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Hernandez G, Breton YA, Conover K, Shizgal P. At what stage of neural processing does cocaine act to boost pursuit of rewards? PLoS One 2010; 5:e15081. [PMID: 21152097 PMCID: PMC2994896 DOI: 10.1371/journal.pone.0015081] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2010] [Accepted: 10/15/2010] [Indexed: 11/25/2022] Open
Abstract
Dopamine-containing neurons have been implicated in reward and decision making. One element of the supporting evidence is that cocaine, like other drugs that increase dopaminergic neurotransmission, powerfully potentiates reward seeking. We analyze this phenomenon from a novel perspective, introducing a new conceptual framework and new methodology for determining the stage(s) of neural processing at which drugs, lesions and physiological manipulations act to influence reward-seeking behavior. Cocaine strongly boosts the proclivity of rats to work for rewarding electrical brain stimulation. We show that the conventional conceptual framework and methods do not distinguish between three conflicting accounts of how the drug produces this effect: increased sensitivity of brain reward circuitry, increased gain, or decreased subjective reward costs. Sensitivity determines the stimulation strength required to produce a reward of a given intensity (a measure analogous to the KM of an enzyme) whereas gain determines the maximum intensity attainable (a measure analogous to the vmax of an enzyme-catalyzed reaction). To distinguish sensitivity changes from the other determinants, we measured and modeled reward seeking as a function of both stimulation strength and opportunity cost. The principal effect of cocaine was a two-fourfold increase in willingness to pay for the electrical reward, an effect consistent with increased gain or decreased subjective cost. This finding challenges the long-standing view that cocaine increases the sensitivity of brain reward circuitry. We discuss the implications of the results and the analytic approach for theories of how dopaminergic neurons and other diffuse modulatory brain systems contribute to reward pursuit, and we explore the implications of the conceptual framework for the study of natural rewards, drug reward, and mood.
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Affiliation(s)
- Giovanni Hernandez
- Department of Anatomy and Neurobiology, University of Maryland School of Medicine, Baltimore, Maryland, United States of America
| | - Yannick-André Breton
- Center for Studies in Behavioral Neurobiology, Concordia University, Montréal, Québec, Canada
| | - Kent Conover
- Center for Studies in Behavioral Neurobiology, Concordia University, Montréal, Québec, Canada
| | - Peter Shizgal
- Center for Studies in Behavioral Neurobiology, Concordia University, Montréal, Québec, Canada
- * E-mail:
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102
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Maddox WT, Pacheco J, Reeves M, Zhu B, Schnyer DM. Rule-based and information-integration category learning in normal aging. Neuropsychologia 2010; 48:2998-3008. [PMID: 20547171 DOI: 10.1016/j.neuropsychologia.2010.06.008] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2009] [Revised: 04/27/2010] [Accepted: 06/05/2010] [Indexed: 10/19/2022]
Abstract
The basal ganglia and prefrontal cortex play critical roles in category learning. Both regions evidence age-related structural and functional declines. The current study examined rule-based and information-integration category learning in a group of older and younger adults. Rule-based learning is thought to involve explicit, frontally mediated processes, whereas information-integration is thought to involve implicit, striatally mediated processes. As a group, older adults showed rule-based and information-integration deficits. A series of models were applied that provided insights onto the type of strategy used to solve the task. Interestingly, when the analyses focused only on participants who used the task appropriate strategy in the final block of trials, the age-related rule-based deficit disappeared whereas the information-integration deficit remained. For this group of individuals, the final block information-integration deficit was due to less consistent application of the task appropriate strategy by older adults, and over the course of learning these older adults shifted from an explicit hypothesis-testing strategy to the task appropriate strategy later in learning. In addition, the use of the task appropriate strategy was associated with less interference and better inhibitory control for rule-based and information-information learning, whereas use of the task appropriate strategy was associated with greater working memory and better new verbal learning only for the rule-based task. These results suggest that normal aging impacts both forms of category learning and that there are some important similarities and differences in the explanatory locus of these deficits. The data also support a two-component model of information-integration category learning that includes a striatal component that mediated procedural-based learning, and a prefrontal cortical component that mediates the transition from hypothesis-testing to procedural-based strategies. Implications for independent vs. interactive category learning systems are discussed.
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Affiliation(s)
- W Todd Maddox
- Department of Psychology, University of Texas, Austin 78712, United States.
