1.A systematic review of cognitive intervention studies of mindfulness training in older adults
Yiting WEI ; Shaoxia FAN ; Qing GUAN ; Jieting ZHANG ; Wenyi LIN ; Yuejia LUO ; Haobo ZHANG
Chinese Mental Health Journal 2024;38(6):500-509
Mindfulness training has shown beneficial effects on cognitive functions in older adults.Howev-er,the studies on this topic have used different methods and populations,and their results were inconsistent.No sys-tematic review has synthesized and evaluated these findings.This review aims to address this gap by categorizing the studies based on the training methods and cohorts of older adults,and summarizing the effects of mindfulness training on cognitive function.The review finds that mindfulness training had different effects depending on the lev-el of cognitive decline and the training method.Both standardized and unstandardized training methods improved cognitive performance in older adults with normal or subjective cognitive decline.However,the effect of mindful-ness training diminished as cognitive decline worsened,being inconsistent in mild cognitive impairment and non-sig-nificant in dementia.The review also discusses the possible mechanisms and suggested directions for future re-search.
2.Clinical efficacy of tip-flexible ureterorenoscope with holmium laser for one-stage management of parapelvic cyst
Guosheng YANG ; Decao NIU ; Tao ZHANG ; Bingwei WANG ; Ruilun ZHONG ; Baichuan LIU ; Gaoyuan LI ; Bote CHEN ; Tingsen JIANG ; Xiaofu QIU ; Huanhui LI ; Yuejia LIU ; Youhua LUO
Chinese Journal of Urology 2019;40(8):574-577
Objective To evaluate the efficacy and safety of tip-flexible ureterorenoscope (tf-URS) with holmium laser for one-stage management of parapelvic cyst.Methods The clinical data of 26 patients treated with tf-URS incision and drainage using holmium laser from February 2016 to August 2018 were reviewed.The study were including 15 male and 11 female patients,ranging from 32 to 68 years old,with an average of 53.5 years old.There were 24 cases of unilateral single renal parapelvic cyst and 2 cases of bilateral single renal parapelvic cyst.There were 4 cases in 26 cases with unilateral single renal parapelvic cyst and contralateral single renal cyst,2 cases with unilateral single renal parapelvic cyst and ipsilateral kidney of stones.The diameter of parapelvic cyst was 3.4-5.6 cm,average 4.8 cm.All patients had undergone holmium laser endo-decortication of parapelvic cyst by tf-URS.With general anesthesia,tf-URS accessed pelvis retrogradely and decorticated parapelvic cyst with 200 μm Holium laser to drainage the cyst to pelvis.If the tf-URS was not placed successfully for the first time,Double-J tubes were retained for 1-2 weeks before treatment.The operative time,hospitalization time,blood loss,postoperative complications and clinical symptoms were collected and analyzed.Results The one-time access success rate of insertion of ff-URS was 88.5% (23/26).All operations were successful without severe complications.The average time of operation was 17.2 min,ranging from 11 to 25 min.In 3-30 months follow-up,the cysts disappeared in 22 patients and reduced by more than one half in 1 patients.Flank pain relieved in 19 patients.Conclusions Holmium laser endo-decortication of parapelvic cyst by tf-URS could be a simple,minimally invasive,safe and effective method for parapelvic cyst,which is worthy of further promotion and application in clinical practice.
3.Cognitive intervention for mild cognitive impairment
Jing WANG ; Hao HE ; Yuehong QIU ; Yiqi CHEN ; Haobo ZHANG ; Yuejia LUO ; Qing GUAN
Chinese Journal of Behavioral Medicine and Brain Science 2019;28(1):85-90
Compared with age-matched controls,mild cognitive impairment (MCI) populations are at a higher risk of developing Alzheimer's disease (AD).There is no consensus that any pharmacological treatment can improve MCI,thus it is plausible to turn attention to cognitive interventions.This paper reviewed the prior researches on cognitive stimulation,cognitive training,and cognitive rehabilitation for MCI based on the categories defined by Clare and Woods in order to clarify the effect of these interventions on improving cognitive function in MCI individuals.The results indicate that cognitive interventions may improve multiple cognitive domains including memory performance,executive functions,processing speed,attention,and social functions in adults with MCI,while the mechanism remains unclear.It suggested that further studies should examine the mechanism of cognitive intervention by applying neuroscience technology and strengthening the control of heterogeneity of the etiologies and symptoms of MCI,and improve the clinical effect by combining cognitive stimulation,cognitive training,and cognitive rehabilitation.
