Walking Speed and Global Cognition: Results from the OKLAHOMA Study

ABSTRACT

Executive functioning and processing speed have been related to physical functioning in non-demented, elderly samples; however, the relationship between walking speed and global cognition has not been examined. Six hundred and seventy-five community dwelling older adults were enrolled through their primary care physicians. Walking speed was assessed on a 50-foot course at usual pace. Global cognition was assessed with the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) Total Scale score. After adjusting for age, gender, and education, there was a strong inverse relationship between walking speed and global cognition, with slower walkers performing worse on the cognitive measures, faster walkers performing better on the cognitive measures, and the intermediate walkers performing in the middle. In these older adults, global cognition was related to walking speed.     

Cognition,daily living,and health-related quality of life in 85-year-olds in Sweden

ABSTRACT

This study investigates how cognition influences activities of daily living and health-related quality of life in 85-year-olds in Sweden (n?=?373). Data collection included a postal questionnaire comprising demographics and health-related quality of life measured by the EQ-5D. The ability to perform personal activities of daily living (PADL) was assessed during a home visit that included administering the Mini Mental State Examination (MMSE). Cognitive impairment was shown in 108 individuals (29%). The majority were independent with respect to PADL. A larger number of participants with cognitive impairment reported that they needed assistance in instrumental activities of daily living (IADL) compared to the group without cognitive impairment. Impaired cognition was significantly related to problems with IADL. Significant but low correlations were found between cognition and health-related quality of life – higher ratings on perceived quality of life correlated with higher results on the MMSE.     

Positive and negative affect,depression, and cognitive processes in the Cognition in the Study of Tamoxifen and Raloxifene (Co-STAR) Trial

ABSTRACT

Objectives: This study examined the relationship between positive and negative affect, depressive symptoms, and cognitive performance. Methods: The sample consisted of 1479 non-demented, postmenopausal women (mean age = 67 years) at increased risk of breast cancer enrolled in the National Surgical Adjuvant Breast and Bowel Project’s Study of Tamoxifen and Raloxifene. At each annual visit, women completed a standardized neuropsychological battery and self-report measures of affect and depression. Data from three visits were used in linear mixed models for repeated measures using likelihood ratio tests. Separate analyses were performed to relate positive/negative affect and depression to each cognitive measure. Results: Higher positive affect was associated with better letter fluency (p = .006) and category fluency (p < .0001). Higher negative affect was associated with worse global cognitive function (p < .0001), verbal memory (CVLT List B; p = .002), and spatial ability (p < .0001). Depressive symptoms were negatively associated with verbal knowledge (p = .004), figural memory (p < .0001), and verbal memory (p’s ≤ .0001). Discussion: Findings are consistent with some prior research demonstrating a link between positive affect and increased verbal fluency and between depressive symptoms and decreased memory. The most novel finding shows that negative affect is related to decreased global cognition and visuospatial ability. Overall, this research in a large, longitudinal sample supports the notion that positive affect is related to increases and negative affect to decreases in performance on distinct cognitive measures.     

A Social Ecological Model of Syndemic Risk affecting Women with and At-Risk for HIV in Impoverished Urban Communities

Syndemic risk is an ecological construct, defined by co‐occurring interdependent socio‐environmental, interpersonal and intrapersonal determinants. We posited syndemic risk to be a function of violence, substance use, perceived financial hardship, emotional distress and self‐worth among women with and at‐risk for HIV in an impoverished urban community. In order to better understand these interrelationships, we developed and validated a system dynamics (SD) model based upon peer‐reviewed literature; secondary data analyses of a cohort dataset including women living with and at‐risk of HIV in Bronx, NY (N = 620); and input from a Bronx‐based community advisory board. Simulated model output revealed divergent levels and patterns of syndemic risk over time across different sample profiles. Outputs generated new insights about how to effectively explore multicomponent multi‐level programs in order to strategically develop more effective services for this population. Specifically, the model indicated that effective multi‐level interventions might bolster women’s resilience by increasing self‐worth, which may result in decreased perceived financial hardship and risk of violence. Overall, our stakeholder‐informed model depicts how self‐worth may be a major driver of vulnerability and a meaningful addition to syndemic theory affecting this population.     

