Metamemory function in chemotherapy-treated patients with breast cancer: an explanation for the dissociation between subjective and objective memory measures?

BACKGROUND: The purpose of this study was to determine if a deficit in metamemory could account for the disparity between subjective and objective measures of memory function commonly observed in patients with breast cancer (BC). Metamemory refers to the awareness and management of one's own memory function. It is considered an aspect of executive functioning, one of the most common areas of cognitive compromise associated with BC and its treatment. METHODS: Fifty-four women with early stage BC who had recently completed chemotherapy were compared with 54 healthy women matched on age and education. Cognitive function was objectively assessed with a neuropsychological test battery and subjectively assessed with the Functional Assessment of Cancer Therapy Cognitive Scale. Metamemory was assessed with a Feeling of Knowing (FOK) paradigm. RESULTS: The patients with BC scored significantly lower than the controls on both the objective and subjective cognitive measures, as well as on free recall and recognition conditions of the FOK, suggesting some decline in primary memory functions such as working memory, encoding, and retrieval. The discrepancy between the objective and subjective measures was larger in the patients with BC than in the controls, but there was no difference between the groups on the FOK metamemory index. CONCLUSIONS: Discrepancy in objective and subjective measures of cognition in patients with BC cannot be accounted for in terms of a deficit in meta-cognition. Objective and subjective measures are complementary, and a comprehensive cognitive assessment in patients with BC requires both. Copyright © 2015 John Wiley & Sons, Ltd.

Affect modulated startle in schizophrenia: subjective experience matters.

Data suggests that emotion reactivity as measured by the affect-modulated startle paradigm in those with schizophrenia (SZ) may be similar to healthy controls (HC). However, normative classification of the stimuli may not accurately reflect emotional experience, especially for those with SZ. To examine this possibility, the present study measured the affect-modulated startle response with images classified according to both normative and subjective ratings. Seventeen HC and 17 SZ completed an image viewing task during which startle probes were presented, followed by subjective valence and arousal ratings. Both groups exhibited inhibited startle responses to positive images, intermediate startle amplitudes to neutral images, and potentiated startle amplitudes to negative images. SZ rated the positive images as less positive than HC. When images were reclassified based on subjective valence ratings, both groups' startle magnitudes increased in response to subjectively rated positive images and decreased to subjectively rated neutral images. The number of trials classified into each valence condition suggested a tendency for SZ to classify neutral images as negative more often than HC. Overall, these findings suggest that affective stimuli modulate the startle response in HC and SZ in similar ways, but subjective emotional experience may differ in those with schizophrenia.

Differential relationships between sub-traits of BIS-11 impulsivity and executive processes: an ERP study.

There is mixed evidence for a relationship between impulsivity and executive functions. Although impulsivity is heterogeneous, previous research did not examine partial relationships controlling for shared variance across sub-traits to evaluate the specificity of these associations. Eighty-five undergraduates completed the Barratt Impulsiveness Scale-11 (BIS-11) and the AX-expectancy version of the Continuous Performance Task (AX-CPT). This task engenders a conflict between two response tendencies by manipulating the frequency of specific trial types. We conducted mixed model analyses to determine the unique variance in behavioral and electrophysiological indices of relevant cognitive functions accounted for by the facets of BIS-11. Motor Impulsiveness was associated with smaller P3 across sites and conditions suggesting a general cognitive limitation not specific to the condition requiring the most inhibition, and larger N2 in some conditions indicating heightened conflict detection. Non-Planning Impulsiveness was related to smaller N2 when inhibiting a primed response and with greater P3 in some contexts. Attentional Impulsiveness appeared to be associated with an inefficient conflict detection system indicated by relatively normal engagement in trials involving the non-potent response, but relatively over engagement in the prepotent condition. Our findings suggest that sub-traits of impulsivity are differentially related to executive processes.