Archive for October, 2010

October 28, 2010: 8:00 pm: Books for Cognitive Psychology ArenaUncategorized
  • By Josef Zihl.

This thoroughly updated and extended edition covers the various cerebral visual disorders acquired after brain injury, as well as the rehabilitation techniques used to treat them. These are described within a brain plasticity framework, using data from single and group case studies along with…

ISBN: 9781848720060

Published Oct 28, 2010 by Psychology Press

October 25, 2010: 5:09 am: Alvaro FernandezUncategorized

Malpractice Methodology (New York Times OpEd by Peter Orszag)

Right now, health care is more evidence-free than you might think. And even where evidence-based clinical guidelines exist, research suggests that doctors follow them only about half of the time. One estimate suggests that it takes 17 years on average to incorporate new research findings into widespread practice. As a result, any clinical guidelines that exist often have limited impact. How might we encourage doctors to adopt new evidence more quickly?

If this is the case with health care overall, despite much progress over the last 30–40 years, imagine how worse it may be when we talk about brain health, when neuroscience and cognitive neuroscience are relatively more recent disciplines.

This is a key insight to keep in mind as we debate the value and limitations of innovative brain health solutions, especially those that are non-invasive and have no negative side effects:  what matters most to actual human beings living today is how those tools and solutions seem to perform, based on best evidence, compared to alternatives available today — not compared to Platonic ideals about research and practice which may exist in our minds but not in the real, empirical world. Of course we then need to guide research so that we have better evidence in the future, but progress must occur in parallel and reinforce each other: progress in practice and in research.

The OpEd author then proceeds to defend malpractice reform as the primary way to do so. This may well be so with healthcare as a whole, but when we are talking about brain care I believe his next 2 proposals are more directly relevant:

Better technology would help, too. Your doctor’s computer should be able to not only pull up your health records (after you have approved such access) but also quickly suggest best-practice methods of treatment. The doctor should then be able to click through to read the supporting research. Subsidies in the stimulus act help doctors pay for this kind of technology.

A final step toward improving standard medical practice will be to better align financial incentives for delivering higher-quality care. Hospitals now lose Medicare dollars, for example, if they succeed in reducing readmissions. Medical professionals should be given incentives for better care rather than more care.

A couple of recent interviews in our expert series elaborate on these points, showcasing how innovation is already taking place:

  • “…putting good evi­dence to work in prac­tice requires more than pub­lish­ing good research. I’d say that sci­en­tific evi­dence is directly rel­e­vant to per­haps 15% of clin­i­cal deci­sions…we require tech­nolo­gies that trans­late emer­gent knowl­edge into prac­tice.” - Dr. John Docherty, Adjunct Pro­fes­sor of Psy­chi­a­try at Weill Med­ical Col­lege, and for­mer Branch Chief at NIMH. Full Inter­view Notes.
  • “We should be think­ing about the brain through its whole life­time…We need to break the silos, to aggre­gate knowl­edge, to help advance our knowl­edge of the brain 50 years in 5 years.” — Patrick Dono­hue, founder of the Sarah Jane Brain Project. Full Inter­view Notes.

Enabling and accelerating such innovation is of course why we are launching the SharpBrains Council for Brain Fitness Innovation.

October 24, 2010: 8:00 pm: Books for Cognitive Psychology ArenaUncategorized
  • Edited by Daniel M. Oppenheimer, and Christopher Y. Olivola.

Americans donate over 300 billion dollars a year to charity, but the psychological factors that govern whether to give, and how much to give, are still not well understood. Our understanding of charitable giving is based primarily upon the intuitions of fundraisers or correlational data which…

ISBN: 9781848728851

Published Oct 24, 2010 by Psychology Press

October 22, 2010: 11:28 am: Dr. Pascale MichelonUncategorized

The positive effects of exercise on brain health have been demonstrated in many studies now. The next step may be to develop low-cost programs in the community that provide appropriate support and structure for adults (especially older adults) to encourage physical activity.
A great example of such program is The Adult Playground in Beijing, China (Dhand et al., 2010):

Half a football field large, this space consisted of all-weather stretching and strengthening equipment such as elliptical machines, flat benches, modified leg press machines, railings at different heights, monkey bars, and arm and leg rotatory devices. The area was teeming with adults, most older than 60 years, who were not only exercising but also playing games such as Chinese hacky sack (a Chinese game from the 5th century BC) and traditional board games.

