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Neuroscience and Biobehavioral Reviews Nov 2022Traditional and more modern conceptualizations of psychopathy cite problems with impulse control. However, the extent to which these problems represent a cardinal... (Meta-Analysis)
Meta-Analysis Review
Traditional and more modern conceptualizations of psychopathy cite problems with impulse control. However, the extent to which these problems represent a cardinal feature of the disorder has been debated. In this study, we conducted a preregistered systematic review and meta-analysis, searching Embase, Medline, PsycINFO, and PubMed, for studies from inception to January 6th, 2022. We included 21 studies, published between 2009 and 2021, that reported on the relationship of psychopathy with performance on the go/no-go or stop signal task. A multilevel random-effects meta-analysis, including 43 effect sizes from 17 studies (total N = 1394), showed a significant pooled association between psychopathy and response inhibition r = -0.143 (95 % CI: -0.250 to -0.034). The relatively small effect size, although statistically significant, calls in to question the extent to which difficulties in response inhibition should be considered a cardinal feature of psychopathic personality. The strength of the relationship did not significantly differ between non-criminal and criminal samples, gender, task type, tasks with or without an affective component, or by psychopathy trait dimension.
Topics: Humans; Antisocial Personality Disorder; Task Performance and Analysis
PubMed: 36113781
DOI: 10.1016/j.neubiorev.2022.104868 -
Journal of Strength and Conditioning... Apr 2017Hydren, JR, Borges, AS, and Sharp, MA. Systematic review and meta-analysis of predictors of military task performance: maximal lift capacity. J Strength Cond Res 31(4):... (Meta-Analysis)
Meta-Analysis Review
Hydren, JR, Borges, AS, and Sharp, MA. Systematic review and meta-analysis of predictors of military task performance: maximal lift capacity. J Strength Cond Res 31(4): 1142-1164, 2017-Physical performance tests (e.g., physical employment tests, return-to-duty tests) are commonly used to predict occupational task performance to assess the ability of individuals to do a job. The purpose of this systematic review was to identify predictive tests that correlate well with maximal lifting capacity in military personnel. Three databases were searched and experts in the field were contacted, resulting in the identification of 9 reports confined to military personnel that presented correlations between predictor tests and job tasks that measured maximal lift capacity. These 9 studies used 9 variations of a maximal lift capacity test, which were pooled to evaluate comparisons. The predictive tests were categorized into 10 fitness domains, which in ranked order were as follows: body mass and composition, absolute aerobic capacity, dynamic strength, power, isometric strength, strength-endurance, speed, isokinetic strength, flexibility, and age. Limitations of these data include a restricted age range (95% confidence interval [95% CI], 20-35; no correlations to maximal lift capacity) and the limited number of comparisons available within the cited studies. Weighted mean correlations ((Equation is included in full-text article.)) and 95% CI were calculated for each test. Lean body mass (kg) was the strongest overall predictor ((Equation is included in full-text article.); 95% CI, 0.697-0.966). Tests of dynamic strength had stronger correlations than strength endurance ((Equation is included in full-text article.), 95% CI, 0.69-0.89 vs. (Equation is included in full-text article.), 95% CI, 0.21-0.61). The following 6 domains of physical performance predictive tests had pooled correlations of 0.40 or greater for combined-sex samples: dynamic strength, power, isometric strength, strength endurance, speed, and isokinetic strength. Anthropometric measures explain 24-54% of maximal lift capacity variance, and lean body mass alone accounts for ∼69%. This review provides summarized information to assist in the selection of predictive tests for maximal lifting capacity in military personnel.
Topics: Age Factors; Body Composition; Body Weights and Measures; Humans; Lifting; Military Personnel; Muscle Strength; Physical Fitness; Reproducibility of Results; Task Performance and Analysis
PubMed: 28135227
DOI: 10.1519/JSC.0000000000001790 -
Gait & Posture Sep 2023Cognitive-motor interference (CMI) is a common deficit in Alzheimer's (AD) disease and Parkinson's disease (PD) and may have utility in identification of prodromal... (Review)
Review
BACKGROUND
Cognitive-motor interference (CMI) is a common deficit in Alzheimer's (AD) disease and Parkinson's disease (PD) and may have utility in identification of prodromal neurodegeneration. There is lack of consensus regarding measurement of CMI resulting from dual task paradigms.
