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Individual differences in schizotypy as reflected in measures of cognitive inhibition.

Three experiments are reported using the 'negative priming' paradigm to investigate cognitive differences in normal schizotypal subjects. Lists of Stroop colour words were presented at different display times in a number of priming and non-priming conditions, in one of which the ignored colour name predicted the colour of the next target item. The increased RT latencies to the target normally found in this condition were reduced, or even reversed, in high schizotypal subjects selected on the basis of a new schizotypy scale (STA). This effect was confined to a very short presentation time (100 ms), suggesting that schizotypy is associated with weakened inhibition operating in the early (automatic) stages of information processing. The familiar Stroop (interference) effect was related overall to negative priming, but was not responsible for the schizotypy differences.

Adolescent

Cognitive and psychodynamic correlates of depressive symptomatology.

31 depressed, 26 nondepressed participants completed measures reflecting putative cognitive and psychodynamic characteristics of self-reported depression. Of the 16 variables 9 discriminated the groups in the expected direction. Ten characteristics correlated significantly with scores on the Beck Depression Inventory, 4 reflecting negative automatic thinking, two of which (Negative Self-concepts and Expectations, Low Self-esteem) were important predictors of severity of depression.

Adult

Rehabilitation of frontal/executive impairments in schizophrenia.

OBJECTIVE: A relatively high prevalence of deficits in cognitive flexibility, working memory and planning ability has been reported in schizophrenia patients. The objective was to develop a rehabilitation training program in an attempt to improve these specific cognitive functions. METHODS: The deficits in cognitive flexibility, working memory and planning ability were interpreted as reflecting executive cognitive processing impairments secondary to prefrontal neural system dysfunction. Following the 'process specific' approach, it was considered important to develop tasks that hypothesised the exercise of these cognitive abilities and the more molecular information processes thought to be fundamental to these abilities. Care was taken to ensure that all tasks involved the practice of processes thought to activate frontal/prefrontal neural systems. Attentional, visual, verbal, conceptual, motor and fine motor tasks were considered important for each process area in order to involve as many functional modalities as possible. RESULTS: A program comprising cognitive shift, working memory and planning modules was developed. Conducted over 11 weeks, four modules were of 2 weeks' duration, and the fifth of 3 weeks' duration. Four individual 1 hour training sessions were conducted each week. Core elements of the modules are described. CONCLUSION: Consisting predominantly of pencil and paper information processing exercises, all of the training exercises are presented in the volumes of the Frontal/Executive Program. The program appears to be user-friendly with therapists now successfully delivering the program, in its entirety, to schizophrenia patients. Should future studies replicate preliminary findings of improved neurocognitive performance following training with the program, such findings would have important implications for the treatment of schizophrenia.

Cognition Disorders

Passive long-latency event-related potentials in mental retardation.

Long-latency auditory event-related potentials (ERPs) were passively recorded in ten mental retardates and ten age-matched normal controls. Patients were mildly to moderately retarded and had epilepsy controlled with monotherapy, ERPs were recorded from CA-A1+A2, with 1000 and 3000 Hz tones in an "oddball" paradigm. Latency and amplitude of N1, N2, P2, and P3 components were compared in controls and retardates. All ten patients had reproducible AEPs, but these were attenuated in amplitude in four, although amplitudes did not differ significantly from controls. P3 was prolonged in latency in four patients, but patients and controls did not differ significantly. AEP latency and amplitude was not correlated with degree of retardation. These findings suggest that "cognitive" evoked potentials an be recorded passively in persons with impaired cognition, but are not correlated with intellectual ability and may not reflect specific cognitive functions.

Adult

Far generalization of visual analogies strategies by impulsive and reflective EMR students.

Cognitive style and its interaction with training effects in promoting the acquisition and far generalization of a visual analogies strategy by 22 male and 17 female EMR pupils was evaluated. Training was effective in producing acquisition and far generalization; cognitive style was not. We suggested that the lack of interaction between cognitive style and training was due to the fact that the training program modified the subjects' cognitive style, i.e., impulsives tended to perform more like reflectives.

Adolescent

Impact of N-PEP-12 Supplementation on Attentional Performance and Mental Wellbeing in Healthy Adults with Subjective Cognitive Complaints: A Randomized, Placebo-Controlled Trial.

