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PubMed1994

Cognitive correlates of dental anxiety.

This study examined cognitive correlates of dental anxiety among 24 highly anxious patients and 17 low-anxious patients. In both groups, anxiety expectations, dental trait anxiety, and state anxiety (in the waiting room and in the dental chair) were rated. Negative cognitions and cognitive control were also assessed. It was found that dentally high-anxious patients claimed to experience more negative thoughts than those with low anxiety (p < 0.001). None of the highly anxious patients reported relatively few negative cognitions, and none of the patients in the low-anxiety group reported relatively numerous negative cognitions. While patients from both groups reported that cognitive control declined with the imminence of treatment, highly anxious patients were found to have less control over their negative thoughts (p < 0.001). A series of stepwise regression analyses revealed that both the number of negative cognitions and perceived cognitive control accounted for 75% of the variance in dental trait anxiety. The results of the present study suggest that cognitive activities, such as negative thinking (catastrophizing) and cognitive control, are important moderators of dental anxiety.

Adult↗

PubMed2006

Impact of modafinil on prefrontal executive function in schizophrenia.

OBJECTIVE: The purpose of this study was to investigate the acute effects of modafinil on prefrontal activation and cognitive control of motor activity in people with schizophrenia and prominent negative symptoms. METHOD: In a crossover design, 12 subjects with schizophrenia were studied twice, receiving either modafinil or placebo prior to functional magnetic resonance imaging (fMRI). Inside the scanner, they performed a task probing cognitive control that required deliberate variation of motor activity in time. RESULTS: Modafinil administration was associated with significantly greater activation of the dorsolateral prefrontal cortex during fMRI. Its physiological and behavioral effects were correlated. This was most evident in individuals with worse baseline executive function. Focal response to modafinil in the left dorsolateral prefrontal cortex and baseline letter fluency scores predicted most of the variance in the drug's effect on cognitive control. CONCLUSIONS: Modafinil did not improve cognitive control in all schizophrenia patients. Increased activation in the dorsolateral prefrontal cortex and in neuropsychological performance were observed in patients with suboptimal baseline function.

Adult↗

PubMed2000

Regulation of division of labour between cognitive systems controlling action.

The brain has evolved a division of labour amongst component systems which link different sorts of processing with precise actions. Debate is over centralized versus decentralized control at different processing levels, from cognitive systems to motor-control systems. With simultaneous activation of alternative expert systems which link (a) picture-processing with drawing and (b) reading with writing, decentralized modelling predicted both the averaging of action-production times and additive effects of neural noise. Such modelling has the advantage of being able to measure the cost of regulation both within and between systems, in a common metric of performance variability. That commonality strengthens the trend to regard the brain as a distributed super-system with a great deal of regulation done towards the output end.

Adult↗

PubMed2004

Decomposing components of task preparation with functional magnetic resonance imaging.

It is widely acknowledged that the prefrontal cortex plays a major role in cognitive control processes. One important experimental paradigm for investigating such higher order cognitive control is the task-switching paradigm. This paradigm investigates the ability to switch flexibly between different task situations. In this context, it has been found that participants are able to anticipatorily prepare an upcoming task. This ability has been assumed to reflect endogenous cognitive control. However, it is difficult to isolate task preparation process from task execution using functional magnetic resonance imaging (fMRI). In the present study, we introduce a new experimental manipulation to investigate task preparation with fMRI. By manipulating the number of times a task was prepared, we could demonstrate that the left inferior frontal junction (IFJ) area (near the junction of inferior frontal sulcus and inferior precentral sulcus), the right inferior frontal gyrus, and the right intraparietal sulcus are involved in task preparation. By manipulating the cue-task mapping, we could further show that this activation is not related to cue encoding but to the updating of the relevant task representation. Based on these and previous results, we assume that the IFJ area constitutes a functionally separable division of the lateral prefrontal cortex. Finally, our data suggest that task preparation does not differ for switch and repetition trials in paradigms with a high proportion of switch trials, casting doubt on the assumption that an independent task set reconfiguration process takes place in the preparation interval.

