Categoría: Papers con abstracts

Los pacientes con lesiones de la ínsula (al igual que las de áreas frontales) presentan un desempeño muy variable respecto el reconocimiento de las emociones, la empatía y la cognición social, que va desde la total afección a la total preservación. Dicha variabilidad podría explicarse por neuroplasticidad, procesos compensatorios y remapeo funcional. En este trabajo proponemos que la conectividad efectiva y el modelo de predictive coding representan una nueva aproximación para comprender dicha variabilidad a partir de las conexiones direccionales con otras áreas.

Psychiatrists’ approach to vascular risk assessment in Latin America. Autores Richly P, López PL, Gleichgerrcht E, Flichtentrei D, M Prats, R Mastandueno, Bustin J, Cetkovich M.  Año 2014 Journal  Richly P, López PL, Gleichgerrcht E, Flichtentrei D, M Prats, R Mastandueno, Bustin J, Cetkovich M.  Volumen 4(3): 56-61 Abstract   Otra información    

Predictive theories of action observation propose that we use our own motor system as a guide for anticipating and understanding other people‟s actions through the generation of context-based expectations. According to this view, people should be better in predicting and interpreting those actions that are present in their own motor repertoire compared to those that are not. We recorded high-density event-related potentials (ERPs: P300, N400 and Slow Wave, SW) and source estimation in 80 subjects separated by their level of expertise (experts, beginners and naïves) as they observed realistic videos of Tango steps with different degrees of execution correctness. We also performed path analysis to infer causal relationships between ongoing anticipatory brain activity, evoked semantic responses, expertise measures and behavioral performance. We found that anticipatory justify activity, with sources in a fronto-parieto-occipital network, early discriminated between groups according to their level of expertise. Furthermore, this early activity significantly predicted subsequent semantic integration indexed by semantic responses (N400 and SW, sourced in temporal and motor regions) which also predicted motor expertise. In addition, motor expertise was a good predictor of behavioral performance. Our results show that neural and temporal dynamics underlying contextual action anticipation and comprehension can be interpreted in terms of successive levels of contextual prediction that are significantly modulated by subject‟s prior experience.

Objective: We studied theory of mind (ToM) in patients withmild relapsing-remitting multiple sclerosis (MS), seeking possibledissociations between its 2 components: cognitive ToM (theability to infer others intentions) and affective ToM (the abilityto infer others emotional states). We analyzed the relationshipof ToM to executive function, depression, and fatigue. Background: Dissociations between cognitive and affective ToMhave been found in several neurologic and neuropsychiatricdiseases. Most ToM studies in patients with MS have showngeneral ToM deficits but have not analyzed the cognitive andaffective aspects individually. Methods: We used the Faux Pas test of ToM and tests of executivefunction to assess 18 patients with mild relapsing-remittingMS and 16 control participants. Results: Our patients showed deficits in cognitive ToM, but theiraffective ToM seemed to be spared. Their cognitive ToM deficitswere not related to executive dysfunction, depression, or fatigue. Conclusions: Our study is the first differential analysis showingcognitive but not affective ToM deficits in mild relapsing-remittingMS. Further research is needed to determine the exactnature and the real impact of these deficits, and to establish theirrelationship with the neuropathology and progression of MS.

Previous single-case reports in Posterior Cortical Atrophy (PCA) have shown preserved non-conscious visual recognition despite the absence of explicit recognition. In this study we investigated three levels of visual recognition in both a female patient with PCA and a control group during the presentation of neutral, positive, and negative affective stimuli. Our results confirmed the profile of impaired explicit recognition and intact psychophysiological responses in the patient. In addition, she was able to implicitly recognize the valence and intensity of arousal of these stimuli. We suggest that implicit emotional awareness may mediates explicit and psychophysiological recognition in PCA.

Previous studies about personality changes in dementia suggest that they may be due to the disruption of the biological basis of personality traits, and hence, that they are disease specific and universal. However, evidence about its specificity is still limited and scarce regarding culturally diverse populations. Accordingly, our aim was to compare personality changes in Argentinean patients with Alzheimer disease, behavioral variant of frontotemporal dementia, and primary progressive aphasia. The closest living relatives of patients diagnosed with Alzheimer disease (n=19), behavioral variant of frontotemporal dementia (n=16), and primary progressive aphasia (n=15) were asked to complete 2 versions of the personality inventory NEO Personality Inventory-Revised, one for assessing patients’ premorbid personality traits, and the other for assessing current traits. All groups showed changes in several domains and facets of the NEO Personality Inventory-Revised. Globally, the observed pattern of changes was fairly consistent with previous studies based on the same model of personality. Nevertheless, our results regarding disease-specificity were less conclusive. Even if there were some indicators of specific differences between groups, most traits varied similarly across the 3 groups, revealing a pattern of generalized changes in personality expression after illness onset. More studies are needed that help to distinguish real personality changes from other affective or cognitive symptoms that accompany dementia, as well as further data from culturally diverse populations.

