GOOD or BAD responder? Behavioural and neuroanatomical markers of clinical response to donepezil in dementia

We explored the neuropsychological and neuromorphometrical differences between probable Alzheimer's disease patients showing a good or a bad response to nine months treatment with donepezil. Before treatment, the neuropsychological profile of the two patient groups was perfectly matched. By the ninth month after treatment, the BAD-responders showed a decline of the MMSE score together with a progressive impairment of executive functions. A voxel-based morphometry investigation (VBM), at the time of the second neuropsychological assessment, showed that the BAD-responders had larger grey and white matter atrophies involving the substantia innominata of Meynert bilaterally, the ventral part of caudate nuclei and the left uncinate fasciculus, brain areas belonging to the cholinergic pathways. A more widespread degeneration of the central cholinergic pathways may explain the lack of donepezil efficacy in those patients not responding to a treatment that operates on the grounds that some degree of endogeneous release of acetylcholine is still available.     

Vection can be induced without global-motion awareness

A new vection illusion is reported. Vection was induced even though there was no consciously perceived global display motion corresponding to the self-motion. The resulting experience can be summarised as: "I feel that I am moving but I do not know why".     

Psychological Adjustment,Social Responsiveness and Parental Distress in an Italian Sample of Siblings of Children with High-Functioning Autism Spectrum Disorder

The psychosocial adjustment of siblings of children with autism spectrum disorder (ASD) is a relatively recent field of study, but results in literature are often inconsistent, and studies specifically focused on samples of siblings of children with high-functioning ASD are very few. This paper analyzes the level of social impairment (index of broader autism phenotype), the risk of internalizing and externalizing problems (index of psychological adjustment) and the parenting distress in an Italian sample of siblings of children with high-functioning ASD (n = 26). The presence of risk factors (birth order, sex and number of siblings in the family) and the role of the siblings’ age are also explored. The data were collected through self-report instruments administered to parents. The results do not show higher average risk levels for psychosocial adjustment problems, even though a minority of the cases is at risk for social impairments (7.7 %), internalizing (23.1 %), externalizing (3.8 %) and total difficulties (11.5 %) and for distress in the parent–child system (15 %). Distress in the parent-sibling system seems to be modulated by the sibling’s features and to be higher when the sibling is older than the child with ASD. Additionally, a link between difficulties in psychological adjustment and broader autism phenotype is suggested.     

Effects of gaze on vection from jittering, oscillating, and purely radial optic flow

In this study, we examined the effects of different gaze types (stationary fixation, directed looking, or gaze shifting) and gaze eccentricities (central or peripheral) on the vection induced by jittering, oscillating, and purely radial optic flow. Contrary to proposals of eccentricity independence for vection (e.g., Post, 1988), we found that peripheral directed looking improved vection and peripheral stationary fixation impaired vection induced by purely radial flow (relative to central gaze). Adding simulated horizontal or vertical viewpoint oscillation to radial flow always improved vection, irrespective of whether instructions were to fixate, or look at, the center or periphery of the self-motion display. However, adding simulated high-frequency horizontal or vertical viewpoint jitter was found to increase vection only when central gaze was maintained. In a second experiment, we showed that alternating gaze between the center and periphery of the display also improved vection (relative to stable central gaze), with greater benefits observed for purely radial flow than for horizontally or vertically oscillating radial flow. These results suggest that retinal slip plays an important role in determining the time course and strength of vection. We conclude that how and where one looks in a self-motion display can significantly alter vection by changing the degree of retinal slip.     

Sensori-motor integration during stance: Time adaptation of control mechanisms on adding or removing vision

Sudden addition or removal of visual information can be particularly critical to balance control. The promptness of adaptation of stance control mechanisms is quantified by the latency at which body oscillation and postural muscle activity vary after a shift in visual condition. In the present study, volunteers stood on a force platform with feet parallel or in tandem. Shifts in visual condition were produced by electronic spectacles. Ground reaction force (center of foot pressure, CoP) and EMG of leg postural muscles were acquired, and latency of CoP and EMG changes estimated by t-tests on the averaged traces. Time-to-reach steady-state was estimated by means of an exponential model. On allowing or occluding vision, decrements and increments in CoP position and oscillation occurred within about 2 s. These were preceded by changes in muscle activity, regardless of visual-shift direction, foot position or front or rear leg in tandem. These time intervals were longer than simple reaction-time responses. The time course of recovery to steady-state was about 3 s, shorter for oscillation than position. The capacity of modifying balance control at very short intervals both during quiet standing and under more critical balance conditions speaks in favor of a necessary coupling between vision, postural reference, and postural muscle activity, and of the swiftness of this sensory reweighing process.     

