Thought-action fusion as a causal factor in the development of intrusions

Thought-action fusion refers to the tendency to treat thoughts and actions as equivalents. Some authors (e.g., Rachman, 1997; Behaviour Research and Therapy, 35, 793-802) have suggested that thought-action fusion plays a role in the etiology of obsessive intrusions. The present study sought to test this idea. Subjects (n = 19) in the experimental condition underwent a bogus EEG recording session. They were informed that the apparatus was able to pick up the word 'apple' and that thoughts of that word could result in the administration of electrical shocks to another person. After having spent 15 minutes in the EEG laboratory, experimental subjects and controls (n = 26) completed a short questionnaire containing items about characteristics of the target thought (e.g., frequency, aversiveness). Results indicate that thought-action fusion, indeed, promotes intrusive thinking in that it results in a higher frequency of target thoughts, more discomfort, and more resistance. Thus, the current findings support the idea that thought-action fusion may contribute to the development of obsessive intrusions.     

Priming effects from young-old to very old age on a word-stem completion task: minimizing explicit contamination

We investigated the size of repetition priming effects from young-old to very old age using a newly developed Word-Stem Completion (WSC) task. Retrospectively, we examined the role of explicit, intentional retrieval strategies in priming. We constructed our task by taking factors into account that were known to complicate the measurement of significant and valid priming effects. Within our sample of 170 cognitively healthy elderly persons of 55-94 years old, we found no effects on priming of age, gender, education, intelligence, cognitive status, memory complaints, or depressive symptoms. Participants that subsequent to task administration reported awareness of the study-test relationship obtained higher priming scores. However, analysis of stem-completion times showed that explicit contamination during the task was unlikely. The results suggest that WSC priming is age-invariant up to very old age. This task with increased validity might contribute to the differentiation with Alzheimer's disease by improving specificity of assessment.     

Visual associations cued recall A Paradigm for Measuring Episodic Memory Decline in Alzheimer’s Disease

Repeated measurements of episodic memory are needed for monitoring amnestic mild cognitive impairment (aMCI) and mild Alzheimer’s disease (AD). Most episodic memory tests may pose a challenge to patients, even when they are in the milder stages of the disease. This cross-sectional study compared floor effects of the Visual Association Test (VAT) and the Rey Auditory Verbal Learning Test (RAVLT) in healthy elderly controls and in patients with aMCI or AD (N = 125). A hierarchical multiple regression analysis was used to examine whether linear or quadratic trends best fitted the data of cognitive test performance across global cognitive impairment. Results showed that VAT total scores decreased linearly across the range of global cognitive impairment, whereas RAVLT total scores showed a quadratic trend, with total scores levelling off for 90% of aMCI patients and 94% of AD patients. We conclude that the VAT shows few if any floor effects in patients with aMCI and mild AD and is therefore a potentially promising cognitive test for monitoring episodic memory impairment.