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1.
Lett Appl Microbiol ; 71(2): 210-217, 2020 Aug.
Article En | MEDLINE | ID: mdl-32304584

The effects of soil type and temperature on the survival of a cocktail of five Salmonella enterica serotypes (Enteritidis, Infantis, Montevideo, Typhimurium and Zanzibar) in manure-amended soils under controlled laboratory conditions was assessed. Containers of clay loam or sandy soil, unaltered or amended with 2% (w/w) poultry manure, were inoculated with S. enterica (~5 log10 CFU per gram) and held at 5, 21 or 37°C for 6 weeks. Statistical analysis of the persistence of S. enterica identified a significant three-way interaction between soil type, manure amendment and temperature. Clay loam soils and lower temperatures tended to support S. enterica persistence over 6 weeks with only 1- and 2-log reductions respectively. In contrast, sand and higher temperatures resulted in a 4-log and either 3- to 4-log reductions respectively. Manure amendment had an overarching effect of reducing die-off of S. enterica in comparison with unamended soils. This study highlights that a large component of variation of the rate of S. enterica reduction in soils may be attributed to combinations of environmental factors, in particular, soil type and temperature. It further underscores the importance of risk management strategies and industry guidelines based on local data and that reflect the diversity of prevailing horticultural production environments. SIGNIFICANCE AND IMPACT OF THE STUDY: The persistence of Salmonella enterica in soil environments was shown to be significantly influenced by a range of individual and interacting environmental effects, including temperature, soil type and amendment addition. This indicates that current horticultural food safety management systems which employ a uniform prescribed exclusion period between application of manure and time of harvest may be unfit for purpose under certain conditions by either underestimating or overestimating pathogen die-off. These findings support exclusion periods that account for a range of environmental factors including temperature, soil type and growing region that may be more appropriate to manage microbiological risks associated with soil which has been amended with manure.


Manure/microbiology , Poultry/microbiology , Salmonella enterica/growth & development , Salmonella enterica/isolation & purification , Animals , Hot Temperature , Salmonella enterica/classification , Soil/chemistry , Soil Microbiology
2.
Appl Environ Microbiol ; 86(3)2020 01 21.
Article En | MEDLINE | ID: mdl-31757824

Current California agricultural practices strive to comanage food safety and habitat conservation on farmland. However, the ecology of foodborne pathogens in wild bird populations, especially those avian species residing in proximity to fresh produce production fields, is not fully understood. In this repeated cross-sectional study, avifauna within agricultural lands in California were sampled over 1 year. Feces, oral swabs, and foot/feather swabs were cultured for zoonotic Salmonella spp., Escherichia coli O157:H7, and non-O157 Shiga toxin-producing E. coli (STEC) and characterized by serotyping and pulsed-field gel electrophoresis. Of 60 avian species sampled, 8 species (13.3%, bird groups of sparrows, icterids, geese, wrens, and kinglets) were positive for at least one of these foodborne pathogens. At the individual bird level, the detection of foodborne pathogens was infrequent in feces (n = 583; 0.5% Salmonella, 0.34% E. coli O157:H7, and 0.5% non-O157 STEC) and in feet/feathers (n = 401; 0.5% non-O157 STEC), and it was absent from oral swabs (n = 353). Several subtypes of public health importance were identified, including Salmonella enterica serotype Newport, E. coli O157:H7, and STEC serogroups O103 and O26. In late summer and autumn, the same STEC subtype was episodically found in several individuals of the same and different avian species, suggesting a common source of contamination in the environment. Sympatric free-range cattle shared subtypes of STEC O26 and O163 with wild geese. A limited rate of positive detection in wild birds provides insights into broad risk profile for contamination considerations but cannot preclude or predict risk on an individual farm.IMPORTANCE The shedding dynamics of foodborne pathogens by wild birds on farmland are not well characterized. This yearlong study sampled wild birds for foodborne pathogens within agricultural lands in northern California. There was a low prevalence of Salmonella spp., Escherichia coli O157:H7, and non-O157 Shiga-toxin producing E. coli (prevalence, 0.34% to 0.50%) identified in bird populations in this study. However, pathogens of public health importance (such as Salmonella Newport, E. coli O157:H7, and STEC O103 and O26) were identified in fecal samples, and two birds carried STEC on their feet or feathers. Identical pathogen strains were shared episodically among birds and between wild geese and free-range cattle. This result suggests a common source of contamination in the environment and potential transmission between species. These findings can be used to assess the risk posed by bird intrusions in produce fields and enhance policy decisions toward the comanagement of food safety and farmland habitat conservation.