Adaptation to continuous perturbation of balance: progressive reduction of postural muscle activity with invariant or increasing oscillations of the center of mass depending on perturbation frequency and vision conditions

We investigated the adaptation of balancing behavior during a continuous, predictable perturbation of stance consisting of 3-min backward and forward horizontal sinusoidal oscillations of the support base. Two visual conditions (eyes-open, EO; eyes-closed, EC) and two oscillation frequencies (LF, 0.2 Hz; HF, 0.6 Hz) were used. Center of Mass (CoM) and Center of Pressure (CoP) oscillations and EMG of Soleus (Sol) and Tibialis Anterior (TA) were recorded. The time course of each variable was estimated through an exponential model. An adaptation index allowed comparison of the degree of adaptation of different variables. Muscle activity pattern was initially prominent under the more challenging conditions (HF, EC and EO; LF, EC) and diminished progressively to reach a steady state. At HF, the behavior of CoM and CoP was almost invariant. The time-constant of EMG adaptation was shorter for TA than for Sol. With EC, the adaptation index showed a larger decay in the TA than Sol activity at the end of the balancing trial, pointing to a different role of the two muscles in the adaptation process. At LF, CoM and CoP oscillations increased during the balancing trial to match the platform translations. This occurred regardless of the different EMG patterns under EO and EC. Contrary to CoM and CoP, the adaptation of the muscle activities had a similar time-course at both HF and LF, in spite of the two frequencies implying a different number of oscillation cycles. During adaptation, under critical balancing conditions (HF), postural muscle activity is tuned to that sufficient for keeping CoM within narrow limits. On the contrary, at LF, when vision permits, a similar decreasing pattern of muscle activity parallels a progressive increase in CoM oscillation amplitude, and the adaptive balancing behavior shifts from the initially reactive behavior to one of passive riding the platform. Adaptive balance control would rely on on-line computation of risk of falling and sensory inflow, while minimizing balance challenge and muscle effort. The results from this study contribute to the understanding of plasticity of the balance control mechanisms under posture-challenging conditions.     

Face viewpoint effects about three axes: the role of configural and featural processing

We directly compared recognition for faces following 0 degrees-75 degrees viewpoint rotation about the yaw, pitch, and roll axes. The aim was to determine the extent to which configural and featural information supported face recognition following rotations about each of these axes. Experiment 1 showed that performance on a sequential-matching task was viewpoint-dependent for all three types of rotation. The best face-recognition accuracy and shortest reaction time was found for roll rotations, then for yaw rotations, and finally the worst accuracy and slowest reaction time was found for pitch rotations. Directional differences in recognition were found for pitch rotations, but not for roll or yaw. Experiment 2 provided evidence that, in all three cases, viewpoint-dependent declines in recognition were primarily driven by the loss of configural information. However, it also appeared that significant featural information was lost following yaw and pitch (but not roll) rotations. Together, these findings show that unfamiliar-face recognition is viewpoint-dependent following rotation about each axis (and in each direction), and that performance is based on the availability of configural and, to a lesser extent, featural information.     

A method for the definition of a self-awareness behavior dimension with clinical subjects: A latent trait analysis

The main scope of the present study was to devise a method in order to define a dimension characteristic of self-awareness behaviors with clinical subjects. To do so, I adopted a latent trait methodological approach. I studied the way patients expressed their treatment requests through their behaviors, both during their admission to a medical center in Northern Italy and after a period of treatment that involved an integrated (psychoanalytical and pharmacological) approach. The subjects were 48 females suffering from affective disorders, often combined with personality disorders. Five self-awareness indicators were identified, based both on interviews conducted with the patients and on the literature on the subject. The data gathered were analyzed by means of the many-facet Rasch model (Linacre, 1989). The results confirmed the existence of a self-awareness dimension characterized by the five indicators. Moreover, there was evidence that an improvement in self-awareness occurred during the pretreatment to posttreatment time period for both the affective disorders with personality problems patients and the affective disorders without personality problems patients. The estimation of bias/interactions showed the existence of specific behavioral differences between the two groups of patients. This study demonstrates the appropriateness of the methodological tool adopted, opening new expectations with regard to the integration of two approaches—psychoanalytical and pharmacological ones—in the treatment of psychiatric subjects.