4.Diffusion kurtosis imaging characteristics of brain gray matter nucleus microstructure in Parkinson's disease with different movement disorder subtypes
Bo WANG ; Sha MA ; Xiarong GONG ; Jie ZHANG ; Lixiang REN ; Yuhui CHEN ; Hongfei AN ; Yuejia LUO
Chinese Journal of Behavioral Medicine and Brain Science 2019;28(10):875-880
Objective To investigate the difference in the microstructure of gray matter nucleus in different movement subtypes of Parkinson’s disease (PD) by diffusion kurtosis imaging ( DKI) technique, and to analyze the correlation with clinical manifestations. Methods Ninety-seven patients with PD and 83 healthy controls performed conventional MRI sequence and DKI sequence scan. The PD patients were classi-fied into gait disorder subtype (PIGD,n=57) and tremor dominant subtype (TD,n=40)subtypes according to motor symptoms. Fractional anisotropy (FA),mean diffusivity (MD),axial diffusivity (Da),radial diffu-sivity(Dr),mean kurtosis (MK),axial kurtosis (Ka) and radial kurtosis (Dr) maps and data were genera-ted by software after processing. DKI was performed for all subjects and data was collected from different brain regions in both hemispheres,including red nucleus(RN),substantia nigra pars reticulate( SNr),sub-stantia nigra pars compacta(SNc),putamen(PUT),globus pallidus(GP),head of caudate nucleus (CN)and thalamus(THA). Results TD showed a higher MMSE score(P=0. 019),but lower modified Hoehn-Yahr score than that in PIGD (P<0. 001),there was no significant difference of age of onset,sex,limbs of onset or disease duration between two PD subgroups. Compared with healthy controls, both TD and PIGD showed down-regulated MD,Da and Dr and up-regulated Ka values(P<0. 001); MK(0. 83±0. 26,0. 80±0. 18) was increased in SNr both in TD and PIGD,while SNc,PUT and GP (0. 84± 0. 20,0. 75± 0. 07,0. 81± 0. 14) were decreased only in TD (P=0. 017,P=0. 010,P=0. 020,P<0. 001,P=0. 002). The Kr values of PUT and CN(0. 71±0. 17,0. 72±0. 14) were reduced in PIGD,while CN(0. 70±0. 14) were reduced in TD re-spectively (P=0. 002,P=0. 031,P=0. 007). The MK was lower in TD than that in PIGD (t=-2. 214,P=0. 029),and no significant difference was found in other grey matter nuclei between TD and PIGD ( P>0. 05). Moreover,there was no significant correlation between DKI value and disease duration,MMSE score or Hoehn-Yahr scale (P>0. 05) in TD and PIGD. Conclusion There is heterogeneity of clinical symptoms between these two subgroups of PD. DKI can quantify the microstructural changes of grey matter nucleus in different type PD patient.
5. Diffusion kurtosis imaging characteristics of brain gray matter nucleus microstructure in Parkinson's disease with different movement disorder subtypes
Bo WANG ; Sha MA ; Xiarong GONG ; Jie ZHANG ; Lixiang REN ; Yuhui CHEN ; Hongfei AN ; Yuejia LUO
Chinese Journal of Behavioral Medicine and Brain Science 2019;28(10):875-880
Objective:
To investigate the difference in the microstructure of gray matter nucleus in different movement subtypes of Parkinson’s disease (PD) by diffusion kurtosis imaging (DKI) technique, and to analyze the correlation with clinical manifestations.
