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Zina Trost - One of the best experts on this subject based on the ideXlab platform.

  • effects of acute pain and pain related fear on risky decision making and effort during Cognitive Tests
    Journal of Clinical and Experimental Neuropsychology, 2019
    Co-Authors: Wesley R Barnhart, Melissa T Buelow, Zina Trost
    Abstract:

    Introduction: The experience of acute pain and pain-related fear negatively impact cognition and behavior; however, little research has examined their impacts on risky decision-making and effort. The present study investigated the effects of acute pain and pain-related fear on risky decision-making and effort during Cognitive Tests. Method: Levels of pain-related fear were assessed. Healthy participants (n = 146) experienced acute pain induced via cold pressor task, and then were randomly assigned to one of the four conditions to induce pain-related fear: Pain Threat (n = 36), Pain Threat with Control (n = 39), Cognitive Threat with Control (n = 34), and Control (n = 36). Participants then completed measures of effort (Word Memory Test [WMT], self-reported effort) and risky decision-making (Iowa Gambling Task [IGT], Balloon Analogue Risk Task [BART]). Results: Collapsed across condition, participants did not learn to decide advantageously on the IGT following an acute pain experience. During the early trials (1-40) on the IGT, participants in the Pain Threat condition made riskier decisions. Higher levels of pain during the cold pressor task predicted less risky decisions on the BART, and participants in the Cognitive Threat with Control condition made less risky decisions. Participants in the Pain Threat with Control condition self-reported lower effort on Cognitive Tests, yet no group-based differences were seen in WMT performance. Greater pain-related fear predicted greater self-reported effort and better WMT performance, but no effects were seen on decision-making task performance. Conclusions: The experience of pain and the threat of additional pain can lead to changes in risky decision-making and effort on Cognitive tasks. This threat of additional pain could activate underlying pain-related fear, creating hypervigilance to and avoidance of pain that affects subsequent task performance. Implications for research and clinical evaluation of acute pain and pain-related fear are discussed.

  • effects of acute pain and pain related fear on risky decision making and effort during Cognitive Tests
    Journal of Clinical and Experimental Neuropsychology, 2019
    Co-Authors: Wesley R Barnhart, Melissa T Buelow, Zina Trost
    Abstract:

    Introduction: The experience of acute pain and pain-related fear negatively impact cognition and behavior; however, little research has examined their impacts on risky decision-making and effort. T...

Shlomo Noy - One of the best experts on this subject based on the ideXlab platform.

  • clock drawing task mini mental state examination and Cognitive functional independence measure relation to functional outcome of stroke patients
    Archives of Gerontology and Geriatrics, 2002
    Co-Authors: Abraham Adunsky, Y. Fleissig, Shalom Levenkrohn, Marina Arad, Shlomo Noy
    Abstract:

    The use of reliable and valid brief Cognitive screening instrument for selecting the appropriate candidates for stroke rehabilitation is crucial. Clinicians often face the question which test should be preferred, that will best correlate with functional outcome. The objective of this study was to compare the clock drawing task with other Cognitive Tests used for the evaluation of discharge functional outcome in elderly stroke patients. We conducted a retrospective chart study including 151 consecutive patients, admitted for inpatient comprehensive rehabilitation following acute stroke. The clock drawing task (CDT), mini-mental state examination (MMSE) and the Cognitive-functional independence measure (cognFIM) were used to assess the Cognitive status. Functional status outcome was evaluated by the functional independence measure (FIM), using absolute and relative parameters of efficacy and efficiency. Correlation coefficients (Pearson correlation) between the three Cognitive Tests resulted in r-values ranging from 0.51 to 0.59 (P<0.001). All three Tests correlated significantly with motor outcomes. MMSE did not confer additive value to CDT. It is concluded that CDT is similar to mini-mental and both are somewhat better than cognFIM with respect to the evaluation of functional status outcome following stroke. The correlations between the Tests as well as the simplicity of administration favor the use of either CDT or MMSE in the initial assessment of elderly stroke patients.

  • a comparative study of mini mental test clock drawing task and Cognitive fim in evaluating functional outcome of elderly hip fracture patients
    Clinical Rehabilitation, 2002
    Co-Authors: Abraham Adunsky, Y. Fleissig, Shalom Levenkrohn, Marina Arad, Shlomo Noy
    Abstract:

    Objective: To compare the clock drawing task with other Cognitive Tests used for the prediction of discharge functional outcome, in elderly hip fracture patients.Design: Cohort study. Setting: A department of geriatric-orthopaedic rehabilitation of a tertiary hospital.Patients: One hundred and forty-three consecutive patients undergoing inpatient comprehensive rehabilitation following hip fracture. Measurements: Cognitive status was assessed by the Clock Drawing Task, Mini-Mental State Examination (MMSE) and the Cognitive-FIM (cognFIM). Functional status outcome was evaluated by the Functional Independence Measure (FIM), using absolute and relative parameters of ef”cacy and ef”ciency.Results: Correlation coef”cients (Pearson correlation) between the three Cognitive Tests resulted in values ranging from 0.607 to 0.732 (p < 0.001). Similar correlation coef”cients were observed for all Cognitive Tests when correlated with relative ef”cacy and ef”ciency outcome parameters (p < 0.001), but not with absolute ou...

