Randomized controlled trial of an intervention to change cardiac misconceptions in myocardial infarction patients

There is converging evidence that changing beliefs about an illness leads to positive recovery outcomes. However, cardiac misconceptions interventions have been investigated mainly in Angina or Coronary Heart Disease patients, and less in patients following Myocardial Infarction (MI). In these patients, cardiac misconceptions may play a role in the adjustment or lifestyle changes. This article reports a randomized controlled trial of an intervention designed to reduce the strength of misconceptions in patients after a first MI. The primary outcome was the degree of change in misconceptions and the secondary outcomes were: exercise, smoking status, return to work and mood (anxiety and depression). Patients in the intervention condition (n = 60) were compared with a control group (n = 67) receiving usual care. Both groups were evaluated at baseline and 4, 8 and 12 months after hospital discharge. There was a significant time-by-group interaction for the total score of cardiac misconceptions. Patients in the intervention group significantly decreased their total score of cardiac misconceptions at 4 months compared with the control group and this difference was sustained over time. Patients in the intervention group were also more likely to exercise at the follow-up period after MI than the control group. This intervention was effective in reducing the strength of cardiac misconceptions in MI patients and had a positive impact on health behaviour outcomes. These results support the importance of misconceptions in health behaviours and the utility of belief change interventions in promoting health in patients with Myocardial Infarction.     

虚拟现实技术在执行功能评估中的应用

执行功能反映了个体对自身的认知过程进行调节和控制的能力,其评估在儿童认知能力发展水平和特殊人群认知功能损伤程度的评定中起着重要作用。虽然执行功能的评估自20世纪初就开始被实施和应用,但传统评估方法仍存在着生态效度不高、不易操纵实验环境的复杂性、不易操纵被试觉醒水平等缺陷。近年来,虚拟现实技术以其有限的成本和快速的发展被越来越多地应用于执行功能评估,并被证实具有生态效度高、实验条件高度可控等显著优点。     

潜艇环境对艇员认知功能和作业能力的影响

本研究运用基础心理实验仪器和国际标准的韦克斯勒成人智力、记忆量表(中国修订版),对海军某潜艇艇员和岸勤人员进行了部分认知功能和作业能力的逐个测量。通过对照研究,探讨了潜艇环境对艇员注意力、领悟力、记忆力和作业能力的影响特点。发现:(1)潜艇艇员选择反应时测验,对3种声音反应错误次数多,尤其是低音错误多,说明潜艇艇员的低音听觉和判断力受到了明显的影响,军龄大于5年的多期士官影响显著。(2)潜艇艇员注意集中能力测验,脱靶次数多,且只是军龄小于2年的士兵表现显著,注意分配能力测验中对光反应错误次数多,但随着军龄的增加影响不明显。(3)潜艇艇员领悟理解能力差,上艇5年以上是艇员领悟力开始受损的重要时期。(4)潜艇艇员双手协调和手指灵活用时较短,但出轨和掉针次数略多,艇员双手作业速度在潜艇的岗位训练中得到了增强,但因潜艇环境的不利影响其准确性有待提高。     

Relational learning in children with deafness and cochlear implants

This four-experiment series sought to evaluate the potential of children with neurosensory deafness and cochlear implants to exhibit auditory-visual and visual-visual stimulus equivalence relations within a matching-to-sample format. Twelve children who became deaf prior to acquiring language (prelingual) and four who became deaf afterwards (postlingual) were studied. All children learned auditory-visual conditional discriminations and nearly all showed emergent equivalence relations. Naming tests, conducted with a subset of the children, showed no consistent relationship to the equivalence-test outcomes. This study makes several contributions to the literature on stimulus equivalence. First, it demonstrates that both pre- and postlingually deaf children can acquire auditory-visual equivalence relations after cochlear implantation, thus demonstrating symbolic functioning. Second, it directs attention to a population that may be especially interesting for researchers seeking to analyze the relationship between speaker and listener repertoires. Third, it demonstrates the feasibility of conducting experimental studies of stimulus control processes within the limitations of a hospital, which these children must visit routinely for the maintenance of their cochlear implants.     

'Does Broca's area exist?' Christofredo Jakob's 1906 response to Pierre Marie's holistic stance

In 1906, Pierre Marie triggered a heated controversy and an exchange of articles with Jules Déjerine over the localization of language functions in the human brain. The debate spread internationally. One of the timeliest responses, that appeared in print 1 month after Marie’s paper, came from Christofredo Jakob, a Bavarian-born neuropathologist working in Buenos Aires. The present study comprises an English translation of Jakob’s 1906 paper and a discussion of Jakob’s ideas on the localizationist–holistic approach regarding the role of Broca’s area. This issue is still at the core of scientific debate in the light of current neuropsychological and neuroimaging findings.     