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103
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Cameron J, Worrall-Carter L, Page K, Riegel B, Lo SK, Stewart S. Does cognitive impairment predict poor self-care in patients with heart failure? Eur J Heart Fail 2010; 12:508-15. [PMID: 20354031 DOI: 10.1093/eurjhf/hfq042] [Citation(s) in RCA: 206] [Impact Index Per Article: 14.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
AIMS Cognitive impairment occurs often in patients with chronic heart failure (CHF) and may contribute to sub-optimal self-care. This study aimed to test the impact of cognitive impairment on self-care. METHODS AND RESULTS In 93 consecutive patients hospitalized with CHF, self-care (Self-Care of Heart Failure Index) was assessed. Multiple regression analysis was used to test a model of variables hypothesized to predict self-care maintenance, management, and confidence. Variables in the model were mild cognitive impairment (MCI; Mini-Mental State Exam and Montreal Cognitive Assessment), depressive symptoms (Cardiac Depression Scale), age, gender, social isolation, education level, new diagnosis, and co-morbid illnesses. Sixty-eight patients (75%) were coded as having MCI and had significantly lower self-care management (eta(2)= 0.07, P < 0.01) and self-confidence scores (eta(2)= 0.05, P < 0.05). In multivariate analysis, MCI, co-morbidity index, and NYHA class III or IV explained 20% of the variance in self-care management (P < 0.01); MCI made the largest contribution explaining 9% of the variance. Increasing age and symptoms of depression explained 13% of the variance in self-care confidence scores (P < 0.01). CONCLUSION Cognitive impairment, a hidden co-morbidity, may impede patients' ability to make appropriate self-care decisions. Screening for MCI may alert health professionals to those at greater risk of failed self-care.
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Affiliation(s)
- Jan Cameron
- School of Nursing & Midwifery (Victoria), Faculty of Health Sciences, Australian Catholic University, Melbourne, Australia.
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104
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Abstract
This paper examines the neurobiological explanatory trend in psychology, including the related and tacit roles of ontological materialism and reductionism. In addition, the role of Cartesian dualism in both psychology and cognitive neuroscience is explored. In both, the complex relationships between mind/brain and mind/body tend to be conceptualized through the framework of either ontic dualism or attribute dualism, both of which ultimately constrain notions of embodiment. Alternatively, this paper understands the body as the inseparable unity of being-in-the-world from which the Cartesian dichotomy of “mind” and “body” is abstracted. This alternative surpasses the constraints of dualism and reframes embodiment as intentionality incarnate and ultimately as “flesh.” The body, understood phenomenologically, emerges not as a “what” but as a “ what—how”—the manifestation in extension of our intentionality, the flesh of our projects in and of the world. We argue that this understanding is indispensable to a properly psychological perspective on embodiment.
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105
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Weller JA, Levin IP, Shiv B, Bechara A. The effects of insula damage on decision-making for risky gains and losses. Soc Neurosci 2009; 4:347-58. [DOI: 10.1080/17470910902934400] [Citation(s) in RCA: 69] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
| | | | - Baba Shiv
- c Stanford Graduate School of Business , Stanford, CA, USA
| | - Antoine Bechara
- d University of Southern California , Los Angeles, CA
- e University of Iowa Hospital and Clinics , Iowa City, IA, USA
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106
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Gender Differences in Cognitive Control: an Extended Investigation of the Stop Signal Task. Brain Imaging Behav 2009; 3:262-276. [PMID: 19701485 PMCID: PMC2728908 DOI: 10.1007/s11682-009-9068-1] [Citation(s) in RCA: 88] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2008] [Accepted: 04/08/2009] [Indexed: 10/26/2022]
Abstract
Men and women show important differences in clinical conditions in which deficits in cognitive control are implicated. We used functional magnetic resonance imaging to examine gender differences in the neural processes of cognitive control during a stop-signal task. We observed greater activation in men, compared to women, in a wide array of cortical and sub-cortical areas, during stop success (SS) as compared to stop error (SE). Conversely, women showed greater regional brain activation during SE > SS, compared to men. Furthermore, compared to women, men engaged the right inferior parietal lobule to a greater extent during post-SE go compared to post-go go trials. Women engaged greater posterior cingulate cortical activation than men during post-SS slowing in go trial reaction time (RT) but did not differ during post-SE slowing in go trial RT. These findings extended our previous results of gender differences in regional brain activation during response inhibition. The results may have clinical implications by, for instance, helping initiate studies to understand why women are more vulnerable to depression while men are more vulnerable to impulse control disorders.
