Behavioral Health Interventions Being Implemented in a VA Primary Care System

The integration of behavioral health and primary care has received much attention in the literature. Behavioral health providers (BHPs) in integrated settings are faced with different treatment constraints than those who work in specialty mental health. The existing literature focuses on what BHPs should do in primary care settings; however, little research exists specifying what BHPs are actually doing. This study provides a glimpse into what types of interventions BHPs are using, and what types of patients they are seeing, in primary care. A chart review was conducted of patients (N?=?180) seen by BHPs in five Veterans Affairs primary care clinics. Depression was the most common diagnosis, while less common presenting problems included substance abuse/dependence, psychosis, and bipolar disorder. Common interventions used were medical management, psycho-education, elements of cognitive-behavioral therapy (CBT), and supportive psychotherapy. Future research should examine the efficacy of brief interventions in primary care settings.     

Verbal Knowledge as a Compensation Determinant of Adult Age Differences in Verbal Fluency Tasks over Time

The aim of this study was to determine whether verbal knowledge can compensate for the age-related decline in word production during a fluency test. We assessed the performance of 20 young and 20 old subjects in standard letter and semantic fluency tasks over time (T1: 0–30 s vs. T2: 31–60 s). The number of words produced, switching, and clustering components (Troyer et al. Neuropsychology, 11(1): 138–146, 1997) were investigated. Correlations between age and cognitive factors (processing speed, executive functions, and vocabulary level) were analyzed. The results revealed a knowledge compensation mechanism in elderly subjects, but only in letter fluency productions. It only occurred during the second period and was related to an increase in the clustering component and a positive correlation between age and vocabulary level. The differences between letter and semantic fluency performances are discussed in terms of the nature of the non-semantic and semantic components involved in these tasks.     

Direct touches to clear barriers: developmental sensitivity of a new measure of the production of ineffective responses in infancy

Current interpretation of the object retrieval task ( Diamond, 1990 ) as an infant assessment of response inhibition requires evidence that younger infants make more ineffective attempts to retrieve toys through clear barriers. On two 30-second trials, infants (9 or 11 months of age) saw an inaccessible toy in the front or back of a clear box. The location of the infants touches corresponded with the toy's location and, on the second trial, the younger infants touched the box more. In previous research nonhuman primates with orbital-frontal, but not dorsa-lateral, lesions also made ineffective barrier touches. The current developmental decreases in barrier touches may selectively tap developmental increases in inhibitory control supported by the developing orbital-frontal cortex.     

Clinical features of tic-related obsessive-compulsive disorder: results from a large multicenter study

OBJECTIVE: To evaluate the clinical features of obsessive-compulsive disorder (OCD) patients with comorbid tic disorders (TD) in a large, multicenter, clinical sample.MethodA cross-sectional study was conducted that included 813 consecutive OCD outpatients from the Brazilian OCD Research Consortium and used several instruments of assessment, including the Yale-Brown Obsessive-Compulsive Scale, the Dimensional Yale-Brown Obsessive-Compulsive Scale, the Yale Global Tic Severity Scale (YGTSS), the USP Sensory Phenomena Scale, and the Structured Clinical Interview for DSM-IV Axis I Disorders. RESULTS: The sample mean current age was 34.9 years old (SE 0.54), and the mean age at obsessive-compulsive symptoms (OCS) onset was 12.8 years old (SE 0.27). Sensory phenomena were reported by 585 individuals (72% of the sample). The general lifetime prevalence of TD was 29.0% (n = 236), with 8.9% (n = 72) presenting Tourette syndrome, 17.3% (n = 141) chronic motor tic disorder, and 2.8% (n = 23) chronic vocal tic disorder. The mean tic severity score, according to the YGTSS, was 27.2 (SE 1.4) in the OCD + TD group. Compared to OCD patients without comorbid TD, those with TD (OCD + TD group, n = 236) were more likely to be males (49.2% vs. 38.5%, p < .005) and to present sensory phenomena and comorbidity with anxiety disorders in general: separation anxiety disorder, social phobia, specific phobia, generalized anxiety disorder, post-traumatic stress disorder, attention-deficit hyperactivity disorder, impulse control disorders in general, and skin picking. Also, the "aggressive," "sexual/religious," and "hoarding" symptom dimensions were more severe in the OCD + TD group.ConclusionTic-related OCD may constitute a particular subgroup of the disorder with specific phenotypical characteristics, but its neurobiological underpinnings remain to be fully disentangled.     

Effects of mercury chloride (HgCl2) on Betta splendens aggressive display

Mercury chloride (HgCl2) is a toxic mercury salt and a major pollutant, that can be found in soil, water and air, with influences on behavior, physiology and adaptation to the environment. In this study two experiments were designed to examine interactions and effects of HgCl2 on some behavioral patterns of Siamese fighting fish (Betta splendens). In the first experiment we tested the effect of a progressive dose (five 0.04 mg) on aggressive display with exposure to a mirror, whereas in the second experiment we tested the effect of an acute dose (0.2 mg) on the aggressive display with exposure to a mirror. The experiments were performed on 5 consecutive sessions at intervals of 18 hours between sessions. Differences of performance were shown by subjects in the acute and progressive treatments when compared with a control treatment in the majority of behaviors evaluated, namely Floating, Slow Swimming, Wavy Swimming, Emerging, Bend, Square Move and Motor Display Components. Acute treatment was different from control only on Show Body, while the progressive group differed on Resting, Horizontal Display and Appropriate Display Components. Differences between Correlate Display Components and Total were also shown. Both the acute and progressive contamination with HgCl2 decrease the motor activity in the aggressive display, mirror-image test of Betta splendens, mainly on the progressive dose. This implies an impairment on feeding behavior, predator avoidance, reproductive behavior, mate choice and territoriality. These results suggest that in this fish species, the progressive dose has a greater effect on behavior in general and that both the acute and progressive contamination with mercury chloride affect many other aspects of behavior.     

