Optimizing preoperative expectations in cardiac surgery patients is moderated by level of disability: the successful development of a brief psychological intervention

Patients’ expectations have shown to be a major psychological predictor of health outcome in cardiac surgery patients. However, it is unclear whether patients’ expectations can be optimized prior to surgery. This study evaluates the development of a brief psychological intervention focusing on the optimization of expectations and its effect on change in patients’ expectations prior to cardiac surgery. Ninety patients scheduled for coronary artery bypass graft were randomly assigned to (1) standard medical care, (2) additional expectation manipulation intervention (EMI), and (3) additional attention control group. Therapists’ fidelity to intervention manuals and patients satisfaction with the intervention were assessed for both active intervention conditions. Patients’ expectations about post-surgical disability, treatment control, personal control, and disease duration were assessed before and after the psychological intervention. Demographical, medical, and psychosocial characteristics and disability were assessed at baseline. Treatment fidelity and patient satisfaction was very high in both intervention conditions. Only patients receiving EMI developed higher personal control expectations and longer (more realistic) expectations of disease duration. The effect of intervention group on patients’ disability expectations and patients’ personal control expectations was moderated by patient’s level of disability. EMI patients with low to moderate disability developed positive expectations whereas patients with high disability did not. This study shows the successful development of a short psychological intervention that was able to modify patients’ expectations, especially in those with low to moderate disability. Given the robust association of expectations and surgery outcome, such an intervention might offer the opportunity to enhance patients’ health following cardiac surgery.     

Leibniz Filters Revisited

Leibniz filters play a prominent role in the theory of protoalgebraic logics. In [3] the problem of the definability of Leibniz filters is considered. Here we study the definability of Leibniz filters with parameters. The main result of the paper says that a protoalgebraic logic S has its strong version weakly algebraizable iff it has its Leibniz filters explicitly definable with parameters.     

The Cerebellum in Frontotemporal Dementia: a Meta-Analysis of Neuroimaging Studies

Neuropsychology Review - Frontotemporal dementia (FTD) is a neurodegenerative brain disorder primarily affecting the frontal and/or temporal lobes. Three main subtypes have been recognized:...     

The number 747 is named faster after seeing Boeing than after seeing Levi's: Associative priming in the processing of multidigit Arabic numerals

Two experiments are reported in which naming multidigit Arabic numerals was shown to depend on the context in which the numbers were presented. Number naming and number decisions were faster after an associative prime (e.g., 747 preceded by the word Boeing) than after an unre- lated prime, both in unmasked and masked priming conditions. On the basis of these findings, we conclude that number naming is not always based on a quantity-based semantically mediated pathway.     

The missing link between faces and names: Evidence from Alzheimer's disease patients

Retrieval of proper names is a cause of concern and complaint among elderly adults and it is an early symptom of patients suffering from neurodegenerative diseases such as Alzheimer's disease (AD). While it is well established that AD patients have deficits of proper name retrieval, the nature of such impairment is not yet fully understood. Specifically, it is unknown whether this deficit is due to a degradation of the links between faces and proper names, or due to deficits in intentionally accessing and retrieving proper names from faces. Here, we aim to investigate the integrity of the links between famous faces and proper names in AD while minimizing the impact of the explicit retrieval. We compare the performances of AD patients and elderly controls in a face-name priming task. We assess the integrity of the link between faces and names at two different levels: identity level - the name and face belong to the same person; and semantic level - the name and face belong to the same category (e.g., politicians). Our results reveal that AD patients compared with controls show intact semantic priming but reduced priming for person identity. This suggests that the deficits in intentionally retrieving proper names in AD are the result of a partial disruption of the network at the identity level, i.e., the links between known faces and proper names.     

A Re-evaluation of Candidate Gene Studies for Well-Being in Light of Genome-Wide Evidence

Journal of Happiness Studies - Ever since twin-family studies found that a substantial amount (±?40%) of the variation in well-being can be explained by genetic variation, several...