1
|
Austin T, Smith J, Rabin B, Lindamer L, Pittman J, Justice S, Twamley EW, Lantrip C. The Effects of a Single-Session Virtual Rumination Intervention to Enhance Cognitive Functioning in Veterans With Subjective Cognitive Symptoms: Multimethod Pilot Study. JMIR Form Res 2024; 8:e48525. [PMID: 38608264 PMCID: PMC11053393 DOI: 10.2196/48525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 12/19/2023] [Accepted: 12/21/2023] [Indexed: 04/14/2024] Open
Abstract
BACKGROUND Subjective cognitive concerns (SCCs) entail perceived difficulties in thinking or memory, often reported without substantial objective evidence of cognitive impairment. These concerns are prevalent among individuals with a history of brain injuries, neurological conditions, or chronic illnesses, contributing to both psychological distress and functional limitations. They are increasingly considered to be a risk factor for future objective decline. A considerable number of individuals reporting SCCs also exhibit mental health symptoms, such as a history of trauma, depression, or anxiety. Interventions that address modifiable emotional and cognitive factors related to SCC could improve functioning and quality of life. Therefore, the use of emotion regulation strategies, especially those directed at minimizing rumination, could serve as a promising focus for interventions aimed at mitigating subjective cognitive concerns in veteran populations. OBJECTIVE This pilot study explored the feasibility, acceptability, and preliminary efficacy of a brief, 1-session emotion regulation intervention called "Worry Less, Remember More." The Worry Less, Remember More intervention was designed to reduce rumination and improve subjective cognitive functioning in veterans with subjective cognitive changes (N=15). METHODS We randomized 15 veterans to either the active telehealth condition or waitlist control and completed the intervention. Participants were aged between 31 and 67 (mean 49.5, SD 10.1) years, and the sample was primarily male (12/15, 83%) and White (10/15, 67%). The most common diagnoses were posttraumatic stress disorder and depression. Following the intervention, veteran input was sought through semistructured interviews with a subset of 12 participants, examining feasibility, acceptability, and perceived efficacy. Preliminary efficacy was also measured using pre- and postintervention self-report measures. RESULTS Veterans reported that this intervention was acceptable, with 92% (11/12) of the sample reporting that they benefited from the intervention and would recommend the intervention to others with similar difficulties. Semistructured interviews revealed difficulties with feasibility, including problems with the remote consenting process, forgetting appointments, and needing additional strategies to remember to consistently use the interventions. The intervention improved self-reported cognitive symptoms on quantitative measures but did not improve self-reported rumination. CONCLUSIONS This pilot study establishes the preliminary feasibility, acceptability, and efficacy of the Worry Less, Remember More intervention for veterans with subjective cognitive symptoms. Future iterations of the intervention may benefit from simplifying the electronic consent process, providing reminders for appointments, and incorporating compensatory cognitive strategies to assist with using the telehealth system, as well as applying the strategies learned in the intervention. While future research is needed with larger samples, including nonveteran populations, the intervention may also be a useful clinical tool to bridge care between neuropsychology clinics and mental health treatment.
