Pain and Pain-Related Impairment in Adults with Cystic Fibrosis

The Multidimensional Pain Inventory (MPI) was utilized in a sample of adult outpatients with cystic fibrosis (CF) to assess their perception of pain and its psychosocial consequences. Subsequently, the data were compared to the ratings of pain and pain-related impairment in these patients as perceived by two nurses from the CF treatment team, as well as to a quantitative measure of illness severity. The results of these comparisons demonstrate that the majority of adult outpatients with CF reported experiencing lower levels of pain and pain-related impairment than expected, although the male patients tend to report experiencing significantly less impact in these domains than do the female patients. Additionally, the nurses do not underestimate the degree to which patients, especially males, experience pain and pain-related interference from chronic illness. Finally, there was no significant relationship between patients' self-report of pain severity or pain-related interference and an objective measure of disease severity.     

Effects of facial expression on working memory

In long‐term memory (LTM) emotional content may both enhance and impair memory, however, disagreement remains whether emotional content exerts different effects on the ability to maintain and manipulate information over short intervals. Using a working‐memory (WM) recognition task requiring the monitoring of faces displaying facial expressions of emotion, participants judged each face as identical (target) or not (non‐target) to that presented 2 trials back (2‐back). Negative expression was better and faster recognised, illustrated by higher target discriminability and target detection. Positive and negative expressions also induced a more liberal detection bias compared with neutral. Taking the preceding item into account, additional accuracy impairment (negative preceding negative target) and enhancement effects (negative or positive preceding neutral target) appeared. This illustrates a differential modulation of WM based on the affective tone of the target (mirroring LTM enhancement‐ and recognition bias effects), and of the preceding item (enhanced and impaired target detection).     

Listening comprehension and working memory are impaired in attention-deficit hyperactivity disorder irrespective of language impairment

This study investigated listening comprehension and working memory abilities in children with attention-deficit hyperactivity disorder (ADHD), presenting with and without language impairments (LI). A 4-group design classified a community sample (n = 77) of boys aged 9–12 into ADHD, ADHD + LI, LI, and Normal groups. Children completed tests of basic language and cognitive skills, verbal and spatial working memory, and passage-level listening comprehension. Multivariate analyses and post hoc comparisons indicated that ADHD children who did not have co-occurring LI comprehended factual information from spoken passages as well as normal children, but were poorer at comprehending inferences and monitoring comprehension of instructions. ADHD children did not differ from normal children in verbal span, but showed significantly poorer verbal working memory, spatial span, and spatial working memory. The ADHD + LI and LI groups were most impaired in listening comprehension and working memory performance, but did not differ from each other. Listening comprehension skills were significantly correlated with both verbal and spatial working memory, and parent–teacher ratings of inattention and hyperactivity/impulsivity. Findings that children with ADHD but no LI showed subtle higher-level listening comprehension deficits have implications for both current diagnostic practices and conceptualizations of ADHD.     

Prevalence,Prediction, and Prevention of Psychologist Misconduct

Studies of psychologist misconduct generally focus on unethical sexual behaviours. In contrast, the following study reports on all complaints by the public against psychologists reported to the New South Wales Psychologists Registration Board over a 4‐year period. There were 248 independent notifications of misconduct about 224 registered psychologists, out of a total sample of 9,489 registered psychologists. The most frequent type of misconduct reported was in relation to poor communication standards (35.5%). Other complaints were in relation to professional incompetency (16.5%), poor report writing (14.1%), poor business practices (12.5%), boundary violations (9.7%), poor character (5.6%), registration status (3.2%), impairment (1.6%), and the inappropriate use of specialist titles (1.2%). Males were 2.5 times more likely to have a misconduct complaint made about them than females. Senior highly qualified psychologists attracted a greater number of complaints, but these were generally of a less serious nature. Over a 30‐year career, about 20 out of every 100 psychologists can expect to receive a complaint from the public, and two will receive a serious misconduct complaint that might lead to deregistration. Strategies for preventing malpractice arising from these results include regular peer consultation, developing quality practise standards, and maintaining professional boundaries.     

Lasting effects of alcohol: Subliminal alcohol cues,impairment expectancies,and math performance

Many people believe that drinking alcohol reduces cognitive performance, and prior research has shown such expectancy‐related impairment even when people merely thought that the (non‐alcoholic) drink they consumed contained alcohol. This study tested whether subliminal priming with alcohol‐related cues would similarly result in expectancy‐consistent cognitive performance decrements. Additionally, the moderating role of alcohol use was examined. After assessing participants' baseline math performance, participants were primed with alcohol‐related or neutral words and then completed a post‐treatment math task. Whereas impairment expectancies had no influence on math performance in control participants, expectancies predicted math performance for participants primed with alcohol‐related words. As hypothesized, expectancy‐consistent impairment in performance was only observed among high alcohol users. The current findings suggest that, in the presence of alcohol‐related cues in the environment, some people may perform less on cognitive tasks even in the absence of actual or assumed alcohol consumption and without being aware of it. Copyright © 2011 John Wiley & Sons, Ltd.     