Bird Diseases/epidemiology , Birds , Escherichia coli Infections/veterinary , Foodborne Diseases/veterinary , Salmonella Infections, Animal/epidemiology , Salmonella/isolation & purification , Shiga-Toxigenic Escherichia coli/isolation & purification , Animals , Animals, Wild , Bird Diseases/microbiology , California/epidemiology , Cattle , Cattle Diseases/epidemiology , Cattle Diseases/microbiology , Cross-Sectional Studies , Escherichia coli Infections/epidemiology , Escherichia coli Infections/microbiology , Escherichia coli O157/isolation & purification , Farms , Food Safety , Foodborne Diseases/epidemiology , Foodborne Diseases/microbiology , Prevalence , Salmonella Infections, Animal/microbiology , Serogroup
3.
Mol Psychiatry ; 20(3): 398-404, 2015 Mar.
Article En | MEDLINE | ID: mdl-24776739

In two large genome-wide association studies, an intergenic single-nucleotide polymorphism (SNP; rs7294919) involved in TESC gene regulation has been associated with hippocampus volume. Further characterization of neurobiological effects of the TESC gene is warranted using multimodal brain-wide structural and functional imaging. Voxel-based morphometry (VBM8) was used in two large, well-characterized samples of healthy individuals of West-European ancestry (Münster sample, N=503; SHIP-TREND, N=721) to analyze associations between rs7294919 and local gray matter volume. In subsamples, white matter fiber structure was investigated using diffusion tensor imaging (DTI) and limbic responsiveness was measured by means of functional magnetic resonance imaging (fMRI) during facial emotion processing (N=220 and N=264, respectively). Furthermore, gene x environment (G × E) interaction and gene x gene interaction with SNPs from genes previously found to be associated with hippocampal size (FKBP5, Reelin, IL-6, TNF-α, BDNF and 5-HTTLPR/rs25531) were explored. We demonstrated highly significant effects of rs7294919 on hippocampal gray matter volumes in both samples. In whole-brain analyses, no other brain areas except the hippocampal formation and adjacent temporal structures were associated with rs7294919. There were no genotype effects on DTI and fMRI results, including functional connectivity measures. No G × E interaction with childhood maltreatment was found in both samples. However, an interaction between rs7294919 and rs2299403 in the Reelin gene was found that withstood correction for multiple comparisons. We conclude that rs7294919 exerts highly robust and regionally specific effects on hippocampal gray matter structures, but not on other neuropsychiatrically relevant imaging markers. The biological interaction between TESC and RELN pointing to a neurodevelopmental origin of the observed findings warrants further mechanistic investigations.


Calcium-Binding Proteins/genetics , Gray Matter , Hippocampus/anatomy & histology , Polymorphism, Single Nucleotide/genetics , Adolescent , Adult , Aged , Aged, 80 and over , Cell Adhesion Molecules, Neuronal/genetics , Cell Adhesion Molecules, Neuronal/metabolism , Epistasis, Genetic , Extracellular Matrix Proteins/genetics , Extracellular Matrix Proteins/metabolism , Female , Gene Expression Regulation/genetics , Gene-Environment Interaction , Genome-Wide Association Study , Genotype , Gray Matter/blood supply , Gray Matter/metabolism , Hippocampus/blood supply , Humans , Image Processing, Computer-Assisted , Male , Middle Aged , Nerve Tissue Proteins/genetics , Nerve Tissue Proteins/metabolism , Oxygen/blood , Reelin Protein , Serine Endopeptidases/genetics , Serine Endopeptidases/metabolism , Young Adult
4.
J Appl Microbiol ; 114(5): 1547-58, 2013 May.
Article En | MEDLINE | ID: mdl-23360242

