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Patel SP, McCurdy MP, Frankenstein AN, Sklenar AM, Urban Levy P, Szpunar KK, Leshikar ED. The reciprocal relationship between episodic memory and future thinking: How the outcome of predictions is subsequently remembered. Brain Behav 2022; 12:e2603. [PMID: 36000544 PMCID: PMC9480898 DOI: 10.1002/brb3.2603] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 02/10/2022] [Accepted: 02/14/2022] [Indexed: 11/09/2022] Open
Abstract
Evidence suggests that memory is involved in making simulations and predictions about the future (i.e., future thinking), but less work has examined how the outcome of those predictions (whether events play out as predicted or expected) subsequently affects episodic memory. In this investigation, we examine whether memory is better for outcomes that are consistent with predictions, or whether memory is enhanced for outcomes that are inconsistent with predictions, after the predicted event occurs. In this experiment, participants learned a core trait associated with social targets (e.g., high in extroversion), before making predictions about behaviors targets would perform. Participants then were shown behaviors the social targets actually performed (i.e., prediction outcome), which was either consistent or inconsistent with predictions. After that, participants completed a memory test (recognition; recall) for the prediction outcomes. For recognition, the results revealed better memory for outcomes that were consistent with traits associated with targets (i.e., trait-consistent outcomes), compared to outcomes that were inconsistent (i.e., trait-inconsistent outcomes). Finding a memory advantage for trait-consistent outcomes suggests that outcomes that are in line with the contents of memory (e.g., what one knows; schemas) are more readily remembered than those that are inconsistent with memory, which may reflect an adaptive memory process. For recall, memory did not differ between trait-consistent and trait-inconsistent outcomes. Altogether, the results of this experiment advance understanding of the reciprocal relationship between episodic memory and future thinking and show that outcome of predictions has an influence on subsequent episodic memory, at least as measured by recognition.
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Patterson TK, Nuechterlein KH, Subotnik KL, Castel AD, Knowlton BJ. Value-directed remembering in first-episode schizophrenia. Neuropsychology 2022; 36:540-551. [PMID: 35737534 PMCID: PMC9945935 DOI: 10.1037/neu0000840] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
OBJECTIVE Memory deficits in individuals with schizophrenia are well-established, but less is known about how schizophrenia affects metacognitive processes such as metamemory. We investigated metamemory ability using the value-directed remembering task, which assesses the degree to which participants use value cues to guide their learning of a list of items (i.e., their memory selectivity). METHOD Participants were patients undergoing treatment following a recent first episode of schizophrenia (n = 20) and demographically comparable healthy controls (n = 18). Participants viewed six lists of 24 words where each word was paired with either a low value (1-3 points) or a high value (10-12 points), and they were instructed to maximize their score on free recall tests given after each list. After the final free recall test, participants completed a recognition test where they gave remember/know judgments. RESULTS On tests of free recall, patients showed reduced memory selectivity relative to healthy controls. On the recognition test, patients failed to show an effect of value on recognition of nonrecalled words, in contrast to healthy controls, who showed a significant value effect that was characterized by greater "remember" judgments. Patients initially overestimated their memory capacity but were able to adjust their estimates to be more accurate based on task experience. Patients' self-reports of memory selectivity were unrelated to their actual memory selectivity. CONCLUSIONS Patients with first-episode schizophrenia had substantial impairments on the value-directed remembering task, but areas of preserved metamemory ability were also observed. These findings have potential implications for cognitive training interventions. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Alchin JE, Signorelli C, McLoone JK, Wakefield CE, Fardell JE, Johnston K, Cohn RJ. Childhood Cancer Survivors' Adherence to Healthcare Recommendations Made Through a Distance-Delivered Survivorship Program. J Multidiscip Healthc 2022; 15:1719-1734. [PMID: 35983228 PMCID: PMC9380825 DOI: 10.2147/jmdh.s363653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Accepted: 06/27/2022] [Indexed: 11/30/2022] Open
Abstract
Purpose Ongoing survivorship care allows childhood cancer survivors the opportunity to address treatment-related health problems and improve their quality of life. However, many survivors do not adhere to their healthcare professionals’ recommendations and the factors supporting their adherence remain unclear. Patients and Methods Long-term childhood cancer survivors completed the “Re-engage” program, which assessed survivors’ heath needs and provided individualised recommendations for health interventions and surveillance developed by an expert multi-disciplinary team (MDT). We measured survivors’ recall of, and adherence to, their individualised healthcare recommendations at one and six months post-intervention. We conducted a series of univariate negative binomial regressions to investigate factors associated with the total number of recommendations that were correctly recalled and adhered to. Results We analysed the data of 25 childhood cancer survivors who participated in Re-engage (mean age = 31.9 years). On average, survivors were provided with 6.6 recommendations (range = 1–11). Survivors accurately recalled receiving 3.0 recommendations at one month post-intervention and 1.9 at six months. Survivors had adhered to an average of 1.3 recommendations by six-month follow-up. In total, 56% of participants reported that they did not adhere to any recommendations. By six-month follow-up, greater adherence to MDT recommendations was associated with having a history of a second cancer (B = 1.391; 95% confidence interval [CI], 0.686 to 2.097; p < 0.001) and reporting a greater level of worry about late effects (B = 1.381; 95% CI, 0.494 to 2.269; p = 0.002). Conclusion Survivors reported sub-optimal levels of adherence and demonstrated limited recall of their healthcare recommendations. Effective communication of recommendations and clear discussion of barriers limiting adherence, coupled with late effects education, may be critical to ensure that survivors engage with their recommendations, to improve their quality of life and health outcomes. Trial Registration Number ACTRN12618000194268.