Collapse
Affiliation(s)
- Tara Austin
- Research Service, VA San Diego Healthcare System, San Diego, United States
- Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, San Diego, CA, United States
- The VA Center of Excellence for Research on Returning War Veterans, Waco, TX, United States
| | - Jennifer Smith
- The VA Center of Excellence for Research on Returning War Veterans, Waco, TX, United States
| | - Borsika Rabin
- Research Service, VA San Diego Healthcare System, San Diego, United States
- Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, San Diego, CA, United States
- UC San Diego Altman Clinical and Translational Research Center Dissemination and Implementation Science Center, University of California San Diego, San Diego, CA, United States
| | - Laurie Lindamer
- Research Service, VA San Diego Healthcare System, San Diego, United States
- Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, San Diego, CA, United States
| | - James Pittman
- Research Service, VA San Diego Healthcare System, San Diego, United States
- Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, San Diego, CA, United States
| | - Staley Justice
- The VA Center of Excellence for Research on Returning War Veterans, Waco, TX, United States
| | - Elizabeth W Twamley
- Research Service, VA San Diego Healthcare System, San Diego, United States
- Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, San Diego, CA, United States
- Department of Psychiatry, University of California San Diego, San Diego, CA, United States
| | - Crystal Lantrip
- The VA Center of Excellence for Research on Returning War Veterans, Waco, TX, United States
- Department of Psychology and Neuroscience, Baylor University, Waco, TX, United States
| |
Collapse
|
2
|
Austin TA, Hodges CB, Thomas ML, Szabo YZ, Parr S, Eschler BD, Lantrip C, Twamley E. Meta-analysis of Cognitive Rehabilitation Interventions in Veterans and Service Members With Traumatic Brain Injuries. J Head Trauma Rehabil 2024:00001199-990000000-00126. [PMID: 38270528 DOI: 10.1097/htr.0000000000000924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2024]
Abstract
MAIN OBJECTIVE Cognitive difficulties are some of the most frequently experienced symptoms following mild-to-moderate traumatic brain injuries (TBIs). There is meta-analytic evidence that cognitive rehabilitation improves cognitive functioning after TBI in nonveteran populations but not specifically within the veteran and service member (V/SM) population. The purpose of the current meta-analysis was to examine the effect of cognitive rehabilitation interventions for V/SMs with a history of mild-to-moderate TBI. DESIGN AND MAIN MEASURES This meta-analysis was preregistered with PROSPERO (CRD42021262902) and used the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) checklist for reporting guidelines. Inclusion criteria required studies to have (1) randomized controlled trials; (2) used adult participants (aged 18 years or older) who were US veterans or active-duty service members who had a history of mild-to-moderate TBI; (3) cognitive rehabilitation treatments designed to improve cognition and/or everyday functioning; (4) used objective neuropsychological testing as a primary outcome measure; and (5) been published in English. At least 2 reviewers independently screened all identified abstracts and full-text articles and coded demographic and effect size data. The final search was run on February 24, 2023, using 4 databases (PubMed, PsycINFO, Web of Science, and Google Scholar). Study quality and bias were examined using the revised Cochrane Risk-of-Bias Tool for Randomized Trials. RESULTS We identified 8 articles meeting full criteria (total participants = 564; 97% of whom had a history of mild TBI). Compared with control groups, participants showed a small, but significant, improvement in overall objective neuropsychological functioning after cognitive rehabilitation interventions. Interventions focusing on teaching strategies had a larger effect size than did those focusing on drill-and-practice approaches for both objective neuropsychological test performance and performance-based measures of functional capacity. CONCLUSION There is evidence of cognitive improvement in V/SMs with TBI histories after participation in cognitive rehabilitation. Clinician-administered interventions focusing on teaching strategies may yield the greatest cognitive improvement in this population.
Collapse
Affiliation(s)
- Tara A Austin
- Center of Excellence for Stress and Mental Health (Drs Austin and Twamley) and Research Service (Drs Austin and Twamley), VA San Diego Healthcare System, San Diego, California; The VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, Texas (Drs Austin, Szabo, and Lantrip); School of Social and Behavioral Sciences, Andrews University, Berrien Springs, Michigan (Dr Hodges); Department of Psychology, Colorado State University, Fort Collins (Dr Thomas); Department of Psychology, California State University, Los Angeles (Dr Szabo); Department of Psychology and Neuroscience, Baylor University, Waco, Texas (Ms Parr and Dr Lantrip); Department of Neuro-Oncology, MD Anderson Cancer Center, Houston, TX (Dr Eschler); Department of Psychiatry, University of California San Diego (Dr Twamley). Dr Szabo is now at California State University, Los Angeles