AIMS: To evaluate in vitro the growth kinetics of Salmonella enterica in pesticide solutions labelled for fresh market tomato and the effect of ag-chemical application with contaminated water to tomatoes during field production. METHODS AND RESULTS: The capacity of pesticide formulations in the survival of S. enterica was evaluated in vitro and on tomato surfaces during field production. Most pesticides had ability to maintain the growth of Salmonella, however, specific pesticides can also support its growth, which was also dependent on the water composition and temperature to which pesticide solutions were held. Salmonella applied to field grown tomatoes through pesticide application was able to survive up to 15 days in up to 80% of the collected samples, even more postharvest washing with sodium hypochlorite was insufficient to completely mitigate the presence of Salmonella on tomato surfaces. CONCLUSIONS: This study provides further evidence that pesticides may support the growth of Salmonella, if introduced with source water and may elevate risk during foliar contact application beyond that of the water source alone. SIGNIFICANCE AND IMPACT OF STUDY: The study points out the importance of the microbiological quality of foliar contact water as a critical point to prevent contamination of fruits and vegetables from early stages of field production.


Food Handling/methods , Food Microbiology , Pesticides/pharmacology , Salmonella enterica/growth & development , Solanum lycopersicum/microbiology , Colony Count, Microbial , Food Contamination/prevention & control , Fruit/microbiology , Microbial Viability , Salmonella enterica/drug effects , Temperature , Water/chemistry
5.
Lett Appl Microbiol ; 56(2): 88-94, 2013 Feb.
Article En | MEDLINE | ID: mdl-23106632

This study compares the use of tangential flow filtration (TFF), normal flow filtration and modified Moore swabs (MMS) for the concentration and detection of Salmonella, spiked at 1-760 CFU l(-1), from 10 l of surface water. Two immunomagnetic separation (IMS) methods, Pathatrix and Dynabeads, for further concentration of Salmonella were compared following filtration and overnight enrichment. Detection of Salmonella by PCR, qPCR or culture-based methods was compared. TFF and MMS preformed equally well in concentrating Salmonella. MMS was able to consistently concentrate Escherichia coli O157:H7 for culture-based detection; only at the higher concentrations tested was the TFF able to consistently concentrate E. coli O157:H7 for culture-based detection. Salmonella, at population densities <10 CFU l(-1) in 10 l of spiked surface water, could be reliably (6/6) detected within 2 days by combining TFF or MMS, with IMS Pathatrix and qPCR. The theoretical limit of detection for Salmonella is considered to be sufficiently sensitive to meet all the practical screening purposes for surface waters in an agricultural setting intended for application to edible horticultural crops.


Filtration/methods , Food Microbiology , Salmonella/isolation & purification , Water Microbiology , Water/analysis , Bacteriological Techniques/methods , Colony Count, Microbial , Escherichia coli O157/isolation & purification , Immunomagnetic Separation/methods , Polymerase Chain Reaction/methods
6.
Mol Psychiatry ; 17(5): 494-502, 2012 May.
Article En | MEDLINE | ID: mdl-21483431

Biomarkers are now used in many areas of medicine but are still lacking for psychiatric conditions such as schizophrenia (SCZ). We have used a multiplex molecular profiling approach to measure serum concentrations of 181 proteins and small molecules in 250 first and recent onset SCZ, 35 major depressive disorder (MDD), 32 euthymic bipolar disorder (BPD), 45 Asperger syndrome and 280 control subjects. Preliminary analysis resulted in identification of a signature comprised of 34 analytes in a cohort of closely matched SCZ (n=71) and control (n=59) subjects. Partial least squares discriminant analysis using this signature gave a separation of 60-75% of SCZ subjects from controls across five independent cohorts. The same analysis also gave a separation of ~50% of MDD patients and 10-20% of BPD and Asperger syndrome subjects from controls. These results demonstrate for the first time that a biological signature for SCZ can be identified in blood serum. This study lays the groundwork for development of a diagnostic test that can be used as an aid for distinguishing SCZ subjects from healthy controls and from those affected by related psychiatric illnesses with overlapping symptoms.