The Chinese government has erected several outdoor adult playground of this type across urban areas. This seems to be a great example of a low-cost, easily accessible, solution combining physical exercise with socialization as well as cognitive exercise.

October 21, 2010: 6:53 am: SharpBrainsUncategorized

If you have already read The SharpBrains Guide to Brain Fitness: 18 Interviews with Scientists, Practical Advice, and Product Reviews, to Keep your Brain Sharp, by Alvaro Fernandez and Dr. Elkhonon Goldberg, please take a few minutes to answer six questions folowing link below. Your feedback will ensure that future book editions are even more relevant and valuable to you. Thank you very much in advance!

Take this survey

If you have not read it yet, may we kindly encourage you to do so, and to let us know what you think? The book is now easily available in the USA, Canada and the UK via Amazon.com stores.

To order in the USA:
Print ($19.95): click Here
Kindle ($9.99): click Here
To order in Canada:
Print (CDN$20.5): click Here
To order in the UK:
Print (GBP 12): click Here
Kindle (GBP 7.2): click Here
October 20, 2010: 8:00 pm: Books for Cognitive Psychology ArenaUncategorized
  • By John Matthews.

This book compares the beginning of symbolic thought in human infancy with that of our close primate relatives, the chimpanzees. The author investigates the precursors of symbolism by studying the actions and interactions of a small group of these intelligent, non-human primates who live in…

ISBN: 9781841696898

Published Oct 21, 2010 by Psychology Press

: 3:40 pm: Dr. Pascale MichelonUncategorized

An interesting article in Nature Reviews last month reviewed several studies showing that cognitive intervention can be beneficial even for individuals already diagnosed with Alzheimer’s Disease (Buschert et al., 2010).

The article shows that patients with mild-to-moderate dementia can benefit from a range of cognitive interventions: from training of partially spared cognitive functions to training on activities of daily living. Results suggest that such interventions can improve global cognition, abilities of daily living and quality of life in these patients.

Patients with moderate-to-severe dementia seem to benefit from general engagement in activities that enhance cognitive and social functioning in a non-specific manner.

In general, for patients diagnosed with Alzheimer’s Disease, the reviewed studies suggest that programs focusing on global cognitive stimulation are more effective than programs that train specific cognitive functions.

The opposite seems true for people diagnosed with Mild Cognitive Impairment (MCI). As you may remember, MCI diagnosis is made upon objective memory deficits that do not interfere with activities of daily living. 5 to 10% of people with MCI develop dementia within 1 year after being diagnosed.

It is interesting to see that the type of cognitive intervention one may benefit from changes over the years, depending on one’s cognitive status. This shows once again that there is no general magic pill in terms of brain fitness: Some interventions or programs work because they meet the needs of some specific individuals. No program can work for everybody.

According to Buschert and colleagues (2010) programs focusing on global cognitive stimulation could delay the onset of Alzheimer’s Disease “by 5 years in patients who will eventually develop this condition. As a result, the prevalence of AD could decrease by 50%, leading to substantial personal, social and economic benefits.”

The authors conclude that efforts to develop and implement cognitive-based intervention for the treatment of Alzheimer’s Disease must be pursued. Indeed, cognitive interventions have several advantages compared to pharmacological treatments: a) lower costs, b) no side effects, and c) higher cost-effectiveness (on average, anti-dementia drugs delay cognitive decline by only 6–12 months).

October 19, 2010: 8:00 pm: Books for Cognitive Psychology ArenaUncategorized
  • Edited by Michael Schulte-Mecklenbeck, Anton Kuehberger and Rob Ranyard.

This handbook provides a critical review and user’s guide to conducting and reporting process tracing studies of decision making. Each chapter covers a specific method that is presented and reviewed by authors who are experts in the method’s application to decision research. The book …

ISBN: 9781848728646

Published Oct 24, 2010 by Psychology Press

: 8:00 pm: Books for Cognitive Psychology ArenaUncategorized
  • Edited by Gideon Keren.

