Neurocognitive Studies Of Reward Sensitivity In Opiate Addiction And Its Influence On Addiction-related Behaviour
Funder
National Health and Medical Research Council
Funding Amount
$258,275.00
Summary
Drug abuse is the greatest single preventable risk factor for physical illness and death in Australians . Our understanding of the neural and cognitive mechanisms that contribute to the transition from drug use to addiction is not yet complete. The current proposal investigates cognitive control dysfunction, most notably the impulsivity for reward seen in drug addiction that is known to predict the transition from drug use to addiction and relapse during treatment.
Environmental And Metabolic Influences On Musculoskeletal And Other Diseases In A Cohort Of Elderly Women
Funder
National Health and Medical Research Council
Funding Amount
$840,575.00
Summary
Osteoporosis is a largely preventable disease yet 1 in 10 Australians have osteoporosis. Every year >64,000 osteoporotic fractures occur, which is one every 8.1 minutes and women are three times as likely to have the disease than men. The Bone and Calcium Research Group at the University of Western Australia, has been monitoring a cohort of elderly women for since 1998. This study is called the Calcium Intake Fracture Outcome Study or CAIFOS. 1,500 women were recruited to study whether a dail ....Osteoporosis is a largely preventable disease yet 1 in 10 Australians have osteoporosis. Every year >64,000 osteoporotic fractures occur, which is one every 8.1 minutes and women are three times as likely to have the disease than men. The Bone and Calcium Research Group at the University of Western Australia, has been monitoring a cohort of elderly women for since 1998. This study is called the Calcium Intake Fracture Outcome Study or CAIFOS. 1,500 women were recruited to study whether a daily calcium supplement for 5 years helps to prevent fractures compared to a diet without a supplement. Each year the study participants are reviewed and asked whether or not they have broken any bones and have other measurements to monitor their bone and cardiovascular health and cognitive function. The subjects will end the treatment phase in 2003 and they will find out the results of the study. More than 93% are interested in being followed for a further 5 years, where they will be contacted every 6 months and asked questions about their general health including information on fracture, hospital visits and changes in medication use. The subjects will have a clinic visits at 2 and 5 years post treatment. With the ongoing collection of adverse event data and metabolic and environmental data from the first phase of the study, we will be able to examine the metabolic and environmental factors that influence musculoskeletal, cardiovascular and mental health. This is important to determine how we can prevent disease to maintain the quality of life and independence in the elderly, a growing segment of the population.Read moreRead less
Abnormal Auditory System Function In Schizophrenia: An ERP And MEG Study Of Its Origin, Course And Generality.
Funder
National Health and Medical Research Council
Funding Amount
$250,770.00
Summary
In 1991, an Australian group found that schizophrenia patients have a reduced brain response to deviant sounds in a repeating pattern of identical sounds. Deviant sounds produce a brain electrical response known as mismatch negativity which is generated by the auditory cortex in the brain's temporal lobes and by adjacent areas in the frontal lobes. A smaller mismatch negativity in patients has since been replicated in laboratories in the US, Europe and Australia. The importance of this finding i ....In 1991, an Australian group found that schizophrenia patients have a reduced brain response to deviant sounds in a repeating pattern of identical sounds. Deviant sounds produce a brain electrical response known as mismatch negativity which is generated by the auditory cortex in the brain's temporal lobes and by adjacent areas in the frontal lobes. A smaller mismatch negativity in patients has since been replicated in laboratories in the US, Europe and Australia. The importance of this finding is that it had not been previously recognised that patients have low level auditory problems that could potentially have a profound impact on higher level functions. Finnish researchers have gone on to show in healthy individuals that mismatch negativity can reveal important features about how well the auditory system works, e.g., for the brain to respond to a deviant sound, it must have a memory of what happened in the past. Mismatch negativity provides a measure of the integrity of these memory functions. But it also provides an index of how well the auditory system discriminates different aspects of sound, pitch, loudness, and temporal features, such as duration. There are hints in our data and from US researchers that processing of the temporal features of sounds is particularly impaired in schizophrenia. We have also recently discovered that first-degree relatives of patients may have a similar deficit. The aim of this project is to use mismatch negativity to probe what is wrong with the auditory system in schizophrenia and those at risk (first degree relatives). Is it the areas of the brain primarily involved in sound perception (the temporal lobes) that are faulty or is the problem in the frontal lobes? Is it the case that processing of temporal features are particularly compromised and if so, is this a biological marker for schizophrenia. Answers to these questions will greatly enhance our understanding of the nature of the brain dysfunction in schizophrenia.Read moreRead less
