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Introduction: Being diagnosed with a life-threatening illness (LTI) is often accompanied by feelings of fear, uncertainty, and loneliness that can severely impact mental health. Relatively few interventions are available to address the existential concerns of individuals facing LTI, while treatment of the underlying physical ailment typically remains the priority of the healthcare system. Research has shown that psychedelic-assisted psychotherapy (PAT) holds promise for supporting mental health in people with LTIs. However, PAT's potential in this population remains curtailed by several limitations, including regulatory and accessibility issues. Novel approaches that could provide some of the benefits of psychedelic experiences, while avoiding associated challenges, would therefore be highly desirable for supporting the mental wellbeing of people with LTIs. Among such interventions, virtual reality (VR)-based experiences have been suggested as a promising candidate. We here evaluate a program that includes weakly representational, multi-user VR experiences based on a design aesthetic previously described as "numadelic," which has been demonstrated to elicit self-transcendent experiences comparable to psychedelics. Methods: A prospective cohort study design was used to assess the effects of "Clear Light" (CL), a group-based, 6-session multimedia program that included VR experiences, video calls, and text chats spanning 3 weeks. Participants were individuals suffering from LTIs that self-selected to participate in the CL program. A total of N = 15 participants were evaluated based on assessments 1 week before and after the program, using self-report measures of anxiety, depression, wellbeing, and secondary psychological outcomes. Results: The intervention was well-tolerated among participants. Significant improvements with moderate effect sizes were observed on self-reported measures of anxiety, depression, and wellbeing. Secondary measures assessing demoralization, connectedness, and spiritual wellbeing also showed significant improvements. Discussion: This observational study demonstrated the feasibility and potential benefits of a group-based VR program that can be delivered at-home to people suffering from LTIs. While conclusions are presently limited by the lack of randomization or a comparison group, our findings strongly suggest further research is warranted, including randomized controlled trials. [ABSTRACT FROM AUTHOR]

IntroductionLumosity's Memory Match (LMM) is an online game requiring visual working memory. Change in LMM scores may be associated with individual differences in age-related changes in working memory.MethodsEffects of age and time on LMM learning and forgetting rates were estimated using data from 1890 game sessions for users aged 40 to 79 years.ResultsThere were significant effects of age on baseline LMM scores (β = -.31, standard error or SE = .02, P

Previous studies have demonstrated an inverse relation between the size of the complete spatial summation area and ganglion cell density. We hypothesized that if this relation is dynamic, the spatial summation area at 6° nasal would expand to compensate for age-related losses of retinal ganglion cells but not in the fovea where age-related loss in ganglion cell density is not significant. This hypothesis was tested by measuring contrast thresholds with a series of Gabor patches varying in size. The spatial summation area was defined by the intersection of the segments of a two-branched, piece-wise linear function fitted to the data with slopes of -0.5 and 0 on a plot of log threshold vs. log area. Results demonstrate a 31% increase in the parafoveal spatial summation area in older observers with no significant age-related change in the fovea. The average foveal data show a significant increase in thresholds with age. Contrary to the foveal data, age comparisons of the parafoveal peak contrast thresholds display no significant difference above [corrected] the summation area. Nevertheless, as expected from the increase in summation area, expressing the parafoveal thresholds as contrast energy reveals a significant difference for stimuli that are smaller than the maximal summation area.

BackgroundOur lab has previously demonstrated losses in contrast sensitivity to low spatial frequencies under scotopic conditions with older adults. It is not clear, however, whether the temporal frequency of a stimulus alters the relation between age and the spatial contrast sensitivity function (sCSF) under scotopic conditions.MethodsA maximum-likelihood, two-alternative, temporal forced-choice QUEST procedure was used to measure threshold to spatially and temporally modulated stimuli in both young (mean = 26 years) and old (mean = 75 years) adults.ResultsIn general, the shapes of the spatial and temporal CSFs were low-pass for both young and old observers; contrast sensitivity decreased at approximately the same rate with increasing spatial frequency and temporal frequency for both age groups, although the overall sensitivity of the old group was lower than that of the young group. The high-frequency resolution limit was lower for the old group compared to the young group.ConclusionsThe differences in contrast sensitivity between the young and old groups suggest a uniform loss in sensitivity of the channels mediating spatial and temporal vision. Because of this loss, the spatial and temporal window of visibility for the older adults is compromised relative to the younger adults.

The contributions of optical and neural factors to age-related losses in spatial vision are not fully understood. We used closed-loop adaptive optics to test the visual benefit of correcting monochromatic high-order aberrations (HOAs) on spatial vision for observers ranging in age from 18 to 81 years. Contrast sensitivity was measured monocularly using a two-alternative forced-choice (2AFC) procedure for sinusoidal gratings over 6 mm and 3 mm pupil diameters. Visual acuity was measured using a spatial 4AFC procedure. Over a 6 mm pupil, young observers showed a large benefit of AO at high spatial frequencies, whereas older observers exhibited the greatest benefit at middle spatial frequencies, plus a significantly larger increase in visual acuity. When age-related miosis is controlled, young and old observers exhibited a similar benefit of AO for spatial vision. An increase in HOAs cannot account for the complete senescent decline in spatial vision. These results may indicate a larger role of additional optical factors when the impact of HOAs is removed, but also lend support for the importance of neural factors in age-related changes in spatial vision.