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107
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Wheeler ME, Petersen SE, Nelson SM, Ploran EJ, Velanova K. Dissociating early and late error signals in perceptual recognition. J Cogn Neurosci 2009; 20:2211-25. [PMID: 18457507 DOI: 10.1162/jocn.2008.20155] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Decisions about object identity follow a period in which evidence is gathered and analyzed. Evidence can consist of both task-relevant external stimuli and internally generated goals and expectations. How the various pieces of information are gathered and filtered into meaningful evidence by the nervous system is largely unknown. Although object recognition is often highly efficient and accurate, errors are common. Errors may be related to faulty evidence gathering arising from early misinterpretations of incoming stimulus information. In addition, errors in task performance are known to elicit late corrective performance monitoring mechanisms that can optimize or otherwise adjust future behavior. In this study, we used functional magnetic resonance imaging (fMRI) in an extended trial paradigm of object recognition to study whether we could identify performance-based signal modulations prior to and following the moment of recognition. The rationale driving the current report is that early modulations in fMRI activity may reflect faulty evidence gathering, whereas late modulations may reflect the presence of performance monitoring mechanisms. We tested this possibility by comparing fMRI activity on correct and error trials in regions of interest (ROIs) that were selected a priori. We found pre- and postrecognition accuracy-dependent modulation in different sets of a priori ROIs, suggesting the presence of dissociable error signals.
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108
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Perales JC, Verdejo-Garcia A, Moya M, Lozano O, Perez-Garcia M. Bright and dark sides of impulsivity: performance of women with high and low trait impulsivity on neuropsychological tasks. J Clin Exp Neuropsychol 2009; 31:927-44. [PMID: 19358009 DOI: 10.1080/13803390902758793] [Citation(s) in RCA: 47] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
We administered a multidimensional measure of trait impulsivity (the UPPS-P impulsivity scale; Cyders et al., 2007) to a nonclinical sample of 155 individuals and selected 32 participants at the two ends of the trait impulsivity continuum: high (HI, n = 15) and low (LI, n = 17) impulsive women. We further tested these extreme groups on neuropsychological measures of motor impulsivity (go/no-go, d2), delay discounting (Now or Later Questionnaire), reflection impulsivity (Matching Familiar Figures Test), self-regulation (Revised-Strategy Application Test), and decision making (Iowa Gambling Task). High-trait-impulsivity women were found to commit more commission errors in the initial stage of the go/no-go task but also to make fewer omission errors in the d2 test than did low-trait-impulsivity women. Both effects can be accounted for by a lower response criterion in impulsive women. On the other hand, measures of delay discounting, reflection impulsivity, self-regulation, and decision making did not yield significant differences between the two groups. This pattern of results supports the idea that trait impulsivity in healthy women is linked to neurocognitive mechanisms involved in response monitoring and inhibition, but not to mechanisms involved in self-regulation or decision making. These findings temper the assumption that impulsivity is the core cause of dysfunctional risky and/or impulsive behavior in psychopathological or neuropsychological profiles.
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Affiliation(s)
- Jose C Perales
- Department of Experimental Psychology, Universidad de Granada, Granada, Spain
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109
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Testing a model of patient characteristics, psychologic status, and cognitive function as predictors of self-care in persons with chronic heart failure. Heart Lung 2009; 38:410-8. [PMID: 19755191 DOI: 10.1016/j.hrtlng.2008.11.004] [Citation(s) in RCA: 83] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2008] [Revised: 10/29/2008] [Accepted: 11/26/2008] [Indexed: 11/24/2022]
Abstract
OBJECTIVE Self-care is a key component in the management of chronic heart failure (CHF). Yet there are many barriers that interfere with a patient's ability to undertake self-care. The primary aim of the study was to test a conceptual model of determinants of CHF self-care. Specifically, we hypothesized that cognitive function and depressive symptoms would predict CHF self-care. METHODS Fifty consecutive patients hospitalized with CHF were assessed for self-care (Self-Care of Heart Failure Index), cognitive function (Mini Mental State Exam), and depressive symptoms (Cardiac Depression Scale) during their index hospital admission. Other factors thought to influence self-care were tested in the model: age, gender, social isolation, self-care confidence, and comorbid illnesses. Multiple regression was used to test the model and to identify significant individual determinants of self-care maintenance and management. RESULTS The model of 7 variables explained 39% (F [7, 42] 3.80; P = .003) of the variance in self-care maintenance and 38% (F [7, 42] 3.73; P = .003) of the variance in self-care management. Only 2 variables contributed significantly to the variance in self-care maintenance: age (P < .01) and moderate-to-severe comorbidity (P < .05). Four variables contributed significantly to the variance in self-care management: gender (P < .05), moderate-to-severe comorbidity (P < .05), depression (P < .05), and self-care confidence (P < .01). When cognitive function was removed from the models, the model explained less of the variance in self-care maintenance (35%) (F [6, 43] 3.91; P = .003) and management (34%) (F [6, 43] 3.71; P = .005). CONCLUSION Although cognitive function added to the model in predicting both self-care maintenance and management, it was not a significant predictor of CHF self-care compared with other modifiable and nonmodifiable factors. Depression explained only self-care management.
