The MOS Short-Form General Health Survey: single item vs multiple measures of health-related quality of life: some nuances.

Researchers concluded that Item 2 of the Short-form General Health Survey of the Medical Outcomes Study can be used as a single-item measure of health-related quality of life. This conclusion is tested again on a random sample of elderly people in the Netherlands. Although it can be concluded that the psychometric properties of the short form are satisfactory, the use of the single item as a measure of health-related quality of life is discussed.     

Psychological compensation: a theoretical framework.

The 2 main objectives of this article are to review a variety of literatures in which the concept of compensation is used and to integrate the results of this review into a general framework of compensation. The review focuses on 4 domains of psychological inquiry: compensation for sensory handicaps, cognitive deficits, interpersonal losses, and brain injury. In the proposed framework, underlying dimensions and 4 basic steps in the progression of compensatory behavior are distinguished. The latter include origins, mechanisms, forms, and consequences. Finally, we describe ways in which researchers in particular domains can benefit from the global, process-oriented framework we propose. For most of the areas of compensation research reviewed, investigators can profit from a consideration of a broader selection of dimensions, additional steps in the process, alternative outcomes, and both objective and subjective assessment procedures.     

Predictors of short-term treatment outcome in bulimia nervosa inpatients.

Recent studies, mostly performed on bulimic outpatients, did not find consistent predictors of treatment outcome in bulimia nervosa. This is the first study to investigate anamnestic and clinical factors predictive of the short-term outcome of hospital treatment in 31 female bulimia nervosa patients with a mean age of 22.9 yr. Treatment outcome was assessed by several self-rating instruments measuring different features of the specific and unspecific psychopathology of bulimia nervosa. The most relevant predictors of the outcome of the 8-week hospital treatment were duration of previous inpatient treatments for bulimia, the intensity of anorexic tendency and the pretreatment level of depression. The majority of predictors tested did not show a strong relationship to treatment outcome. The findings are discussed in relation to results of other studies as well as to possible implications for treatment and research.     

Quantitative scores of normal and abnormal subjects on Initial-letter Word-association Test.

The quotient of the mean quantitative score on Initial-letter Word-association Test for 193 normal subjects was significantly higher than the quotient of the mean quantitative score of 44 abnormal (psychotic) subjects. This is interpreted as meaning that, in general, the normal subjects have predominantly a positive attitude towards their surrounding world in contradistinction to the abnormal subjects whose attitude was predominantly negative, ambivalent, and repressive. On the other hand, the mean of the quotients of the quantitative scores of the 44 abnormal subjects was higher than the mean of the quotients of the quantitative scores of the normal subjects which suggests increased oral tendencies of the abnormal subjects expressed much as the unwarranted optimism of small children.     

Slow alpha in the EEG power spectrum as an indicator for conceptual arousal]

Based on previous findings (B?sel et al., 1990) it was assumed that in concept learning tasks generating on hypotheses on a concept which has to be developed is accompanied by increases of the Alpha 1 power (7.5-10 Hz) in the spontaneous EEG activity. In this study 16 subjects performed five problem solving tasks with similar processing requirements. EEG data were analyzed by means of post hoc comparisons of subjects differing in performance quality. Additionally, four control tasks were employed in which, based on previous studies, variations in the Theta frequency range were expected. An effect in the Alpha 1 frequency band was observed in tasks requiring reconstructive recall or testing the usefulness of an mathematical algorithm. The creation of a rank order or mental map is accompanied by power increases in the lower portions of the Alpha 1 frequency band (7.5-8.5 Hz). Moreover a high amount of controlled variance (eta2 up to 34%) was obtained for this effect. Increases in EEG Theta power, which presumably indicate subjects' component analysis, were found before the subjects recognized parts of geometric figures or before relevant features in the "buddhist monk problem" were discriminated. The dynamics of EEG power over time is in examples of frequency/time plots in a figure, illustrated.     

