Physical Activity Is Positively Associated with Episodic Memory in Aging.

Aging is associated with performance reductions in executive function and episodic memory, although there is substantial individual variability in cognition among older adults. One factor that may be positively associated with cognition in aging is physical activity. To date, few studies have objectively assessed physical activity in young and older adults, and examined whether physical activity is differentially associated with cognition in aging. Young (n=29, age 18-31 years) and older adults (n=31, ages 55-82 years) completed standardized neuropsychological testing to assess executive function and episodic memory capacities. An experimental face-name relational memory task was administered to augment assessment of episodic memory. Physical activity (total step count and step rate) was objectively assessed using an accelerometer, and hierarchical regressions were used to evaluate relationships between cognition and physical activity. Older adults performed more poorly on tasks of executive function and episodic memory. Physical activity was positively associated with a composite measure of visual episodic memory and face-name memory accuracy in older adults. Physical activity associations with cognition were independent of sedentary behavior, which was negatively correlated with memory performance. Physical activity was not associated with cognitive performance in younger adults. Physical activity is positively associated with episodic memory performance in aging. The relationship appears to be strongest for face-name relational memory and visual episodic memory, likely attributable to the fact that these tasks make strong demands on the hippocampus. The results suggest that physical activity relates to cognition in older, but not younger adults.

Anger arousal and behavioral anger regulation in everyday life among patients with chronic low back pain: Relationships to patient pain and function.

OBJECTIVE: The objective of this study was to determine the degree to which patient anger arousal and behavioral anger regulation (expression, inhibition) occurring in the course of daily life was related to patient pain and function as rated by patients and their spouses. METHOD: Married couples (N = 105) (one spouse with chronic low back pain) completed electronic daily diaries, with assessments 5 times/day for 14 days. Patients completed items on their own state anger, behavioral anger expression and inhibition, and pain-related factors. Spouses completed items on their observations of patient pain-related factors. Hierarchical linear modeling was used to test concurrent and lagged relationships. RESULTS: Patient-reported increases in state anger were related to their reports of concurrent increases in pain and pain interference and to spouse reports of patient pain and pain behavior. Patient-reported increases in behavioral anger expression were related to lagged increases in pain intensity and interference and decreases in function. Most of these relationships remained significant with state anger controlled. Patient-reported increases in behavioral anger inhibition were related to concurrent increases in pain interference and decreases in function, which also remained significant with state anger controlled. Patient-reported increases in state anger were related to lagged increases in spouse reports of patient pain intensity and pain behaviors. CONCLUSIONS: Results indicate that in patients with chronic pain, anger arousal and behavioral anger expression and inhibition in everyday life are related to elevated pain intensity and decreased function as reported by patients. Spouse ratings show some degree of concordance with patient reports.

Neural correlates underlying true and false associative memories.

Despite the fact that associative memory studies produce a large number of false memories, neuroimaging analyses utilizing this paradigm typically focus only on neural activity mediating successful retrieval. The current study sought to expand on this prior research by examining the neural basis of both true and false associative memories. Though associative false memories are substantially different than those found in semantic or perceptual false memory paradigms, results suggest that associative false memories are mediated by similar neural mechanisms. Specifically, we found increased frontal activity that likely represents enhanced monitoring and evaluation compared to that needed for true memories and correct rejections. Results also indicated that true, and not false associative memories, are mediated by neural activity in the MTL, specifically the hippocampus. Finally, while activity in early visual cortex distinguished true from false memories, a lack of neural differences between hits and correct rejections failed to support previous findings suggesting that activity in early visual cortex represents sensory reactivation of encoding-related processing.

Age-related differences in the neural correlates mediating false recollection.

