Set Of Neuropsychological Tests Research Articles

Inhibitory dysfunction may cause prospective memory impairment in temporal lobe epilepsy (TLE) patients: an event-related potential study.

Prospective memory (PM) is the ability to remember future intentions, and PM function is closely related to independence in daily life, particularly in patients with temporal lobe epilepsy (TLE). As PM involves various cognitive components of attention, working memory, inhibition and other executive functions, this study investigated how TLE may affect PM components and the underlying neural mechanisms. Sixty-four subjects were recruited, including 20 refractory TLE patients, 18 well-controlled TLE patients and 26 age-matched healthy controls. A set of neuropsychological tests was administered to assess specific brain functions. An event-related potential (ERP) task was used to further explore how PM and its components would be differentially affected in the two TLE types. Our findings revealed that: (1) refractory TLE patients scored lower than the healthy controls in the digit span, Verbal Fluency Test and Symbol Digit Modalities Test; (2) refractory TLE patients exhibited impaired PM performance and reduced prospective positivity amplitudes over the frontal, central and parietal regions in ERP experiments when compared to the healthy controls; and (3) decreased P3 amplitudes in the nogo trials were observed over the frontal-central sites in refractory but not in well-controlled TLE patients. To our knowledge, this is the first ERP study on PM that has specifically identified PM impairment in refractory but not in well-controlled TLE patients. Our finding of double dissociation in PM components suggests that inhibition dysfunction may be the main reason for PM deficit in refractory TLE patients. The present results have clinical implications for neuropsychological rehabilitation in TLE patients.

Association Between Grip Strength and Cognitive Function in US Older Adults of NHANES 2011-2014.

The relationship between grip strength and cognitive function remains no consensus in the older adults. To investigate the association of grip strength with cognitive function and cognitive performance in different domains. Participants of the present cross-sectional study were from the National Health and Nutrition Examination Survey 2011-2014. Grip strength was measured by grip dynamometer, and combined handgrip strength was the sum of the largest reading from each hand. Four cognitive domains (immediate and delayed memory, language, and attention) were assessed by a set of neuropsychological tests. The subjective cognitive decline was determined via self-report. Among 2,618 participants, combined grip strength was positively associated with scores on global cognitive function and each cognitive domain after controlling for demographic characteristics, lifestyle factors, and history of disease. In addition, compared to those with grip strength < 46.7 kg, participants with grip strength≥75.3 kg had odds ratios of 0.36 (95% CI: 0.21 to 0.63) for poor global cognitive function, 0.66 (95% CI: 0.38 to 1.13) for poor immediate memory, 0.53 (95% CI: 0.30 to 0.93) for poor delayed memory, 0.48 (95% CI: 0.27 to 0.86) for poor language function, 0.20 (95% CI: 0.11 to 0.35) for poor attention, and 0.36 (95% CI: 0.18 to 0.73) for subjective cognitive decline in fully adjusted model. Older adults with higher grip strength were significantly associated with better performance on cognition function included global and various domains such as memory, language, attention, and subjective cognitive decline.

Cognitive Status and Nutritional Markers in a Sample of Institutionalized Elderly People.

BackgroundSince many of the risk factors for cognitive decline can be modified by diet, the study of nutrition and its relationships with cognitive status in aging has increased considerably in recent years. However, there are hardly any studies that have assessed cognitive status using a comprehensive set of neuropsychological tests along with measures of functional capacity and mood and that have related it to nutritional status measured from several nutritional parameters that have shown its relationships with cognitive function.ObjectiveTo test the differences in depressive symptomatology and in several measures of nutritional status between three groups classified according to their cognitive status (CS hereafter).MethodOne hundred thirteen participants from nursing homes in Galicia, Spain, underwent a comprehensive neuropsychological examination, including a general screening test (MMSE) and tests for different cognitive domains along with measures of activities of daily living (ADL) and assessment of depressive symptomatology (GDS-SF). According to established clinical criteria, participants were divided into three CS groups, Cognitively Intact (CI), Mild Cognitive Impairment (MCI), and All-Cause Dementia (ACD). Nutritional status was also examined using blood-derived measures, body mass index (BMI) and a nutritional screening test (MNA-SF). Differences between CS groups in all nutritional variables were studied by one-way ANOVAs with post-hoc Bonferroni correction or Kruskal-Wallis with Games-Howell post-hoc correction when appropriate. Multinomial logistic regression was also applied to test the association between nutritional variables and CS.ResultsDifferences between CS groups were statistically significant for depressive symptomatology, vitamin A and D, albumin, selenium (Se), uric acid (UA), and BMI. The results of multinomial logistic regression found positive associations between groups with better CS and higher concentrations of vitamins A and D, transthyretin (TTR), albumin, Se, and UA, while negative associations were found for BMI.ConclusionHigher serum levels of vitamin A, vitamin D, TTR, albumin, Se, and UA could act as protective factors against cognitive decline, whereas higher BMI could act as a risk factor.

