1. |
- Campanella, Fabio, et al.
(författare)
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Localizing Memory Functions in Brain Tumor Patients : Anatomical Hotspots over 260 Patients
- 2018
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Ingår i: World Neurosurgery. - : Elsevier. - 1878-8750 .- 1878-8769. ; 120, s. e690-e709
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: Memory complaints are common in patients after brain tumor, but is difficult to map memory functions during awake surgery, to preserve them. Thus we analyzed one of the largest data sets on clinical, surgical, and anatomical correlates of memory in patients with brain tumor to date, providing anatomical hotspots for short and long-term memory functions. METHODS: A total of 260 patients with brain tumor (130 high-grade gliomas; 76 low-grade gliomas [LGG]; 54 meningiomas) were tested on 2 commonly used short-term memory (Digit Span Forward and Corsi Spatial Span) and 2 long-term memory tasks (Narrative Memory and Delayed Recall of Rey Figure). Patients were evaluated before and immediately after surgery and (for LGG) after 4 months and data analyzed by means of analysis of covariance and the voxel-based lesion-symptom mapping technique. RESULTS: As expected, patients with high-grade gliomas were already impaired before surgery, whereas patients with meningioma were largely unimpaired. Patients with LGG were unimpaired before surgery, but showed significant performance drop immediately after, with good recovery within few months. Voxel-based lesion-symptom mapping analyses identified specific anatomical correlates for verbal memory tasks, whereas visuospatial tasks provided good sensitivity to cognitive damage but failed to show anatomical specificity. Anatomical hotspots identified were in line with both previous functional magnetic resonance imaging and clinical studies on other neurological populations. CONCLUSIONS: Verbal memory tasks revealed a set of specific anatomical hotspots that might be considered eloquent for verbal memory functions, unlike visuospatial tasks, suggesting that commonly used spatial memory tasks might not be optimal to localize the damage, despite an otherwise good sensitivity to cognitive damage.
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2. |
- Campanella, Fabio, et al.
(författare)
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Long-Term Cognitive Functioning and Psychological Well-Being in Surgically Treated Patients with Low-Grade Glioma
- 2017
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Ingår i: World Neurosurgery. - : Elsevier BV. - 1878-8750 .- 1878-8769. ; 103, s. 799-808.e9
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim of this work is to provide an in-depth investigation of the impact of low-grade gliomas (LGG) and their surgery on patients' cognitive and emotional functioning and well-being, carried out via a comprehensive and multiple-measure psychological and neuropsychological assessment.Patients and Methods: Fifty surgically treated patients with LGG were evaluated 40 months after surgery on their functioning over 6 different cognitive domains, 3 core affective/emotional aspects, and 3 different psychological well-being measures to obtain a clearer picture of the long-term impact of illness and surgery on their psychological and relational world. Close relatives were also involved to obtain an independent measure of the psychological dimensions investigated.Results: Cognitive status was satisfactory, with only mild short-term memory difficulties. The affective and well-being profile was characterized by mild signs of depression, good satisfaction with life and psychological well-being, and good personality development, with patients perceiving themselves as stronger and better persons after illness. However, patients showed higher emotional reactivity, and psychological well-being measures were negatively affected by epileptic burden. Well-being was related to positive affective/emotional functioning and unrelated to cognitive functioning. Good agreement between patients and relatives was found.Conclusions: In the long-term, patients operated on for LGG showed good cognitive functioning, with no significant long-term cognitive sequelae for the extensive surgical approach. Psychologically, patients appear to experience a deep psychological change and maturation, closely resembling that of so-called posttraumatic growth, which, to our knowledge, is for the first time described and quantified in patients with LGG.
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3. |
- Del Missier, Fabio, et al.
(författare)
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Aging, memory, and decision making
- 2015
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Ingår i: Aging and decision making. - : Elsevier. - 9780124171558 - 9780124171480 ; , s. 127-148
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Bokkapitel (refereegranskat)abstract
- Aging differentially affects diverse aspects of memory functioning. In turn, memory changes have specific effects on different judgment and decision-making tasks. This chapter focuses on the consequences of age-related changes in memory processes-including working memory, episodic memory, semantic memory, and implicit memory-and how these changes affect performance on judgment and decision-making tasks. A review of relevant research shows how the decline in working memory negatively affects performance on the more cognitively demanding decision-making tasks. It also shows that working memory plays a central role in explaining the age-related decline in decision making. Moreover, the review illustrates how different memory processes, showing distinct age-related trajectories, may functionally support performance on different kinds of judgment and decision-making tasks. Finally, the chapter discusses how age-related memory changes may interact with other cognitive and noncognitive changes in shaping decision-making behavior.
