首页 > 最新文献

Brain and Behavior最新文献

英文 中文
Cannabidiol Treatment for Adult Patients with Drug-Resistant Epilepsies: A Real-World Study in a Tertiary Center 成人耐药性癫痫患者的大麻二酚治疗:一个三级中心的真实世界研究。
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-11-05 DOI: 10.1002/brb3.70122
Quentin Calonge, Aurore Besnard, Laurent Bailly, Maria Damiano, Phintip Pichit, Sophie Dupont, Isabelle Gourfinkel-An, Vincent Navarro

Background and purpose

Around 30% of patients with epilepsy show drug-resistant epilepsy (DRE). While cannabidiol has demonstrated efficacy as an adjunctive treatment in Dravet syndrome (DS), Lennox–Gastaut Syndrome (LGS), and epilepsy related to tuberous sclerosis complex (TSC), its more global effectiveness in adult patients with DRE apart from these three specific contexts needs to be clarified.

Methods

We conducted a retrospective study at the epilepsy unit of Pitié Salpêtrière Hospital. Patients initiating pharmaceutical cannabidiol treatment and followed for at least 1 year were included. Patients were categorized into “authorized” (LGS, DS, or TSC) and “off-label” groups. Cannabidiol effectiveness and tolerance were compared between groups, and characteristics of responders (patients with >50% reduction in seizure frequency) in the off-label group were examined.

Results

Ninety-one patients, followed by a median duration of 24 months, were included. A total of 35.2% of the patients were in the authorized group. No significant differences were observed in responder rates between groups (31.3% vs. 35.6%, p = 0.85) and retention rates at 1 year (75.0% vs. 74.6%, p = 0.97). Sleepiness was more commonly reported in the authorized group (50.0% vs. 22.0%, p = 0.01), with no other significant differences. Among off-label patients (n = 59), clobazam co-prescription was more prevalent in responders (71.4% vs. 28.9%, p = 0.002).

Conclusion

Our findings suggest that cannabidiol may benefit all adult patients with DRE, particularly those already receiving clobazam. Randomized controlled trials are warranted in off-label patients to validate these observational findings.

背景和目的:约有 30% 的癫痫患者表现出耐药性癫痫 (DRE)。虽然大麻二酚作为一种辅助治疗方法已被证明对德拉维特综合征(DS)、伦诺克斯-加斯陶特综合征(LGS)以及与结节性硬化综合征(TSC)相关的癫痫具有疗效,但除了这三种特殊情况外,大麻二酚对成年 DRE 患者的整体疗效仍有待明确:我们在 Pitié Salpêtrière 医院癫痫科开展了一项回顾性研究。研究纳入了开始接受大麻二酚药物治疗并随访至少 1 年的患者。患者被分为 "授权 "组(LGS、DS 或 TSC)和 "标签外 "组。比较两组患者的大麻二酚疗效和耐受性,并研究标签外组中应答者(癫痫发作频率减少>50%的患者)的特征:共纳入 91 名患者,中位随访时间为 24 个月。授权组患者共占 35.2%。各组间的应答率(31.3% 对 35.6%,P = 0.85)和 1 年保留率(75.0% 对 74.6%,P = 0.97)无明显差异。获得授权的患者更常出现嗜睡症状(50.0% 对 22.0%,p = 0.01),其他无明显差异。在标示外患者(n = 59)中,氯巴扎明联合处方在应答者中更为普遍(71.4% vs. 28.9%,p = 0.002):我们的研究结果表明,大麻二酚可能有益于所有罹患哆嗦症的成年患者,尤其是那些已经接受氯巴扎姆治疗的患者。有必要对标签外患者进行随机对照试验,以验证这些观察结果。
{"title":"Cannabidiol Treatment for Adult Patients with Drug-Resistant Epilepsies: A Real-World Study in a Tertiary Center","authors":"Quentin Calonge,&nbsp;Aurore Besnard,&nbsp;Laurent Bailly,&nbsp;Maria Damiano,&nbsp;Phintip Pichit,&nbsp;Sophie Dupont,&nbsp;Isabelle Gourfinkel-An,&nbsp;Vincent Navarro","doi":"10.1002/brb3.70122","DOIUrl":"10.1002/brb3.70122","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and purpose</h3>\u0000 \u0000 <p>Around 30% of patients with epilepsy show drug-resistant epilepsy (DRE). While cannabidiol has demonstrated efficacy as an adjunctive treatment in Dravet syndrome (DS), Lennox–Gastaut Syndrome (LGS), and epilepsy related to tuberous sclerosis complex (TSC), its more global effectiveness in adult patients with DRE apart from these three specific contexts needs to be clarified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a retrospective study at the epilepsy unit of Pitié Salpêtrière Hospital. Patients initiating pharmaceutical cannabidiol treatment and followed for at least 1 year were included. Patients were categorized into “authorized” (LGS, DS, or TSC) and “off-label” groups. Cannabidiol effectiveness and tolerance were compared between groups, and characteristics of responders (patients with &gt;50% reduction in seizure frequency) in the off-label group were examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ninety-one patients, followed by a median duration of 24 months, were included. A total of 35.2% of the patients were in the authorized group. No significant differences were observed in responder rates between groups (31.3% vs. 35.6%, <i>p</i> = 0.85) and retention rates at 1 year (75.0% vs. 74.6%, <i>p</i> = 0.97). Sleepiness was more commonly reported in the authorized group (50.0% vs. 22.0%, <i>p</i> = 0.01), with no other significant differences. Among off-label patients (<i>n</i> = 59), clobazam co-prescription was more prevalent in responders (71.4% vs. 28.9%, <i>p</i> = 0.002).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings suggest that cannabidiol may benefit all adult patients with DRE, particularly those already receiving clobazam. Randomized controlled trials are warranted in off-label patients to validate these observational findings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":9081,"journal":{"name":"Brain and Behavior","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Featured Cover 精选封面
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-11-03 DOI: 10.1002/brb3.70064

The cover image is based on the Original Article Markers of too little effort or too much alertness during neuropsychological assessment: Demonstration with perioperative changes by Dana Baron-Shahaf et al., https://doi.org/10.1002/brb3.3649.

