The usefulness of the story recall test in patients with mild cognitive impairment and Alzheimer's disease

ABSTRACT

Background: The story recall test (SRT) is one of the most reliable neuropsychological assessments for evaluating verbal memory function in order to distinguish between individuals with normal aging, mild cognitive impairment (MCI), and Alzheimer's disease (AD). The SRT is analogous to the logical memory test in Wechsler Memory Scale-III, which has recently been developed and standardized to apply to older adults in Korea. The purpose of this study was to examine the usefulness of the SRT and its ability to discriminate between normal cognitive aging and patients with MCI or AD. Methods: One hundred and twelve patients with MCI, 97 patients with AD, and 53 healthy elderly adults participated in this study. The SRT was compared with the Clinical Dementia Rating (CDR), Global Deterioration Scale (GDS), Korean version of the Mini Mental State Examination (K-MMSE), and the Korean version of the Hopkins Verbal Learning Test (K-HVLT). Results: The SRT was well-correlated with the dementia rating scales and the K-HVLT. However, the sensitivity and specificity of the SRT was greatly influenced by the level of education of the subjects. Conclusions: The SRT is a sensitive measurement of verbal memory function that can be used in clinical settings to discriminate between normal memory functioning and the very early and moderate stages of AD in a Korean population. Moreover, it is important to recognize that the SRT is more appropriate for subjects with a high level of education rather than a low level of education to differentiate normal cognitive aging from MCI or AD.     

Expectancy bias mediates the link between social anxiety and memory bias for social evaluation

Social anxiety (SA) involves a multitude of cognitive symptoms related to fear of evaluation, including expectancy and memory biases. We examined whether memory biases are influenced by expectancy biases for social feedback in SA. We hypothesised that, faced with a socially evaluative event, people with higher SA would show a negative expectancy bias for future feedback. Furthermore, we predicted that memory bias for feedback in SA would be mediated by expectancy bias. Ninety-four undergraduate students (55 women, mean age = 19.76 years) underwent a two-visit task that measured expectations about (Visit 1) and memory of (Visit 2) feedback from unknown peers. Results showed that higher levels of SA were associated with negative expectancy bias. An indirect relationship was found between SA and memory bias that was mediated by expectancy bias. The results suggest that expectancy biases are in the causal path from SA to negative memory biases for social evaluation.     

Fear and Anxiety: Possible Roles of the Amygdala and Bed Nucleus of the Stria Terminalis

This paper presents a provisional classification of deliberate strategies for improving unpleasant affect based on conceptual judgements concerning their similarities and differences. A corpus of self-reported upward affectregulation strategies was collected using questionnaires, interviews, and group discussions, in conjunction with an examination of existing literature on related topics. A total of 162 distinct strategies were identified and a preliminary categorisation was developed by the investigators. We then conducted a card-sort task in which 24 participants produced separate classifications of the strategies. The similarity matrix arising from co-occurrence data was subjected to hierarchical cluster analysis and the obtained typology provided independent support for our proposed distinctions between strategies implemented cognitively and behaviourally, between diversion and engagement strategies, and between active distraction and direct avoidance, and for specific lower-level groupings of strategies relating to venting, reappraisal, and seeking social support. Potential refinements and applications of the resulting classification system are considered.     

Implicit Attitudes Toward Arab-Muslims and the Moderating Effects of Social Information

Three studies examined the relative valence and strength of implicit attitudes toward Arab-Muslims using the Implicit Association Test (IAT) while exploring the moderation of such implicit effects. Studies have suggested that repeated exposure to information associating members of a social group (e.g., Arab-Muslims) with evaluative attributes (e.g., terrorism) might create automatic attitudes toward them. Consistent with this notion, the IAT results indicated strong implicit preference for White over Arab-Muslim, whereas the magnitude of such a bias was substantially diminished when assessed by explicit measures (Study 1). It is also interesting to note that participants exhibited implicit preference for Black over Arab-Muslim when measured by the IAT, whereas no difference was found between the 2 groups in stimulus familiarity and in explicit attitudes (Studies 2 and 3). However, such implicit effects were moderated when participants were exposed to positive information about Arab-Muslims (Study 3). Theoretical and practical implications of these findings are further discussed.     

Science,politics, and moral activism: Sorokin's integralism reconsidered

This paper uses previously untranslated excerpts from P. A. Sorokin's revolutionary journalism to reexamine the relationship between his scientific and nonscientific activities. Columns written in 1917 for the political daily Volya Naroda (The People's Will) provide insight into Sorokin's early Russian period and also prefigure the later synthesis that he called Integralism. This article explains Sorokin's competing commitments to science and reformism in terms of the Russian intelligentsia's social role and concludes that Sorokin in America remained a more Russian figure than has been generally recognized. © 1999 John Wiley & Sons, Inc.     

Modes and methods of personality research

Advances in knowledge about personality will be fostered by improved research methods, but corresponding improvements in our theories will be needed also, better methods will not be enough Theory itself can have methodological functions, and some methods provide strong impetus toward greater theoretical clarity and rigor Distinctions between methodological developments in research design, measurement, and analysis need to be maintained, and we badly need more research directed specifically toward improving methodologies Some papers in this volume point quite clearly to the need for all aspects of our research to be better rationalized and deliberate, casual and opportunistic decisions about how to carry out research simply will not do These papers indicate, for example, that the trait vs situation controversy would likely never have occurred had the issues been addressed with greater methodological, and logical, rigor This volume is not complete in its coverage of the potentially useful methods for personality research, and attention should ultimately be devoted to such methods as life histories and case studies and cross-cultural comparisons In general, however, the papers in this volume offer an opportunity to raise the level of research in personality to a new plane of sophistication and revealingness