Cognition and survival in a biracial urban population of old people

We examined the relation of level of cognition to survival in a biracial community population of more than 10,000 older persons. At baseline, participants completed 4 cognitive tests from which a composite global cognitive measure was derived. During up to 14 years of follow-up (mean = 6.9 years), 4201 people died (41.6%). Higher level of cognitive function was associated with increased survival even after controlling for health related and lifestyle variables. The association did not differ between African Americans and whites; it was stronger in older than younger persons; and it was especially pronounced for perceptual speed. The results underscore the importance of cognition to survival in old age.     

The Neuropsychology of HIV/AIDS in Older Adults

Highly active antiretroviral therapy is allowing increasing numbers of adults to age with HIV. The neuropsychological effects of aging with HIV are reviewed through three types of studies. First, the separate effects of HIV and aging on cognition are examined in studies that compare younger adults with HIV with neurologically normal older adults. Second, studies examine the impact of aging within samples of adults with HIV only. Third, providing the most critical evidence, are studies that assess cognition in younger and older adults with HIV relative to younger and older adults without HIV. In general research findings are inconclusive. Large individual differences among older adults with HIV as well as co-factors (APOE4 and detectable viral load) may account for inconsistent findings in the literature. A subgroup of older adults with HIV may be at greater risk for cognitive impairment, especially in attention functioning.     

Depressive Symptomatology among HIV-Positive Women in the Era of HAART: A Stress and Coping Model

Objective: An enhanced stress and coping model was used to explain depression among HIV-positive women in healthcare and community settings where highly active anti-retroviral treatment (HAART) was commonplace. Method: HIV-infected women in four cities (N=978) were assessed, cross-sectionally, for mental and physical health, stress, social support, and other background factors. Results: Self-reported level of depressive symptomatology was high. Number of physical symptoms, illness intrusiveness, and perceived stress were positively associated with depressed mood, while coping self-efficacy and social support were negatively associated. Stress mediated the effect of health status on depression and coping self-efficacy mediated the effect of psychosocial resources on depression. Our enhanced stress and coping model accounted for 52% of variance in depressive symtpomatology. Conclusions: Interventions focused on improving coping self-efficacy, bolstering social supports, and decreasing stress in the lives of HIV-positive women may help to reduce the negative effects of HIV disease on mood.     

Predispositional Engagement,Activity Engagement,and Cognition among Older Adults

ABSTRACT

We investigated interrelationships between the predisposition toward approaching experiences in a mindful and creative way, participation in specific activities, and cognition among older adults. Participants were administered a battery measuring cognition (i.e., working memory, processing speed, divergent thinking, inductive reasoning, visuo-spatial processing), activity level, and the predisposition towards mental engagement (Need for Cognition, Mindfulness, and Openness to Experience). Results indicated that predispositional engagement and activity engagement are distinct constructs that independently contribute to different aspects of fluid ability, highlighting the importance of considering both the predisposition toward mental engagement as well as the habitual tendency to participate in activities when exploring principles of cognitive optimization.     