The current study investigated the effects of aging on the neural basis underlying true and false recollection. Although older adults, compared with younger adults, exhibited equivalent rates of true recollection, age differences in true recollection showed a pattern of activity commonly found among previous memory studies (e.g., age-related decreases in occipital and increases in prefrontal cortices), suggesting reduced retrieval of perceptual details associated with encoding items and a greater reliance on top-down compensatory processing. With regard to false recollection, older adults exhibited significantly greater false recollection yet did not exhibit increased neural processing. They did exhibit decreased activity in prefrontal, parahippocampal gyrus, and occipitoparietal cortex, suggesting a reduced reliance on reconstruction processes mediating false recollection in young. An individual differences analysis in older adults found false recollection rates predicted activity in several regions. including bilateral middle/superior temporal gyrus. Taken together, these results indicate that increases in false recollection in aging may be mediated by reduced access to encoding-related details as well as reliance on semantic gist and familiarity-related neural activity.

Temporal associations between spouse criticism/hostility and pain among patients with chronic pain: a within-couple daily diary study.

Chronic musculoskeletal pain can strain marriages, perhaps even to the point of engendering spouse criticism and hostility directed toward patients. Such negative spouse responses may have detrimental effects on patient well-being. While results of cross-sectional studies support this notion, we extended these efforts by introducing expressed emotion (EE) and interpersonal theoretical perspectives, and by using electronic diary methods to capture both patient and spouse reports in a prospective design. Patients with chronic low back pain (CLBP) and their spouses (N = 105 couples) reported on perceived spouse behavior and patient pain 5 times/day for 14 days using Personal Data Assistants (PDAs). Concurrent and lagged within-couple associations between patient's perceptions of spouse criticism/hostility and patient self-reported pain and spouses' observations of patient pain behaviors revealed that (1) patient perceived spouse criticism and hostility were correlated significantly with pain intensity, and spouse observed patient pain behavior was related significantly with patient perceived hostility at the same time point; (2) patient perceived spouse hostility significantly predicted patient pain intensity 3 hours later, and spouse observed pain behaviors significantly predicted patient perceived spouse hostility 3 hours later. Results support both EE and interpersonal models, and imply that a comprehensive model would combine these conceptualizations to fully illustrate how spouse criticism/hostility and patient pain interact to produce a negative spiral. Given that marital interactions are amenable to clinical intervention, improved insight into how spouse behavior and patient pain are tightly linked will encourage productive translational efforts to target this neglected area.

A randomized clinical trial of the effectiveness of premarital intervention: moderators of divorce outcomes.

This study examined the effects of premarital relationship intervention on divorce during the first 8 years of first marriage. Religious organizations were randomly assigned to have couples marrying through them complete the Prevention and Relationship Education Program (PREP) or their naturally occurring premarital services. Results indicated no differences in overall divorce rates between naturally occurring services (n = 44), PREP delivered by clergy at religious organizations (n = 66), or PREP delivered by professionals at a university (n = 83). Three moderators were also tested. Measured premaritally and before intervention, the level of negativity of couples' interactions moderated effects. Specifically, couples observed to have higher levels of negative communication in a video task were more likely to divorce if they received PREP than if they received naturally occurring services; couples with lower levels of premarital negative communication were more likely to remain married if they received PREP. A history of physical aggression in the current relationship before marriage and before intervention showed a similar pattern as a moderator, but the effect was only marginally significant. Family-of-origin background (parental divorce and/or aggression) was not a significant moderator of prevention effects across the two kinds of services. Implications for defining risk, considering divorce as a positive versus negative outcome, the practice of premarital relationship education, and social policy are discussed.

Attributions for spousal behavior in relation to criticism and perceived criticism.

This study examined relations between spousal attributions and criticism in a sample of 118 married couples. Spouses rated general perceived criticism (PC) and their own expressed criticism as well as interaction-specific PC from a videotaped discussion. Independent judges also coded criticism from the discussion. Spouses' self-reported causal and responsibility attributions for hypothetical spousal negative behavior were related to all types of criticism. Attributions were also associated with unique variance in spouses' reports of general PC and criticism, even after controlling either for judges' or partners' ratings of criticism and marital adjustment. General PC and expressed criticism appear to reflect more than either the amount of criticism present or feelings about the marriage; rather, general PC and expressed criticism are uniquely associated with the cause and responsibility ascribed to partners' behavior.