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110
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Buelow MT, Suhr JA. Construct Validity of the Iowa Gambling Task. Neuropsychol Rev 2009; 19:102-14. [DOI: 10.1007/s11065-009-9083-4] [Citation(s) in RCA: 272] [Impact Index Per Article: 18.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2009] [Accepted: 01/14/2009] [Indexed: 11/29/2022]
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111
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Evidence of gender differences in the ability to inhibit brain activation elicited by food stimulation. Proc Natl Acad Sci U S A 2009; 106:1249-54. [PMID: 19164587 DOI: 10.1073/pnas.0807423106] [Citation(s) in RCA: 171] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
Although impaired inhibitory control is linked to a broad spectrum of health problems, including obesity, the brain mechanism(s) underlying voluntary control of hunger are not well understood. We assessed the brain circuits involved in voluntary inhibition of hunger during food stimulation in 23 fasted men and women using PET and 2-deoxy-2[(18)F]fluoro-D-glucose ((18)FDG). In men, but not in women, food stimulation with inhibition significantly decreased activation in amygdala, hippocampus, insula, orbitofrontal cortex, and striatum, which are regions involved in emotional regulation, conditioning, and motivation. The suppressed activation of the orbitofrontal cortex with inhibition in men was associated with decreases in self-reports of hunger, which corroborates the involvement of this region in processing the conscious awareness of the drive to eat. This finding suggests a mechanism by which cognitive inhibition decreases the desire for food and implicates lower ability to suppress hunger in women as a contributing factor to gender differences in obesity.
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112
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Wang XJ. Decision making in recurrent neuronal circuits. Neuron 2008; 60:215-34. [PMID: 18957215 PMCID: PMC2710297 DOI: 10.1016/j.neuron.2008.09.034] [Citation(s) in RCA: 396] [Impact Index Per Article: 24.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2008] [Revised: 09/21/2008] [Accepted: 09/23/2008] [Indexed: 11/28/2022]
Abstract
Decision making has recently emerged as a central theme in neurophysiological studies of cognition, and experimental and computational work has led to the proposal of a cortical circuit mechanism of elemental decision computations. This mechanism depends on slow recurrent synaptic excitation balanced by fast feedback inhibition, which not only instantiates attractor states for forming categorical choices but also long transients for gradually accumulating evidence in favor of or against alternative options. Such a circuit endowed with reward-dependent synaptic plasticity is able to produce adaptive choice behavior. While decision threshold is a core concept for reaction time tasks, it can be dissociated from a general decision rule. Moreover, perceptual decisions and value-based economic choices are described within a unified framework in which probabilistic choices result from irregular neuronal activity as well as iterative interactions of a decision maker with an uncertain environment or other unpredictable decision makers in a social group.
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Affiliation(s)
- Xiao-Jing Wang
- Department of Neurobiology and Kavli Institute for Neuroscience, Yale University School of Medicine, New Haven, CT 06510, USA.
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113
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Heberlein AS, Padon AA, Gillihan SJ, Farah MJ, Fellows LK. Ventromedial frontal lobe plays a critical role in facial emotion recognition. J Cogn Neurosci 2008; 20:721-33. [PMID: 18052791 DOI: 10.1162/jocn.2008.20049] [Citation(s) in RCA: 132] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
The ventromedial prefrontal cortex has been implicated in a variety of emotion processes. However, findings regarding the role of this region specifically in emotion recognition have been mixed. We used a sensitive facial emotion recognition task to compare the emotion recognition performance of 7 subjects with lesions confined to ventromedial prefrontal regions, 8 subjects with lesions elsewhere in prefrontal cortex, and 16 healthy control subjects. We found that emotion recognition was impaired following ventromedial, but not dorsal or lateral, prefrontal damage. This impairment appeared to be quite general, with lower overall ratings or more confusion between all six emotions examined. We also explored the relationship between emotion recognition performance and the ability of the same patients to experience transient happiness and sadness during a laboratory mood induction. We found some support for a relationship between sadness recognition and experience. Taken together, our results indicate that the ventromedial frontal lobe plays a crucial role in facial emotion recognition, and suggest that this deficit may be related to the subjective experience of emotion.