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4. |
- Del Missier, Fabio, et al.
(författare)
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Blocked vs. interleaved presentation and proactive interference in episodic memory
- 2018
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Ingår i: Memory. - : Informa UK Limited. - 0965-8211 .- 1464-0686. ; 26:5, s. 697-711
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Tidskriftsartikel (refereegranskat)abstract
- Although a number of theoretical accounts of proactive interference (PI) in episodic memory have been proposed, existing empirical evidence does not support conclusively a single view yet. In two experiments we tested the predictions of the temporal discrimination theory of PI against alternative accounts by manipulating the presentation schedule of study materials (lists blocked by category vs. interleaved). In line with the temporal discrimination theory, we observed a clear buildup of (and release from) PI in the blocked condition, in which all the lists of the same category were presented sequentially. In the interleaved condition, with alternating lists of different categories, a more gradual and smoother buildup of PI was observed. When participants were left free to choose their presentation schedule, they spontaneously adopted an interleaved schedule, resulting again in more gradual PI. After longer delays, we observed recency effects at the list level in overall recall and, in the blocked condition, PI-related effects. The overall pattern of findings agrees with the predictions of the temporal discrimination theory of PI, complemented with categorical processing of list items, but not with alternative accounts, shedding light on the dynamics and underpinnings of PI under diverse presentation schedules and over different time scales.
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5. |
- Del Missier, Fabio, et al.
(författare)
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Decision-making Competence, Executive Functioning, and General Cognitive Abilities
- 2012
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Ingår i: Journal of Behavioral Decision Making. - : Wiley. - 0894-3257 .- 1099-0771. ; 25:4, s. 331-351
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Tidskriftsartikel (refereegranskat)abstract
- Although previous studies investigated the relationship between general cognitive abilities and decision making, few have characterized specific cognitive abilities underlying decision-making competence. In this paper, we focus on executive functionscontrol processes involved in the regulation of cognition. Specifically, we report on an individual-differences study that investigated the relationship of executive functioning (EF) and general cognitive abilities (fluid intelligence and numeracy) with different aspects of decision-making competence. Individual differences in EF components explained aspects of decision-making competence even after controlling for fluid intelligence and numeracy. However, different aspects of decision-making competence varied in the extent to which they relied on different executive functions. In particular, resistance to framing effects, the ability to apply decision rules, and successful engagement in cognitive reflection partially depend on individual differences on the monitoring/inhibition dimension of EF. The ability to provide consistent judgments in risk perception is related to the shifting aspect of EF. The ability to recognize social norms and resistance to sunk costs were not significantly related to EF, thus supporting the idea that executive control is not a major determinant of these aspects of decision-making competence. Finally, substantial variance in some of the decision-making tasks remained unexplained, suggesting that other cognitive or non-cognitive abilities need to be considered in future studies.
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6. |
- Del Missier, Fabio, et al.
(författare)
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Decision-Making Competence in Older Adults : A Rosy View From a Longitudinal Investigation
- 2020
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Ingår i: Psychology and Aging. - : American Psychological Association (APA). - 0882-7974 .- 1939-1498. ; 35:4, s. 553-564
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Tidskriftsartikel (refereegranskat)abstract
- Cross-sectional studies have suggested age-related differences in decision-making competence, but these differences may also reflect cohort-related effects. We present a longitudinal study of age-related changes over 5 years in older adults (aged 60-85) for 3 important aspects of decision-making competence: resistance to framing, applying decision rules, and resistance to sunk costs. The findings show small age-related longitudinal declines in resistance to framing but no decline in applying decision rules or resistance to sunk costs. The results also indicate that individuals' decision-making competence after 5 years is significantly related to their initial decision-making competence assessment and that the contribution of crystallized abilities to decision making in older adults is greater than previously thought.
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7. |
- Del Missier, Fabio, et al.
