scholarly journals The association between a history of self-reported concussion and response inhibition: a population-based study

Neurology ◽  
2019 ◽  
Vol 93 (14 Supplement 1) ◽  
pp. S2.3-S3
Author(s):  
Clara Alexandra Stafford ◽  
Bobby Stojanoski ◽  
Conor Wild ◽  
Adrian Owen
Keyword(s):  
Response Inhibition ◽  
Short Term Memory ◽  
Clinical Symptoms ◽  
Social Contact ◽  
Population Based ◽  
Long Term Effects ◽  
Post Injury ◽  
Significant Deficit ◽  
Anxiety Depression

ObjectiveWe investigated the long-term cognitive effects of concussion in almost 20,000 members of the general population, using tests that are known to be sensitive to small changes in performance.BackgroundConcussions are the most common type of mild traumatic brain injury, with clinical symptoms such as headaches, dizziness, and nausea, persisting for months post-injury. Despite a growing understanding of the severity and duration of these symptoms, very little is known about the long-term effects of concussion on higher level cognitive functioning and emotional lability.Design/MethodsWe asked 19,261 participants to complete a demographic questionnaire as well as the Cambridge Brain Sciences (CBS) cognitive battery. We divided our sample into two groups: those reporting at least one concussion in their lifetime (post-concussion) and those reporting no concussions in their lifetime (non-concussed). We compared the performance of the two groups on the 12 CBS tasks, as well as on four non-cognitive variables measuring levels of social contact, anxiety, depression, and concentration difficulties.ResultsWe found that post-concussion individuals performed significantly worse on a modified Stroop task that measures aspects of response inhibition, but were no worse on any other cognitive measure, including short-term memory, reasoning, and verbal abilities. Crucially, performance profiles of the post-concussion individuals indicated that they made more errors on trials that involved an incongruent colour/word pair. Beyond measures of cognition, we found that post-concussion participants also reported higher levels of anxiety, depression, and trouble concentrating when compared to the non-concussed group. The number of reported concussions also predicted task scores on this task only.ConclusionsOur results suggest that sustaining a concussion is not associated with long-term global effects on cognition. Those who report at least one concussion appear to have a modest, but statistically significant deficit of response inhibition. This impairment seems to be related to the number of concussions reported.

scholarly journals La capacidad de inhibición de respuesta y la memoria a corto plazo son robustos a los efectos de la dieta alta en grasa (HFD) durante la pre y periadolescencia

2014 ◽  
Vol 13 (3) ◽  
Author(s):  
Elizabeth Watterson ◽  
Arturo R Zavala ◽  
Gregory J Privitera ◽  
Federico Sanabria
Keyword(s):  
Response Inhibition ◽  
High Fat Diet ◽  
Short Term Memory ◽  
Rule Learning ◽  
Long Term Effects ◽  
High Fat ◽  
Reinforcer Efficacy ◽  
Low Fat Diet ◽  
Diet Exposure

Several lines of evidence demonstrate that high fat diet exposure can be detrimental to cognition across the lifespan. We have previously shown that context-stimulus learning is sensitive to high fat diet effects during adolescence but not adulthood. In the present study we determined if pre and periadolescent high fat diet exposure interferes with response-inhibition capacity, rule- learning, and memory during adulthood. Rats were fed a high fat or low fat diet during pre and periadolescence and completed behavioral testing as adults to assess response-inhibition capacity and reinforcer efficacy rule-learning and short-term memory. Results indicate pre and periadolescent high fat diet may have long-term effects on reinforcer efficacy and sustained attention. However, results indicate that either the pre and periadolescence period is too short for a high fat diet to induce long-term deficits in response-inhibition, rule-learning, or memory, or that maturation in the absence of a high fat diet rescued these deficits.

scholarly journals Long-Term Survival Following Traumatic Brain Injury: A Population-Based Parametric Survival Analysis

2016 ◽  
Vol 47 (1) ◽  
pp. 1-10 ◽  
Author(s):  
Gordon W. Fuller ◽  
Jeanine Ransom ◽  
Jay Mandrekar ◽  
Allen W. Brown
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
General Population ◽  
Life Expectancy ◽  
Health Planning ◽  
Population Based ◽  
Post Injury ◽  
Term Survival ◽  
Parametric Survival

