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- All Subjects: Mental Health
Description
Concussion, a subset of mild traumatic brain injury (mTBI), has recently been brought to the forefront of the media due to a large lawsuit filed against the National Football League. Concussion resulting from injury varies in severity, duration, and type, based on many characteristics about the individual that research does not presently understand. Chronic fatigue, poor working memory, impaired self-awareness, and lack of attention to task are symptoms commonly present post-concussion. Currently, there is not a standard method of assessing concussion, nor is there a way to track an individual's recovery, resulting in misguided treatment for better prognosis. The aim of the following study was to determine patient specific higher-order cognitive processing deficits for clinical diagnosis and prognosis of concussion. Six individuals (N=6) were seen during the acute phase of concussion, two of whom were seen subsequently when their symptoms were deemed clinically resolved. Subjective information was collected from both the patient and from neurology testing. Each individual completed a task, in which they were presented with degraded speech, taxing their higher-order cognitive processing. Patient specific behavioral patterns are noted, creating a unique paradigm for mapping subjective and objective data for each patient's strategy to compensate for deficits and understand speech in a difficult listening situation. Keywords: concussion, cognitive processing
ContributorsBerg, Dena (Author) / Liss, Julie M (Committee member) / Azuma, Tamiko (Committee member) / Caviness, John (Committee member) / Arizona State University (Publisher)
Created2013
Description
Military veterans have a significantly higher incidence of mild traumatic brain injury (mTBI), depression, and Post-traumatic stress disorder (PTSD) compared to civilians. Military veterans also represent a rapidly growing subgroup of college students, due in part to the robust and financially incentivizing educational benefits under the Post-9/11 GI Bill. The overlapping cognitively impacting symptoms of service-related conditions combined with the underreporting of mTBI and psychiatric-related conditions, make accurate assessment of cognitive performance in military veterans challenging. Recent research findings provide conflicting information on cognitive performance patterns in military veterans. The purpose of this study was to determine whether service-related conditions and self-assessments predict performance on complex working memory and executive function tasks for military veteran college students. Sixty-one military veteran college students attending classes at Arizona State University campuses completed clinical neuropsychological tasks and experimental working memory and executive function tasks. The results revealed that a history of mTBI significantly predicted poorer performance in the areas of verbal working memory and decision-making. Depression significantly predicted poorer performance in executive function related to serial updating. In contrast, the commonly used clinical neuropsychological tasks were not sensitive service-related conditions including mTBI, PTSD, and depression. The differing performance patterns observed between the clinical tasks and the more complex experimental tasks support that researchers and clinicians should use tests that sufficiently tax verbal working memory and executive function when evaluating the subtle, higher-order cognitive deficits associated with mTBI and depression.
ContributorsGallagher, Karen Louise (Author) / Azuma, Tamiko (Thesis advisor) / Liss, Julie (Committee member) / Lavoie, Michael (Committee member) / Arizona State University (Publisher)
Created2017
Description
Previous research from Rajsic et al. (2015, 2017) suggests that a visual form of confirmation bias arises during visual search for simple stimuli, under certain conditions, wherein people are biased to seek stimuli matching an initial cue color even when this strategy is not optimal. Furthermore, recent research from our lab suggests that varying the prevalence of cue-colored targets does not attenuate the visual confirmation bias, although people still fail to detect rare targets regardless of whether they match the initial cue (Walenchok et al. under review). The present investigation examines the boundary conditions of the visual confirmation bias under conditions of equal, low, and high cued-target frequency. Across experiments, I found that: (1) People are strongly susceptible to the low-prevalence effect, often failing to detect rare targets regardless of whether they match the cue (Wolfe et al., 2005). (2) However, they are still biased to seek cue-colored stimuli, even when such targets are rare. (3) Regardless of target prevalence, people employ strategies when search is made sufficiently burdensome with distributed items and large search sets. These results further support previous findings that the low-prevalence effect arises from a failure to perceive rare items (Hout et al., 2015), while visual confirmation bias is a bias of attentional guidance (Rajsic et al., 2015, 2017).
