Kevin P. Kaut

Relation of individual differences in impulsivity to nonclinical emotional decision making.

Impulsivity has been identified as a behavioral precursor to addiction, and may be the manifestation of a neurological vulnerability. The present study investigated whether individual differences in impulsivity were associated with performance on the Iowa Gambling Task (IGT, a test of emotional decision making thought to be associated in part with ventromedial prefrontal cortex function) and the Wisconsin Card Sorting Task (WCST, a set-shifting thought to be associated in part with dorsolateral prefrontal cortex function). Subjects were screened for impulsivity using the BIS-11 (self-report) and a delay discounting questionnaire (a behavioral measure of impulsivity). High impulsivity was associated with poorer performance on the final block of trials of the IGT but was not significantly related to WCST performance. Both measures were significantly correlated with scores on the BIS. These results provide support for hypothesis that, in a nonclinical sample, impulsivity may vary systematically with performance on neuropsychological indicators of prefrontal function.

The effects of lesions to the rat hippocampus or rhinal cortex on olfactory and spatial memory: Retrograde and anterograde findings

The role of the hippocampal system in retrograde and anterograde amnesia was investigated by using a novel olfactory-guided paradigm and a traditional test of spatial learning. In the retrograde study, rats were trained on a sequence of two-choice olfactory discriminations in the weeks prior to receiving neurotoxic lesions of the hippocampus or aspiration lesions of the perirhinal-entorhinal cortex. Memory tests for preoperatively learned discriminations revealed no statistical impairment for subjects with damage to the hippocampus on a problem learned remote in time from surgery (i.e., 4 weeks +) or on the two recently learned discriminations (i.e., 1–3 weeks prior to surgery). The performance of subjects with perirhinal-entorhinal damage provided an important comparison for subjects with specific hippocampal lesions. Despite showing intact memory for the remotely learned problem, perirhinalentorhinal damage resulted in numerically (although not significantly) weaker performance on postoperative tests of retention for the discriminations learned in the 3 weeks prior to surgery. In the anterograde portion of the study, long-term memory for newly acquired discriminations was spared in subjects with damage to the hippocampus, whereas subjects in the perirhinal-entorhinal lesion group again showed the weakest memory performance on these tests of 5-day retention. Postoperative water maze learning was uniformly impaired in subjects with damage to the hippocampus and perirhinalentorhinal cortex, thus confirming the effect of these lesions and supporting the involvement of these brain areas in spatial processes. These findings further dissociate the specific involvement of the hippocampus in tasks of a spatial-relational nature versus nonrelational tasks, such as discrimination learning and recognition memory (e.g., Duva et al., 1997; Eichenbaum, 1997; Eichenbaum, Schoenbaum, Young, & Bunsey, 1996). Moreover, the results suggest that damage to the hippocampus itself does not contribute to retrograde or anterograde memory impairments for all types of information, whereas the data suggest a more important role for the perirhinal-entorhinal cortex in recognition memory, irrespective of modality.

On age differences in prefrontal function: The importance of emotional/cognitive integration ☆

Evidence of prefrontal cortex decline among healthy older adults has been widely reported, although many questions remain regarding the functional heterogeneity of the prefrontal lobes and the uniformity (or lack thereof) with which discrete regions decline with age. MacPherson, Phillips, and Della Sala (2002) previously reported age differences in tasks associated with dorsolateral prefrontal cortex (DLPFC) function (executive control), but not for tasks associated with ventromedial prefrontal cortex (VMPFC) function (emotional/cognitive integration). The present study, conducted using 39 younger adults and 39 older adults, replicates the MacPherson et al. findings regarding DLPFC functioning. However, and perhaps due to the use of more sensitive tasks, we also find age differences in tasks associated with VMPFC function. Specifically, both univariate and multivariate analyses indicated older adults showed deficits across the DLPFC and VMPFC tasks. Exploratory factor analysis of the task performance scores indicated four underlying dimensions, two related to DLPFC functioning and two related to VMPFC functioning. A set of structural equation models specifying age effects on the four task performance factors was tested, in order to contrast models of process-specific vs. common age effects. Our results suggest that older adults show deficits in emotional/cognitive integration as well as in executive function, and that those effects do include process-specific age deficits.

