6 results on '"Makkar, Steve Robert"'
Search Results
2. Is hospitalisation a risk factor for cognitive decline in the elderly?
- Author
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Chinnappa-Quinn, Lucia, Bennett, Michael, Makkar, Steve Robert, Kochan, Nicole A., Crawford, John D., and Sachdev, Perminder S.
- Published
- 2020
- Full Text
- View/download PDF
3. Is hospitalization a risk factor for cognitive decline in older age adults?
- Author
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Chinnappa-Quinn, Lucia, Makkar, Steve Robert, Bennett, Michael, Lam, Ben C. P., Lo, Jessica W., Kochan, Nicole A., Crawford, John D., and Sachdev, Perminder S.
- Abstract
Objectives: Many studies document cognitive decline following specific types of acute illness hospitalizations (AIH) such as surgery, critical care, or those complicated by delirium. However, cognitive decline may be a complication following all types of AIH. This systematic review will summarize longitudinal observational studies documenting cognitive changes following AIH in the majority admitted population and conduct meta-analysis (MA) to assess the quantitative effect of AIH on post-hospitalization cognitive decline (PHCD).Methods: We followed Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Selection criteria were defined to identify studies of older age adults exposed to AIH with cognitive measures. 6566 titles were screened. 46 reports were reviewed qualitatively, of which seven contributed data to the MA. Risk of bias was assessed using the Newcastle-Ottawa Scale.Results: The qualitative review suggested increased cognitive decline following AIH, but several reports were particularly vulnerable to bias. Domain-specific outcomes following AIH included declines in memory and processing speed. Increasing age and the severity of illness were the most consistent risk factors for PHCD. PHCD was supported by MA of seven eligible studies with 41,453 participants (Cohen's d = -0.25, 95% CI [-0.02, -0.49] I2 35%).Conclusions: There is preliminary evidence that AIH exposure accelerates or triggers cognitive decline in the elderly patient. PHCD reported in specific contexts could be subsets of a larger phenomenon and caused by overlapping mechanisms. Future research must clarify the trajectory, clinical significance, and etiology of PHCD: a priority in the face of an aging population with increasing rates of both cognitive impairment and hospitalization. [ABSTRACT FROM AUTHOR]- Published
- 2022
- Full Text
- View/download PDF
4. Is hospitalization a risk factor for cognitive decline in older age adults?
- Author
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Chinnappa-Quinn, Lucia, primary, Makkar, Steve Robert, additional, Bennett, Michael, additional, Lam, Ben C. P., additional, Lo, Jessica W., additional, Kochan, Nicole A., additional, Crawford, John D., additional, and Sachdev, Perminder S., additional
- Published
- 2020
- Full Text
- View/download PDF
5. Post-event processing in social anxiety
- Author
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Makkar, Steve Robert
- Subjects
Social anxiety ,Rumination ,Post-event processing ,Imagery ,Social phobia - Abstract
The current thesis examined the role of post-event processing (PEP; Clark & Wells, 1995), the act of engaging in a detailed and negatively-biased review of a prior social event, in the maintenance of social anxiety. The six studies presented had three major goals: (i) to outline the cognitive contents of PEP (Study 1), (ii) to explicate the cognitive causes of PEP (Studies 1-3), and (iii) to investigate the consequences of engaging in this process (Studies 4 and 5). Study 1 found that individuals higher in social anxiety were more likely to experience negative thoughts about the self and social performance during PEP, than individuals lower in social anxiety. Study 1 also revealed that a unique predictor of PEP following a brief speech was the frequency with which negative assumptions came to mind during that speech. Studies 2 and 3 demonstrated that negative self-imagery and negative somatic feedback during a brief speech, respectively, led to increases in negative affect, deficits in perceived performance, increases in negative cognitions, and increases in PEP in both high and low socially anxious individuals. These negative effects were mediated by increases in self-focused attention. In Study 4, instructions to engage in PEP after a brief speech elicited constructive effects such as increased willingness to give a second speech, improvements in self-perceived speech quality, and reductions in negative performance perceptions in high and low socially anxious participants. These helpful effects most likely emerged because specific characteristics of the PEP manipulation inadvertently encouraged concrete processing of the initial speech. In Study 5, PEP instructions were modified to enhance to abstract-evaluative processing of negative self-aspects. Results revealed that among high but not low socially anxious individuals, engaging in PEP as opposed to distraction increased negative affect, negative self-beliefs, and interpretive biases. The current thesis provides an important extension to the extant literature by demonstrating that (i) PEP is primarily dominated by cognitions reflecting discrepancies between the actual and ought self, (ii) PEP is triggered by cognitive variables that enhance perceptions of social failure, and (iii) engaging in PEP enhances negative feelings, strengthens self-doubts, maintains perceived discrepancies between the self and desired social standards, and ultimately contributes to the maintenance of social anxiety.
- Published
- 2012
- Full Text
- View/download PDF
6. Post-event processing in social anxiety
- Author
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Grisham, Jessica, Psychology, Faculty of Science, UNSW, Makkar, Steve Robert, Psychology, Faculty of Science, UNSW, Grisham, Jessica, Psychology, Faculty of Science, UNSW, and Makkar, Steve Robert, Psychology, Faculty of Science, UNSW
- Abstract
The current thesis examined the role of post-event processing (PEP; Clark & Wells, 1995), the act of engaging in a detailed and negatively-biased review of a prior social event, in the maintenance of social anxiety. The six studies presented had three major goals: (i) to outline the cognitive contents of PEP (Study 1), (ii) to explicate the cognitive causes of PEP (Studies 1-3), and (iii) to investigate the consequences of engaging in this process (Studies 4 and 5). Study 1 found that individuals higher in social anxiety were more likely to experience negative thoughts about the self and social performance during PEP, than individuals lower in social anxiety. Study 1 also revealed that a unique predictor of PEP following a brief speech was the frequency with which negative assumptions came to mind during that speech. Studies 2 and 3 demonstrated that negative self-imagery and negative somatic feedback during a brief speech, respectively, led to increases in negative affect, deficits in perceived performance, increases in negative cognitions, and increases in PEP in both high and low socially anxious individuals. These negative effects were mediated by increases in self-focused attention. In Study 4, instructions to engage in PEP after a brief speech elicited constructive effects such as increased willingness to give a second speech, improvements in self-perceived speech quality, and reductions in negative performance perceptions in high and low socially anxious participants. These helpful effects most likely emerged because specific characteristics of the PEP manipulation inadvertently encouraged concrete processing of the initial speech. In Study 5, PEP instructions were modified to enhance to abstract-evaluative processing of negative self-aspects. Results revealed that among high but not low socially anxious individuals, engaging in PEP as opposed to distraction increased negative affect, negative self-beliefs, and interpretive biases. The current thesis provides
- Published
- 2012
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