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Wongthai P, Photia A, Traivaree C, Monsereenusorn C, Lertvivatpong N, Sudnawa KK, Rujkijyanont P. Improving comprehension, recall and attention using multimedia-informed assent among pediatric oncology patients: A comparative randomized controlled trial. Pediatr Blood Cancer 2022; 69:e29785. [PMID: 35614564 DOI: 10.1002/pbc.29785] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 04/11/2022] [Accepted: 04/29/2022] [Indexed: 12/22/2022]
Abstract
BACKGROUND Assent should be obtained in all children involved in research in keeping with their level of maturity. Traditional assent forms contain too much information and are difficult to read. The study aimed to identify an effective tool to enhance children's comprehension during the assent process and focused on those with cancer who are likely more engaged in research involving greater than minimal risk. METHODS In all, 116 children with cancer were randomized to receive either a paper-based assent document or a multimedia-based assent document. Open-ended and multiple-choice questions were used to assess comprehension and recall. Time spent on the documents and children's behavior during the assent process was recorded to determine their attention and satisfaction. RESULTS Children randomized to a multimedia-based assent document achieved significant higher comprehension and recall assessment scores (p-values <.001). The high score achievement significantly correlated with the child's age with adjusted odds ratio (OR) of 1.90 (p-value <.001; 95% confidence interval [CI]: 1.35-2.66) for comprehension assessment and 1.59 (p-value .001; 95% CI: 1.20-2.12) for recall assessment. Children randomized to a multimedia-based assent document had significant longer time spent on the document (p-value .001) with less numbers of inattention (p-value <.001) and expressed more signs of enjoyment during the assent process (p-values <.001). CONCLUSION Multimedia-based assent document successfully enhanced comprehension, recall, and attention with more satisfaction compared with a traditional paper-based document among children with cancer. This approach may be considered as an alternative format for children engaging in research involving greater than minimal risk.
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HiRes Ultra Series Recall: Failure Rates and Revision Speech Recognition Outcomes. Otol Neurotol 2022; 43:e738-e745. [PMID: 35878635 PMCID: PMC9335892 DOI: 10.1097/mao.0000000000003598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To report Advanced Bionics (AB) Ultra (V1) and Ultra 3D (V1) cochlear implant (CI) electrode failures and revision speech recognition outcomes for patients at a large CI program. STUDY DESIGN Retrospective case series. SETTING Tertiary referral center. PATIENTS Patients receiving Ultra (V1) or Ultra 3D (V1) devices as of September 21, 2021. MAIN OUTCOME MEASURES Failure rate, revision surgery, speech recognition scores. RESULTS To data, 65 (21.1%) of the 308 implanted devices are known failures, with 63 (20.5%) associated with the recent voluntary field corrective action (FCA). Average time to failure was 2.2 ± 1.1 years. Fifty-two patients (82.5%) elected for revision surgery. Among adults, immediate prerevision scores demonstrated a significant decrease from best-achieved scores with the faulty implant, with mean difference of -15.2% (p = 0.0115) for consonant-nucleus-consonant (CNC) and -27.3% (p < 0.0001) for AzBio in quiet. By 3 months postactivation of the revised device, CNC (p = 0.9766) and AzBio in quiet (p = 0.9501) scores were not significantly different than best prerevision scores. Overall, 15 of 19 patients regained or improved their best prerevision CNC score. The current trajectory for FCA device failures is approximately 6% per year. CONCLUSION Compared to manufacturer reporting, a high number of patients experienced hard failures of the Ultra (V1) and Ultra 3D (V1) devices. Early identification of failures is possibly because of the diligent use of electrical field imaging testing. Most patients affected by the FCA regain or exceed their prefailure speech recognition score as soon as 3 months after revision surgery.