RESEARCH QUESTION
How are individuals with AD, PD, and prodromal neurodegeneration impacted by CMI as measured by dual-task (DT) performance?
METHODS
A systematic literature search was performed in six datasets using the PRISMA guidelines. Studies were included if they had samples of participants with AD, PD, or prodromal neurodegeneration and reported at least one measure of cognitive-motor DT performance.
RESULTS
4741 articles were screened and 95 included as part of this scoping review. Articles were divided into three non-mutually exclusive groups based on diagnoses, with 26 articles in AD, 56 articles in PD, and 29 articles in prodromal neurodegeneration, and results presented accordingly.
SIGNIFICANCE
Individuals with AD and PD are both impacted by CMI, though the impact is likely different for each disease. We found a robust body of evidence regarding the utility of measures of DT performance in the detection of subtle deficits in prodromal AD and some signals of utility in prodromal PD. There are several key methodological challenges related to DT paradigms for the measurement of CMI in neurodegeneration. Overall, DT paradigms show good potential as a clinical method to probe specific brain regions, networks, and function; however, task selection and effect measurement should be carefully considered.
Topics: Humans; Parkinson Disease; Alzheimer Disease; Gait; Task Performance and Analysis; Cognition
PubMed: 37487365
DOI: 10.1016/j.gaitpost.2023.07.277 -
Forensic Science International Nov 2021Past research on cannabis has been limited in scope to THC potencies lower than legally available and efforts to integrate the effects into models of driving performance... (Review)
Review
Past research on cannabis has been limited in scope to THC potencies lower than legally available and efforts to integrate the effects into models of driving performance have not been attempted to date. The purpose of this systematic review is to understand the implications for modeling driving performance and describe future research needs. The risk of motor vehicle crashes increases 2-fold after smoking marijuana. Driving during acute cannabis intoxication impairs concentration, reaction time, along with a variety of other necessary driving-related skills. Changes to legislation in North America and abroad have led to an increase in cannabis' popularity. This has given rise to more potent strains, with higher THC concentrations than ever before. There is also rising usage of novel ingestion methods other than smoking, such as oral cannabis products (e.g., brownies, infused drinks, candies), vaping, and topicals. The PRISMA guidelines were followed to perform a systematic search of the PubMed database for peer-reviewed literature. Search terms were combined with keywords for driving performance: driving, performance, impairment. Grey literature was also reviewed, including congressional reports, committee reports, and roadside surveys. There is a large discrepancy between the types of cannabis products sold and what is researched. Almost all studies that used inhalation as the mode of ingestion with cannabis that is around 6% THC. This pales in comparison to the more potent strains being sold today which can exceed 20%. Which is to say nothing of extracts, which can contain 60% or more THC. Experimental protocol is another gap in research that needs to be filled. Methodologies that involve naturalistic (real world) driving environments, smoked rather than vaporized cannabis, and non-lab certified products introduce uncontrollable variables. When considering the available literature and the implications of modeling the impacts of cannabis on driving performance, two critical areas emerge that require additional research: The first is the role of cannabis potency. Second is the route of administration. Does the lower peak THC level result in smaller impacts on performance? How long does potential impairment last along the longer time-course associated with different pharmacokinetic profiles. It is critical for modeling efforts to understand the answers to these questions, accurately model the effects on driver performance, and by extension understand the risk to the public.
Topics: Analgesics; Automobile Driving; Cannabinoid Receptor Agonists; Cannabis; Dronabinol; Hallucinogens; Marijuana Smoking; Psychomotor Performance
PubMed: 34634690
DOI: 10.1016/j.forsciint.2021.110902 -
The Cochrane Database of Systematic... Oct 2018Action observation (AO) is a physical rehabilitation approach that facilitates the occurrence of neural plasticity through the activation of the mirror-neural system,... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
Action observation (AO) is a physical rehabilitation approach that facilitates the occurrence of neural plasticity through the activation of the mirror-neural system, promoting motor recovery in people with stroke.