Language comprises a major mark of humans compared with other primates and is the main vehicle for social interaction. A major characteristic of any natural language is that the same communication, idea, or intention can be articulated in different ways—in other words, the same message can be "…

ISBN: 9781848729032

Published Oct 24, 2010 by Psychology Press

October 18, 2010: 4:04 pm: Scott Barry KaufmanUncategorized

Anyone who knows me knows that my favorite pastime is napping. In College, I would come back to my dorm room, and like clockwork, would take a nap. My best friend in England, who got quite a kick out of my passion for napping, once tried to persuade me to drink a cup of tea after lunch instead of taking my customary nap. I really tried, but I soon gave in to my nap cravings. Sometimes I feel like I really need to re-charge my brain batteries.

Well, now science is on my side. I just love this new study, which was presented by Matthew Walker, assistant professor at UC Berkeley, at the annual meeting of the American Association of the Advancement of Science (AAAS) conference in San Diego this past Sunday (Feb. 2010).

Walker and his colleagues Bryce A. Mander and Sangeetha Santhanam split up a batch of 39 healthy young adults into two groups. One group napped, the other did not.

At noon, both groups took a learning task thought to recruit the hippocampus. The hippocampus is a region of the brain known to play an important role in the formation of new memories. Over the past few years, various researchers have found that fact-based memories are temporarily stored in the hippocampus before other regions of the brain can operate on the content, especially the regions of the brain responsible for higher-order reasoning and thinking.  At this point in the experiment, both groups showed similar levels of performance.

Then, at 2pm, the nap group took a 90-minute nap while the no-nap group stayed awake, presumably watching the nap group enjoying their nap. After nap-time both groups then took more learning tests. The nappers did better on the tasks than those who stayed awake, demonstrating their higher capacity to learn.

The researchers interpret these findings as supporting their hypothesis that a major function of sleep is to clear away all the clutter stored in the hippocampus to make room for new information. In the words of Walker:

“It’s as though the e-mail inbox in your hippocampus is full and, until you sleep and clear out those fact e-mails, you’re not going to receive any more mail. It’s just going to bounce until you sleep and move it into another folder.”

Walker also likens the brain to a sponge:

“Sleep is critical for learning. It’s like the brain is a sponge. Sleep wrings certain key regions out so you’re able to soak up new information the next day.”

Short mid-day naps may be good because they get you into a particularly beneficial part of the sleep cycle. EEG studies (that measure the electrical activity of the brain) have shown that this memory-refreshing process occurs during Stage 2 non-REM sleep. We actually spend at least 50% of our sleeping time in this stage, suggesting an adaptive purpose for this stage of sleep:

“I can’t imagine Mother Nature would have us spend 50 percent of the night going from one sleep stage to another for no reason. Sleep is sophisticated. It acts locally to give us what we need,” says Walker.

man drinking coffeeNow, what about that cup of tea? Was my friend in England right? His advice is usually spot-on, but this time he may have been misguided.  Sara Mednick at the UC San Diego (and author of the book: Take a Nap! Change Your Life) divided her subjects into two groups: one group received 200 mg of caffeine and did not nap and the other group just took a nap. Then both groups underwent a battery of tasks, including measures of typing, and measures of memory recall, tapping into visual, verbal, and motor memory. She found that the day nappers did better on all the tasks than those who popped the caffeiene pill. “Of course, that’s bad news for Starbucks,” says Mednick. Mednick also notes: “Which would you rather be: wired or smart?”

Mednick points out that the time during the day a person should nap varies depending on the person’s age. She says that since teenagers and young adults have a slightly shifted sleep cycle, going to bed late and waking up early, their ideal napping window is in the afternoon, around 4p.m. The ideal napping window for adults, in contrast, is between 1 to 3 p.m., since adults usually sleep between 11 p.m. and midnight and wake up between 6.am. and 8 am.

Walker and his colleagues are also interested in the link between age and the function of sleep. They are now investigating whether the reduction of sleep as we age is associated with the well-replicated decrease in our ability to learn as we age. As noted in the official UC Berkeley University press release, this is fascinating research and could greatly improve our understanding of neurodegenerative conditions such as Alzheimer’s disease.

