Exploring the relationship between perceived loneliness and subjective cognitive decline in older individuals.

OBJECTIVE: Loneliness has been associated to a greater risk of cognitive decline and dementia in older individuals. However, evidence on whether this association also exists for older individuals who complain of cognitive problems is limited. We conducted a survey to examine the association between subjective cognitive decline in the working memory domain, perceived loneliness, depression, anxiety, and stress in older individuals with different profiles. METHODS: A total of 302 healthy, old individuals completed 3 questionnaires to assess subjective cognitive problems in attention, executive functions, storage, depression, anxiety, stress, and perceived loneliness. RESULTS: We conducted a cluster analysis and 3 clusters of individuals with different profiles emerged. Individuals with greater subjective cognitive problems (cluster 1) in the attention and storage domains, reported higher perceived loneliness and stress but not depression. In contrast, individuals with the least subjective cognitive problems (cluster 3) in the storage domain, reported lower perceived loneliness. CONCLUSIONS: Individuals with higher subjective cognitive decline also report higher levels of perceived loneliness but not more depression than their peers. However, this correlation is present only for individuals with mild subjective cognitive decline (cluster 2). The implications for future research and interventions are discussed.

Neural networks underlying visual illusions: An activation likelihood estimation meta-analysis.

Visual illusions have long been used to study visual perception and contextual integration. Neuroimaging studies employ illusions to identify the brain regions involved in visual perception and how they interact. We conducted an Activation Likelihood Estimation (ALE) meta-analysis and meta-analytic connectivity modeling on fMRI studies using static and motion illusions to reveal the neural signatures of illusory processing and to investigate the degree to which different areas are commonly recruited in perceptual inference. The resulting networks encompass ventral and dorsal regions, including the inferior and middle occipital cortices bilaterally in both types of illusions. The static and motion illusion networks selectively included the right posterior parietal cortex and the ventral premotor cortex respectively. Overall, these results describe a network of areas crucially involved in perceptual inference relying on feed-back and feed-forward interactions between areas of the ventral and dorsal visual pathways. The same network is proposed to be involved in hallucinogenic symptoms characteristic of schizophrenia and other disorders, with crucial implications in the use of illusions as biomarkers.

Congenital lack and extraordinary ability in object and spatial imagery: An investigation on sub-types of aphantasia and hyperphantasia.

Studies that have shown a distinction between object and spatial imagery suggest more than one type of aphantasia and hyperphantasia, yet this has not been systematically investigated in studies on imagery ability extremes. Also, if the involuntary imagery is preserved in aphantasia and how this condition affects other skills is not fully clear. We collected data on spatial and object imagery, retrospective, and prospective memory, face recognition, and sense of direction (SOD), suggesting a distinction between two subtypes of aphantasia/hyperphantasia. Spatial aphantasia is associated with difficulties in visuo-spatial mental imagery and SOD. Instead, in object aphantasia there are difficulties in imaging single items and events - with no mental visualization of objects, out-of-focus, and black-and-white mental images more frequent than expected - in SOD and face recognition. Furthermore, associative involuntary imagery can be spared in aphantasia. The opposite pattern of performance was found in spatial and object hyperphantasia.

Divergent thinking in Italian elementary school children: the key role of probabilistic reasoning style.

Divergent thinking is widely recognised as an individual creative potential and an essential factor in fostering creativity since the early stages of life. Albeit previous research revealed that creativity could be pursued through controlled mental processes (e.g. reasoning), the debate about the impact of children's reasoning on divergent thinking and, ultimately, creativity is still open. The present study sought to deepen the relationships between probabilistic reasoning and divergent thinking in a sample of 106 Italian children (meanage = 8.64, SDage = 1.34; 58 F). The Beads Task was used to evaluate probabilistic reasoning, whereas the Alternative Uses Task was administered to assess divergent thinking. Results revealed that analytical, slow, and effortful forms of thought underpinned by high probabilistic competencies predict children's divergent production. These findings suggest that a higher score for divergence of thinking depends on a high involvement of reasoning style, which in this study relies on the ability to make probabilistic decisions in ambiguous situations. Future research directions were discussed.