Biomarkers/blood , Schizophrenia/blood , Adult , Asperger Syndrome/blood , Bipolar Disorder/blood , Case-Control Studies , Depressive Disorder, Major/blood , Female , Humans , Male
7.
J Appl Microbiol ; 112(1): 109-18, 2012 Jan.
Article En | MEDLINE | ID: mdl-22040351

AIMS: Greenhouse and field trials were conducted under different agronomic practices and inoculum doses of environmental Escherichia coli and attenuated E. coli O157:H7, to comparatively determine whether these factors influence their survival on leaves and within the rhizosphere. METHODS AND RESULTS: Hydroponic conditions: E. coli spray-inoculated at log 4 CFU ml(-1) was recovered from leaf surfaces at a mean population of 1·6 log CFU g(-1) at 15 days. E. coli O157:H7 sprayed at log 2 or 4 CFU ml(-1) levelled off on spinach leaf surfaces at a mean average population of 1·4 log CFU g(-1) after 14 days, regardless of initial dose. Quantitative recovery was inconsistent across leaf developmental age. Field conditions: Average populations of E. coli O157:H7 spray-inoculated at log 1·45 or 3·4 CFU m(-2) levelled off at log 1·2 CFU g(-1) over a 14-day period. Pathogen recovery from leaves was inconsistent when compared to regularly positive detection on basal shoot tissue. Pathogen recovery from soil was inconsistent among sampling locations. Moisture content varied up to 40% DW and was associated with 50% (P < 0·05) decrease in positive locations for E. coli O157:H7 but not for E. coli. CONCLUSIONS: Overall, similar populations of environmental E. coli and E. coli O157:H7 were recovered from plants despite differences in inoculum dose and agronomic conditions. Strain source had a significant impact on the quantitative level and duration of survival on leaves and in soil. Water availability appeared to be the determinant factor in survival of E. coli and E. coli O157:H7; however, E. coli showed greater environmental fitness. SIGNIFICANCE AND IMPACT OF THE STUDY: Persistence of surrogate, indicator E. coli and E. coli O157:H7, irrespective of variable growing conditions in spinach is predominantly limited by water availability, strain source and localization within the plant. These findings are anticipated to ultimately be adopted into routine and investigative pathogen testing protocols and mechanical harvest practices of spinach.


Agriculture , Escherichia coli/physiology , Food Microbiology , Microbial Viability , Spinacia oleracea/microbiology , Animals , Colony Count, Microbial , Escherichia coli O157/physiology , Hydroponics , Male , Plant Leaves/microbiology , Soil Microbiology
8.
Mol Psychiatry ; 16(9): 938-48, 2011 Sep.
Article En | MEDLINE | ID: mdl-20603625

Animal studies have suggested neuropeptide S (NPS) and its receptor (NPSR) to be involved in the pathogenesis of anxiety-related behavior. In this study, a multilevel approach was applied to further elucidate the role of NPS in the etiology of human anxiety. The functional NPSR A/T (Asn¹°7Ile) variant (rs324981) was investigated for association with (1) panic disorder with and without agoraphobia in two large, independent case-control studies, (2) dimensional anxiety traits, (3) autonomic arousal level during a behavioral avoidance test and (4) brain activation correlates of anxiety-related emotional processing in panic disorder. The more active NPSR rs324981 T allele was found to be associated with panic disorder in the female subgroup of patients in both samples as well as in a meta-analytic approach. The T risk allele was further related to elevated anxiety sensitivity, increased heart rate and higher symptom reports during a behavioral avoidance test as well as decreased activity in the dorsolateral prefrontal, lateral orbitofrontal and anterior cingulate cortex during processing of fearful faces in patients with panic disorder. The present results provide converging evidence for a female-dominant role of NPSR gene variation in panic disorder potentially through heightened autonomic arousal and distorted processing of anxiety-relevant emotional stimuli.


Panic Disorder/genetics , Receptors, G-Protein-Coupled/genetics , Receptors, G-Protein-Coupled/physiology , Adult , Agoraphobia/complications , Agoraphobia/genetics , Agoraphobia/physiopathology , Alleles , Anxiety/genetics , Anxiety Disorders/genetics , Arousal/genetics , Arousal/physiology , Avoidance Learning/physiology , Case-Control Studies , Female , Functional Neuroimaging/methods , Functional Neuroimaging/psychology , Genotype , Heart Rate/physiology , Humans , Magnetic Resonance Imaging/methods , Magnetic Resonance Imaging/psychology , Male , Panic Disorder/complications , Panic Disorder/physiopathology , Polymorphism, Single Nucleotide/genetics , Sex Characteristics
9.
Genes Brain Behav ; 9(5): 459-66, 2010 Jul.
Article En | MEDLINE | ID: mdl-20132315