Long-term musical training may improve different forms of visual attention ability

Many studies have suggested that structural and functional cerebral neuroplastic processes result from long-term musical training, which in turn may produce cognitive differences between musicians and non-musicians. We aimed to investigate whether intensive, long-term musical practice is associated with improvements in three different forms of visual attention ability: selective, divided and sustained attention. Musicians from symphony orchestras (n = 38) and non-musicians (n = 38), who were comparable in age, gender and education, were submitted to three neuropsychological tests, measuring reaction time and accuracy. Musicians showed better performance relative to non-musicians on four variables of the three visual attention tests, and such an advantage could not solely be explained by better sensorimotor integration. Moreover, in the group of musicians, significant correlations were observed between the age at the commencement of musical studies and reaction time in all visual attention tests. The results suggest that musicians present augmented ability in different forms of visual attention, thus illustrating the possible cognitive benefits of long-term musical training.     

Combat exposure,psychological symptoms,and marital satisfaction in National Guard soldiers who served in Operation Iraqi Freedom from 2005 to 2006

Abstract

In current military operations in Iraq and Afghanistan, US National Guard (NG) troops are serving longer deployments than ever before. Little is known, however, about how such deployments affect this population of individuals, relative to active component (AC) troops. This study investigated the extent of combat exposure, severity of post-deployment psychological symptoms, and general interpersonal functioning, as well as the interrelationships of these variables, in 50 NG soldiers who served a 12-month deployment in Iraq from 2005 to 2006. The results indicate that combat exposure and post-deployment post-traumatic stress symptoms in this sample are greater than those in NG veterans of past military operations, and similar to those of full-time soldiers in current operations. Furthermore, the patterns of interrelationships between combat exposure, psychological symptoms, and interpersonal variables were similar to those detected in prior research on AC troops. These results suggest that NG veterans of current military operations may require similar services as active duty veterans. Given that NG troops are less integrated into the military structure, specific outreach efforts may be needed to help NG veterans to receive such services.     

Obstacle Crossing Differences Between Blind and Blindfolded Subjects After Haptic Exploration

Little is known about the ability of blind people to cross obstacles after they have explored haptically their size and position. Long-term absence of vision may affect spatial cognition in the blind while their extensive experience with the use of haptic information for guidance may lead to compensation strategies. Seven blind and 7 sighted participants (with vision available and blindfolded) walked along a flat pathway and crossed an obstacle after a haptic exploration. Blind and blindfolded subjects used different strategies to cross the obstacle. After the first 20 trials the blindfolded subjects reduced the distance between the foot and the obstacle at the toe-off instant, while the blind behaved as the subjects with full vision. Blind and blindfolded participants showed larger foot clearance than participants with vision. At foot landing the hip was more behind the foot in the blindfolded condition, while there were no differences between the blind and the vision conditions. For several parameters of the obstacle crossing task, blind people were more similar to subjects with full vision indicating that the blind subjects were able to compensate for the lack of vision.     

Effects of posttraining treatments in the posterior cingulate cortex on short- and long-term memory for inhibitory avoidance in rats

Adult male Wistar rats were bilaterally implanted with indwelling cannulae in the caudal region of the posterior cingulate cortex. After recovery, animals were trained in a step-down inhibitory avoidance task (3.0-s, 0.4-mA foot shock) and received, right after training, a 0.5-microl infusion of vehicle (phosphate-buffered saline, pH 7.4), of the GABA(A) receptor agonist muscimol (0.1 or 0.5 microg), of the cAMP-dependent protein kinase (PKA) stimulant Sp-cAMPS (0.1 or 0.5 microg), or of the PKA inhibitor Rp-cAMPS (0.1 or 0.5 microg). Animals were tested twice, 1.5 h and, again, 24 h after training, in order to examine the effects of these agents on short- and long-term memory, respectively. Muscimol (0.5 but not 0.1 microg) hindered retention for both short- and long-term memory (p <.05). Rp-cAMPS (0.1 or 0.5 microg) hindered retention for short-term memory (p <.05). In addition, these animals showed lower, but not significantly lower, latencies than controls in the test session for long-term memory (p >.10). A trend toward an amnesic effect on long-term memory was also observed after Sp-cAMPS infusion at 0.1 microg (p <.10). These results show that strong stimulation of GABAergic synapses in the caudal region of the rat posterior cingulate cortex right after training impairs short- and long-term memory (the latter less dramatically). The same occurs by inhibiting PKA activity with regard to STM and possibly to LTM.