummy predator was used as a target in a detour test, G. holbrooki and G. falcatus showed similar biases to the right (opaque barrier) and left (predator), thus suggesting that the difference observed when females were used as a target could arise from species differences in the degree of sexual motivation in a novel environment. The two species that showed bias to the right with the females were less likely to exhibit sexual behaviour when placed in a novel environment. Moreover, manipulation of the factors affecting the relative strength of sexual motivation and of fear of a novel environment, such as how long fish were maintained in captivity or in the test apparatus before being tested, caused shifts in the direction of the lateral asymmetries. These results suggest that the presence of functional asymmetries in behaviour could be widespread among vertebrates and that the direction of such asymmetries tends to be strikingly similar in closely related species, thus supporting the hypothesis of an early evolution of laterality in brain and behaviour.Copyright 1997 The Association for the Study of Animal Behaviour1997The Association for the Study of Animal Behaviour

Journal Article↗

Detour tests reveal task- and stimulus-specific behavioral lateralization in mosquitofish (Gambusia holbrooki).

We studied detour responses of male mosquitofish faced with a vertical-bar barrier through which a group of females was visible. Mosquitofish showed a consistent population bias to detour the barrier preferentially leftwise when a straight barrier was used, whilst the asymmetry disappeared if a U-shaped barrier was used. The leftward bias was apparent even when using a simulated-predator as a target (which induced detour behaviour for predatory-inspection responses), but not when using an empty environment or a group of males as a target. Moreover, when faced with an opaque barrier, mosquitofish tended to turn on their right side. These lateral biases could be accounted for in terms of a right eye preference during lateral (monocular) fixation of any stimulus of interest, suggesting functional lateralization in a teleost species for the analysis of visual information.

Animals↗