| | | | | | | | | | | | | | | |
Collapse
|
3
|
Rude SS, Lantrip C, Aguirre VA, Schraegle WA. Chasing elusive expressive writing effects: emotion-acceptance instructions and writer engagement improve outcomes. Front Psychol 2023; 14:1192595. [PMID: 37388657 PMCID: PMC10300201 DOI: 10.3389/fpsyg.2023.1192595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Accepted: 05/22/2023] [Indexed: 07/01/2023] Open
Abstract
Introduction Pennebaker's expressive writing (EW) paradigm in which participants are encouraged to explore their "deepest thoughts and feelings" about a difficult experience in several short writing sessions has yielded impressive mental health outcomes and holds great promise as a cost-effective intervention. Yet results have been difficult to replicate and it is unclear what conditions are necessary for observing the effect. Our aim was to discover reasons for the variability in EW outcomes. We explored the impact of augmenting writing instructions to encourage acceptance of emotional experience, which we thought would encourage engagement with writing; and we examined essay length, an index of writer engagement, as a possible moderator of writing outcomes. Methods We compared traditional expressive writing (tEW), conducted according to Pennebaker's paradigm in which participants write about a self-chosen emotional experience for 15 min at a time on each of three closely spaced days, with an acceptance-enhanced version (AEEW), identical except that it supplemented traditional instructions with encouragement of an accepting approach to emotional experience, and with a control condition which asked participants to write about their use of time on particular days. Self-reported depression was the outcome measure. Results Essay length (a proxy for writer engagement) moderated effects of writing at posttest 2 weeks later: Condition differences were found only for participants who wrote longer essays: For these participants the AEEW condition outperformed both control and tEW; and tEW did not differ significantly from control. Conclusion Findings suggest that degree of engagement in the writing process may partially explain the puzzle of variable outcomes in the EW literature. Results also provide practical guidance: those who are motivated to engage deeply in the writing process are most likely to benefit; and encouraging writers to accept and to openly explore emotional experience is expected to enhance benefits.
Collapse
Affiliation(s)
- Stephanie S. Rude
- Department of Educational Psychology, The University of Texas at Austin, Austin, TX, United States
| | - Crystal Lantrip
- Center of Excellence for Research on Returning War Veterans at Central Texas Veterans Health Care System, Waco, TX, United States
- Department of Psychology and Neurosciences, Baylor University, Waco, TX, United States
| | - Vanessa A. Aguirre
- Department of Psychology, The University of Texas at Austin, Austin, TX, United States
| | - William A. Schraegle
- Department of Neurology, Dell Medical School, The University of Texas at Austin, Austin, TX, United States
| |
Collapse
|
4
|
Lantrip C, Szabo YZ, Pazienza S, Benge J. Associations of childhood trauma and executive functioning in everyday life of those with subjective cognitive complaints. Appl Neuropsychol Adult 2023; 30:101-109. [PMID: 33929926 DOI: 10.1080/23279095.2021.1913738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Subjective cognitive complaints are a frequent patient-reported problem. Some adults with cognitive complaints present to the neuropsychology clinic without a diagnosable cognitive disorder but experience subjective daily executive dysfunction. It is well-established that trauma may impact executive function; however, the nuances of this relationship remain of interest. The present study descriptively reports associations between executive function and childhood trauma as well as lifetime trauma and current posttraumatic stress disorder (PTSD) symptoms. Participants were 48 adults referred to a neuropsychology clinic for evaluation without an identified neurocognitive disorder. Correlations between self-reported executive dysfunction, as assessed by the Behavior Rating Inventory of Executive Function-Adult (BRIEF-A), childhood trauma as measured by the Childhood Trauma Questionnaire and lifetime and current symptoms using the PTSD Diagnostic Scale for Diagnostic and Statistical Manual of Mental Disorders-5 were conducted. Correlations indicated that emotional neglect was associated with BRIEF-A indices and specific subscales including self-monitoring, shifting attention, task initiation, and planning/organization. Childhood emotional and sexual abuse and physical neglect and abuse, lifetime trauma and current PTSD symptoms were not associated with BRIEF-A indices. Though preliminary, these results highlight that in this population, history of childhood emotional neglect is particularly important when considering etiology of daily executive function complaints. Clinical implications and limitations are discussed.