认知需求和认知闭合需求对风险决策中外语效应的影响

外语效应指相比于母语背景,个体在外语背景下风险决策偏差会降低。针对影响外语效应的因素研究大多聚焦于外部因素和与个体外语水平相关的因素,少有研究探讨认知风格的作用。本研究通过524名成人被试,探索认知需求和认知闭合需求对外语效应的影响。结果表明:(1)风险决策中存在外语效应,相比于母语背景,外语背景下框架效应被削弱,且个体更偏向风险寻求。(2)对于认知需求和认知闭合需求都高或都低的个体,语言类型会影响风险决策,在母语环境下倾向于风险规避,在外语环境下倾向于风险寻求;而对于认知需求和认知闭合需求高低不一致的个体,语言类型对其风险决策倾向的影响不显著。本研究为认知风格如何综合影响风险决策提供了进一步的证据。     

Subverting Culture: Promoting HIV/AIDS Prevention Among Puerto Rican and Dominican Women

This article discusses the challenges faced by researchers and interventionists when attempting to promote change in social norms and normative beliefs that promote HIV/AIDS risk-related behaviors among Puerto Rican and Dominican women. The article focuses on the role of culture in HIV/AIDS prevention with women by analyzing the sociohistorical context of some cultural beliefs and by illustrating the tension between risk-related and protective cultural beliefs in research conducted by the authors with women in both New York and Puerto Rico. The authors propose that promoting changes in sex-related social norms and normative beliefs might be constructed as a subversive act and present the challenge this analysis poses for community psychology. They conclude that this conceptualization might be construed as subversive because rather than idealizing culture, it promotes changes that respect diversity within the culture and foster participation in the development of new cultural values, beliefs and norms.     

Women,philosophy and the history of philosophy*

ABSTRACT

It is only in the last 30 years that any appreciable work has been done on women philosophers of the past. This paper reflects on the progress that has been made in recovering early-modern women philosophers in that time and the role of the history of philosophy in that process. I argue that as women are integrated into the broader picture of philosophy, there is a danger of overlooking the different conditions under which they originally philosophized and which shaped their philosophies. Having retrieved them from oblivion, we now face the challenge of avoiding a ‘new amnesia’ by developing historical narratives and modes of analysis which acknowledge the different conditions within which they worked, without diminishing their contribution to philosophy. I offer these remarks as a contribution to current debates about the forms that historical narrative should take, and the best way to promote women in philosophy today, in the belief that we can learn from our own more recent history.     

A cognitive model of suicidal behavior: Theory and treatment

With some prominent exceptions, much of the research designed to elucidate the nature, prevalence, and correlates of suicidal behavior has been conducted from an atheoretical perspective. Conversely, psychological theories to explain suicidal behavior are largely untested by rigorous experimental designs. We propose a cognitive model of suicidal behavior that is grounded in the empirical literature on cognitive and behavioral correlates of and risk factors for suicidal behavior. In addition, we demonstrate the manner in which the theoretical components are targeted in cognitive therapy for suicidal patients. We highlight aspects of the model with less empirical support, and we propose ways those constructs can be tested in future research.     

Perfectionism, Cognition, and Affect in Response to Performance Failure vs. Success

The current paper describes the results of an experiment in which 200 students who varied in levels of trait perfectionism performed a laboratory task of varying levels of difficulty. Participants received either negative or positive performance feedback, independent of their actual level of performance. Analyses of pre-task and post-task measures of negative and positive affect showed that individuals with high self-oriented perfectionism experienced a general increase in negative affect after performing the task, and self-oriented perfectionists who received negative performance feedback were especially likely to report decreases in positive affect. Additional analyses showed that self-oriented perfectionists who received negative feedback responded with a cognitive orientation characterized by performance dissatisfaction, cognitive rumination, and irrational task importance. In contrast, there were relatively few significant differences involving other-oriented and socially prescribed perfectionism. Collectively, our findings support the view that self-oriented perfectionism is a vulnerability factor involving negative cognitive and affective reactions following failure experiences that reflect poorly on the self.     

