IQ and Scores on the Mini-Mental State Examination (MMSE): Controlling for Effort and Education Among Geriatric Inpatients

ABSTRACT

The Mini-Mental State Examination (MMSE) and the Peabody Picture Vocabulary Test, Third Edition (PPVT-III) were administered to 76 Extended Care Center inpatients of a Veterans Affairs Medical Center, 56 of whom did not carry a diagnosis associated with brain impairment, and 20 of whom had a diagnosis associated with degenerative or cerebrovascular conditions. MMSE and PPVT-III scores, the latter of which estimates verbal IQ, were significantly correlated in both groups, even when controlling for the effects of education. This correlation was attenuated, but remained significant, in the face of varying levels of patient effort. The findings of this study support earlier findings, which also suggest that interpretation of “impaired” performance on the MMSE for those with IQ scores below 90 should be interpreted with caution. Average MMSE scores for Wechsler IQ classifications are provided.     

fMRI responses to Jung's Word Association Test: implications for theory,treatment and research

Jung's Word Association Test was performed under fMRI conditions by 12 normal subjects. Pooled complexed responses were contrasted against pooled neutral ones. The fMRI activation pattern of this generic ‘complexed response’ was very strong (corrected Z scores ranging from 4.90 to 5.69). The activation pattern in each hemisphere includes mirror neurone areas that track ‘otherness’ (perspectival empathy), anterior insula (both self‐awareness and emotional empathy), and cingulated gyrus (self‐awareness and conflict‐monitoring). These are the sites described by Siegel and colleagues as the ‘resonance circuitry’ in the brain which is central to mindfulness (awareness of self) and empathy (sense of the other), negotiations between self awareness and the ‘internal other’. But there is also an interhemispheric dialogue. Within 3 seconds, the left hemisphere over‐rides the right (at least in our normal subjects). Mindfulness and empathy are central to good psychotherapy, and complexes can be windows of opportunity if left‐brain hegemony is resisted. This study sets foundations for further research: (i) QEEG studies (with their finer temporal resolution) of complexed responses in normal subjects (ii) QEEG and fMRI studies of complexed responses in other conditions, like schizophrenia, PTSD, disorders of self organization.     

Hand Grip and Load Force Coordination of the Ipsilesional Hand of Chronic Stroke Individuals

Object manipulation depends on a refined control of grip force (GF) and load force (LF). After a brain injury, the GF control is altered in the paretic hand but what happens with the non-paretic hand is still unclear. In this study, we compared the GF control and GF–LF coordination of the non-paretic hand of 10 stroke individuals who suffered right brain damage (RBD) and 10 who suffered left brain damage (LBD), with 20 healthy individuals during lifting and oscillation task, using an instrumented object. GF was recorded with a force transducer, and LF was estimated from the object weight and acceleration. Overall, the ipsilesional hand of stroke individuals, independent of the lesion side, presented similar GF control and GF–LF coordination. However, LBD individuals took longer to start lifting the object, which may be due to the need of more time to obtain somatosensory information from the contact with the object. The findings indicate that stroke individuals preserve their ability to control and coordinate GF and LF when using their ipsilesional hand for object manipulation and the left hemisphere may play an essential role in the processing of somatosensory information needed for the GF control.     

Reliability and validity of the Leuven Perceptual Organization Screening Test (L‐POST)

Neuropsychological tests of visual perception mostly assess high‐level processes like object recognition. Object recognition, however, relies on distinct mid‐level processes of perceptual organization that are only implicitly tested in classical tests. Furthermore, the psychometric properties of the existing instruments are limited. To fill this gap, the Leuven perceptual organization screening test (L‐POST) was developed, in which a wide range of mid‐level phenomena are measured in 15 subtests. In this study, we evaluated reliability and validity of the L‐POST. Performance on the test is evaluated relative to a norm sample of more than 1,500 healthy control participants. Cronbach's alpha of the norm sample and test–retest correlations for 20 patients provide evidence for adequate reliability of L‐POST performance. The convergent and discriminant validity of the test was assessed in 40 brain‐damaged patients, whose performance on the L‐POST was compared with standard clinical tests of visual perception and other measures of cognitive function. The L‐POST showed high sensitivity to visual dysfunction and decreased performance was specific to visual problems. In conclusion, the L‐POST is a reliable and valid screening test for perceptual organization. It offers a useful online tool for researchers and clinicians to get a broader overview of the mid‐level processes that are preserved or disrupted in a given patient.     

Consciousness wanted,attention found: Reasons for the advantage of the left visual field in identifying T2 among rapidly presented series

Everyday experience suggests that people are equally aware of events in both hemi-fields. However, when two streams of stimuli are rapidly presented left and right containing two targets, the second target is better identified in the left than in the right visual field.This might be considered evidence for a right-hemisphere advantage in generating conscious percepts. However, this putative asymmetry of conscious perception cannot be measured independently of participants’ access to their conscious percepts, and there is actually evidence from split-brain patients for the reverse, left-hemisphere advantage in having access to conscious percepts. Several other topics were studied in search of the responsible mechanism, among others: Mutual inhibition of hemispheres, cooperation of hemispheres in perceiving midline stimuli, and asymmetries in processing various perceptual inputs. Directing attention by salient cues turned out to be one of the few mechanisms capable of modifying the left visual-field advantage in this paradigm. Thus, this left visual-field advantage is best explained by the notion of a right-hemisphere advantage in directing attention to salient events. Dovetailing with the pathological asymmetries of attention after right-hemisphere lesions and with asymmetries of brain activation when healthy participants shift their attention, the present results extend that body of evidence by demonstrating unusually large and reliable behavioral asymmetries for attention-directing processes in healthy participants.     

