Repeated visual distracter exposure enhances new discrimination learning and sustained attention task performance in rats

Repeated exposure to distraction requires attentional effort to restore task performance. However, the impact of repeated distracter exposure and exertion of attentional effort on new learning has not been examined. In the present experiment, rats were trained in a two-lever sustained attention task Rats then continued to train, for 12 sessions, in this task either with or without a flashing houselight distracter throughout the session. The flashing houselight transiently decreased attentional performance. Trials that were part of a new light-location discrimination task were then interspersed within the sustained attention task sessions. The frequency of these new light-location discrimination trials increased with additional training. Rats exposed to the distracter exhibited higher accuracy levels during some blocks of sessions in the new light-location discrimination task trials and in the remaining sustained attention task trials compared to rats that were not exposed to the distracter. The effects of repeated distracter exposure are interpreted in the context of an occasion-setting model that has been used to describe performance in this task. (C) 2012 Elsevier B.V. All rights reserved

Acceptance and Commitment Therapy for Symptom Interference in Advanced Lung Cancer and Caregiver Distress: A Pilot Randomized Trial

Context Advanced lung cancer patients typically have a poor prognosis and many symptoms that interfere with functioning, contributing to high rates of emotional distress in both patients and family caregivers. There remains a need for evidence-based interventions to improve functional outcomes and distress in this population. Objectives This pilot trial examined the feasibility and preliminary efficacy of telephone-based Acceptance and Commitment Therapy (ACT) for symptomatic, advanced lung cancer patients and their distressed family caregivers. Primary outcomes were patient symptom interference with functioning and patient and caregiver distress. Methods Symptomatic, advanced lung cancer patients and distressed caregivers (n = 50 dyads) were randomly assigned to six sessions of ACT or an education/support condition. Patients completed measures of symptom interference and measures assessing the severity of fatigue, pain, sleep disturbance, and breathlessness. Patients and caregivers completed measures of distress and illness acceptance and struggle. Results The eligibility screening rate (51%) and retention rate (76% at six weeks postintervention) demonstrated feasibility. No group differences were found with respect to patient and caregiver outcomes. Both groups showed a small, significant decrease in struggle with the illness over the study period, but did not show meaningful change in other outcomes. Conclusion Findings suggest that telephone-based ACT is feasible for many advanced lung cancer patients and caregivers, but may not substantially reduce symptom interference and distress. Low baseline levels of certain symptoms may have contributed to null findings. Next steps include applying ACT to specific, clinically meaningful symptom interference and varying intervention dose and modality