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1.
Cereb Cortex ; 26(6): 2381-90, 2016 06.
Artículo en Inglés | MEDLINE | ID: mdl-25899709

RESUMEN

Behavioral and electrophysiological studies in humans and non-human primates have correlated frontal high-beta activity with the orienting of endogenous attention and shown the ability of the latter function to modulate visual performance. We here combined rhythmic transcranial magnetic stimulation (TMS) and diffusion imaging to study the relation between frontal oscillatory activity and visual performance, and we associated these phenomena to a specific set of white matter pathways that in humans subtend attentional processes. High-beta rhythmic activity on the right frontal eye field (FEF) was induced with TMS and its causal effects on a contrast sensitivity function were recorded to explore its ability to improve visual detection performance across different stimulus contrast levels. Our results show that frequency-specific activity patterns engaged in the right FEF have the ability to induce a leftward shift of the psychometric function. This increase in visual performance across different levels of stimulus contrast is likely mediated by a contrast gain mechanism. Interestingly, microstructural measures of white matter connectivity suggest a strong implication of right fronto-parietal connectivity linking the FEF and the intraparietal sulcus in propagating high-beta rhythmic signals across brain networks and subtending top-down frontal influences on visual performance.


Asunto(s)
Ritmo beta/fisiología , Sensibilidad de Contraste/fisiología , Lóbulo Frontal/diagnóstico por imagen , Lóbulo Frontal/fisiología , Lóbulo Parietal/diagnóstico por imagen , Lóbulo Parietal/fisiología , Imagen de Difusión por Resonancia Magnética , Femenino , Lateralidad Funcional , Humanos , Masculino , Vías Nerviosas/diagnóstico por imagen , Vías Nerviosas/fisiología , Pruebas Neuropsicológicas , Psicometría , Estimulación Magnética Transcraneal , Sustancia Blanca/diagnóstico por imagen , Sustancia Blanca/fisiología , Adulto Joven
2.
Mil Med ; 189(1-2): e15-e20, 2024 Jan 23.
Artículo en Inglés | MEDLINE | ID: mdl-37083060

RESUMEN

INTRODUCTION: Loaded ruck marching is a common training and operational task for many members of the military. It is known to cause fatigue, affect soldier readiness, and can lead to traumatic and overuse injuries. Quantifying the gait changes that occur over the course of a loaded ruck march may provide a better understanding of injury mechanisms and potentially allow for development of individualized injury-prevention training programs. This study examined the change in soldiers' gait patterns over the course of a loaded ruck march in order to examine the correlation between fatigue and kinematic parameters. Fatigue is a subjective term that may encompass factors such as energy expenditure, muscle exhaustion, and cognitive engagement. Since it can be difficult to quantify, the current study makes the broad assumption that fatigue increases in some (potentially nonlinear) fashion during a loaded ruck march. METHOD: Three platoons of soldiers participated in a field training exercise with inertial measurement sensors placed on their chests and ankles to record gait parameters throughout a 7-mile ruck march. The effects of fatigue on stride length, stride width, ankle yaw, and torso lean (anterior-posterior [AP] and side-to-side [SS]) were compared using one-way repeated measure analyses of variance. RESULTS: In comparing the first and last quarters of the ruck march, stride length decreased, stride width increased, stride width variability increased, AP torso lean variability increased, and SS torso lean variability increased. CONCLUSION: Although they do not describe a direct relationship to injury, these results can inform enhanced approaches to quantify and predict soldier fatigue and more reliably prevent future injury.


Asunto(s)
Marcha , Caminata , Humanos , Caminata/fisiología , Marcha/fisiología , Extremidad Inferior/fisiología , Fatiga/etiología , Ejercicio Físico , Fenómenos Biomecánicos
3.
Front Psychol ; 15: 1449200, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39315045

RESUMEN

Introduction: Personnel performance under stress hinges on various factors, including individual traits, training, context, mental and physiological states, and task demands. This study explored the link between the traits of military personnel and their performance outcomes in five domains: move, shoot, communicate, navigate, and sustain. Methods: A total of 387 U.S. Army soldiers participated in this study, undergoing trait assessments covering physical, cognitive, social-emotional, demographic/lifestyle, and health domains. Performance was measured through lab and field events assessing a broad range of individual and team-level skills under conditions demanding resilience to acute cognitive and physical stress exposure. Analysis used feature selection and elastic net regression. Results: Analyses revealed complex associations between traits and performance, with physical, cognitive, health-related, social-emotional, and lifestyle traits playing roles in guiding and constraining performance. Measures of resilience, emotion regulation, grit, and mindfulness were identified as relevant predictors of several performance-related outcomes. Discussion: Results carry implications for the selection, training, and operational effectiveness of personnel in high-stakes occupations including military and first response. Further research is necessary to explore the mechanisms underlying these associations and inform targeted interventions to boost personnel effectiveness.