Schizophrenia affects, on average, 1% of the population over a lifetime and accounts for 2.6% of the global burden of disease and disability, according to a joint study by the World Health Organization and the World Bank. It is a complex disorder involving both genetic and environmental risk factors, but the specific causation remains poorly understood. People with schizophrenia experience symptoms such as delusions and hallucinations, distorted perception of reality, and progressive loss of mot ....Schizophrenia affects, on average, 1% of the population over a lifetime and accounts for 2.6% of the global burden of disease and disability, according to a joint study by the World Health Organization and the World Bank. It is a complex disorder involving both genetic and environmental risk factors, but the specific causation remains poorly understood. People with schizophrenia experience symptoms such as delusions and hallucinations, distorted perception of reality, and progressive loss of motivation, which disrupt personal development. Recent research demonstrates that underlying cognitive impairments, affecting reasoning, memory, planning ability and information processing, are at the core of the disorder and account for a high proportion of these handicaps. In a study involving 112 families with members suffering from schizophrenia, Western Australian researchers carried out detailed investigations of brain cognitive functioning, coupled with a complete genome scan. They identified, in about 50% of these families, a variety of schizophrenia characterized by multiple cognitive deficits, which turned out to be linked to a particular segment of chromosome 6. It was exactly in the chromosomal region where US investigators had previously found genetic linkage with the symptoms of schizophrenia in a large series of Irish families. In this project, the Western Australian and US teams, together with a group of Dutch researchers, will embark on a joint search for the gene (or genes) on chromosome 6, contributing to cognitive deficits in schizophrenia. They will assess a further large series of patients and controls, and conduct molecular genetic studies aiming to pinpoint the specific gene defect or variant. If successful, the project will have far-reaching implications for defining novel drug targets and treatment strategies for this disabling disorder.Read moreRead less
The Effect Of Adenotonsillectomy On Neurocognitive Functioning In Children With Upper Airway Obstruction
Funder
National Health and Medical Research Council
Funding Amount
$185,850.00
Summary
Upper airway obstruction during sleep affects up to 3% of all children and is very frequently unrecognised. If severe it causes growth failure, developmental delay and heart failure. However, there is little information on the effects of less severe degrees of upper airway obstruction in children but recent work suggests that reduced academic performance may also be present in children with relatively mild degrees of upper airway obstruction. In particular, the areas most affected appear to be i ....Upper airway obstruction during sleep affects up to 3% of all children and is very frequently unrecognised. If severe it causes growth failure, developmental delay and heart failure. However, there is little information on the effects of less severe degrees of upper airway obstruction in children but recent work suggests that reduced academic performance may also be present in children with relatively mild degrees of upper airway obstruction. In particular, the areas most affected appear to be intelligence, memory, behaviour and attentional capacity . Currently it is unclear whether these deficits are due to sleep disruption or reduced nocturnal oxygen levels. The treatment of upper airway obstruction is the removal of adenoids and tonsils, however, it is unknown whether or not this improves the child's intellectual capacity. This study aims to be one of the first to critically evaluate the impact of upper airway obstruction during sleep on children's intelligence, memory, behaviour and attentional capacity, and the improvements wrought by the removal of the child's tonsils and adenoids.Read moreRead less
If Childhood Primary Snoring Resolves, Do Neurocognition And Behaviour Also Improve?
