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A reversal theory approach to the causes and treatment of stress in professional life.

An interactive model, which takes into account both situation and individual, is likely to be most useful in understanding the occurrence of stress in professional life. Reversal theory, when applied in the way detailed in the present paper, yields just such a model. It also, in the way discussed, provides a number of practical strategies for helping professionals identify and develop ways of coping with stress, particularly when employed within the context of the stress management workshop.

Adaptation, Psychological↗

The personality of the patient: going beyond the trait concept.

The concept of dominance is a key concept in reversal theory and distinguishes the theory from traditional trait theories in personality psychology. By dominance is meant the individual's tendency to spend more time in one rather than another of the pairs of opposite emotional or motivational states identified in the theory. This is in many ways a more sophisticated concept than that of trait. Some psychometric scales that have been developed to measure different kinds of dominance are reviewed: the Telic Dominance Scale, the Nijmegen Telic Dominance Scale, the Paratelic Dominance Scale, the Negativism Dominance Scale and the Personal Orientation Profile. The relevance of the dominance concept is discussed in relation to patient management.

Adult↗

Involvement of the medial prefrontal cortex in central cardiovascular modulation in the rat.

The medial prefrontal cortex (MPFC) and specifically its ventral portion (vMPFC) have been reported to modulate autonomic responses. On the cardiovascular system, this modulation is characterized by an influence on arterial blood pressure, regional blood flow as well as cardiac sympathetic and parasympathetic responses. The vMPFC also modulates baroreflex activity. Several neurotransmitters are present in the vMPFC. Among them L-glutamate, acetylcholine and noradrenaline are involved with cardiovascular modulation. In the present review, we describe evidences on the mechanisms involved in the vMPFC-related cardiovascular modulation.

Acetylcholine↗

Animal neuropsychology: validation of the Intra-Dimensional Extra-Dimensional set shifting task for mice.

Research in animal neuropsychology is providing an exciting new generation of behavioral tests for mice that promise to overcome many of the limitations of current high-throughput testing, and provide direct animal homologues of clinically important measures in human research. Set shifting tasks are some of the best understood and widely used human neuropsychological tasks, with clinical relevance to traumatic brain injury, schizophrenia, autism, obsessive compulsive disorder, trichotillomania, and many other disorders. Here we report the first successful modification of a human set shifting neuropsychological task, the Intra-Dimensional Extra-Dimensional (IDED) task, for use with mice. We presented mice with a series of compound discrimination and reversal tasks where one stimulus dimension consistently cued reward. Task performance improved with a new set of compound stimuli, as did reversal performance--indicating the formation of a cognitive-attentional set. We then overtrained a subset of the mice, and presented control and overtrained mice with a new compound discrimination where a novel stimulus dimension cued reward. As is the case in human control subjects, control mice persisted in responding to the now-incorrect stimulus dimension, performing poorly on this extra-dimensional shift compared with the previous intra-dimensional shift, thereby validating the task as a measure of set shifting. Furthermore, overtrained mice were impaired on this extra-dimensional shift compared with controls, further validating the task. The advantages and disadvantages of the IDED task compared to high-throughput approaches are discussed.

Animals↗

Caffeine improves anticipatory processes in task switching.

We studied the effects of moderate amounts of caffeine on task switching and task maintenance using mixed-task (AABB) blocks, in which participants alternated predictably between two tasks, and single-task (AAAA, BBBB) blocks. Switch costs refer to longer reaction times (RT) on task switch trials (e.g. AB) compared to task-repeat trials (e.g. BB); mixing costs refer to longer RTs in task-repeat trials compared to single-task trials. In a double-blind, within-subjects experiment, two caffeine doses (3 and 5mg/kg body weight) and a placebo were administered to 18 coffee drinkers. Both caffeine doses reduced switch costs compared to placebo. Event-related brain potentials revealed a negative deflection developing within the preparatory interval, which was larger for switch than for repeat trials. Caffeine increased this switch-related difference. These results suggest that coffee consumption improves task-switching performance by enhancing anticipatory processing such as task set updating, presumably through the neurochemical effects of caffeine on the dopamine system.

