Cognitive therapy for irritable bowel syndrome is associated with reduced limbic activity, GI symptoms, and anxiety

This study sought to identify brain regions that underlie symptom changes in severely affected IBS patients undergoing cognitive therapy (CT). Five healthy controls and 6 Rome II diagnosed IBS patients underwent psychological testing followed by rectal balloon distention while brain neural activity was measured with O-15 water positron emission tomography (PET) before and after a brief regimen of CT. Pre-treatment resting state scans, without distention, were compared to post-treatment scans using statistical parametric mapping (SPM). Neural activity in the parahippocampal gyrus and inferior portion of the right cortex cingulate were reduced in the post-treatment scan, compared to pre-treatment (x, y, z coordinates in MNI standard space were -30, -12, -30, P=0.017; 6, 34, -8, P=0.023, respectively). Blood flow values at these two sites in the controls were intermediate between those in the pre- and post-treatment IBS patients. Limbic activity changes were accompanied by significant improvements in GI symptoms (e.g., pain, bowel dysfunction) and psychological functioning (e.g., anxiety, worry). The left pons (-2, -26, -28, P=0.04) showed decreased neural activity which was correlated with post-treatment anxiety scores. Changes in neural activity of cortical-limbic regions that subserve hypervigilance and emotion regulation may represent biologically oriented change mechanisms that mediate symptom improvement of CT for IBS.     

Perceived self-motion elicited by postrotary head tilts in a varying gravitoinertial force background

We measured the effects of postrotary head tilts on the perceived duration and the apparent axis of illusory self-rotation experienced following counterclockwise body rotation in high (1.8 G), normal (1 G), and low (0 G) gravitoinertial force environments. In the absence of head movements, the duration of illusory afterrotation was shorter in 0 G and 1.8 G than in 1 G, and it was further shortened by 40 degrees pitch-back head movements in 1 G and 1.8 G. Clockwise illusory afterrotation about the torso's vertical z-axis was always experienced in trials without postrotary head tilts. In trials with head movements, half the subjects experienced no change in this pattern; however, half experienced transient rightward roll of the torso's z-axis, which remained the rotation axis. The duration and extent of apparent roll were greater in 0 G and smaller in 1.8 G than in 1 G. We provide a functional explanation for the tendency for perceived self-rotation to be determined relative to the torso and to the gravitoinertial vertical rather than solely in relation to head position and head-fixed angular velocity sensors.     

Adaptation to displaced vision: Evidence for transfer of adaptation and long-lasting aftereffects

Aftereffects following a single exposure to visual rearrangement last for 48 h and longer. Following multiple spaced exposures to visual rearrangement, aftereffects persisted for at least 2 weeks. Over the course of the multiple exposures, subjects showed diminished scatter when pointing without sight of hand to visual targets but did not show diminished constant errors. Adaptation achieved in one visuomotor transferred nearly perfectly to a test situation involving somewhat different movement demands.     

Adaptation to displaced vision: Evidence for prolonged after-effects

It was found that brief periods of exposure to visual rearrangement elicit aftereffects that are still of considerable magnitude 24 h later. Despite the existence of these after-effects, visuomotor coordination does not appear to be disrupted between test periods, suggesting that these after-effects may be similar to some of the recently described situation-dependent visual after-effects.     

The underlying structures of sentences are the primary units of immediate speech processing

Two studies of the subjective location of clicks in spoken sentences indicate: (1) within-clause phrase structure boundaries do not significantly affect the segmentation of spoken sentences; (2) divisions between underlying structure sentences determine segmentation even in the absence of corresponding explicit clause divisions in the surface phrase structure. These results support a model of speech processing according to which listeners actively segment and organize spoken sequences into potential underlying syntactic structures.     

Orientation and movement in unusual force environments

A manned space mission to Marx might take as long as I year each way. Consequently, artificial gravity is being considered as a way of preventing the debilitating effects of long-duration exposure to microgravity on the human body. The present article discusses some of the problems associated with adapting to the rotation levels that might he used to generate artificial gravity. It also describes how exposure to background-force levels greater or less than the I-G force of Earth gravity affects orientation and movement control. The primary emphasis of the article is that human movement and orientation control are dynamically adapted to the I-G force background of Earth and that accommodation to altered force levels or to rotating environments requires a wide range of adaptive changes.     

Adaptation to visual displacement with active and passive limb movements: effect of movement frequency and predictability of movement

Three experiments were performed to evaluate the influence of active and passive limb movements on adaptation to visual displacement. Over a wide frequency range (0·5-1·25 Hz) with constant amplitude, 30°, significant adaptation was achieved with active and passive movements. When arm movement frequency was constant at 1·0 Hz but amplitude of movement was varied, less adaptation was achieved for both active and passive movements than when amplitude was held constant. Even at a frequency above that of most naturally occurring limb movements, 1·67 Hz, and with variable amplitude motion, significant adaptation was achieved with active and passive limb movements. These findings emphasize the importance of visual-proprioceptive discordances for adaptation to visual displacement when only sight of the hand is permitted. Significant differences did not appear between the active and passive movement conditions in any of the experiments.     

Specificity of Stroop interference in patients with pain and PTSD.

The authors investigated processing of threat words in motor vehicle accident survivors using a modified Stroop procedure. Three samples were included: 28 participants with comorbid posttraumatic stress disorder (PTSD) and pain, 26 participants with pain without PTSD, and 21 participants without pain or any psychiatric conditions. Four word categories were used: (a) accident words, (b) pain words, (c) positive words, and (d) neutral words. This study examined whether processing biases would occur to accident words only in participants with PTSD or if these biases would also be noted in the No PTSD/Pain sample. Additionally, this study examined whether processing biases would be noted to pain words in the 2 pain samples, irrespective of PTSD. Overall, color naming was significantly slower in the PTSD/Pain group in comparison with the other groups. As well, the PTSD/Pain sample showed significant response delays to both accident and pain-related words, whereas patients with No PTSD/Pain showed delays to pain stimuli only.     

Haptic cues for orientation and postural control

Haptic cues from fingertip contact with a stable surface attenuate body sway in subjects even when the contact forces are too small to provide physical support of the body. We investigated how haptic cues derived from contact of a cane with a stationary surface at low force levels aids postural control in sighted and congenitally blind individuals. Five sighted (eyes closed) and five congenitally blind subjects maintained a tandem Romberg stance in five conditions: (1) no cane; (2, 3) touch contact (<2 N of applied force) while holding the cane in a vertical or slanted orientation; and (4, 5) force contact (as much force as desired) in the vertical and slanted orientations. Touch contact of a cane at force levels below those necessary to provide significant physical stabilization was as effective as force contact in reducing postural sway in all subjects, compared to the no-cane condition. A slanted cane was far more effective in reducing postural sway than was a perpendicular cane. Cane use also decreased head displacement of sighted subjects far more than that of blind subjects. These results suggest that head movement control is linked to postural control through gaze stabilization reflexes in sighted subjects; such reflexes are absent in congenitally blind individuals and may account for their higher levels of head displacement.