Short-term memory impairment in vestibular patients can arise independently of psychiatric impairment,fatigue, and sleeplessness

Vestibular dysfunction is associated with visual short-term memory impairment; however, it remains unclear if this impairment arises as a direct result of the vestibular dysfunction or is a consequence of comorbid changes in mood, affect, fatigue, and/or sleep. To this end, we assessed the concurrence and interdependence of these comorbidities in 101 individuals recruited from a tertiary balance clinic with a neuro-otological diagnosis. Over fifty per cent of the sample showed reduced visuospatial short-term memory, 60% and 37% exceeded cut-off on the Beck Anxiety and Depression Inventories, respectively, 70% exceeded cut-off on the Fatigue Severity Scale, 44% reported daytime sleepiness on the Epworth Sleepiness Scale, and 78% scored above cut-off on the Pittsburgh Sleep Quality Index. The high concurrence of these symptoms gives reason to infer the existence of a vestibular cognitive affective syndrome. Structural equation modelling indicated that the significant statistical association between general unassisted posture (a marker of chronic vestibular dysfunction and strong predictor of falls risk) and short-term memory was not mediated by mood and wakefulness. Instead, the memory impairment related more directly to vestibular dysfunction. From a rehabilitation perspective, the implication is that if the vestibular disorder is treated successfully then the memory problem will likewise improve.     

How do I see myself? A systematic review of identities in pro‐environmental behaviour research

Encouraging pro‐environmental behaviour (PEB) is an environmental and societal concern. Encouraging PEB focussing on how consumers see themselves (their identity) has blossomed. However, a theoretical assessment of this research is missing. Three main identity theories seem to best explain the research, specifically, and two‐fold, identity, and social identity theory (SIT), collectively known as the unified identity theory (UIT), and place identity theory (PIT). As these theories overlap more than differ in their understanding of identity, we argue that combining these theories is needed to avoid redundancies in identity theorizing, provide a universal approach to identity in terms of the processes and outcomes, and explain the PEB research most succinctly. Therefore, we understand identity similarly between the theories and offer a universal identity theory approach based on the theoretical definitions and assumptions. Finally, we demonstrate how the theory can be used to explain the research. Next, research was identified by conducting a systematic review using the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines, where 62 studies were relevant. Multiple identities relevant for a given PEB are assumed and evidenced: 99. Identities are assumed to be either individually‐, group‐, and/or place‐focused, drawing on the specific subsets of the universal theory: identity theory, social identity theory, and place identity theory, respectively. Identities are assumed to relate to behaviour, where identity increased PEB with medium effect sizes. Finally, to move the field forward, we provide a theoretical framework of how to test identities in relation to other psychological variables relevant for PEB research.     

Behavioral Risk Assessment of the Guarded Suicidal Patient

Psychiatrists and other mental health professionals are trained to assess patients by direct observation and examination. Short inpatient length of stay, brief outpatient visits, emergency room evaluations, and other time‐limited clinical settings require rapid assessment of suicide risk. Recognition of behavioral suicide risk factors can assist in the early identification of the guarded suicidal patient, thus avoiding total reliance on the patient's reporting.