[Clinical characteristics of sexually abused individuals with borderline intellectual functioning or mild intellectual disability: an overview of the literature]. / Klinische kenmerken van seksueel misbruikte mensen met een lichte verstandelijke beperking: een literatuuroverzicht.

BACKGROUND: Sexual abuse in individuals with (above) average iq is associated with a wide range of behavioural and psychological clinical characteristics, including characteristics regarding body experience. However, research on the clinical characteristics of sexually abused individuals with borderline intellectual functioning or mild intellectual disability (bif-mid) is scarce. OBJECTIVE To provide an overview of the literature on the clinical characteristics of sexually abused individuals with bif-mid.
METHOD: PubMed, Embase, PsycInfo, cinahl, Cochrane Library and Web of Science were searched for relevant publications using terms related to 'intellectual disability' and 'sexual abuse'.
RESULTS: Seven studies were included. The studies in question mostly reported behavioural and psychological characteristics such as challenging behaviour, sexualised behaviour or posttraumatic stress, anxiety or depressive symptoms associated with sexual abuse in individuals with bif-mid. None of the studies reported problems regarding body experience. CONCLUSIONS Sexual abuse in individuals with bif-mid is associated with a broad range of behavioural and psychological characteristics similar to that of individuals with (above) average iq. Whether sexually abused individuals with bif-mid have similar problems in body experience as sexually abused individuals with (higher than) average iq needs to be investigated.

Body image in patients with somatoform disorder.

BACKGROUND: Although body-related problems are common in patients with somatoform disorder, research focusing on how patients with somatoform disorder perceive and evaluate their body is scarce. The present study compared differences in body image between patients with somatoform disorder and respondents from a general population sample. It also examined differences within the somatoform disorder group between men and women and between the diagnostic subgroups conversion disorder, pain disorder and undifferentiated somatoform disorder. METHODS: Data were obtained from 657 patients (67.5% female) with somatoform disorder (DSM-IV-TR 300.7, 300.11, 300.81, 300.82) and 761 participants (58.6% female) from the general population. The Dresden Body Image Questionnaire (DBIQ) was used to assess body image in five domains: body acceptance, vitality, physical contact, sexual fulfilment, and self-aggrandizement. Confirmatory factor analysis and analyses of variance were performed. Since differences in age and sex were found between the somatoform disorder sample and the comparison sample, analyses were done with two samples of 560 patients with somatoform disorder and 351 individuals from the comparison sample matched on proportion of men and women and age. RESULTS: Patients scored significantly lower than the comparison sample on all DBIQ domains. Men scored higher than women. Patients with conversion disorder scored significantly higher on vitality and body acceptance than patients with undifferentiated somatoform disorder and pain disorder. CONCLUSIONS: The mostly large differences in body image between patients with somatoform disorder and the comparison sample as well as differences between diagnostic subgroups underline that body image is an important feature in patients with somatoform disorder. The results indicate the usefulness of assessing body image and treating negative body image in patients with somatoform or somatic symptom disorder.

Body attitude, body satisfaction and body awareness in a clinical group of depressed patients: An observational study on the associations with depression severity and the influence of treatment.

BACKGROUND: Apart from changes in mood and cognition, depressive disorders are also characterized by changes in body experience, changes that largely influence daily functioning and aggravate distress. In order to gain more insight into this important issue, three domains of body experience - body attitude, body satisfaction and body awareness - and their associations with symptom severity of depression were studied pre- and post-treatment in a clinical sample of depressed patients in a multidisciplinary setting. METHODS: Body attitude (Dresden Body Image Questionnaire), body satisfaction (Body Cathexis Scale), body awareness (Somatic Awareness Questionnaire) and severity of depressive symptoms (Inventory of Depressive Symptomatology) were measured. Differences between pre-treatment and post-treatment scores were studied with paired t-tests. Associations between body experience and depression were analysed with Pearson correlations and partial correlations. RESULTS: At the start of treatment, patients scored significantly lower than a healthy comparison sample on body attitude and body satisfaction, but not on body awareness. After treatment, depression scores decreased with large effect sizes, scores for body attitude and body satisfaction increased with medium effect sizes and body awareness scores increased slightly. Medium pre-treatment and strong post-treatment associations were found between depression severity and body attitude and between depression severity and body satisfaction. LIMITATIONS: The design does not allow to draw causal conclusions. Because of the multidisciplinary treatment no information is available on the specific contribution of interventions targeting body experience. CONCLUSIONS: The study provides evidence for medium to strong associations in clinically depressed patients between body attitude, body satisfaction and depression.

