Deficits in working memory (WM) and cognitive control processes have been reported in post-traumatic stress disorder (PTSD), in addition to clinical symptoms such as hypervigilance, re-experiencing, and avoidance of trauma reminders. Given the uncontrollable nature of intrusive memories, an important question is whether PTSD is associated with altered control of interference in WM. Some studies also suggest that episodic memory shows a material-specific dissociation in PTSD, with greater impairments in verbal memory and relative sparing of nonverbal memory. It is unclear whether this dissociation applies to WM, as no studies have used identical task parameters across material. Here we tested 29 combat Veterans with PTSD and 29 age-matched control Veterans on a recent probes WM task with words and visual patterns in separate blocks. Participants studied four-item sets, followed by a probe stimulus that had been presented in the previous set (recent probe) or not (nonrecent probe). Participants with PTSD made more errors than controls, and this decrement was similar for verbal and visual stimuli. Proactive interference from items recently presented, but no longer relevant, was not significantly different in the PTSD group and showed no relationship to re-experiencing symptom severity. These results demonstrate that PTSD is not reliably associated with increased intrusions of irrelevant representations into WM when non-emotional stimuli are used. Future studies that use trauma-related material may provide insight into the flashbacks and intrusive thoughts that plague those with PTSD.
Objectives To 1) characterize complementary and alternative medicine (CAM) studies for posttraumatic stress disorder symptoms (PTSD), 2) evaluate the quality of these studies, and 3) systematically grade the scientific evidence for individual CAM modalities for PTSD. Design Systematic Review. Eight data sources were searched. Selection criteria included any study design assessing PTSD outcomes and any CAM intervention. The body of evidence for each modality was assessed with the Natural Standard evidence-based, validated grading rationale.™ Results and Conclusions Thirty-three studies (n=1329) were reviewed. Scientific evidence of benefit for PTSD was Strong for repetitive transcranial magnetic stimulation and Good for acupuncture, hypnotherapy, meditation, and visualization. Evidence was Unclear or Conflicting for biofeedback, relaxation, Emotional Freedom and Thought Field therapies, yoga, and natural products. Considerations for clinical applications and future research recommendations are discussed.
including bradykinesia, tremor, rigidity and sleep-wake disturbances (SWD). SWDs are one of the most frequent non-motor symptoms of PD, often preceding the onset of other symptoms and, despite growing interest in studying SWD in the context of PD, there is a lack of appropriate murine models. Some lines of evidence recently suggested that sleep deficits correlate with increased burden in neurodegenerative disease and that sleep might alleviate disease severity by increasing clearance of metabolites and proteins from interstitial space, which could prove beneficial in diseases with protein accumulation/aggregation as primary pathology. Methods: We performed EEG/EMG recordings in vesicular monoamine transporter 2 (VMAT2) deficient mice at age of 5 months. Afterwards, at age of 14 months we investigated whether sleep modulation by means of pharmacological sleep induction and chronic REM sleep restriction had an effect on alpha-synuclein accumulation in the brain of VMAT2 deficient mice and behavioral symptoms. Results: EEG/EMG recordings in VMAT2 deficient mice (n=6) and wild type (WT) littermates (n=7) at age of 5 months shows that VMAT2 deficient animals present SWD and EEG changes similar to those seen in PD, namely: increased arousal, decreased time spent in non-rapid eye movement (NREM) and rapid eye movement (REM) sleep and lower sleep efficiency. Furthermore, our results suggest that alpha-synuclein burden was reduced in the sleep-induced (SI) group as compared to the untreated (Ctrl) group. However, we found sleep modulation not associated with improved motor ability, which probably indicates hypodopaminergia as the primary cause of the phenotype as opposed to synucleopathy. Conclusion: Overall, our results suggest that VMAT2 deficient mice present increased arousal and reduced sleep efficiency and that revers- We therefore evaluated longitudinal changes in sleep and drug response. Methods: Adult male mice (n=9 each genotype) underwent surgery for EEG/EMG electrodes and E-mitters. Baseline was recorded at 10 (absent from motor symptoms), 15 (mild), 20 (moderate), and 25 (severe) weeks of age. Sleep deprivation was performed for 6 hours after baseline. Three doses of ropinirole, a dopamine D2-like receptor agonist, were intraperitoneally administered before the light off at 13, 17, 21, and 25 week olds. Results: MitoPark mice showed an age-dependent decline of up to 40% in locomotion following a new environment, while there was no difference between control and MitoPark mice in spontaneous locomotion through 24 hours on baseline in all ages examined. MitoPark mice had normal amounts, and natural diurnal distributions, of wakefulness and sleep in the baseline by 20 weeks. Once motor symptoms severely exacerbated at 25 weeks, sleep fragmentation and a decrease in NREM sleep amount occurred during light period. There was no difference in the occurrence of REM without atonia at 25 weeks. MitoPark mice age-dependently showed more enhanced increases in locomotion at middle and high doses than controls for 3 hours...
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