Methods:
Ninety-seven patients with PD and 83 healthy controls performed conventional MRI sequence and DKI sequence scan. The PD patients were classified into gait disorder subtype (PIGD,
6.Attentional bias to affective information in college students with optimistic and pessimistic attributional style
Chinese Mental Health Journal 2017;31(5):395-399
Objective:To investigate the attentional bias to emotional information in college students with optimistic and pessimistic attributional style.Methods:A total of 83 college students (20 males and 23 females in optimistic group,20 males and 20 females in pessimisticgroup) were recruited online.The 2 cue validity (valid,invalid) × 2 emotional type (positive,negative) × 2 attributional style (optimistic group,pessimistic group) hybrid design was used to investigate the attentional bias to emotional information in college students with optimistic and pessimistic attributional style,adopting the cue-target paradigm.Results:Under valid situation,optimistic group had responded to positive (cue) target faster than pessimistic group [(311.4 ± 26.6) ms vs.(324.1 ±± 47.0) ms,P < 0.05],while there was no significant difference in reaction times (RTs) on negative (cue) target between two groups (P > 0.05).Under invalid situation,optimistic group had responded to negative target faster than pessimistic group [(331.0 ±± 31.7) ms vs.(337.4 ± 50.0) ms,P < 0.05],whereas there was no difference in their RTs to responding to positive target(P > 0.05).Conclusion:It suggests that optimistic individuals and pessimistic individuals respectively have selective attentional bias to positive information and negative information.
7.Comparative ERP and behavior study of ADHD and normal children in mental arithmetic practice
Huijuan SHEN ; Xuan DONG ; Yuejia LUO ; Ting WU ; Yang YI ; Kaihua JIANG ; Lin CHEN
Chinese Journal of Behavioral Medicine and Brain Science 2014;23(7):619-621
Objective To compare the differences of event-related potentials (ERP) of left and right cerebral hemispheres and behavioral characteristics in the mental arithmetic practice between ADHD and normal children,and to explore the neural mechanisms of mental arithmetic by ADHD children.Methods ERP and behavioral data of 32 ADHD and 32 normal children in mental arithmetic,to illustrate,simple addition,subtraction and multiplication within 20 were recorded.Results ERP:① The differences of N2 amplitudes in ADHD children 's left and right cerebral hemispheres while doing mental arithmetic,such as,addition,subtraction and multiplication were not statistically significant (addition:(-6.2±7.3) μV,(-6.6± 8.1) pV ; subtraction:(-5.5±6.4) μV,(-5.8± 6.5) μV ; multiplication:(-5.9± 8.2) μV,(-6.0± 8.6) μV ; all P>0.05).However,normal group's N2 amplitude of left hemisphere(F3) were obviously higher than those of the right hemisphere (F4),considered to be statistically significant difference (addition:(-6.8±4.0) μV,(-5.9±4.3) μV ; subtraction:(-7.5±4.8) μV,(-6.3±4.4) μV ;multiplication:(-6.9±3.7)μV,(-5.7±4.4)pV ; all P<0.05).② ADHD group's N2 amplitude of subtraction practice was significantly lower than that of addition and multiplication,while normal control group was the opposite.③There were not statistically difference between N2 incubation of left and right hemisphere while addition,subtraction,and multiplication were done (P>0.05).Behaviorism:① ADHD group's reaction time towards answer making were much longer than those of the normal control group (addition:(983± 183) ms,(833± 164) ms ; subtraction:(1005±160)ms,(859±170)ms;multiphcation:(975±180)ms,(836±175)ms; P<0.05).② Accurate rate:ADHD group were all lower than those of normal group.Conclusion There were functional limitations of no obviously advantage hemisphere and two hemisphere coordination while ADHD children were performing mental arithmetic,also hmitations in conflicting information processing,decision making,and more obviously in subtraction practice.