Different action patterns of glucoamylases on branched gluco-oligosaccharides from amylopectin.

A bottleneck in enzymatic starch hydrolysis, like in biofuel industry, is relatively slow degradation of branched structures compared to linear ones. This research aimed to evaluate glucoamylases for their activity towards branched gluco-oligosaccharides. The activity of seven modified glucoamylases and two homologs was compared to that of a reference glucoamylase obtained from a commercial enzyme cocktail 'Distillase® SSF'. All enzymes were evaluated for their activity towards panose (glc(α1-6)glc(α1-4)glc), pullulan and a purified branched gluco-oligosaccharide with a degree of polymerisation of 5 (bDP5) identified as glc(α1-4)[glc(α1-4)glc(α1-6)]glc(α1-4)glc. The enzymes degraded bDP5 differently, which was mainly due to variation in their capability to cleave α-(1→6)-linked or the α-(1→4)-linked glucosyl residue at the non-reducing end of the branched glucosyl residue. By comparing the enzyme activity towards bDP5 with those towards panose and pullulan, it was suggested that the activity towards bDP5 could be estimated only when the activity towards both commercial substrates was evaluated.

Characterisation of branched gluco-oligosaccharides to study the mode-of-action of a glucoamylase from Hypocrea jecorina.

In the conversion of starch to fermentable glucose for bioethanol production, hydrolysis of amylopectin by α-amylases and glucoamylases is the slowest step. In this process, α-1,6-branched gluco-oligosaccharides accumulate and are slowly degraded. Glucoamylases that are able to degrade such branched oligosaccharides faster are economically beneficial. This research aimed at the isolation and characterisation of branched gluco-oligosaccharides produced from amylopectin digestion by α-amylase, to be used as substrates for comparing their degradation by glucoamylases. Branched gluco-oligosaccharides with a DP between five and twelve were purified using size exclusion chromatography. These structures were characterised after labelling with 2-aminobenzamide using UHPLC-MS(n) analysis. Further, the purified oligosaccharides were used to evaluate the mode-of-action of a glucoamylase from Hypocrea jecorina. The enzyme cleaves the α-1,4-linkage adjacent to the α-1,6-linkage at a lower rate than that of α-1,4-linkages in linear oligosaccharides. Hence, the branched gluco-oligosaccharides are a suitable substrate to evaluate glucoamylase activity on branched structures.

Attention and short-term memory in chronic fatigue syndrome patients: an event-related potential analysis.

We recorded event-related brain potentials (ERPs) from 13 patients with chronic fatigue syndrome (CFS) and 13 matched normal controls. To assess attentional and memory deficits in CFS patients, we used a short-term memory task in which events occurred in different spatial locations and the patients made a rapid-response (RT) when a letter in a relevant location matched a letter in the prememorized set (Attention paradigm). Time-on-task effects on the ERP and behavioral measures were assessed over the 2 1/4-hour duration of this task. Both groups also performed a visual Oddball paradigm, with an RT, before and after the Attention paradigm. The patients' RTs were much more variable and, in nine of 13 cases, slower than the mean RT of the controls in both paradigms. The patients' memory performance was not significantly different from that of the controls and there were no group differences in the overall amplitude, latency, or scalp distribution of the N1, P2, N2, or P300 components of the ERP in either paradigm. The ERP and performance data from both paradigms suggest that perceptual, attentional, and short-term memory processes were unaffected in CFS patients and that the differences were limited to response-related processes.

Why is there an ERN/Ne on correct trials? Response representations, stimulus-related components, and the theory of error-processing.

