Color discrimination, color naming and color preferences in 80-year olds

Optimal flickering light stimulation for entraining gamma rhythms in older adults

With aging, optimal parameters of flickering light stimulation (FLS) for gamma entrainment may change in the eyes and brain. We investigated the optimal FLS parameters for gamma entrainment in 35 cognitively normal old adults by comparing event-related synchronization (ERS) and spectral Granger causality (sGC) of entrained gamma rhythms between different luminance intensities, colors, and flickering frequencies of FLSs. ERS entrained by 700 cd/m² FLS and 32 Hz or 34 Hz FLSs was stronger than that entrained by 400 cd/m² at Pz (p < 0.01) and 38 Hz or 40 Hz FLSs, respectively, at both Pz (p < 0.05) and Fz (p < 0.01). Parieto-occipital-to-frontotemporal connectivities of gamma rhythm entrained by 700 cd/m² FLS and 32 Hz or 34 Hz FLSs were also stronger than those entrained by 400 cd/m² at Pz (p < 0.01) and 38 Hz or 40 Hz FLSs, respectively (p < 0.001). ERS and parieto-occipital-to-frontotemporal connectivities of entrained gamma rhythms did not show significant difference between white and red lights. Adverse effects were comparable between different parameters. In older adults, 700 cd/m² FLS at 32 Hz or 34 Hz can entrain a strong gamma rhythm in the whole brain with tolerable adverse effects.

Impaired Color Discrimination in Alzheimer Disease Dementia

OBJECTIVE

Patients with Alzheimer disease dementia (ADD) often show impaired orientation and navigation. Signage offers an opportunity to compensate for these deficits, communicate information efficiently and facilitate wayfinding. Certain properties of signs such as colors and contrasts may beneficially affect the uptake and processing of information particularly in ADD patients.

METHODS

Thirty-six healthy older adults and 30 ADD patients performed a computerized color perception task that required discriminating different color combinations. The effects of different contrast features on performance accuracy and speed in the 2 experimental groups were examined by nonparametric mixed analysis of variances.

RESULTS

Analyses revealed a significant effect of contrast polarity on reaction times, significant effects of group on reaction times and errors as well as a marginally significant interaction of group×color on errors. All participants benefitted from positive contrast polarity (ie, dark target on lighter background) as indicated by increased performance speed. Furthermore, ADD patients reacted slower and less accurate than healthy controls, but showed higher accuracy at black-white and red-yellow than at blue-green color combinations.

CONCLUSIONS

Our findings suggest the implementation of signs with positive contrast polarity to ensure faster reactions. In addition, certain color combinations may enhance accuracy, particularly in patients with ADD.

Betwixt and between: a surgical post-acute treatment unit (SPA) for the optimal care of elderly patients with isolated hip fractures

BACKGROUND

A performance improved project identified elderly trauma patients to have a disproportionate incidence of complications.

AIMS

The purpose of this study was to assess the efficacy of a small specialty care unit to decrease complications in patients who no longer warrant care in an intensive care unit (ICU).

METHODS

A surgical post-acute treatment unit (SPA) was developed with focused attention to cognition, nutrition, respiration, and mobilization needs of patients who no longer had physiologic need for an intensive care unit environment, but were still in need of increased attention at the bedside.

RESULTS

While ICU and hospital lengths of stay were unchanged, patients placed in the SPA experienced less complications and required less unplanned ICU re-admissions.

DISCUSSION

Geriatric patients, especially the elderly, are not simply old adults. They have unique needs as a consequence of the aging process, which can be encompassed by four pillars of intercession: cognition, nutrition, respiration, and mobilization.

CONCLUSIONS

By adapting a physical environment supported by bedside attention to address the interwoven needs of geriatric and elderly patients who no longer care in an ICU, complications and unplanned return admissions to the ICU can be decreased.

LEVEL OF EVIDENCE

III.

Color Choice Preference in Cognitively Impaired Patients: A Look Inside Alzheimer's Disease Through the Use of Lüscher Color Diagnostic

Objective

To study the emotional state of cognitively impaired patients through the color choice preference in a group of Alzheimer's disease (AD) patients and compare it with a group of Mild Cognitive Impairment (MCI) patients and a matched control group.

Methods

A total of 71 AD, 50 MCI and 68 controls were consecutively evaluated. All patients and controls underwent the Mini Mental State Evaluation (MMSE) and the Lüscher color test.