4.
Appl Ergon ; 106: 103909, 2023 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-36242872

RESUMEN

The use of robotic swarms has become increasingly common in research, industrial, and military domains for tasks such as collective exploration, coordinated movement, and collective localization. Despite the expanded use of robotic swarms, little is known about how swarms are perceived by human operators. To characterize human-swarm interactions, we evaluate how operators perceive swarm characteristics, including movement patterns, control schemes, and occlusion. In a series of experiments manipulating movement patterns and control schemes, participants tracked swarms on a computer screen until they were occluded from view, at which point participants were instructed to estimate the spatiotemporal dynamics of the occluded swarm by mouse click. In addition to capturing mouse click responses, eye tracking was used to capture participants eye movements while visually tracking swarms. We observed that manipulating control schemes had minimal impact on the perception of swarms, and that swarms are easier to track when they are visible compared to when they were occluded. Regarding swarm movements, a complex pattern of data emerged. For example, eye tracking indicates that participants more closely track a swarm in an arc pattern compared to sinusoid and linear movement patterns. When evaluating behavioral click-responses, data show that time is underestimated, and that spatial accuracy is reduced in complex patterns. Results suggest that measures of performance may capture different patterns of behavior, underscoring the need for multiple measures to accurately characterize performance. In addition, the lack of generalizable data across different movement patterns highlights the complexity involved in the perception of swarms of objects.


Asunto(s)
Movimiento , Robótica , Humanos , Movimiento (Física) , Movimientos Oculares
5.
Mil Med ; 2023 Jan 27.
Artículo en Inglés | MEDLINE | ID: mdl-36705463

RESUMEN

INTRODUCTION: Personnel engaged in high-stakes occupations, such as military personnel, law enforcement, and emergency first responders, must sustain performance through a range of environmental stressors. To maximize the effectiveness of military personnel, an a priori understanding of traits can help predict their physical and cognitive performance under stress and adversity. This work developed and assessed a suite of measures that have the potential to predict performance during operational scenarios. These measures were designed to characterize four specific trait-based domains: cognitive, health, physical, and social-emotional. MATERIALS AND METHODS: One hundred and ninety-one active duty U.S. Army soldiers completed interleaved questionnaire-based, seated task-based, and physical task-based measures over a period of 3-5 days. Redundancy analysis, dimensionality reduction, and network analyses revealed several patterns of interest. RESULTS: First, unique variable analysis revealed a minimally redundant battery of instruments. Second, principal component analysis showed that metrics tended to cluster together in three to five components within each domain. Finally, analyses of cross-domain associations using network analysis illustrated that cognitive, health, physical, and social-emotional domains showed strong construct solidarity. CONCLUSIONS: The present battery of metrics presents a fieldable toolkit that may be used to predict operational performance that can be clustered into separate components or used independently. It will aid predictive algorithm development aimed to identify critical predictors of individual military personnel and small-unit performance outcomes.

6.
PLoS One ; 16(7): e0255240, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34324558

RESUMEN

Metabolomic data processing pipelines have been improving in recent years, allowing for greater feature extraction and identification. Lately, machine learning and robust statistical techniques to control false discoveries are being incorporated into metabolomic data analysis. In this paper, we introduce one such recently developed technique called aggregate knockoff filtering to untargeted metabolomic analysis. When applied to a publicly available dataset, aggregate knockoff filtering combined with typical p-value filtering improves the number of significantly changing metabolites by 25% when compared to conventional untargeted metabolomic data processing. By using this method, features that would normally not be extracted under standard processing would be brought to researchers' attention for further analysis.