An actor-partner interdependence model of spousal criticism and depression.

Although perceived criticism is relational, most theory and research concerns only relatives' criticism toward patients and not the converse. With a sample of 33 depressed patients and their spouses, we take a fully relational approach to criticism by testing an actor-partner interdependence model (Kenny, Kashy, & Cook, 2006). Patient intended criticism was especially strongly associated with depressive symptoms for wives, whereas patient perceived criticism was especially negatively related to depressive symptoms for husbands. Nondepressed partner intended criticism was positively related to patient depressive symptoms, but nondepressed wife perceived criticism was negatively related to husband depressive symptoms. The importance of including patient intended and partner perceived criticism as well as examining sex differences in models of criticism and depression are discussed.

To what does perceived criticism refer? Constructive, destructive, and general criticism.

General spousal perceived criticism (PC) robustly predicts psychological symptoms and is associated with marital discord (e.g., Hooley & Teasdale, 1989); however, it is unclear what types of criticism PC encompasses (Renshaw, 2008). One hundred eighteen couples rated general PC and both constructive and destructive criticism from their own videotaped spousal discussions. Independent judges also coded criticism from the discussions. Results suggest that destructive rather than constructive criticism is related to PC. That PC primarily reflects destructive criticism may explain its utility in predicting relapse. Future studies will benefit from separate application of constructive and destructive criticism measures.

Explication of interspousal criticality bias.

Although bias towards perceiving spousal criticism is related to dysphoria and marital discord (Smith & Peterson, 2008), the bias construct has received insufficient elaboration. We explicated the criticality bias construct by exploring its correlates and incremental validity relative to perceived criticism, marital attributions, and negative affect. 118 couples completed self-report measures and undertook a videotaped discussion task. Signal detection analyses of both spouses' and outside observers' ratings of discussions produced bias indices. Criticality bias evidenced a pattern of convergent and discriminant validity mirroring perceived criticism's (Renshaw, 2008). Bias also provided incremental validity beyond perceived criticism, marital attributions, and negative affect to the prediction of behavior. Bias may be a dysfunctional way to view marital events and a stress generation process.

Marital Conflict in the Context of Parental Depressive Symptoms: Implications for the Development of Children's Adjustment Problems.

Relations among parental depressive symptoms, overt and covert marital conflict, and child internalizing and externalizing symptoms were examined in a community sample of 235 couples and their children. Families were assessed once yearly for three years, starting when children were in kindergarten. Parents completed measures of depressive symptoms and children's internalizing and externalizing symptoms. Behavioral observations of marital conflict behaviors (insult, threat, pursuit, and defensiveness) and self-report of covert negativity (feeling worry, sorry, worthless, and helpless) were assessed based on problem solving interactions. Results indicated that fathers' greater covert negativity and mothers' overt destructive conflict behaviors served as intervening variables in the link between fathers' depressive symptoms and child internalizing symptoms, with modest support for the pathway through fathers' covert negativity found even after controlling for earlier levels of constructs. These findings support the role of marital conflict in the impact of fathers' depressive symptoms on child internalizing symptoms.

Overperception of spousal criticism in dysphoria and marital discord.

Depression and marital discord are related to feeling criticized by others, especially by spouses (e.g., Hooley, J. M., & Teasdale, J. D. 1989). This study evaluated the extent to which criticism was overperceived in relation to "actual" spousal critical comments, with actual critical comments being established by independent observers and by criticizing spouses themselves. Using dyadic interaction and questionnaire data from 72 married couples, signal detection and regression analyses suggested that both dysphoria and marital discord were associated with a general bias towards feeling criticized. Marital discord's association with criticality bias subsumed dysphoria's, but dysphoria's did not subsume marital discord's. Criticality bias also accounted for a significant proportion of perceived spousal criticism. A common cognitive process may underlie established associations among perceived criticism, dysphoria, and marital discord.