Adult↗

PubMed1989

Control-related cognitions and depression among inpatient children and adolescents.

In previous studies, children with numerous depressive symptoms have shown two patterns of control-related cognition: (1) low levels of perceived personal competence, and (2) "contingency uncertainty"--confusion regarding the causes of significant events. The generality of these findings was tested for more seriously disturbed children. Three child inpatient samples, from separate psychiatric hospitals, completed the Children's Depression Inventory (CDI) plus measures of control-related beliefs. In all three samples, the findings resembled those of previous studies: CDI scores were significantly related to low perceived competence and to contingency uncertainty; by contrast, CDI scores were only weakly related to perceived noncontingency. The findings suggest that depressive symptoms in children may be (1) more closely linked to "personal helplessness" than to "universal helplessness," and (2) more closely linked to uncertainty about the causes of events than to firm beliefs in noncontingency. The findings carry implications for etiology and treatment of child depression.

Adolescent↗

PubMed2001

Postural control and cognitive task performance in healthy participants while balancing on different support-surface configurations.

Postural control during normal upright stance in humans is a well-learned task. Hence, it has often been argued that it requires very little attention. However, many studies have recently shown that postural control is modified when a cognitive task is executed simultaneously especially in the elderly and in the presence of pathology. This study examined postural control modifications when a cognitive task of varying difficulty levels is added. Postural stance difficulty was also varied. Results from this study suggest that a generalized capacity interference may occur due to the larger interference found with the addition of a cognitive task in the more novel and difficult postural task. Because the performance of the cognitive task was tapered by a speed-difficulty trade-off, it was not possible to determine whether a change in the level of difficulty of the cognitive task occurred and if it would produce larger dual-task interference.

Adult↗

PubMed2003

Seizure control and cognitive outcome after temporal lobectomy: a comparison of classic Ammon's horn sclerosis, atypical mesial temporal sclerosis, and tumoral pathologies.

PURPOSE: Neuropathologic examination of resected tissue after anterior temporal lobectomy (ATL) for treatment of complex partial seizures revealed several distinct histologic substrates. Our study examined the relation between neuropathology, seizure control, and cognition in ATL patients and described preliminary profiles to aid in the prediction of outcome. METHODS: Of the 149 patients who underwent ATL from 1980 to 1999, long-term follow-up was available for 145. Specimens from 124 of the 145 patients had histologic findings consistent with one of three diagnoses: classic Ammon's horn sclerosis (cAHS; n = 75), atypical mesial sclerosis (Atypical; n = 21), or low-grade tumor (Tumor; n = 28). The other 20 patients had diverse pathologies that were insufficient for analysis. ATL patients underwent a complete preoperative and 68 underwent a postoperative neuropsychological evaluation. RESULTS: Of the 145 patients, 84% of cAHS, 57% of Tumor, and 29% of Atypical patients had a > or =95% reduction in seizure frequency. Neuropsychological testing suggested that cAHS patients demonstrate more generalized preoperative cognitive impairment than do the Atypical or Tumor patients. The Atypical group recalled significantly less nonverbal material after surgery than did the cAHS or Tumor groups. Stratification by both pathology and surgery side revealed that the right Atypical patients declined more on information processing and set shifting. CONCLUSIONS: Patients with cAHS or Tumor demonstrated better seizure control and fewer declines in cognitive functioning after ATL than did the Atypical patients, highlighting the need to investigate this group as a distinct entity.

Adolescent↗

PubMed1991

Choice enhances performance in non-insulin dependent diabetics and controls.

Cognitive performance on a number of tasks is poorer in individuals with non-insulin dependent diabetes mellitus (NIDDM) than in age-matched nondiabetics. In this study, diabetic and nondiabetic individuals, 55-74 years of age, learned target words, half of which were self-chosen and the remainder assigned. To evaluate susceptibility to background interference, each target was accompanied by one or more unrelated background words. On a recognition test, susceptibility to background interference appeared to be greater in diabetic individuals. The allocation of processing resources to target and background stimuli was more uniform in diabetic than in nondiabetic individuals. While choice improved recognition of target and background words for both groups, its effectiveness was attenuated in NIDDM. Choice facilitates the differentiation of target from background stimuli--a process that may reduce interference from background stimuli.

