23 research outputs found

    Can we predict cognitive decline after initial diagnosis of multiple sclerosis? Results from the German National early MS cohort (KKNMS)

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    BACKGROUND: Cognitive impairment (CI) affects approximately one-third of the patients with early multiple sclerosis (MS) and clinically isolated syndrome (CIS). Little is known about factors predicting CI and progression after initial diagnosis. METHODS: Neuropsychological screening data from baseline and 1-year follow-up of a prospective multicenter cohort study (NationMS) involving 1123 patients with newly diagnosed MS or CIS were analyzed. Employing linear multilevel models, we investigated whether demographic, clinical and conventional MRI markers at baseline were predictive for CI and longitudinal cognitive changes. RESULTS: At baseline, 22% of patients had CI (impairment in ≥2 cognitive domains) with highest frequencies and severity in processing speed and executive functions. Demographics (fewer years of academic education, higher age, male sex), clinical (EDSS, depressive symptoms) but no conventional MRI characteristics were linked to baseline CI. At follow-up, only 14% of patients showed CI suggesting effects of retesting. Neither baseline characteristics nor initiation of treatment between baseline and follow-up was able to predict cognitive changes within the follow-up period of 1 year. CONCLUSIONS: Identification of risk factors for short-term cognitive change in newly diagnosed MS or CIS is insufficient using only demographic, clinical and conventional MRI data. Change-sensitive, re-test reliable cognitive tests and more sophisticated predictors need to be employed in future clinical trials and cohort studies of early-stage MS to improve prediction

    The long-term consequences of retrieval demands during working memory

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    Although it is well known that distraction impairs immediate retrieval of items maintained in working memory (WM; e.g., during complex span tasks), some evidence suggests that these items are more likely to be recalled from episodic memory (EM) compared with items that were studied without any distraction (e.g., during simple span tasks). One account for this delayed advantage of complex span over simple span, or the McCabe effect (McCabe, Journal of Memory and Language, 58[2], 480–494, 2008), is that complex span affords covert retrieval opportunities that facilitate later retrieval from EM by cumulatively reactivating each successively presented item after distraction. This explanation focuses on the processing that occurs during presentation and maintenance of the items, but no work to date has explored whether the differential demands of immediate retrieval between simple and complex span may explain the effect. Accordingly, these experiments examined the impact of immediate retrieval demands on the McCabe effect by comparing typical immediate serial-recall instructions (i.e., recalling the words in their exact order of presentation) to immediate free-recall (Experiments 1–2) and no-recall (Experiments 2 and 3) instructions. The results suggested that the nature of retrieval may constrain the McCabe effect in some situations (Experiments 1–2), but its demands do not drive the McCabe effect given that it was observed in both serial-recall and no-recall conditions (Experiment 3). Instead, activities such as covert retrieval during the processing phase may underlie the McCabe effect, thus further evidencing the importance of processing in WM for the long-term retention of information

    First Impressions of Faces of Refugees Are More Strongly Influenced by Target Cues and Perceiver Attitudes Than by Sheer Group Affiliation

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    Stecker J, Bürkner PC, Hellmann J, Nestler S, Back MD. First Impressions of Faces of Refugees Are More Strongly Influenced by Target Cues and Perceiver Attitudes Than by Sheer Group Affiliation. Collabra: Psychology. 2021;7(1).The importance of first impressions for various intrapersonal, social and societal outcomes is well established. First impressions towards refugees as individual members of one of the most heatedly discussed social groups in Western societies should play a key role in facilitating or impeding successful social integration. However, this issue is currently underexplored. To help understand first impressions towards refugee individuals, we conducted two studies, in which German perceivers (total N = 938) evaluated 60 (Study 1) or 48 (Study 2) male target photos of Western individuals (presented as Germans) and Middle Eastern individuals (presented as refugees). In Study 2, we included information about targets’ religious affiliations (Christian, Muslim) and religiousness (weakly religious, devout). Targets’ facial characteristics (physical attractiveness, smiling) were coded, and perceiver attitudes (right-wing authoritarianism, social dominance orientation, right-wing political ideology) were assessed. Results showed (a) no overall devaluation of refugees or Muslims, (b) strong effects of target attractiveness and smiling on evaluations across individuals of different group affiliations, (c) strong effects of perceiver attitudes towards refugees and Muslims, and (d) no interactive effects of perceiver attitudes and target cues on evaluations. It is important to note that these results should not be interpreted as any doubt about the profound experiences of discrimination and prejudices faced by minorities such as refugees. Instead, they underline the utility of an individual differences approach to better understand the circumstances under which devaluations of minoritized individuals suchs as refugees are amplified or reduced
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