Asunto(s)
Enfermedad de Crohn , Metabolómica , Análisis de Datos , Aprendizaje Automático , Programas Informáticos
7.
Front Physiol ; 12: 738973, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34566701

RESUMEN

Wearable technologies for measuring digital and chemical physiology are pervading the consumer market and hold potential to reliably classify states of relevance to human performance including stress, sleep deprivation, and physical exertion. The ability to efficiently and accurately classify physiological states based on wearable devices is improving. However, the inherent variability of human behavior within and across individuals makes it challenging to predict how identified states influence human performance outcomes of relevance to military operations and other high-stakes domains. We describe a computational modeling approach to address this challenge, seeking to translate user states obtained from a variety of sources including wearable devices into relevant and actionable insights across the cognitive and physical domains. Three status predictors were considered: stress level, sleep status, and extent of physical exertion; these independent variables were used to predict three human performance outcomes: reaction time, executive function, and perceptuo-motor control. The approach provides a complete, conditional probabilistic model of the performance variables given the status predictors. Construction of the model leverages diverse raw data sources to estimate marginal probability density functions for each of six independent and dependent variables of interest using parametric modeling and maximum likelihood estimation. The joint distributions among variables were optimized using an adaptive LASSO approach based on the strength and directionality of conditional relationships (effect sizes) derived from meta-analyses of extant research. The model optimization process converged on solutions that maintain the integrity of the original marginal distributions and the directionality and robustness of conditional relationships. The modeling framework described provides a flexible and extensible solution for human performance prediction, affording efficient expansion with additional independent and dependent variables of interest, ingestion of new raw data, and extension to two- and three-way interactions among independent variables. Continuing work includes model expansion to multiple independent and dependent variables, real-time model stimulation by wearable devices, individualized and small-group prediction, and laboratory and field validation.

8.
Sci Rep ; 10(1): 3162, 2020 02 21.
Artículo en Inglés | MEDLINE | ID: mdl-32081939

RESUMEN

Research in humans and animal models suggests that visual responses in early visual cortical areas may be modulated by top-down influences from distant cortical areas, particularly in the frontal and parietal regions. The right posterior parietal cortex is part of a broad cortical network involved in aspects of visual search and attention, but its role in modulating activity in early visual cortical areas is less well understood. This study evaluated the influence of right posterior parietal cortex (PPC) on a direct measure of visual processing in humans. Contrast sensitivity (CS) and detection response times were recorded using a visual detection paradigm to two types of centrally-presented stimuli. Participants were tested on the detection task before, after, and 1 hour after low-frequency repetitive transcranial magnetic stimulation (rTMS) to the right PPC or to the scalp vertex. Low-frequency rTMS to the right PPC did not significantly change measures of contrast sensitivity, but increased the speed at which participants responded to visual stimuli of low spatial frequency. Response times returned to baseline 1-hour after rTMS. These data indicate that low frequency rTMS to the right PPC speeds up aspects of early visual processing, likely due to a disinhibition of the homotopic left posterior parietal cortex.


Asunto(s)
Lóbulo Parietal/diagnóstico por imagen , Lóbulo Parietal/patología , Estimulación Magnética Transcraneal , Adulto , Atención , Femenino , Lateralidad Funcional , Voluntarios Sanos , Humanos , Masculino , Estimulación Luminosa , Tiempo de Reacción , Percepción Espacial , Visión Ocular , Percepción Visual , Adulto Joven
9.
Brain Imaging Behav ; 13(3): 878, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-29761321

RESUMEN

The article Reduced interference in working memory following mindfulness training is associated with increases in hippocampal volume, written by Jonathan Greenberg, Victoria L. Romero, Seth Elkin-Frankston, Matthew A. Bezdek, Eric H. Schumacher, and Sara W. Lazar.

10.
Brain Imaging Behav ; 13(2): 366-376, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-29549665

RESUMEN

Proactive interference occurs when previously relevant information interferes with retaining newer material. Overcoming proactive interference has been linked to the hippocampus and deemed critical for cognitive functioning. However, little is known about whether and how this ability can be improved or about the neural correlates of such improvement. Mindfulness training emphasizes focusing on the present moment and minimizing distraction from competing thoughts and memories. It improves working memory and increases hippocampal density. The current study examined whether mindfulness training reduces proactive interference in working memory and whether such improvements are associated with changes in hippocampal volume. 79 participants were randomized to a 4-week web-based mindfulness training program or a similarly structured creative writing active control program. The mindfulness group exhibited lower proactive interference error rates compared to the active control group following training. No group differences were found in hippocampal volume, yet proactive interference improvements following mindfulness training were significantly associated with volume increases in the left hippocampus. These results provide the first evidence to suggest that (1) mindfulness training can protect against proactive interference, and (2) that these benefits are related to hippocampal volumetric increases. Clinical implications regarding the application of mindfulness training in conditions characterized by impairments to working memory and reduced hippocampal volume such as aging, depression, PTSD, and childhood adversity are discussed.