Assessment of cognitive impairment in psychosis spectrum disorders through self-reported and interview-based measures.

Self-reported and interview-based measures can be considered coprimary measures of cognitive performance. We aimed to ascertain to what extent cognitive impairment in psychotic disorders, as assessed with a neuropsychological battery, is associated with subjective cognitive complaints compared to difficulties in daily activities caused by cognitive impairment. We assessed 114 patients who had a psychotic disorder with a set of neuropsychological tests and two additional measures: the Cognitive Assessment Interview-Spanish version (CAI-Sp) and the Frankfurt Complaint Questionnaire (FCQ). Patients also underwent a clinical assessment. The CAI-Sp correlated significantly with all the clinical dimensions, while the FCQ correlated only with positive and depressive symptoms. The CAI-Sp correlated significantly with all cognitive domains, except for verbal memory and social cognition. The FCQ was associated with attention, processing speed and working memory. The combination of manic and depressive symptoms and attention, processing speed, working memory and explained 38-46% of the variance in the patients' CAI-Sp. Education and negative symptoms, in combination with attention, processing speed, and executive functions, explained 54-59% of the CAI-Sp rater's variance. Only negative symptoms explained the variance in the CAI-Sp informant scores (37-42%). Depressive symptoms with attention and working memory explained 15% of the FCQ variance. The ability to detect cognitive impairment with the CAI-Sp and the FCQ opens the possibility to consider these instruments to approximate cognitive impairment in clinical settings due to their ease of application and because they are less time-consuming for clinicians.

Basic and complex cognitive functions in Adult ADHD.

BackgroundMany clinical studies reported deficits in basic and complex cognitive functions in adults with Attention-Deficit/Hyperactivity Disorder (ADHD). However, the extent in which deficits in basic functions (i.e., processing speed and distractibility) contribute to complex cognitive impairments (i.e., working memory, planning, cognitive flexibility, memory functions) in adults with ADHD is not well-studied. So far, literature show only one study, revealing that basic functions explain 27–74% of executive dysfunctions. Yet, the authors reported that findings could be affected by the selection of neuropsychological tests. The goal of the present research is to replicate such a finding using a different sample and a different set of neuropsychological tests.MethodsForty-eight adult patients with ADHD were compared with 48 healthy controls in basic cognitive functions, namely processing speed and distractibility and more complex cognitive functions, namely selective attention, cognitive flexibility, planning, working memory, verbal fluency, and verbal memory. Basic and complex cognitive functions were assessed using the Vigilance and Sustained Attention, Selective Attention, N-Back, Tower of London, Trail Making Test, Word Fluency, and Verbal Learning and Memory.Results and conclusionLogistic regression analyses showed that impairments in complex cognitive functions explained 25% of the variance in ADHD diagnosis. The explained variance dropped from 25% to 9% after considering basic functions of processing speed and distractibility. This 64% reduction highlights the importance of basic functions for impairments in complex functions in patients with ADHD.