The dynamic contribution of the high-level visual cortex to imagery and perception.

Mental imagery and visual perception rely on the same content-dependent brain areas in the high-level visual cortex (HVC). However, little is known about dynamic mechanisms in these areas during imagery and perception. Here we disentangled local and inter-regional dynamic mechanisms underlying imagery and perception in the HVC and the hippocampus (HC), a key region for memory retrieval during imagery. Nineteen healthy participants watched or imagined a familiar scene or face during fMRI acquisition. The neural code for familiar landmarks and faces was distributed across the HVC and the HC, although with a different representational structure, and generalized across imagery and perception. However, different regional adaptation effects and inter-regional functional couplings were detected for faces and landmarks during imagery and perception. The left PPA showed opposite adaptation effects, with activity suppression following repeated observation of landmarks, but enhancement following repeated imagery of landmarks. Also, functional coupling between content-dependent brain areas of the HVC and HC changed as a function of task and content. These findings provide important information about the dynamic networks underlying imagery and perception in the HVC and shed some light upon the thin line between imagery and perception which has characterized the neuropsychological debates on mental imagery.

Does spatial cognitive style affect how navigational strategy is planned?

People orient themselves in the environment using three different, hierarchically organized, spatial cognitive styles: landmark, route, and survey. Landmark style is based on a representation encompassing only visual information (terrain features); route style is based on a representation that connects landmarks and routes using an egocentric (body-centred) frame of reference; survey style is based on a global map-like representation that mainly involves an allocentric (world-centred) frame of reference. This study was aimed at investigating whether individual spatial cognitive style affected the way to plan a path when searching for a lost object. Participants with landmark, route, and survey style were assessed with an ecological navigational planning task (the Key Search Task), which required planning a strategy to search for the lost key in a hypothetical wide squared field. Results showed that spatial cognitive styles were associated to different navigational planning strategies, although the time to complete the Key Search Task was comparable across the styles. As revealed by the Key Search Task score, survey style individuals were the best navigational planners, route style individuals were less efficient and landmark style individuals were the least efficient. These results suggest that spatial cognitive style has effects on navigational planning. Implications for clinical settings, such as for developmental topographical disorientation, are discussed.

How does environmental knowledge allow us to come back home?

Herein, we investigate how the three types of mental spatial representation (landmark, route and survey) are reorganized to perform wayfinding and homing behaviour. We also investigate the contribution of visuo-spatial working memory in reaching and in vista space in performing the retracing of the path. For this purpose, we asked 68 healthy college students to learn and come back along an unknown path in a real environment and to perform two different forward and backward working memory tasks, one in the reaching space (Corsi Block-Tapping Test) and the other in a vista space (Walking Corsi Test). The results show that participants performed better when travelling the route forward (which corresponds to the originally learned direction) than when travelling the route backward (return path) and that working memory in vista space is crucial for both wayfinding and homing behaviour, while the working memory for reaching space contributes only to homing behaviour. Although homing behaviour is an early mechanism in navigation shared among many species, it represents a very complex behaviour that requires both topographic and visuo-spatial memory as well as the first two levels of environmental knowledge.

Effect of Cognitive Style on Topographical Learning Across Life Span: Insights From Normal Development.

Notwithstanding its well-established role on high-demanding spatial navigation tasks during adulthood, the effect of field dependence-independence during the acquisition of spatial navigation skills is almost unknown. This study assessed for the first time the effect of field dependence-independence on topographical learning (TL) across the life span: 195 individuals, including 54 healthy young-adults (age-range = 20-30), 46 teenagers (age-range = 11-14), and 95 children (age-range = 6-9) participated in this study. Field dependence-independence interacted with age in predicting TL. Also during childhood higher field independence was associated with better performances but not later in the life, that is, during adolescence and adulthood. This result suggests that field dependence-independence may have a role in fostering the acquisition of TL.