Although the notion of world language has been variously defined, most accounts acknowledge inter-user performance variability as a key aspect of the construct. The sociocultural aspects of such a phenomenon have been extensively treated in the literature. However, comparatively little attention has been paid to its neurocognitive underpinnings. This paper addresses the biopsychological bases of performance variability among word-language users, focusing on bilingual speakers of English. Available evidence reveals four neurocognitive determinants of variability, namely manner of appropriation, age of acquisition, level of proficiency, and degree of formal similarity between the native and the non-native language. In its concluding section, the paper highlights the benefits of incorporating neurocognitive evidence into the study and conceptualization of world languages.

BACKGROUND: Medical practitioners such as physicians are continuously exposed to the suffering and the distress of patients. Understanding the way pain perception relates to empathetic dispositions and professional quality of life can contribute to the development of strategies aimed at protecting health professionals from burnout and compassion fatigue. In the present study we investigate the way individual dispositions relate to behavioral measures of pain sensitivity, empathy, and professional quality of life. METHODS: A secure Web-based series of self-report measures and a behavioral task were administered to 1,199 board-certified physicians. Additionally, surveys were used to obtain measures of demographic and professional background; dispositional empathy (empathic concern, personal distress, and perspective taking); positive (compassion satisfaction) and negative (burnout and secondary traumatic stress) aspects of their professional life. In the behavioral task, participants were asked to watch a series of video clips of patients experiencing different levels of pain and provide ratings of pain intensity and induced personal distress. RESULTS: Perceived pain intensity was significantly lower among more experienced physicians but similar across specialty fields with varying demands of emotional stress. Watching videos of patients in pain, however, elicited more personal distress among physicians in highly demanding medical fields, despite comparable empathy dispositions with other fields. The pain of male patients was perceived as less intense than the pain of female patients, and this effect was more marked for female physicians. The effect of dispositional empathy on pain perception and induced personal distress was different for each sub-component, with perspective taking and empathic concern (EC) being predictive of the behavioral outcomes. Physicians who experience both compassion satisfaction and fatigue perceive more pain and suffer more personal distress from it than those who only suffer the negative aspects of professional quality of life. CONCLUSIONS: Professional experience seems to desensitize physicians to the pain of others without necessarily helping them down-regulate their own personal distress. Pain perception is also related with specific aspects of empathy and varies depending on context, as is the case with the gender of their patients. Minimum levels of empathy appear necessary to benefit from the positive aspects of professional quality of life in medicine.

Bipolar disorder (BD) and attention deficit hyperactivity disorder (ADHD) in adults share clinical symptoms. Both disorders present with executive functioning impairment. The detection of executive dysfunction usually requires the administration of an extensive neuropsychological battery. The Institute of Cognitive Neurology (INECO) Frontal Screening (IFS) is an efficient tool, which has been demonstrated to be useful for the detection of executive deficits in other diseases involving the prefrontal cortex. This study assessed the usefulness of the IFS in detecting the executive dysfunction of BD and ADHD adults, by means of a receiver-operating characteristic curve analysis and a multigroup discriminant function analysis. Twenty-four BD, 25 ADHD patients and 25 controls were assessed with a battery that included the IFS and other measures of executive functioning. Our results showed that both patient groups performed significantly lower than controls on the IFS total score. Using a 27.5 point cut-off score, the IFS showed good sensitivity and acceptable specificity to detect executive impairments in BD and ADHD patients. The IFS discriminated between controls and each patient group more reliably than other executive functions measures. Our results suggest that this tool could be a useful instrument to assess executive functions in BD and ADHD patients.

El presente trabajo analiza las variables que inciden en la reincidencia penal. Se analizaron 333 casos del Hospital Psiquiátrico del Servicio Penitenciario Federal Argentino, con el objetivo de hallar diversos indicadores que se asocien al riesgo de reincidencia. Los resultados indican con un grado de significación (p < 0.01), que la edad de inicio de consumo de drogas y la presencia de antecedentes penales se asocian con la reincidencia delictiva. También el nivel educativo presentó una fuerte asociación (p=.006). La presencia de trastornos mentales no ha resultado estadísticamente significativa como variable pronóstico de reincidencia (p=.218), pero en el análisis de ese factor se pudo advertir una diferencia en la tendencia del tipo de delito cometido entre el grupo de personas con diagnóstico de psicosis y el grupo de personas con trastornos de la personalidad. Este tipo de información puede aportar en la toma de decisiones a la hora de planificar o implementar políticas públicas vinculadas a la prevención y a la inclusión social.