Aged↗

PubMedDate not supplied

Short-term effects of improved glycemic control on cognitive function in patients with type 2 diabetes.

BACKGROUND: According to numerous studies, type 2 diabetes is associated with mild cognitive dysfunction, and there is some evidence suggesting favorable effects of improved metabolic control on the mental capability of elderly diabetic patients. OBJECTIVE: To compare patients with type 2 diabetes to normal controls with respect to cognitive performance and to investigate the consequences of glycemic adjustment. METHODS: 53 patients with type 2 diabetes, most of them in secondary failure on oral antidiabetic drugs, but free from conditions which may cause brain dysfunction, were included (mean age 58.8 +/- 6.1 years, duration of disease 12.0 +/- 6.4 years). They were examined prior to (t1), and following (t2) glycemic adjustment with a time interval of approximately 2 weeks. 29 non-diabetic controls, comparable with regard to age, gender, education and verbal intelligence were examined twice with a corresponding time interval. Cognitive performance was assessed by well-standardized tests with a focus on attention/concentration, psychomotor speed, verbal fluency and verbal memory; mood status by two self-rating scales. Restoration of glycemic control included insulin treatment in the majority of patients (46/53). RESULTS: Diabetic subjects scored significantly lower in all cognitive tests used, while they did not differ from controls in mood status. From t1 to t2 they improved in those tests measuring attention/concentration, and psychomotor speed. With regard to similar changes in controls, we interpret these improvements as practice effects rather than the consequence of altered metabolic control. CONCLUSION: In a sample of patients with long-standing type 2 diabetes we could not confirm previous reports of improved cognitive capacity with restoration of glycemic control. Further studies on the effects of changes in control of blood glucose on cognitive performance in type 2 diabetes should be conducted with special regard to drugs used to lower blood glucose.

Adult↗

PubMed1997

Cerebellum and cerebrum in adaptive control and cognition: a review.

There have been various descriptions of cerebellar function in terms of adaptive control. However, a number of recent publications have indicated that the cerebellum is involved in a range of cognitive processes including pure cognitive activity. This review paper relates the concept of cerebellar adaptive control to cerebellar cognition, and explores the relative roles of the cerebrum and cerebellum by considering the issue of representation and processing of information in a systematic manner. It is suggested that the cerebellar cortex and cerebral cortex facilitate two fundamentally different types of information representation and processing which are complementary and which should be able to reciprocally evaluate and correct each other, thereby providing the basis for a self-correcting adaptive control system.

Adaptation, Physiological↗

PubMed2001

Cognitive response control in writer's cramp.

Disturbances of the motor and sensory system as well as an alteration of the preparation of movements have been reported to play a role in the pathogenesis of dystonias. However, it is unclear whether higher aspects of cortical - like cognitive - functions are also involved. Recently, the NoGo-anteriorization (NGA) elicited with a visual continuous performance test (CPT) during recording of a 21-channel electroencephalogram has been proposed as an electrophysiological standard-index for cognitive response control. The NGA consists of a more anterior location of the positive area of the brain electrical field associated with the inhibition (NoGo-condition) compared with that of the execution (Go-condition) of a prepared motor response in the CPT. This response control paradigm was applied in 16 patients with writer's cramp (WC) and 14 age matched healthy controls. Topographical analysis of the associated event-related potentials revealed a significant (P < 0.05) NGA effect for both patients and controls. Moreover, patients with WC showed a significantly higher global field power value (P < 0.05) in the Go-condition and a significantly higher difference-amplitude (P < 0.05) in the NoGo-condition. A source location analysis with the low resolution electromagnetic tomography (LORETA) method demonstrated a hypoactivity for the Go-condition in the parietal cortex of the right hemisphere and a hyperactivity in the NoGo-condition in the left parietal cortex in patients with WC compared with healthy controls. These results indicate an altered response control in patients with WC in widespread cortical brain areas and therefore support the hypothesis that the pathogenesis of WC is not restricted to a pure sensory-motor dysfunction.

