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Neuropsychological Correlates (neuropsychological + correlate)
Selected AbstractsNeuropsychological correlates of hippocampal and rhinal cortex volumes in patients with mesial temporal sclerosisHIPPOCAMPUS, Issue 8 2003Catherine E. O'Brien Abstract Considerable progress has been made toward understanding the function of the primate rhinal cortex, comprising the entorhinal (ErC) and perirhinal (PrC) cortices. However, translating animal models to human memory has been limited by the technological problems associated with characterizing neural structures in vivo. Functional correlates of hippocampal and rhinal cortex volume changes were examined in a sample of 61 temporal lobe epilepsy patients with mesial temporal sclerosis (MTS; 33 left, 28 right). Patients were administered the Wechsler Adult Intelligence Scale (revised or third edition), the Wechsler Memory Scale (revised or third edition), and a spatial maze task. Neuropsychological data, together with rhinal cortex and hippocampal volumes, collected in our earlier study (O'Brien CE, Bowden SC, Whelan G, Cook MJ, unpublished observations), were analyzed using multiple regression. The only significant predictor of verbal memory function was the difference score between the volume of left hippocampus and the left PrC. Spatial maze scores were predicted by the bilateral sum of ErC volume. The difference score between the left hippocampus and left PrC volumes was the most powerful predictor of verbal episodic memory. Right hippocampal volume was not a significant predictor of nonverbal episodic memory. Verbal and nonverbal semantic memory were not significantly predicted by any combination of rhinal cortex structures. This quantitative study suggests a lateralized or material-specific memory function for the left hippocampus and left PrC, in contrast to the bilateral role of the ErC. The left hippocampus and left PrC appear to act on verbal memory function through an opposing relationship. Finally, differentiation between hippocampal and subhippocampal components in terms of episodic and semantic memory, respectively, could not be supported by the current data. © 2003 Wiley-Liss, Inc. [source] Pathological dissociation and neuropsychological functioning in borderline personality disorderACTA PSYCHIATRICA SCANDINAVICA, Issue 5 2009V. Ø. Haaland Objective:, Transient, stress-related severe dissociative symptoms or paranoid ideation is one of the criteria defining the borderline personality disorder (BPD). Examinations of the neuropsychological correlates of BPD reveal various findings. The purpose of this study was to investigate the association between dissociation and neuropsychological functioning in patients with BPD. Method:, The performance on an extensive neuropsychological battery of patients with BPD with (n = 10) and without (n = 20) pathological dissociation was compared with that of healthy controls (n = 30). Results:, Patients with pathological dissociation were found to have reduced functioning on every neuropsychological domain when compared with healthy controls. Patients without pathological dissociation were found to have reduced executive functioning, but no other differences were found. Conclusion:, Pathological dissociation is a clinical variable that differentiates patients with BPD with regard to cognitive functioning. [source] Physiological and neuropsychological correlates of approach/withdrawal tendencies in preschool: Further examination of the behavioral inhibition system/behavioral activation system scales for young childrenDEVELOPMENTAL PSYCHOBIOLOGY, Issue 3 2004Clancy Blair Abstract This study examined a parent-report version of the Behavioral Inhibition System/Behavioral Activation System (BIS/BAS) scales, a measure of approach,withdrawal motivation, in 170 children between the ages of 3 to 5 years attending Head Start programs. Physiological measures included assessments of baseline salivary cortisol and change in cortisol in response to the assessment session, and resting and suppression estimates of cardiac vagal tone. Cognitive self-regulation was assessed with a peg-tapping measure of inhibitory control and an item-selection measure of cognitive set-shifting ability. Results indicated that higher level of parent-reported withdrawal motivation was associated with cortisol increase and that parent-reported approach motivation tended to be associated with cortisol decrease across the assessment session. Higher level of parent-reported withdrawal also was positively related to cognitive self-regulation while parent-reported approach was negatively related to cognitive self-regulation. Person-oriented analysis indicated that children characterized by both high level of approach and high level of withdrawal tended to exhibit lower resting vagal tone, higher initial cortisol, and minimal cortisol and vagal change. Overall, findings suggest that the parent-report version of the BIS/BAS scales works well as an indicator of children's reactivity to appetitive and aversive motivational stimuli. Directions for future research and implications of findings for the longitudinal study of temperament and personality are discussed. © 2004 Wiley Periodicals, Inc. Dev Psychobiol 45: 113-124, 2004. [source] Verbal aggression in Alzheimer's disease.INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 9 2001Clinical, functional, neuropsychological correlates Abstract Objectives To determine the clinical, functional and neuropsychological correlates of verbal aggression in Alzheimer's disease in a group of consecutive first attendees to a memory clinic. Methods 150 people were evaluated and diagnosed as suffering with probable Alzheimer's disease. These people were tested using the Behave-AD for the presence of verbal aggression, delusions, depression and agitation. They were also assessed with cognitive, functional and neuropsychological scales. Results Twenty-eight per cent of this group of Alzheimer patients had exhibited some verbal aggression in the preceding month. Male gender (p,=,0.022), the presence of paranoid and delusional ideation (p,=,0.003) and agitation (p,=,0.042) were significantly associated with verbal aggression in a stepwise backward logistic regression analysis. Conclusion The presence of verbal aggression should prompt the clinician to search for delusional ideation, which may respond to phamacotherapy. Copyright © 2001 John Wiley & Sons, Ltd. [source] Apathy in Alzheimer's DiseaseJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 12 2001Allan M. Landes MA Apathy, or loss of motivation, is arguably the most common change in behavior in Alzheimer's disease (AD) but is underrecognized. Apathy represents a form of executive cognitive dysfunction. Patients with apathy suffer from decreased daily function and specific cognitive deficits and rely on families to provide more care, which results in increased stress for families. Apathy is one of the primary syndromes associated with frontal and subcortical pathology, and apathy in AD appears to have multiple neuroanatomical correlates that implicate components of frontal subcortical networks. Despite the profound effects of this common syndrome, only a few instruments have been designed to specifically assess apathy, and these instruments have not been directly compared. Assessment of apathy in AD requires clinicians to distinguish loss of motivation from loss of ability due to cognitive decline. Although apathy may be misdiagnosed as depression because of an overlap in symptoms, current research has shown apathy to be a discrete syndrome. Distinguishing apathy from depression has important treatment implications, because these disorders respond to different interventions. Further research is required to clarify the specific neuroanatomical and neuropsychological correlates of apathy and to determine how correct diagnosis and treatment of apathy may improve patient functioning and ease caregiver burden. [source] |