The format of mental imagery: from a critical review to an integrated embodied representation approach.

The issue of the format of mental imagery is still an open debate. The classical analogue (depictive)-propositional (descriptive) debate has not provided definitive conclusions. Over the years, the debate has shifted within the frame of the embodied cognition approach, which focuses on the interdependence of perception, cognition and action. Although the simulation approach still retains the concept of representation, the more radical line of the embodied cognition approach emphasizes the importance of action and clearly disregards the concept of representation. In particular, the enactive approach focuses on motor procedures that allow the body to interact with the environment, whereas the sensorimotor approach focuses on the possession and exercise of sensorimotor knowledge about how the sensory input changes as a function of movement. In this review, the embodied approaches are presented and critically discussed. Then, in an attempt to show that the format of mental imagery varies according to the ability and the strategy used to represent information, the role of individual differences in imagery ability (e.g., vividness and expertise) and imagery strategy (e.g., object vs. spatial imagers) is reviewed. Since vividness is mainly associated with perceptual information, reflecting the activation level of specific imagery systems, whereas the preferred strategy used is mainly associated with perceptual (e.g., object imagery) or amodal and motor information (e.g., spatial imagery), the format of mental imagery appears to be based on dynamic embodied representations, depending on imagery abilities and imagery strategies.

How would you describe a familiar route or put in order the landmarks along it? It depends on your cognitive style!

Cognitive style refers to the preference in perceiving, organizing and remembering information. Different cognitive styles have been identified across the years. Amongst others, field-dependence/independence cognitive style is the extent to which the person perceives part of a field as discrete from the surrounding environment as a whole, rather than embedded in the field. Instead, visualizer/verbalizer cognitive style involves the preference in processing visual versus verbal information. Both cognitive styles can influence navigational behaviour. The present study aimed at clarifying the extent to which field-dependence/independence and visualizer/verbalizer cognitive styles affect route-based navigational tasks. Therefore, 44 healthy participants from L'Aquila City were assessed for their cognitive styles and were asked to perform two different navigational tasks: reorder paths using a series of photos depicting landmarks from L'Aquila (visually presented task, visual path task-VisPT); orally describe specific paths of L'Aquila (verbally presented task, verbal path task-VerPT). Results showed that the field-independence cognitive style predicted response times of VisPT, whereas the visualizer/verbalizer cognitive style predicted the instructions given when performing the VerPT, namely, the number of metrical distance indicators provided by participants. By investigating two different cognitive styles, the study clarifies that field-dependence/independence and visualizer/verbalizer cognitive styles can play a different role in spatial navigation and suggests that the material by which a navigational task is presented affects its performance.

Effects of oral contraceptives and natural menstrual cycling on environmental learning.

BACKGROUND: Endogenous ovarian hormones as well as exogenous oestradiol and progesterone play an important role in cognitive processing. Specifically, these hormones play a role in different aspects of memory, both in terms of storage capacity and temporal duration of the mnemonic track. These hormones also have various effects on different types of memory (i.e., verbal, visuo-spatial, prospective). This study investigated the effects of hormones on topographic memory, a type of memory specifically needed to recall a pathway and to acquire spatial information about locations, distances, and directions. METHODS: We compared 25 naturally cycling women (NCW) in two different cycling phases, the early follicular phase (4th - 5th days) and the mid-luteal phase (20th-21st days), with 26 women taking oral contraceptives (OC) tested in the active pill phase (20th to 21st day of OC cycle) and the inactive pill phase (2nd to 4th day of OC cycle). Both groups performed the Walking Corsi Test to assess topographic memory in their respective cycling phases. Women were instructed to learn an eight-step sequence path and recall the path five minutes later. RESULTS: We found that the two groups differed in terms of learning the 8-step sequence path; OC users were always better (4-5 days vs. 20-21 days) than NCW. No differences emerged in the delayed recall of the same path. CONCLUSIONS: As already observed in other memory domains (i.e., verbal memory, emotional memory), OC users showed an advantage in terms of topographic learning. Our results might be explained by hormonal mechanisms and may suggest the future application of OC in women with topographic disorders or visuo-spatial difficulties.