Collapse
Affiliation(s)
- Crystal Lantrip
- Department of Veterans Affairs, VISN 17 Center of Excellence for Research on Returning War Veterans, Central Texas Veterans Health Care System, Waco, TX, USA.,Baylor Scott and White Memorial, Texas A&M College of Medicine, Neurosciences Institute, Temple, TX, USA
| | - Yvette Z Szabo
- Department of Veterans Affairs, VISN 17 Center of Excellence for Research on Returning War Veterans, Central Texas Veterans Health Care System, Waco, TX, USA
| | - Shawneen Pazienza
- Department of Veterans Affairs, Central Texas Veterans Health Care System, Austin, TX, USA
| | - Jared Benge
- Baylor Scott and White Memorial, Texas A&M College of Medicine, Neurosciences Institute, Temple, TX, USA.,Department of Neurology, Dell Medical School, University of Texas at Austin, Austin, TX, USA
| |
Collapse
|
5
|
Lantrip C, Szabo YZ, Kozel FA, Holtzheimer P. Neuromodulation as an Augmenting Strategy for Behavioral Therapies for Anxiety and PTSD: a Narrative Review. Curr Treat Options Psychiatry 2022; 9:406-418. [PMID: 36714210 PMCID: PMC9881183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
PURPOSE OF REVIEW Post-traumatic stress disorder (PTSD) is a prevalent problem. Despite current treatments, symptoms may persist, and neuromodulation therapies show great potential. A growing body of research suggests that transcranial magnetic stimulation (TMS) is effective as a standalone treatment for PTSD, with recent research demonstrating promising use when combined synergistically with behavioral treatments. In this review, we survey this literature including data suggesting mechanisms involved in anxiety and PTSD that may be targeted by neurostimulation. RECENT FINDINGS Evidence suggests the mechanism of action for TMS that contributes to behavioral change may be enhanced neural plasticity via increased functionality of prefrontal and subcortical/limbic structures and associated networks. Some research has demonstrated a behavioral change in PTSD and anxiety due to enhanced extinction learning or improved ability to think flexibly and reduce ruminative tendencies. Growing evidence suggests TMS may be best used as a therapeutic adjunct, at least acutely, for extinction-based exposure therapies in patients by accelerating therapy response. SUMMARY While TMS has shown promise as a standalone intervention, augmentation with psychotherapy is one avenue of interest. Non-responders to current EBPs might particularly benefit from this sort of targeted approach, and it may shorten treatment length, which would help the successful completion of a course of therapy.
Collapse
Affiliation(s)
- Crystal Lantrip
- Department of Veterans Affairs, VISN 17 Center of Excellence for Research On Returning War Veterans, Waco, TX 76711, USA
- Department of Psychology and Neuroscience, Baylor University, Waco, TX, USA
| | - Yvette Z. Szabo
- Department of Veterans Affairs, VISN 17 Center of Excellence for Research On Returning War Veterans, Waco, TX 76711, USA
- Department of Health, Human Performance and Recreation, Baylor University, Waco, TX, USA
| | - F. Andrew Kozel
- Department of Behavioral Sciences and Social Medicine, Florida State University, Tallahassee, FL, USA
| | - Paul Holtzheimer
- Department of Veterans Affairs, National Center for PTSD, White River Junction, VT, USA
- Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, NH, USA
| |
Collapse
|
6
|
Lantrip C. Combining Transcranial Magnetic Stimulation With Behavioral Interventions for Posttraumatic Stress Disorder: Reasons for Optimism Despite Negative Findings. Biol Psychiatry 2021; 90:e43-e44. [PMID: 34674801 PMCID: PMC9869864 DOI: 10.1016/j.biopsych.2021.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 09/08/2021] [Accepted: 09/08/2021] [Indexed: 01/25/2023]
Affiliation(s)
- Crystal Lantrip
- Department of Veterans Affairs Veterans Integrated Service Network 17 Center of Excellence for Research on Returning War Veterans at Central Texas Veterans Health Care System, Waco, Texas; Department of Psychology and Neurosciences, Baylor University, Waco, Texas.
