Sleep and Sleep Disorders in Older Adults

A common but significant change associated with aging is a profound disruption to the daily sleep-wake cycle. It has been estimated that as many as 50% of older adults complain about difficulty initiating or maintaining sleep. Poor sleep results in increased risk of significant morbidity and mortality. Moreover, in younger adults, compromised sleep has been shown to have a consistent effect on cognitive function, which may suggest that sleep problems contribute to the cognitive changes that accompany older age. The multifactorial nature of variables affecting sleep in old age cannot be overstated. Changes in sleep have been thought to reflect normal developmental processes, which can be further compromised by sleep disturbances secondary to medical or psychiatric diseases (e.g., chronic pain, dementia, depression), a primary sleep disorder that can itself be age-related (e.g., Sleep Disordered Breathing and Periodic Limb Movements During Sleep), or some combination of any of these factors. Given that changes in sleep quality and quantity in later life have implications for quality of life and level of functioning, it is imperative to distinguish the normal age-related sleep changes from those originating from pathological processes.     

Complaining about a compliment: Evaluating attributions of positive outcomes to discrimination

People evaluate stigmatized group members negatively when they attribute negative personal outcomes to discrimination, even when discrimination is the likely cause. The present studies examined whether similar interpersonal costs exist for attributing a positive personal outcome to discrimination in the context of positive stereotypes. In Study 1, 129 participants read an excerpt written by an Asian student who attributed an unexpectedly high essay grade to discrimination, writing quality, or easy grading. Participants evaluated the student least favourably when he attributed the positive outcome to discrimination. In Study 2, 140 participants evaluated a successful Asian job applicant less favourably than a successful, white applicant, although both applicants attributed the positive outcome to group membership. The implications for how stigmatized group members perceive and respond to prejudice and discrimination are discussed.     

Horses (<Emphasis Type="Italic">Equus caballus</Emphasis>) use human local enhancement cues and adjust to human attention

This study evaluates the horse (Equus caballus) use of human local enhancement cues and reaction to human attention when making feeding decisions. The superior performance of dogs in observing human states of attention suggests this ability evolved with domestication. However, some species show an improved ability to read human cues through socialization and training. We observed 60 horses approach a bucket with feed in a three-way object-choice task when confronted with (a) an unfamiliar or (b) a familiar person in 4 different situations: (1) squatting behind the bucket, facing the horse (2) standing behind the bucket, facing the horse (3) standing behind the bucket in a back-turned position, gazing away from the horse and (4) standing a few meters from the bucket in a distant, back-turned position, again gazing away from the horse. Additionally, postures 1 and 2 were tested both with the person looking permanently at the horse and with the person alternating their gaze between the horse and the bucket. When the person remained behind the correct bucket, it was chosen significantly above chance. However, when the test person was turned and distant from the buckets, the horses’ performance deteriorated. In the turned person situations, the horses approached a familiar person and walked towards their focus of attention significantly more often than with an unfamiliar person. Additionally, in the squatting and standing person situations, some horses approached the person before approaching the correct bucket. This happened more with a familiar person. We therefore conclude that horses can use humans as a local enhancement cue independently of their body posture or gaze consistency when the persons remain close to the food source and that horses seem to orientate on the attention of familiar more than of unfamiliar persons. We suggest that socialization and training improve the ability of horses to read human cues.     

To reason or not to reason: is autobiographical reasoning always beneficial?

Autobiographical reasoning has been found to be a critical process in identity development; however, the authors suggest that existing research shows that such reasoning may not always be critical to another important outcome: well-being. The authors describe characteristics of people such as personality and age, contexts such as conversations, and experiences such as transgressions, which may hinder adaptive reasoning. They also propose alternatives to autobiographical reasoning for managing challenging events and constructing the life story, which include different kinds of meaning-making than those primarily focused on in the current literature.     