Background: Subjective cognitive complaints (SCCs) are common in middle-aged and older adults and may reflect early cognitive changes, alongside alterations in stress, mood, sleep, and quality of life. N-PEP-12 is a peptide-based nutritional supplement with potential neuroprotective effects, but evidence of its benefits in healthy adults with SCCs remains limited. Objective: To evaluate the effects of N-PEP-12 supplementation on attention, cognitive function, and mental wellbeing in healthy middle-aged and older adults with SCCs. Methods: In this prospective, randomized, double-blind, placebo-controlled trial, 276 participants aged 50-75 years with SCCs and no clinically significant cognitive impairment were randomized to placebo, N-PEP-12 45 mg, or N-PEP-12 90 mg. Assessments were performed at baseline and after 30, 90, and 180 days. Primary outcomes included Test of Attentional Performance measures. Secondary outcomes included WAIS-IV Digit Span Forward and Backward, perceived stress, mood, sleep quality, and EQ-5D-5L visual analog scale. Results: Across the three primary attention outcomes analyzed jointly in a multivariate repeated-measures model, there was a significant group-by-visit interaction (p = 0.003) and a significant effect of visit (p < 0.001), without a significant main effect of treatment arm (p = 0.133), indicating a time-dependent treatment effect. This result was obtained in a sensitivity analysis population in which missing values were imputed under assumptions least favorable to the active arms. In exploratory endpoint-specific comparisons at 90 days, both N-PEP-12 groups showed greater improvements than placebo in alertness, attention omissions and memory omissions, and Digit Span Forward and Backward scores also improved. In a subsequent uncontrolled extension phase, in which all participants received active treatment, participants initially assigned to placebo showed comparable improvements after switching to N-PEP-12 90 mg. These observations are exploratory. Adverse events were infrequent and similarly distributed across groups. Conclusions: N-PEP-12 supplementation was associated with improvements in attention, working memory, and mental wellbeing in healthy middle-aged and older adults with subjective cognitive complaints. These findings support further investigation of N-PEP-12 as a nutritional intervention for early subjective cognitive changes associated with aging.

Humans

The cognitive style dimension of reflectivity-impulsivity in normal and emotionally disturbed adolescents.

Thirty-two emotionally disturbed and 23 normal adolescents were given two test of cognitive style developed by Kagan (Matching Familiar Figures and the Haptic-Visual Tests). The results were analyzed to evaluate two major hypotheses: (a) that emotionally disturbed adolescents perform differently on the tests than normal adolescents; and (b) that members of both groups reveal a high degree of stability among various subtest scores, both within the same test and across different tests. In testing the first hypothesis, the authors discovered minimal differences in mean scores for the different samples on each of the five subtests involved. However, a more complex analysis was carried out on the basis of the assumption that extreme scores on the various items were a more meaningful indicator of performance than simple means. This analysis yielded the conclusion that these emotionally disturbed adolescents were more impulsive (i.e., answered more quickly and made more errors) than their counterparts in public schools. An analysis of the intercorrelations between different tests and within tests in testing the second hypothesis revealed 19 out of 40 significant correlations, with an additional 14 out of the remaining 21 in the predicted direction. Finally, nine out of the 10 correlations combining the subgroups were statistically significant.

Adolescent

Ethological study of the effects of tetrahydroaminoacridine (THA) on social recognition in rats.

Two major difficulties confront ethopharmacological investigations on cognitive abilities such as social recognition in drug-treated animals involved in free social interactions. The first concerns the choice of the most relevant behaviours, those reflecting the cognitive abilities attributed to the animals and assessing the specificity of the drug activity, and those reflecting non-specific drug effects. The second refers to the experimenter's awareness that in contrast to physical objects, social stimuli respond to drug-treated subjects and that their own level of responsiveness may influence the changes of drug-treated subjects' social interest. In addition, their contribution may vary according to the different treatments the drug-treated subjects receive. In examining the effects of tetrahydroaminoacridine (THA) at doses of 0.3, 1 and 3 mg/kg on the ability of adult male rats to recognize previously encountered conspecifics, we attempted to take into consideration such difficulties. A detailed behavioural profile of drug-treated rats was reported to separate specific from non-specific effects of THA. In addition, rats were assigned an index of responsibility for contact which takes into account the interactive dimension of each dyad and allows relevant comparisons between different treatments. The doses of THA which were found to decrease the duration of exploration of a familiar juvenile were also found to decrease the number of contacts initiated by the drug-treated subjects. THA induced a relative increase in body care by comparison to saline treatment. However, it had no effect of locomotor activity and rearing of the subjects. These findings enable dissociation of the effects of THA on cognitive versus non-cognitive processes.

Aging

Reduction in dissociation due to aging and cognitive deficit.