| |
Collapse
|
7
|
Powers MB, Carl E, Levihn-Coon A, Van Veldhuizen M, Caven A, Pogue J, Fresnedo M, Turner ED, Adams M, Leonard K, Conroy H, Lantrip C, Caven T, Isbell C, Regner J, Garmon E, Foreman M, Miller W, Fares LA, Carlbring P, Otto MW, Weiss DN, Hughes J, Bernhardt JM, Roy R, Oh J, Copt R, MacClements J, Warren AM, Rosenfield B, Rosenfield D, Minns S, Telch MJ, Smits JAJ. Nonpharmacologic Pain Management Among Hospitalized Inpatients: A Randomized Waitlist-Controlled Trial of Standard Virtual Reality (CGI VR) Versus Video Capture VR (360 degrees 3D/Stereoscopic Video Capture VR). Clin J Pain 2021; 37:678-687. [PMID: 34265789 DOI: 10.1097/ajp.0000000000000958] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Accepted: 03/17/2021] [Indexed: 11/25/2022]
Abstract
OBJECTIVES Nonpharmacologic pain management strategies are needed because of the growing opioid epidemic. While studies have examined the efficacy of virtual reality (VR) for pain reduction, there is little research in adult inpatient settings, and no studies comparing the relative efficacy of standard animated computer-generated imagery (CGI) VR to Video Capture VR (360 degrees 3D/stereoscopic Video Capture VR). Here, we report on a randomized controlled trial of the relative efficacy of standard CGI VR versus Video Capture VR (matched for content) and also compared the overall efficacy of VR to a waitlist control group. MATERIALS AND METHODS Participants (N=103 hospitalized inpatients reporting pain) were randomized to 1 of 3 conditions: (1) waitlist control, (2) CGI VR, or (3) Video Capture VR. The VR and waitlist conditions were 10 minutes in length. Outcomes were assessed pretreatment, post-treatment, and after a brief follow-up. RESULTS Consistent with hypotheses, both VR conditions reduced pain significantly more relative to the waitlist control condition (d=1.60, P<0.001) and pain reductions were largely maintained at the brief follow-up assessment. Both VR conditions reduced pain by ∼50% and led to improvements in mood, anxiety, and relaxation. Contrary to prediction, the Video Capture VR condition was not significantly more effective at reducing pain relative to the CGI VR condition (d=0.25, P=0.216). However, as expected, patients randomized to the Video Capture VR rated their experience as more positive and realistic (d=0.78, P=0.002). DISCUSSION Video Capture VR was as effective as CGI VR for pain reduction and was rated as more realistic.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | - Crystal Lantrip
- Department of Veterans Affairs VISN 17 Center of Excellence for Research on Returning War Veterans at Central Texas Veterans Health Care System
| | - Thomas Caven
- The University of Texas at Austin Dell Medical School
- Department of Psychology and Neuroscience, Baylor University, Waco
| | - Claire Isbell
- Baylor Scott and White Medical Center Temple, Temple, TX
| | - Justin Regner
- Baylor Scott and White Medical Center Temple, Temple, TX
| | - Emily Garmon
- Baylor Scott and White Medical Center Temple, Temple, TX
| | | | | | - Lorie A Fares
- Baylor Scott and White Medical Center Temple, Temple, TX
| | | | | | | | | | | | - Rob Roy
- Boston University, Boston, MA
| | | | - Ryan Copt
- Bongiovi Medical, Port Saint Lucie, FL
| | | | | | | | | | | | | | | |
Collapse
|
8
|
Austin T, Pazienza S, Lantrip C. A-133 Emotion Regulation Strategy Use in Veterans with Subjective Cognitive Complaints in a Neuropsychology Clinic. Arch Clin Neuropsychol 2021. [DOI: 10.1093/arclin/acab062.151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Objective
Neuropsychological evaluations reveal individuals with both objective and subjective cognitive complaints. Subjective cognitive complaints (SCC) are often related to potentially modifiable factors, such as mood. One proposed treatment for cognitive complaints is to focus on emotion regulation rather than cognitive rehabilitation. This project examines acceptability and feasibility from the perspective of participants, and determines participant understanding of the relationship between mood and cognition following a brief, one session emotion regulation intervention.
Method
Two study authors interviewed a subgroup of participants enrolled in a larger longitudinal intervention study about their understanding of the impact of mood on cognitive functioning, the acceptability of the intervention, and ease of using the provided strategies. Study authors then used inductive coding to identify common themes in participants’ responses.