Sleeping is Good for You

The Walker and colleagues study is one among a number that show that sleep, more generally, can be very beneficial for a wide range of positive outcomes. At UC Berkeley, both Walker’s research group and Allison Harvey’s group at the Sleep and Psychological Disorder Laboratory have found that getting a good amount of sleep at night is tied to a better immune system, metabolic control, memory, learning, and emotional functioning. Most of us are familiar with the often cited finding that pulling an all-nighter the night before an exam can decrease the ability to remember the information by roughly 40 percent, but it’s really cool to see all these other benefits of sleep.

women learning pianoI can relate. Sometimes when I am learning a new tune on my piano, I get frustrated in the moment when I think I am no longer making progress. Sometimes when I try to tackle the song the next day after a good night’s sleep, I realize I have learnt the whole thing the night before! In fact, research does show that people have 20 to 30 percent better recall of what they learned during a piano lesson if they are tested after a full eight hours of sleep than if they are tested right after the piano lesson.

There are also benefits of sleep for creativity. Multiple threads of research support this notion, and the link between sleeping and creativity has been noted by prominent researchers such as Jerome Singer as well as Walker:

“This starts to sound a lot like the basis for human creativity. The fusing of things that don’t seem to have any connection. That’s what sleep, particularly dreaming does. Like good cooking, when it comes to memory, it’s not enough to chop up the ingredients and put them together. The brain needs time to let things marinate.”

Sleeping may even have important affects on depression. Some researchers now believe that chronic sleep deprivation may lead to depression, rather than depression causing one to sleep less (which was what researchers used to think was the causal link).  In one study, which I believe is still ongoing, Harvey’s research group along with the Kaier Permanente Center for Health Research in Oregon recruited 60 middle and high school students to investigate whether more sleep can lower the risk factor for depression. In their study, the teens will report on their sleep habits for 12-weeks, undergoing 12 one-hour, once-a-week sessions of cognitive behavior therapy that will focus on sleep and mood patterns.

It’s clear then that sleep is adaptive for many positive outcomes.

“We are getting close to understanding some of the functions of sleep, yet society still treats sleep like a luxury. We say, ‘When I have two weeks’ vacation I’m going to allow myself to sleep eight hours.’ But we would never say that about water or food. If there’s something that gets shortchanged, it’s always sleep,” notes Walker.

In fact, it turns out that people who take regular naps and get a good night’s sleep may have the ability to learn twice as much as those who just get a good night’s rest. This is all important research, especially in light of the fact that about 40% of Americans get less than 7 hours of shut-eye a night (teenagers are advised to sleep about 9 hours a night) and two-thirds of women report having difficulty falling asleep more than three nights a week. As Mednick notes: “We are a sleep-deprived nation.” Mednick and other officials at UC San Diego even organized a “nap-in” last year during International Napping Day (don’t you wish every day was International Napping Day?).

So, to all the napping haters out there, check out the research. But really, doesn’t this research all really just confirm what mothers have been telling us all along? Walker thinks so: “My research is not revolutionary, because your mother knew it all along.

—-  Scott Barry Kaufman, Ph.D. is a cognitive psychologist and writer based in New York City. His lat­est Sharp­Brains arti­cles are:

Reflections on Creativity: Interview with Daniel Tammet

Learn­ing About Learn­ing: an Inter­view with Joshua Wait­zkin

October 15, 2010: 3:20 pm: Dr. Pascale MichelonUncategorized

In the latest issue of Neurology a study by Erickson et al. (2010) suggests that walking regularly can increase brain volume and reduce the risks of developing cognitive impairment.

The researchers stared with 2 mains facts:

They asked 2 questions:

  • Can physical activity assessed earlier predict gray matter volume 9 years later?
  • Is greater gray matter volume associated with reduced risks of developing cognitive impairment?

The study:

  • 299 participants, mean age: 78, 182 female.
  • Physical activity was assessed in 1988–1989 (baseline) = total number of blocks walked over 1 week.
  • Cognitive functions were assessed in 1998–1999 (all participants were cognitively normal) and 3–4 years later (116 participants were diagnosed with dementia or mild cognitive impairment, MCI).
  • High-resolution MRI scans of the participants’ brains were taken in 1998–1999 (9 years after physical activity was assessed).

The results

  • Greater amounts of physical activity (walking distance) predicted greater gray matter volume 9 years later: the longer the distance people used to walk, the larger their brain volume.
  • This effect was observed  mostly in the prefrontal and temporal regions of the brain, including in the hippocampus (a region critical for forming new memories).
  • The effect appeared only when walking long distances (6–9 miles a week).
  • The effect was associated with lower risk of developing dementia or MCI.