Set-shifting and maintenance are complex cognitive processes, which are often impaired in schizophrenia. The genetic basis of these processes is poorly understood. We aimed to investigate the association between genetic variants of the metabotropic glutamate receptor 3 (GRM3) and cognitive set-shifting in healthy individuals. The relationship between 14 selected single nucleotide polymorphisms (SNPs) of the GRM3 gene and cognitive set-shifting as measured by perseverative errors using the modified card sorting test (MCST) was analysed in a sample of N = 98 young healthy individuals (mean age in years: 22.7 +/- 0.19). Results show that SNP rs17676277 is related to the performance on the MCST. Subjects with the TT genotype showed significantly less perseverative errors as compared with the AA (P = 0.025) and AT (P = 0.0005) and combined AA/AT genotypes (P = 0.0005). Haplotype analyses suggest the involvement of various SNPs of the GRM3 gene in perseverative error processing in a dominant model of inheritance. The findings strongly suggest that the genetic variation (rs17676277 and three haplotypes) in the metabotropic GRM3 is related to cognitive set-shifting in healthy individuals independent of working memory. However, because of a relatively small sample size for a genetic association study, the present results are tentative and require replication.


Decision Making/physiology , Problem Solving/physiology , Receptors, Metabotropic Glutamate/genetics , Set, Psychology , Adult , Analysis of Variance , Cognition/physiology , Cross-Sectional Studies , Female , Genetic Variation , Haplotypes , Humans , Linkage Disequilibrium , Male , Polymorphism, Single Nucleotide/genetics , Receptors, Metabotropic Glutamate/physiology , Reference Values , Young Adult
10.
Neuroscience ; 167(1): 111-23, 2010 Apr 28.
Article En | MEDLINE | ID: mdl-20144695

Extraversion/introversion is a basic dimension of personality that describes individual differences in social behavior and sensory sensitivity. Previous neuroimaging research exclusively relied on self reports for assessing personality traits. In recent years, implicit measures of personality have been developed that aim at assessing the implicit self-concept of personality and complement self report instruments which are thought to measure aspects of the explicit self-concept of personality. In the present study functional magnetic resonance imaging was used to examine automatic brain reactivity to facial expression as a function of both implicitly and explicitly measured extraversion in 30 healthy women. Sad, happy, and neutral faces were presented for 33 ms masked by neutral faces beside a no face control condition. Subjects evaluated the briefly shown neutral mask faces. The Implicit Association Test (IAT) and the NEO Five-Factor Inventory (NEO-FFI) were applied as measures of extraversion which were not correlated in our sample. IAT extraversion was negatively correlated with automatic reactivity of the caudate head, thalamus, and inferior frontal cortex to sad faces. NEO-FFI extraversion was negatively correlated with response of the inferior frontal cortex and putamen to sad faces. For masked happy faces, an inverse correlation of the IAT effect for extraversion with activation of the caudate head and superior parietal lobule was observed. NEO-FFI extraversion was inversely correlated with the response of the thalamus to happy faces. Neither NEO-FFI extraversion nor IAT effect were significantly related to brain response to masked neutral faces (compared to the no face condition). Taken together, a specific heightened responsivity of the fronto-striatal-thalamic circuit to facial emotions which are arousing stimuli might underlie introverts' preference for avoiding social interactions. Research on the neurobiology of extraversion could benefit from the application of implicit in addition to explicit measurement instruments when automatic neural responses are investigated.


Brain/physiology , Emotions , Facial Expression , Personality/physiology , Visual Perception/physiology , Brain Mapping , Face , Female , Humans , Magnetic Resonance Imaging , Personality Tests , Photic Stimulation , Surveys and Questionnaires , Young Adult
11.
Nervenarzt ; 81(1): 24-31, 2010 Jan.
Article De | MEDLINE | ID: mdl-20013254

Major depression is one of the most frequent and serious psychiatric diseases. Although the disease is highly heritable, the search for candidate genes has been of limited success hitherto. The complex, polygenetic hereditary transmissions coding for heterogeneous, clinically defined phenotypes such as major depression may be better identified using the endophenotype approach. A recent study, reporting an association of the risk allele in a serotonin transporter polymorphism (5-HTTLPR) with increased amygdala responsiveness to aversive stimuli, stimulated the new research field of imaging genetics, which is characterized by the choice of neurobiological activity patterns as endophenotypes. This review discusses recent studies from this rapidly growing research field, focussing on genetic effects on cortico-limbic circuitries during emotion processing. Evidence is reviewed suggesting that potential risk-alleles for depression are associated with functional cortico-limbic abnormalities, which frequently occur in patients with major depression.