ContributorsWalenchok, Stephen Charles (Author) / Goldinger, Stephen D (Thesis advisor) / Azuma, Tamiko (Committee member) / Homa, Donald (Committee member) / Hout, Michael C (Committee member) / McClure, Samuel M. (Committee member) / Arizona State University (Publisher)
Created2018
Description
The increase of Traumatic Brain Injury (TBI) cases in recent war history has increased the urgency of research regarding how veterans are affected by TBIs. The purpose of this study was to evaluate the effects of TBI on speech recognition in noise. The AzBio Sentence Test was completed for signal-to-noise ratios (S/N) from -10 dB to +15 dB for a control group of ten participants and one US military veteran with history of service-connected TBI. All participants had normal hearing sensitivity defined as thresholds of 20 dB or better at frequencies from 250-8000 Hz in addition to having tympanograms within normal limits. Comparison of the data collected on the control group versus the veteran suggested that the veteran performed worse than the majority of the control group on the AzBio Sentence Test. Further research with more participants would be beneficial to our understanding of how veterans with TBI perform on speech recognition tests in the presence of background noise.
ContributorsCorvasce, Erica Marie (Author) / Peterson, Kathleen (Thesis director) / Williams, Erica (Committee member) / Azuma, Tamiko (Committee member) / Barrett, The Honors College (Contributor) / Department of Speech and Hearing Science (Contributor)
Created2015-05
Description
An increasing number of veterans are transitioning from military service to college. Critical to academic success is the process of decision-making, which previous research has found to be influenced by a variety of factors including anxiety and working memory (WM). Many service-related conditions often influence anxiety and WM, and given the high prevalence of these conditions among veterans, the present study aimed to analyze the effects of working memory and anxiety on decision-making behavior in U.S. Military Veterans. Participants completed a large test battery including tasks assessing WM skills (Symmetry Span Task), anxiety (Beck Anxiety Inventory), and decision-making (Iowa Gambling Task). The study results indicated that WM and anxiety both play roles in decision-making performance in young military veterans. High anxiety is related to increased avoidance of adverse outcomes in decision-making for U.S. Military Veterans, while lower working memory span is associated with greater risk-taking behavior. This study provides both functional and clinical implications into areas of possible intervention that need to be assessed in military veterans, as well as modifications to these assessments that need to be made in order to appropriately measure decision-making behavior. Future work will be done in order to more effectively analyze the adverse impacts of service-related conditions and the ways in which intervention can be implemented in order to minimize these effects.
ContributorsTully, Mckayla Lynne (Author) / Azuma, Tamiko (Thesis director) / Gallagher, Karen (Committee member) / Department of Psychology (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Department of Speech and Hearing Science (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
The emotional enhancement of memory (EEM) has consistently suggested that memory performance is enhanced for positively and negatively valenced stimuli. Heightened arousal and activation of the noradrenergic system facilitates encoding and the formation of memory traces. However, this EEM can become maladaptive when coupled with the heightened noradrenergic activity associated with posttraumatic stress disorder (PTSD). This heightened noradrenergic response can result in chronic intrusive memories of past traumatic events. This study aims to explore overall recall, retrieval dynamics, output editing, and intrusions as a function of emotional content and prior history with traumatic experiences. Undergraduate students (N=249) from Arizona State University completed a battery surveys measuring PTSD symptomatology and other related constructs including anxiety, depression, and trauma. Participants then completed a memory task, an externalized free recall task for multiple study-blocks utilizing word list stimuli. During recall, participants were instructed to report every word that came to mind regardless of whether it was present or not in the most recent study-block, then make a judgment about recent-list membership. Main effects of valence were found for recall accuracy, intrusion generation, and successful editing. This suggests that the emotional enhancement of memory does in fact play a role in intrusion generation and the ability to edit out false recollections. Only depression levels resulted in a significant interaction effect with valence, specifically when measuring intrusion generation. This suggests that trauma level does not play a significant role in emotional intrusion memory.
ContributorsDziendziel, Hailey K (Author) / Brewer, Gene A (Thesis advisor) / Azuma, Tamiko (Committee member) / Lewis, Candace (Committee member) / Arizona State University (Publisher)
Created2023