OBJECTIVES
To assess whether action observation enhances motor function and upper limb motor performance and cortical activation in people with stroke.
SEARCH METHODS
We searched the Cochrane Stroke Group Trials Register (last searched 4 September 2017), the Central Register of Controlled Trials (24 October 2017), MEDLINE (1946 to 24 October 2017), Embase (1974 to 24 October 2017) and five additional databases. We also searched trial registries and reference lists.
SELECTION CRITERIA
Randomized controlled trials (RCTs) of AO, alone or associated with physical practice in adults after stroke. The primary outcome was upper limb motor function. Secondary outcomes included dependence on activities of daily living (ADL), motor performance, cortical activation, quality of life, and adverse effects.
DATA COLLECTION AND ANALYSIS
Two review authors independently selected trials according to the pre-defined inclusion criteria, extracted data, assessed risk of bias, and applied the GRADE approach to assess the quality of the evidence. The reviews authors contacted trial authors for clarification and missing information.
MAIN RESULTS
We included 12 trials involving 478 individuals. A number of trials showed a high risk of bias and others an unclear risk of bias due to poor reporting. The quality of the evidence was 'low' for most of the outcomes and 'moderate' for hand function, according to the GRADE system. In most of the studies, AO was followed by some form of physical activity.
PRIMARY OUTCOME
the impact of AO on arm function showed a small significant effect (standardized mean difference (SMD) 0.36, 95% CI 0.13 to 0.60; 8 studies; 314 participants; low-quality evidence); and a large significant effect (mean difference (MD) 2.90, 95% CI 1.13 to 4.66; 3 studies; 132 participants; moderate-quality evidence) on hand function.
SECONDARY OUTCOMES
there was a large significant effect for ADL outcome (SMD 0.86, 95% CI 0.11 to 1.61; 4 studies, 226 participants; low-quality evidence). We were unable to pool other secondary outcomes to extract the evidence. Only two studies reported adverse effects without significant adverse AO events.
AUTHORS' CONCLUSIONS
We found evidence that AO is beneficial in improving upper limb motor function and dependence in activities of daily living (ADL) in people with stroke, when compared with any control group; however, we considered the quality of the evidence to be low. We considered the effect of AO on hand function to be large, but it does not appear to be clinically relevant, although we considered the quality of the evidence as moderate. As such, our confidence in the effect estimate is limited because it will likely change with future research.
Topics: Activities of Daily Living; Hand; Humans; Motor Skills; Neuronal Plasticity; Quality of Life; Randomized Controlled Trials as Topic; Recovery of Function; Stroke Rehabilitation; Upper Extremity
PubMed: 30380586
DOI: 10.1002/14651858.CD011887.pub2 -
International Journal of... Jul 2023Neurofeedback procedures are attracting increasing attention in the neuroscience community. Based on the principle that participants, through suitable feedback, may... (Review)
Review
Neurofeedback procedures are attracting increasing attention in the neuroscience community. Based on the principle that participants, through suitable feedback, may learn to affect specific aspects of their brain activity, neurofeedback interventions have been applied to basic research, translational, and clinical science. A large segment of the available empirical research as well as review articles have focused on the extent to which neurofeedback interventions affect mental health outcomes, cognitive capacity, aging, and other complex behaviors. Another segment has aimed to characterize the extent to which neurofeedback affects the targeted neural processes. At this time, there is no current systematic review of the effects of neurofeedback on healthy participants' performance in experimental tasks. Such a review is relevant in this rapidly evolving field because changes in experimental task performance are traditionally considered a hallmark of changing neurocognitive processes, often established in neurotypical individuals. This systematic review addresses this gap in the literature using the PRISMA method, building on earlier reviews on the same topic. Empirical studies using EEG or fMRI to alter brain processes linked to established cognitive and affective laboratory tasks were reviewed. Systematic quality assessment and z-curve analyses were also conducted. Substantial variability was found regarding the study designs used, the implementation of the feedback, and the neural targets of feedback. Importantly, only a minority of the studies reported statistically meaningful effects of neurofeedback on performance in cognitive and affective tasks. The z-curve analyses found no evidence for reporting bias or unsound research practices. Quality control and effect size analyses showed few systematic relations between study characteristics such as sample size or experimental control on the one hand and outcome on the other. Overall, the present study does not support strong effects of NFT on performance in laboratory tasks. Implications for future work are discussed.
