Pre-liver transplant psychosocial evaluation predicts post-transplantation outcomes

Psychosocial factors greatly impact the course of patients throughout the liver transplantation process. A retrospective chart review was performed of patients who underwent liver transplantation at Hadassah-Hebrew University Medical Center between 2002 and 2012. A composite psychosocial score was computed based on the patient’s pre-transplant evaluation. Patients were divided into two groups based on compliance, support and insight: Optimal psychosocial score and Non-optimal psychosocial score. Post-liver transplantation survival and complication rates were evaluated. Out of 100 patients who underwent liver transplantation at the Hadassah-Hebrew University Medical Center between 2002 and 2012, 93% had a complete pre-liver transplant psychosocial evaluation in the medical record performed by professional psychologists and social workers. Post-liver transplantation survival was significantly higher in the Optimal group (85%) as compared to the Non-optimal group (56%, p = .002). Post-liver transplantation rate of renal failure was significantly lower in the Optimal group. No significant differences were observed between the groups in other post-transplant complications. A patient’s psychosocial status may impact outcomes following transplantation as inferior psychosocial grades were associated with lower overall survival and increased rates of complications. Pre-liver transplant psychosocial evaluations are an important tool to help predict survival following transplantation.     

Measurement of post-war coping and stress responses: A study of Bosnian adolescents

We evaluated the psychometric properties of the Responses to Stress Questionnaire (RSQ; Connor-Smith, Compas, Saltzman, Thomsen, & Wadsworth, 2000) in a sample of Bosnian youth (N = 665; age = 15 to 20 years) five years post-war. Participants reported on their coping and involuntary responses to post-war stressors including trauma reminders, loss reminders, and family conflict. Confirmatory factor analysis supported a four-factor model comprised of primary control engagement coping, secondary control engagement coping, disengagement coping, and involuntary stress responses. Results support the reliability and validity of the RSQ to adolescents growing up in stressful post-war contexts.     

Investigating eye movement acquisition and analysis technologies as a causal factor in differential prevalence of crossed and uncrossed fixation disparity during reading and dot scanning

Previous studies examining binocular coordination during reading have reported conflicting results in terms of the nature of disparity (e.g. Kliegl, Nuthmann, & Engbert (Journal of Experimental Psychology General 135:12-35, 2006); Liversedge, White, Findlay, & Rayner (Vision Research 46:2363-2374, 2006). One potential cause of this inconsistency is differences in acquisition devices and associated analysis technologies. We tested this by directly comparing binocular eye movement recordings made using SR Research EyeLink 1000 and the Fourward Technologies Inc. DPI binocular eye-tracking systems. Participants read sentences or scanned horizontal rows of dot strings; for each participant, half the data were recorded with the EyeLink, and the other half with the DPIs. The viewing conditions in both testing laboratories were set to be very similar. Monocular calibrations were used. The majority of fixations recorded using either system were aligned, although data from the EyeLink system showed greater disparity magnitudes. Critically, for unaligned fixations, the data from both systems showed a majority of uncrossed fixations. These results suggest that variability in previous reports of binocular fixation alignment is attributable to the specific viewing conditions associated with a particular experiment (variables such as luminance and viewing distance), rather than acquisition and analysis software and hardware.     

Conscious and nonconscious discrimination of facial expressions

Abrupt discontinuities in recognizing categories of emotion are found for the labelling of consciously perceived facial expressions. This has been taken to imply that, at a conscious level, we perceive facial expressions categorically. We investigated whether the abrupt discontinuities found in categorization for conscious recognition would be replaced by a graded transition for subthreshold stimuli. Fifteen volunteers participated in two experiments, in which participants viewed faces morphed from 100% fear to 100% disgust along seven increments. In Experiment A, target faces were presented for 30 ms, in Experiment B for 170 ms. Participants made two-alternative forced-choice decisions between fear and disgust. Results for the 30 ms presentation time indicated a significant linear trend between degree of morphing and classification of the images. Results for 170 ms presentation time followed the higher order function found in studies of categorical perception. These results provide preliminary evidence for separate processes underlying conscious and nonconscious perception of facial expressions of emotion.     

Using Score Equating and Measurement Invariance to Examine the Flynn Effect in the Wechsler Adult Intelligence Scale

The Flynn effect (FE; i.e., increase in mean IQ scores over time) is commonly viewed as reflecting population shifts in intelligence, despite the fact that most FE studies have not investigated the assumption of score comparability. Consequently, the extent to which these mean differences in IQ scores reflect population shifts in cognitive abilities versus changes in the instruments used to measure these abilities is unclear. In this study, we used modern psychometric tools to examine the FE. First, we equated raw scores for each common subtest to be on the same scale across instruments. This enabled the combination of scores from all three instruments into one of 13 age groups before converting raw scores into Z scores. Second, using age-based standardized scores for standardization samples, we examined measurement invariance across the second (revised), third, and fourth editions of the Wechsler Adult Intelligence Scale. Results indicate that while scores were equivalent across the third and fourth editions, they were not equivalent across the second and third editions. Results suggest that there is some evidence for an increase in intelligence, but also call into question many published FE findings as presuming the instruments' scores are invariant when this assumption is not warranted.     

Children's recognition of caricatures

This study examined children's and adults' perception and recognition of facial stimuli that were either systematically exaggerated (caricatures) or de-exaggerated (anticaricatures) relative to a norm face. The results showed that all age groups perceived caricatures as the most distinctive versions of a face and anticaricatures as the least distinctive, although the effect was smallest for 6-year-olds. In general, caricatures were identified as quickly as the veridical faces and faster than the anticaricatures. Across all age groups, participants' familiarity with the stimulus faces interacted with degree of caricature to determine speed of processing as well as choice of best likeness. The results are discussed in relation to the idea that distinctiveness information in a face is represented in relation to a norm.     

Recognizing one's own face

We report two studies of facial self-perception using individually tailored, standardized facial photographs of a group of volunteers and their partners. A computerized morphing procedure was used to merge each target face with an unknown control face. In the first set of experiments, a discrimination task revealed a delayed response time for the more extensively morphed self-face stimuli. In a second set of experiments, functional magnetic resonance imaging (fMRI) was used to measure brain activation while subjects viewed morphed versions of either their own or their partner's face, alternating in blocks with presentation of an unknown face. When subjects viewed themselves (minus activation for viewing an unknown face), increased blood oxygenation was detected in right limbic (hippocampal formation, insula, anterior cingulate), left prefrontal cortex and superior temporal cortex. In the partner (versus unknown) experiment, only the right insula was activated. We suggest that a neural network involving the right hemisphere in conjunction with left-sided associative and executive regions underlies the process of visual self-recognition. Together, this combination produces the unique experience of self-awareness.