8.Event-related potentials in the implicit recognition of faces
Wen WU ; Zongyao WU ; Yuejia LUO
Chinese Journal of Physical Medicine and Rehabilitation 2011;33(7):514-517
Objective To use event-related potentials to identify whether face recognition is implicit, and to investigate specificity, race and inversion effects in face recognition. Methods Upright and inverted photographs of Eastern and Western human faces, upright dog faces and a mobile phone were presented in random order for 150 ms to 20 healthy subjects. The subject's attention was diverted away to search for the letter ”f ” in 6 small letters below the photos. Behavioral data were recorded synchronous with event-related potentials (ERPs). Results The P100,N170 and P170 potentials were enhanced and accelerated by faces compared with non-face images. The amplitude of P100 had the strongest correlation with the type of stimulus, showing the biggest amplitude with the mobile phone image (9.5 μV ), followed by the dog face (7.5 μV ). The weakest amplitude was evoked by the human face (6.9 μV). The amplitude of N170 responded most strongly to the human face, followed by the mobile phone (0.5 μV) and the dog face ( -1.9 μV). The P170 amplitude was largest with the human face and the latency was shortest (7.8 μV and 162.2 ms), followed by the dog face (5.2 μV, 174.4 ms) and the mobile phone (5.1 μV,173.5 ms). ERP components were not affected by the orientations or races of the faces in this situation. No difference was found in the late positive component evoked by the human faces and other images. Conclusions Implicit face recognition may depend on the specifics of the stimulus, although no race effect or inversion effect was detected using this procedure.
9.Influence of arousal in emotional stroop effect
Chunliang FENG ; Weiwei MA ; You WANG ; Yuejia LUO
Chinese Journal of Behavioral Medicine and Brain Science 2011;20(8):757-758
Objective To investigate the arousal effect in the emotional Stroop effect by systematically manipulating the valence and arousal of affective stimuli.Methods 27 college students were recruited to distinThe main effect of emotion on RT was significant (F(5.130) = 5.90, P < 0.01 ), RTs in positive (( 893±36 ) ms)main effect of Emotion on ACC was marginally significant (F(5.130) = 2.63, P = 0.05 ), ACC in high arousing negalence on RT was significant (F(1.26 = 7.03, P =0.013 ).Further analysis revealed that RTs in positive condition was significant (F(1.26) =5.63, P=0.025),ACC in high arousing condition (0.93 ±0.17) was lower than ACC in low arousing condition (0.95 ± 0.09 ).Conclusion The emotional Stroop effect mainly depends on the arousal information of affective stimuli.
10.A comparative study between supraliminal and subliminal emotional Stroop effects
Chinese Journal of Behavioral Medicine and Brain Science 2011;20(11):973-975
ObjectiveTo investigate and compare mechanisms underlying supraliminal and subliminal emotional Stroop effects.Methods 52 college students were recruited to distinguish the color of each emotional picture,which was either supraliminal (30 students) or subliminally (22 students) presented to the students; and their reaction time(RTs) and accuracy(ACC) in each condition were assessed.Results ①In supraliminal task,the main effect of emotion on RT was significant(F(4.116) =3.63,P=0.008),such that RT in high arousing positive ( ( 781 ± 60 ) ms ) and negative ( ( 787 ± 63 ) ms ) conditions were larger than those in neutral ( ( 733 ± 62 ) ms)condition; ②In supraliminal task,the main effect of arousal on RT was significant(F(1,29) =5.14,P=0.031 ),such that RT in high arousing( (784 ± 59 ) ms) conditions were larger than those in low arousing( (761 ± 55 ) ms)conditions; ③In subliminal task,the main effect of emotion on RT was significant (F(4,84) =2.50,P =0.049 ),such that RT in high arousing positive ( ( 661 ± 52 ) ms) and negative ( ( 667 ± 56) ms) conditions were larger than those in neutral ( (633 ± 49 ) ms) condition.④ In subliminal task,the main effect of arousal on RT was significant (F(1,21) =9.97,P=0.005),such that RT in low arousing( (664 ±51 ) ms) conditions were larger than those in high arousing( (638 ± 50)ms) conditions.ConclusionSupraliminal and subliminal emotional Stroop effects may be involved in different mechanisms.

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