No abstract

This study was conducted to determine the prevalence and profile of use of benzodiazepines in the Italian population and risk factors for use. Between November 1992 and February 1993, 62 general practitioners submitted a validated self-administered questionnaire on health status and drug use to a randomised sample of 3100 subjects ( > or = 18 years of age, stratified by sex and age), of whom 2803 responded (response, rate 90.4%). Main outcome measures were point estimate (past-week) of all the drugs taken by each individual, dosage and length of use and source of the prescription. The overall past-week prevalence of use of benzodiazepines was 8.6% (5.0% males and 11.8% females). In the elderly ( > or = 65 years) 18.8% reported current use (9.0% males and 24.7% females). Fifty-six per cent of the persons exposed to a benzodiazepine were chronic users (daily, for more than 6 months), and 70.1% in subjects > or = 65 years. The average daily dose taken was relatively low: 61% of short-term users and 51% of chronic users used less than half a defined daily dose (DDD). Female sex, older age, unemployment and retirement were independently associated with the use of benzodiazepines. Benzodiazepine use in Italy appeared to be relatively high (about 9% of subjects reported current use 57% of whom were chronic users). Women were prescribed a benzodiazepine twice as often as men and one out of four elderly women was on treatment. Although the average dosage used was rather low, the high prevalence and the elevated proportion of chronic users should encourage drug information campaigns and educational interventions to promote a more conservative use of these drugs especially in the elderly.

The aims of the experiment were: (1) to establish the proportion of sleep stages in morning spontaneous awakening and to observe whether any stage-dependent differences can be found in the mentation reports; and (2) to compare the characteristics of mental activity during sleep onset (SO) and during the latest sleep period. One hundred forty-four dream reports and their association reports were collected from 36 subjects in a lab experimental design. Dream reports were analyzed as to structure (length, narrative continuity), content (self, setting, lab references, nonself characters, dimensional distortions, body feelings, bizarreness and emotions), and awareness (reality testing). Associations were classified as episodic, abstract self-referred, and semantic memories. The morning awakenings results were not affected by the stage of sleep during which dreaming occurs. SO reports prevalently show a lifelike nature, while sleep-offset reports are prevalently dreamlike. On the other hand, there seems to be a similar availability of mnemonic systems in the two sleep conditions.

The results highlight the potential dangerous effects of total sleep deprivation on human behavior, particularly the ability to perform an intended action after a few minutes. Sleep deprivation strongly compromises time-based prospective memory compliance but does not affect time check frequency. Sleep deprivation may impair the mechanism that allows the integration of information related to time monitoring with the prospective intention.

This within-culture study aimed to investigate the age and density of earliest memories in a sample of Italian young adults. The framework of this study is sociocultural, with an emphasis on family reminiscing as contributing to early memories. In this regard Italy is of interest due to the fact that it is a Western but familial oriented culture, where multi-generational family ties are still strong in comparison with other European counterparts, providing for the opportunity to investigate the offset of childhood amnesia as a function of growing up in an extended family structure. Consistent with Mullen (1994), 90 undergraduate students were interviewed about their earliest memory and about sociodemographic factors in their early childhood years: household composition, gender, birth order, presence of family moves, and significant early childhood experiences. Participants who grew up in an extended family situation reported earlier and denser memories in comparison with those from nuclear families. Results are discussed in light of other cross-cultural work on childhood amnesia and with respect to sociocultural theories of the importance of family reminiscing for one's early memories.