Brain/physiopathology , Depressive Disorder, Major/diagnosis , Depressive Disorder, Major/epidemiology , Emotions , Genetic Predisposition to Disease/epidemiology , Genetic Predisposition to Disease/genetics , Neuroradiography/trends , Humans , Models, Genetic
12.
J Food Prot ; 72(12): 2461-70, 2009 Dec.
Article En | MEDLINE | ID: mdl-20003726

Multistate outbreaks of Escherichia coli O157:H7 infection in 2005 and 2006 associated with fresh and especially minimally processed produce greatly escalated the application of rapid pathogen detection systems to safety management in this food category. Pathogen testing was rapidly integrated into preharvest qualification for field lots, incoming raw produce, or final product. The raw produce and final product were incorporated into test-and-hold programs, typically within a 10-h time frame. To enhance consumer safety and provide guidance for the industry, an assessment of selected kits in comparison to a culture-based method was undertaken. Four primary kits were compared: the Neogen Reveal, SDI RapidChek, BioControl GDS O157, and Qualicon BAX O157 MP. Nine different leafy greens were freshly harvested and inoculated with a five-isolate mixture of E. coli O157:H7 at 10 CFU/25 g of sample, and cultures were enriched following the specified protocol. The PCR method was most consistent for identifying the presence of the inoculated pathogen in the shortest period of time. For the red-pigmented leafy vegetables red butter lettuce, curly endive, red lettuce, and lollo rosa, 13, 38, 88, and 100% false-negative results, respectively, were obtained with the immunoassays, but PCR detection was minimally affected. Immunoassays were negatively affected by delays in achieving critical threshold populations during the allowed enrichment period. Leafy green type, temperature abuse, and preharvest environment were unlikely to affect the results of PCR-based kits. Findings strongly suggest that product testing systems using 8-h detection cutoffs may give false-negative results. These issues become very important in high-throughput testing and retest protocols for presumptive pathogen-positive lots of produce.


Bacteriological Techniques/instrumentation , Escherichia coli O157/isolation & purification , Food Microbiology/standards , Lactuca/microbiology , Vegetables/microbiology , Consumer Product Safety , False Negative Reactions , Food Handling , Time Factors
13.
Nervenarzt ; 80(3): 343-50, 2009 Mar.
Article De | MEDLINE | ID: mdl-19011827

According to DSM-IV the cluster A personality disorders include paranoid, schizoid, and schizotypal personality disorders. There exists a phenomenological similarity between the experience and behaviour of the so-called odd or eccentric personality disorders and the symptoms of schizophrenia. Evidence of common etiological factors is still the best for the schizotypal personality disorder. The cluster A personality disorders are among the less common personality disorders with a high co-occurrence. Present findings about the neurobiological substrate of the schizotypal personality disorder are discussed also taking neuropsychological results into consideration. A central prerequisite of psychotherapeutic and pharmacological treatment of cluster A personality disorders is a strong therapeutic patient relationship.


Personality Disorders/diagnosis , Personality Disorders/therapy , Schizophrenia/diagnosis , Schizophrenia/therapy , Humans
14.
J Neural Transm (Vienna) ; 115(2): 357-62, 2008.
Article En | MEDLINE | ID: mdl-18264813

Recent research has demonstrated that attention-deficit/hyperactivity disorder (ADHD), one of the most common mental disorders in childhood, continues into adulthood. In adulthood, however, pharmacotherapy with psychostimulants still is an off-label treatment. Because of this we routinely administer a test dose of methylphenidate (MPH) prior to a continuous medication and measure MPH effects quantitatively and repeatedly employing a neuropsychological test battery. To probe if the acute effects of MPH are indeed helpful in predicting longer-term efficacy of MPH treatment we retrospectively analyzed the neuropsychological test results of 34 patients on continuous MPH medication. Two testing sessions had been performed without MPH (at baseline and 24 h after a single dose intake to control possible training effects), one after a single dose and one after 3-6 months of regular intake of MPH. A significant improvement of performance in tests assessing attentional, memory and executive functions after single medication was maintained on long term medication in those 23 patients available for follow-up. These results indicate that beneficial short term effects of MPH predict longer-term effects and may thus be helpful in the decision for an off-label treatment. Controlled prospective studies are now necessary.