The ERN or Ne is a component of the event-related brain potential that occurs when human subjects make errors in reaction time tasks. It is observed in response-locked averages, time-locked to the execution of the incorrect response. Recent research has reported that this component is present on correct response trials, thereby challenging the idea that the component is specifically related to error-processing. In this paper, we argue that the ERN or Ne observed on correct trials can be attributed to one or both of two factors: either there is error-processing on correct trials, and/or the response-locked averages used to derive the ERN/Ne are contaminated by negative components evoked by the stimulus. For this reason, there is no reason to abandon theories that relate the ERN/Ne to error-processing.

Visual search and spatial attention: ERPs in focussed and divided attention conditions.

ERPs and performance were measured in divided and focussed attention visual search tasks. In focussed attention tasks, to-be-attended and to-be-ignored letters were presented simultaneously. We varied display load, mapping conditions and display size. RT, P3b-latency and negativity in the ERP associated with controlled search all increased with display load. Each of these measures showed selectivity of controlled search, in that they decreased with focussing of attention. An occipital N230, on the other hand, was not sensitive to focussing of attention, but was primarily affected by display load. ERPs to both attended and unattended targets in focussed attention conditions showed and N2 compared to nontargets, suggesting that both automatic and controlled letter classifications are possible. These effects were not affected by display size. Consistent mapping resulted in shorter RT and P3b-latency in divided attention conditions, compared to varied mapping conditions, but had no effect in focussed attention conditions.

Where did you go wrong? Errors, partial errors, and the nature of human information processing.

Human performance is seldom perfect, and even when an overt response is correct it may be accompanied by partial-error activity that does not achieve the level of a complete incorrect response. Partial errors can be detected in measures of the lateralized readiness potential, of the electromyogram, and of response force. Correct responses accompanied by partial errors tend to have slower reaction times than "clean" correct responses (because of response competition), and condition differences in reaction time can, on some occasions, be explained in terms of differences in the incidence of partial errors. In two-choice reaction time tasks, partial errors are more frequent when the imperative stimulus contains information that favors both responses, than when it contains information that favors only one response. The non-random nature of partial errors supports the inference that partial information about the stimulus is used to guide responses. A similar inference is supported by the observation that, in hybrid choice Go/No-go tasks, the kinds of partial errors that follow a No-go stimulus represent activation of the response that would have been correct had the stimulus been a Go stimulus. Finally, we note that the human processing system is capable of monitoring its own behavior and of initiating remedial actions if necessary. The activity of an error-detection system, as revealed by measures of the error-related negativity, is related to the degree to which responses are slowed after errors.

When complexity helps: an electrophysiological analysis of multiple feature benefits in object perception.

Fournier, L. R., Eriksen, C. W. and Bowd, C. (1998. Multiple feature discrimination faster than single feature discrimination within the same object? Perception & Psychophysics 60, 1384-1405) found that judging the presence of multiple features within an object is faster than judging the presence of the least discriminable of these features alone (multiple feature benefits, MFBs). When an 'absent' response is required, responses are slower when some of the relevant (target) features are present (multiple feature costs, MFCs). The present study utilized psychophysiological measures (of the event-related brain potential and the electromyogram) to determine the contributions of response priming and stimulus evaluation processes (P300 latency) to these effects. P300 latency and reaction time (RT) both showed evidence of MFBs and MFCs. These findings suggest that MFBs and MFCs can be attributed to processing that occurs prior to response selection. No dissociations between P300 latency and RT measures were found for 'present' responses across the single and multiple feature judgements. However, for 'absent' responses, partial dissociations were found between these measures, and partial errors and longer response execution intervals were observed more often when an object contained some target features. These findings suggest that response priming contributes to MFCs, but may not contribute to MFBs.

[Dentures and food selection. A survey in elderly women]. / Gebitsprothese en voedselkeuze. Een onderzoek bij oudere vrouwen.