Limitations of the study: First, gray matter volume could not be measured at the beginning of the study. Thus it is possible that physical activity was not the factor causing the increase of gray matter. Maybe people who ended up with bigger brains at the end of the 9 years study also started with bigger brains, for whatever reason.

Second, participants were not randomly assigned to a physical exercise group and a control group. It is thus not possible to conclude that physical activity per se CAUSED greater brain volume in this particular study. Note however that such a causal relationship has been observed in other studies.

Strengths of the study: The sample size was good and the follow-up period long enough (13 years) to suggest that exercising now matters for later brain fitness.

The results confirm that physical exercise is good for the brain! Aerobic activity may increase the growth of new neurons, the connections between neurons and the blood vessels nourishing the brain.

Reference:  K.I. Erickson, C.A. Raji, O.L. Lopez, J.T. Becker, C. Rosano, A.B. Newman, H.M. Gach, P.M. Thompson, A.J. Ho, and L.H. Kuller (2010). Physical activity predicts gray matter volume in late adulthood: The Cardiovascular Health Study. Neurology ; 75: 1415.

October 14, 2010: 2:58 pm: Dr. Pascale MichelonUncategorized

The New-York Times reports on the study published a few days ago in the Journal of Economic Perspectives, “Mental retirement”:

… Data from the United States, England and 11 other European countries suggest that the earlier people retire, the more quickly their memories decline.

… what aspect of work is doing that, Dr. Suzman said. “Is it the social engagement and interaction or the cognitive component of work, or is it the aerobic component of work?” he asked. “Or is it the absence of what happens when you retire, which could be increased TV watching?”

Comments: This new study is another piece of evidence accumulating with more and more others suggesting that a brain healthy life-style requires constant cognitive challenge to help maintain high-level cognitive functions. Whether it is speaking multiple languages, physically exercising or staying mentally active, our everyday life can positively impact our brain health.  Something to keep in mind after retirement…and to even retire the word “retirement”!

The results are also intriguing because working combines multiple aspects of a brain-healthy lifestyle (social engagement, mental stimulation) with aspects not so good for the brain (stress, absence of physical exercise in some cases). However, it seems that, overall, the good aspects of working take over the bad ones as far as memory functions are concerned.

October 13, 2010: 8:30 am: Alvaro FernandezUncategorized

Quick note: I will be speaking at the UCLA Technology & Aging Conference on Friday, October 29th, in Los Angeles. Please drop me a line or introduce yourself if you are planning to attend.

The Schedule features many good sessions, including one on Brain Fitness:

  • Description: Growing scientific evidence suggests that such strategies as physical and mental exercise can improve brain health and cognitive performance. This session will review the latest research supporting brain fitness methods, highlight new cognitive training devices, and discuss the challenge of determining the effectiveness of these technologies.
  • Speakers: Bill Reichman (Baycrest), Steven Aldrich (Posit Science), Gary & Rita Considine (Garri Productions), Alvaro Fernandez of (SharpBrains).
  • Moderator: Gary Small (UCLA Center on Aging).

To learn more and register: click Here.

October 12, 2010: 2:22 pm: Dr. Pascale MichelonUncategorized

An article in the Wall Street Journal today, Building a More Resilient Brain, reviews the work of Dr. Bialystok and her colleagues on the benefits that bilingualism brings to the brain. Another great example of neuroplasticity.

… over time, regularly speaking more than one language appears to strengthen skills that boost the brain’s so-called cognitive reserve, a capacity to work even when stressed or damaged. This build-up of cognitive reserve appears to help bilingual people as they age.

… the process of speaking two or more languages appears to enable people to develop skills to better cope with the early symptoms of memory-robbing diseases, including Alzheimer’s. […] the advantages of bilingualism are thought to be related to a brain function known as inhibitory or cognitive control: the ability to stop paying attention to one thing and focus on something else

Comments: What if I only speak one language? Would it be beneficial to start learning one now? Would I need to speak it everyday? Would it help me built reserve? Unfortunately science does not have evidence-based answers to these questions yet… But learning a new language follows the recipe for a good mental exercise as outlined in The SharpBrains Guide to Brain Fitness: Variety, Challenge and Novelty.

