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PubMed1994

Alcohol and depression in panic disorder.

Panic disorder (PD) is a common psychiatric illness, which has many complications such as major depression, increased suicide risk, agoraphobic avoidance behaviour, alcohol abuse and dependence. A number of studies have now documented increased rates of anxiety disorders among alcoholics and of alcoholism among patients presenting with anxiety disorders. In general, it appears that PD is more prevalent in alcoholics than would be expected on the basis of general population rates. Alcohol withdrawal is clearly associated with severe anxiety symptoms. It is suggested that repeated withdrawal episodes may trigger panic through a kindling process by causing subconvulsive stimuli with increasing amounts of electrical excitability or even spontaneous seizures. Serotonergic medications are effective in treating PD and depression. They also diminish interest in drinking in ethanol-dependent patients. Serotonergic agents can also affect conditioning and learning as well as behavioral control and self-administration. The treatment of panic patients with depressive and alcohol problems usually requires long-term treatment.

Alcohol Withdrawal Delirium↗
PubMed2005

The theory of reasoned action and patient compliance during orthodontic treatment.

OBJECTIVES: The aim of the present study was to investigate the potential of the theory of reasoned action (TRA) for the prediction and understanding of patients' intention to comply during orthodontic treatment and to analyze the effect of two additional variables in the model, namely perceived behavioral control and anticipated regret. Moreover, (the determinants of) intentions of orthodontic patients to comply during treatment were compared with (the determinants of) intentions of parents to stimulate this cooperation. METHODS: A questionnaire was handed out to patients and parents visiting the Department of Orthodontics of the Academic Centre of Dentistry in Amsterdam. In both the patient and parent sample, independent-sample t-tests, correlation analyses and stepwise regression analyses were conducted. Variables in both samples were compared and tested. RESULTS: The extended version of the TRA explained 20% of the variance in the patients' intention to comply. The patients' anticipated regret, attitude and motivation to comply were significant determinants of the patients' intention to comply. In addition, the parents' attitude toward compliance was a significant predictor. The role of parents in enhancing patients' intentions to comply cannot be neglected. CONCLUSION: Our findings suggest that patients' intentions to comply during orthodontic treatment are influenced by factors outside of the TRA. Therefore, it is recommended to develop a new model, in which factors of the TRA are included, which can be used specifically for the study of compliance in orthodontics.

Adolescent↗
PubMedDate not supplied

Ethical issues in the behavioral treatment of children and adolescents.

This article addresses a need to assess the acceptibility and evaluation of behavioral treatment as it is applied in child and adolescent inpatient settings. The choice of when and how to use behavioral interventions and the implications of these choices may present the nurse with certain ethical dilemmas related to ethical principles of autonomy, beneficence, and maleficence. In addition, the inpatient milieu structure is examined relative to possible ethical dilemmas.

Adolescent↗
PubMed1983

Ethical theories for promoting health through behavioral change.

The various philosophical orientations for changing people's unhealthy behaviors are examined. The ethical theories of natural law, utilitarianism, paternalism and distributive justice are reviewed in relation to changing people's behaviors. Finally, the health educators' role in behavior change is examined and it is recommended that health educators may need to limit the conditions in which they intervene into the lives of others.

Behavior Control↗
PubMed1997

Transforming sensory perceptions into motor commands: evidence from programming of eye movements.

The visual stimulus for a saccadic eye movement is encoded in place-coded maps in cerebral cortex and the dorsal superior colliculus. In contrast, the motor command for the saccade is encoded by the temporal discharge properties of ocular motoneurons and premotor burst neurons in the brain-stem reticular formation. Thus, there is need for a spatial-temporal transformation of neural signals, and recent findings suggest that the superior colliculus might contribute to this process. The ventral, output layers of the superior colliculus encode the metric of the desired saccade in polar coordinates. However, premotor neurons in the pontine and mesencephalic reticular formation are organized to generate horizontal and vertical saccades, respectively. Studies of oblique saccades in patients with slow vertical components--due to Niemann-Pick type C disease--support the interpretation that the saccadic command from the reticular formation is encoded in Cartesian coordinates. Currently, saccades are thought to be generated under local, brain-stem feedback control in which current eye displacement is continuously subtracted from desired eye displacement to compute motor error--the remaining movement required for the eye to acquire the target. If the superior colliculus is positioned in the feedback loop, then there is a need for transformation of premotor signals back into a place-coded version of motor error. Recent studies suggest that, during the saccade, this might be achieved by a wave of activity spreading rostrally, which traverses the collicular map in a direction corresponding to progressively smaller movements and finally activates a group of neurons concerned with fixation. These new hypotheses are ripe for testing by basic and clinical studies. By confronting the issue of what signal transformations are required to program visually guided saccades, new experimental approaches have emerged. Such computational approaches offer insights into how the brain controls behavior not just by measuring stimulus and response, but by asking what "currency" is being used by interacting populations of neurons at any stage in the process.