Accurately processing orientation information is a fundamental component of visual performance. Single-unit recordings have shown that the orientation tuning of individual neurons in macaque cortical areas V1 and V2 is reduced dramatically with age (M. T. Schmolesky, Y. Wang, M. Pu, & A. G. Leventhal, 2000; S. Yu, Y. Wang, X. Li, Y. Zhou, & A. G. Leventhal, 2006). These researchers suggest that losses in single-unit orientation selectivity result in declines in orientation discrimination and object recognition in older humans. Three experiments were conducted to determine whether human performance is affected by putative age-related changes in tuning of cortical neurons. Ten younger and ten older observers participated in this study. Experiment 1 demonstrated significant differences in the contrast sensitivity of the two age groups. Experiment 2 showed significant differences in orientation discrimination thresholds. However, when thresholds were plotted in terms of multiples of detection threshold, age-related differences were not observed. In Experiment 3, perceptual orientation tuning curves did not significantly differ in shape for younger and older subjects. As in Experiment 2, at any given contrast, there is a large difference in sensitivity between younger and older adults. This implies a model of orientation processing that allows the adult visual system to maintain consistent and reliable orientation information at the network and ultimately the perceptual level.

Color appearance remains remarkably stable in the aging visual system despite large changes in the spectral distribution of the retinal stimulus and losses in chromatic sensitivity (P. B. Delahunt, J. L. Hardy, K. Okajima, & J. S. Werner, 2005; J. S. Werner, 1996). This stability could reflect adaptive adjustments in peripheral or central chromatic mechanisms that compensate for sensitivity losses in senescence. We asked whether similar compensatory adjustments play a role in maintaining spatial vision--and whether the adaptation itself shows changes with aging-by examining the effects of adaptation on judgments of image focus. Perceptual aftereffects following adaptation to a uniform field and blurred or sharpened images were compared between younger adults and older observers. Subjects adapted to a sequence of blurred or sharpened images for 120 s, and a two-alternative forced-choice staircase task was used to vary the filter exponent of the test to define the subjective point of best focus. There was a small but significant difference between younger and older observers in the level perceived as best focused in all three adaptation conditions, possibly reflecting differences in the ambient blur level the groups are routinely exposed to. However, the magnitude of the blur aftereffect did not differ between the two age groups. These results suggest that although there may be small differences in the long-term adaptation to blur, younger and older observers do not differ in the strength of adaptation to transient changes in blur. The neural processes mediating adaptation to blur thus appear to remain largely intact with aging.

PurposeTo relate in vivo microscopic retinal changes to visual function in patients who have various forms of retinal dystrophy.MethodsThe UC Davis Adaptive Optics (AO) fundus camera was used to acquire in vivo retinal images at the cellular level. Visual function tests consisting of visual fields, multifocal electroretinography (mfERG), and contrast sensitivity were measured in all subjects by using stimuli that were coincident with areas imaged. Five patients with different forms of retinal dystrophy and three control subjects were recruited. Cone densities were quantified for all retinal images.ResultsIn all images of diseased retinas, there were extensive areas of dark space between groups of photoreceptors, where no cone photoreceptors were evident. These irregular features were not seen in healthy retinas, but were apparent in patients with retinal dystrophy. There were significant correlations between functional vision losses and the extent to which these irregularities, quantified by cone density, occurred in retinal images.ConclusionsAO fundus imaging is a reliable technique for assessing and quantifying the changes in the photoreceptor layer as disease progresses. Furthermore, this technique can be useful in cases where visual function tests provide borderline or ambiguous results, as it allows visualization of individual photoreceptors.

Color assimilation with bichromatic contours was quantified for spatial extents ranging from von Bezold-type color assimilation to the watercolor effect. The magnitude and direction of assimilative hue change was measured as a function of the width of a rectangular stimulus. Assimilation was quantified by hue cancellation. Large hue shifts were required to null the color of stimuli < or = 9.3 min of arc in width, with an exponential decrease for stimuli increasing up to 7.4 deg. When stimuli were viewed through an achromatizing lens, the magnitude of the assimilation effect was reduced for narrow stimuli, but not for wide ones. These results demonstrate that chromatic aberration may account, in part, for color assimilation over small, but not large, surface areas.

