Contribution of cognitive factors to the prediction of post-traumatic stress disorder, phobia and depression after motor vehicle accidents

Past research into the psychological consequences of traumatic events has largely focused on post-traumatic stress disorder (PTSD), although other anxiety disorders and depression are also common in the aftermath of trauma. Little is known about differential predictors of these conditions. The present study investigated the extent to which theoretically derived cognitive variables predict PTSD, phobias and depression after motor vehicle accidents. The cognitive predictors were compared to a set of established, mainly non-cognitive predictors. In addition, we tested how disorder-specific the cognitive predictors are. Participants (n=101) were interviewed within a year after having been injured in a motor vehicle accident. Diagnoses of PTSD, travel phobias and depression, symptom severities and predictor variables were assessed with self-report questionnaires and structured interviews. In multiple regression analyses, the sets of cognitive variables derived from disorder-specific models explained significantly greater proportions of the variance of the symptom severities than the established predictors (PTSD 76% vs. 45%, depression 72% vs. 46% and phobia 66% vs. 40%), and than cognitive variables derived from the models of the other disorders. In addition, the majority of individual cognitive variables showed the expected pattern of differences between diagnostic groups. The results support the hypothesis that disorder-specific sets of cognitive factors contribute to the development and maintenance of PTSD, phobias and depression following traumatic events.     

Sex differences in cognition among illiterate Bangladeshis: a comparison with literate Bangladeshis and Swedes

We investigated the presence and magnitude of sex differences in late adulthood, assessing 426 illiterate Bangladeshis, 239 literate Bangladeshis, and 598 Swedes. The cognitive domains examined included calculation, episodic memory, spatial visualization, and global cognitive ability. In general, men performed at a higher level than women on tasks assessing calculation and spatial visualization, whereas women performed at a higher level than men on the episodic memory task. Notably, the pattern of cognitive sex differences was similar irrespective of nationality and literacy, although the magnitude of the male advantage was inversely related to level of education. Finally, the low performance of the illiterate women demonstrated the penalizing effect restrictions in public exposure might have on cognitive performance.     

Errors in subtractions: judged and observed frequencies

In a first study 10 adults, aged 24-44 years, solved all 105 subtraction problems in the form M - N = , where 0 < or = M < or = 13, 0 < or = N < or = 13 and N < or = M. Each participant solved every problem 10 times and in total there were 10 500 answers. Answers, response latencies and errors were registered. Retrospective verbal reports were also given, indicating how a solution was reached: (1) via a (conscious) reconstructive cognitive process or (2) via an (unconscious) reproductive (retrieval) process. The participants made 291 errors (2.8%) when solving the subtractions in study 1. The rate of self-correction was very high, 92%. In a second study 27 undergraduate students estimated overall error rates, including self-corrected errors for the 105 subtraction problems used in the first study. Judged and actual error rates were compared. The participants systematically underestimated error rates for error prone problems and overestimated error rates for error free problems. The participants were fairly accurate when they predicted problems that were most error prone, with a hit rate of 0.67 for the (18) problems predicted as the most error prone ones. In contrast, predictions of which problems were error free were very poor with a hit rate of only 0.20 of the problems predicted as error free really having no errors in study 1. The correlation between judged error rates and frequencies for actually made errors was 0.69 for answers belonging to reconstructive solutions. In contrast, there was no significant correlation between judged and actual error rates at all for retrieved solutions, possibly reflecting the inaccessibility to consciousness of quick retrieval processes.     

Neurocognitive Effects of Methamphetamine: A Critical Review and Meta-analysis

This review provides a critical analysis of the central nervous system effects of acute and chronic methamphetamine (MA) use, which is linked to numerous adverse psychosocial, neuropsychiatric, and medical problems. A meta-analysis of the neuropsychological effects of MA abuse/dependence revealed broadly medium effect sizes, showing deficits in episodic memory, executive functions, information processing speed, motor skills, language, and visuoconstructional abilities. The neuropsychological deficits associated with MA abuse/dependence are interpreted with regard to their possible neural mechanisms, most notably MA-associated frontostriatal neurotoxicity. In addition, potential explanatory factors are considered, including demographics (e.g., gender), MA use characteristics (e.g., duration of abstinence), and the influence of common psychiatric (e.g., other substance-related disorders) and neuromedical (e.g., HIV infection) comorbidities. Finally, these findings are discussed with respect to their potential contribution to the clinical management of persons with MA abuse/dependence.     

A perceptual account of definitions

The traditional definition per genus et differentiam is argued to be cognitively grounded in perception and in order to avoid needless argument, definitions are stipulated to assert boundaries. An analysis of the notion of perspective shows that a boundary is a composite of two distinctions: similarity that includes and difference that excludes. The concept is applied to the type-token distinction and percepts are shown to be the result of a comparison between a token as representing some phenomenon and a type as representing the kind of object the phenomenon might be. The Principle of Connection is proposed as the mental architecture that gives rise to percepts. The value of a percept is shown to be one of Identical, Similar, Different or Contrary and its perceptual aspects represent the cognitive schema of Essence, Quality, Quantity and Relation. The two notions of similarity and difference are claimed to constitute the necessary and sufficient conditions for definitions. Accordingly, the qualitative elements of a definition signify the genus as representing the similarity of the defined entity in terms of others of its kind and the quantitative elements signify the differentia as representing the difference it has from everything else. Paying proper attention to both qualitative and quantitative aspects will enable formulation of definitions that are ‘good’. This paper is based on my master’s thesis at Monash University (2003). I thank Keith Allan for commenting on an earlier draft—any remaining infelicities are mine only.     