Animals↗
PubMed2003

Sexual offender commitment in the United States: legislative and policy concerns.

Fifteen states and the District of Columbia have laws for the special civil commitment of convicted sexual offenders who are about to be released from penal confinement and do not meet criteria for ordinary psychiatric civil commitment. As of summer 2002, nearly 2500 sexual offenders were hospitalized pursuant to one of these laws. An American Psychiatric Association task force declared that "sexual predator commitment laws establish a non-medical definition of what purports to be a clinical condition without regard for scientific and clinical knowledge," and thus "distort the traditional meaning of civil commitment, misallocate psychiatric facilities and resources, and constitute an abuse of psychiatry." It remains unclear how legislatures in states with these laws will respond to the U.S. Supreme Court's 2002 decision in Kansas v. Crane indicating that, absent a finding that an offender has "serious difficulty controlling behavior" (not an explicit commitment criterion in any state), commitment is invalid.

Commitment of Persons with Psychiatric Disorders↗
PubMed1971

Central and peripheral control of gill movements in Aplysia.

Two types of gill contraction in Aplysia were used to study the relation of peripheral and central pathways in controlling behavioral responses in a mollusk. A weak or moderate tactile stimulus to the mantle elicits gill contraction (gill-withdrawal reflex) as a component of a more extensive withdrawal response; a stimulus applied directly to the gill elicits a localized response of the gill pinnule (pinnule response). Central pathways through the abdominal ganglion are both necessary and sufficient for the gill-withdrawal reflex, and motor neuron L7 makes direct connections with gill muscles, without engaging the peripheral plexus. Peripheral pathways are necessary and sufficient for the pinnule response. As a result of the independence of peripheral and central pathways, habituation by repeated tactile stimulation of one pathway does not affect the responsiveness of the other pathway.

Action Potentials↗
PubMed1979

A brain event related to the making of a sensory discrimination.

Event-related potentials associated with detected targets in a vigilance task were analyzed in two ways: (i) by sorting the potentials in terms of sequential reaction time bins of 50 milliseconds and (ii) by examining the single trial waveforms. A negative component (N2) covaried in latency with reaction time. These results support the hypothesis that N2 reflects a decision process which controls behavioral responses in sensory discrimination tasks.

Behavior↗
PubMed1976

Identification of specific changes in the pattern of brain protein synthesis after training.

Double labeling studies with [3H]valine and [14C]valine were used to investigate the pattern of protein synthesis in the brains of goldfish. The protein fractions in three bands (alpha, beta, and gamma) on sodium dodecyl sulfate-polyacrylamide gels indicate that more valine was incorporated in the brains of goldfish that had been trained in a vestibular conditioning task than in the brains of untrained fish or fish trained in a variety of control behavioral situation. Changes in the pattern of labeling were localized in the cytoplasmic fraction of the brain; no increases in labeling occurred in either the nuclear or synaptosomal components. The results suggest that a specific change occurs in the pattern of protein synthesis in the brain after the acquistion of a new behavior.

Age Factors↗
PubMed1995

Damped oscillations in photosensory transduction of Halobacterium salinarium induced by repellent light stimuli.

Halobacteria usually respond to repellent light stimuli by reversing their swimming direction. However, cells seem to be in a refractory state when stimulated immediately after performance of a reversal. I found that in this case, a special type of response is exhibited rather than spontaneous behavior. A strong stimulus induced a rhythmic pattern of successive reversals. On stimulation immediately after a reversal of swimming direction, the first of these reversals was skipped without influence on the rhythm. The results suggest that the stimulus evokes an oscillating signal which alters reversal probability but which is itself independent of the state of the motor apparatus. The oscillation has a period length of about 5 s and is damped out within a few cycles. It does not depend on the special sensory photosystem through which the stimulus is applied. The consequences of these findings for the model description of swimming behavior control in halobacteria are discussed.

Halobacterium↗
PubMed2006

Ascertainment of intimate partner violence using two abuse measurement frameworks.