Attention Deficit Disorder with Hyperactivity/drug therapy , Attention Deficit Disorder with Hyperactivity/psychology , Central Nervous System Stimulants/therapeutic use , Methylphenidate/therapeutic use , Neuropsychological Tests , Adult , Attention/drug effects , Female , Follow-Up Studies , Humans , Male , Memory/drug effects , Middle Aged , Problem Solving/drug effects , Retrospective Studies , Time Factors
15.
Eur Arch Psychiatry Clin Neurosci ; 257(8): 437-43, 2007 Dec.
Article En | MEDLINE | ID: mdl-17629729

The traumatic loss of an unborn child after TOP due to fetal malformation and/or severe chromosomal disorders in late pregnancy is a major life-event and a potential source of serious psychological problems for those women. To obtain information on the course of grief following a traumatic loss, 62 women who had undergone TOP between the 15th and 32nd gestational week were investigated in a longitudinal study design and compared with 65 women after spontaneous delivery of a full-term healthy child. Grief, posttraumatic stress, depression, anxiety and psychiatric disorders were evaluated 14 days, 6 months and 14 months after the event, implementing validated self-report and clinician rated instruments. Compared to women after spontaneous delivery, women after induced TOP were significantly more stressed regarding all psychological outcomes at all three measuring points. Especially, 14 months after TOP 13.7% of the women fulfilled all criteria of a complicated grief diagnoses following Horowitz et al. (1997, Am J Psychiat 154:7904-7910). 16.7% were diagnosed as having a manifest psychiatric disorder according to DSM-IV. All in all, 25% of these women were critically affected by the traumatic loss. TOP for fetal anomaly is to be seen as a major life event, which causes complicated grief reactions and psychiatric disorders for a substantial number of women.


Grief , Mental Disorders/etiology , Mental Disorders/psychology , Pregnancy Reduction, Multifetal/psychology , Activities of Daily Living/psychology , Adaptation, Psychological , Adult , Anxiety/etiology , Anxiety/psychology , Depression/diagnosis , Depression/etiology , Depression/psychology , Education , Female , Fetus/abnormalities , Follow-Up Studies , Humans , Mental Disorders/diagnosis , Predictive Value of Tests , Pregnancy , Psychiatric Status Rating Scales , Recreation , Sleep Wake Disorders/etiology , Sleep Wake Disorders/psychology , Social Behavior , Social Support , Socioeconomic Factors , Stress Disorders, Post-Traumatic/etiology , Stress Disorders, Post-Traumatic/psychology
16.
Genes Brain Behav ; 6(7): 672-6, 2007 Oct.
Article En | MEDLINE | ID: mdl-17284168

Serotonergic genes have been implicated in the pathogenesis of depression probably via their influence on neural activity during emotion processing. This study used an imaging genomics approach to investigate amygdala activity in major depression as a function of common functional polymorphisms in the serotonin transporter gene (5-HTTLPR) and the serotonin receptor 1A gene (5-HT(1A)-1019C/G). In 27 medicated patients with major depression, amygdala responses to happy, sad and angry faces were assessed using functional magnetic resonance imaging at 3 Tesla. Patients were genotyped for the 5-HT(1A)-1019C/G and the 5-HTTLPR polymorphism, including the newly described 5-HTT-rs25531 single nucleotide polymorphism. Risk allele carriers for either gene showed significantly increased bilateral amygdala activation in response to emotional stimuli, implicating an additive effect of both genotypes. Our data suggest that the genetic susceptibility for major depression might be transported via dysfunctional neural activity in brain regions critical for emotion processing.