Having complete dentures can have a negative influence on dietary intake and dietary composition, which can lead to an unhealthy situation, particularly for the elderly. In order to get more information on this subject, 86 women between 54 and 74 years old, who were treated at an university clinic, completed questionnaires about their chewing of and preference for various foodstuffs. From the results of this study the dietary intake of dietary fibres, protein and iron appeared to be lower in women with complete dentures. After correction for the total intake of energy these differences disappeared. The former group also indicated that they had more difficulties chewing bread, tough and soft meat, raw vegetables, apples and snacks. No differences were found concerning preference.

Simulation of auditory analysis of pitch: an elaboration on the DWS pitch meter.

A model was developed for estimating the pitch of complex sounds that are partially masked by background sound. Our ultimate aim is to obtain a model that can separate two simultaneous sounds on the basis of the harmonic structure of at least one of the sounds. The MDWS model is an extension of the Duifhuis, Willems, and Sluyter pitch meter (DWS) [J. Acoust. Soc. Am. 71, 1568-1580 (1982)] which is a practical implementation of Goldstein's optimum processor theory of pitch perception [J. Acoust. Soc. Am. 54, 1496-1516 (1973)]. The main modifications incorporated in MDWS consist of a more faithful modeling of auditory frequency analysis and of an alteration to the criterion used to decide which fundamental best fits a set of resolved components. Effects of the latter modification were investigated in a comparison between model estimates of the pitch of inharmonic complex signals and results obtained for humans. Furthermore, the accuracy of model estimates of the pitch of periodic signals (among which were synthesized vowel sounds), partially masked by noise, was compared with the just noticeable difference of fundamental frequency of these sounds for human observers. The results of these two tests show that the model estimates come close to human perception.

Discrimination of fundamental frequency of synthesized vowel sounds in a noise background.

An experiment was carried out, investigating the relationship between the just noticeable difference of fundamental frequency (jndfo) of three stationary synthesized vowel sounds in noise and the signal-to-noise ratio. To this end the S/N ratios were measured at which listeners could just discriminate a series of changes in fo in the range from 10% to 0.5%. Similar measurements were obtained for pulse trains and for pure tones as a reference for the results. A measure of S/N ratio based on an approximation of the critical bandwidth appeared to provide a fairly good predictor of the masked threshold of each signal, measured in a second experiment. Using this measure, it was found that a given change in the fundamental of a pulse train could be discriminated at a lower S/N ratio than in a pure tone with a frequency equal to that fundamental. The results for the vowel sounds were found to be in between those for a low-frequency pure tone and those for a pulse train. Owing to the signal-generation method (viz., changing fo by changing the sampling frequency), three cues could in principle be used to discriminate a change in the fundamental of a vowel: A change in the residue pitch, a change in the pitch of a single prominent harmonic, or a change in the spectral envelope of the signal. It can be inferred from the results that the subjects used that particular cue which yielded best performance. Which cue was optimal depended not only on the vowel but also on fo and on the presented change in fo.(ABSTRACT TRUNCATED AT 250 WORDS)

Cognitive and mood-state changes in patients with chronic fatigue syndrome.

In this paper the cognitive and psychiatric impairments associated with chronic fatigue syndrome (CFS) and related disorders are reviewed. It is concluded that while acute mononucleosis and infection with Epstein-Barr virus occasionally result in impaired cognition, such changes have not yet been objectively verified in patients with CFS. However, when patients with CFS are carefully studied, concurrent or premorbid psychiatric disorders are revealed at a greater than chance level. Finally, some suggestions are offered regarding improved neuropsychological assessment of fatigue, concentration, and attention for patients with CFS. The findings to date, while suggesting that psychological predisposition may play a role in the expression of CFS, are still inconclusive regarding the etiology of CFS.

P300 in patients with unilateral temporal lobectomies: the effects of reduced stimulus quality.