Background: Long-term mortality may be increased following traumatic brain injury (TBI); however, the degree to which survival could be reduced is unknown. We aimed at modelling life expectancy following post-acute TBI to provide predictions of longevity and quantify differences in survivorship with the general population. Methods: A population-based retrospective cohort study using data from the Rochester Epidemiology Project (REP) was performed. A random sample of patients from Olmsted County, Minnesota with a confirmed TBI between 1987 and 2000 was identified and vital status determined in 2013. Parametric survival modelling was then used to develop a model to predict life expectancy following TBI conditional on age at injury. Survivorship following TBI was also compared with the general population and age- and gender-matched non-head injured REP controls. Results: Seven hundred and sixty nine patients were included in complete case analyses. The median follow-up time was 16.1 years (interquartile range 9.0-20.4) with 120 deaths occurring in the cohort during the study period. Survival after acute TBI was well represented by a Gompertz distribution. Victims of TBI surviving for at least 6 months post-injury demonstrated a much higher ongoing mortality rate compared to the US general population and non-TBI controls (hazard ratio 1.47, 95% CI 1.15-1.87). US general population cohort life table data was used to update the Gompertz model's shape and scale parameters to account for cohort effects and allow prediction of life expectancy in contemporary TBI. Conclusions: Survivors of TBI have decreased life expectancy compared to the general population. This may be secondary to the head injury itself or result from patient characteristics associated with both the propensity for TBI and increased early mortality. Post-TBI life expectancy estimates may be useful to guide prognosis, in public health planning, for actuarial applications and in the extrapolation of outcomes for TBI economic models.

scholarly journals Cross-Sectional, Short-, Medium- and Long-Term Effects of Dietary Pattern on Frailty in Taiwan

2021 ◽  
Vol 18 (18) ◽  
pp. 9717
Author(s):  
Mei-Huey Shiau ◽  
Meng-Chih Lee ◽  
Fang-Ling Lin ◽  
Baai-Shyun Hurng ◽  
Chih-Jung Yeh
Keyword(s):  
Dietary Patterns ◽  
Dietary Pattern ◽  
Multinomial Logistic Regression ◽  
Population Based ◽  
Long Term Effects ◽  
Reduced Rank Regression ◽  
Cross Sectional ◽  
Protein Rich ◽  
Healthy Dietary Pattern

This study examined the association between dietary patterns and the development of frailty during 4-, 8-, 12-year follow-up periods in the population-based Taiwan Study. We used the data of an elderly population aged 53 years and over (n = 3486) from four waves of the Taiwan Longitudinal Study on Aging. Frailty was identified by using the modified Fried criteria and the values were summed to derive a frailty score. We applied reduced rank regression to determine dietary patterns, which were divided into tertiles (healthy, general, and unhealthy dietary pattern). We used multinomial logistic regression models to assess the association between dietary patterns and the risk of frailty. The healthy dietary pattern was characterized by a higher intake of antioxidant drinks (tea), energy-rich foods (carbohydrates, e.g., rice, noodles), protein-rich foods (fish, meat, seafood, and eggs), and phytonutrient-rich foods (fruit and dark green vegetables). Compared with the healthy pattern, the unhealthy dietary pattern showed significant cross-sectional, short-term, medium-term, and long-term associations with a higher prevalence of frailty (odds ratios (OR) 2.74; 95% confidence interval (CI) 1.94–3.87, OR 2.55; 95% CI 1.67–3.88, OR 1.66; 95% CI 1.07–2.57, and OR 2.35; 95% CI 1.27–4.34, respectively). Our findings support recommendations to increase the intake of antioxidant drinks, energy-rich foods, protein-rich foods, and phytonutrient-rich foods, which were associated with a non-frail status. This healthy dietary pattern can help prevent frailty over time in elderly people.

scholarly journals Long-Term Changes of Symptoms of Anxiety, Depression, and Fatigue in Cancer Patients 6 Months After the End of Yoga Therapy

2019 ◽  
Vol 18 ◽  
pp. 153473541882209 ◽  
Author(s):  
Anna Lundt ◽  
Elisabeth Jentschke
Keyword(s):  
Cancer Patients ◽  
Controlled Study ◽  
Life Questionnaire ◽  
Long Term Effects ◽  
European Organization ◽  
Yoga Therapy ◽  
Randomized Controlled ◽  
Long Term Changes ◽  
Anxiety Depression

Background: Symptoms of anxiety, depression, and cancer-related fatigue are commonly associated with cancer. Cancer patients increasingly use complementary and alternative treatments, such as yoga, to cope with psychological and physical impairments. In the present article, long-term changes of anxiety, depression, and fatigue in cancer are examined 6 months after a yoga intervention. Method: We used an observational design based on a randomized controlled study in cancer patients with mixed diagnoses to evaluate long-term changes of symptoms of anxiety, depression, and fatigue 6 months after the end of yoga therapy. We measured anxiety symptoms with the Generalized Anxiety Disorder scale (GAD-7), depressive symptoms with the Patient Health Questionnaire–2 (PHQ-2), and fatigue with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire–Fatigue Scale (EORTC QLQ-FA13). Yoga therapy was provided in yoga classes of 60 minutes each once a week for 8 weeks in total. The exercises provided contained both body and breathing activities as well as meditation. Results: A total of 58 patients participated in the study. Six months after the end of yoga therapy, symptoms of anxiety, depression, and fatigue were significantly reduced compared with baseline. However, symptoms of anxiety and fatigue slightly increased during the follow-up period, whereas symptoms of depression remained stable. Conclusion: Our results are promising and support the integration of yoga interventions in supportive cancer treatment concepts but should be confirmed by randomized controlled trials. Long-term effects of yoga therapy on cancer patients should be the subject of further research.

