202. BEREAVEMENT AND DEPRESSION:
magnetic resonance imaging (FMRI) studies from our laboratory andothers revealed a distributed neural circuitry underlying spatial and
IMMUNE CONCOMITANT
non-spatial working memory processes. Accordingly, while posteriorcortical regions differentiated based on stimulus characteristics, dorso-
S.E. Keller, S.J. Schleifer, J.A. Bartlett,
lateral prefrontal regions were activated across processing domains,consistent with the mapping of the central executive component onto that
region. Subsequent fMRI studies employing other tasks, such as theoddball paradigm associated with P300 ERP generation and Stroop tasks,
UMDNJ-New Jersey Medical School, Newark, New Jersey
provided further evidence of a distinct role of prefrontal regions inexecutive processes underlying the selection of task-appropriate re-
Bereavement is a common stressor, with spousal/significant other be-
sponses. Our recent fMRI studies also revealed that modulation of
reavement one of the major life stressors experienced. Early research on
NMDA receptor function in healthy subjects mimics executive function
immune modulation by psychosocial processes therefore utilized be-
deficits observed in schizophrenia, and preferentially disrupts prefrontal
reavement as a stressor when searching for immune alterations. In the
executive functions despite targeting widespread cortical regions. Fi-
early 1980s several reports documented immune findings following
nally, behavioral cognitive studies of working memory functions in
spousal or significant other bereavement. Since the most common
schizophrenic patients suggested that performance deficits were linked to
psychological sequela of bereavement is depression, the depression/
the “executive load” of the task, rather than the memory load or the delay
immunity relationship has been pursued since the early studies of
of information retention. Thus, working memory impairments in schizo-
bereavement and immunity. A number of manuscripts have reported
phrenia are associated with deficient executive control processes second-
various immune findings associated with adult depression and have been
ary to widespread prefrontal cortex dysfunction that is also associated
presented in meta-analytic reports. These findings include decreases in
T4 cells and mitogen stimulation with increasing age, and a generaldecrease in NKCA. Since the immune system develops with age andsince depression may represent differing entities within differing agegroups, the relation between depression and immunity was exploredacross differing developmental cohorts. First the immune depressionrelationship was examined as separate case/control experiments examin-
204. CLINICAL IMPLICATIONS OF THE
ing children, early adolescents, late adolescents, early adulthood, middle
INVERTED U-SHAPED CURVE RELATING
age and elderly. Finally, all of these “separate” studies were combined to
D1 STIMULATION AND BEHAVIOR
appreciate the developing relationship along the age dimension. Theimmune depression relation in children and adults have been previouslyreported. We examined a total of 284 adolescents, 32 with MDD and 252
P.S. Goldman-Rakic, S. Castner, G. Williams
without current MDD. The percent of T4 cells and T cells were increased,while the percent of NK and B cells were decreased. When age and
Yale University School of Medicine, VA Medical Center 116A/2,
gender were partialled none of these effects remained significant.
Analysis of Partial Variance revealed lower mitogen response and NKCAin the depressed adolescents. Contextualizing these findings along with
Two primate models of experimentally induced dopamine dysfunction
those of other age groups and the “seamless” age analyses will be
will be described: a chronic neuroleptic (Haldol) model that down-
presented. An age immune relational continuum is postulated.
regulates D1 receptors in the prefrontal cortex and an amphetaminesensitization model that presumably enhances D1 stimulation. Bothconditions produce profound but selective impairment in working mem-
Recent Advances in Cellular and Structural Basis of
ory tasks. However, a D1 agonist reverses the impairment in the case of
Working Memory
D1 down-regulation and D1 antagonist reverses the impairment in the
AMPH model. These results reveal the powerful role of the state of theD1 receptor in regulating the cognitive functions of the prefrontal cortex.
Moreover, the effects of limited D1 receptor stimulation/blockade appear
to induce long-lasting changes in the circuitry subserving working
memory, when D1 acting drugs are withdrawn. 203. WORKING MEMORY: CONSTRUCTS, NEURAL CIRCUITS, AND 205. DISTINCT CONTRIBUTION OF PHARMACOLOGICAL MODULATION GLUTAMATE AND DOPAMINE RECEPTORS TO THE TEMPORAL RANGE OF RODENT WORKING MEMORY USING A TASK WITH ELEMENTS OF HUMAN
Department of Psychiatry, University of North Carolina at Chapel Hill
WORKING MEMORY
Working memory is a complex psychological construct, necessary for theperformance of higher cognitive functions such as language and reason-
ing. Numerous studies have demonstrated significant working memorydeficits in schizophrenic patients, across modalities and domains, and
Department of Psychiatry, Yale University School of Medicine, VA
have generated a need for understanding the psychological, neural and
Medical Center 116A/2, West Haven, CT 06516, USA
pharmacological bases of these deficits. Cognitive models of workingmemory have described multiple components, including a visuospatial
Understanding the mechanistic basis of working memory, the capacity to
sketchpad, a phonological loop, and a central executive supervisory
hold a representation “on line,” is important for delineating the processes
system managing and prioritizing access to the former two systems.
involved in higher cognitive functions and the pathophysiology of
Consistent with a multi-component cognitive model, early functional
thought disorders. We examined the contribution of glutamate and
P E N I N S U L A B I B L E C H U R C H C U P E R T I N Oin our text today, Jesus extends an invitation to his disciples to were lying around hippos like little chicks gathered around accompany him to “the other side of the lake” to expand the sphere the mother hen. Kursi, a fishing village in the northwestern of his mission. This will be Jesus’ first venture into Gentile territory co
The following is a list of the most commonly prescribed drugs. It represents an abbreviatedversion of the drug list (formulary) that is at the core of your prescription-drug benefit plan. The list is not all-inclusive and does not guarantee coverage. In addition to using this list,you are encouraged to ask your doctor to prescribe generic drugs whenever appropriate. PLEASE NOTE: The symbol * nex