Topiramate in the preventive treatment of episodic migraine: a combined analysis from pilot,double-blind,placebo-controlled trials

The safety and efficacy of medications for preventive treatment of migraine is the subject of current concern and investigation in health care. Two single-center, double-blind, placebo-controlled studies were conducted to evaluate the efficacy and safety of topiramate for migraine prophylaxis. Seventy patients with a diagnosis of migraine were randomly assigned to topiramate-treated and placebo groups. The studies consisted of a 4-week baseline phase, a 6-8 week titration, and 8-12 weeks of maintenance. Topiramate was titrated from an initial dose of 25 mg/day to a target dose of 100 mg BID. The primary efficacy measure, the mean 28-day migraine frequency, was lower in topiramate-treated patients than in the placebo group (3.2 versus 3.8, P=.001). Similarly, topiramate treatment resulted in a significantly greater mean reduction in migraine frequency than did placebo (1.55 versus 0.47, P=.001) and a significantly higher responder rate (35.3% versus 8.3%, P=.008). Paresthesia was the most common side effect reported with topiramate treatment. Other topiramate-associated adverse events included altered taste, memory impairment, diarrhea, and appetite suppression/weight loss. The rates of discontinuation were similar for the topiramate group (n=10) and the placebo group (n=8). These results suggest that topiramate is effective and well tolerated in the preventive treatment of migraine headaches.     

Selective attention in obsessive-compulsive disorder

Recent information-processing studies have suggested that a selective attention deficit may be involved in the symptomatology of obsessive-compulsive disorder (OCD). In this study, individuals diagnosed with OCD were distinguished from those with panic disorder and from control participants by their relatively poorer performance on a series of psychometric tasks of selective attention. These results are interpreted as supporting the hypothesis of a diminished ability of people with OCD to selectively ignore competing external (sensory) and internal (cognitive) stimuli, especially intrusive thoughts.     

The influence of semantic relationships on older adult map memory

Research has shown that nonspatial features, including semantic categories, can bias younger adults' spatial location memory. For example, semantically related information is remembered as being closer in space than semantically unrelated information (Hirtle & Mascolo, 1986). These findings suggest that verbal information is concurrently encoded with spatial information and influences younger adults' spatial information retrieval. The present study explored whether older adults have a similar dependency between verbal and spatial information. In Experiment 1, older and younger adults learned maps depicting semantically categorizable landmarks. After learning, participants completed landmark free recall and distance estimation tasks. Younger adults recalled more landmarks from semantically organized maps compared with older adults. In addition, younger adults were more likely to underestimate the distance between semantically related landmarks than were older adults. Experiment 2 examined whether supportive instructions would influence older adults' use of verbal information when learning maps. When given instructions that encouraged semantic feature use, older adults remembered more landmarks, were more likely to cluster landmarks semantically, and demonstrated biases in distance estimation based on semantic relationships. These findings suggest that verbal influences on spatial/map learning in older adults depends on explicit instructions or environmental support at encoding. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Integrating Pain Management in Clinical Practice

There is much evidence to suggest that psychological and social issues are predictive of pain severity, emotional distress, work disability, and response to medical treatments among persons with chronic pain. Psychologists can play an important role in the identification of psychological and social dysfunction and in matching personal characteristics to effective interventions as part of a multidisciplinary approach to pain management, leading to a greater likelihood of treatment success. The assessment of different domains using semi-structured clinical interviews and standardized self-report measures permits identification of somatosensory, emotional, cognitive, behavioral and social issues in order to facilitate treatment planning. In this paper, we briefly describe measures to assess constructs related to pain and intervention strategies for the behavioral treatment of chronic pain and discuss related psychiatric and substance abuse issues. Finally, we offer a future look at the role of integrating pain management in clinical practice in the psychological assessment and treatment for persons with chronic pain.     

Acquired equivalence of cues by presentation in a common context in rats

It is well established that humans and other animals may treat two perceptually different cues alike, if the cues have been individually paired with a common antecedent or a common consequence. Recently, Molet et al. (Psychon Bull Rev 18:618–623, 2011) reported evidence for a new form of acquired equivalence in human conditional discrimination, namely context-mediated equivalence. In the present research, using a flavor conditioning procedure, we asked whether rats would show similar context-mediated equivalence to demonstrate that this new form of acquired equivalence is a general phenomenon. Rats experienced two flavor cues A and B each presented either in the same context, X, or each in its own distinctive context, X or Y. Subsequently, the rats experienced B with sucrose in a third context, Z, and then the generalization of conditioning to A was assessed. When tested in Context Z, consumption of A was more marked when A and B had both been presented in the same context than when they had been presented in two different contexts. Thus, importantly, in the absence of the training context, cues that shared a common context at different times came to be treated as equivalent. This represents the first evidence of context-mediated equivalence in a nonhuman species.     

Decreased aggressive and locomotor behaviors in Betta splendens after exposure to fluoxetine

The failure of sewage treatment plants to remove pharmaceuticals such as fluoxetine from waste water has become a concern given that these products are being detected in the surface waters of many countries of the world. The effects of fluoxetine in sub-lethal doses on the neural systems and behaviors of aquatic life are worthy of investigation. This study investigated the effects of sub-lethal amounts fluoxetine dissolved in water on the aggressive and locomotor behaviors of 44 male Betta splendens. Fish treated with 705 microg/l of fluoxetine and 350 microg/l of fluoxetine generally demonstrated significant decreases in locomotion and number of aggressive attacks compared to 0 microg/l of fluoxetine (controls) on Days 11 and 19 of drug exposure and persisted for at least 13 days after removal of fluoxetine. Consistent with decreases in the number of aggressive attacks, there was a significant increase in aggression-response time to a perceived intruder for treated males on Days 11 and 19 and persisted for 6 days following removal of fluoxetine. However, the differences in aggressive and locomotor behaviors seen in the fluoxetine-treated groups were indistinguishable from controls three weeks following drug removal.     

The case for regularity in mechanistic causal explanation

How regular do mechanisms need to be, in order to count as mechanisms? This paper addresses two arguments for dropping the requirement of regularity from the definition of a mechanism, one motivated by examples from the sciences and the other motivated by metaphysical considerations regarding causation. I defend a broadened regularity requirement on mechanisms that takes the form of a taxonomy of kinds of regularity that mechanisms may exhibit. This taxonomy allows precise explication of the degree and location of regular operation within a mechanism, and highlights the role that various kinds of regularity play in scientific explanation. I defend this regularity requirement in terms of regularity??s role in individuating mechanisms against a background of other causal processes, and by prioritizing mechanisms?? ability to serve as a model of scientific explanation, rather than as a metaphysical account of causation. It is because mechanisms are regular, in the expanded sense described here, that they are capable of supporting the kinds of generalizations that figure prominently in scientific explanations.