Using historical data to facilitate clinical prevention trials in Alzheimer disease? An analysis of longitudinal MCI (mild cognitive impairment) data sets

BackgroundThe Placebo Group Simulation Approach (PGSA) aims at partially replacing randomized placebo-controlled trials (RPCTs), making use of data from historical control groups in order to decrease the needed number of study participants exposed to lengthy placebo treatment. PGSA algorithms to create virtual control groups were originally derived from mild cognitive impairment (MCI) data of the Alzheimer’s Disease Neuroimaging Initiative (ADNI) database. To produce more generalizable algorithms, we aimed to compile five different MCI databases in a heuristic manner to create a “standard control algorithm” for use in future clinical trials.MethodsWe compared data from two North American cohort studies (n=395 and 4328, respectively), one company-sponsored international clinical drug trial (n=831) and two convenience patient samples, one from Germany (n=726), and one from Switzerland (n=1558).ResultsDespite differences between the five MCI samples regarding inclusion and exclusion criteria, their baseline demographic and cognitive performance data varied less than expected. However, the five samples differed markedly with regard to their subsequent cognitive performance and clinical development: (1) MCI patients from the drug trial did not deteriorate on verbal fluency over 3 years, whereas patients in the other samples did; (2) relatively few patients from the drug trial progressed from MCI to dementia (about 10% after 4 years), in contrast to the other four samples with progression rates over 30%.ConclusionConventional MCI criteria were insufficient to allow for the creation of well-defined and internationally comparable samples of MCI patients. More recently published criteria for MCI or “MCI due to AD” are unlikely to remedy this situation. The Alzheimer scientific community needs to agree on a standard set of neuropsychological tests including appropriate selection criteria to make MCI a scientifically more useful concept. Patient data from different sources would then be comparable, and the scientific merits of algorithm-based study designs such as the PGSA could be properly assessed.

A Novel Touch-Screen, Dual-Language Intervention Program for Older Adults

Although cognitive training in healthy older adults (OA) has been controversial, specific and isolated cognitive skills such as semantic memory can be improved with appropriate designs. Semantic memory has been considered as a clinical marker for cognitive decline in dementia. The current study, as part of a larger touch-screen dual-language intervention program with cognitive training tools, aims to slow down the rate of cognitive decline in OA with dementia (OwD). A set of neuropsychological tests was conducted before and after the training program. After 24 training sessions over 8-12 weeks, OwD (11 females, 1 male, mean=85.8yo) improved significantly in their verbal working memory (Rey Auditory Verbal Learning Test; RAVLT) while performance of the cognitive-healthy OA (5 females, 3 males, mean=76.3yo) remained the same post-intervention. Our findings suggest that touch-screen technology can help OwD improve their semantic memory. The strengths and limitations of our game design and intervention will be discussed. Part of a symposium sponsored by Technology and Aging Interest Group.

Neurochemical Changes in the Brain and Neuropsychiatric Symptoms in Clinically Isolated Syndrome.

To assess cognitive impairment and affective symptoms and their association with damage to normal-appearing white matter (NAWM) in patients with clinically isolated syndrome (CIS), we compared neuropsychological test scores between patients with CIS and healthy controls and examined correlations between these and proton magnetic resonance spectroscopy (1H-MRS) outcomes in patients with CIS. Forty patients with CIS and 40 healthy participants were tested with a set of neuropsychological tests, which included the Beck Depression Inventory (BDI) and the Hospital Anxiety and Depression Scale (HADS). Single-voxel 1H-MRS was performed on frontal and parietal NAWM of patients with CIS to assess ratios of N-acetyl-aspartate (NAA) to creatine (Cr), myo-inositol (mI), and choline (Cho), as well as mI/Cr and Cho/Cr ratios. Patients with CIS had lower cognitive performance and higher scores for the BDI and anxiety subscale of HADS than healthy controls. There were significant correlations between the following neuropsychological tests and metabolic ratios in the frontal NAWM: Stroop Color-Word Test and Cho/Cr, Symbol Digit Modalities Test and mI/Cr, as well as NAA/mI, Go/no-go reaction time, and NAA/Cho, as well as NAA/mI, Californian Verbal Learning Test, and NAA/Cr. BDI scores were related to frontal NAA/mI and parietal NAA/Cr and Cho/Cr ratios, whereas HADS-depression scores were associated with frontal NAA/Cr and NAA/mI and parietal NAA/Cr and Cho/Cr ratios. HADS-anxiety correlated with parietal NAA/Cr ratio. This study suggests that neurochemical changes in the NAWM assessed with single-voxel 1H-MRS are associated with cognitive performance and affective symptoms in patients with CIS.

Abnormalities in the white matter tracts in patients with Parkinson disease and psychosis.