Religion, Spirituality, and Existentialism Near the End of Life Implications for Assessment and Application

Persons facing death due to terminal illness experience diverse physical, emotional, and relationship challenges. Dying persons have more than just physical needs, and spiritual issues may feature prominently as sources of intense struggle and comfort as people prepare to die. The spiritual health of the dying may be as important as their biological condition when facing death. Nevertheless, the present health care environment, with its emphasis on diagnostics and curative treatment, may allocate minimal attention and resources to the spiritual needs of the dying and their families. The neglect of spiritual issues may contribute to emotional, cognitive, and physical difficulties experienced at the end of life. Therefore, recognizing spirituality within the biomedical context of dying is essential. This requires an appreciation for the multifaceted nature of spirituality, coupled with an openness to individual theology, and an ability to integrate the spiritual dimension within a “bio-psychosocial” framework of assessment.

A Multistream Model of Visual Word Recognition

Four experiments are reported that test a multistream model of visual word recognition, which associates letter-level and word-level processing channels with three known visual processing streams isolated in macaque monkeys: the magno-dominated (MD) stream, the interblob-dominated (ID) stream, and the blob-dominated (BD) stream (Van Essen & Anderson, 1995). We show that mixing the color of adjacent letters of words does not result in facilitation of response times or error rates when the spatial-frequency pattern of a whole word is familiar. However, facilitation does occur when the spatial-frequency pattern of a whole word is not familiar. This pattern of results is not due to different luminance levels across the different-colored stimuli and the background because isoluminant displays were used. Also, the mixed-case, mixed-hue facilitation occurred when different display distances were used (Experiments 2 and 3), so this suggests that image normalization can adjust independently of object size differences. Finally, we show that this effect persists in both spaced and unspaced conditions (Experiment 4)—suggesting that inappropriate letter grouping by hue cannot account for these results. These data support a model of visual word recognition in which lower spatial frequencies are processed first in the more rapid MD stream. The slower ID and BD streams may process some lower spatial frequency information in addition to processing higher spatial frequency information, but these channels tend to lose the processing race to recognition unless the letter string is unfamiliar to the MD stream—as with mixed-case presentation.

An Emotional Mediation Theory of Differential Age Effects in Episodic and Semantic Memories

ABSTRACT Although there is a large decrement in central episodic memory processes as adults age, there is no appreciable decrement in central semantic memory processes (Allen et al., Journal of Gerontology: Psychological Sciences, 57B, P173–P186, 2002; Allen et al., Experimental Aging Research, 28, 111–142, 2002; Mitchell, Journal of Experimental Psychology: Learning, Memory, and Cognition, 15, 31–49, 1989). The authors develop a theory of episodic memorys connections to cognitive, emotional, and motivational systems to explain these differential age effects. The theory is discussed within the context of the cognitive neuroscience research regarding limbic system connectivity in conjunction with Damasios notion of somatic markers (Descartes’ error: Emotion, reason, and the human brain, New York: Grosset/Putnam, 1994). The central hypothesis is that elements of limbic system circuitry, including portions of the medial temporal lobes and frontal cortex, are associated with both working and long-term episodic memory performance, and by extension, with the capacity to engage in emotion-guided, self-regulatory processes that depend heavily on episodic memory. In contrast, the semantic memory system may have less shared interface with episodic and affective networks (i.e., the limbic-related system), and therefore remain independent of neurocognitive changes impacting emotional states and episodic-type memory processes. Accordingly, this framework may account for the pattern of age-related declines in episodic relative to semantic memory, particularly if older adults experience less emotional activation, and therefore fewer somatic markers, than younger adults. An initial empirical examination of this emotional mediation theory is presented, using preexisting data that include indicators of age, chronic tendency to focus on negative emotional stimuli (neuroticism), and working memory performance.

Olfactory learning and memory impairments following lesions to the hippocampus and perirhinal-entorhinal cortex.