I can see where you would be: Patterns of fMRI activity reveal imagined landmarks.

Visual mental imagery arises when perceptual information is accessed from memory, originating the experience of "seeing with the mind's eye". Different content-dependent brain areas in the human ventral visual stream are activated during visual mental imagery, similarly to what happens during visual perception. The neural patterns within these regions, but not in the early visual cortex, are similar during imagery and perception, suggesting that, in the absence of perceptual stimulation, content-dependent brain areas are able to re-instantiate specific neural patterns allowing for mental imagery. However, it remains unknown whether these areas contain adequate neural representations that create mental images or need to interact with other regions in the brain, such as the hippocampus (HC), to access the necessary information from memory. To test this hypothesis, we used functional magnetic resonance imaging and both multivoxel pattern classification and psychophysiological interaction analyses. Participants were scanned while viewing or imagining scenes of familiar environments. We found that the identity of familiar places can be decoded from the neural patterns in the parahippocampal place area (PPA), retrosplenial complex/parieto-occipital sulcus (RSC/POS) and HC, during both imagery and perception, and that item-specific information from perceived places was re-instantiated during mental imagery of the same places and vice versa. Furthermore, the right PPA significantly interacted with the right HC and RSC/POS according to the performed task. Specifically, the functional coupling between PPA and HC was higher during mental imagery, whereas the functional coupling between PPA and RSC/POS was higher during perception. Our investigation provides an important contribution to the understanding of how the brain uses previously acquired knowledge to build a mental representation of the world.

Verbal and visual divergent thinking in aging.

According to the peak and decline model divergent thinking declines at a specific age (in or after middle age). However, if divergent thinking declines steadily in aging still has to be clarified. In order to explore the age-related changes in verbal and visual divergent thinking, in the present study a sample of 159 participants was divided in five age groups: young adults (18-35 years), middle-aged adults (36-55), young old (56-74), old (75-85) and the oldest-old (86-98). Two divergent thinking tasks were administered: the alternative uses for cardboard boxes, aimed at assessing verbal ideational fluency, flexibility and originality; the completion drawing task, aimed at assessing visual ideational fluency, flexibility and originality. Results showed that after peaking in the young adult group (20-35 years) all components of verbal and visual divergent thinking stabilized in the middle-aged adult group (36-55 years) and then started declining in the young old group (56-75). Interestingly, all components were found to be preserved after declining. Yet, verbal and visual divergent thinking were found at the same extent across age groups, with the exception of visual ideational fluency, that was higher in the young old group, the old group and the oldest-old group than verbal ideational fluency. These results support the idea that divergent thinking does not decline steadily in the elderly. Given that older people can preserve to some extent verbal and visual divergent thinking, these findings have important implications for active aging, that is, divergent thinking might be fostered in aging in order to prevent the cognitive decline.

Mental imagery skills predict the ability in performing environmental directional judgements.

Mental imagery plays a crucial role in several cognitive processes, including human navigation. According to the Kosslyn's Model, mental imagery is subserved by three components: generation, inspection and transformation. The role of transformation, where by individuals recognise, from a different perspective, a place they have already visited, is no longer a matter of debate. However, the role of the other two components when recalling a map from different perspectives, has never been fully investigated. In the present study, we enrolled forty-nine college students and asked them to learn a schematic map and to provide directional judgements aligned or counter-aligned compared to the learnt map orientation. Their mental imagery generation, inspection and transformation skills were also investigated. Results demonstrated that all three visual mental imagery components negatively correlate with errors in providing directional judgements. Specifically, generation assumes a role in aligned directional judgements, while inspection and transformation predict the capability to provide counter-aligned directional judgements. Although all mental imagery components play a role in mentally recalling a map, only the proficiency in inspection and mental rotation can predict the accuracy in changing perspective.