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Gilmore AW, Audrain S, Martin A. Specifying 'where' and 'what' is critical for testing hippocampal contributions to memory retrieval. Cogn Neurosci 2022; 13:144-146. [PMID: 35586907 PMCID: PMC9808613 DOI: 10.1080/17588928.2022.2076071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Tallman and colleagues' review of consolidation studies found that the length of the delay between 'recent' and 'remote' events is an influential determinant of detecting temporally graded hippocampal activity. Here, we discuss two additional factors - separate analysis of distinct regions within the hippocampus and the use of overt recall methods - that should be considered when testing competing theories of hippocampal contributions to memory.
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Müller MW, Hamory J, Johnson-Hanks J, Miguel E. The illusion of stable fertility preferences. POPULATION STUDIES 2022; 76:169-189. [PMID: 35576966 PMCID: PMC9256780 DOI: 10.1080/00324728.2022.2057577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Accepted: 02/04/2022] [Indexed: 10/18/2022]
Abstract
Fertility preferences have long played a key role in models of fertility differentials and change. We examine the stability of preferences over time using rich panel data on Kenyan women's fertility desires, expectations, actual fertility, and recall of desires in three waves over a nine-year period, when respondents were in their 20s. We find that although desired fertility is quite unstable, most women perceive their desires to be stable. Under hypothetical future scenarios, few expect their desired fertility to increase over time but, in fact, such increases in fertility desires are common. Moreover, when asked to recall past desires, most respondents report previously wanting exactly as many children as they desire today. These patterns of bias are consistent with the emerging view that fertility desires are contextual, emotionally laden, and structured by identity.
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Grymuza M, Chmielewska-Michalak L, Katarzyńska-Szymańska A, Migaj J, Lesiak M, Mitkowski P. Recall devices: Defects at initial visit and during remote monitoring supported follow-up. Pacing Clin Electrophysiol 2022; 45:1320-1322. [PMID: 35766408 DOI: 10.1111/pace.14552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 06/02/2022] [Accepted: 06/12/2022] [Indexed: 11/29/2022]
Abstract
BACKGROUND AND AIM In March 2021, Biotronik informed about the risk of premature battery depletion in a group of implantable cardioverter-defibrillators. Following the manufacturers' recommendation, our center executed a recall and introduced remote monitoring in patients with susceptible devices.This study reports the rate of premature battery depletion in our center and events found in RM-supported follow-up. METHODS Single-centre observational study. RESULTS Out of the 206 susceptible implanted devices, 125 patients appeared for the visit and remote monitoring was introduced in 107 (83%) patients. Until the visit, 3 (2.4%) devices required replacement due to battery depletion, and a further 3 (2.4%) devices had unexpected battery depletion during follow-up. CONCLUSIONS The recalled devices had a higher rate of battery exhaustion than expected, while other device or lead defects were less common. This article is protected by copyright. All rights reserved.
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Cheng Y, Liang X, Xu Y, Kuang X. Artificial Intelligence Technology in Basketball Training Action Recognition. Front Neurorobot 2022; 16:819784. [PMID: 35832349 PMCID: PMC9272734 DOI: 10.3389/fnbot.2022.819784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Accepted: 03/07/2022] [Indexed: 11/13/2022] Open
Abstract
The primary research purpose lies in studying the intelligent detection of movements in basketball training through artificial intelligence (AI) technology. Primarily, the theory of somatosensory gesture recognition is analyzed, which lays a theoretical foundation for research. Then, the collected signal is denoised and normalized to ensure that the obtained signal data will not be distorted. Finally, the four algorithms, decision tree (DT), naive Bayes (NB), support vector machine (SVM), and artificial neural network (ANN), are used to detect the data of athletes' different limb movements and recall. The accuracy of the data is compared and analyzed. Experiments show that the back propagation (BP) ANN algorithm has the best action recognition effect among the four algorithms. In basketball training athletes' upper limb movement detection, the average accuracy rate is close to 93.3%, and the average recall is also immediate to 93.3%. In basketball training athletes' lower limb movement detection, the average accuracy rate is close to 99.4%, and the average recall is immediate to 99.4%. In the detection of movements of upper and lower limbs: the recognition method can efficiently recognize the basketball actions of catching, passing, dribbling, and shooting, the recognition rate is over 95%, and the average accuracy of the four training actions of catching, passing, dribbling, and shooting is close to 98.95%. The intelligent basketball training system studied will help basketball coaches grasp the skilled movements of athletes better to make more efficient training programs and help athletes improve their skill level.