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114
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Impulsivity is associated with behavioral decision-making deficits. Psychiatry Res 2008; 158:155-63. [PMID: 18215765 DOI: 10.1016/j.psychres.2007.06.002] [Citation(s) in RCA: 153] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/11/2006] [Revised: 02/23/2007] [Accepted: 06/03/2007] [Indexed: 11/22/2022]
Abstract
Impaired decision-making is a key-feature of many neuropsychiatric disorders. In the present study, we examined task performance in a healthy population consisting of those whose scores indicated high and low impulsivity on several behavioral decision-making tasks reflecting orbitofrontal functioning. The measures included tasks that assess decision-making with and without a learning component and choice flexibility. The results show that subjects high on impulsivity display an overall deficit in their decision-making performance as compared with subjects low on impulsivity. More specifically, subjects with high impulsivity show weaknesses in learning of reward and punishment associations in order to make appropriate decisions (reversal-learning task and Iowa Gambling Task), and impaired adaptation of choice behavior according to changes in stimulus-reward contingencies (reversal-learning task). Simple, non-learning, components of reward- and punishment-based decision-making (Rogers Decision-Making Task) seem to be relatively unaffected. Above all, the results indicate that impulsivity is associated with a decreased ability to alter choice behavior in response to fluctuations in reward contingency. The findings add further evidence to the notion that trait impulsivity is associated with decision-making, a function of the orbitofrontal cortex.
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115
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Abstract
If Neuroscience is to contribute to Economics, it will do so by the way of Psychology. Neural data can and do lead to better psychological theories, and psychological insights can and do lead to better economic models. Hence, Neuroscience can in principle contribute to Economics. Whether it actually will do so is an empirical question and the jury is still out. Economics currently faces theoretical and empirical challenges analogous to those faced by Physics at the turn of the 20(th) century and ultimately addressed by quantum theory. If "quantum Economics" will emerge in the coming decades, it may well be founded on such concepts as cognitive processes and brain activity.
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116
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Rauchs G, Orban P, Balteau E, Schmidt C, Degueldre C, Luxen A, Maquet P, Peigneux P. Partially segregated neural networks for spatial and contextual memory in virtual navigation. Hippocampus 2008; 18:503-18. [DOI: 10.1002/hipo.20411] [Citation(s) in RCA: 71] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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117
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Hanoch Y, Wood S, Rice T. Bounded Rationality, Emotions and Older Adult Decision Making: Not So Fast and Yet So Frugal. Hum Dev 2007. [DOI: 10.1159/000109835] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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118
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Padoa-Schioppa C, Assad JA. The representation of economic value in the orbitofrontal cortex is invariant for changes of menu. Nat Neurosci 2007; 11:95-102. [PMID: 18066060 DOI: 10.1038/nn2020] [Citation(s) in RCA: 244] [Impact Index Per Article: 14.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2007] [Accepted: 11/14/2007] [Indexed: 11/09/2022]
Abstract
Economic choice entails assigning values to the available options and is impaired by lesions to the orbitofrontal cortex (OFC). Recent results show that some neurons in the OFC encode the values that monkeys (Macaca mulatta) assign to different goods when they choose between them. A broad and fundamental question is how this neuronal representation of value depends on the behavioral context. Here we show that neuronal responses in the OFC are typically invariant for changes of menu. In other words, the activity of a neuron in response to one particular good usually does not depend on what other goods are available at the same time. Neurons in the OFC encode economic value, not relative preference. The fact that their responses are menu invariant suggests that transitivity, a fundamental trait of economic choice, may be rooted in the activity of individual neurons.