The objective of the current study was to compare the microstructural integrity of the white matter (WM) tracts in patients having Parkinson disease (PD) with and without psychosis (PD-P and PD-NP) through diffusion tensor imaging (DTI). This cross-sectional study involved 48 PD-NP and 42 PD-P who were matched for age, sex, and education. Tract-based spatial statistics (TBSS) was used to compare several DTI metrics from the diffusion-weighted MRIs obtained through a 3-Tesla scanner. A set of neuropsychological tests was used for the cognitive evaluation of all patients. The severity and stage of PD were not statistically different between the groups. The PD-P group performed poorly in all the neuropsychological domains compared with the PD-NP group. TBSS analysis revealed widespread patterns of abnormality in the fractional anisotropy (FA) in the PD-P group, which also correlated with some of the cognitive scores. These tracts include inferior longitudinal fasciculus, inferior fronto-occipital fasciculus, right parieto-occipital WM, body of the corpus callosum, and corticospinal tract. This study provides novel insights into the putative role of WM tract abnormalities in the pathogenesis of PD-P by demonstrating significant alterations in several WM tracts. Additional longitudinal studies are warranted to confirm the findings of our research.

Prospective memory and brain metastases: a relevant target for rehabilitation in post-operative patients?

The study investigated the prospective memory (PM) functioning among patients with brain metastases (BM), eligible for neurosurgy/radiosurgery, and its relationships with depression and quality of life (QoL). This case-healthy-control, cross-sectional study, comprised 160 participants, including 49 patients with BM from various cancers treated with neurosurgery or radiosurgery. They were compared with 111 matched controls on a set of neuropsychological tests, including the MoCA global cognitive test and an experimental PM task 'PROMESSE'. Participants also completed a depression scale (BDI-II), a generic (SF-12) and a specific (QLQ-C30) QoL instrument for cancer patients. Multivariate analyses were conducted on various PM outcomes, in particular on event-based (EBPM) and time-based (TBPM) PM performances. After adjusting for age and socio-cultural level, patients with BM performed worse than the control on the PM task (p < .0001) [OR 1.05; 95%CI (1.01-1.08)], whatever the location of BM (frontal versus temporal lobe). Patients with infratentorial BM exhibited better TBPM performances than patients with supratentorial BM (p = .02). The global PM performance was positively correlated with the MoCA (r = .45) and the SF-12 global score (r = .34), and negatively with the BDI-II score (r = - .20), the number of BM (r = - .34) and the volumetric of the BM (r = - 29). The TBPM performance was linked to the global QoL (r = .40) in patients. The study showed a significant PM deficit in patients with BM eligible for a neurosurgy/radiosurgery, which is linked to damaged QoL and which likely maintains some depressive affects. Prospective memory rehabilitation program should especially focus on TBPM for post-operative patients with BM.

Cognitive Function and Amyloid Marker in Frail Older Adults: The Cogfrail Cohort Study

BackgroundFrailty and cognitive impairment are common manifestations of the ageing process and are closely related. But the mechanisms linking aging, physical frailty, and cognitive disorders, are complex and remain unclear.ObjectivesWe aim to explore the role of cerebral amyloid pathology, but also a range of nutritional, physical, biological or brain-aging marker in the development of cognitive frailty.MethodCOGFRAIL study is a monocentric prospective study of frail older patients with an objective cognitive impairment (Clinical Dementia Rating Scale global score at 0.5 or 1). Three-hundred-and-twenty-one patients are followed up every 6 months, for 2 years. Clinical assessment at baseline and during follow-up included frailty, physical, mood, sensory, nutritional, and cognitive assessment (with a set of neuropsychological tests). Cerebral amyloid pathology is measured by amyloid Positron Emission Tomography (PET) or amyloid-β-1-42 level in cerebrospinal fluid. Brain magnetic resonance imaging, measurement of body composition using Dual X Ray Absorptiometry and blood sampling are performed. The main outcome of the study is to assess the prevalence of positive cerebral amyloid status according to amyloid PET or amyloid-β-1-42 level CSF. Secondary outcomes included biological, nutritional, MRI imaging, cognitive, clinical, physical and body composition markers to better understand the mechanisms of cognitive frailty.PerspectiveCOGFRAIL study will give the opportunity to better understand the link between Gerosciences, frailty, cognitive impairment, and Alzheimer’s disease, and to better characterize the physical and cognitive trajectories of frail older adults according to their amyloid status. Understanding the relationship between physical frailty and cognitive impairment is a prerequisite for the development of new interventions that could prevent and treat both conditions.