The role of white matter hyperintensities and medial temporal lobe atrophy in age-related executive dysfunctioning

Various studies support an association between white matter hyperintensities (WMH) and deficits in executive function in nondemented ageing. Studies examining executive functions and WMH have generally adopted executive function as a phrase including various functions such as flexibility, inhibition, and working memory. However, these functions include distinctive cognitive processes and not all may be affected as a result of WMH. Furthermore, atrophy of the medial temporal lobe (MTA) is frequently observed in ageing. Nevertheless, in previous studies of nondemented ageing MTA was not considered when examining a relationship between white matter and executive function. The goal of the present study was to examine how WMH and MTA relate to a variety of executive functions, including flexibility, fluency, inhibition, planning, set shifting, and working memory. Strong correlations were observed between WMH and MTA and most of the executive functions. However, only MTA was related to flexibility and set shifting performance. Regression analysis furthermore showed that MTA was the strongest predictor of working memory, after which no further significant association with WMH was noted. Alternatively, both MTA and periventricular hyperintensities independently predicted inhibition performance. These findings emphasize the importance of MTA when examining age-related decline in executive functioning.     

概率分布等值法及其应用

在项目反应理论框架下,根据已有文献提出了开发新的测验等值准则的方法,即许多准则都可以看成是通过对锚题上作答反应概率分布进行变换而导出。据此揭示了两个著名的等值准则——Haebara方法和Stocking-Lord方法之间的联系,并且导出了一个新的等值准则——余弦等值准则。为了讨论余弦准则的行为表现,开展了一系列Monte-Carlo模拟研究。模拟结果表明,余弦准则在多级评分模型GPCM上表现比Haebara方法和Stocking--Lord方法都好,而对GRM和2PLM,其表现不如Haebara,但可以和Stocking-Lord方法相提并论。这一发现提醒我们等值准则的选用是否恰当,不仅与等值系数所落的范围有关,而且还与项目反应函数（IRF）有更密切的关系     

不同时间的睡眠剥夺对执行功能的影响

睡眠剥夺在日常生活工作中广泛存在,执行功能指需要很多认知过程参与,以使操作优化的机制.目前有关睡眠剥夺对认知功能的影响关注于对执行功能的影响,但是尚没有不同时间睡眠剥夺后执行功能情况的研究,并且研究缺乏系统.本研究应用卡片分类测验、词汇流畅性测验究了32名青年男性在不同睡眠剥夺条件下(睡眠剥夺21h、睡眠剥夺45h、睡眠剥夺69h、正常对照组)的执行功能情况.结果表明:睡眠剥夺后执行功能下降,同剥夺时间有一定关系,45h后下降显著.     

Errorless Learning in the Rehabilitation of Memory Impairment: A Critical Review

This review considers the origins of the errorless learning (EL) concept, its application in memory rehabilitation, the evidence for its effectiveness, and the theoretical basis for the observed findings. The evidence suggests that EL offers valuable benefits for at least some people with memory impairments when teaching certain types of tasks. However, the benefits are not evident for all groups, some findings are equivocal, and there are some limitations associated with this approach. We discuss methodological issues impacting on these mixed findings, consider which theoretical explanations might account for the findings regarding benefits and limitations of EL, and comment on the implications for rehabilitation practitioners of the current state of evidence in this area.     

Understanding Executive Control in Autism Spectrum Disorders in the Lab and in the Real World

In this paper, we review the most recent and often conflicting findings on conventional measures of executive control in autism spectrum disorders. We discuss the obstacles to accurate measurement of executive control, such as: its prolonged developmental trajectory; lack of consensus on its definition and whether it is a unitary construct; the inherent complexity of executive control; and the difficulty measuring executive-control functions in laboratory or clinical settings. We review the potential of an ecological-validity framework to address some of these problems, and describe new tests claiming verisimilitude, or close resemblance to “real life” demands. We also review the concept of veridicality, which allows for the measurement of the ecological validity of any task, and discuss the few studies addressing ecological validity in individuals with autism. Our review suggests that a multi-source approach emphasizing veridicality may provide the most comprehensive assessment of executive control in autism.