Rose Anne Kenny - One of the best experts on this subject based on the ideXlab platform.

  • association between timed up and go and memory executive function and processing speed
    Journal of the American Geriatrics Society, 2012
    Co-Authors: Orna A Donoghue, Frances N Horgan, George M Savva, Hilary Cronin, Claire Oregan, Rose Anne Kenny
    Abstract:

    Objectives: To determine which Cognitive Tests are independently associated with performance on the Timed Up-and-Go Test (TUG). Design: Data were obtained from Wave 1 of The Irish Longitudinal Study on Ageing (TILDA), a population-based study assessing health, economic, and social aspects of aging. Setting: Community-dwelling adults completed a home based interview and a health center�based assessment. Participants: TILDA participants aged 50 and older with a Mini-Mental State Examination (MMSE) score of 10 or greater (N = 4,998). Measurements: Participants completed a battery of Cognitive assessments including the Montreal Cognitive Assessment (MoCA), Color Trails Test, word and letter fluency, choice reaction time, sustained attention, prospective memory, word recall, and picture memory. Linear regression was used to determine univariate and multivariate associations between TUG and each Cognitive test. Results: Slower TUG time was associated with poorer performance on all Cognitive Tests in univariate analysis (P < .05). In multivariate analysis, poorer performance on the MoCA, letter fluency, Color Trail 1, Cognitive reaction time, mean sustained attention response time, and prospective memory were independently associated with slower TUG time (P < .05). Conclusion: Slower TUG time is independently associated with poorer performance on global cognition, executive function, and memory Tests and slower processing speed. This highlights that TUG is more than just a simple mobility task and suggests that a comprehensive Cognitive assessment is important for individuals with mobility difficulties.

  • association between timed up and go and memory executive function and processing speed
    Journal of the American Geriatrics Society, 2012
    Co-Authors: Orna Donoghue, Frances N Horgan, George M Savva, Hilary Cronin, Claire Oregan, Rose Anne Kenny
    Abstract:

    To determine which Cognitive Tests are independently associated with performance on the Timed Up-and-Go Test (TUG).

Timothy J Bussey - One of the best experts on this subject based on the ideXlab platform.

Wesley R Barnhart - One of the best experts on this subject based on the ideXlab platform.

  • effects of acute pain and pain related fear on risky decision making and effort during Cognitive Tests
    Journal of Clinical and Experimental Neuropsychology, 2019
    Co-Authors: Wesley R Barnhart, Melissa T Buelow, Zina Trost
    Abstract:

    Introduction: The experience of acute pain and pain-related fear negatively impact cognition and behavior; however, little research has examined their impacts on risky decision-making and effort. The present study investigated the effects of acute pain and pain-related fear on risky decision-making and effort during Cognitive Tests. Method: Levels of pain-related fear were assessed. Healthy participants (n = 146) experienced acute pain induced via cold pressor task, and then were randomly assigned to one of the four conditions to induce pain-related fear: Pain Threat (n = 36), Pain Threat with Control (n = 39), Cognitive Threat with Control (n = 34), and Control (n = 36). Participants then completed measures of effort (Word Memory Test [WMT], self-reported effort) and risky decision-making (Iowa Gambling Task [IGT], Balloon Analogue Risk Task [BART]). Results: Collapsed across condition, participants did not learn to decide advantageously on the IGT following an acute pain experience. During the early trials (1-40) on the IGT, participants in the Pain Threat condition made riskier decisions. Higher levels of pain during the cold pressor task predicted less risky decisions on the BART, and participants in the Cognitive Threat with Control condition made less risky decisions. Participants in the Pain Threat with Control condition self-reported lower effort on Cognitive Tests, yet no group-based differences were seen in WMT performance. Greater pain-related fear predicted greater self-reported effort and better WMT performance, but no effects were seen on decision-making task performance. Conclusions: The experience of pain and the threat of additional pain can lead to changes in risky decision-making and effort on Cognitive tasks. This threat of additional pain could activate underlying pain-related fear, creating hypervigilance to and avoidance of pain that affects subsequent task performance. Implications for research and clinical evaluation of acute pain and pain-related fear are discussed.

  • effects of acute pain and pain related fear on risky decision making and effort during Cognitive Tests
    Journal of Clinical and Experimental Neuropsychology, 2019
    Co-Authors: Wesley R Barnhart, Melissa T Buelow, Zina Trost
    Abstract:

    Introduction: The experience of acute pain and pain-related fear negatively impact cognition and behavior; however, little research has examined their impacts on risky decision-making and effort. T...