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119
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Dickson VV, Tkacs N, Riegel B. Cognitive influences on self-care decision making in persons with heart failure. Am Heart J 2007; 154:424-31. [PMID: 17719284 DOI: 10.1016/j.ahj.2007.04.058] [Citation(s) in RCA: 114] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2006] [Accepted: 04/25/2007] [Indexed: 12/30/2022]
Abstract
BACKGROUND Despite advances in management, heart failure is associated with high rates of hospitalization, poor quality of life, and early death. Education intended to improve patients' abilities to care for themselves is an integral component of disease management programs. True self-care requires that patients make decisions about symptoms, but the cognitive deficits documented in 30% to 50% of the heart failure population may make daily decision making challenging. After describing heart failure self-care as a naturalistic decision making process, we explore cognitive deficits known to exist in persons with heart failure. Problems in heart failure self-care are analyzed in relation to neural alterations associated with heart failure. As a neural process, decision making has been traced to regions of the prefrontal cortex, the same areas that are affected by ischemia, infarction, and hypoxemia in heart failure. Resulting deficits in memory, attention, and executive function may impair the perception and interpretation of early symptoms and reasoning and, thereby, delay early treatment implementation. CONCLUSIONS There is compelling evidence that the neural processes critical to decision making are located in the same structures that are affected by heart failure. Because self-care requires the cognitive ability to learn, perceive, interpret, and respond, research is needed to discern how neural deficits affects these abilities, decision-making, and self-care behaviors.
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Affiliation(s)
- Victoria V Dickson
- School of Nursing, University of Pennsylvania, Philadelphia, PA 19104-6096, USA.
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120
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Lee D, Rushworth MFS, Walton ME, Watanabe M, Sakagami M. Functional specialization of the primate frontal cortex during decision making. J Neurosci 2007; 27:8170-3. [PMID: 17670961 PMCID: PMC2413178 DOI: 10.1523/jneurosci.1561-07.2007] [Citation(s) in RCA: 98] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Economic theories of decision making are based on the principle of utility maximization, and reinforcement-learning theory provides computational algorithms that can be used to estimate the overall reward expected from alternative choices. These formal models not only account for a large range of behavioral observations in human and animal decision makers, but also provide useful tools for investigating the neural basis of decision making. Nevertheless, in reality, decision makers must combine different types of information about the costs and benefits associated with each available option, such as the quality and quantity of expected reward and required work. In this article, we put forward the hypothesis that different subdivisions of the primate frontal cortex may be specialized to focus on different aspects of dynamic decision-making processes. In this hypothesis, the lateral prefrontal cortex is primarily involved in maintaining the state representation necessary to identify optimal actions in a given environment. In contrast, the orbitofrontal cortex and the anterior cingulate cortex might be primarily involved in encoding and updating the utilities associated with different sensory stimuli and alternative actions, respectively. These cortical areas are also likely to contribute to decision making in a social context.
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Affiliation(s)
- Daeyeol Lee
- Department of Neurobiology, Yale University School of Medicine, New Haven, Connecticut 06510, USA.
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121
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Abstract
To explain investing decisions, financial theorists invoke two opposing metrics: expected reward and risk. Recent advances in the spatial and temporal resolution of brain imaging techniques enable investigators to visualize changes in neural activation before financial decisions. Research using these methods indicates that although the ventral striatum plays a role in representation of expected reward, the insula may play a more prominent role in the representation of expected risk. Accumulating evidence also suggests that antecedent neural activation in these regions can be used to predict upcoming financial decisions. These findings have implications for predicting choices and for building a physiologically constrained theory of decision-making.
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Affiliation(s)
- Brian Knutson
- Department of Psychology, Stanford University, Stanford, California 94305, USA.
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122
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Kopp B, Tabeling S, Moschner C, Wessel K. Kognitive Hirnleistungen des präfrontalen Kortex. DER NERVENARZT 2007; 79:143-52. [PMID: 17701391 DOI: 10.1007/s00115-007-2319-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Basic neuroscientific research has greatly contributed to a deeper understanding of the cognitive functions of the prefrontal cortex (PFC). Injuries of the PFC typically give rise to severe cognitive disorders that usually are subsumed under the broad rubric of executive dysfunctions (EDF). The umbrella term of EDF denotes a high-level disorder in the control of thought and action. The existence of EDF is of critical importance for the prognosis of disabilities in daily living, vocational rehabilitation, and social integration. Neuropsychological assessment instruments and intervention programs are discussed.
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Affiliation(s)
- B Kopp
- Neurologische Klinik, Klinikum Braunschweig und Forschungsgesellschaft für Kognitive Neurologie, Institut an der Technischen Universität Carolo-Wilhelmina zu Braunschweig, Braunschweig, Germany.