Results

Cognitively impaired patients mainly chose auxiliary colors, in particular violet and brown, and rejected black and gray. AD patients predominantly chose forms corresponding to auxiliary colors. The auxiliary color choice negatively correlated with the MMSE score. MCI patients and controls had a higher presence of anxiety on gray table and controls had higher frustration and ambivalence, i.e., psychic complexity, on basic color tables.Data globally suggest that AD patients live with a feeling of personal change due to instability and emotional insecurity, experiencing physical discomfort and a bodily need of being welcomed in a favorable environment. They aspire to a sensitive understanding by someone with whom they can be identified. Differently, MCI patients have less of these needs; however, they feel more anxious.

Conclusion

The comprehension of the inner emotional state of cognitively impaired patients allows us to better communicate with them and effectively approach their behavioral disorders. Like other projective techniques, such as the tree-drawing test and the human figure-drawing test, Lüscher color test is proposed as a simple and unconventional approach to understand the emotional life of AD patients. The awareness of clinicians about the existential fragility and insecurity of such type of patients allows us not only to better manage their behavioral disturbances but also to improve their quality of life and that of their caregivers.

Porcelain for All - a nursing home study

PURPOSE

The Porcelain for All project was an initiative by Figgjo AS, a porcelain factory in Norway, which needed more research on different coloured porcelains. The paper aims to discuss this issue.

DESIGN/METHODOLOGY/APPROACH

The study aimed to gain new knowledge about how different décor and dinner plate colours can positively influence dementia sufferer food intake and appetite. The intervention period lasted three weeks. Four days were randomly picked during that period. Each plate was photographed before and after the resident had eaten, researchers conducted observations during mealtimes. Two CurroCus® group interviews were used to collect additional empirical data. In total, 12 dementia sufferers (five females) between 65 and 85 years were observed during dinnertime.

FINDINGS

Plates with a white well, yellow lip and red rim seemed to be preferred regarding food intake. Three main categories were noted from the observations and group interviews: mealtime dignity, porcelain design and appetite.

RESEARCH LIMITATIONS/IMPLICATIONS

Future research could incorporate well-being in people with dementia regarding food weight, testing different meal room environments, user involvement, food presentation and should include more nursing homes and residents.

PRACTICAL IMPLICATIONS

This study only encompasses a small sample (12 residents), all diagnosed with dementia.

SOCIAL IMPLICATIONS

Outcomes may help to prevent undernutrition among elderly people.

ORIGINALITY/VALUE

Combined coloured porcelain, food intake and residents with dementia is scarcely investigated.

Effects of Display Characteristics and Individual Differences on Preferences of VDT Icon Design

This study explored the effects of display characteristics such as target/background color combination, single/simultaneous presentation, and individual differences by sex, and design specialty on preferences of VDT icon design. The results indicated black targets (black-on-white, black-on-yellow) and black backgrounds (red-on-black, yellow-on-black) were the most popular and white targets (white-on-red, white-on-black) and white backgrounds (blue-on-white, red-on-white) were the second most popular. As for the chromatic color combinations, yellow-on-blue was the most favored. Subjects rated color combinations under single presentation higher than those under simultaneous presentation. Women rated purplish targets and rated purplish and blue backgrounds higher than men. Subjects with design background favored black more either as a target or background, but they favored turquoise less than those without design background.

Ward Atmospheres of Horror and Healing: A Comparative Analysis of Narrative

Aspects of a social setting profoundly influence personal experience in the setting. The purpose of our study was to further understand the phenomenon of ward atmosphere through a detailed case study. One narrator describes and contrasts two ward experiences, one where she lost her mother through death, and the other where she became a mother through birthing. Using classic storytelling forms, she develops a long narrative juxtaposing the two settings: one healing, the other horrifying. Close examination of narrative structure and aesthetics of the illness narrative shows how the narrator forges a discourse about the moral life - how healing should occur. Experiences in the two settings continue to have significance in her subjectivity. The research suggests aspects of ward atmosphere that warrant further investigation.

Influencing factors on color and product-function association

The associations of age, sex, and matching types with color and product-function were examined in a real-world product scenario (shampoo) among 128 volunteers (M age = 29.3 yr.; SD = 15.6). A pilot study identified eight popular colors and eight product-functions. The association between color and product-function was explored in the main sample. Responses suggested seven pairings of color/product-functions: Red/Hot oil treatment, Yellow/Bright and shiny hair, Green/Herbal extracts, Blue/Deep cleaning, Purple/Soothing, Black/Antiseptic, and White/Anti-dandruff. Analyses indicated that adult participants required more repetitions for retention, as did memorization with random pairing compared to participant-selected pairings. There were statistically significant correlations of responses to colors and product functions. With known color/product-function associations, manufacturers might promote their products more effectively. It is suggested that the associations might be sex- or culture-specific.