The effects of stimulus quality on the amplitude, peak latency, onset latency, and duration of the P300 component of the event-related brain potential were studied in patients with either a left or a right anterior temporal lobectomy and in normal controls. Stimulus quality was reduced by adding "noise" letters to words which signalled either a left or a right hand button press. Consistent with an interpretation that stimulus quality affects the subject's degree of equivocation, P300 peak latency, reaction time, and errors were all inversely related to stimulus quality, whereas P300 amplitude was directly related to stimulus quality. There were no significant differences between normal controls and either patient group for any of the ERP parameters or reaction time. Right temporal lobectomy patients made, however, significantly more errors, particularly on the catch trials, which suggests that they did not process the stimuli as thoroughly and accurately as the subjects in the other two groups. The absence of significant group differences in either the lateral symmetry or overall P300 amplitude extends the evidence against the idea that anterior temporal lobe structures make any substantial contribution to the scalp P300 in a visual discrimination paradigm. Because of observed delays in the onset of P300 in the low-quality stimulus condition, procedures were developed to quantify both P300 onset latency and P300 duration. Reduced stimulus quality significantly increased P300 onset latency whereas P300 duration remained unaffected, indicating that stimulus categorization must occur prior to, and not during, P300.

Does echocardiography allow the monitoring of the cardiac effects of nitrates?

Echocardiography is a very useful non-invasive method of cardiac diagnosis. It has been widely used in evaluating the effects of some drugs, such as nitrates, prazosin, and propranolol, on heart and seems very successful. In this paper, the echocardiographic studies of the effects of nitrates on left ventricular dimension and volume have been reviewed and an attempt has been made to answer whether or not echocardiography can allow to monitor the effects of nitrates in patient groups and further in individual patients.

Attention to color: an analysis of selection, controlled search, and motor activation, using event-related potentials.

In this study the organization of information processing in a selective search task was examined by analyzing event-related potentials. This task consisted of searching for target letters in a relevant (attended) color. The ERPs revealed two different effects of attention: an early occipital negativity (+/- 150 ms) reflecting feature-specific attention, and a later, central N2b component (+/- 240 ms) reflecting covert orienting of attention. A later, prolonged negativity (search-related negativity) (+/- 300 ms), maximal at Cz, was related to controlled search to letters in the attended color. Detection of relevant targets resulted in a parietal P3b component. Depending on stimulus presentation conditions an earlier response to both attended and unattended targets was found: an N2 component (+/- 250 ms). In these same conditions, C'3-C'4 asymmetries (Corrected Motor Asymmetries--CMA) suggested motor activation at +/- 300 ms, in the same time range as search-related negativity. It was argued that N2 and CMA suggest the existence of a preattentive target detection system, operating in parallel with a slower serial attentive system, as reflected by N2b and search negativity.

Event-related brain potentials and error-related processing: an analysis of incorrect responses to go and no-go stimuli.

Recent research has suggested that there is a component of the event-related brain potential, the error-related negativity (ERN), that is associated with error detection and remedial actions such as error inhibition, immediate error correction, or error compensation. The present experiment used a go/no-go task to define more precisely the functional significance of this component. In this task, an ERN was observed for incorrect responses on go trials (errors of choice) and for responses on no-go trials (errors of action). Because errors of action cannot be corrected immediately by executing another response, these results indicate that the process manifested by the ERN is not dependent on immediate error correction. Other aspects of the data converge in suggesting that the ERN process is more closely related to error detection and that the connections between detection and remedial actions may depend on the task situation.

Analysis of neuropsychological functioning in patients with chronic fatigue syndrome.

Memory impairment dominates the cognitive complaints of patients with chronic fatigue syndrome (CFS). Twenty CFS patients were available for studies with a clinical and experimental battery composed of memory and cognitive tests. The results on objective testing indicated that the CFS patients had some mild memory impairment, but only on tasks requiring conceptually driven encoding and retrieval processes. There were no associations between the nature of the precipitating illness, self ratings of fatigue, physical findings, or laboratory determination and objective memory performance or self report of memory functioning. These generally negative results indicate that memory impairment in CFS patients is typically mild and involves memory processes that participate in conceptualising information.

The dimensionality of the flanker compatibility effect: a psychophysiological analysis.

The psychophysiological approach was used to evaluate the effects of feature similarity and "intrinsic response mapping" on the flanker compatibility effect. Symbol (e.g., < > < and