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Murphy DH, Castel AD. Selective remembering and directed forgetting are influenced by similar stimulus properties. Memory 2022; 30:1130-1147. [PMID: 35730700 DOI: 10.1080/09658211.2022.2092152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Do the properties of to-be-remembered events influence the ability to remember, and also intentionally forget, these events in similar ways? Prior work has examined how the font size, animacy, emotionality, concreteness (the degree to which a word denotes something perceptible), frequency (how often a word appears in language), and length of to-be-remembered words influence memory. However, it was previously unclear whether the forgetting of information is also influenced by these characteristics. In six experiments, we used an item-method directed forgetting task where we presented participants with to-be-remembered and to-be-forgotten words varying in font size (large or small), animacy (animate or inanimate), emotionality (negative or neutral), concreteness (high or low), frequency (high or low), and word length (long or short). Results revealed that animacy, emotionality, concreteness, frequency, and word length (but not font size) influenced both remembering and forgetting. Together, the present findings indicate that the characteristics of presented words can influence remembering as well as directed forgetting, providing further evidence that the remembering and forgetting processes are governed by similar properties.
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John SE, Ritter A, Wong C, Parks CM. The roles of executive functioning, simple attention, and medial temporal lobes in early learning, late learning, and delayed recall. NEUROPSYCHOLOGY, DEVELOPMENT, AND COGNITION. SECTION B, AGING, NEUROPSYCHOLOGY AND COGNITION 2022; 29:400-417. [PMID: 34919026 PMCID: PMC8960335 DOI: 10.1080/13825585.2021.2016583] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Fractionating performance of a verbal list-learning test can provide a nuanced interpretation of the relationship between brain networks and learning and memory abilities. Within older adult samples, including those with mild cognitive impairment and Alzheimer’s disease, cortical volumes for attention and executive functioning networks correlate more strongly with neuropsychological performance measures of early learning trials relative to late learning and delayed recall. In contrast, medial temporal lobe (MTL) structures, such as the hippocampus, are more strongly correlated to performance on late learning and delayed recall measures relative to early learning. We sought to extend these findings by evaluating the contributions of simple attention, executive function (EF), and MTL structures to learning and recall in a cognitively heterogeneous sample of older adults that included healthy controls (n = 54), adults with MCI (n = 63), and those with dementia (n = 13). We used canonical correlation analyses to test the hypotheses that the contributions of EF, simple attention, and the MTL to verbal memory would differ across phases of learning and recall. Results showed that relationships between the MTL and memory were the only ones to demonstrate a graded pattern of association, ranging from r = .46 to .57 across early learning, late learning, and delayed recall. Simple attention and EF were both significantly and moderately related to learning and recall, but those relationships did not vary across phases as hypothesized. We explore alternative interpretations for our discrepant findings, including the influence of sample characteristics and methodology, advocating for multivariate approaches.
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Lucassen DA, Brouwer-Brolsma EM, Slotegraaf AI, Kok E, Feskens EJM. DIetary ASSessment (DIASS) Study: Design of an Evaluation Study to Assess Validity, Usability and Perceived Burden of an Innovative Dietary Assessment Methodology. Nutrients 2022; 14:nu14061156. [PMID: 35334813 PMCID: PMC8949267 DOI: 10.3390/nu14061156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Revised: 03/04/2022] [Accepted: 03/08/2022] [Indexed: 11/26/2022] Open
Abstract
During recent years, the integration of technology has substantially improved self-reported dietary assessment methods, such as food frequency questionnaires (FFQ), food records, and 24-h recalls. To further reduce measurement error, additional innovations are urgently needed. Memory-related measurement error is one of the aspects that warrants attention, which is where new smartphone technologies and ecological momentary assessment (EMA) approaches provide a unique opportunity. In this article, we describe the DIASS study, which was designed to evaluate an innovative 2-h recall (2hR) smartphone-based methodology, against traditional 24-h recalls, FFQ, and biomarkers, to assess both actual and habitual dietary intake. It is hypothesized that a 2-h reporting window decreases reliance on memory and reporting burden, and increases data accuracy. We included 215 men (28%) and women (72%), with a mean ± SD age of 39 ± 19 years and a mean ± SD BMI of 23.8 ± 4.0. Most participants were highly educated (58%). Response rates for the various dietary assessment methods were >90%. Besides the evaluation of the accuracy, usability, and perceived burden of the 2hR methodology, the study set-up also allows for (further) evaluation of the other administrated dietary assessment tools.
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Hughes NM, Hammer MM, Awad MM, Jacene HA. Radiation Recall Pneumonitis on FDG PET/CT Triggered by COVID-19 Vaccination. Clin Nucl Med 2022; 47:e281-e283. [PMID: 34739397 PMCID: PMC8820752 DOI: 10.1097/rlu.0000000000003980] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Revised: 09/28/2021] [Accepted: 09/28/2021] [Indexed: 11/25/2022]
Abstract
ABSTRACT A 67-year-old man with metastatic lung adenocarcinoma was initially treated with whole-brain radiotherapy for intracranial metastases, followed by chemotherapy and pembrolizumab. After completing 2 years of systemic therapy, the primary right lung lesion was biopsy-proven to have residual adenocarcinoma, which was then treated with radiation (6000 cGy in 15 fractions). Follow-up serial FDG PET/CT showed radiation fibrosis. Eighteen months after radiotherapy, the patient received 2 doses of an mRNA COVID-19 vaccine. FDG PET/CT performed 4 days following his second vaccine dose showed FDG-avid multistation lymphadenopathy and radiation recall pneumonitis, likely vaccination-induced and mimicking recurrent disease. This resolved spontaneously without therapy.
