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BackgroundThe neuropeptide oxytocin (OT) has positive effects on the processing of emotional stimuli such as facial expressions. To date, research has focused primarily on conditions of overt visual attention.MethodWe investigated whether a single intranasal dose of OT (24 IU) would modulate the allocation of attentional resources towards positive and negative facial expressions using a dot-probe paradigm in a sample of 69 healthy men. Attentional capacity for these facial cues was limited by presentation time (100 or 500 ms). In addition, we controlled for overt visual attention by recording eye movements using a remote eye tracker.ResultsReaction times (RTs) in the dot-probe paradigm revealed a pronounced shift of attention towards happy facial expressions presented for 100 ms after OT administration, whereas there were no OT-induced effects for longer presentation times (500 ms). The results could not be attributed to modulations of overt visual attention as no substance effects on gazes towards the facial target were observed.ConclusionsThe results suggest that OT increased covert attention to happy faces, thereby supporting the hypothesis that OT modulates early attentional processes that might promote prosocial behavior. [ABSTRACT FROM AUTHOR]

Background. Borderline personality disorder (BPD) is characterized by an emotionally unstable and impulsive cognitive and behavioral style. Inhibitory dysfunction has been hypothesized as playing a crucial role in BPD psychopathology. This study aimed to systematically investigate differential inhibitory functions in patients with BPD as compared to healthy controls, and to investigate their expected impairment in the context of aversive emotions by comparing performances in neuropsychological tasks that present both neutral and emotional material.Method. Unmedicated female patients with BPD (n=28) were compared with age-matched healthy female controls (n=30) in the following tasks: the emotional Stroop test (inhibition of interference), directed forgetting (intentional, resource-dependent inhibition), and an emotional variant of the negative priming task (automatic, resource-independent inhibition).Results. In comparison with the controls, the BPD patients showed reduced inhibition of negative material in the directed forgetting task and in the negative priming task. No effect was found in the emotional Stroop test. Significant correlations with current affect as well as trait anxiety and anger (but not impulsiveness) were found in the BPD group specifically for negative stimuli, while no such correlations were found in the control group. In addition to inhibitory deficiencies, BPD patients had difficulties remembering positive words in the directed forgetting task.Conclusions. Our data suggest that individuals with BPD have difficulties in actively suppressing irrelevant information when it is of an aversive nature. Inhibitory dysfunction appears to be closely related to state and trait variables of unstable affect, but not to self-reported impulsiveness. [ABSTRACT FROM AUTHOR]

According to recent studies, elevated cortisol levels are associated with impaired declarative memory performance. This specific effect of cortisol has been shown in several studies using pharmacological doses of cortisol. The present study was designed to determine the effects of endogenously stimulated cortisol secretion on memory performance in healthy middle-aged women. For psychological stress challenging, we employed the Trier Social Stress Test (TSST). Subjects were assigned to either the TSST or a non-stressful control condition. Declarative and non-declarative memory performance was measured by a combined priming–free-recall-task. No significant group differences were found for memory performance. Post hoc analyses of variance indicated that regardless of experimental condition the subjects with remarkably high cortisol increase in response to the experimental procedure (high responders) showed increased memory performance in the declarative task compared to subjects with low cortisol response (low responders). The results suggest that stress-induced cortisol failed to impair memory performance. The results are discussed with respect to gender-specific effects and modulatory effects of the sympathetic nervous system and psychological variables. [Copyright &y& Elsevier]

In a number of studies, it has been shown that subjects with attention-deficit/hyperactivity disorder (ADHD) show deficits in executive functioning, i.e. in cognitive functions that subserve planning, monitoring and control of goal-directed behaviour (Martinussen et al., 2005; Willcutt et al., 2005), as well as in emotion regulation (Berlin et al., 2004; Desman et al., 2006). However, no study exists so far examining the interaction between cognition and emotion regulation in subjects with ADHD. In our study, we aimed to examine to what extend arousing emotional picture stimuli may account for differential effects in performance quality in subjects with and without ADHD. Thirty-nine males and females with ADHD aged 18 to 40 years and 40 matched healthy controls performed a working memory n-back task (1-back, 2-back). The task was performed with and without neutral and negative background pictures from the International Affective Picture System (IAPS) which varied in arousal (low, medium, high). Irrespective of ADHD diagnosis, all subjects were slower and demonstrated lower performance accuracy in the 2-back condition compared with the 1-back condition, and all subjects deteriorated with increasing picture arousal. In comparison to healthy controls, subjects with ADHD displayed a deficit in working memory performance in terms of prolonged reaction times and decreased performance accuracy. Beyond this, we found that whereas healthy controls did not display performance deficits until they were presented with high-arousal background pictures, subjects with ADHD were already impaired when presented with medium-arousal background pictures. The implications of these and further findings will be discussed. [ABSTRACT FROM AUTHOR]

