Neuropsychobiology
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Despite the progress in the pharmacotherapy of depression, there is a substantial proportion of treatment-resistant patients. Recently, reversible invasive stimulation methods, i.e. vagus nerve stimulation (VNS) and deep brain stimulation (DBS), have been introduced into the management of treatment-resistant depression (TRD). VNS has already received regulatory approval for TRD. ⋯ The clinical data on the use of VNS and DBS in TRD are encouraging. The major contribution of the methods is a novel approach that allows for precise targeting of the specific brain areas, nuclei and circuits implicated in the etiopathogenesis of neuropsychiatric disorders. For clinical practice, it is necessary to identify patients who may best benefit from VNS or DBS.
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Randomized Controlled Trial
Efficacy, safety and dose-response of pramipexole in Japanese patients with primary restless legs syndrome: randomized trial.
To assess the safety and efficacy of pramipexole in Japanese patients with restless legs syndrome (RLS) and to investigate factors predictive of early treatment response. ⋯ Pramipexole at 0.25-0.75 mg/day is efficacious, safe and well tolerated in Japanese patients with primary RLS.
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Cognitive decline in the elderly is an early predictor of dementia. The apolipoprotein E (APOE) ε4 allele is considered an important genetic determinant of Alzheimer's disease (AD), and strongly suspected to play a role in cognitive variation. However, its effects upon predicting the progression of cognitive decline more generally remain unclear. Our aim was to explore the role of APOE ε4 in longitudinal cognitive decline, considering sociodemographics, vascular disease, and lipid profile. ⋯ APOE ε4 offered information on the risk of cognitive decline in this longitudinal study, and may exert detectable effects early in a long prodromal AD trajectory.
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In this study, electrophysiological correlates of belief-laden reasoning were investigated. As subjects, trained participants were required to draw a logical conclusion after being exposed to 4 conditional arguments: the inhibitory content of modus tollens (ICMT), facilitatory content of modus tollens (FCMT), inhibitory content of denial of the antecedent (ICDA) and facilitatory content of denial of the antecedent (FCDA). Event-related potentials were employed to record the processing of minor premises. ⋯ A greater anterior cingulate cortex activity observed in the 800- to 1,600-ms time window in ICMT could reflect a detection of the conflict between empirical beliefs and logical rules. However, the components elicited by ICDA and FCDA were not significantly different. The results indicate that logical training influenced MT and DA forms of belief-laden reasoning in different ways and different strategies were likely adopted in the inference processes.