Asunto(s)
Hipocampo/diagnóstico por imagen , Imagen por Resonancia Magnética/métodos , Memoria a Corto Plazo/fisiología , Atención Plena/métodos , Adulto , Atención , Femenino , Humanos , Masculino
11.
Heliyon ; 4(7): e00685, 2018 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-30094362

RESUMEN

Mindfulness-based training (MBT) and transcranial electrical stimulation (TES) methods such as direct current stimulation (tDCS) have demonstrated promise for the augmentation of cognitive abilities. The current study investigated the potential compatibility of concurrent "electrical" MBT and tDCS (or eMBT) by testing its combined effects on behavioral and neurophysiological indices of working memory (WM) and attentional resource allocation. Thirty-four healthy participants were randomly assigned to either a MBT task with tDCS group (eMBT) or an active control training task with sham tDCS (Control) group. Training lasted 4-weeks, with up to twenty MBT sessions and with up to eight of those sessions that were eMBT sessions. Electroencephalography was acquired during varying WM load conditions using the n-back task (1-, 2-, 3-back), along with performance on complex WM span tasks (operation and symmetry span) and fluid intelligence measures (Ravens and Shipley) before and after training. Improved performance was observed only on the 3-back and spatial span tasks for eMBT but not the Control group. During 3-back performance in the eMBT group, an increase in P3 amplitude and theta power at electrode site Pz was also observed, along with a simultaneous decrease in frontal midline P3 amplitude and theta power compared to the Control group. These results are consistent with the neural efficiency hypothesis, where higher cognitive capacity was associated with more distributed brain activity (i.e., increase in parietal and decrease in frontal amplitudes). Future longitudinal studies are called upon to further examine the direct contributions of tDCS on MBT by assessing the differential effects of electrode montage, polarity, current strength and a direct contrast between the eMBT and MBT conditions on performance and neuroimaging outcome data. While preliminary, the current results provided evidence for the potential compatibility of using eMBT to modulate WM capacity through the allocation of attention and its neurophysiological correlates.

12.
Arch Clin Neuropsychol ; 22(5): 631-5, 2007 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-17481851

RESUMEN

Studies have shown that the Trail Making Test (TMT) predicts real-world driving performance in individuals who have cognitive deficits. However, because this test requires knowledge of the Latin alphabet, the TMT may not be appropriate for individuals who are illiterate or for those whom English is not their primary language. Because the Color Trails Test (CTT) is not influenced by knowledge of the alphabet, the CTT may be a culture-fair alternative to the TMT. To date, the utility of the CTT in the evaluation of driver competence has not been established. In the current study, individuals referred for a comprehensive driving assessment underwent testing with the TMT and CTT. The results suggest that the CTT and the TMT provide similar information regarding road-test outcome. Thus, the CTT may be a culture-fair alternative to the TMT in the assessment of driver competence.


Asunto(s)
Examen de Aptitud para la Conducción de Vehículos/estadística & datos numéricos , Diversidad Cultural , Multilingüismo , Pruebas Neuropsicológicas/estadística & datos numéricos , Prueba de Secuencia Alfanumérica/estadística & datos numéricos , Anciano , Anciano de 80 o más Años , Artroplastia de Reemplazo de Cadera/psicología , Daño Encefálico Crónico/diagnóstico , Daño Encefálico Crónico/psicología , Lesiones Encefálicas/diagnóstico , Lesiones Encefálicas/psicología , Trastornos Cerebrovasculares/diagnóstico , Trastornos Cerebrovasculares/psicología , Demencia/diagnóstico , Demencia/psicología , Femenino , Humanos , Masculino , Enfermedad de Parkinson/diagnóstico , Enfermedad de Parkinson/psicología , Psicometría , Tiempo de Reacción , Valores de Referencia , Síncope/psicología
13.
Neuropsychologia ; 103: 140-153, 2017 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-28705691