Color Combinations of Visual Display Terminal (VDT) Icon on User Preferences and EEG Response

This study explored the effects of color combinations and polarity on user preferences and EEG responses using an icon design for a visual display terminal. 72 college students ( M = 24.5 yr., SD = 2.3 yr.) were tested. The seven color combinations of top 16% with rating scores (5-point scale) over 3.60 almost always included black or white as a target or background, including white-on-black, red-on-black, yellow-on-black, blue-on-white, and black-on-white; the other two preferred color combinations were yellow-on-blue and blue-on-yellow. The eight color combinations of the bottom 16% with rating scores under 2.38 almost always included green, turquoise, or purple as a target or background. Negative image polarity (higher luminance color image shown on a lower luminance color background) was preferred over positive image polarity (lower luminance color image shown on a higher luminance color background) by the subjects. The θ and α band power in the right hemisphere were greater than those in the left hemisphere during the experiment. There seemed to be no linear correlation between the rating scores of subjective preferences and brain wave power of θ and α bands, so the possibility of using brain wave power to measure subjective preference is questionable.

The Manchester Color Wheel: development of a novel way of identifying color choice and its validation in healthy, anxious and depressed individuals

Background

For the purposes of our research programme we needed a simple, reliable and validated method for allowing choice of a color in response to a series of questions. On reviewing the literature no such instrument was available and this study aimed to rectify this situation. This was achieved by developing a simple method of presenting a series of colors to people validating it in healthy volunteers and in individuals where color choice might be distorted, namely anxiety and depression.

Methods

A series of different presentations of four shades of eight colors and grey, as well as black and white were evaluated. 'Mood', 'favourite' and 'drawn to' colors were assessed in 105 healthy, 108 anxious and 110 depressed participants. The positive, neutral or negative attribution of these colors was recorded in a further 204 healthy volunteers.

Results

The circular presentation of colors was most favoured (Color Wheel). Yellow was the most 'drawn to' color and blue the commonest 'favourite' color in all subjects. Yellow was most often associated with a normal mood and grey with an anxious or depressed mood. Different shades of the same color had completely different positive or negative connotations. Reproducibility was exceptionally high when color choice was recorded in positive, neutral or negative terms.

Conclusions

The Color Wheel could be used to assess health status, mood or even treatment outcome in a variety of clinical situations. It may also have utility in circumstances where verbal communication may not be optimal, such as with children.

Color Perception in Pediatric Patient Room Design: Healthy Children vs. Pediatric Patients

Objective:

The purpose of this study was to investigate the value of color as a component of a healing environment for pediatric patient rooms. Color preferences from pediatric inpatient, pediatric outpatient, and healthy children groups were investigated and compared for group and gender differences.

Background:

Positive environmental stimulation can promote patient well-being by reducing stress or negative feelings. If environmental colors can have positive influences, then those colors will make patients more comfortable, reducing their stress. Although previous color studies are suggestive, none has focused on pediatric healthcare environments. Patients' health status may affect their reaction to environmental stimulation. There was a gap in the body of knowledge regarding the consistency of color preferences with regard to patient health status.

Methods:

A simulation method was used because of its reliability and feasibility. It allowed for investigating the value of color in real contexts and controlling confounding variables. Previous color preference studies typically have been done with small colored squares of paper, which are visually different from seeing a color applied on wall surfaces. In addition, they failed to control confounding variables such as color attributes and light sources.

Results:

Group differences were not significant. This refuted the hypothesis that the color preferences of pediatric patients are different from those of healthy children. However, overall color preferences showed that the healthy children group had higher mean scores of color preferences than both pediatric outpatients and inpatients groups. Gender effects were identified across all three groups.

Conclusions:

All three groups showed similar color preference patterns, except for yellow. Both pediatric outpatients and inpatients preferred yellow less than healthy children did. Healthy children's mean scores of color preferences were higher than the pediatric outpatients; the pediatric outpatients group had higher mean scores of color preferences than the pediatric inpatients group. Although this observation was not statistically significant, it raised the question of whether the sickest pediatric patients respond differently to color than healthy children do. Gender effects indicated that girls preferred red and purple more than boys do. Regardless of gender effects, healthy children and pediatric patients preferred blue and green the most and white the least. These results can help healthcare providers and professionals better understand appropriate colors for pediatric populations.

A case-controlled study of altered visual art production in Alzheimer's and FTLD

OBJECTIVE

To characterize dementia-induced changes in visual art production.

BACKGROUND

Although case studies show altered visual artistic production in some patients with neurodegenerative disease, no case-controlled studies have quantified this phenomenon across groups of patients.

METHOD

Forty-nine subjects [18 Alzheimer disease, 9 frontotemporal dementia (FTD), 9 semantic dementia (SD), 15 healthy older controls (NC)] underwent formal neuropsychologic testing of visuospatial, perceptual, and creative functioning, and produced 4 drawings. Subjective elements of drawings were rated by an expert panel that was blind to diagnosis.