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Persky AM, Fuller KA. Determining Whether Pharmacy Students Can Accurately Recall Items on an Examination Using Their Collective Memory. AMERICAN JOURNAL OF PHARMACEUTICAL EDUCATION 2022; 86:8638. [PMID: 34301572 PMCID: PMC10159455 DOI: 10.5688/ajpe8638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Accepted: 07/06/2021] [Indexed: 05/06/2023]
Abstract
Objective. To determine the extent to which students can recreate a recently completed examination from memory.Methods. After two mid-term examinations, students were asked, as a class, to recreate recently completed examinations. Students were given 48 hours to recreate the examination, including details about the questions and answer choices. The results were compared to the original examination to determine the accuracy of students' recall and reproduction of content.Results. The students were able to collectively recreate 90% of the questions on the two examinations. For the majority of questions (51%), students also recreated the question as well as the correct response and at least one incorrect response. The majority of questions that the students recreated were of medium to high accuracy as they contained detailed phrasing that aligned with the original question on the examination.Conclusion. The collective memory of a group of students may allow them to accurately recreate the majority of a completed examination from memory. Based on the findings of this study and tenets of social psychology, faculty should consider the potential implications for examination security, whether to provide feedback to students on examinations, and whether completed examinations should be released to students following the examination.
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Hildenbrand GM. The Effect of Physician Immediacy on Patient Liking for Physician, Motivation, and Recall. HEALTH COMMUNICATION 2022:1-7. [PMID: 35188031 DOI: 10.1080/10410236.2022.2037874] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
Guided by the fostering relationships function of patient-centered communication (PCC), the present study utilized a 2 (high/low nonverbal immediacy) x 2 (high/low verbal immediacy) between-subjects experimental design to determine whether physician verbal and nonverbal immediacy influenced participant liking for physician, motivation to process a health message, and recall of the health message. An actor physician delivered a 3-4 minute video-recorded message, diagnosing U.S. adult participants, serving as analogue patients, with a health issue. The results indicated main effects for physician verbal immediacy and nonverbal immediacy on participant liking for physician and motivation such that participants had greater liking for the physician and motivation to do what the physician requested when the physician demonstrated greater verbal and nonverbal immediacy. However, physician verbal and nonverbal immediacy did not influence participants' recall. Physicians should consider displaying verbal and nonverbal immediacy to create a positive impression among patients, and to motivate patients to take steps to improve their health.
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de Looper M, Smets EMA, Schouten BC, Bolle S, Belgers EHJ, Eddes EH, Leijtens JWA, van Weert JCM. The Patient Navigator: Can a systematically developed online health information tool improve patient participation and outcomes related to the consultation in older patients newly diagnosed with colorectal cancer? BMC Cancer 2022; 22:109. [PMID: 35078438 PMCID: PMC8788912 DOI: 10.1186/s12885-021-09096-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Accepted: 09/23/2021] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Older cancer patients may search for health information online to prepare for their consultations. However, seeking information online can have negative effects, for instance increased anxiety due to finding incorrect or unclear information. In addition, existing online cancer information is not necessarily adapted to the needs of older patients, even though cancer is a disease often found in older individuals. OBJECTIVE The aim of this study was to systematically develop, implement and evaluate an online health information tool for older cancer patients, the Patient Navigator, providing information that complements the consultation with healthcare providers. METHOD For the development and evaluation of the Patient Navigator, the four phases of the MRC framework were used. In the first and second phase the Patient Navigator was developed and pilot tested based on previous research and sub-studies. During the third phase the Patient Navigator was implemented in four Dutch hospitals. In the last phase, a pilot RCT was conducted to evaluate the Patient Navigator in terms of usage (observational tracking data), user experience (self-reported satisfaction, involvement, cognitive load, active control, perceived relevance of the tool), patient participation (observational data during consultation), and patient outcomes related to the consultation (questionnaire data regarding anxiety, satisfaction, and information recall). Recently diagnosed colorectal cancer patients (N = 45) were randomly assigned to the control condition (usual care) or the experimental condition (usual care + Patient Navigator). RESULTS The Patient Navigator was well used and evaluated positively. Patients who received the Patient Navigator contributed less during the consultation by using less words than patients in the control condition and experienced less anxiety two days after the consultation than patients in the control condition. CONCLUSION Since the Patient Navigator was evaluated positively and decreased anxiety after the consultation, this tool is potentially a valuable addition to the consultation for patients. Usage of the Patient Navigator resulted in patients using less words during consultations, without impairing patients' satisfaction, possibly because information needs might be fulfilled by usage of the Patient Navigator. This could create the possibility to personalize communication during consultations and respond to other patient needs.