Topics: Humans; Neurofeedback; Brain; Learning; Brain Mapping; Task Performance and Analysis
PubMed: 37148977
DOI: 10.1016/j.ijpsycho.2023.04.005 -
The American Journal of Clinical... Aug 2014Most studies that assess the effects of breakfast on subsequent mental abilities compared performance in subjects who had or had not consumed this meal. However,... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
Most studies that assess the effects of breakfast on subsequent mental abilities compared performance in subjects who had or had not consumed this meal. However, characteristics of breakfast itself may induce metabolic and hormonal alterations of the gastrointestinal tract and potentially modify cognitive performance. Moreover, as far as the evidence on the positive effects of having breakfast is becoming more robust, interest may shift to the specific characteristics of an adequate breakfast.
OBJECTIVE
The objective was to summarize existing evidence on the role of nutrient composition or energy intake at breakfast on the accomplishment of school-related tasks and cognition.
DESIGN
We conducted a systematic review of the literature through the PubMed database.
RESULTS
From the literature search, we identified 102 articles, 15 of which met the inclusion criteria. Of these, 3 studies provided information on the relation between cognitive and academic performance and energy intake at breakfast, 11 provided the same information for the macronutrient composition of breakfast, and 1 investigated both the aspects. Eleven studies considered breakfast meals differing in glycemic index/load. Selected studies were generally carried out in well-nourished children and adults of both sexes from general education. They were mostly experimental studies of short duration and had a limited number of subjects. Cognitive and academic performance was investigated by looking at multiple domains, including memory, attention, reasoning, learning, and verbal and math abilities, with a variety of test batteries scheduled at different time points in the morning. Breakfast options differed in terms of included foods and place and time of administration.
CONCLUSIONS
There is insufficient quantity and consistency among studies to draw firm conclusions. However, whereas the hypothesis of a better and more sustained performance with a breakfast providing >20% daily energy intake still needs substantiation, there does appear to be emerging, but still equivocal, evidence that a lower postprandial glycemic response is beneficial to cognitive performance.
Topics: Adolescent; Adolescent Nutritional Physiological Phenomena; Adult; Breakfast; Child; Child Nutritional Physiological Phenomena; Cognition; Educational Status; Energy Intake; Evidence-Based Medicine; Health Promotion; Humans; Learning; Memory; Nutrition Policy; Task Performance and Analysis
PubMed: 24808492
DOI: 10.3945/ajcn.114.083683 -
European Journal of Emergency Medicine... Oct 2015The aim of this study was to perform a comprehensive systematic review of emergency department performance indicators in relation to evidence. A systematic search was... (Review)
Review
The aim of this study was to perform a comprehensive systematic review of emergency department performance indicators in relation to evidence. A systematic search was performed through PUBMED, EMBASE, CINAHL and COCHRANE databases with (and including synonyms of) the search words: [emergency medicine OR emergency department] AND [quality indicator(s) OR performance indicator(s) OR performance measure(s)]. Articles were included according to the inclusion/exclusion criteria using the PRISMA protocol. The level of evidence was rated according to the evidence levels by the Oxford Centre for Evidence-Based Medicine. Performance indicators were extracted and organized into five categories; outcome, process, satisfaction, equity and structural/organizational measures. Six thousand four hundred and forty articles were initially identified; 127 provided evidence for/against a minimum of one performance indicator: these were included for further study. Of the 127 articles included, 113 (92%) were primary research studies and only nine (8%) were systematic reviews. Within the 127 articles, we found evidence for 202 individual indicators. Approximately half (n=104) of all this evidence (n=202) studied process-type indicators. Only seven articles (6%) qualified for high quality (level 1b). Sixty-six articles (51%) were good retrospective quality (level 2b or better), whereas the remaining articles were either intermediate quality (25% level 3a or 3b) or poor quality (17% level 4 or 5). We found limited evidence for most emergency department performance indicators, with the majority presenting a low level of evidence. Thus, a core group of evidence-based performance indicators cannot currently be recommended on the basis of this broad review of the literature.