封面图片根据 Dana Baron-Shahaf 等人的原创文章《神经心理学评估中用力过少或警觉性过高的标志:Dana Baron-Shahaf 等人的围手术期变化演示,https://doi.org/10.1002/brb3.3649.
{"title":"Featured Cover","authors":"","doi":"10.1002/brb3.70064","DOIUrl":"https://doi.org/10.1002/brb3.70064","url":null,"abstract":"<p>The cover image is based on the Original Article <i>Markers of too little effort or too much alertness during neuropsychological assessment: Demonstration with perioperative changes</i> by Dana Baron-Shahaf et al., https://doi.org/10.1002/brb3.3649.\u0000\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":9081,"journal":{"name":"Brain and Behavior","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brb3.70064","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142579649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Dietary Fiber Intake and Sleep Disorders: Based on the NHANES Database. 膳食纤维摄入量与睡眠障碍之间的关系:基于 NHANES 数据库。
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-11-01 DOI: 10.1002/brb3.70123
Yijun Chen, Zengchen Zhao, Weijun Ding, Zhenting Zhou, Meihong Xiao

Objective: Utilizing data from the National Health and Nutrition Examination Survey (NHANES) database, the primary objective of this investigation was to examine the relationship between dietary fiber intake (DFI) and sleep disorders.

Methods: For analysis, data from three consecutive cycles of NHANES (2009-2014) were pooled. The independent variable of interest was DFI, while the dependent variable was sleep disorders. Weighted logistic regression was employed to model the relationship between the two variables. Subgroup analyses were conducted, stratified, and adjusted to explore the association between DFI and sleep disorders.

Results: This study encompassed a cohort of 14,360 samples. Logistic regression results revealed a significant inverse association between higher DFI and the risk of sleep disorders (OR: 0.99, 95% CI: 0.98-1.00, p = 0.005). Stratified analysis demonstrated significant interactive effects of gender and physical activity on the association between DFI and sleep disorders (interaction p = 0.017, p = 0.061). Quartile-stratified analysis of DFI showed that in the crude model, Q4 exhibited a significant protective impact against sleep disorders (OR: 0.76, 95% CI: 0.59-0.97, p = 0.026). In model I, which adjusted for demographic characteristics only, Q3 (OR: 0.74, 95% CI: 0.56-0.98, p = 0.036) and Q4 (OR: 0.70, 95% CI: 0.55-0.90, p = 0.006) had significant protective effects on sleep disorders. Additionally, gender subgroup analysis revealed that DFI had a significant impact on the female population, particularly in postmenopausal women, and was more pronounced in subjects with BMI > 30 kg/m2 (p = 0.011). Within the physical activity subgroup, there was a certain effect of DFI on improving sleep disorders in individuals with low activity intensity.

Conclusion: Increasing DFI had a protective effect in reducing the risk of sleep disorders. This protective effect may be more pronounced in the female population and individuals with low physical intensity.

调查目的利用美国国家健康与营养调查(NHANES)数据库的数据,本调查的主要目的是研究膳食纤维摄入量(DFI)与睡眠障碍之间的关系:为了进行分析,汇总了连续三个周期(2009-2014 年)的 NHANES 数据。自变量为膳食纤维摄入量,因变量为睡眠障碍。采用加权逻辑回归来模拟这两个变量之间的关系。研究人员进行了分组分析、分层分析和调整分析,以探讨DFI与睡眠障碍之间的关系:这项研究涵盖了 14,360 个样本。逻辑回归结果显示,DFI越高,睡眠障碍风险越低(OR:0.99,95% CI:0.98-1.00,p = 0.005)。分层分析表明,性别和体育锻炼对 DFI 与睡眠障碍之间的关系有显著的交互作用(交互作用 p = 0.017,p = 0.061)。DFI 四分位分层分析表明,在粗略模型中,Q4 对睡眠障碍有明显的保护作用(OR:0.76,95% CI:0.59-0.97,p = 0.026)。在仅调整人口统计学特征的模型 I 中,Q3(OR:0.74,95% CI:0.56-0.98,p = 0.036)和 Q4(OR:0.70,95% CI:0.55-0.90,p = 0.006)对睡眠障碍具有显著的保护作用。此外,性别亚组分析表明,DFI 对女性人群,尤其是绝经后女性有显著影响,在体重指数大于 30 kg/m2 的受试者中更为明显(p = 0.011)。在体力活动亚组中,DFI对改善低活动强度人群的睡眠障碍有一定作用:结论:增加 DFI 对降低睡眠障碍风险有保护作用。这种保护作用在女性人群和运动强度低的人群中可能更为明显。
{"title":"Association Between Dietary Fiber Intake and Sleep Disorders: Based on the NHANES Database.","authors":"Yijun Chen, Zengchen Zhao, Weijun Ding, Zhenting Zhou, Meihong Xiao","doi":"10.1002/brb3.70123","DOIUrl":"10.1002/brb3.70123","url":null,"abstract":"<p><strong>Objective: </strong>Utilizing data from the National Health and Nutrition Examination Survey (NHANES) database, the primary objective of this investigation was to examine the relationship between dietary fiber intake (DFI) and sleep disorders.</p><p><strong>Methods: </strong>For analysis, data from three consecutive cycles of NHANES (2009-2014) were pooled. The independent variable of interest was DFI, while the dependent variable was sleep disorders. Weighted logistic regression was employed to model the relationship between the two variables. Subgroup analyses were conducted, stratified, and adjusted to explore the association between DFI and sleep disorders.</p><p><strong>Results: </strong>This study encompassed a cohort of 14,360 samples. Logistic regression results revealed a significant inverse association between higher DFI and the risk of sleep disorders (OR: 0.99, 95% CI: 0.98-1.00, p = 0.005). Stratified analysis demonstrated significant interactive effects of gender and physical activity on the association between DFI and sleep disorders (interaction p = 0.017, p = 0.061). Quartile-stratified analysis of DFI showed that in the crude model, Q4 exhibited a significant protective impact against sleep disorders (OR: 0.76, 95% CI: 0.59-0.97, p = 0.026). In model I, which adjusted for demographic characteristics only, Q3 (OR: 0.74, 95% CI: 0.56-0.98, p = 0.036) and Q4 (OR: 0.70, 95% CI: 0.55-0.90, p = 0.006) had significant protective effects on sleep disorders. Additionally, gender subgroup analysis revealed that DFI had a significant impact on the female population, particularly in postmenopausal women, and was more pronounced in subjects with BMI > 30 kg/m<sup>2</sup> (p = 0.011). Within the physical activity subgroup, there was a certain effect of DFI on improving sleep disorders in individuals with low activity intensity.</p><p><strong>Conclusion: </strong>Increasing DFI had a protective effect in reducing the risk of sleep disorders. This protective effect may be more pronounced in the female population and individuals with low physical intensity.</p>","PeriodicalId":9081,"journal":{"name":"Brain and Behavior","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Basis of Cognitive and Behavioral Dysfunction in Amyotrophic Lateral Sclerosis. 肌萎缩性脊髓侧索硬化症认知和行为功能障碍的基础。
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-11-01 DOI: 10.1002/brb3.70115
Alexander Bampton, Caroline McHutchison, Kevin Talbot, Michael Benatar, Alexander G Thompson, Martin R Turner