Background: The influence of legal offences on the diagnosis of antisocial personality disorder (ASPD) is a common discussion. A population of imprisoned delinquents diagnosed with ASPD was compared to delinquents without ASPD concerning sociodemographic, criminological and clinical characteristics to determine if ASPD can differentiate delinquents apart from committing legal offences. Patients and methods: A total of 36 violent offenders with diagnosed ASPD and 29 violent offenders without ASPD were recruited in the prison of Straubing (Germany); 28 control subjects without previous convictions were recruited in the German population. All subjects were examined with the SKID-I and SKID-II, GAF, BIS-11, EPI and K-FAF. Results: Violent offenders with ASPD differ from violent offenders without ASPD concerning the following parameters: high values of impulsivity, aggression, irritability, neuroticism and extraversion; low levels of psychosocial functioning, cumulative 'broken home' indicators and antisocial behaviour before the age of 11 ('early starters'). Conclusion: Some features are suitable for the discrimination between offenders with or without ADPD, but our results indicate that samples are better distinguished by a dimensional approach, oriented toward their degree of characteristics. [ABSTRACT FROM AUTHOR]

The glutamatergic N-methyl-D-aspartate receptor antagonist ketamine produces transient dissociative states and alters cognitive functioning in healthy humans, thus resembling the core symptoms of acute and chronic post-traumatic stress disorder (PTSD). First evidence exists that the common use of the analgesic and sedative properties of ketamine during emergency care correlates with sustained symptoms of PTSD in accident victims. The aim of the present study was to examine whether ketamine administration after moderate accidental trauma modulates dissociation and other symptoms of acute stress disorder (ASD) in the direct aftermath of the event. Accident victims were screened within the third day after admission to hospital for symptoms of ASD (Peritraumatic Dissociative Experiences Questionnaire, ASD Scale) and prior stressful life events (Traumatic Life Events Questionnaire). Subjects had received a single or fractionated dose of either racemic ketamine (n = 13), opioids (n = 24) or non-opioid analgesics (n = 13) during initial emergency treatment. There were no significant differences between medication groups in demographic and clinical characteristics such as injury severity or prior traumatization. With respect to ASD symptomatology three days post-event there were significant associations between ketamine analgosedation and increased symptoms of dissociation, reexperiencing, hyperarousal and avoidance relative to the comparison groups. Growing evidence exists that ketamine might modulate or aggravate early post-traumatic stress reactions when given in the acute trauma phase, which in turn might contribute to long-lasting symptomatology. [ABSTRACT FROM AUTHOR]

We assessed the diagnostic accuracy of the German version of the Addenbrooke's Cognitive Examination (ACE) in identifying early Alzheimer's disease (AD) and mild vascular dementia (VaD) in comparison with the conventional Mini-Mental State Examination (MMSE). The study refers to 50 patients with mild dementia of AD, 26 patients with mild dementia of vascular etiology and to 54 cognitively normal subjects. The ACE and MMSE were validated against an expert diagnosis based on a comprehensive diagnostic workup. Statistical analysis was performed using the receiver operator characteristics method. The optimal cut-off score for the ACE for detecting dementia in patients with early AD was 85/86, which had a sensitivity of 93% and a specificity of 86%. The optimal cut-off for the ACE for the identification of dementia in patients with mild VaD was also 85/86 and it had a sensitivity of 93% and a specificity of 100%. The kappa values imply a substantial agreement between the diagnoses made by the ACE and the MMSE. The German version of the ACE is a short and practical but accurate test battery for the identification of AD and VaD, assessing a broad range of cognitive functions and providing a wide profile of cognitive functions/dysfunctions. [ABSTRACT FROM AUTHOR]