Cognitive impairment and whole brain diffusion in patients with neuromyelitis optica after acute relapse

The objective of this study investigated cognitive impairments and their correlations with fractional anisotropy (FA) and mean diffusivity (MD) in patients with neuromyelitis optica (NMO) without visible lesions on conventional brain MRI during acute relapse. Twenty one patients with NMO and 21 normal control subjects received several cognitive tests to assess cognitive function. Head diffusion tensor imaging (DTI) of all patients with NMO were collected with a 3-T MR system. Correlations of cognitive test scores and whole brain FA and MD were examined by voxel-based analysis. Region-of-interest analysis was applied to the significantly correlated regions which the most frequently appeared. We found that NMO patients without visible brain lesions had significantly impaired learning and memory, decreased information processing speed, and damaged attention compared with normal control subjects. These impaired cognitive domains were significantly correlated with FA and MD in local regions of corpus callosum, anterior cingulate and medial frontal cortex. In corpus callosum of NMO patients, mean FA was significantly lower and mean MD higher than normal control subjects. Our findings suggest that cognitive impairments in learning and memory, information processing speed and attention occur in NMO patients without visible brain lesions during acute relapse. The impairments in immediate and short-term memory in NMO patients may be due to information encoding deficits in the process of information acquisition. The corpus callosum of such patients may have local microscopic damages that play a role in cognitive impairments during acute relapse.     

Évaluation de l’orthographe des élèves dysphasiques en situation de narration communicative : variations selon le type d’orthographe,lexicale versus morphologique

IntroductionThe overall goal of the study was to draw, in French language, a complete picture of spelling abilities in young students with SLI, enrolling in ordinary classes.ObjectiveThe main aim was to show how the developmental trajectories of lexical spelling and the morphological spelling are different when a large age span is observed (7 to 18 years old).MethodsThe spelling abilities were evaluated through a narrative communicative. Two groups of students with SLI (7–11 years and 12–18 years) were compared with two groups of typical students matched on chronological age.ResultsThe lexical spelling was acquired before the morphological spelling for SLI and typical participants. At 12–18 of age, the SLI participants did not produce more lexical errors than the typical group. For the lexical spelling, at 7–11 years, the SLI participants had a specific difficulty with the segmentation of the words: they produced words that do not exist in the language and which by definition have no morphological markers.ConclusionThe SLI participants need more time to learn than the typical participants. At 7–11 years, before learning of morphology, they must be able to control segmentation the segmentation of words. The low number of morphological errors in the school SLI group of 7–11 years is not necessarily a sign of difficulty. The increase in the number of errors at 12–18 years is the sign that this problem has been exceeded and that the learning of the written morphological markers can really begin.     

Response to Algarabel et al., 2012 “Recognition memory deficits in mild cognitive impairment”. Reconsidering claims of familiarity disruptions in mild cognitive impairment

There is some debate over the relative impairment of recollection and familiarity in mild cognitive impairment (MCI). A recent publication by Algarabel et al. (2012, Recognition memory deficits in mild cognitive impairment, Aging, Neuropsychology, and Cognition, 19, 608–619) claims to undermine previous studies reporting preserved familiarity in patients with MCI. Here, we respond to their main criticisms, concluding that they are not sufficiently supported by the data presented. The role of recollection and familiarity in MCI remains unresolved and further work will be required to disentangle the mixed literature.     

The impact of aging and hearing status on verbal short-term memory

The aim of this study is to assess the impact of hearing status on age-related decrease in verbal short-term memory (STM) performance. This was done by administering a battery of verbal STM tasks to elderly and young adult participants matched for hearing thresholds, as well as to young normal-hearing control participants. The matching procedure allowed us to assess the importance of hearing loss as an explanatory factor of age-related STM decline. We observed that elderly participants and hearing-matched young participants showed equal levels of performance in all verbal STM tasks, and performed overall lower than the normal-hearing young control participants. This study provides evidence for recent theoretical accounts considering reduced hearing level as an important explanatory factor of poor auditory-verbal STM performance in older adults.     

Characterization of visual scanning while driving for the identification of drivers’ profiles

Assessing the driving skills of people with cognitive or visual impairments is often complex. The analysis of visual exploration strategies can be a good solution to identify the implementation or not of good strategies of information search in the visual scene (adaptation and compensation). In this study, we compared the visual exploration behaviours of 26 healthy, 19 glaucoma and 21 elderly participants. For this purpose, we used a driving simulator for which a visual field measurement test had been adapted to obtain measurements in static and dynamic conditions. The dynamics of the gaze was also measured. Our results showed that each of the three groups of participants had specific characteristics of visual exploration. Using a classification algorithm, we were able to show that it was possible to identify the group which a participant belonged to on the basis of the visual exploration’s characteristics. This finding opens the door to many applications in the context of driving assistance and training.