Funder
National Health and Medical Research Council
Funding Amount
$568,067.00
Summary
Sleep breathing disorders (SBD) are common and affect around 10% of all children. Previous research however has shown that sleep disorders are often not recognised or considered important enough to report to general practitioners. Thus, the true incidence of sleep disorders in Australian children is not known. Nevertheless, even the mildest SBD, primary snoring, has been associated with significant deficits in daytime learning, memory, intelligence, attention and problematic behaviour. In severe ....Sleep breathing disorders (SBD) are common and affect around 10% of all children. Previous research however has shown that sleep disorders are often not recognised or considered important enough to report to general practitioners. Thus, the true incidence of sleep disorders in Australian children is not known. Nevertheless, even the mildest SBD, primary snoring, has been associated with significant deficits in daytime learning, memory, intelligence, attention and problematic behaviour. In severe cases of childhood SBD (i.e. sleep apnoea syndrome), removal of the tonsils and adenoids has been shown to improve the learning and behaviour problems. Thus there is increasing pressure on doctors to treat primary snoring in children with surgery to improve their intellectual functioning. However, recent evidence in children has shown that snoring may resolve naturally in up to 50% of cases over one to two years. In addition to the risks of surgery, the large number of children who may have a natural resolution of snoring suggestst that the pressure to treat primary snoring in may not be justified. This study will be the first to determine the prevalence of childhood snoring and associated problems in the Australian community. We also aim to discover whether snoring and the associated intellectual deficits persist over time during childhood. We will identify frequent snorers and healthy non-snorers in children aged 5-10 years old, using parental questionnaires. We will then study 75 snorers and 75 non-snorers in more detail, monitoring them with overnight sleep studies and questionnaires 2 years apart, to see if snoring, intellectual function and behavioural problems persist over time. This information will improve the health of Australian children by determining the prevalence of childhood SBD and persistence of associated deficits such as in learning, memory and behaviour.Read moreRead less
Organic Brain Damage After Non-fatal Opioid Overdose
Funder
National Health and Medical Research Council
Funding Amount
$244,858.00
Summary
The study will provide the first data on the level and nature of brain damage due to opioid overdose. The extent to which overdose survivors suffer brain damage has important implications for clinical management, particularly in relation to behavioural problems. It will also provide the first data on brain damage and drug treatment performance. Screening of those with an overdose history may lead to specialised management of these individuals with the potential for improved treatment outcome.
Neurocognitive And Social Changes Associated With Unleaded Petrol Sniffing And Abstinence From Further Sniffing
Funder
National Health and Medical Research Council
Funding Amount
$639,570.00
Summary
Currently, there is a poor understanding about the nature and permanence of brain damage associated with sniffing petrol. Previously, we used culturally-appropriate assessments of brain function to test Aboriginal petrol sniffers from remote communities in northern Australia. This showed that recreational petrol sniffers who remained living in their communities showed some degree of brain dysfunction that affected their ability to concentrate, remember things, learn, control their emotions and c ....Currently, there is a poor understanding about the nature and permanence of brain damage associated with sniffing petrol. Previously, we used culturally-appropriate assessments of brain function to test Aboriginal petrol sniffers from remote communities in northern Australia. This showed that recreational petrol sniffers who remained living in their communities showed some degree of brain dysfunction that affected their ability to concentrate, remember things, learn, control their emotions and control their behaviour. Petrol sniffing was then completely stopped in these communities. Two years later, among people who had shown brain dysfunction from sniffing petrol, our assessments showed some recovery of some of the brain damage caused by sniffing petrol. Initially, the current study aims to determine the longer-term outcomes for abstinent petrol sniffers by returning to these communities and assessing social and brain function outcomes in the original study participants, now over 10 years since they stopped sniffing petrol. The second part of the study will focus on the specific effects on the brain, behaviour and social function of sniffing unleaded petrol in comparison to leaded petrol, alcohol, other inhalants and polydrug use. It will also further investigate the time course of recovery of brain function and social outcomes in the immediate period following abstinence from petrol sniffing. This will involve recruiting petrol sniffers who move to outstation communities to stop sniffing, and have them perform brain function tests several times over the months or years that they spend recovering. These findings will enable the development of appropriate programs to minimise the harm from petrol sniffing. It will also establish an assessment protocol for the classification of petrol related brain damage that can be used by health professionals such as Aboriginal health workers, nurses and doctors.Read moreRead less