We assessed the diagnostic accuracy of the German version of the Addenbrooke’s Cognitive Examination (ACE) in identifying early Alzheimer’s disease (AD) and mild vascular dementia (VaD) in comparison with the conventional Mini-Mental State Examination (MMSE). The study refers to 50 patients with mild dementia of AD, 26 patients with mild dementia of vascular etiology and to 54 cognitively normal subjects. The ACE and MMSE were validated against an expert diagnosis based on a comprehensive diagnostic workup. Statistical analysis was performed using the receiver operator characteristics method. The optimal cut-off score for the ACE for detecting dementia in patients with early AD was 85/86, which had a sensitivity of 93% and a specificity of 86%. The optimal cut-off for the ACE for the identification of dementia in patients with mild VaD was also 85/86 and it had a sensitivity of 93% and a specificity of 100%. The κ values imply a substantial agreement between the diagnoses made by the ACE and the MMSE. The German version of the ACE is a short and practical but accurate test battery for the identification of AD and VaD, assessing a broad range of cognitive functions and providing a wide profile of cognitive functions/dysfunctions. Copyright © 2006 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

Objective: To examine the outcome among patients diagnosed with different types of mild cognitive impairment (MCI). Patients: A follow-up examination (average follow-up period: 3.49 ± 2.2 years) was performed in 81 cognitively impaired, non-demented patients aged >55 years at baseline. Results: 8 of 32 patients with amnestic MCI (25%), 22 of 41 patients with multiple-domain MCI (54%), and 3 of 8 patients with single non-memory MCI (37.5%) progressed to dementia. The clinical type of MCI is significantly associated with the likelihood of conversion to dementia. Discussion: When the clinical syndrome of MCI evolves on a neurodegenerative basis, the multiple-domain type of MCI has a less favorable prognosis than the amnestic type and may represent a more advanced prodromal stage of dementia. Copyright © 2006 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

Introduction Empathizing is the ability to identify the mental states of others, for predicting their behavior and responding with appropriate emotion. Two routes to empathy are discussed: One relatively automatically process, with fast emotional responding and late appraisal. A second way is less automatic with early cognitive appraisal. Brain areas with structural changes related to empathy comprising regions from the mirror neuron system (MNS) and the default mode network (DMN). Positive and negative associations between empathizing and regional gray matter (GM) volume were found in healthy controls in the left inferior frontal gyrus (IFG), insula and superior temporal sulcus. Facing these divergent correlative effects, we compared GM volume of healthy females with low and high empathic behavior. Methods From a sample of 269 female healthy students completing the Empathy Quotient (EQ), 20 individuals with EQ > 45 (mean age 22.8) were compared with 20 age-matched individuals with an EQ < 35 (mean age 23.1). We explored structural differences in GM volume between the high empathic (HE) and the low empathic (LE) group based on magnetic resonance imaging acquisition at a 1.5 T using a 1mm-isotropic t1-weighted (MPRAGE) sequence. GM volumetric assessment was performed using the SPM8 and VBM8-toolboxes implemented in MATLAB. MPRAGE-images were brain-tissue segmented and the GM maps subsequently high-dimensional spatial normalized into MNI space. In a region-of-interest-based approach, we analyzed sum of GM volume (weighted with total incrainal volume (TIV)) of anatomical regions associated to empathy as reported in the literature. Statistical significance level was set to p < .05. Additionally we performed a voxelwise analysis of covariance with diagnosis as variable of interest and TIV as confound. Results were assessed at an uncorrected statistical threshold of p < .005, with a minimum cluster size of 20 contiguous voxels. Results In the region-of-interest-based analysis, none of the regions was showing a significant group difference. The exploratory voxelwise analysis yielded clusters of reduced GM volume in the LE group in right and more prominent in left frontal, bilateral occipital and temporal regions, comprising the left middle and superior frontal gyrus, the right middle and inferior temporal gyrus, the bilateral IFG, fusiform gyrus, lingual gyrus and cerebellum. For the HE group, the most prominent cluster of reduced GM volume comprising the right parahippocampus, temporal inferior gyrus and cerebellum. Another cluster was consisting of voxels from the left insula, superior temporal gyrus, rolandic operculum and superior part of temporal pole and clusters were also found in the right caudate and less pronounced in the left middle occipital lobe and in the right superior medial frontal gyrus. Discussion We did not find any group effects in the region-of-interest-based analysis. Most likely are variations in normal empathic behavior in healthy individuals associated with localized sub-regional brain structure differences. Indeed, the exploratory voxel-wise approach revealed that both groups show different clusters of altered GM volume. The HE group showed increased GM volume in frontal regions, comprising MNS and in lateral occipital and temporal regions associated with social recognition. Regions with increased GM volume were found in regions related to reconstructive empathy (left insula and right parahippocampal gyrus) in the LE group. [ABSTRACT FROM AUTHOR]