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123
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Liu X, Powell DK, Wang H, Gold BT, Corbly CR, Joseph JE. Functional dissociation in frontal and striatal areas for processing of positive and negative reward information. J Neurosci 2007; 27:4587-97. [PMID: 17460071 PMCID: PMC6672982 DOI: 10.1523/jneurosci.5227-06.2007] [Citation(s) in RCA: 187] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Reward-seeking behavior depends critically on processing of positive and negative information at various stages such as reward anticipation, outcome monitoring, and choice evaluation. Behavioral and neuropsychological evidence suggests that processing of positive (e.g., gain) and negative (e.g., loss) reward information may be dissociable and individually disrupted. However, it remains uncertain whether different stages of reward processing share certain neural circuitry in frontal and striatal areas, and whether distinct but interactive systems in these areas are recruited for positive and negative reward processing. To explore these issues, we used a monetary decision-making task to investigate the roles of frontal and striatal areas at all three stages of reward processing in the same event-related functional magnetic resonance imaging experiment. Participants were instructed to choose whether to bet or bank a certain number of chips. If they decided to bank or if they lost a bet, they started over betting one chip. If they won a bet, the wager was doubled in the next round. Positive reward anticipation, winning outcome, and evaluation of right choices activated the striatum and medial/middle orbitofrontal cortex, whereas negative reward anticipation, losing outcome, and evaluation of wrong choices activated the lateral orbitofrontal cortex, anterior insula, superior temporal pole, and dorsomedial frontal cortex. These findings suggest that the valence of reward information and counterfactual comparison more strongly predict a functional dissociation in frontal and striatal areas than do various stages of reward processing. These distinct but interactive systems may serve to guide human's reward-seeking behavior.
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Affiliation(s)
- Xun Liu
- Department of Anatomy and Neurobiology, University of Kentucky, Lexington, Kentucky 40536, USA.
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124
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Abstract
Studies of the brain basis of decision-making and economic behavior are providing a new perspective on the organization and functions of human prefrontal cortex. This line of inquiry has focused particularly on the ventral and medial portions of prefrontal cortex, arguably the most enigmatic regions of the “enigmatic frontal lobes.” This review highlights recent advances in the cognitive neuroscience of decision making and neuroeconomics and discusses how these findings can inform clinical thinking about frontal lobe dysfunction.
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Affiliation(s)
- Lesley K Fellows
- Department of Neurology and Neurosurgery, McGill University, Montreal, Quebec, Canada.
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125
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126
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Overman W, Graham L, Redmond A, Eubank R, Boettcher L, Samplawski O, Walsh K. Contemplation of moral dilemmas eliminates sex differences on the Iowa gambling task. Behav Neurosci 2006; 120:817-25. [PMID: 16893287 DOI: 10.1037/0735-7044.120.4.817] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Men outperform women on the Iowa Gambling Task (IGT; A. Bechara, H. Damasio, D. Tranel, & A. R. Damasio, 1997). In this study, the authors show that sex differences are not due to differences in general emotional arousal or the abilities to calculate or reverse responses. Imaging studies have shown that, during the IGT, men increase activity in the right dorsolateral prefrontal cortex (PFC) and lateral orbital PFC, whereas women increase activity in the left medial orbital PFC. Deliberation of personal moral (PM) dilemmas also increases activity in medial and lateral dorsal PFC, whereas deliberation of moral impersonal (MI) dilemmas increases activity in lateral dorsal PFC. In the present study, men and women performed the IGT during PM, MI, or control deliberations. Deliberation of only PM dilemmas increased women's IGT performance to the level of men.
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Affiliation(s)
- William Overman
- Department of Psychology, University of North Carolina at Wilmington, Wilmington, NC 28403, USA.
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127
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Silveri MM, Rohan ML, Pimentel PJ, Gruber SA, Rosso IM, Yurgelun-Todd DA. Sex differences in the relationship between white matter microstructure and impulsivity in adolescents. Magn Reson Imaging 2006; 24:833-41. [PMID: 16916700 DOI: 10.1016/j.mri.2006.03.012] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2006] [Accepted: 03/30/2006] [Indexed: 11/23/2022]
Abstract
Rapid maturational brain changes occur during adolescence--a time associated with risk-taking behaviors and improvements in cognition. The present study examined the relationship between white matter (WM) microstructure, impulsive behavior and response inhibition in female and male adolescents. Twenty-one healthy adolescents underwent diffusion tensor imaging using a 3.0-T magnetic resonance imaging system. Impulse control was assessed using the Bar-On Emotional Quotient Inventory, Youth Version. Response inhibition was assessed using the Stroop Color-Word Interference Test. Fractional anisotropy (FA), a measure of WM coherence, and trace, a measure of overall diffusivity, were determined from voxels manually placed in the midline and in the left and right forward-projecting arms of the genu and the splenium of the corpus callosum. Sex-specific differences were observed for the relationship between FA and impulsive behavior in the right anterior callosum for males and in the splenium for females. Males, compared to females, displayed significantly higher FA in the left WM region. Although trace was not associated with impulse control, trace in the genu (for females) and splenium (males and females) was associated with Stroop performance. Regional differences in trace also were evident, with lower values in the splenium observed than in all other regions. Although the latter significantly improved with age, no sex differences in impulse control or in Stroop performance were detected. The present findings provide supporting evidence for sex-related differences in the development of WM microstructure during adolescence. These data further suggest a neurobiological mechanism underlying some of the emotional and cognitive changes commonly observed in males versus females during the adolescent period.