归纳认知过程中的价值因素

现代归纳逻辑产生之初,一些逻辑学家依照逻辑学求真的传统研究归纳推理前提的真对结论真的支持程度。随着研究的深入,价值因素进入归纳逻辑的视野,逻辑学家发现,在人的归纳认知过程中渗透着价值因素。     

Cognition and emotion: on paradigms and metaphors

ABSTRACT

The field of cognition and emotion is characterised as the cognitive psychology of evaluative and affective processes. The most important development in this field is the fruitful adoption of cognitive psychology paradigms to study automatic evaluation processes, for example. This has led to a plethora of findings and theories. Two points are emphasised: First, the (often metaphorical) theoretical way of thinking has changed over the decades. Theorising with symbolic models (e.g. semantic networks), which was prevalent in earlier years, has been replaced more recently by subsymbolic models (i.e. PDP models). It is argued that – despite their still metaphorical character – the latter are better suited to capturing characteristics of emotional processes. Second, the field has adopted the methods of experimental cognitive psychology to develop and refine paradigms as “windows to the mind”.     

No Evidence That Sleep Deprivation Effects and the Vigilance Decrement Are Functionally Equivalent: Comment on Veksler and Gunzelmann (2017)

Veksler and Gunzelmann (2017) make an extraordinary claim, which is that sleep deprivation effects and the vigilance decrement are functionally equivalent. Extraordinary claims require extraordinary evidence, which is missing from Veksler and Gunzelmann's study. Their behavioral data offer only weak theoretical constraint, and to the extent their modeling exercise supports any position, it is that these two performance impairments involve functionally distinct underlying mechanisms.     

Structural Ecosystems Therapy for HIV+ African‐American Women and Drug Abuse Relapse

To read this article's abstract in both Spanish and Mandarin Chinese, please visit the article's full‐text page on Wiley InterScience ( http://interscience.wiley.com/journal/famp ). This report examines the effect of Structural Ecosystems Therapy (SET) for (n=143) HIV+ African‐American women on rate of relapse to substance use relative to both a person‐centered approach (PCA) to therapy and a community control (CC) group. A prior report has shown SET to decrease psychological distress and family hassles relative to these 2 comparison groups. In new analyses, SET and CC had a significant protective effect against relapse as compared with PCA. There is evidence that SET's protective effect on relapse was related to reductions in family hassles, whereas there was not a direct impact of change in psychological distress on rates of relapse. Lower retention in PCA, perhaps caused by the lack of a directive component to PCA, may have put these women at greater risk for relapse. Whereas SET did not specifically address substance abuse, SET indirectly protected at‐risk women from relapse through reductions in family hassles.     

Sex,Drugs, Violence,and HIV Status Among Male-to-Female Transgender Persons in Houston,Texas

SUMMARY

To inform the Community Planning Group (Houston, Texas) in setting HIV-prevention priorities, risk behavior surveys were completed by 67 male-to-female (MtF) transgender persons. By self-identification, 58% were preoperative and 48% were self-described heterosexual women. We found this small sample of male-to-female transgender individuals to have high rates of HIV infection, and high prevalence of risky behaviors, intimate partner violence, and suicidal ideation. Twenty-seven percent were infected with HIV. Barriers were seldom used during oral sex and used less than half the time for anal sex with either primary or casual partners. Nearly one-third of the sample reported use of methamphetamines, amyl nitrite or LSD and 40% reported crack or cocaine use. Intimate partner violence and forced sex were reported by 50% and 25%, respectively. Suicidal ideation was reported by 16% in the last 30 days; lifetime suicidal ideation was 60%.     

The effect of age of acquisition on older individuals with and without cognitive impairments

The present study compared the effects of age of acquisition (AoA) on object naming across groups of older individuals with cognitive impairments, healthy older controls, and young healthy controls. All participants named a set of 80 pictures, within which both AoA and frequency were manipulated orthogonally. Early-acquired objects were named faster than late-acquired objects across all groups. Response time also declined with age and with cognitive impairment between the groups. The effect of AoA differed across groups, with AoA effects being largest for the older group with cognitive impairments and smallest for the young control group. The present study adds strength to the suggestion that AoA of picture names is one of the factors that influence survival or loss of memories in dementia and cognitive decline, and this could therefore be used as a potential screening test for cognitive impairment disorders in the future.