Objective: To summarize and evaluate evidence pertaining to the clinical, genetic, histopathological, and neuroimaging correlates of cognitive and behavioral dysfunction in amyotrophic lateral sclerosis (ALS).

Methodology: We comprehensively reviewed the literature on cognitive and behavioral manifestations of ALS, narrating findings from both cross-sectional and longitudinal studies. We discussed knowledge gaps in the evidence base and key limitations affecting studies to date, before formulating a framework for future research paradigms aimed at investigating clinicopathological correlates of neuropsychological dysfunction in ALS.

Results: Studies have demonstrated clinical associations with cognitive dysfunction in ALS e.g., bulbar-onset of symptoms, pathological associations (extramotor TDP-43 deposition), and imaging associations (frontotemporal involvement). The most common behavioral deficit, apathy, is highly associated with verbal fluency, but longitudinal studies assessing behavioral dysfunction in ALS are comparatively lacking.

Conclusion: Longitudinal studies have been helpful in identifying several potential correlates of cognitive and behavioral dysfunction but have frequently been confounded by selection bias and inappropriate testing platforms. This review provides a framework for more robust assessment of clinicopathological associations of neuropsychological abnormalities in ALS in the future, advocating for greater utilization of pre-symptomatic C9orf72 repeat expansion-carrying cohorts.

目的总结并评估与肌萎缩侧索硬化症(ALS)认知和行为功能障碍的临床、遗传、组织病理学和神经影像学相关的证据:我们全面回顾了有关 ALS 认知和行为表现的文献,叙述了横断面和纵向研究的结果。我们讨论了证据基础中的知识空白和影响迄今为止研究的主要局限性,然后制定了未来研究范式的框架,旨在调查 ALS 神经心理功能障碍的临床病理相关性:研究表明,肌萎缩性脊髓侧索硬化症的认知功能障碍与临床相关,如横杆症状、病理学相关(运动外TDP-43沉积)和影像学相关(额颞叶受累)。最常见的行为缺陷--冷漠与语言流畅性高度相关,但评估 ALS 行为功能障碍的纵向研究相对缺乏:纵向研究有助于确定认知和行为功能障碍的几个潜在相关因素,但经常受到选择偏差和不适当的测试平台的影响。本综述为今后更有力地评估 ALS 神经心理异常的临床病理关联提供了一个框架,提倡更多地利用无症状前 C9orf72 重复扩增携带队列。
{"title":"The Basis of Cognitive and Behavioral Dysfunction in Amyotrophic Lateral Sclerosis.","authors":"Alexander Bampton, Caroline McHutchison, Kevin Talbot, Michael Benatar, Alexander G Thompson, Martin R Turner","doi":"10.1002/brb3.70115","DOIUrl":"10.1002/brb3.70115","url":null,"abstract":"<p><strong>Objective: </strong>To summarize and evaluate evidence pertaining to the clinical, genetic, histopathological, and neuroimaging correlates of cognitive and behavioral dysfunction in amyotrophic lateral sclerosis (ALS).</p><p><strong>Methodology: </strong>We comprehensively reviewed the literature on cognitive and behavioral manifestations of ALS, narrating findings from both cross-sectional and longitudinal studies. We discussed knowledge gaps in the evidence base and key limitations affecting studies to date, before formulating a framework for future research paradigms aimed at investigating clinicopathological correlates of neuropsychological dysfunction in ALS.</p><p><strong>Results: </strong>Studies have demonstrated clinical associations with cognitive dysfunction in ALS e.g., bulbar-onset of symptoms, pathological associations (extramotor TDP-43 deposition), and imaging associations (frontotemporal involvement). The most common behavioral deficit, apathy, is highly associated with verbal fluency, but longitudinal studies assessing behavioral dysfunction in ALS are comparatively lacking.</p><p><strong>Conclusion: </strong>Longitudinal studies have been helpful in identifying several potential correlates of cognitive and behavioral dysfunction but have frequently been confounded by selection bias and inappropriate testing platforms. This review provides a framework for more robust assessment of clinicopathological associations of neuropsychological abnormalities in ALS in the future, advocating for greater utilization of pre-symptomatic C9orf72 repeat expansion-carrying cohorts.</p>","PeriodicalId":9081,"journal":{"name":"Brain and Behavior","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Levels and Predictors of Suicide Literacy and Suicide Stigma in Spanish-Speaking Individuals. 讲西班牙语者的自杀知识水平和自杀耻辱感及其预测因素。
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-11-01 DOI: 10.1002/brb3.70125
Maitena Pierantonelli, Adriana Mira, Ángel Zamora, Lorena Desdentado, Rebeca Diego-Pedro, Edgar González-Hernández, Juana Bretón-López, Azucena García-Palacios, Rosa M Baños

Background: One of the obstacles to seeking help for suicide is its social stigma. The literature suggests that suicide knowledge could impact this stigma. The present study aims to examine levels and predictors of suicide stigma and suicide literacy among Spanish-speaking individuals from Spain and Latin America.