Amygdala/physiopathology , Depressive Disorder, Major/genetics , Depressive Disorder, Major/psychology , Serotonin/genetics , Serotonin/physiology , Adult , Alleles , Depressive Disorder, Major/physiopathology , Emotions , Face , Female , Genotype , Humans , Magnetic Resonance Imaging , Male , Neuropsychological Tests , Polymorphism, Genetic , Psychiatric Status Rating Scales , Receptor, Serotonin, 5-HT1A/genetics , Risk , Serotonin Plasma Membrane Transport Proteins/genetics
18.
Neuroscience ; 123(4): 1053-8, 2004.
Article En | MEDLINE | ID: mdl-14751296

The left frontal cortex plays an important role in executive function and complex language processing inclusive of spoken language. The purpose of this work was to assess metabolite levels in the left and right prefrontal cortex and left anterior cingulum by proton magnetic resonance spectroscopy and relate results to verbal intelligence (Wechsler Adult Intelligence Scale revised) in a sample of college-educated healthy volunteers (dorsolateral prefrontal cortex [DLPFC]: n=52, 23 females, and left anterior cingulum: n=62, 22 females; age range: 20-75 years). In women only, N-acetylaspartate in the DLPFC and in the left anterior cingulate cortex was positively correlated with vocabulary scores. Our data support the hypothesis of existing gender differences regarding the involvement of the left frontal cortex in verbal processing as reflected in different correlations of specific metabolites with verbal scores.


Aspartic Acid/analogs & derivatives , Aspartic Acid/metabolism , Intelligence/physiology , Prefrontal Cortex/metabolism , Sex Characteristics , Verbal Learning/physiology , Adult , Age Factors , Aged , Educational Status , Female , Functional Laterality , Humans , Magnetic Resonance Spectroscopy/methods , Male , Middle Aged , Prefrontal Cortex/physiology
19.
Eat Weight Disord ; 9(4): 290-5, 2004 Dec.
Article En | MEDLINE | ID: mdl-15844402

Prior research suggests that anorexic patients show a memory bias for fattening foods when they are processed in depth or with reference to the self. The present study examined whether anorexic subjects exhibit a bias for fattening foods when these are presented as task-irrelevant distractor stimuli. It also investigated whether anorexic patients pay less attention to emotion stimuli. A sequential word-word evaluation task was administered to 11 inpatients with anorexia nervosa and 11 non-dieting normal subjects. There were four types of distractor words: high caloric foods, positive, negative, and neutral. Anorexic patients recalled no more food words but fewer neutral and positive words than normal subjects. The present data suggest that, compared to healthy young women, anorexic patients show no memory bias for fattening foods when these data are presented as peripheral environmental information. Anorexic patients are perceptually no less sensitive to negative emotional information than normal subjects.


Anorexia Nervosa/psychology , Emotions , Food , Learning , Adult , Analysis of Variance , Female , Humans , Mental Recall , Statistics, Nonparametric
20.
Z Psychosom Med Psychother ; 47(2): 153-66, 2001.
Article De | MEDLINE | ID: mdl-11593459

Approximately thirty years ago the term alexithymia was coined but it is still open which characteristics have to be considered core symptoms of alexithymia. A selective review of recent expert definitions reveals dynamism in defining the alexithymia construct. At present, the self-report Toronto-Alexithymia-Scales (TAS) are the most frequently used measures of alexithymia. Empirical findings regarding various aspects of validity (factorial, concurrent, and experimental construct validity data) question the validity of the Toronto-Alexithymia-Scales. Alexithymia as measured by the TAS appears not to be consistently related to physiological, affect decoding or affective vigilance characteristics. The heterogeneity of the results could be due to the fact that non-alexithymic persons such as depressed or socially anxious individuals yield high scores on the TAS; on the other hand self-report appears to be in principle a methodologically inadequate approach for the assessment of alexithymia. Objective or direct measures of alexithymic characteristics as the Levels of Emotional Awareness Scale or the prototypicity analysis of mood diaries based on adjective checklists seem to be promising assessment methods for future research.


Affective Symptoms/diagnosis , Personality Inventory/statistics & numerical data , Self-Assessment , Affective Symptoms/psychology , Anxiety Disorders/diagnosis , Anxiety Disorders/psychology , Depressive Disorder/diagnosis , Depressive Disorder/psychology , Humans , Psychometrics , Reproducibility of Results
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