Our objective was to investigate whether dissociative experiences occur less frequently in older psychiatric patients than in younger adult patients, and to examine the role of cognitive deficits in the frequency of dissociative events. Fifty-two outpatients 60 years and older were administered the Dissociative Experiences Scale (DES) and the Mini-Mental State Exam (MMSE). Their scores were compared with those of 50 outpatients 35 to 55 years old. Each group included patients sampled from the Mental Health Center (MHC) and University Medical Center clinics. Older patients showed significantly lower DES and MMSE median scores than younger patients. Cognitive deficit reflected by reduced MMSE scores also was associated with reduced DES scores for younger and older patients. Older patients with little or no cognitive deficit continued to show reduced DES scores. Decreases in dissociativity continue well beyond the fourth decade and do not rely on age-related cognitive deficit. Factors related to the aging process seem to mediate reductions in dissociativity independent of reductions mediated by cognitive deficit. The use of the DES for screening without adjusting for age and cognitive status is questioned.

Adult

Motor and cognitive interference effects on unimanual tapping rates.

Experiments conducted on both normal and disordered populations have led to the hypothesis that the left hemisphere's specialization for language results from its control over motor activities. This control is reflected in the lateralized disruption of manual activity during cerebral time-sharing tasks. Recent studies have challenged this hypothesis, stating that the interference effects reflect both cognitive and motor mechanisms in the left hemisphere. This experiment investigates whether the left hemisphere's control over speech involves both of these components or is purely motor. The question was examined by measuring the effect of concurrent hemispheric activity on single-finger tapping rates. Forty subjects tapped under two conditions: speaking and listening. The data show there may be both motor and cognitive mechanisms involved in left-hemisphere control.

Adult

Revealing the distinction between perception and cognition through intra-individual variability of visual evoked responses.

Searching for a method to objectively detect the cognitive activity of the brain, the variability of visual evoked responses (ER) was analysed in 75 human subjects and 10 animals. The individual ERs of a normal subject were found typically very scattered in the first approx. 120 ms after stimulation, converging at 160-220 ms and then diverging again progressively. This variability pattern (VP) is event-related and is not attributable to background noise. On the other hand, statistically significant correlation showed that in most patients, with anatomically intact visual structures but with pronounced mental troubles, the VP is absent and the ERs are randomly scattered. Based on these results we consider that the event-related variability reflects the cognition function of the subjects and that it is instrumental in evidencing the distinction between cognitive and perceptive processes. The results are further consistent with the idea that cognition implies the chaotic activity of certain neural populations and that the VP reflects this chaotic, non-repetitive, non-linear and impredictable but effective neural activity.

Aged

Association of premorbid intellectual function with cerebral metabolism in Alzheimer's disease: implications for the cognitive reserve hypothesis.

OBJECTIVE: Clinical heterogeneity in Alzheimer's disease has been widely observed. One factor that may influence the expression of dementia in Alzheimer's disease is premorbid intellectual ability. It has been hypothesized that premorbid ability, as measured by educational experience, reflects a cognitive reserve that can affect the clinical expression of Alzheimer's disease. The authors investigated the relation between estimates of premorbid intellectual function and cerebral glucose metabolism in patients with Alzheimer's disease to test the effect of differing levels of premorbid ability on neurophysiological dysfunction. METHOD: In a resting state with eyes closed and ears occluded, 46 patients with Alzheimer's disease were evaluated with positron emission tomography and [18F]-2-fluoro-2-deoxy-D-glucose to determine cerebral metabolism. Premorbid intellectual ability was assessed by a demographics-based IQ estimate and performance on a measure of word-reading ability. RESULTS: After the authors controlled for demographic characteristics and dementia severity, both estimates of premorbid intellectual ability were inversely correlated with cerebral metabolism in the prefrontal, pre-motor, and left superior parietal association regions. In addition, the performance-based estimate (i.e., reading ability) was inversely correlated with metabolism in the anterior cingulate, paracentral, right orbitofrontal, and left thalamic regions, after demographic and clinical variables were controlled for. CONCLUSIONS: The results suggest that higher levels of premorbid ability are associated with greater pathophysiological effects of Alzheimer's disease among patients of similar dementia severity levels. These findings provide support for a cognitive reserve that can alter the clinical expression of dementia and influence the neurophysiological heterogeneity observed in Alzheimer's disease.

Aged

Memory activation and expectancy as prospective predictors of alcohol and marijuana use.

This study examined whether indicators of drug-related memory associations predicted drug use prospectively. The predictive effects of outcome expectancies, sensation seeking, and other variables also were investigated. The results revealed that the memory association measures significantly predicted subsequent drug use. Outcome expectancies and sensation seeking predicted alcohol use, but not marijuana use. The findings suggest 2 possibly different aspects of cognition involved in drug use motivation: (a) a memory activation or implicit cognition component, representing the effects of memory associations that are prompted relatively spontaneously by the prevailing motivational and situational circumstances and (b) an outcome expectancy component, which is more likely to reflect explicit cognitions involved in introspection and deliberate decision-making processes.