P: 3 Clinical Value of Asterixis in a Large Population of Well-characterised Patients With Cirrhosis and Varying Degree of Hepatic Encephalopathy

BACKGROUND: Current guidelines for the diagnosis of overt hepatic encephalopathy (HE) include the clinical sign asterixis, which has also been used as an outcome in clinical trials. Limited information is available on the ability of physicians to detect/grade asterixis, and the relationship between asterixis and other HE indices. The aim of the study was to retrospectively assess the clinical value of asterixis in a large population of well-characterised patients with varying degree of HE. METHODS: Asterixis was sought for/graded in 374 consecutive patients with cirrhosis (59 ± 8 yrs, 280 males; MELD 14 ± 5, Pugh 7.9 ± 2.0) by trainees in Internal Medicine (n = 16), attending the Padova HE clinic between 2011 and 2019. Patients were asked to stretch their arms, extend their wrist and spread their fingers, and observed for 1 min. Asterixis was qualified as absent, rare, frequent or continuous. All underwent neuropsychiatric examination as per local protocols, including electroencephalography (EEG) and a set of neuropsychological tests [Animal Naming Test (ANT); Psychometric Hepatic Encephalopathy Score (PHES); computerised simple (sRT), choice (cRT) and Scan (ScanRT) reaction times]. Laboratory indices (venous ammonia, CRP, sodium) were recorded, together with presence/absence of previous HE episodes and spontaneous/surgical portal-systemic shunts. Patients were followed up for 24 months in relation to the development of HE-related hospitalizations. RESULTS: 280/59/33/2 patients were qualified as having no/rare/frequent/continuous asterixis, thus those with frequent and continuous asterixis were grouped for purposes of subsequent analyses. Associations were observed between the presence/degree of asterixis and the presence of overt HE on the day of study (χ2 = 55, P &lt; 0.001), a history of HE (χ2 = 21, P &lt; 0.001), and the presence of portal-systemic shunts (χ2 = 11.8, P = 0.019). Significant differences in neuropsychiatric HE indices were observed between patients with different degrees of asterixis. Some were prominent between patients with/without the sign, regardless of its frequency (PHES, ScanRT), while for others the relationship was linear (ANT, sRT, cRT, spectral EEG parameters). Significant differences in laboratory indices of liver failure/HE were also observed between patients with different degrees of asterixis. Again, some were prominent between patients with/without the sign (Pugh, CRP), while for others the relationship was linear (MELD, ammonia). Finally, the likelihood of developing HE-related hospitalisations over the follow up period was significantly higher in patients with asterixis (Cox-Mantel P = 0.028). CONCLUSIONS: Asterixis is reliably detected/graded by specialist trainees in a tertiary referral liver centre, and shows significant associations with established neuropsychological, neurophysiological and laboratory HE indices, as well as the likelihood of developing HE-related hospitalisations over time.

The effects of speed of execution on upper-limb kinematics in activities of daily living with respect to age.

In this study, 26 young, 16 older adults ≤ 66a, and 22 older adults ≥ 67a were examined in a set of neuropsychological tests and the kinematics in two different activities of daily living (ADL) were assessed. Half of the participants performed the ADL in a natural speed, the other half as fast as possible. The performance in the Trail Making Task B revealed an increased slope after 67years of age. When executed in a natural speed, ADL kinematics were comparable. When executed as fast as possible, almost all kinematic parameters showed significant group and speed differences and revealed group × speed interactions. Models of multiple linear regression predicting ADL trial durations showed similar strategies in the young and older adults < 67a. Factors were the general movement speed, the travelled path lengths, and the simultaneous use of both hands. In the older adults ≥ 67a, factors were the general movement speed, the travelled path length, and the activity level (during the task execution). A principal component analysis supported these findings by revealing two underlying components: movement strategy and age-dependent decline in primarily executive functions, where the ADL trial duration had comparable loadings on both components. These results in association with the accelerated decline in executive functions found in the oldest group suggest that deterioration of ADL with age is particularly caused by specific age-dependent changes in cognitive capacities.

