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Biomedical subjects

C R Chapman

Publications and source records attributed to C R Chapman.

At least 73 records · Page 4Linked to original sources
PubMed1979

Memory loss and response bias in senescence.

Recognition memory was studied in young and elderly women by assessing memory strength and response bias using Signal Detection Theory methodology. Young women (mean age 21 years; n = 8) had better recognition memory (d' and d'e) than did elderly women (mean age 71 years; n = 16) but the groups did not differ significantly on correct recognitions (hit rate) or incorrect recognitions (false affirmative rate). Evaluation of response bias indicated that the elderly women adopted a lax response strategy which resulted in an inflated correct recognition rate. The data indicate that, in aging research, evaluation of memory in terms of correct and incorrect recognitions can lead to erroneous interpretations, due to uncontrolled bias effects. Age does adversely influence recognition memory strength suggesting that acquisition and/or storage processes are not invariant with age.

Adult↗
PubMed1978

The MMPI and chronic pain: the diagnosis of psychogenic pain.

This study investigates the capacity of the MMPI to discriminate among groups of patients with different types of pain. When multivariate analysis of variance is used, the standard set of MMPI scales discriminates between acute pain and chronic pain but not between chronic pain of two different etiologies (surgical-iatrogenic vs. unknown). The three scales that discriminate acute from chronic pain patients are those in the "neurotic triad," Hs, D, and Hy. The possibility that the unknown pain etiology group could be broken down into psychogenic pain and undetected somatogenic pathology subgroups was explored using cluster analysis. This procedure did not yield any group of patients who could be identified as having chronic pain of psychogenic origin. These results suggest that the MMPI is not a reliable tool for the differential diagnosis of chronic pain. It appears, however, that patterns of findings are partly contingent on population characteristics. Researchers should be cautious about generalizing to populations other than those from which samples are drawn.

Diagnosis, Differential↗
PubMed1978

[Modulation of experimental dental pain in man with acupuncture and by transcutaneous electric stimulation].

We have studied the effects of electrical acupuncture stimulation and transcutaneous electrical stimulation on the ability of human volunteers to perceive pain. Both psychophysical indices and measures of cerebral evoked responses to painful stimuli have been used to demonstrate that these treatments reduce pain perception. A recently completed study showed that the analgesic effects of transcutaneous electrical stimulation can be partly reversed when 0,4 mg of naloxone is injected. This observation suggests that endogenic morphine-like peptides are released in response to low frequency electrical stimulation of the skin.

Acupuncture Therapy↗
PubMed1977

Psychological aspects of pain patient treatment.

Acute and chronic pain complaints are in part determined by psychological factors unrelated to disease or trauma. Suffering associated with acute pain is greatly influenced by the anxiety of the patient, and it can be managed by helping him form useful defensive attitudes toward the pain he will experience. Chronic pain, in contrast, tends to be linked to personality problems and payoffs in the home and job situation for adopting a sick role. Both pain states may be usefully construed as problems of perceptual distortion. A model for the perception of pain is presented and suggestions for applying psychological considerations in the diagnosis and management of pain states are offered.

Activities of Daily Living↗
PubMed1977

Effects of intrasegmental electrical acupuncture on dental pain: evaluation by threshold estimation and sensory decision theory.

The effect of 80 min of low frequency (2 Hz) electric acupunctural stimulation at facial sites on the perception of induced dental pain was evaluated using both pain threshold and sensory decision theory (SDT) procedures. The demonstration of a 187% increase in threshold over a 20 min period of acupunctural stimulation replicated earlier work by Swedish investigators. SDT analyses indicated that the threshold increase reflected a relatively pure sensory change with no significant modification of response bias. However, subjects were able to perceive some of the stimuli presented below threshold level following acupuncture, thus indicating that the threshold concept has been an inadequate description of the phenomenon. This study demonstrated that intrasegmental analgesic stimulation is more efficacious than the extrasegmental meridian point stimulation used in our earlier studies. Possible mechanisms for the observed effect were discussed.

Acupuncture Therapy↗
PubMed1977

The perception of induced dental pain in young and elderly women.

Pain threshold for electrical stimulation of healthy, unfilled teeth was studied in young and elderly women. Using the methodology of Sensory Decision Theory, ability to discriminate between suprathreshold shocks (d') and response bias were also assessed. No difference in threshold was observed betweeen the young and elderly groups. The elderly women were poorer at discriminating between suprathreshold shocks than the young women. These results were interpreted to reflect the integrity of highthreshold dental pulp afferents in the elderly and a central nervous system deficit on the part of the elderly for discriminating between such shocks. Significant age differences in response bias were also observed. Elderly subjects were biased against reporting shock as very faint pain compared to the young subjects and they restricted the range of their criteria across the six-point rating scale.

Adult↗
PubMed1975

Acupuncture compared with 33 per cent nitrous oxide for dental analgesia: A sensory decision theory evaluation.

Responses to electrical stimulation of the tooth pulp were obtained in both baseline and test sessions for subjects receiving acupuncture, 33 per cent nitrous oxide, or control conditions. A signal-detection analysis across sessions showed that both treatment groups demonstrated reduced sensitivity to stimulation, and increases in bias against reporting strong stimuli as painful. (Key words: Acupuncture; Anesthetics, gases, nitrous oxide; Measurement techniques, sensory decision theory; Pain, sensory decision theory).

Acupuncture Therapy↗
PubMed1973

Analgesic strength of 33 percent nitrous oxide: a signal detection theory evaluation.

Radiant heat stimulation was applied to volunteers and rating scale responses were obtained to assess the analgesic properties of 33 percent nitrous oxide. The methodology of signal detection theory was applied to the data to demonstrate that nitrous oxide reduces both sensitivity to pain and willingness to report pain. This method is superior to threshold estimation for the evaluation of analgesics.

Adult↗