Method: A total of 678 adults completed an online survey conducted from December 2021 to May 2022. The survey assessed sociodemographic and clinical variables, including the Literacy of Suicide Scale (LOSS-SF) and Stigma of Suicide Scale (SOSS-SF).

Results: Results showed the presence of stigmatization and a moderate level of suicide literacy. Latin Americans presented significantly more stigmatizing attitudes and lower levels of suicide literacy than Spaniards. Older age and stronger religious/spiritual beliefs were correlated with lower suicide literacy. Suicide stigma was regressed on lower suicide literacy, gender (men), stronger religious/spiritual beliefs, and lacking knowledge about how to find help. Furthermore, the region was significantly associated with the suicide glorification subscale, reporting Latin Americans' greater glorification.

Conclusions: By examining these factors, we aim to foster a deeper understanding of the attitudes and beliefs toward suicide. This understanding is crucial, as it may inform the development of effective interventions and prevention strategies that are culturally sensitive and tailored to diverse populations.

背景:自杀的社会耻辱感是自杀者寻求帮助的障碍之一。文献表明,自杀知识可能会影响这种耻辱感。本研究旨在调查西班牙和拉丁美洲讲西班牙语的人的自杀耻辱感和自杀知识水平及预测因素:共有 678 名成年人完成了 2021 年 12 月至 2022 年 5 月期间进行的在线调查。调查评估了社会人口学和临床变量,包括自杀素养量表(LOSS-SF)和自杀耻辱感量表(SOSS-SF):结果:结果表明,存在鄙视和中等程度的自杀知识水平。拉美人的鄙视态度和自杀知识水平明显低于西班牙人。年龄较大、宗教/精神信仰较强与自杀知识水平较低相关。自杀鄙视与较低的自杀知识水平、性别(男性)、较强的宗教/精神信仰以及缺乏如何寻求帮助的知识有关。此外,地区与自杀美化子量表有明显关联,拉丁美洲人的自杀美化程度更高:通过研究这些因素,我们旨在加深对自杀态度和信念的理解。这种理解至关重要,因为它可以为制定有效的干预措施和预防策略提供信息,这些措施和策略应具有文化敏感性并适合不同的人群。
{"title":"Levels and Predictors of Suicide Literacy and Suicide Stigma in Spanish-Speaking Individuals.","authors":"Maitena Pierantonelli, Adriana Mira, Ángel Zamora, Lorena Desdentado, Rebeca Diego-Pedro, Edgar González-Hernández, Juana Bretón-López, Azucena García-Palacios, Rosa M Baños","doi":"10.1002/brb3.70125","DOIUrl":"10.1002/brb3.70125","url":null,"abstract":"<p><strong>Background: </strong>One of the obstacles to seeking help for suicide is its social stigma. The literature suggests that suicide knowledge could impact this stigma. The present study aims to examine levels and predictors of suicide stigma and suicide literacy among Spanish-speaking individuals from Spain and Latin America.</p><p><strong>Method: </strong>A total of 678 adults completed an online survey conducted from December 2021 to May 2022. The survey assessed sociodemographic and clinical variables, including the Literacy of Suicide Scale (LOSS-SF) and Stigma of Suicide Scale (SOSS-SF).</p><p><strong>Results: </strong>Results showed the presence of stigmatization and a moderate level of suicide literacy. Latin Americans presented significantly more stigmatizing attitudes and lower levels of suicide literacy than Spaniards. Older age and stronger religious/spiritual beliefs were correlated with lower suicide literacy. Suicide stigma was regressed on lower suicide literacy, gender (men), stronger religious/spiritual beliefs, and lacking knowledge about how to find help. Furthermore, the region was significantly associated with the suicide glorification subscale, reporting Latin Americans' greater glorification.</p><p><strong>Conclusions: </strong>By examining these factors, we aim to foster a deeper understanding of the attitudes and beliefs toward suicide. This understanding is crucial, as it may inform the development of effective interventions and prevention strategies that are culturally sensitive and tailored to diverse populations.</p>","PeriodicalId":9081,"journal":{"name":"Brain and Behavior","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538120/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of Upper Robot-Assisted Training on Upper Limb Motor, Daily Life Activities, and Muscular Tone in Patients With Stroke: A Systematic Review and Meta-Analysis 上肢机器人辅助训练对脑卒中患者上肢运动、日常生活活动和肌肉张力的影响:系统回顾与元分析》。
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-10-31 DOI: 10.1002/brb3.70117
Tingting Su, Mengting Wang, Zhouyang Chen, Liang Feng

Background

Upper limb rehabilitation robot is a relatively new technology, but its effectiveness remains debatable due to the inconsistent results of clinical trials. This article intends to assess how upper limb rehabilitation robots help the functional recovery of stroke patients.

Methods

PubMed, Embase, Cochrane Library, and Web of Science databases were searched for eligible studies to explore the effect of upper limb rehabilitation robots on upper limb motor function, muscle tone, and daily living activities.