Confidence in memory and other cognitive processes in obsessive-compulsive disorder

Previous studies have implicated beliefs about one's memory (i.e., meta-memory), in maintaining the symptoms of obsessive–compulsive disorder (OCD), particularly with respect to checking rituals. However, most research has focused on task- or situation-specific perceptions about memory performance. Expanding on this research, we undertook two studies with analogue and clinical cohorts to examine the relationship between general ‘trait’ beliefs about memory and related processes and OCD symptoms. Trait meta-memory as measured in the current study was conceptualised as a multi-dimensional construct encompassing a range of beliefs about memory and related processes including confidence in one's general memory abilities, decision-making abilities, concentration and attention, as well as perfectionistic standards regarding one's memory. Meta-memory factors were associated with OCD symptoms, predicting OCD symptoms over-and-above mood and other OCD-relevant cognitions. Meta-memory factors were found to be particularly relevant to checking symptoms. Implications for theory and research are discussed.     

Obsessive-compulsive disorder with comorbid major depression: what is the role of cognitive factors?

Individuals with obsessive-compulsive disorder (OCD) commonly experience comorbid mood disturbances such as major depressive disorder (MDD). Previous studies that have compared OCD patients with and without MDD have revealed differences in demographic characteristics, clinical severity, and symptom presentation between these two patient groups. Previous studies have not, however, examined whether there are differences with respect to cognitive processes. The present study therefore aimed to address this gap in the literature. Eighty patients with OCD and no unipolar mood disorders were compared with 34 OCD patients with comorbid major depression on measures of OCD symptoms, cognitions, and insight, as well as on measures of depression and functional impairment. Whereas depressed OCD patients evidenced higher scores than non-depressed OCD patients on semi-idiographic measures of OCD symptoms and cognitions, this was not the case for nomothetic measures. Functional impairment and the tendency to misinterpret innocuous intrusive thoughts as significant emerged as unique predictors of depression within the entire sample of OCD patients. Results are discussed in terms of (a) the importance of semi-idiographic assessment of OCD, (b) possible explanations for the relationship between OCD symptoms, depression, and cognitive processes, and (c) the psychological treatment of comorbid OCD and MDD.     

Improving postswitch performance in the dimensional change card-sorting task: the importance of the switch and of pretraining by redescribing the test cards

The dimensional change card-sorting task (DCCS) is used to assess the executive abilities of young children. Typically, 3-year-olds have difficulty in performing this task. However, the exact nature of this difficulty is still being debated. In the standard DCCS, children need to sort, for example, test cards with a blue flower or a red car into two boxes marked with the target cards. The 3-year-olds commonly have pronounced difficulty in switching from one sorting criterion (e.g., color) to another (e.g., shape). Here two experiments with 3-year-olds showed that making the transition between the sorting criteria more distinct improved performance significantly. This was achieved by taking away the target cards for a brief time period, asking a question irrelevant to the task, and pretraining the children by redescribing the test cards.     

Gassing, braking, and self-regulating: Error self-regulation, well-being, and goal-related processes

Social cognitive models point to a widespread appreciation for the role that self-regulation functions play in mediating social outcomes. The present five studies, involving 527 undergraduate participants, sought to build on such models in the context of individual differences in error self-regulation. In this respect, the studies used a robust cognitive model, namely one that proposes that people seek to interrupt processing routines after making an error in choice reaction time tasks. Studies 1-3 showed that greater tendencies toward error self-regulation predicted higher levels of well-being. Studies 4-5 extended such results by showing that greater tendencies toward error self-regulation predicted superior abilities to recognize motive-relevant stimuli (Study 4) and override a prior task set in favor of a new task set (Study 5). Overall, the findings both point to the functionality of individual differences in error self-regulation and help to elucidate the processing basis of such relations.     

Evaluating information processing in Autism Spectrum Disorder: The case for Fuzzy Trace Theory

Literature on the developmental trajectory of cognition in Autism Spectrum Disorders (ASD) presents several inconsistent findings. In this review, we focus on information processing, and specifically, the use of gist and verbatim representations to guide memory, reasoning, and concept formation. The added perspective of Fuzzy Trace Theory may help to resolve mixed results regarding the frequency, nature, and effectiveness of gist processing in ASD by providing established process models and tasks suitable for use in individuals at all levels of functioning. In order to demonstrate the utility of FTT to the field of ASD research, we present evidence from three complementary theories–Weak Central Coherence (WCC), Executive Function (EF), and Theory of Mind (ToM)–which have dominated the landscape to date. We discuss the potential utility of FTT tasks and process models, proposing testable hypotheses that address ambiguous or conflicting results in the current literature. Applying a theory of typical development to the study of ASD may add value to past and future research.