Knowing What Others Know: Younger and Older Adults' Perspective-Taking and Memory for Medication Information.
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ABSTRACT:
SUBMITTER: Hargis MB
PROVIDER: S-EPMC8158662 | biostudies-literature |
REPOSITORIES: biostudies-literature
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Project description:Societal expectations of self-care and responsible actions toward others may produce bias against those who engage in perceived self-harming behavior. This is especially true for health professionals, who have dedicated themselves to helping reduce the burden of illness and suffering. Research has shown that writing narratives can increase perspective taking and empathy toward other people, which may engender more positive attitudes. Two studies examined whether creating a fictional narrative about a woman who smokes cigarettes while pregnant could increase positive attitudes toward the woman who smokes and reduce the internal attributions made for her behavior. Across both experiments, the narrative writing intervention increased participants' empathy and perspective taking, evoked more positive attitudes toward a woman who smokes cigarettes while pregnant, and increased external attributions for her behavior. This work supports our hypothesis that narrative writing would be an efficacious intervention promoting attitude change toward patients who engage in unhealthy, and often contentious, behaviors. This work also suggests that narrative writing could be a useful intervention for medical professionals and policy makers leading to more informed policy or treatment recommendations, encouraging empathy for patients, and engendering a stronger consideration of how external forces can play a role in someone's seemingly irresponsible behavior.
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Project description:We infer the thoughts and feelings of others by taking their perspectives. Similar processes could be used to understand how we will be affected by future events, by allowing us to take the perspective of our future self. In this paper, we test this idea using a previously presented framework for guiding predictions. The framework proposes that a shared neural mechanism is involved in controlling egocentric bias, both while shifting our perspective away from self and towards others, and while shifting our perspective from immediate to future perspectives. To test this framework, 36 adults performed an intertemporal choice task. They were then scanned using 3T functional magnetic resonance imaging while completing a false-belief "localizer" task, which requires egocentric bias control. A positive correlation was observed between the right temporoparietal junction (rTPJ) response during the false-belief task, and preferences for delayed rewards in intertemporal choices. A subset of participants performed the intertemporal choice task again in the scanner, which revealed that the response of the same rTPJ cluster, individually localized during the false-belief task, was higher during delayed over immediate reward choices. In addition, functional connectivity between the rTPJ and ventromedial prefrontal cortex was found to differ between immediate and delayed choices. The current results indicate an overlap in processes of egocentric bias control and those that determine preferences in intertemporal choices, offering a social cognitive explanation for why rewards are devalued with delay in temporal discounting.
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Project description:BackgroundPrior work suggests that some but not all antihypertensive treatments may benefit cognition and risk for Alzheimer's disease, independent of stroke. Angiotensin II receptor blockers (ARBs) have been highlighted as one antihypertensive drug class that may confer greatest benefit.MethodsThe participants comprised 1626 nondemented adults, aged 55-91 years, recruited from Alzheimer's Disease Neuroimaging Initiative sites. Three groups were compared: ARB users (HTN-ARBs), other antihypertensive drug users (HTN-Other), and normotensives. In post hoc analyses, we also examined (1) users of ARBs and angiotensin-converting enzyme inhibitors (ACEIs), (2) users of blood-brain barrier (BBB)-crossing ARBs and users of non-BBB-crossing ARBs, and (3) users of BBB-crossing ARBs and ACEIs (BBB crossers) and users of non-BBB-crossing ARBs and ACEIs (BBB noncrossers). Groups were compared regarding cognition and magnetic resonance imaging measures of brain volume and white matter hyperintensities (WMH), using analysis of covariance and multilevel models.ResultsAt baseline, the HTN-Other group performed worse than normotensives on Rey Auditory Verbal Learning Test (RAVLT) Immediate Recall (p?=?0.002), Delayed Recall (p?<?0.001), Recognition Memory (p?=?0.001), and Trails A (p?<?0.001) and B (p?=?0.01). ARB users performed better than the HTN-Other group on Recognition Memory (p?=?0.04) and worse than normotensives on Trails A (p?=?0.04). The HTN-Other group performed worse than normotensives on Logical Memory Immediate (p?=?0.02) and Delayed Recall over the 3-year follow-up (p?=?0.007). Over the follow-up period, those taking BBB-crossing ARBs performed better than the HTN-Other group on AVLT Delayed Recall (p?=?0.04), Logical Memory Immediate (p?=?0.02), and Delayed Recall (p?=?0.05). They also had fewer WMH than the HTN-Other group (p?=?0.008) and those taking non-BBB-crossing ARBs (p?=?0.05). There were no group differences in brain volume. Users of BBB-crossing medications (ARBs or ACEIs) showed better performance on AVLT Delayed Recall over time than all other groups, including normotensives (all p?<?0.01), and had less WMH volume over time than the BBB noncrossers group (p?=?0.03), although they had more WMH volume than normotensives (p?=?0.01). The BBB noncrossers group performed worse than normotensives on Logical Memory Delayed Recall over time (p?=?0.01), but the BBB crossers group was not significantly different (p?=?0.13).ConclusionsHypertensive participants demonstrated worse baseline memory and executive function, as well as greater memory decline, over the 3-year follow-up than normotensives, unless they were ARB users, who showed preserved memory compared with those taking other antihypertensive drugs. Users of BBB-crossing ARBs showed superior memory performance over time compared with other antihypertensive drug users and had less WMH volume. Users of BBB-crossing medications (ARBs or ACEIs) showed better list-learning memory performance over time than all other groups, including normotensives, and had less WMH volume over time than users of non-BBB-crossing medications. These findings demonstrate that ARBs, especially those of the BBB-crossing variety, are associated with greater memory preservation and less WMH volume than other antihypertensive medications.
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Project description:Risky decision making for others is ubiquitous in our societies. Whereas financial decision making for oneself induces strong concern about the worst outcome (maximin concern) as well as the expected value, behavioral and neural characteristics of decision making for others are less well understood. We conducted behavioral and functional magnetic resonance imaging (fMRI) experiments to examine the neurocognitive underpinnings of risky decisions for an anonymous other, using decisions for self as a benchmark. We show that, although the maximin concern affected both types of decisions equally strongly, decision making for others recruited a more risk-neutral computational mechanism than decision making for self. Specifically, participants exhibited more balanced information search when choosing a risky option for others. Activity of right temporoparietal junction (rTPJ, associated with cognitive perspective taking) was parametrically modulated by options' expected values in decisions for others, and by the minimum amounts in decisions for self. Furthermore, individual differences in self-reported empathic concern modified these attentional and neural processes. Overall, these results indicate that the typical maximin concern is attenuated in a risk-neutral direction in decisions for others as compared to self. We conjecture that, given others' diverse preferences, deciding as a neutral party may cognitively recruit such risk-neutrality.
| S-EPMC6110713 | biostudies-literature