EMG reactions of mimetic muscles after repeated presentation of pictures with positive, negative and neutral content]

Twenty male subjects (Ss) were repeatedly confronted for five seconds to pictures with positive, negative and neutral valence. During the picture presentation facial EMG-reactions of five mimic muscles (m. frontalis lateralis, m. corrugator supercilii, m. orbicularis oculi, m. zygomaticus major on the right and left side of the face) were recorded. In addition, heart rate was measured. It could be shown that during repeated presentation of pictures with positive valence the m. orbicularis oculi and the m. zygomaticus major on both sides of the face yielded enhanced average EMG-reactions as compared to the repeated presentation of pictures with negative and neutral valence. During presentation of pictures with negative valence the m. frontalis lateralis and the m. corrugator supercilii revealed enhanced EMG-reactions as compared to the repeated presentation of pictures with positive valence. Furthermore, it could be shown that during the repeated presentation of pictures with positive valence those facial muscles which mainly react during confrontation with pictures of positive valence showed a continuous decrease of EMG-activity. Facial muscles which mainly react during the presentation of pictures with negative valence do not show a continuous decrease in EMG-activity during the course of the repeated presentation of pictures with negative valence. Additionally, the EMG-activity of the m. zygomaticus major on the right and lift side of the face do not differ with respect to the mean activity and the time course during confrontation of pictures with positive valence. The m. orbicularis oculi yielded enhanced EMG-reactions during the presentation of pictures with positive valence as compared to both m. zygomaticus major muscles. The present results are discussed with respect to psychobiological theories concerning facial expression.     

Discrimination learning of rotated faces: a Markov analysis of coding and association processes]

30 subjects participated in a discrimination experiment learning face-letter associations under four rotation conditions (45 degrees, 90 degrees, 135 degrees, 180 degrees). Under each condition two thirds of the faces were presented twice, upright and rotated away from the vertical; the remaining faces were presented once, upright or rotated. Learning is described by a joint Markov model: For faces that are presented twice it assumes a separate association and encoding process (two-stage-model), for faces that are presented once it assumes an association process (all-or-none-model). The Markov model fits the data for all four rotation conditions. The angle of rotation does not affect learning for faces that are presented once. For faces that are presented twice it influences both the association and the encoding process. For the angles employed, the effect of rotation can be approximated linearly. The results suggest that the encoding of a rotated face differs increasingly from an upright face as a function of these angles of rotation. This confirms analogous conclusions from mental rotation experiments.     

Quantitative and qualitative analyses of clock drawings in Alzheimer's and Huntington's disease.

Although visuoconstructive impairment has been reported in both Alzheimer's (DAT) and Huntington's (HD) disease, there is little knowledge concerning how this cognitive deficit differs quantitatively and qualitatively in these two progressive dementias. To address this issue, the present study compared performances on the Clock Drawing Test (CDT: command and copy) of 25 DAT patients, 25 equally demented HD patients, and 25 elderly normal controls (NC). In the command condition, both patients groups were significantly impaired compared to the NC group. Although there was no significant difference between DAT and HD patients' total quantitative scores, a qualitative error analysis revealed a number of dissociations between the two patient groups. Graphic difficulties, very common in HD patients, were virtually absent in DAT patients; in contrast, conceptual errors were almost exclusively seen in DAT patients and were related to the severity of their dementia. Perseveration and "stimulus-bound" responses were also more frequent in DAT patients, and both groups made visuospatial errors. In the copy condition, the DAT, but not the HD, patients evidenced a marked improvement in performance. These results indicate that while both DAT and HD patients have significant visuoconstructive difficulties even in the early stages of their disorders, the specific cognitive processes underlying their quantitative impairments are quite different. It is possible that the DAT patients' conceptual errors are yet another indicator of the deterioration of their semantic knowledge.     

Memory with and without awareness: performance and electrophysiological evidence of savings.

Event-related potentials (ERPs) recorded on the scalp were shown to be sensitive indicators of the strength of a memory trace on both implicit and explicit tests of memory. In explicit recognition tests, the amplitude of a positive potential identified as P300 was larger for "old" than for "new" words regardless of whether the subject categorized the items correctly. This effect, however, was statistically reliable only when the recognition memory (d') was relatively high. In contrast to ERPs, the reaction times in explicit recognition were sensitive to accuracy but not to repetition. In implicit tests, lexical decisions to repeated words were faster than to newly presented words. The magnitude of the repetition effect varied neither with elapsed time since the last repetition nor with the number of previous repetitions. In contrast, the P300 elicited by the same words were sensitive to both lag and recency of repetition, suggesting that they were influenced by the episodic memory strength of the items.