OBJECTIVE: To estimate prevalence of intimate partner violence (IPV) according to two abuse ascertainment tools, and agreement between the tools. METHODS: 2504 women randomly selected from a health maintenance organization were asked about IPV exposure in their most recent intimate relationship using five questions on physical and sexual abuse, and fear due to partner's threats and controlling behavior from the Behavioral Risk Factor Surveillance Survey (BRFSS) and 10 questions from the Women's Experience with Battering (WEB) scale. IPV prevalence was estimated according to the BRFSS and WEB, and the proportion of women who were WEB+/BRFSS+, WEB-/BRFSS-, WEB-/BRFSS+, and WEB+/BRFSS-. RESULTS: In their most recent relationship, 14.7% of women reported abuse of any type on the BRFSS versus 7.0% on the WEB scale. In direct comparisons of the WEB and BRFSS questions, a higher percentage of abused women reported any IPV on the five BRFSS questions (88.4%) compared to the 10 WEB questions (42.0%). However, both the BRFSS and WEB identified some women as abused that would have been missed by the other instrument. CONCLUSIONS: Intimate partner violence prevalence depends on how women are asked about abuse. Resources permitting, more than one abuse ascertainment strategy (for example, both the BRFSS and WEB questions) should be tried in order to broadly identify as many women as possible who interpret themselves as abused.

Adolescent↗
PubMed2006

Complete functional characterization of sensory neurons by system identification.

System identification is a growing approach to sensory neurophysiology that facilitates the development of quantitative functional models of sensory processing. This approach provides a clear set of guidelines for combining experimental data with other knowledge about sensory function to obtain a description that optimally predicts the way that neurons process sensory information. This prediction paradigm provides an objective method for evaluating and comparing computational models. In this chapter we review many of the system identification algorithms that have been used in sensory neurophysiology, and we show how they can be viewed as variants of a single statistical inference problem. We then review many of the practical issues that arise when applying these methods to neurophysiological experiments: stimulus selection, behavioral control, model visualization, and validation. Finally we discuss several problems to which system identification has been applied recently, including one important long-term goal of sensory neuroscience: developing models of sensory systems that accurately predict neuronal responses under completely natural conditions.

Animals↗
PubMed2003

Musings on the wanderer: what's new in our understanding of vago-vagal reflexes? III. Activity-dependent plasticity in vago-vagal reflexes controlling the stomach.

Vago-vagal reflex circuits modulate digestive functions from the oral cavity to the transverse colon. Previous articles in this series have described events at the level of the sensory receptors encoding the peripheral stimuli, the transmission of information in the afferent vagus, and the conversion of this data within the dorsal vagal complex (DVC) to impulses in the preganglionic efferents. The control by vagal efferents of the postganglionic neurons impinging on the glands and smooth muscles of the target organs has also been illustrated. Here we focus on some of the mechanisms by which these apparently static reflex circuits can be made quite plastic as a consequence of the action of modulatory inputs from other central nervous system sources. A large body of evidence has shown that the neuronal elements that constitute these brain stem circuits have nonuniform properties and function differently according to status of their target organs and the level of activity in critical modulatory inputs. We propose that DVC circuits undergo a certain amount of short-term plasticity that allows the brain stem neuronal elements to act in harmony with neural systems that control behavioral and physiological homeostasis.

Animals↗
PubMed2000

Peroxynitrite reversibly inhibits Ca(2+)-activated K(+) channels in rat cerebral artery smooth muscle cells.

Peroxynitrite (ONOO(-)) is a contractile agonist of rat middle cerebral arteries. To determine the mechanism responsible for this component of ONOO(-) bioactivity, the present study examined the effect of ONOO(-) on ionic current and channel activity in rat cerebral arteries. Whole cell recordings of voltage-clamped cells were made under conditions designed to optimize K(+) current. The effects of iberiotoxin, a selective inhibitor of large-conductance Ca(2+)-activated K(+) (BK) channels, and ONOO(-) (10-100 microM) were determined. At a pipette potential of +50 mV, ONOO(-) inhibited 39% of iberiotoxin-sensitive current. ONOO(-) was selective for iberiotoxin-sensitive current, whereas decomposed ONOO(-) had no effect. In excised, inside-out membrane patches, channel activity was recorded using symmetrical K(+) solutions. Unitary currents were sensitive to increases in internal Ca(2+) concentration, consistent with activity due to BK channels. Internal ONOO(-) dose dependently inhibited channel activity by decreasing open probability and mean open times. The inhibitory effect of ONOO(-) could be overcome by reduced glutathione. Glutathione, added after ONOO(-), restored whole cell current amplitude to control levels and reverted single-channel gating to control behavior. The inhibitory effect of ONOO(-) on membrane K(+) current is consistent with its contractile effects in isolated cerebral arteries and single myocytes. Taken together, our data suggest that ONOO(-) has the potential to alter cerebral vascular tone by inhibiting BK channel activity.