Results

Eighteen trials with 573 stroke patients met the inclusion criteria. The results showed that compared to conventional rehabilitation training, patients who received upper limb robotic therapy (RT) had significantly improved Fugl-Meyer Upper Extremity Motor Assessment (FMA-UE) scores (weighted mean differences [WMD]: 5.27, 95% confidence intervals [CI]: 3.36, 7.17), Action Research Arm Test (ARAT) scores (WMD: 4.07, 95% CI: −4.14, 12.28), Modified Barthel Index (MBI) scores (WMD: 9.55, 95% CI: 6.37, 12.73), and modified Ashworth Scale (MAS) scores (WMD: −0.28, 95% CI: −0.50, 0.06), with no significant heterogeneity.

Conclusions

Upper limb robot–assisted training is superior to conventional training in terms of improving upper limb motor impairment, ability to perform daily living activities, and muscle tone recovery, which supports the application of robots in clinical practice.

背景:上肢康复机器人是一项相对较新的技术,但由于临床试验结果不一致,其有效性仍有待商榷。本文旨在评估上肢康复机器人如何帮助中风患者的功能恢复:方法:在PubMed、Embase、Cochrane Library和Web of Science数据库中检索符合条件的研究,探讨上肢康复机器人对上肢运动功能、肌张力和日常生活活动的影响:结果:18 项试验的 573 名中风患者符合纳入标准。结果表明,与传统康复训练相比,接受上肢机器人治疗(RT)的患者Fugl-Meyer上肢运动评估(FMA-UE)评分有明显改善(加权平均差[WMD]:5.27,95%置信区间:0.05):5.27,95% 置信区间 [CI]:结论:上肢机器人辅助治疗对上肢运动评估(FMA-UE)得分(加权平均差 [WMD]:5.27,95% 置信区间 [CI]:3.36,7.17)、行动研究臂测试(ARAT)得分(WMD:4.07,95% CI:-4.14,12.28)、改良巴特尔指数(MBI)得分(WMD:9.55,95% CI:6.37,12.73)和改良阿什沃斯量表(MAS)得分(WMD:-0.28,95% CI:-0.50,0.06)均无显著异质性:在改善上肢运动障碍、日常生活活动能力和肌张力恢复方面,上肢机器人辅助训练优于传统训练,这为机器人在临床实践中的应用提供了支持。
{"title":"Effect of Upper Robot-Assisted Training on Upper Limb Motor, Daily Life Activities, and Muscular Tone in Patients With Stroke: A Systematic Review and Meta-Analysis","authors":"Tingting Su,&nbsp;Mengting Wang,&nbsp;Zhouyang Chen,&nbsp;Liang Feng","doi":"10.1002/brb3.70117","DOIUrl":"10.1002/brb3.70117","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Upper limb rehabilitation robot is a relatively new technology, but its effectiveness remains debatable due to the inconsistent results of clinical trials. This article intends to assess how upper limb rehabilitation robots help the functional recovery of stroke patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>PubMed, Embase, Cochrane Library, and Web of Science databases were searched for eligible studies to explore the effect of upper limb rehabilitation robots on upper limb motor function, muscle tone, and daily living activities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eighteen trials with 573 stroke patients met the inclusion criteria. The results showed that compared to conventional rehabilitation training, patients who received upper limb robotic therapy (RT) had significantly improved Fugl-Meyer Upper Extremity Motor Assessment (FMA-UE) scores (weighted mean differences [WMD]: 5.27, 95% confidence intervals [CI]: 3.36, 7.17), Action Research Arm Test (ARAT) scores (WMD: 4.07, 95% CI: −4.14, 12.28), Modified Barthel Index (MBI) scores (WMD: 9.55, 95% CI: 6.37, 12.73), and modified Ashworth Scale (MAS) scores (WMD: −0.28, 95% CI: −0.50, 0.06), with no significant heterogeneity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Upper limb robot–assisted training is superior to conventional training in terms of improving upper limb motor impairment, ability to perform daily living activities, and muscle tone recovery, which supports the application of robots in clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":9081,"journal":{"name":"Brain and Behavior","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brb3.70117","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Progress on the Mechanisms and Neuroprotective Benefits of Dexmedetomidine in Brain Diseases 右美托咪定治疗脑部疾病的机制和神经保护作用的研究进展。
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-10-31 DOI: 10.1002/brb3.70116
Zhenxing Tao, Pengpeng Li, Xudong Zhao

Introduction

Dexmedetomidine, a highly specific α2 agonist, has been extensively utilized in clinical sedation and surgical anesthesia since its introduction in 2000 due to its excellent sympatholytic, sedative, and analgesic effects. This review aimed to identify new approaches for the treatment of patients with brain disorders by thoroughly describing the mechanism of action of dexmedetomidine and examining its neuroprotective effects from the standpoints of basic and clinical research.

Methods

The PubMed and Web of Science databases were searched using the keywords dexmedetomidine and related brain diseases, although relevant articles from the last decade were included for detailed summarization and analysis.

Results

Dexmedetomidine has shown strong neuroprotective effects, such as protection of the blood-brain barrier, decreased neuronal death, maintained hemodynamic stability, and reduced postoperative agitation and cognitive dysfunction. Furthermore, dexmedetomidine has been shown to exert various neuroprotective effects, including anti-inflammatory and antioxidative stress effects, modulation of autophagy, and reduction of apoptosis in cerebral diseases.

Conclusions

Dexmedetomidine acts as a neuroprotective agent against brain diseases during all phases of treatment. However, clinical trials with larger sample sizes are required to optimize dosage and dosing strategies.