  • Vari­ety: to stim­u­late mul­ti­ple func­tions of the brain.
  • Chal­lenge:  to avoid routine.
  • Nov­elty:  to stimulate parts of the brain such as the pre­frontal cor­tex that are mostly exer­cised when we learn to mas­ter new cog­ni­tive challenges.

As such, learning a new language is a great mental exercise. However it cannot be the magic answer to everything. As you know, brain maintenance requires a multi-faceted approach comprising at least a variety of brain stimulation, balanced nutrition, stress management, socialization and physical exercise.

Related post: Mental stimulation: building a Brain/ Cognitive Reserve with novelty, variety and challenge

October 11, 2010: 3:05 pm: Dr. Pascale MichelonUncategorized

Brain training does not necessarily mean computerized games. For instance, mediation may be a great tool to train your brain.

Different parts of the brain support different functions. One function, central to many of our actions, is “attention”. Attention can be defined as the ability to sustain concentration on a particular object, action, or thought.
It can also be defined as the ability to manage competing demands in our environment.connections between neurons, die. In the brain it is supported mainly by neuronal networks in the parietal (yellow in the figure) and frontal (blue in the figure) lobes.

What can be done to maintain and boost such a fundamental ability?

Dr. Andrew Newberg (Associate Professor in the Department of Radiology and Psychiatry at the University of Pennsylvania), here interviewed by Alvaro Fernandez (CEO of SharpBrains) suggests that meditation may have cognitive benefits, especially related to attention:

“At its core, meditation is an active process that requires alertness and attention, which explains why we often find increased brain activity in frontal lobes during practice. Usually you need to focus on something — a mantra, a visual or verbal prompt– while you monitor breathing.
A variety of studies have already shown the stress management benefits of meditation, resulting in what is often called Mindfulness Based Stress Reduction. What we are researching now is what are the cognitive — attention, memory– benefits? It is clear that memory depends on attention and the ability to screen out distractions — so we want to measure the effect of meditation on the brain, both structurally and functionally.“
(Read the full interview in The SharpBrains Guide to Brain Fitness)

Examples of such scientific studies are those by M. Posner, a pioneer researcher in the domain of attention, currently an Emeritus Professor of Neuroscience at the University of Oregon.

A few years ago, Posner and his colleagues randomly assigned participants to either an Integrative Body-Mind Training (IBMT) or to a relaxation training. Both trainings lasted 5 days, 20min per day. IBMT is a meditation  technique developed in China in the 1990s. It stresses a balanced state of  relaxation while focusing attention. Thought control is achieved with the help  of a coach through posture, relaxation, body-mind harmony and balance.

The  results of this study showed that after training, participants in the IBMT training  group showed more improvement in a task measuring attention than the control group. The IBMT training also helped reduced cortisol levels caused by mental stress.

In a follow-up study the team found out that IBMT subjects in China had increased blood flow in the right anterior cingulate cortex (a part of the frontal lobe) after receiving training for 20 minutes a day over five days. This showed that meditation does indeed change the brain and thus its functioning.

In sum, meditation may be a potentially powerful tool to train the brain. No computer needed!

Related post: Mindfulness and Meditation in Schools for Stress Management

October 7, 2010: 8:00 pm: Books for Cognitive Psychology ArenaUncategorized
  • Edited by Ken Manktelow, David Over and Shira Elqayam.

This volume is a state-of-the-art survey of the psychology of reasoning, based around, and in tribute to, one of the field’s most eminent figures: Jonathan St B.T. Evans. In this collection of cutting edge research, Evans’ collaborators and colleagues review a wide range of important and…

ISBN: 9781848720152

Published Oct 07, 2010 by Psychology Press

October 5, 2010: 8:00 pm: Books for Cognitive Psychology ArenaUncategorized
  • By Alan H. Schoenfeld.

Teachers try to help their students learn. But why do they make the particular teaching choices they do? What resources do they draw upon? What accounts for the success or failure of their efforts? In How We Think, esteemed scholar and mathematician, Alan H. Schoenfeld, proposes a groundbreaking…

ISBN: 9780415878654

Published Oct 05, 2010 by Routledge