When a dark chromatic contour delineating a figure is flanked on the inside by a brighter chromatic contour, the brighter color will spread into the entire enclosed area. This is known as the watercolor effect (WCE). Here we quantified the effect of color spreading using both color-matching and hue-cancellation tasks. Over a wide range of stimulus chromaticities, there was a reliable shift in color appearance that closely followed the direction of the inducing contour. When the contours were equated in luminance, the WCE was still present, but weak. The magnitude of the color spreading increased with increases in luminance contrast between the two contours. Additionally, as the luminance contrast between the contours increased, the chromaticity of the induced color more closely resembled that of the inside contour. The results support the hypothesis that the WCE is mediated by luminance-dependent mechanisms of long-range color assimilation.

Many languages without separate terms for green and blue are or were spoken in locations receiving above-average exposure to ultraviolet-B (UV-B) radiation. It has been proposed that this correlation is caused by premature lens aging. This conclusion was supported by an experiment in which younger observers used the term "blue" less often when they described simulated paint chips filtered through the equivalent of an older observer's lens-removing much short-wavelength light-than when they described the unfiltered versions of the same paint chips. Some stimuli that were called "blue" without simulated aging were called "green" when filtered. However, in the experiment reported here, we found that the proportion of "blue" color-name responses did not differ between younger subjects and older observers with known ocular media optical densities. Color naming for stimuli that were nominally green, blue-green, or blue was virtually identical for older and younger observers who viewed the same (unfiltered) stimuli. Our results are inconsistent with the lens-brunescence hypothesis.

Chromatic contrast thresholds for spatially varying patterns of various spatial frequencies (0.5, 1, 2, and 4 cycles per degree) were measured for ten older (65-77 yr of age) and ten younger (18-30 yr of age) observers. The stimuli were Gabor patches modulated along S-varying or (L - M)-varying chromatic axes. Thresholds were determined for two sets of stimuli. For one set of stimuli, the mean chromaticity and luminance were equated at the cornea for all observers. The second set of stimuli was corrected for ocular media density differences to equate stimulation of each of the three cone types at the retina for each individual. Chromatic contrast thresholds were higher for older observers for all stimuli tested. The magnitude of this difference showed little dependence on spatial frequency. When stimuli were equated at the cornea, this difference was greater for S-varying stimuli. When stimuli were equated at the retina, the age-related difference in thresholds for S-varying stimuli was reduced. Both optical and neural factors contribute to these age-related losses in spatial chromatic contrast sensitivity.

Age-related changes in the spatial chromatic contrast sensitivity function of detection, measured along S and L - M cone axes, were demonstrated in a companion paper [Hardy et al., J. Opt. Soc. Am. A 22, 49 (2005)]. Here senescent changes in chromatic contrast appearance were assessed by contrast-matching functions (CMFs). Luminance and chromatic CMFs (S and L - M axes) were compared for younger (age 18-31 yr) and older (age 65-75 yr) trichromatic subjects by using stimuli that were perceptually anchored to the same physical standard contrasts. Subjects matched the contrast of test gratings of various spatial frequencies (0.5-8 cycles per degree) to the standard stimuli under natural viewing conditions. Because of changes in the visual system with age, the standard stimuli were closer to threshold for older subjects; however, in general, the shapes of the CMFs were similar for both groups. The results suggest that the perception of relative contrasts across spatial frequencies is stable with age.

The human visual system undergoes continuous anatomical, physiological and functional changes throughout the life span. There is also continuous change in the spectral distribution and intensity of light reaching the retina from infancy through senescence, primarily due to changes in the absorption of short-wave light by the lens. Despite these changes in the retinal stimulus and the signals leaving the retina for perceptual analysis, color appearance is relatively stable during aging as measured by broadband reflective or self-luminous samples, the wavelengths of unique blue and yellow, and the achromatic locus. Measures of ocular media density for younger and older observers show, indeed, that color appearance is independent of ocular media density. This may be explained by a renormalization process that was demonstrated by measuring the chromaticity of the achromatic point before and after cataract surgery. There was a shift following cataract surgery (removal of a brunescent lens) that was initially toward yellow in color space, but over the course of months, drifted back in the direction of the achromatic point before surgery. The spatial characteristics of color mechanisms were quantified for younger and older observers in terms of chromatic perceptive fields and the chromatic contrast sensitivity functions. Younger and older observers differed with small spots or with chromatic spatial gratings near threshold, but there were no significant differences with larger spots or suprathreshold spatial gratings.

Viewing a distorted face induces large aftereffects in the appearance of an undistorted face. The authors examined the processes underlying this adaptation by comparing how selective the aftereffects are for different dimensions of the images including size, spatial frequency content, contrast, and color. Face aftereffects had weaker selectivity for changes in the size, contrast, or color of the images and stronger selectivity for changes in contrast polarity or spatial frequency. This pattern could arise if the adaptation is contingent on the perceived similarity of the stimuli as faces. Consistent with this, changing contrast polarity or spatial frequency had larger effects on the perceived identity of a face, and aftereffects were also selective for different individual faces. These results suggest that part of the sensitivity changes underlying the adaptation may arise at visual levels closely associated with the representation of faces.