简介右美托咪定是一种高度特异性的α2激动剂,自2000年问世以来,因其卓越的交感溶解、镇静和镇痛作用,已被广泛应用于临床镇静和手术麻醉。本综述旨在通过全面描述右美托咪定的作用机制,并从基础研究和临床研究的角度探讨其神经保护作用,从而找出治疗脑部疾病患者的新方法:方法:以右美托咪定和相关脑部疾病为关键词在PubMed和Web of Science数据库中进行检索,同时纳入近十年来的相关文章进行详细总结和分析:右美托咪定具有很强的神经保护作用,如保护血脑屏障、减少神经元死亡、维持血流动力学稳定、减少术后躁动和认知功能障碍。此外,右美托咪定还具有多种神经保护作用,包括抗炎和抗氧化应激作用、调节自噬和减少脑部疾病的细胞凋亡:结论:右美托咪定是一种神经保护剂,可在治疗的各个阶段预防脑部疾病。结论:右美托咪定在治疗的各个阶段都能发挥神经保护剂的作用,预防脑部疾病。然而,要优化剂量和用药策略,还需要进行样本量更大的临床试验。
{"title":"Progress on the Mechanisms and Neuroprotective Benefits of Dexmedetomidine in Brain Diseases","authors":"Zhenxing Tao,&nbsp;Pengpeng Li,&nbsp;Xudong Zhao","doi":"10.1002/brb3.70116","DOIUrl":"10.1002/brb3.70116","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Dexmedetomidine, a highly specific α2 agonist, has been extensively utilized in clinical sedation and surgical anesthesia since its introduction in 2000 due to its excellent sympatholytic, sedative, and analgesic effects. This review aimed to identify new approaches for the treatment of patients with brain disorders by thoroughly describing the mechanism of action of dexmedetomidine and examining its neuroprotective effects from the standpoints of basic and clinical research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The PubMed and Web of Science databases were searched using the keywords dexmedetomidine and related brain diseases, although relevant articles from the last decade were included for detailed summarization and analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Dexmedetomidine has shown strong neuroprotective effects, such as protection of the blood-brain barrier, decreased neuronal death, maintained hemodynamic stability, and reduced postoperative agitation and cognitive dysfunction. Furthermore, dexmedetomidine has been shown to exert various neuroprotective effects, including anti-inflammatory and antioxidative stress effects, modulation of autophagy, and reduction of apoptosis in cerebral diseases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Dexmedetomidine acts as a neuroprotective agent against brain diseases during all phases of treatment. However, clinical trials with larger sample sizes are required to optimize dosage and dosing strategies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":9081,"journal":{"name":"Brain and Behavior","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brb3.70116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correlation Between Regulation of Intestinal Flora by Danggui-Shaoyao-San and Improvement of Cognitive Impairment in Mice With Alzheimer's Disease 当归芍药散调节肠道菌群与改善阿尔茨海默病小鼠认知障碍的相关性
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-10-31 DOI: 10.1002/brb3.70110
Ya-Han Wang, Peng-Li Ding, Kai-Xin Zhang, Xiang-Qing Xu, He Li

Purpose

The abnormal central glucose metabolism in Alzheimer's disease (AD) is related to the brain–gut axis. This study aims to explore the target of Danggui-Shaoyao-San (DSS) in improving cognitive impairment.

Method

This study analyzed the differences in mice intestinal flora by 16S rRNA sequencing. The cognitive protective effects of DSS were observed through the Morris water maze and the new object recognition. The mitigation effects of DSS on Aβ and p-tau, regulatory effects on glucose metabolism targets, and intestinal structure effects were observed through brain and colon slices staining. The differences in neural ultrastructure were compared by transmission electron microscopy.

Finding

The results showed that DSS affected the composition of intestinal dominant bacteria and bacteria genera and regulated the abundance of intestinal bacteria in AD mice. DSS improved the behavior of AD mice, alleviated the deposition of AD pathological products in the brain and colon, regulated the expression of glycometabolism-related proteins, and improved the colon barrier structure and neural ultrastructure in the brain of mice with AD.

Conclusion

Our findings suggest that DSS may affect AD central glucose metabolism and improve cognition by regulating the gut–brain axis.

目的:阿尔茨海默病(AD)的中枢糖代谢异常与脑肠轴有关。本研究旨在探讨当归芍药散(DSS)在改善认知障碍方面的作用靶点:方法:本研究通过 16S rRNA 测序分析了小鼠肠道菌群的差异。方法:本研究通过 16S rRNA 测序分析了小鼠肠道菌群的差异。通过脑片和结肠片染色观察了DSS对Aβ和p-tau的缓解作用、对葡萄糖代谢靶点的调节作用以及对肠道结构的影响。通过透射电子显微镜比较了神经超微结构的差异:结果表明,DSS影响了AD小鼠肠道优势菌和菌属的组成,并调节了肠道细菌的丰度。结果表明,DSS影响了AD小鼠肠道优势菌和菌属的组成,调节了肠道细菌的丰度,改善了AD小鼠的行为,减轻了AD病理产物在大脑和结肠中的沉积,调节了糖代谢相关蛋白的表达,改善了AD小鼠结肠屏障结构和大脑神经超微结构:我们的研究结果表明,DSS可通过调节肠脑轴影响AD中枢糖代谢并改善认知能力。
{"title":"Correlation Between Regulation of Intestinal Flora by Danggui-Shaoyao-San and Improvement of Cognitive Impairment in Mice With Alzheimer's Disease","authors":"Ya-Han Wang,&nbsp;Peng-Li Ding,&nbsp;Kai-Xin Zhang,&nbsp;Xiang-Qing Xu,&nbsp;He Li","doi":"10.1002/brb3.70110","DOIUrl":"10.1002/brb3.70110","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The abnormal central glucose metabolism in Alzheimer's disease (AD) is related to the brain–gut axis. This study aims to explore the target of Danggui-Shaoyao-San (DSS) in improving cognitive impairment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This study analyzed the differences in mice intestinal flora by 16S rRNA sequencing. The cognitive protective effects of DSS were observed through the Morris water maze and the new object recognition. The mitigation effects of DSS on Aβ and p-tau, regulatory effects on glucose metabolism targets, and intestinal structure effects were observed through brain and colon slices staining. The differences in neural ultrastructure were compared by transmission electron microscopy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Finding</h3>\u0000 \u0000 <p>The results showed that DSS affected the composition of intestinal dominant bacteria and bacteria genera and regulated the abundance of intestinal bacteria in AD mice. DSS improved the behavior of AD mice, alleviated the deposition of AD pathological products in the brain and colon, regulated the expression of glycometabolism-related proteins, and improved the colon barrier structure and neural ultrastructure in the brain of mice with AD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings suggest that DSS may affect AD central glucose metabolism and improve cognition by regulating the gut–brain axis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":9081,"journal":{"name":"Brain and Behavior","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brb3.70110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Hearing Aids in Improving Dual-Task Gait Performance in Older Adults With Presbycusis: A Cognitive and Motor Analysis 助听器在改善患有老花眼的老年人双任务步态表现中的作用:认知与运动分析
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-10-31 DOI: 10.1002/brb3.70114
Emre Soylemez, Tugce Gurel Soylemez, Aydin Sinan Apaydin, Zuhal Koc Apaydin, Murat Yasar