RESUMEN

Individual differences across a variety of cognitive processes are functionally associated with individual differences in intrinsic networks such as the default mode network (DMN). The extent to which these networks correlate or anticorrelate has been associated with performance in a variety of circumstances. Despite the established role of the DMN in mind wandering processes, little research has investigated how large-scale brain networks at rest relate to mind wandering tendencies outside the laboratory. Here we examine the extent to which the DMN, along with the dorsal attention network (DAN) and frontoparietal control network (FPCN) correlate with the tendency to mind wander in daily life. Participants completed the Mind Wandering Questionnaire and a 5-min resting state fMRI scan. In addition, participants completed measures of executive function, fluid intelligence, and creativity. We observed significant positive correlations between trait mind wandering and 1) increased DMN connectivity at rest and 2) increased connectivity between the DMN and FPCN at rest. Lastly, we found significant positive correlations between trait mind wandering and fluid intelligence (Ravens) and creativity (Remote Associates Task). We interpret these findings within the context of current theories of mind wandering and executive function and discuss the possibility that certain instances of mind wandering may not be inherently harmful. Due to the controversial nature of global signal regression (GSReg) in functional connectivity analyses, we performed our analyses with and without GSReg and contrast the results from each set of analyses.


Asunto(s)
Atención/fisiología , Encéfalo/fisiología , Personalidad/fisiología , Adulto , Encéfalo/diagnóstico por imagen , Mapeo Encefálico , Creatividad , Función Ejecutiva , Femenino , Humanos , Inteligencia , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Vías Nerviosas/diagnóstico por imagen , Vías Nerviosas/fisiología , Pruebas Neuropsicológicas , Descanso , Encuestas y Cuestionarios , Adulto Joven
14.
J Neurosci Methods ; 198(2): 149-57, 2011 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-21419796

RESUMEN

The stimulation of the occipital cortex induces transient visual percepts, known as phosphenes. The characterization and analysis of the features of these visual qualia can provide a window into the physiology and neuroanatomy of cerebral visual networks of humans. Phosphenes can be reliably elicited in humans by a variety of invasive and non-invasive techniques that depolarize visual cortex neurons. Nonetheless both research into their neural basis and categorization of their features are ultimately reliant on subjective self-reports. A variety of methods have been employed to provide a more objective means of recording the localization and morphology of neurostimulation-induced phosphenes. In spite of these attempts, phosphenes remain difficult to measure. A standard technique able to both document the myriad of features characterizing phosphenes in a flexible manner and allow a systematic quantitative comparison across groups or repeated measures is lacking. We hereby provide detailed instructions on how to use off-the-shelf components to construct and implement the LTaP (laser tracking and painting system) system for a relatively objective and real-time documentation of the presence, shape, area, spatial location and distribution of phosphenes in visual space. We further provide experimental data demonstrating the feasibility and reliability of the LTaP system to accurately capture established features of phosphenes induced by transcranial magnetic stimulation (TMS) of occipital cortex.


Asunto(s)
Fosfenos/fisiología , Estimulación Magnética Transcraneal/métodos , Corteza Visual/fisiología , Percepción Visual/fisiología , Mapeo Encefálico/métodos , Humanos , Neuronas/fisiología
15.
PLoS One ; 6(11): e27204, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-22087266

RESUMEN

Phosphenes are commonly evoked by transcranial magnetic stimulation (TMS) to study the functional organization, connectivity, and excitability of the human visual brain. For years, phosphenes have been documented only from stimulating early visual areas (V1-V3) and a handful of specialized visual regions (V4, V5/MT+) in occipital cortex. Recently, phosphenes were reported after applying TMS to a region of posterior parietal cortex involved in the top-down modulation of visuo-spatial processing. In the present study, we systematically characterized parietal phosphenes to determine if they are generated directly by local mechanisms or emerge through indirect activation of other visual areas. Using technology developed in-house to record the subjective features of phosphenes, we found no systematic differences in the size, shape, location, or frame-of-reference of parietal phosphenes when compared to their occipital counterparts. In a second experiment, discrete deactivation by 1 Hz repetitive TMS yielded a double dissociation: phosphene thresholds increased at the deactivated site without producing a corresponding change at the non-deactivated location. Overall, the commonalities of parietal and occipital phosphenes, and our ability to independently modulate their excitability thresholds, lead us to conclude that they share a common neural basis that is separate from either of the stimulated regions.