Cognitive and behavioural dysfunctions in a patient with progressive supranuclear palsy (PSP)

BackgroundThe aim of the case study was to describe the profile of cognitive and emotional functioning of a patient with possible progressive supranuclear palsy (PSP) from a longitudinal perspective.Participants and procedureThis study involved an 71-year-old male patient diagnosed with PSP, and 9 matched healthy subjects. Neuro-psychological examination of the patient was performed twice with a 6 month interval. A set of neuropsycho-logical tests was used to assess both cognition and behaviour.ResultsNeuropsychological assessment revealed executive dysfunction dominance (planning deficits, reduced cogni-tive flexibility and abstract thinking, impulsiveness), reduced verbal fluency, psychomotor slowness and prob-lems with memory retrieval from the long-term memory storage in contrast to significantly better recognition of the previously learned information. According to emotional functioning, frontal change of personality was ob-served, with apathy, disinhibition, lack of insights, impulsiveness and “utilization behaviours”.ConclusionsThe profile of emotional and cognitive impairments met the criteria for dementia. There was a progression of deficits at visit two in comparison to visit one. The longitudinal perspective allowed the dynamics of emotional, cognitive and behavioural changes to be described over time: from depression related to initially preserved criticism of the illness to apathy and emotional blunting and behavioural frontal syndrome connected with the systematic loss of insight.

Impairments to Body Image in Meningioma of the Parietal-Occipital Area

Objectives. To study impairments to body image in patients with typical meningioma of the parietal-occipital area before and after surgical treatment. Materials and methods. A total of 23 patients with diagnosis of “typical meningioma of the parietal-occipital area” were studied. A set of neuropsychological tests was used, along with the “Image-I” dissociation method and the “Silhouette” method. Results and conclusions. Derangements to body image were found in patients with meningioma of the parietal-occipital area, these being apparent as disorders of left-right orientation and impairment to the positioning of body parts in space and relative to each other, along with mismatch between objective weight and height values and subjective views of the individuals’ own bodies. After surgery, orientation in the body improved significantly, with clear differentiation of the positions of body parts relative to each other, an appropriate relationship between the positions of the two hands, and error-free right-left orientation. Own-body perceptions became more appropriate in relation to the number of body parts and their sizes, though people’s views on their own body types generally remained inappropriate.

APLICABILIDADE DE UMA BATERIA NEUROPSICOLÓGICA EM IDOSOS COM COMPROMETIMENTO COGNITIVO LEVE E DOENÇA DE ALZHEIMER

Analisar o desempenho de idosos com diagnóstico de Comprometimento Cognitivo Leve, com doença de Alzheimer (DA) em fase inicial e de idosos saudáveis, em uma bateria específica de testes neuropsicológicos. Na análise estatística, consideraram-se como significativos os testes com valor de probabilidade

Individual trajectories of cognitive performance in first episode psychosis: a 2-year follow-up study.

Individual changes over time in cognition in patients with psychotic disorders have been studied very little, especially in the case of first episode psychosis (FEP). We aimed to establish whether change in individual trajectories in cognition over 2years of a sample of 159 FEP patients was reliable and clinically significant, using the reliable change index (RCI) and clinically significant change (CSC) methods. We also studied a sample of 151 matched healthy controls. Patients and controls were assessed with a set of neuropsychological tests, as well as premorbid, clinical and functionality measures. We analysed the course of cognitive measures over time, using analysis of variance, and the individual trajectories in the cognitive measures with the regression-based RCI (RCISRB) and the CSC. The RCISRB showed that between 5.4 and 31.2% of the patients showed deterioration patterns, and between 0.6 and 8.8% showed improvement patterns in these tests over time. Patients showing better cognitive profiles according to RCISRB (worsening in zero to two cognitive measures) showed better premorbid, clinical and functional profiles than patients showing deterioration patterns in more than three tests. When combining RCISRB and CSC values, we found that less than 10% of patients showed improvement or deterioration patterns in executive function and attention measures. These results support the view that cognitive impairments are stable over the first 2years of illness, but also that the analysis of individual trajectories could help to identify a subgroup of patients with particular phenotypes, who may require specific interventions.

Personality Characteristics and Neurocognitive Functions in Parents of Children with Autism Spectrum Disorder.