Background

Cognitive decline is a common challenge faced by older individuals with presbycusis; their performance on dual-task (DT) activities is generally lower compared to those without hearing loss. However, the influence of hearing aids on nonauditory cognitive decline in this population remains unclear. This study aims to investigate the effect of hearing aids on nonauditory DT performance in older adults with presbycusis.

Material and Methods

This study included older people with presbycusis who used hearing aids (P&HA group), those with presbycusis who did not use hearing aids (PoHA group), and a control group of healthy adults. Forward and backward digit span tests and timed up and go test (TUG) were administered to all individuals. TUG and motor and cognitive (forward and backward digit span) tasks were applied simultaneously to evaluate the participants' DT performance.

Results

The study comprised 60 individuals with presbycusis (19 females, 41 males; mean age: 73.23 ± 6.49 years) and 30 healthy adults (15 females, 15 males; mean age: 35.93 ± 8.57 years). Healthy adults performed better than the P&HA and PoHA groups in all the administered tests (p < 0.05). There was a moderate negative relationship between the severity of hearing loss and the forward and backward digit span test performances (p < 0.05). The P&HA group performed better than the PoHA group on the DT cognitive forward and backward digit span tests.

Conclusion

The use of hearing aids and their proper fitting are important not only for improving communication skills and reducing listening effort but also for supporting nonauditory cognitive functions, minimizing the risk of falls during DT activities, and enhancing the overall quality of life.

背景:认知能力下降是患有老花眼的老年人面临的共同挑战;与没有听力损失的老年人相比,他们在双任务(DT)活动中的表现普遍较低。然而,助听器对这一人群非听觉认知能力下降的影响仍不清楚。本研究旨在调查助听器对患有老花眼的老年人非听觉DT表现的影响:研究对象包括使用助听器的老花眼患者(P&HA 组)、未使用助听器的老花眼患者(PoHA 组)以及健康成人对照组。所有受试者均接受了向前和向后数字跨度测试以及定时起立行走测试(TUG)。TUG 与运动和认知(前向和后向数字跨度)任务同时进行,以评估参与者的 DT 表现:研究对象包括 60 名老花眼患者(19 名女性,41 名男性;平均年龄:73.23 ± 6.49 岁)和 30 名健康成人(15 名女性,15 名男性;平均年龄:35.93 ± 8.57 岁)。在所有测试中,健康成人的表现均优于 P&HA 组和 PoHA 组(p 结论:在所有测试中,健康成人的表现均优于 P&HA 组和 PoHA 组):使用助听器和正确验配助听器不仅对提高沟通技能和减少听力负担很重要,而且对支持非听觉认知功能、最大限度地降低在 DT 活动中跌倒的风险以及提高整体生活质量也很重要。
{"title":"The Role of Hearing Aids in Improving Dual-Task Gait Performance in Older Adults With Presbycusis: A Cognitive and Motor Analysis","authors":"Emre Soylemez,&nbsp;Tugce Gurel Soylemez,&nbsp;Aydin Sinan Apaydin,&nbsp;Zuhal Koc Apaydin,&nbsp;Murat Yasar","doi":"10.1002/brb3.70114","DOIUrl":"10.1002/brb3.70114","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Cognitive decline is a common challenge faced by older individuals with presbycusis; their performance on dual-task (DT) activities is generally lower compared to those without hearing loss. However, the influence of hearing aids on nonauditory cognitive decline in this population remains unclear. This study aims to investigate the effect of hearing aids on nonauditory DT performance in older adults with presbycusis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Material and Methods</h3>\u0000 \u0000 <p>This study included older people with presbycusis who used hearing aids (P&amp;HA group), those with presbycusis who did not use hearing aids (PoHA group), and a control group of healthy adults. Forward and backward digit span tests and timed up and go test (TUG) were administered to all individuals. TUG and motor and cognitive (forward and backward digit span) tasks were applied simultaneously to evaluate the participants' DT performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study comprised 60 individuals with presbycusis (19 females, 41 males; mean age: 73.23 ± 6.49 years) and 30 healthy adults (15 females, 15 males; mean age: 35.93 ± 8.57 years). Healthy adults performed better than the P&amp;HA and PoHA groups in all the administered tests (<i>p</i> &lt; 0.05). There was a moderate negative relationship between the severity of hearing loss and the forward and backward digit span test performances (<i>p</i> &lt; 0.05). The P&amp;HA group performed better than the PoHA group on the DT cognitive forward and backward digit span tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The use of hearing aids and their proper fitting are important not only for improving communication skills and reducing listening effort but also for supporting nonauditory cognitive functions, minimizing the risk of falls during DT activities, and enhancing the overall quality of life.</p>\u0000 </section>\u0000 </div>","PeriodicalId":9081,"journal":{"name":"Brain and Behavior","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brb3.70114","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investigating Sensitivity to Auditory Cognition in Listening Effort Assessments: A Simultaneous EEG and Pupillometry Study 调查听力努力评估中的听觉认知敏感性:同步脑电图和瞳孔测量研究。
IF 2.6 3区 心理学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-10-31 DOI: 10.1002/brb3.70135
Samet Kılıç, Eser Sendesen, Filiz Aslan, Nurhan Erbil, Özgür Aydın, Didem Türkyılmaz

Background

It is still not fully explained what kind of cognitive sources the methods used in the assessment of listening effort are more sensitive to and how these measurement results are related to each other. The aim of the study is to ascertain which neural resources crucial for listening effort are most sensitive to objective measurement methods using differently degraded speech stimuli.