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Treder MS, Charest I, Michelmann S, Martín-Buro MC, Roux F, Carceller-Benito F, Ugalde-Canitrot A, Rollings DT, Sawlani V, Chelvarajah R, Wimber M, Hanslmayr S, Staresina BP. The hippocampus as the switchboard between perception and memory. Proc Natl Acad Sci U S A 2021; 118:e2114171118. [PMID: 34880133 PMCID: PMC8685930 DOI: 10.1073/pnas.2114171118] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/22/2021] [Indexed: 12/30/2022] Open
Abstract
Adaptive memory recall requires a rapid and flexible switch from external perceptual reminders to internal mnemonic representations. However, owing to the limited temporal or spatial resolution of brain imaging modalities used in isolation, the hippocampal-cortical dynamics supporting this process remain unknown. We thus employed an object-scene cued recall paradigm across two studies, including intracranial electroencephalography (iEEG) and high-density scalp EEG. First, a sustained increase in hippocampal high gamma power (55 to 110 Hz) emerged 500 ms after cue onset and distinguished successful vs. unsuccessful recall. This increase in gamma power for successful recall was followed by a decrease in hippocampal alpha power (8 to 12 Hz). Intriguingly, the hippocampal gamma power increase marked the moment at which extrahippocampal activation patterns shifted from perceptual cue toward mnemonic target representations. In parallel, source-localized EEG alpha power revealed that the recall signal progresses from hippocampus to posterior parietal cortex and then to medial prefrontal cortex. Together, these results identify the hippocampus as the switchboard between perception and memory and elucidate the ensuing hippocampal-cortical dynamics supporting the recall process.
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Sokołowski DR, Hansen TI, Rise HH, Reitlo LS, Wisløff U, Stensvold D, Håberg AK. 5 Years of Exercise Intervention Did Not Benefit Cognition Compared to the Physical Activity Guidelines in Older Adults, but Higher Cardiorespiratory Fitness Did. A Generation 100 Substudy. Front Aging Neurosci 2021; 13:742587. [PMID: 34867275 PMCID: PMC8637860 DOI: 10.3389/fnagi.2021.742587] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2021] [Accepted: 10/14/2021] [Indexed: 12/13/2022] Open
Abstract
Background: Aerobic exercise is proposed to attenuate cognitive decline in aging. We investigated the effect of different aerobic exercise interventions and cardiorespiratory fitness (CRF) upon cognition throughout a 5-year exercise intervention in older adults. Methods: 106 older adults (52 women, age 70-77 years) were randomized into high-intensity interval training (HIIT; ∼90% peak heart rate), moderate-intensity continuous training (MICT; ∼70% peak heart rate), or control for 5 years. The HIIT and MICT groups performed supervised training twice weekly, while the control group was asked to follow the national physical activity guidelines (30 min of physical activity/day). At baseline, 1-, 3-, and 5-year follow-up, participants partook in cognitive testing (spatial memory, verbal memory, pattern separation, processing speed, working memory, and planning ability), underwent clinical testing, and filled out health-related questionnaires. Linear mixed models were used to assess the effects of the exercise group and CRF (measured as peak and max oxygen uptake) on each cognitive test. The effects of changes in CRF on changes in each cognitive test score throughout the intervention were also assessed. The associations between baseline CRF and cognitive abilities at the follow-ups were investigated using linear regressions. Results: There was no group-by-time interaction on the cognitive measures, and neither HIIT nor MICT participation was associated with better cognitive performance than control at any time point during the 5-year intervention. All groups increased their CRF similarly during the 1st year and subsequently declined back to baseline levels after 5 years. A higher CRF was associated with higher processing speed throughout the intervention while increasing CRF during the intervention was associated with better working memory and worse pattern separation. Higher CRF at baseline predicted consistently better processing speed and verbal memory performance. Conclusion: In this first 5-year randomized controlled trial investigating the effects of HIIT, MICT, and physical activity according to national guidelines on cognition, we observed no effect of exercise intervention group on cognition when compared to following the national physical activity guidelines. Still, the results showed that higher CRF and increasing CRF benefited multiple, but not all, cognitive abilities in older adults. Clinical Trial Registration:www.ClinicalTrials.gov, identifier [NCT01666340].