Restructuring the navigational field: individual predisposition towards field independence predicts preferred navigational strategy.

To successfully navigate within an environment, individuals have to organize the spatial information in terms of salient landmarks, paths and general layout of the navigational environment. They may differ in the strategy they adopt to orientate themselves, with some individuals preferring to use salient landmarks (landmark spatial style, L-SS), others preferring to plan routes or paths through an egocentric strategy in which landmarks are connected with each other (route spatial style, R-SS) and others still create a global map-like configuration of the environment regardless of their own position in the environment (survey spatial style, S-SS). Here, we assessed whether Field independence (FI), that is the extent to which the individual perceives part of a field as discrete from the surrounding field rather than embedded in the field, predicted the individual's spatial style. We assessed the individual's spatial style using the spatial cognitive style test (SCST) and measured FI using the group embedded figure test (GEFT). We found that FI predicted general spatial ability, with a higher level of FI being associated with better performances on the SCST. Also, Field-independent individuals showed a marked preference for an S-SS. These results suggest that a higher level of FI is associated with better performance on higher level spatial tasks (i.e. R-SS and S-SS) that is tasks requiring individuals to restructure the "navigational field" according to the navigational goal. The results also suggest that a higher level of FI makes individuals more prone to use a global and complex map-like representation of the environment.

The Tower of London (ToL) in Italy: standardization of the ToL test in an Italian population.

Deficit in planning and problem-solving, affecting a wide range of neuropsychological patients, has been widely investigated using the Tower of London (ToL) test, as developed by Shallice (Philos Trans R Soc Lond Ser B Biol Sci 298:199-209, 1). The ToL taps on several executive functions (EF), such as planning, time for planning or rule breaks, which may be usefully indexed by different ToL measurements. However, in its original version, the different aspects involved in ToL are not evaluated in a specific way.Here, we report the standardization of the ToL, on 896 individuals aged 15-86 years, taking in account individual factors (i.e. gender, age, years of education) which may affect performances on ToL. We computed several indexes on the ToL including score, planning and execution times, perseverations, rule breaks and self-monitoring. We found that these indexes were affected by individual factors such as gender, age and education. Present results not only provide extensive normative data according to gender, as well as different age and education ranges, but also represent a very useful instrument for a more fine-grained diagnosis of EF deficits in a wide range of neuropsychological patients, including traumatic brain injury and brain-damaged patients, as well as Alzheimer's disease and Parkinson's disease patients.

Sex differences in visuospatial and navigational working memory: the role of mood induced by background music.

Sex differences in visuospatial abilities are long debated. Men generally outperform women, especially in wayfinding or learning a route or a sequence of places. These differences might depend on women's disadvantage in underlying spatial competences, such as mental rotation, and on the strategies used, as well as on emotions and on self-belief about navigational skills, not related to actual skill-levels. In the present study, sex differences in visuospatial and navigational working memory in emotional contexts were investigated. Participants' mood was manipulated by background music (positive, negative or neutral) while performing on the Corsi Block-tapping Task (CBT) and Walking Corsi (WalCT) test. In order to assess the effectiveness of mood manipulation, participants filled in the Positive and Negative Affect Schedule before and after carrying out the visuospatial tasks. Firstly, results showed that after mood induction, only the positive affect changed, whereas the negative affect remained unconfounded by mood and by sex. This finding is in line with the main effect of 'group' on all tests used: the positive music group scored significantly higher than other groups. Secondly, although men outperformed women in the CBT forward condition and in the WalCT forward and backward conditions, they scored higher than women only in the WalCT with the negative background music. This means that mood cannot fully explain sex differences in visuospatial and navigational working memory. Our results suggest that sex differences in the CBT and WalCT can be better explained by differences in spatial competences rather than by emotional contexts.

Does field independence predict visuo-spatial abilities underpinning human navigation? Behavioural evidence.