Methods

A total of 49 individuals between the ages of 19 and 34 with normal hearing participated in the study. In the first stage, simultaneous pupillometry, electroencephalogram (EEG), and single-task paradigm reaction time (RT) measurements were made during the challenging listening and repetition task with noise-vocoded speech. Two speech reception thresholds (SRT) (50% and 80%) for two vocoding conditions (16 and 6 channels) were collected, resulting in 4 conditions. In the second stage, the Rey Auditory Verbal Learning Test (RAVLT) and the test of attention in listening (TAIL) were applied. Stepwise linear regression analyses were conducted to examine the predictors of listening effort measurements.

Results

A significant difference was found between 6 and 16 channel stimuli in both pupil dilation change and EEG alpha band power change. In the hardest listening condition, whereas RAVLT scores are significant predictors of pupil dilation change, TAIL scores are significant predictors of EEG alpha power. As the stimulus difficulty decreased, the factors that predicted both EEG and pupillometry results decreased. In the single-task paradigm, a significant regression model could not be obtained at all four difficulty levels.

Conclusion

As a result of the study, it was found that the pupil dilation change was more sensitive to auditory memory skills and the EEG alpha power change was more sensitive to auditory attention skills. To our knowledge, this study is the first to investigate the sensitivity of different listening effort measurement methods to auditory cognitive skills.

背景:听力评估方法对哪种认知源更为敏感,以及这些测量结果之间的关系如何,至今仍未得到充分说明。本研究旨在利用不同的降级语音刺激,确定哪些对听力至关重要的神经资源对客观测量方法最为敏感:共有 49 名听力正常、年龄介于 19 岁至 34 岁之间的人参加了研究。方法:共有 49 名听力正常、年龄在 19 到 34 岁之间的人参加了这项研究。第一阶段,在进行具有挑战性的听力和重复任务时,同时进行瞳孔测量、脑电图(EEG)和单任务范式反应时间(RT)测量,并使用噪声编码语音。收集了两种语音编码条件(16 和 6 个通道)下的两种语音接收阈值(SRT)(50% 和 80%),从而得出 4 种条件。第二阶段采用雷伊听觉言语学习测试(RAVLT)和听力注意力测试(TAIL)。对听力测量结果的预测因素进行了逐步线性回归分析:结果:在瞳孔放大变化和脑电图阿尔法波段功率变化方面,6 通道和 16 通道刺激之间存在明显差异。在最难听力条件下,RAVLT 分数是瞳孔放大变化的重要预测因素,而 TAIL 分数则是脑电图阿尔法功率的重要预测因素。随着刺激难度的降低,预测脑电图和瞳孔测量结果的因素也随之减少。在单一任务范式中,所有四个难度水平都无法获得显著的回归模型:研究结果表明,瞳孔放大变化对听觉记忆技能更为敏感,而脑电图α功率变化对听觉注意力技能更为敏感。据我们所知,这项研究是首次调查不同听力测量方法对听觉认知技能的敏感性。
{"title":"Investigating Sensitivity to Auditory Cognition in Listening Effort Assessments: A Simultaneous EEG and Pupillometry Study","authors":"Samet Kılıç,&nbsp;Eser Sendesen,&nbsp;Filiz Aslan,&nbsp;Nurhan Erbil,&nbsp;Özgür Aydın,&nbsp;Didem Türkyılmaz","doi":"10.1002/brb3.70135","DOIUrl":"10.1002/brb3.70135","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>It is still not fully explained what kind of cognitive sources the methods used in the assessment of listening effort are more sensitive to and how these measurement results are related to each other. The aim of the study is to ascertain which neural resources crucial for listening effort are most sensitive to objective measurement methods using differently degraded speech stimuli.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 49 individuals between the ages of 19 and 34 with normal hearing participated in the study. In the first stage, simultaneous pupillometry, electroencephalogram (EEG), and single-task paradigm reaction time (RT) measurements were made during the challenging listening and repetition task with noise-vocoded speech. Two speech reception thresholds (SRT) (50% and 80%) for two vocoding conditions (16 and 6 channels) were collected, resulting in 4 conditions. In the second stage, the Rey Auditory Verbal Learning Test (RAVLT) and the test of attention in listening (TAIL) were applied. Stepwise linear regression analyses were conducted to examine the predictors of listening effort measurements.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A significant difference was found between 6 and 16 channel stimuli in both pupil dilation change and EEG alpha band power change. In the hardest listening condition, whereas RAVLT scores are significant predictors of pupil dilation change, TAIL scores are significant predictors of EEG alpha power. As the stimulus difficulty decreased, the factors that predicted both EEG and pupillometry results decreased. In the single-task paradigm, a significant regression model could not be obtained at all four difficulty levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>As a result of the study, it was found that the pupil dilation change was more sensitive to auditory memory skills and the EEG alpha power change was more sensitive to auditory attention skills. To our knowledge, this study is the first to investigate the sensitivity of different listening effort measurement methods to auditory cognitive skills.</p>\u0000 </section>\u0000 </div>","PeriodicalId":9081,"journal":{"name":"Brain and Behavior","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brb3.70135","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142557105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Brain and Behavior
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1