(författare)
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Executive functions in decision making : An individual differences approach
- 2010
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Ingår i: Thinking and Reasoning. - : Taylor & Francis Group. - 1354-6783 .- 1464-0708. ; 16:2, s. 69-97
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Tidskriftsartikel (refereegranskat)abstract
- This individual differences study examined the relationships between three executive functions (updating, shifting, and inhibition), measured as latent variables, and performance on two cognitively demanding subtests of the Adult Decision Making Competence battery: Applying Decision Rules and Consistency in Risk Perception. Structural equation m delling showed that executive functions contribute differentially to performance in these two tasks, with Applying Decision Rules being mainly related to inhibition and Consistency in Risk Perception mainly associated to shifting. The results suggest that the successful application of decision rules requires the capacity to selectively focus attention and inhibit irrelevant (or no more relevant) stimuli. They also suggest that consistency in risk perception depends on the ability to shift between judgement contexts.
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8. |
- Del Missier, Fabio, et al.
(författare)
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Intention Framing in Time-Based Prospective Memory
- 2021
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Ingår i: Journal of Experimental Psychology. Learning, Memory and Cognition. - : American Psychological Association (APA). - 0278-7393 .- 1939-1285. ; 47:8, s. 1226-1245
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Tidskriftsartikel (refereegranskat)abstract
- Research on prospective memory has paid no attention to the way in which the intentions to be remembered are framed. In two studies on time-based prospective memory, participants had to remember multiple delayed intentions framed as time rules (i.e., respond every 7 min, every 10 min) or as a series of corresponding instances (i.e., respond at Times 7, 10, 14, 20, 21, 28, 30, etc.). We appraised the effects of intention framing on intention learning, intention representation, strategies used to set the upcoming intention, cognitive load (monitoring cost), and prospective memory performance. Study 1 involved three time rules and corresponding instances. The results showed that time rules are learned faster than corresponding instances and that intention frames shaped the way intentions were mentally represented. Furthermore, the rule frame was associated with a more cognitively demanding incremental planning strategy to establish the upcoming intention, whereas the instance frame promoted the serial recall of intentions. Study 2 replicated the results on representations and strategies with four time rules and corresponding sets of instances, and it showed better prospective memory performance following the instance frame than rule frame. Together, these studies show that two alternative ways of framing multiple delayed intentions in the same prospective memory task induce significant differences in the way intentions are represented, in the cognitive strategies used to set the upcoming intention, and in performance. Theoretical and applied implications of the results for the prospective memory field are discussed.
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9. |
- Del Missier, Fabio, et al.
(författare)
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Multiple routes from memory to decision making
- 2016
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- We present two individual-differences investigations, carried out with the aim of identifying the memory correlates of decision-making skills. The investigations were carried out on population-based Swedish samples between 25 and 80 years of age (n > 500). Study 1 showed selective relations between memory processes (i.e., semantic, episodic, and working memory) and diverse aspects of decision-making competence as measured with the A-DMC battery. The age-related declines observed in the more cognitively-demanding decision-making tasks were mediated by the age-related differences in working memory or episodic memory. Study 2 confirmed the findings even when controlling for the influence of processing speed and sensory functioning. Overall, the results showed that different memory processes fulfill different functional roles in diverse judgment and decision-making tasks.
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10. |
- Del Missier, Fabio, et al.
(författare)
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Option generation in decision making : ideation beyond memory retrieval
- 2015
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Ingår i: Frontiers in Psychology. - : Frontiers Media SA. - 1664-1078. ; 5
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Tidskriftsartikel (refereegranskat)abstract
- According to prescriptive decision theories, the generation of options for choice is a central aspect of decision making. A too narrow representation of the problem may indeed limit the opportunity to evaluate promising options. However, despite the theoretical and applied significance of this topic, the cognitive processes underlying option generation are still unclear. In particular, while a cued recall account of option generation emphasizes the role of memory and executive control, other theoretical proposals stress the importance of ideation processes based on various search and thinking processes. Unfortunately, relevant behavioral evidence on the cognitive processes underlying option generation is scattered and inconclusive. In order to reach a better understanding, we carried out an individual-differences study employing a wide array of cognitive predictors, including measures of episodic memory, semantic memory, cognitive control, and ideation fluency. The criterion tasks consisted of three different poorly-structured decision-making scenarios, and the participants were asked to generate options to solve these problems. The main criterion variable of the study was the number of valid options generated, but also the diversity and the quality of generated options were examined. The results showed that option generation fluency and diversity in the context of ill-structured decision making are supported by ideation ability even after taking into account the effects of individual differences in several other aspects of cognitive functioning. Thus, ideation processes, possibly supported by search and thinking processes, seem to contribute to option generation beyond basic associative memory retrieval. The findings of the study also indicate that generating more options may have multifaceted consequences for choice, increasing the quality of the best option generated but decreasing the mean quality of the options in the generated set.
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