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Gao L, Xiao Y, Xu H. Gray matter asymmetry in asymptomatic carotid stenosis. Hum Brain Mapp 2021; 42:5665-5676. [PMID: 34498785 PMCID: PMC8559457 DOI: 10.1002/hbm.25645] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 08/16/2021] [Accepted: 08/18/2021] [Indexed: 12/16/2022] Open
Abstract
Even clinically “asymptomatic” carotid stenosis is associated with multidomain cognitive impairment, gray matter (GM) atrophy, and silent lesion. However, the links between them remain unclear. Using structural MRI data, we examined GM asymmetry index (AI) and white matter hyperintensity (WMH) in 24 patients with severe asymptomatic carotid stenosis (SACS), 24 comorbidity‐matched controls, and independent samples of 84 elderly controls and 22 young adults. As compared to controls, SACS patients showed worse verbal memories, higher WMH burden, and right‐lateralized GM in posterior middle temporal and mouth‐somatomotor regions. These clusters extended to pars triangularis, lateral temporal, and cerebellar regions, when compared with young adults. Further, a full‐path of WMH burden (X), GM volume (atrophy, M1), AI (asymmetry, M2), and neuropsychological variables (Y) through a serial mediation model was analyzed. This analysis identified that left‐dominated GM atrophy and right‐lateralized asymmetry in the posterior middle temporal cortex mediated the relationship between WMH burden and recall memory in SACS patients. These results suggest that the unbalanced hemispheric atrophy in the posterior middle temporal cortex is crucial to mediating relationship between WMH burden and verbal recall memories, which may underlie accelerated aging and cognitive deterioration in patients with SACS and other vascular cognitive impairment.
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Reporting of Concussion Symptoms by a Nationwide Survey of United States Parents of Middle School Children. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182212070. [PMID: 34831822 PMCID: PMC8622026 DOI: 10.3390/ijerph182212070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Revised: 11/12/2021] [Accepted: 11/14/2021] [Indexed: 11/16/2022]
Abstract
This cross-sectional study assessed concussion symptom knowledge of parents of middle school (MS) children (aged 10-15 years) through a free-response item that solicited concussion symptoms and compared findings to a pre-validated scale-based measure. A self-administered online questionnaire was sent to a panel of randomly selected United States residents who were recruited by a third-party company, aged ≥ 18 years, and identified as parents of MS children. Via a free-response item, parents listed what they believed were concussion symptoms. Multiple sections later, parents identified potential concussion symptoms via a scale measure, which featured 25 items (22 actual symptoms, three distractor symptoms) with three response options: yes, no, maybe. Free-response item responses were coded into specific symptoms. The 1062 eligible parents that provided complete data commonly identified the symptoms of dizziness (90.2%), blurred vision (87.4%), and balance problems (86.4%) on the scale-based measure. However, these and other symptoms were less commonly identified via the free-response item (dizziness: 44.4%; blurred vision: 16.5%; balance problems: 3.5%). Concussion symptoms commonly reported via the scale-based measure were reported less frequently within the free-response item. Future research must explore strategies to help clinicians working with parents and their children to measure and assess concussion symptom reporting and knowledge.
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Cullen HJ, Paterson HM, van Golde C. Does experiencing inattentional blindness for crime influence eyewitness recall? Memory 2021; 30:206-216. [PMID: 34783643 DOI: 10.1080/09658211.2021.2002906] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Witnesses may not notice crimes occurring when their attention is elsewhere, which may affect their memory. In this study, 174 participants completed an attention-demanding task while viewing a video containing an assault. Whether participants noticed the assault or experienced inattentional blindness for it was assessed. Then, participants were exposed to post-event information (containing misinformation) before completing a cued-recall task under one of three recall instructions (free, forced, or no instruction). Most participants experienced inattentional blindness for the assault (65.5%), which had a negative effect on recall, regardless of recall instruction. Specifically, participants who experienced inattentional blindness were less confident, complete, and accurate, and were more likely to report misinformation, than participants who noticed the crime. Witnesses who experienced inattentional blindness reported that they relied purely on post-event information to answer some questions. The findings suggest that caution should be taken when interviewing witnesses who have not paid attention to a crime.