Adolescent↗

Dissociating prefrontal contributions during a recency memory task.

Neuroimaging studies of normal young adults have consistently found right prefrontal cortex (RPFC) activity during the performance of recency memory tasks. However, it is unclear whether the involvement of RPFC during these tasks reflects retrieval processes or executive processes such as: strategic ordering or monitoring. In the current study, we distinguish between those PFC regions that are more related to retrieval processes, versus strategic ordering processes. An event-related fMRI study was conducted in which eight young subjects were scanned while performing verbal episodic retrieval tasks (recognition and recency memory tasks), and verbal non-memory strategic organizing control tasks (reverse alphabetizing of words). The fMRI results show that young subjects engaged right dorsolateral PFC during recency and reverse alphabetizing control tasks. Left ventral PFC was engaged across all tasks; however, a subset of voxels within this region was more active during retrieval tasks. Left dorsolateral and right ventral PFC activity was more related to the performance of reverse alphabetizing tasks, respectively. We conclude that right dorsolateral PFC activity during recency memory reflects more general strategic organizational or monitoring processes, and is not EM-specific.

Adult↗

Event-related potentials elicited by distractors in an auditory oddball paradigm in schizophrenia.

Patients with schizophrenia are affected more adversely than healthy controls by distracting conditions, due to their inability to adequately apportion attentional resources to targets or distractors. We attempted to re-evaluate the effects of distractors in 25 patients with chronic schizophrenia and in 12 controls. They performed an auditory target-detection task with 1500 Hz tone distractors and an additional control condition where a 1500-Hz tone was used as the target. The rate of target misses for patients with schizophrenia was 3.79% in non-distractor conditions and 14.79% in distractor conditions. Significantly reduced N100 responses to distractors and distractor condition targets were found. P300 responses to all target stimulus categories were reduced, but P300 responses to distractors were equal to those in the control group. There was a reduction of P300 amplitudes to distractors in both groups; however, only the control group showed significant enlargement of P300 amplitude when the distractors became the target stimuli. There is evidence that patients with schizophrenia tend to be less able to allocate their attentional resources adequately to target vs. distractor stimuli. When the distractors became the target stimuli, their responses remained unchanged, which suggests their inability to appropriately integrate stimulus information with contextual information.

Acoustic Stimulation↗

Habit-reversal treatment for children's stuttering: assessment in three settings.

Two boys (9 and 14 years old) participated in an evaluation of treatment for stuttering. Habit reversal procedures (awareness training, regulated breathing, and social support) were combined with teaching positive attitudes to parents. During treatment, stuttering frequencies decreased, speech rates increased, and speech naturalness ratings increased. These changes occurred in the clinic, the child's home, and the child's school. After treatment, stuttering remained low in the clinic and at home, but increased stuttering was found at school.

Adolescent↗

Action of caffeine, d-amphetamine, diazepam and imipramine in a dynamic behavioural situation.

A study has been made of how the chronic administration of caffeine, d-amphetamine, imipramine and diazepam affect rat behaviour in four successive trials in which the contingency for food delivery was switched from one lever where responses were previously reinforced to the other lever where responses had no programmed consequences (reversal). A complete extinction in the first reversal was obtained with diazepam 0.3 mg/kg/day. Caffeine (6 and 18 mg/kg/day) had no effect in the first reversal and damaged rat performance in the successive reversals. Imipramine (0.6 and 4 mg/kg/day) had the same effect but only in the fourth reversal. Amphetamine (0.16 and 0.7 mg/kg/day) caused a clear damage of rat performance only in the third and fourth reversals.

Animals↗

Cross-modal transfer effects on visual discrimination depends on lesion location in the rat visual system.