Topics: Emergency Medicine; Emergency Service, Hospital; Evidence-Based Medicine; Female; Humans; Male; Quality Indicators, Health Care; Task Performance and Analysis
PubMed: 25969341
DOI: 10.1097/MEJ.0000000000000279 -
Journal of Science and Medicine in Sport Feb 2016This study aimed to review the scientific evidence on associations between motor competence (MC) and components of health related physical fitness (HRPF), in children... (Review)
Review
OBJECTIVES
This study aimed to review the scientific evidence on associations between motor competence (MC) and components of health related physical fitness (HRPF), in children and adolescents.
DESIGN
Systematic review.
METHODS
Systematic search of Academic Search Premier, ERIC, PubMed, PsycInfo, Scopus, SportDiscus, and Web of Science databases was undertaken between October 2012 and December 2013. Studies examining associations between MC and HRPF components (body weight status, cardiorespiratory fitness, musculoskeletal fitness and flexibility) in healthy children and adolescents, published between 1990 and 2013, were included. Risk of bias within studies was assessed using CONSORT and STROBE guidelines. The origin, design, sample, measure of MC, measure of the HRPF, main results and statistics of the studies were analyzed and a narrative synthesis was conducted.
RESULTS
Forty-four studies matched all criteria; 16 were classified as low risk of bias and 28 as medium risk. There is strong scientific evidence supporting an inverse association between MC and body weight status (27 out of 33 studies) and a positive association between MC and cardiorespiratory fitness (12 out of 12 studies) and musculoskeletal fitness (7 out of 11 studies). The relationship between MC and flexibility was uncertain.
CONCLUSIONS
Considering the noted associations between various assessments of MC and with multiple aspects of HRPF, the development of MC in childhood may both directly and indirectly augment HRPF and may serve to enhance the development of long-term health outcomes in children and adolescents.
Topics: Adolescent; Body Weight; Child; Humans; Motor Skills; Physical Fitness
PubMed: 25554655
DOI: 10.1016/j.jsams.2014.12.004 -
Psychological Bulletin Jun 2021Considerable literature on the role of attentional focus in motor performance and learning has accumulated for over two decades. We report the results of comprehensive... (Meta-Analysis)
Meta-Analysis
Considerable literature on the role of attentional focus in motor performance and learning has accumulated for over two decades. We report the results of comprehensive meta-analyses that address the impact of an external focus (EF, on intended movement effects) versus internal focus (IF, on movements of body parts) of attention on the performance and learning of motor skills. Values of effect sizes (ES) from 73 studies with 1,824 participants and 40 studies with 1,274 participants were used for examining the effects of EF versus IF on behavioral outcomes of motor performance and learning (separately for retention and transfer phases) respectively. The EF condition was more effective than the IF condition for performance, Hedges' g value = 0.264 (95% CI [0.217, 0.310]), retention learning, Hedges' g value = 0.583 (95% CI [0.425, 0.741]), and transfer learning, Hedges' g value = 0.584 (95% CI [0.325, 0.842]). Multivariable metaregression analyses on behavioral measures further indicated that neither age group, health status, or skill level, nor their two-way interactions, moderated the ES differences between EF and IF in performance, retention, and transfer models (all p > .100). A secondary analysis on 12 studies with 216 participants that examined the effects of EF versus IF on electromyographic outcomes of motor performance also indicated that EF was associated with more efficient neuromuscular processing, Hedges' g value = 0.833 (95% CI [0.453, 1.213]). From nine studies with 272 participants, performance measured by behavioral outcomes was found to be more effective when a more distal, rather than proximal, EF was used, Hedges' g value = 0.224 (95% CI [0.019, 0.429]). Overall, the meta-analytic results are consistent with prior narrative reviews and indicate that an external focus is superior to an internal focus whether considering tests of motor performance or learning, and regardless of age, health condition, and level of skill expertise. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Topics: Attention; Humans; Learning; Motor Skills; Movement
PubMed: 34843301
DOI: 10.1037/bul0000335