Results
Preliminary results reveal the following themes: 1. Participant understanding that current cognitive concerns are related to modifiable factors (e.g., sleep, pain, emotional distress) rather than damage to brain structures or a neurodegenerative process. 2. Participants’ need for attentional and memory strategies to consistently use emotional regulation strategies day to day as well as participate fully in adjunctive psychological treatment. 3. Post-intervention awareness of high levels of everyday rumination.
Conclusion
Individuals with SCCs are amenable to psychological intervention, particularly when delivered with a brain-behavior explanation of how modifiable factors contribute to cognitive difficulties. In order to most successfully apply these strategies, participants may also benefit from targeted cognitive strategies to improve their use of emotion regulation strategies.
Collapse
|
9
|
Szabo YZ, Nelson SM, Lantrip C. Cognitive complaints in neuropsychologically normal adults: A brief report on the roles of childhood abuse and rumination. ACTA ACUST UNITED AC 2020. [DOI: 10.1037/trm0000209] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
|
10
|
Abstract
This brief report describes caregiver ratings on the Everyday Cognition (ECog) scale, a psychometrically robust measure of cognitively driven daily activities that was initially designed for other neurodegenerative conditions, in individuals with Parkinson's disease (PD). In 49 individuals with PD, those with suspected PD dementia had more difficulties across ECog domains than those with normal cognition or mild cognitive impairment. Results from multiple regression analyses revealed that activities captured by the ECog were related to measured cognitive ability, over and above disease duration and demographic factors. The lack of floor and ceiling effects speaks to the potential utility of the instrument in practice and research regarding this population. Preliminary data support the utility of the ECog as a marker of functional impact of cognitive problems in PD, though further research will be required to validate the instrument in this population.
Collapse
Affiliation(s)
- Rachel A Cooper
- Division of Neuropsychology, Department of Neurology, Scott & White Medical Center, Temple, Texas (Cooper, Benge, Lantrip); Plummer Movement Disorders Center, Scott & White Medical Center, Temple, Texas (Benge, Soileau); and Department of Internal Medicine, Texas A&M Health Sciences Center, Temple, Texas (Cooper, Benge, Lantrip, Soileau)
| | - Jared Benge
- Division of Neuropsychology, Department of Neurology, Scott & White Medical Center, Temple, Texas (Cooper, Benge, Lantrip); Plummer Movement Disorders Center, Scott & White Medical Center, Temple, Texas (Benge, Soileau); and Department of Internal Medicine, Texas A&M Health Sciences Center, Temple, Texas (Cooper, Benge, Lantrip, Soileau)
| | - Crystal Lantrip
- Division of Neuropsychology, Department of Neurology, Scott & White Medical Center, Temple, Texas (Cooper, Benge, Lantrip); Plummer Movement Disorders Center, Scott & White Medical Center, Temple, Texas (Benge, Soileau); and Department of Internal Medicine, Texas A&M Health Sciences Center, Temple, Texas (Cooper, Benge, Lantrip, Soileau)
| | - Michael J Soileau
- Division of Neuropsychology, Department of Neurology, Scott & White Medical Center, Temple, Texas (Cooper, Benge, Lantrip); Plummer Movement Disorders Center, Scott & White Medical Center, Temple, Texas (Benge, Soileau); and Department of Internal Medicine, Texas A&M Health Sciences Center, Temple, Texas (Cooper, Benge, Lantrip, Soileau)
| |
Collapse
|
11
|
Benge JF, Balsis S, Madeka T, Uhlman C, Lantrip C, Soileau MJ. Factor structure of the Montreal Cognitive Assessment items in a sample with early Parkinson's disease. Parkinsonism Relat Disord 2017; 41:104-108. [DOI: 10.1016/j.parkreldis.2017.05.023] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2017] [Revised: 05/16/2017] [Accepted: 05/24/2017] [Indexed: 01/10/2023]
|
12
|
Abstract
Prior studies have found that compared to younger peers, older adults become happier and regulate emotions better as they age. However, research has also demonstrated that successful emotion regulation relies on well-functioning neural networks including the cognitive control network (CCN) and default mode network (DMN), which include brain structures that tend to deteriorate in the aging process. This dichotomy of improved stress management and emotion control in conjunction with deterioration in relevant neural networks and structures is interesting and worthy of further discussion and study.
