Neuropsychological and neurophysiological effects of strengthening exercise for early dementia: A pilot study

ABSTRACT

Research demonstrates a positive effect of aerobic exercise on cognitive functioning in older adults. Unfortunately, aerobic exercise is often contraindicated for older adults due to cardiovascular and functional limitations. Low-intensity strengthening exercise may offer a practical alternative, but the neuropsychological benefits and potential neurophysiological mechanisms are less well understood. The current study evaluated the effects of a 10-week strengthening exercise intervention on cognitive functioning and EEG in a sample of 13 older adults with early dementia, and 9 normative controls. Results revealed beneficial effects of strengthening exercise on verbal memory coupled with frontal beta and delta power asymmetries and N200 amplitude asymmetry. Results point to increased cognitive efficiency following 10 weeks of strengthening exercise. The findings suggest it is feasible to conduct a strengthening intervention with early dementia patients, and to gather neuropsychological and neurophysiological data to evaluate outcomes. Strengthening exercise may serve as a useful alternative to aerobic exercise.     

Cross-fertilization versus transmission: Recommendations for developing a bidirectional approach to psychotherapy dissemination research

Psychotherapy researchers are increasingly engaged in collaborations with clinical practitioners and mental health administrators. Each party brings its own perspectives, values, and agendas to bear in these encounters. Viable research—practice collaborations depend on understanding and negotiating some of the tensions in these relationships. In this article, we discuss the contexts that prevail for various participants in a psychotherapy dissemination study as well as the values, goals, costs, and benefits related to research participation. This article is a collaboration among the researchers, mental health administrators, therapists, and clients involved in an ongoing treatment dissemination study. Our recommendations for research—practice collaborations are based on our experiences and dialogues over the course of this study.     

Predictors of Satisfaction Among College-Educated African American Women in Midlife

There has been little theorizing or empirical research on satisfaction among African American women at midlife. This study addresses this gap by examining predictors of satisfaction in 3 cohorts (N = 202) of midlife college-educated African American women. Specifically, 3 domains of satisfaction were examined: overall life satisfaction, personal satisfaction, and work satisfaction. Results revealed that the women were highly satisfied with their work situation, their personal life, and generally with how their life had turned out so far. Overall life satisfaction was predicted by the women's perceptions of personal control, role quality, household burden, and their cohort status. Work satisfaction was best predicted by the women's sense of personal control and role quality. Lastly, household burden and physical well-being emerged as significant predictors of personal satisfaction. Implications of the findings and recommendations for future research are offered.     

Rescuers and the Rescued

ABSTRACT: There is a fairly widespread but unverified belief that persons working on certain taboo areas may be similar to the population they serve and drawn to such work by their own personal problems in these areas. Two groups, 51 suicide prevention volunteers and 31 suicide attempters, were compared with respect to demographic characteristics and for psychological attitudes and experiences pertaining to suicide, death, and mental status by means of a death questionnaire developed by Shneidman. Comparative analysis revealed substantial differences between volunteers and clients. Demographically, the volunteers were older, better educated, more affluent, and contained a greater proportion of Protestants. Psychologically, the volunteers were distinctly different in regard to suicide. In contrast to their clients, the volunteers reported greater emotional stability, much less fantasy about suicide, almost no actual suicide attempts, and a disinclination to consider suicide as a justifiable problem-solving option.     

A randomized trial of a representational intervention to decrease cancer pain (RIDcancerPain).

OBJECTIVE: Based on theories regarding cognitive representations of illness and processes of conceptual change, a representational intervention to decrease cancer pain (RIDcancerPain) was developed and its efficacy tested. DESIGN: A two-group RCT (RIDcancerPain versus control) with outcome and mediating variables assessed at baseline (T1) and 1 and 2 months later (T2 and T3). Subjects were 176 adults with pain related to metastatic cancer. MAIN OUTCOME MEASURES: Outcome variables were two pain severity measures (BPI and TPQM), pain interference with life, and overall quality of life. Mediating variables were attitudinal barriers to pain management and coping (medication use). RESULTS: One hundred and fifty subjects completed the study. Subjects in RIDcancerPain (T1-T2 and T1-T3) showed greater decreases in Barrier scores than those in control. Subjects in RIDcancerPain (T1-T3) showed greater decreases in pain severity than those in control. Change in Barriers scores mediated the effect of RIDcancerPain on pain severity. CONCLUSION: RIDcancerPain was efficacious with respect to some outcomes. Further work is needed to strengthen it.