An investigation into the impact of acute stress on encoding in older adults

Acute psychological stress commonly occurs in young and older adults’ lives. Though several studies have examined the influence of stress on how young adults learn new information, the present study is the first to directly examine these effects in older adults. Fifty older adults (M age = 71.9) were subjected to either stress induction or a control task before learning two types of information: a short video and a series of pictures. Twenty-four hours later, they were exposed to misleading information about the video and then completed memory tests for the video and pictures. Heart rate and cortisol measures suggest that a physiological stress response was successfully induced. Though pre-encoding stress had little impact on memory accuracy, stress did influence errors of omission on the cued recall test for the video. Findings are discussed in the context of previous research examining the effects of stress on memory in older adults.     

Pretreatment Correlates of the Therapeutic Alliance in the Chronically Depressed

We examined the relationship between patient characteristics and the working alliance in a multisite trial for chronic depression. Patients treated with the Cognitive Behavioral Analysis System of Psychotherapy (CBASP), alone (n = 169) or combined with nefazodone (n = 198), completed the Working Alliance Inventory during the 2nd week of treatment. Within the CBASP alone group, a history of drug abuse/dependence, lower peak social adjustment over the past five years, and lower current social adjustment predicted a significantly poorer alliance. Within the combination group, male gender and a distancing coping style predicted a significantly poorer alliance. Results should be interpreted with caution since they did not replicate across treatment groups, and the number of significant findings were not much greater than chance expectations.     

Intrauterine infection and prematurity

Intrauterine infection is a major cause of premature labor with and without intact membranes. Intrauterine infection is present in approximately 25% of all preterm births and the earlier the gestational age at delivery, the higher the frequency of intra-amniotic infection. Microorganisms may also gain access to the fetus before delivery. A fetal inflammatory response syndrome elicited in response to microbial products is associated with the impending onset of preterm labor and also with multi-systemic organ involvement in the human fetus and a higher rate of perinatal morbidity. The most common microorganisms involved in intrauterine infections are Ureaplasma urealyticum, Fusobacterium species and Mycoplasma hominis. The role of Chlamydia trachomatis and viruses in preterm labor remain to be determined. Use of molecular microbiology techniques to diagnose intrauterine infection may uncover the role of fastidious microorganisms that have not yet been discovered. Antibiotic administration to patients with asymptomatic bacteriuria is associated with a significant reduction in the rate of preterm birth. However, such benefit has not been demonstrated for patients with bacterial vaginosis, or women who carry Streptococcus agalactia, Ureaplasma urealyticum or Trichomonas vaginalis. Antibiotic administration to patients with preterm premature rupture of membranes is associated with prolongation of pregnancy and a reduction in the rate of clinical chorioamnionitis and neonatal sepsis. The benefit has not been demonstrated in patients with preterm labor and intact membranes. Major efforts are required to determine why some women develop an ascending intrauterine infection and others do not and also what interventions may reduce the deleterious effect of systemic fetal inflammation.     

MMPI-2 profiles of Colombian, Mexican, and Venezuelan university students

Performance of 82 Colombian, 87 Mexican, and 96 Venezuelan university students and adult community dwellers on Spanish translations of the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) were compared. Findings suggest more comprehensive research is required on applications of the MMPI-2 in Latin America and greater consideration of the roles of culture and nationality.     

Time delays prior to movement alter the drawing kinematics of elderly adults

Position sense has been found to decay as a function of the time delay the limb remains in a static position prior to movement onset. Position sense has also been found to deteriorate as a function of aging, with increased reliance on vision by the elderly. This study investigated whether the pointing kinematics of elderly adults were differentially affected by delay compared to young adults, and whether visual information could compensate for the effects of delay. Young and elderly adults kept the limb in a static position for 1, 6, or 10 s prior to movement onset, both with and without vision of the limb, initial position, and the movement trajectory. Across groups, delay resulted in increased overall movement duration, decreased peak velocity including a shorter relative time to peak velocity, with decreased distance and duration of the primary submovement. Delay and lack of vision differentially decreased distance of the primary submovement for elderly adults. Vision was able to compensate to some degree for the effects of delay across age groups. The findings provide evidence that decays in position sense as a function of time create difficulties in incorporating the initial limb position in motor planning process in elderly adults.