Asunto(s)
Lóbulo Parietal/fisiología , Estimulación Luminosa , Corteza Visual/fisiología , Percepción Visual/fisiología , Humanos , Fosfenos , Estimulación Magnética Transcraneal
16.
J Vis Exp ; (38)2010 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-20360672

RESUMEN

Stimulation of the human visual cortex produces a transient perception of light, known as a phosphene. Phosphenes are induced by invasive electrical stimulation of the occipital cortex, but also by non-invasive Transcranial Magnetic Stimulation (TMS)(1) of the same cortical regions. The intensity at which a phosphene is induced (phosphene threshold) is a well established measure of visual cortical excitability and is used to study cortico-cortical interactions, functional organization (2), susceptibility to pathology (3,4) and visual processing (5-7). Phosphenes are typically defined by three characteristics: they are observed in the visual hemifield contralateral to stimulation; they are induced when the subject s eyes are open or closed, and their spatial location changes with the direction of gaze (2). Various methods have been used to document phosphenes, but a standardized methodology is lacking. We demonstrate a reliable procedure to obtain phosphene threshold values and introduce a novel system for the documentation and analysis of phosphenes. We developed the Laser Tracking and Painting system (LTaP), a low cost, easily built and operated system that records the location and size of perceived phosphenes in real-time. The LTaP system provides a stable and customizable environment for quantification and analysis of phosphenes.


Asunto(s)
Fosfenos/fisiología , Estimulación Magnética Transcraneal/métodos , Corteza Visual/fisiología , Humanos
17.
Brain Cogn ; 66(1): 65-72, 2008 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-17606318

RESUMEN

Two studies explored the stability of art preference in patients with Alzheimer's disease and age-matched control participants. Preferences for three different styles of paintings, displayed on art postcards, were examined over two sessions. Preference for specific paintings differed among individuals but AD and non-AD groups maintained about the same stability in terms of preference judgments across two weeks, even though the AD patients did not have explicit memory for the paintings. We conclude that aesthetic responses can be preserved in the face of cognitive decline. This should encourage caregivers and family to engage in arts appreciation activities with patients, and reinforces the validity of a preference response as a dependent measure in testing paradigms.


Asunto(s)
Enfermedad de Alzheimer/psicología , Arte , Estética , Autoimagen , Anciano , Anciano de 80 o más Años , Estudios de Casos y Controles , Femenino , Humanos , Masculino , Análisis por Apareamiento , Persona de Mediana Edad , Pruebas Neuropsicológicas , Valores de Referencia , Factores de Tiempo
18.
J ECT ; 24(2): 146-51, 2008 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-18580560

RESUMEN

OBJECTIVE: The aim of the present study is to investigate the cumulative effects of a clinically determined course of electroconvulsive therapy (ECT) on anterograde and retrograde amnesia. In this study, mood and memory were examined in the context of a protocol driven by therapeutic response, rather than by preordained research criteria. METHODS: Twenty-two patients with major depressive disorder and 18 nondepressed controls were taught a series of faces and names before the initiation of ECT, and their retention of this information was examined after the end of treatment. Anterograde (ie, new learning) and retrograde memory (ie, recall of information learned before ECT) were assessed. Eleven ECT patients underwent unilateral (UL) stimulation, and 11 had a combination of UL and bilateral stimulation. Major depressive disorder patients and nondepressed controls participants were matched according to baseline memory abilities. Unilateral and unilateral/bilateral (UB) ECT patients were matched according to baseline depression and memory abilities. RESULTS: Treatment with ECT resulted in a dissociation between anterograde and retrograde memory; after treatment, major depressive disorder patients demonstrated significant retrograde amnesia, whereas there was no change in their anterograde memory. Unilateral and UB ECT patients performed equally well on tasks of anterograde memory. Contrary to our expectation, UB ECT was not associated with greater retrograde memory loss than was UL ECT treatment. However, a trend toward a group difference was present on 1 memory measure. CONCLUSIONS: Results of the study suggest that a clinical course of ECT is associated with isolated impairment for information learned before treatment (ie, retrograde memory), whereas there was no effect of ECT on posttreatment learning abilities (ie, anterograde memory).


Asunto(s)
Amnesia Anterógrada/etiología , Amnesia Retrógrada/etiología , Trastorno Depresivo/terapia , Terapia Electroconvulsiva , Adulto , Amnesia Anterógrada/fisiopatología , Amnesia Retrógrada/fisiopatología , Análisis de Varianza , Aprendizaje por Asociación , Estudios de Casos y Controles , Trastorno Depresivo/fisiopatología , Femenino , Humanos , Masculino , Recuerdo Mental , Persona de Mediana Edad , Estudios Prospectivos
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