Animals↗
PubMed1998

Circadian rhythms in diving behavior and ventilatory response to asphyxia in canvasback ducks.

Underwater feeding behavior was measured in 10 captive canvasback ducks (Aythya valisineria) for 12 days under a 12:12-h light-dark photoperiod. Feeding activity exhibited a daily rhythm, with 76% of dives occurring at night. In separate experiments on six of these ducks, a circadian rhythm was observed in the duration of voluntary dives. Dives at night (14.7 +/- 0.7 s) were significantly longer than those during the day (10.7 +/- 0.7 s). These day-night differences in diving behavior were accompanied by day-night differences in respiratory responses to progressive asphyxia. In the same six ducks, ventilation increased exponentially as a function of inspired CO2 concentration during rebreathing in a closed-circuit barometric plethysmograph. The exponential rate constant for inspired ventilation was significantly smaller at night (0.23 +/- 0.02) than during the day (0.26 +/- 0.01). We suggest that intermittent apneic exercise is facilitated by reduced respiratory chemosensitivity and that the respiratory and behavioral control systems are synchronized by the circadian timing system in diving ducks.

Animals↗
PubMed1999

Sympathetic control of BP and BP variability in borderline hypertensive rats on high- vs. low-salt diet.

This experiment tested the effect of a high-salt diet on the interaction between arterial blood pressure (BP) and sympathetic nerve activity (SNA) at rest and during a controlled behavioral stress at an early stage in the development of hypertension in borderline hypertensive rats (BHR). Ten rats were maintained on a high-salt diet (8% NaCl) while 14 were fed a low-salt diet (0.8% NaCl) for 8 wk. They were trained in a Pavlovian paradigm by following a conditional stimulus tone (CS+) with a 0.5-s shock. SNA and BP were measured by implanted electrodes around the left renal nerve and a catheter in the femoral artery, respectively. There were no detectable between-group differences in BP or in BP variability in the resting animal at the end of the 8-wk dietary treatment. Moreover, there were no significant between-group differences in the changes in SNA evoked by the CS+ tone. Conversely, the amplitude of the initial conditional increase in BP was significantly (P < 0.05) larger in the high-salt (6 +/- 0.6 mmHg; mean +/- SEM) compared with the low-salt (4 +/- 0.4 mmHg) group. In addition, the BP excursion (peak/trough) during CS+ was larger in the high (18.2 +/- 6.1 mmHg)- vs. low-salt (5.8 +/- 0.4 mmHg) diet-fed subjects. The ratio of the average percent change in mean BP to the average percent change in SNA at the beginning of CS+ was 0.029 +/- 0.004 for the low-salt group and 0.041 +/- 0.006 for the high-salt group. We find that, before the development of overt hypertension, the enhanced conditional BP response in the high-salt BHR appears to reside at the interface between changes in SNA and the effector response and not within the central nervous system. These observations help explain the increasing BP variability typically observed with the development of hypertension in humans.

Animals↗
PubMed1984

Estimation of response slopes in respiratory control.

The ventilatory response to changes in alveolar (arterial) CO2 is widely used as an index of respiratory control behavior. Methods for estimating these response slopes should incorporate the possibility that there may be errors in both the independent (partial pressure of CO2) and dependent (ventilation) variables. In a recent paper Daubenspeck and Ogden (J. Appl. Physiol. Respirat. Environ. Exercise Physiol. 45:823-829, 1978) have suggested problems inherent in the traditional technique of reduced major axis and have suggested a more contemporary technique of directional statistics. We have previously analyzed both techniques and developed a method to overcome the problems of reduced major axis and problems inherent in the use of directional statistics. Under the assumption of a bivariate normal distribution, we demonstrate that our slope estimate is similar to the maximum likelihood estimate proposed by Mardia et al. (J. Appl. Physiol.: Respirat. Environ. Exercise Physiol. 54: 309-313, 1983) for this problem. In addition, we demonstrate a bootstrap statistical approach when the distributions are not normally distributed. These concepts are illustrated using O2-CO2 interaction data.

Carbon Dioxide↗

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