RESULTS

Despite equal performance on standard visuospatial tests, dementia groups produced distinct patterns of artistic features that were significantly different from NCs. FTDs used more disordered composition and less active mark-making (P<0.05). Both FTDs and SDs drawings were rated as more bizarre and demonstrated more facial distortion than NCs (P<0.05). Also, SDs drastically failed a standardized test of divergent creativity. Alzheimer disease artwork was more similar to controls than to FTDs or SDs, but showed a more muted color palette (P<0.05) and trends toward including fewer details, less ordered compositions, and occasional facial distortion.

CONCLUSIONS

These group differences in artistic style likely resulted from disease-specific focal neurodegeneration, and elucidate the contributions of particular brain regions to the production of visual art.

Absence of binocular summation, eye dominance, and learning effects in color discrimination

We evaluated binocular summation, eye dominance, and learning in the Trivector and Ellipses procedures of the Cambridge Colour Test (CCT). Subjects (n = 36, 18-30 years old) were recruited among students and staff from the University of São Paulo. Inclusion criteria were absence of ophthalmological complaints and best-corrected Snellen VA 20/20 or better. The subjects were tested in three randomly selected eye conditions: binocular, monocular dominant eye, and nondominant eye. Results obtained in the binocular and monocular conditions did not differ statistically for thresholds measured along the protan, deutan, and tritan confusion axes (ANOVA, P > 0.05). No statistical difference was detected among discrimination ellipses obtained in binocular or monocular conditions (ANOVA, P > 0.05), suggesting absence of binocular summation or of an effect of eye dominance. Possible effects of learning were examined by comparing successive thresholds obtained in the three testing conditions. There was no evidence of improvement as a function of testing order (ANCOVA, P > 0.05). We conclude that CCT thresholds are not affected by binocularity, eye dominance, or learning. Our results differ from those found by Verriest et al. (1982) using the Farnsworth-Munsell 100 Hue test and Hovis et al. (2004) using the Farnsworth-Munsell panel D-15 test.

10 Questions on Room Color: Answers for Workplace Designers

Evidence from scientific studies on color fails to support many claims about the effect of room color on human performance, behavior, or mood.

Colour perception among the very elderly related to visual and cognitive function

Colour perception was studied among a representative sample of 95-year olds and compared with previously examined 80-year olds and a group with Alzheimer's disease (AD), mean age of 80 years. The 95-year olds' results were on a significantly lower level than the other two groups but showed a similar pattern as to colour -discrimination, -naming, -preferences and colour/form recognition. Visual function among 95-year olds had only minor influence on their result in contrast to cognitive function which had a more profound impact. Most interestingly though, the subjects with Alzheimer's diagnosis, younger than the 95-year olds but with a conclusive diagnosis of dementia, performed on an overall higher level than the 95-year olds. This advantage for the Alzheimer group remained even when compared with a sub sample of the 95-year olds with possible dementia diagnosis excluded. On the other hand, only including 95-year olds with a Mini Mental Examination score of >26 in comparison with the Alzheimer group made the differences between the two groups disappear. It is suggested that colour perception as measured in this study is well preserved throughout life. The overall lower colour perception ability in 95-year olds compared with both 80-year olds and subjects with AD may be an expression of the complexity of very high age rather than any isolated concomitant factor.

Color and form as support for picture recognition in old age

This study examined the effect of color and form as support for picture recognition measured immediately and after a period of 20 minutes in two groups: a random sample of 80-year-old men and women, with a Mini-Mental-State-Examination (MMSE) score of >26 points (N=142), and individuals with confirmed diagnosis of Alzheimer's disease (AD) with a MMSE score ranging from 7-26 points (N=50). The result showed that individuals with AD could make use of spatial support for recognition at a significantly lower level than among the cognitively intact 80-year olds, but most interestingly with a similar pattern. Chromatic pictures had an advantage over achromatic ones on immediate recognition measured as less time consumption and a higher number of correct answers in both groups. However, after 20 minutes' retention time, achromatic pictures were better recognized than chromatic ones by both the 80-year olds and the individuals with AD. It is suggested that immediate recognition had most support from self-generated cues concerning color, in contrast to retained recognition where instead cues concerning form had the strongest impact. Gender and age had no influence on recognition. Visual function and abstract vs concrete objects showed a slight impact on the result. Factors of intelligence and memory in the group of 80-year olds only had a minor influence on recognition, contrary to dementia which had a profound impact. It is concluded that spatial support as to color and form could be used for recognition in old age groups. The result will encourage further experimental research in using coding and cueing strategies for future implications in clinical practice.