Field independence (FI) has been defined as the extent to which the individual perceives part of a field as discrete from the surrounding field, rather than embedded in the field. It has been proposed to represent a relatively stable pattern in individuals' predisposition towards information processing. In the present study, we assessed the effect of FI on skills underpinning human navigation. Fifty Healthy individuals took part in this study. FI has been assessed by using the group embedded figures test (GEFT). Participants were also asked to perform several visuo-spatial orientation tasks, including the perspective taking/spatial orientation test (PTSOT), the mental rotation task (MRT) and the vividness task, as well as the Santa Barbara Sense of Direction Scale, a self-reported questionnaire, which has been found to predict environmental spatial orientation ability. We found that performances on the GEFT significantly predicted performances on the PTSOT and the MRT. This result supports the idea that FI predicts human navigation.

[Differences in coping strategies of preadolescents with and without exposure to the L'Aquila (Central Italy) 2009 earthquake]. / Differenze nella scelta delle strategie di coping in preadolescenti esposti e non esposti al sisma dell'Aquila del 6 aprile 2009.

OBJECTIVES: to assess the presence of a characteristic coping strategy profile in a wide sample of preadolescents following a traumatic exposure (i.e., L'Aquila earthquake). DESIGN: we have investigated the coping strategies through the Brief-Cope Coping Orientation towards Problems Experienced - new Italian version (COPE-NVI) devised to measure coping strategies on five levels: problem-oriented coping strategies, avoidance strategies, social-support strategies, positive attitude, transcendent orientation. SETTING AND PARTICIPANTS: 129 preadolescents exposed (75 females and 54 males) and 107 non-exposed to the trauma (54 females and 53 males), age-ranged 11-14 years, coming from L'Aquila and from another Italian region far away from the epicentre of the earthquake. The trauma exposure was assessed through a checklist considering the presence of negative factors such as death of relatives and friends and displacement from home. Participants were tested collectively at school during school time in accordance with their teacher. An exclusion criterion was the presence of psychic disorders following or preceding the trauma. MAIN OUTCOME MEASURES: the need to develop a diagnostic protocol including coping measures aim to planning preventive actions for avoiding post-traumatic diseases. RESULTS: the trauma exposure without consequent psychiatric disorders causes a high heterogeneity within coping dimensions, such phenomenon does not happen in the non-exposed group. Coping strategies are not affected by age and gender, but only by the exposure to the trauma. Furthermore, death of relatives/friends and displacements from home predict the use of specific coping strategies (i.e., social-support strategies and transcendent orientation). CONCLUSION: coping is a dynamic process of adjustment to critical events that requires to direct cognitive and behavioural resources. The trauma exposure modifies coping strategies and dimensions. This study shows the importance to use coping tools for helping people in using positive and active resource of coping.

A penny for your thoughts! patterns of fMRI activity reveal the content and the spatial topography of visual mental images.

Visual mental imagery is a complex process that may be influenced by the content of mental images. Neuropsychological evidence from patients with hemineglect suggests that in the imagery domain environments and objects may be represented separately and may be selectively affected by brain lesions. In the present study, we used functional magnetic resonance imaging (fMRI) to assess the possibility of neural segregation among mental images depicting parts of an object, of an environment (imagined from a first-person perspective), and of a geographical map, using both a mass univariate and a multivariate approach. Data show that different brain areas are involved in different types of mental images. Imagining an environment relies mainly on regions known to be involved in navigational skills, such as the retrosplenial complex and parahippocampal gyrus, whereas imagining a geographical map mainly requires activation of the left angular gyrus, known to be involved in the representation of categorical relations. Imagining a familiar object mainly requires activation of parietal areas involved in visual space analysis in both the imagery and the perceptual domain. We also found that the pattern of activity in most of these areas specifically codes for the spatial arrangement of the parts of the mental image. Our results clearly demonstrate a functional neural segregation for different contents of mental images and suggest that visuospatial information is coded by different patterns of activity in brain areas involved in visual mental imagery.