The role of the hippocampus and perirhinal-entorhinal cortex was examined in an olfactory discrimination paradigm. Small neurotoxic lesions of the hippocampus (21% tissue damage) yielded relatively unimpaired olfactory retention across brief (30 s), intermediate (approximately 5 min), and 24-hr delays, whereas impairments were noted at 5-day retention intervals. Larger hippocampal lesions (63% tissue damage) spared memory at intermediate delays, with no impact at 8-day retention intervals. Aspiration lesions directed at the perirhinal-entorhinal cortex produced a variable performance pattern, with impairments noted at intermediate, 24-hr, and 5-day delays. Results suggest the hippocampus is not specifically involved in retaining olfactory information, with additional consideration given to the relationship between lesion size and memory impairment.

Individual differences in positive affect moderate age-related declines in episodic long-term memory

Previous studies have attributed declining episodic memory in increased adult age to less efficient contextual markers that are typically associated with ventromedial prefrontal cortex function (e.g., Allen et al., 2005). However, this previous research found the link only for negative affect. Ashby, Isen, and Turken (1999) predicted that individual differences in positive affect should also have an impact on cognitive performance. The present study therefore extended our earlier work on negative affect to positive affect and showed that individual differences in NEO Extraversion scores (a proxy for affective intensity) moderated age differences in episodic memory. Older adults with lower extraversion scores performed more poorly on a test of long-term memory (the Rey Auditory Verbal Learning Task—RAVLT) than did older adults with high extroversion scores. Yet no such effect was found on a test of short-term memory (RAVLT Trial 1). Furthermore, restricting analyses to those high in extraversion (i.e., high affective intensity) eliminate age effects on long-term memory. We propose that adult age is often characterised by a decline in affective intensity (sometimes resulting in weaker positive affective states), which might lead to encoding of fewer/weaker contextual markers at study, which then impairs later recall from long-term memory.

Electrophysiological evidence for adult age-related sparing and decrements in emotion perception and attention

The present study examined adult age differences in processing emotional faces using a psychological refractory period paradigm. We used both behavioral and event-related potential (P1 component) measures. Task 1 was tone discrimination (fuzzy vs. pure tones) and Task 2 was emotional facial discrimination (“happy” vs. “angry” faces). The stimulus onset asynchrony (SOA) between the two tasks was 100, 300, and 900 ms. Earlier research observed larger age deficits in emotional facial discrimination for negative (angry) than for positive (happy) faces (Baena et al., 2010). Thus, we predicted that older adults would show decreased attentional efficiency in carrying out dual-task processing on the P1 (a component linked to amygdalar modulation of visual perception; Rotshtein et al., 2010). Both younger and older groups showed significantly higher P1 amplitudes at 100- and 300-ms SOAs than at the 900-ms SOA, and this suggests that both age groups could process Task 2 faces without central attention. Also, younger adults showed significantly higher P1 activations for angry than for happy faces, but older adults showed no difference. These results are consistent with the idea that younger adults exhibited amygdalar modulation of visual perception, but that older adults did not.

Influence of Mild Cognitive Impairment on Visual Word Recognition

ABSTRACT The present study examined the effects of normal aging and mild cognitive impairment (MCI) on visual word recognition. Madden et al. (1999) reported evidence of general slowing of cognitive processes in Alzheimers disease (AD) patients relative to younger adults and healthy older adults using a lexical decision task. It was of interest to determine whether similar effects would be observed in MCI patients relative to healthy younger and older adults. We extended the lexical decision task paradigm developed by Allen et al. (2004b) on younger adults to an examination of the effect(s) of MCI on visual word recognition. Results from the present study showed that healthy older adults and MCI patients performed similarly. That is, both groups took longer than younger adults to process words presented in mixed-case than in consistent-case letters. Mild cognitive impairment patients, however, responded significantly more slowly than healthy older adults across all lexical decision task conditions and showed a trend toward larger case-mixing effects than healthy older adults, which suggests that MCI may result in poorer analytic processing ability. Based on the current findings, evidence of a generalized slowing of cognitive processes using a standard lexical decision task can be expanded to include not only AD patients, but also the preclinical stages of the disease as well.