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Pacheco CR, Scheeringa MS. Post-Traumatic Stress and Autobiographical Memory Accuracy in Young Children: Traumatic Events Versus Stressful and Pleasant Events. JOURNAL OF AGGRESSION, MALTREATMENT & TRAUMA 2021; 31:695-714. [PMID: 36089996 PMCID: PMC9456477 DOI: 10.1080/10926771.2021.1994498] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/11/2021] [Revised: 06/23/2021] [Accepted: 09/09/2021] [Indexed: 06/15/2023]
Abstract
This study examined the influence of trauma exposure and posttraumatic stress (PTS) severity on accuracy of recall of autobiographical memory of traumatic events and pleasant events in very young children. Two hundred sixteen 3-6 year-old children with trauma exposure were interviewed with standardized interviews. Forty-one non-trauma-exposed controls were interviewed about stressful events for comparison. Accuracy of recall for both traumatic and pleasant events was not associated with severity of PTS. Trauma-exposed children showed significantly less accurate recall of trauma events compared to pleasant events. This difference was limited to children who experienced repeated trauma or Hurricane Katrina-related trauma experiences as opposed to single-blow types of trauma experiences. There was no difference in accuracy of recall of trauma events in the trauma-exposed group versus stressful events in the control group. There was also no difference in accuracy of recall of pleasant events between the trauma-exposed and the control groups. These findings do not support traditional theories that autobiographical recall is impaired in those with posttraumatic stress disorder or with trauma exposure. These findings demonstrate that very young children have access to and can verbalize accurate autobiographical recall of trauma events, which is important for clinical assessment and treatment.
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Pereira AE, Kelly MO, Lu X, Risko EF. On our susceptibility to external memory store manipulation: examining the influence of perceived reliability and expected access to an external store. Memory 2021; 30:1-17. [PMID: 34756153 DOI: 10.1080/09658211.2021.1990347] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Accepted: 10/01/2021] [Indexed: 10/19/2022]
Abstract
Offloading memory to external stores (e.g., a saved file) allows us to evade the limitations of our internal memory. One cost of this strategy is that the external memory store used may be accessible to others and, thus, may be manipulated. Here we examine how reducing the perceived reliability of an external memory store and manipulating one's expectation for future access to such a store can influence participants' susceptibility to its manipulation (i.e., endorsing manipulated information as authentic). Across three pre-registered experiments, participants were able to store to-be-remembered information in an external store. On a critical trial, we surreptitiously manipulated the information in that store. Results demonstrated that an explicit notification of a previous manipulation of that store and the warning that the store will be inaccessible in the future can decrease susceptibility to manipulation of that store. Results are discussed in the context of the metacognitive monitoring and control of memory reports in situations that involve the distribution of memory demands across both internal and external spaces.
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Mujawar S, Patil J, Chaudhari B, Saldanha D. Memory: Neurobiological mechanisms and assessment. Ind Psychiatry J 2021; 30:S311-S314. [PMID: 34908719 PMCID: PMC8611531 DOI: 10.4103/0972-6748.328839] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2021] [Revised: 05/29/2021] [Accepted: 07/22/2021] [Indexed: 11/15/2022] Open
Abstract
Memory is the process of retaining of knowledge over a period for the function of affecting future actions. It can be divided into declarative and procedural types. The process of memory consolidation is done in the hippocampus. The long-term memories are spread among various areas of the cerebrum depending on the different perceptual properties. The process of long-term potentiation and molecular changes occurring during memory formation are discussed in detail below. The steps involved in memory formation include encoding, storage, and recall (retrieval) in that order. Amnesia is a phenomenon in which there is the problem in memory formation which can be due to trauma to the brain, certain diseases, or stressors. While the assessment of memory has greatly improved, we are only beginning to understand the underlying mechanisms.
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Martinec Nováková L, Kliková M, Miletínová E, Bušková J. Olfaction-Related Factors Affecting Chemosensory Dream Content in a Sleep Laboratory. Brain Sci 2021; 11:1225. [PMID: 34573245 PMCID: PMC8465492 DOI: 10.3390/brainsci11091225] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 09/01/2021] [Accepted: 09/02/2021] [Indexed: 12/04/2022] Open
Abstract
Mental activity in sleep often involves visual and auditory content. Chemosensory (olfactory and gustatory) experiences are less common and underexplored. The aim of the study was to identify olfaction-related factors that may affect the occurrence of chemosensory dream content. Specifically, we investigated the effects of all-night exposure to an ambient odour, participants' appraisal of their current olfactory environment, their general propensity to notice odours and act on them (i.e., odour awareness), and their olfactory acuity. Sixty pre-screened healthy young adults underwent olfactory assessment, completed a measure of odour awareness, and spent three nights in weekly intervals in a sleep laboratory. The purpose of the first visit was to adapt to the experimental setting. On the second visit, half of them were exposed to the smell of vanillin or thioglycolic acid and the other half to an odourless control condition. On the third visit, they received control or stimulation in a balanced order. On each visit, data were collected twice: once from the first rapid eye movement (REM) stage that occurred after 3 a.m., and then shortly before getting up, usually from a non-REM stage. Participants were asked to report the presence of sensory dream content and to assess their current olfactory environment. Neither exposure, nor participants' assessments of the ambient odour, or olfactory acuity affected reports of chemosensory dream content but they were more frequent in individuals with greater odour awareness. This finding may have implications for treatment when such experiences become unwanted or bothersome.
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