Adult↗

PubMed2006

Obsessive-compulsive disorder across developmental trajectory: cognitive processing of threat in children, adolescents and adults.

BACKGROUND: While the cognitive theory of obsessive-compulsive disorder (OCD) is one of the most widely accepted accounts of the maintenance of the disorder in adults, no study to date has systematically evaluated the theory across children, adolescence and adults with OCD. METHOD: This paper investigated developmental differences in the cognitive processing of threat in a sample of children, adolescents and adults with OCD. Using an idiographic assessment approach, as well as self-report questionnaires, this study evaluated cognitive appraisals of responsibility, probability, severity, thought-action fusion (TAF), thought-suppression, self-doubt and cognitive control. It was hypothesised that there would be age related differences in reported responsibility for harm, probability of harm, severity of harm, thought suppression, TAF, self-doubt and cognitive control. RESULTS: Results of this study demonstrated that children with OCD reported experiencing fewer intrusive thoughts, which were less distressing and less uncontrollable than those experienced by adolescents and adults with OCD. Furthermore, responsibility attitudes, probability biases and thought suppression strategies were higher in adolescents and adults with OCD. Cognitive processes of TAF, perceived severity of harm, self-doubt and cognitive control were found to be comparable across age groups. CONCLUSIONS: These results suggest that the current cognitive theory of OCD needs to address developmental differences in the cognitive processing of threat. Furthermore, for a developmentally sensitive theory of OCD, further investigation is warranted into other possible age related maintenance factors. Implications of this investigation and directions for future research are discussed.

Adaptation, Psychological↗

PubMed2005

Functional significance of delay-period activity of primate prefrontal neurons in relation to spatial working memory and reward/omission-of-reward expectancy.

The lateral prefrontal cortex (LPFC) is important in cognitive control. During the delay period of a working memory (WM) task, primate LPFC neurons show sustained activity that is related to retaining task-relevant cognitive information in WM. However, it has not yet been determined whether LPFC delay neurons are concerned exclusively with the cognitive control of WM task performance. Recent studies have indicated that LPFC neurons also show reward and/or omission-of-reward expectancy-related delay activity, while the functional relationship between WM-related and reward/omission-of-reward expectancy-related delay activity remains unclear. To clarify the functional significance of LPFC delay-period activity for WM task performance, and particularly the functional relationship between these two types of activity, we examined individual delay neurons in the primate LPFC during spatial WM (delayed response) and non-WM (reward-no-reward delayed reaction) tasks. We found significant interactions between these two types of delay activity. The majority of the reward expectancy-related neurons and the minority of the omission-of-reward expectancy-related neurons were involved in spatial WM processes. Spatial WM-related neurons were more likely to be involved in reward expectancy than in omission-of-reward expectancy. In addition, LPFC delay neurons observed during the delayed response task were not concerned exclusively with the cognitive control of task performance; some were related to reward/omission-of-reward expectancy but not to WM, and many showed more memory-related activity for preferred rewards than for less-desirable rewards. Since employing a more preferred reward induced better task performance in the monkeys, as well as enhanced WM-related neuronal activity in the LPFC, the principal function of the LPFC appears to be the integration of cognitive and motivational operations in guiding the organism to obtain a reward more effectively.

Animals↗

PubMed1990

Mechanisms governing empowerment effects: a self-efficacy analysis.

This experiment tested the hypotheses that perceived coping and cognitive control self-efficacy govern the effects of personal empowerment over physical threats. Women participated in a mastery modeling program in which they mastered the physical skills to defend themselves successfully against unarmed sexual assailants. Multifaceted measures of theoretically relevant variables were administered within a staggered intragroup control design to test the immediate and long-term effects of the empowerment program and the mechanisms through which it produced its effects. Mastery modeling enhanced perceived coping and cognitive control efficacy, decreased perceived vulnerability to assault, and reduced the incidence of intrusive negative thinking and anxiety arousal. These changes were accompanied by increased freedom of action and decreased avoidant behavior. Path analyses of causal structures revealed a dual path of regulation of behavior by perceived coping self-efficacy, one mediated through perceived vulnerability and risk discernment and the other through perceived cognitive control self-efficacy and intrusive negative thinking.