Adult

Introduction to special section: theoretical developments in the cognitive psychotherapies.

The cognitive psychotherapies have developed and substantially differentiated since their inception in the 1950s. Six major themes in their theoretical development are discussed: (a) the differentiation of rationalist and constructivist therapies and metatheories of knowing; (b) the acknowledgement of social, biological, and embodiment processes in therapy; (c) the recognition of unconscious processes; (d) an increasing focus on self-organizing and self-protective processes in life span personality development, with such processes being embedded in interpersonal and social system dynamics; (e) a shift toward different views of emotionality and the incorporation of experiential techniques; and (f) a synergistic involvement in the psychotherapy integration movement. The cognitive psychotherapies reflect remarkable activity, a point illustrated and elaborated in the articles that constitute this special section.

Adaptation, Psychological

An examination of the relation of individual difference variables to loneliness.

This study investigated the relation of five individual difference variables (extroversion, depression, self-esteem, neuroticism, and attitude toward others) to loneliness. The relative contributions of two different models that might explain these relations were examined. One model suggests that individual difference variables are related to loneliness through the mediation of social network variables; that is, individual difference variables may reduce people's motivation and/or ability to build and maintain social relationships, which in turn leads to loneliness. The second model, the cognitive bias model, states that both the individual difference variables and loneliness are influenced by the same intrapersonal, cognitive processes. Some people are prone to negative affect and tend to evaluate themselves and their relationships negatively. The relations of self-esteem, neuroticism, and depression to loneliness were hypothesized to reflect the cognitive bias model, while extroversion and attitudes toward others were hypothesized to be related to loneliness through the mediation of social network variables. Eighty-two female and 42 male adults completed measures of loneliness and the five individual difference variables, as well as an instrument assessing their social networks. The results indicated partial support for both models for each of the individual difference variables. Together, the two models did a good job of explaining the correlations of the individual difference variables and loneliness. The implications of these findings, as well as their relation to previous research, are discussed.

Adult

Some cognitive correlates of schizophrenic illnesses.

A battery of tests was developed to assess verbal, non-verbal and mixed cognitive functions. Interest was based on pattern of response rather than absolute scores. The subjects were 167 men held in prison on criminal charges or in a maximum security hospital after conviction. The present paper deals exclusively with two subgroups: the 61 schizophrenic men and the 41 men with no psychiatric disorder. The schizophrenic group as a whole presented a very different cognitive pattern from the 'normal' men. First, with the exception of the vocabulary subtest of the WAIS, the schizophrenics were inferior on all tests, whether verbal, non-verbal or mixed function. Secondly, they showed considerably more variation within subtests. The schizophrenic sample was therefore subdivided into four clinical groups. Each showed a distinctive cognitive profile. It is argued that these cognitive differences reflect real differences in the disorder and type of illness being experienced by members of these subgroups.

Cognition Disorders

Reflection-impulsivity and need for achievement in emotionally disturbed children.

Reflection-impulsivity is the cognitive dimension proposed by Kagan and his colleagues to describe the differences in children's resolution to response uncertainty. Impulsive children tend to respond quickly without considering all of the available alternatives and consequently make many mistakes. Reflecttive children consider all of the available alternatives, withhold responding until they have a high probability of being correct, and consequently make few mistakes. The primary dynamic underlying a reflective cognitive style is hypothesized to be a fear of making a mistake: the greater the fear, the more reflective the child is and the more cautiously he performs. On the other hand, minimal anxiety over a potentially inaccurate answer is likely to result in an impulsive performance.

Achievement

Cognitive-perceptual, interpersonal, and disorganized features of schizotypal personality.

While two factors are currently thought to underlie individual differences in schizotypal personality, three factors may best explain schizotypal traits. This study used confirmatory factor analysis to assess five competing models of schizotypal personality in the general population: null model, one-factor model, simple two-factor model, Kendler two-factor model, and three-factor model. The computer program LISREL was used to analyze Schizotypal Personality Questionnaire subscale scores that reflect the nine traits of schizotypal personality. The scores were obtained from (1) a sample of 822 undergraduates and (2) a replication sample of 102 subjects drawn from the community. Results indicate replicable support for a three-factor model reflecting cognitive-perceptual, interpersonal, and disorganized latent factors. Low intercorrelations between the first two factors and the lack of fit by a one-factor model are partially inconsistent with recent notions that a single vulnerability dimension underlies schizotypal personality. It is argued that future investigations should assess the correlates of all three schizotypal factors in clinical and nonclinical samples in addition to the two more traditional factors. It is hypothesized that three factors of schizophrenic symptomatology observed in recent studies may reflect an exaggeration of three analogous factors found in the general population.

Adolescent