TP2-3 Long-term survival and five year hospital resource usage following traumatic brain injury in scotland from 1997–2015: a population-based retrospective cohort study

2019 ◽  
Vol 90 (3) ◽  
pp. e14.2-e14
Author(s):  
JJM Loan ◽  
NW Scott ◽  
JO Jansen
Keyword(s):  
Traumatic Brain Injury ◽  
Cohort Study ◽  
Brain Injury ◽  
Population Based ◽  
Resource Usage ◽  
Hospital Resource ◽  
Post Injury ◽  
Term Survival ◽  
Long Term Survival

AimTo determine if survival and hospital resource usage differ following traumatic brain injury (TBI) compared with head injury without neurological injury(HI).MethodsThis retrospective population-based cohort study included all 25 319 patients admitted to a Scottish NHS hospital from 1997–2015 with TBI. Participants were identified using previously validated ICD-10 based definitions. For comparison, all 194 049 HI cases were identified. Our main outcome measures were hazards of all-cause mortality after TBI, compared with HI, over 18 years follow-up period; and odds of mortality at one month post-injury. Number of days spent as inpatients and number of outpatient attendances per surviving month post-injury were used as measures of resource utilisation.ResultsThe adjusted odds ratio for mortality in the first month post-injury for TBI was 7.12 (95% confidence interval [CI] 6.73–7.52; p<0.001). For the remaining 18 year study period, the hazards of morality after TBI were 0.93 (CI 0.90–0.96; p<0.001). TBI was associated with 2.15 (CI 2.10–2.20; p<0.001) more days spent as inpatient and 1.09 times more outpatient attendances (CI 1.07–1.11; p<0.001) than HI.ConclusionsAlthough initial mortality following TBI is high, survivors of the first month can achieve comparable long-term survival to HI. However this is associated with increased utilisation of hospital services in the TBI group.

scholarly journals Capacity of short-term memory in dyslexia is reduced due to less efficient utilization of items’ long-term frequency

2020 ◽  
Author(s):  
Eva Kimel ◽  
Itay Lieder ◽  
Merav Ahissar
Keyword(s):  
Short Term Memory ◽  
Digit Span ◽  
Repeated Sequence ◽  
Short Term ◽  
Good Readers ◽  
Term Memory ◽  
Term Frequency ◽  
Word Repetition ◽  
Significant Deficit

AbstractDyslexia, defined as a specific impairment in decoding the written script, is the most widespread learning difficulty. However, individuals with dyslexia (IDDs) also consistently manifest reduced short-term memory (STM) capacity, typically measured by Digit Span or non-word repetition tasks. In this paper we report two experiments which test the effect of item frequency and the effect of a repeated sequence on the performance in STM tasks in good readers and in IDDs. IDDs’ performance benefited less from item frequency, revealing poor use of long-term single item statistics. This pattern suggests that the amply reported shorter verbal spans in dyslexia may in fact reflect their impaired sensitivity to items’ long-term frequency. For repeated sequence learning, we found no significant deficit among IDDs, even when a sensitive paradigm and a robust measure were used.

scholarly journals Evaluation of FlowVR: a virtual reality game for improvement of depressive mood

2018 ◽  
Author(s):  
Lukas Bittner ◽  
Fariba Mostajeran ◽  
Frank Steinicke ◽  
Jürgen Gallinat ◽  
Simone Kühn
Keyword(s):  
Virtual Reality ◽  
Depressive Mood ◽  
Time Of Day ◽  
The State ◽  
Long Term Effects ◽  
Positive Affectivity ◽  
Head Mounted Display ◽  
Before And After ◽  
Anxiety Depression

AbstractObjectiveThis study evaluated the efficacy of FlowVR, a virtual reality (VR) game designed to improve mood and reduce feelings of depression. The aim is to contribute to the question of whether and how VR could be used for depression therapy, as research in this area is quite rare.Method18 healthy participants (9 female; Mage = 25.9) underwent three conditions, playing FlowVR in VR with a head-mounted display, playing FlowVR on a tablet or reading a text on a tablet. For each condition, they were tested on a separate day at the same time of day within a two-week period. Before and after every condition participants completed the Becks Depression Inventory II (BDI-II), the state part of the State-Trait-Anxiety-Depression-Inventory (STADI(S)) and the Positive Affect Negative Affect Schedule-Expanded Form (PANAS-X).ResultsWhile the participants showed only a reduction in acute anxiety in the control and the tablet conditions, they showed improved affectivity in all variables measured in the VR condition. In addition, VR had significantly better results than the control condition in improving positive affectivity, negative affectivity and acute feelings of depression. Using a less conservative statistical approach, these significant differences could also be found between the tablet and the VR condition. There were no significant differences between the tablet and the control condition.ConclusionThe results indicate that due to its immersive nature, VR can be used effectively to improve mood and temporarily reduce feelings of depression. Long-term effects of FlowVR on participants with depression must be investigated in consecutive research.

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