Adolescent↗

PubMed1975

The relationship of impulse control to cognition and adjustment among institutionalized aged women.

Several dimensions of impulse control (i.e., delay of gratification, reflectivity, and motor control) were related to intelligence, mental status, and adjustment among 91 institutionalized aged women. Four different types of impulse control measures were used: Self reports of impulse control, staff ratings, interviewer's ratings, and tests of impulse control. Impulse control measures yielded statistically significant multiple correlations with all outcome measures except life satisfaction. The findings suggest that impulse control in its various forms has a consistent and significant relationship with indices of adaptation. Utilizing stepwise regression analyses, the best predictors of outcome among impulse control measures are presented.

Adaptation, Psychological↗

PubMed1993

The effect of improved glycemic control on cognitive functions in the elderly patient with diabetes.

BACKGROUND: A number of studies have found that cognitive function is impaired in elderly patients with non-insulin dependent diabetes mellitus (NIDDM) when compared with age-matched non-diabetic controls. In addition, it has been reported that elderly NIDDM patients who have poor glycemic control have a greater impairment in cognition that elderly NIDDM patients with good control. We conducted the following prospective study to determine if improved glycemic control would result in an improvement in cognitive function in elderly patients with NIDDM: METHODS: Sixteen untreated elderly patients with NIDDM underwent a battery of neuropsychologic tests on two occasions, separated by at least two weeks. They were then started on an oral hypoglycemic agent. After they had been on a stable dose of medication for 6 months the neuropsychologic tests were repeated. RESULTS: Fasting glucose decreased significantly after treatment (before: 13.8 +/- 1.2 mmol/l; after 8.4 +/- 0.4 mmol/l, p < .01). After 6 months of treatment patients had improvement in their scores on the Grooved Pegboard, Trail Making-Part A, Stroop-Word Naming, Cued Recall and Picture Arrangement tests (all p < .05). CONCLUSIONS: Improved glycemic control in the elderly patient with NIDDM may have beneficial effects on selective areas of cognition.

Affect↗

PubMed2006

Processing emotional facial expressions influences performance on a Go/NoGo task in pediatric anxiety and depression.

BACKGROUND: This study investigated whether processing emotionally salient information such as emotional facial expressions influences the performance on a cognitive control task in pediatric anxiety and depression. METHODS: The sample included 68 participants between 8 and 16 years of age selected into three diagnostic groups: Anxiety Disorder (ANX, n = 23), Major Depressive Disorder (MDD, n = 19), and Low-Risk Normal Control (LRNC, n = 26). Participants completed an Emotional Go/NoGo task in which participants must either respond to (Go trials) or not respond to (NoGo trials) specific facial expressions (angry, fearful, sad, happy, neutral). In order to manipulate the level of cognitive control needed to perform the task, the probability of occurrence of the Go trials was varied across 3 probability conditions (low, moderate, high). RESULTS: Analyses showed that the MDD group had significantly faster reaction times to sad face Go trials embedded in neutral face NoGo trials in the moderate probability condition and that the ANX group had significantly slower reaction times to neutral face Go trials embedded in angry face NoGo trials in the low probability condition. CONCLUSIONS: These data demonstrate that processing emotional facial expressions influences the performance on a cognitive control task in children and adolescents diagnosed with an anxiety disorder and major depression.

Adolescent↗

PubMed1995

Effect of task demand and stimulus relevance on preattentive processing.

Evidence of cognitively controlled processes influencing preattentive processes is provided. In the first experiment, preattentive processing associated with a discrimination task was compared with that associated with a reaction task. An increase in processing time due to preattentive processes was only found for the discrimination task. In the second experiment, the effects of different amounts of stimulus relevance on preattentive processing were investigated. Stimulus relevance was varied by changing the spatial and temporal distance in cognitively controlled processing. The relevance of the stimulus was proportional to the amount of preattentive processing. It was concluded that the influence of cognitively controlled processing on preattentive processing is moderated by task demand and stimulus relevance. These results are based on observations concerning processing time.

Adult↗