Shear-driven damage of ductile metals induced by indentation load

Although indentation does not induce apparent cracking in ductile materials, degradation of elastic stiffness of ductile metals has been found in micro-/macro- indentation tests. After comparing the predicted degradation by extended damaged-plasticity models with that measured by experimental testing, it is found that the softening caused by distortion of existing voids is inadequate to cause the notable degradation of elasticity. It is suggested that an independent damage-nucleation mechanism arising from shear deformation may exist. Although attractive in practical applications for its non-destructive nature, the damage-based indentation technique for estimating the fracture properties of ductile materials needs further investigation.     

类别空间关系加工系统和数量空间关系加工系统的分离 ——来自多领域的研究证据

Kosslyn认为人类的空间关系加工系统分为类别空间关系加工子系统和数量空间关系加工子系统,这两个子系统不仅存在功能上的分离,并且存在大脑神经水平的分离,这种神经水平的分离表现为两种空间关系加工的大脑半球偏向,即类别空间关系加工的左半球偏向与数量空间关系加工的右半球偏向。对两种空间关系加工的研究,涉及的领域从低水平的空间知觉,至表象、记忆、语言、行动及物体识别等,涉及的研究方法包括半视野速示法,神经网络模拟,PET, fMRI, ERP, rTMS,脑损伤病人的研究及比较动物研究。综合现有研究,虽然大多数研究中得到的脑半球偏向为两种加工子系统在神经水平的分离提供了证据,但不同研究中脑半球偏向的获得是相当不稳定的,并且受到研究方法因素的影响。尽管造成神经水平的分离似乎与大脑左右半球对具有不同感受野特征的神经元输出的偏向有一定的关系,但这仍需要进一步的研究证据     

大脑两半球与整体和局部性质的选择性加工

研究大脑两半球在加工整体和局部性质中的优势以及两半球能否同时分别选择两个复合刺激的整体和局部性质。实验中把一个复合字母随机呈现在左视野或右视野,或者把两个复合字母同时分别呈现在左视野和右视野。实验一发现,在单侧呈现条件下,被试检测左右视野的整体或局部靶目标的反应时没有显著差别,但在双侧同时呈现条件下,检测右视野局部靶目标比检测左视野局部靶目标时的反应时短。实验二要求被试检测同时呈现在左右视野的整体或局部靶目标,发现当两个视野的靶目标处于同一水平时(整体或局部)反应时较短,两个视野的靶目标处于不同水平时(一侧处于整体水平而另一侧处于局部水平)反应时较长。这些结果提示,当两个复合刺激同时呈现在左右视野时,大脑左半球在选择性加工局部性质时具有优势;左右两半球更容易选择两个复合刺激同一个水平的性质,分别选择两个复合刺激不同水平的性质比较困难。     

The effects of torture‐related stressors on long‐term complex post‐traumatic symptoms in South Korean torture survivors

This study explored whether perceived distress from specific stressors during and after torture explain long‐term complex post‐traumatic symptoms of South Korean torture survivors. We conducted a cross‐sectional survey of survivors who had been tortured by the homeland regime from the 1970s to the 2000s. Data from 206 survivors were gathered by key informants using target sampling and snowballing techniques. Project staff designed scales to encompass the specific types of stressors related to torture techniques used in Korea. Frequencies and distress ratings of exposure to torture, post‐torture psychosocial stressors and physical damage related to torture were gathered. Psychological symptoms were assessed by the Impact of Event Scale‐Revised‐Korean version and subscales of the Symptom Checklist 90‐Revised‐Korean version. Perceived distress from torture stressors was mainly divided into factors representing physical, psychological and deprivation torture by adapting a principal axis factor analysis. Hierarchical regression analyses showed that distress from psychological torture explained post‐traumatic stress disorder (PTSD) and that distress from deprivation explained PTSD and anxiety after controlling for demographic variables, psychological preparedness, time span since torture and distress from trauma other than torture. Among post‐torture stressors, distress from physical damage related to torture and social exclusion were strong indicators of complex symptoms.     

影响群体道歉有效性的因素

影响群体道歉有效性的因素是多方面的。对侵犯群体而言, 有效的群体道歉需要在言语表达中包含承认错误、承担责任、表达懊悔、做出承诺等内容, 需要讲究群体道歉的行为策略, 同时还应该关注道歉的内部动机对语言表达与行为方式的影响。对受害群体来讲, 侵犯群体道歉的有效性在于道歉本身缓解了其愤怒情绪, 满足了其自尊和期望等心理需求, 同时还要受到他们对道歉真诚性知觉程度的影响。除此之外, 群体道歉还会受到群际关系质量、冲突程度、文化信念等外部因素的影响。在今后的研究中, 应该继续尝试整合群体道歉的过程机制, 丰富群体道歉有效性的考察指标, 发挥道歉在社会生活领域中的积极作用。