The effects of postoperative visual and auditory training on a brightness discrimination task were examined after lesions of various structures in the visual system. In Experiment 1, rats were trained to avoid shock with visual intensity cues. Twenty-four hours later, each rat received bilateral lesions in one of the following areas of the visual system: (1) sham, (2) visual cortex (VC), (3) pretectal (PT) area, (4) combined PT/VC, (5) superior colliculus (SC), or (6) combined SC/VC. Six days later, each rat received either training with visual or auditory intensity cues, or no training. The next day all rats were retrained on the preoperative visual avoidance task. All lesions except those in the SC condition produced relearning deficits. Auditory training reduced these deficits significantly more than visual training, except in rats with combined SC/VC lesions. In Experiment 2, sham and combined PT/VC lesion rats were given either direct or reversal intensity training using visual or auditory cues before relearning the visual discrimination. Rats given auditory direct training relearned the task faster than rats given reversal training or visual direct training. Postinjury training with an intact sensory system can enhance functional recovery more effectively than training with the damaged system. The differential effects of direct and reversal training suggest that cross-modal training involves both specific and nonspecific transfer that may be mediated through the VC or the SC.

Animals↗

Lateral asymmetries during escape behavior in a species of teleost fish (Jenynsia lineata).

Lateral asymmetries in the direction of turning during escape behavior in a species of teleost fish, Jenynsia lineata, are reported. When faced with the visual image of a simulated predator, approximately half of the individuals exhibited a significant bias to turn rightwards or leftwards, and the asymmetry tended to be retained when the same fish were retested 1 month later. Some morphological characters (pectoral fin rays, scales in natural row, supraorbital, preopercular, and postotic pores) were measured to check whether the degree of behavioral asymmetry was correlated with morphological fluctuating asymmetries associated with environmental stress or reduced heterozygosis. The results showed that it was not. The implications of these results for the interpretation of behavioral lateralization at the individual and population level are discussed.

Animals↗

Improved cognitive function in postmenopausal women after 12 weeks of consumption of a soya extract containing isoflavones.

We previously reported that a high soya diet improved memory and frontal lobe function in young volunteers, and since soya isoflavones are agonists at oestrogen receptors, they may improve these functions in postmenopausal women. Thirty-three postmenopausal women (50-65 years) not receiving conventional hormone replacement therapy (HRT) were randomly allocated in a double-blind parallel study to receive a soya supplement (60 mg total isoflavone equivalents/day) or placebo for 12 weeks. They received a battery of cognitive tests and completed analogue rating scales of mood and sleepiness, and a menopausal symptoms questionnaire before the start of treatment and then after 12 weeks of treatment. Those receiving the isoflavone supplement showed significantly greater improvements in recall of pictures and in a sustained attention task. The groups did not differ in their ability to learn rules, but the isoflavone supplement group showed significantly greater improvements in learning rule reversals. They also showed significantly greater improvement in a planning task. There was no effect of treatment on menopausal symptoms, self-ratings of mood, bodily symptoms or sleepiness. Thus, significant cognitive improvements in postmenopausal women can be gained from 12 weeks of consumption of a supplement containing soya isoflavones that are independent of any changes in menopausal symptoms, mood or sleepiness.

Aged↗

The effects of pregnenolone on acquisition and retention of a food search task.

Two experiments were undertaken in which the effects of semichronic administration of the precursor steroid, pregnenolone, were examined in a food search task. In both experiments male rats were required to find a food reward in a designated hole in an arena with 16 equally spaced holes. Hormone administration began 8 days before the onset of training. Training was given on an every-other-day schedule for five sessions. Animals were deprived of food for 18 h before training or testing. Retention testing occurred 10 days after acquisition and this was followed by 2 days of training using a different hole for the reward. The two experiments differed only in the method of hormone administration. In one experiment the rats received an implanted (sc) slow release pellet containing pregnenolone before training. In the second experiment the animals received ip injections of pregnenolone sulfate before and during initial training and then had the slow release pellet implanted between acquisition and retention. Significant enhancement of retention was found during the middle trials of the retention test when the treated and control groups from the two experiments were combined. No differences were found during acquisition training in either experiment. On the first day of training the animals to find the reward in a new location, the group injected with pregnenolone sulfate and later implanted with pregnenolone slow-release pellets exhibited performance superior to that of their matched control group.

Animals↗