A randomized controlled trial of cognitive behavior therapy for borderline personality disorder: rationale for trial, method, and description of sample

This paper describes the rationale for a randomized controlled trial, comparing cognitive behavior therapy in addition to treatment as usual with treatment as usual alone, for borderline personality disorder. Previous pioneering randomized controlled trials of psychotherapies have suffered from methodological weaknesses and have not always been reported clearly to allow adequate evaluation of either the individual study or comparisons across studies to be undertaken. We report on the recruitment and randomization, design, and conduct of an ongoing randomized controlled trial of one hundred and six patients with borderline personality disorder. Primary and secondary hypotheses and their planned analyses are stated. The baseline characteristics of 106 patients meeting diagnostic criteria for borderline personality disorder are described.     

The neurophysiological correlates of face processing in adults and children with Asperger's syndrome

Past research has found evidence for face and emotional expression processing differences between individuals with Asperger's syndrome (AS) and neurotypical (NT) controls at both the neurological and behavioural levels. The aim of the present study was to examine the neurophysiological basis of emotional expression processing in children and adults with AS relative to age- and gender-matched NT controls. High-density event-related potentials were recorded during explicit processing of happy, sad, angry, scared, and neutral faces. Adults with AS were found to exhibit delayed P1 and N170 latencies and smaller N170 amplitudes in comparison to control subjects for all expressions. This may reflect impaired holistic and configural processing of faces in AS adults. However, these differences were not observed between AS and control children. This may result from incomplete development of the neuronal generators of these ERP components and/or early intervention.     

Life stress, the "kindling" hypothesis, and the recurrence of depression: considerations from a life stress perspective

Major depression is frequently characterized by recurrent episodes over the life course. First lifetime episodes of depression, however, are typically more strongly associated with major life stress than are successive recurrences. A key theoretical issue involves how the role of major life stress changes from an initial episode over subsequent recurrences. The primary conceptual framework for research on life stress and recurrence of depression is the "kindling" hypothesis (R. M. Post, 1992). Despite the strengths of the kindling hypothesis, a review of the research literature reveals inconsistencies and confusion about life stress and its implications for the recurrence of depression. Adopting a life stress perspective, the authors introduce 3 major themes that resolve the inconsistencies in the current literature. They integrate these themes and extrapolate the ideas with available data to develop a preliminary framework for evaluating competing explanatory models and to guide research on life stress and the recurrence of depression.     

Pigeons concurrently categorize photographs at both basic and superordinate levels

We studied categorization in pigeons, using carefully controlled photographs. Within daily sessions, 4 pigeons had to classify each of 32 photographs into either its proper basic-level category (cars, chairs, flowers, or people; four-key forced choice procedure) or its proper superordinate-level category (natural or artificial; two-key forced choice procedure). The pigeons successfully classified the same stimuli at both levels. Overall, the pigeons learned the basic discrimination more quickly than the superordinate discrimination, but this difference was reliable only for artificial stimuli (cars and chairs), not for natural stimuli (flowers and people). The pigeons also exhibited reliable discrimination transfer to novel photographs, attesting to the open-endedness of these basic and superordinate categories.     

Smoking attenuates regular aerobic exercise benefits to episodic free recall immediately following strenuous physical activity

The present study was designed to evaluate the extent to which free recall performance is influenced by competing demands on physiological resources dependent on blood‐oxygen levels. Fifty‐six healthy young adults (mean age=20 years) were allocated to groups (n_1–4=14) according to their level of exercise (more than 6 h aerobic exercise per wk, or sedentary 1

1 Here sedentary refers to individuals with no regular exercise routines

.) and smoking (more than 10 cigarettes per day, or none) behaviour. Participants performed two free recall tasks, one under normal physically inactive conditions and the other immediately following strenuous physical exertion (a step‐up test for 2 min). We predicted that recall would suffer following strenuous physical activity among smoking aerobic exercisers. We reasoned this would be due to the oxygen‐carrying capacity of the blood being compromised in this group by higher levels of smoking‐related carbon monoxide in the blood stream. The results supported this prediction. We interpret our findings according to a resource model of cognitive function, mediated by physiological mechanisms. Copyright © 2004 John Wiley & Sons, Ltd.