Collapse
Affiliation(s)
- Crystal Lantrip
- Neurosciences Institute, Baylor Scott and White Health, Temple, TX, USA.,Texas A&M Health Science Center, College of Medicine, Temple, TX, USA
| | - Jason H Huang
- Neurosciences Institute, Baylor Scott and White Health, Temple, TX, USA.,Texas A&M Health Science Center, College of Medicine, Temple, TX, USA
| |
Collapse
|
13
|
Lantrip C, Towns S, Roth RM, Giancola PR. Psychopathy traits are associated with self-report rating of executive functions in the everyday life of healthy adults. Personality and Individual Differences 2016. [DOI: 10.1016/j.paid.2016.05.051] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
|
14
|
Cooper R, Benge J, Lantrip C. A-09Relationship of the Montreal Cognitive Assessment (MoCA) to Everyday Impairments in Parkinson's Disease. Arch Clin Neuropsychol 2016. [DOI: 10.1093/arclin/acw043.09] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
15
|
Lantrip C, Towns S, Roth R, Giancola P. C-31Psychopathic Personality Traits and Executive Functions in Daily Life. Arch Clin Neuropsychol 2015. [DOI: 10.1093/arclin/acv047.233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
16
|
Lantrip C, Mazzetti F, Grasso J, Gill S, Miller J, Haner M, Rude S, Awad G. Ethnic Identity and Acculturative Stress as Mediators of Depression in Students of Asian Descent. Journal of College Counseling 2015. [DOI: 10.1002/jocc.12011] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Crystal Lantrip
- Counseling Psychology Program; University of Texas at Austin
- Now at Department of Psychiatry; Geisel School of Medicine at Dartmouth
| | | | - Joseph Grasso
- Counseling Psychology Program; University of Texas at Austin
- Now at Mental Health Service; San Francisco Veterans Affairs Medical Center; San Francisco California
| | - Sara Gill
- Counseling Psychology Program; University of Texas at Austin
| | - Janna Miller
- Counseling Psychology Program; University of Texas at Austin
| | - Morgynn Haner
- Counseling Psychology Program; University of Texas at Austin
| | - Stephanie Rude
- Counseling Psychology Program; University of Texas at Austin
| | - Germine Awad
- Counseling Psychology Program; University of Texas at Austin
| |
Collapse
|
17
|
Abstract
Development of emotion regulation strategy use involves a transition from reliance on suppression during childhood to greater use of reappraisal in adolescence and adulthood-a transition that parallels developmental changes in executive functions. We evaluated the relationship between emotion regulation strategy use and executive functioning in the everyday life of 70 typically developing adolescents who completed the Emotion Regulation Questionnaire for Youth and the Behavior Rating Inventory of Executive Function-Self-Report. Results indicated that greater reliance on reappraisal was associated with better executive functions, while reliance on suppression was related to poorer executive functions. Findings suggest that adolescents who rely on reappraisal may have more cognitive resources to help them remain attentive and well regulated in their daily lives. On the other hand, if better executive functions facilitate the use of reappraisal, adolescents' ability to regulate their emotions could potentially be enhanced via supports for executive functions.
Collapse
Affiliation(s)
- Crystal Lantrip
- a Neuropsychology Program, Department of Psychiatry , Geisel School of Medicine at Dartmouth , Lebanon , New Hampshire
| | - Peter K Isquith
- a Neuropsychology Program, Department of Psychiatry , Geisel School of Medicine at Dartmouth , Lebanon , New Hampshire
| | - Nancy S Koven
- b Neuroscience Program , Bates College , Lewiston , Maine
| | - Kathleen Welsh
- c Social Studies Department , Thetford Academy , Thetford , Vermont
| | - Robert M Roth
- a Neuropsychology Program, Department of Psychiatry , Geisel School of Medicine at Dartmouth , Lebanon , New Hampshire
| |
Collapse
|