BackgroundThe increasing prevalence of autism spectrum disorder in children and the huge family burdens have caused concern in the academic field as well as society.AimTo study the personality characteristics and neurocognitive functions in the Chinese parents of children with autism spectrum disorder (ASD) and compare them with the parents of well-developed children.MethodThis study recruited 41 Chinese children who met the diagnostic criteria of autism spectrum disorder according to Diagnostic and Statistical Manual of mental disorders-IV (DSM-IV). Their 79 biological parents were evaluated by means of Eysenck Personality Questionnaire (EPQ) and a set of neuropsychological tests. The normal control group consisted of 80 parents of well-developed children, and they were matched by age and gender.ResultsWe found that the EPQ scores in the P scale for parents of children with ASD were significantly higher than the parents of well-developed children (t=1.68, p=0.039), while their scores in E scale and L scale were significantly lower (t=1.84, p=0.035; t=2.07, p=0.023). We also identified that the parents of children with ASD took significantly longer time than the normal control to complete Trail Making Test (TMT) Part A and Part B-M (t=1.57, p=0.013; t=0.83, p=0.019).ConclusionCompared to the parents of well-developed children, the parents of children with ASD were more likely to be unconcerned, rigid, stubborn, introverted, and reticent. They displayed less novelty and thrill-seeking behaviors, and had limited social skills and maturity. Although the general cognitive functions including IQ were relatively intact in the parents of children with ASD, there were impairments in their planning, flexibility and visual processing functions.

Reciprocal organization of constructive activity in patients with ischemic stroke

To study the organization of reciprocal constructive activity in patients with ischemic stroke based on hemispheric localization of the lesion and the profile of lateral organization in a segment of leading hand. The study included 57 post-stroke patients. An experimental method and a set of neuropsychological tests were used. There was an overall decline in the parameters of constructive activity (accuracy and rate) in patients with ischemic stroke, regardless of localization of the lesion and the profile of lateral brain organization in the segment of leading hand. Constructive activities of left-handed patients with right-hemisphere stroke and right-handed patients with left-hemisphere lesions are regulated by reciprocal and dynamic organization of praxis functions. In right-handed patients with right hemisphere ischemic stroke and left-handed patients with left-hemisphere lesions, constructive activities are regulated by the kinetic-kinesthetic organization of the motor act, dynamic organization of the motor act that characterizes the reciprocal organization.

Free Will and Neuroscience: From Explaining Freedom Away to New Ways of Operationalizing and Measuring It.

The concept of free will is hard to define, but crucial to both individual and social life. For centuries people have wondered how freedom is possible in a world ruled by physical determinism; however, reflections on free will have been confined to philosophy until half a century ago, when the topic was also addressed by neuroscience. The first relevant, and now well-known, strand of research on the brain correlates of free will was that pioneered by Libet et al. (1983), which focused on the allegedly unconscious intentions taking place in decisions regarded as free and voluntary. Libet’s interpretation of the so-called readiness potential (RP) seems to favor a sort of deflation of freedom (Soon et al., 2008). However, recent studies seem to point to a different interpretation of the RP, namely that the apparent build-up of the brain activity preceding subjectively spontaneous voluntary movements (SVM) may reflect the ebb and flow of the background neuronal noise, which is triggered by many factors (Schurger et al., 2016). This interpretation seems to bridge the gap between the neuroscientific perspective on free will and the intuitive, commonsensical view of it (Roskies, 2010b), but many problems remain to be solved and other theoretical paths can be hypothesized. The article therefore, proposes to start from an operationalizable concept of free will (Lavazza and Inglese, 2015) to find a connection between higher order descriptions (useful for practical life) and neural bases. This new way to conceptualize free will should be linked to the idea of “capacity”: that is, the availability of a repertoire of general skills that can be manifested and used without moment by moment conscious control. The capacity index, which is also able to take into account the differences of time scales in decisions, includes reasons-responsiveness and is related to internal control, understood as the agent’s ownership of the mechanisms that trigger the relevant behavior. Cognitive abilities, needed for one to have capacity, might be firstly operationalized as a set of neuropsychological tests, which can be used to operationalize and measure specific executive functions, as they are strongly linked to the concept of control. Subsequently, a free will index would allow for the search of the underlying neural correlates of the capacity exhibited by people and the limits in capacity exhibited by each individual.