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Affiliation(s)
- Marisa M Silveri
- Cognitive Neuroimaging and Neuropsychology Laboratory, McLean Hospital, Belmont, MA 02478, USA.
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128
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Gutnik LA, Hakimzada AF, Yoskowitz NA, Patel VL. The role of emotion in decision-making: a cognitive neuroeconomic approach towards understanding sexual risk behavior. J Biomed Inform 2006; 39:720-36. [PMID: 16759915 DOI: 10.1016/j.jbi.2006.03.002] [Citation(s) in RCA: 48] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2005] [Revised: 03/21/2006] [Accepted: 03/27/2006] [Indexed: 10/24/2022]
Abstract
Models of decision-making usually focus on cognitive, situational, and socio-cultural variables in accounting for human performance. However, the emotional component is rarely addressed within these models. This paper reviews evidence for the emotional aspect of decision-making and its role within a new framework of investigation, called neuroeconomics. The new approach aims to build a comprehensive theory of decision-making, through the unification of theories and methods from economics, psychology, and neuroscience. In this paper, we review these integrative research methods and their applications to issues of public health, with illustrative examples from our research on young adults' safe sex practices. This approach promises to be valuable as a comprehensively descriptive and possibly, better predictive model for construction and customization of decision support tools for health professionals and consumers.
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Affiliation(s)
- Lily A Gutnik
- Laboratory of Decision Making and Cognition, Department of Biomedical Informatics, Columbia University, New York, NY, USA
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129
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Fellows LK. Deciding how to decide: ventromedial frontal lobe damage affects information acquisition in multi-attribute decision making. ACTA ACUST UNITED AC 2006; 129:944-52. [PMID: 16455794 DOI: 10.1093/brain/awl017] [Citation(s) in RCA: 123] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Ventromedial frontal lobe (VMF) damage is associated with impaired decision making. Recent efforts to understand the functions of this brain region have focused on its role in tracking reward, punishment and risk. However, decision making is complex, and frontal lobe damage might be expected to affect it at other levels. This study used process-tracing techniques to explore the effect of VMF damage on multi-attribute decision making under certainty. Thirteen subjects with focal VMF damage were compared with 11 subjects with frontal damage that spared the VMF and 21 demographically matched healthy control subjects. Participants chose rental apartments in a standard information board task drawn from the literature on normal decision making. VMF subjects performed the decision making task in a way that differed markedly from all other groups, favouring an 'alternative-based' information acquisition strategy (i.e. they organized their information search around individual apartments). In contrast, both healthy control subjects and subjects with damage predominantly involving dorsal and/or lateral prefrontal cortex pursued primarily 'attribute-based' search strategies (in which information was acquired about categories such as rent and noise level across several apartments). This difference in the pattern of information acquisition argues for systematic differences in the underlying decision heuristics and strategies employed by subjects with VMF damage, which in turn may affect the quality of their choices. These findings suggest that the processes supported by ventral and medial prefrontal cortex need to be conceptualized more broadly, to account for changes in decision making under conditions of certainty, as well as uncertainty, following damage to these areas.
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Affiliation(s)
- Lesley K Fellows
- Montreal Neurological Institute, Room 276, 3801 rue Université, Montréal, QC H3A 2B4, Canada.
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130
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Takahashi T. Loss of self-control in intertemporal choice may be attributable to logarithmic time-perception. Med Hypotheses 2005; 65:691-3. [PMID: 15990243 DOI: 10.1016/j.mehy.2005.04.040] [Citation(s) in RCA: 80] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2005] [Accepted: 04/29/2005] [Indexed: 11/26/2022]
Abstract
Impulsivity and loss of self-control in drug-dependent patients have been associated with the manner in which they discount delayed rewards. Although drugs of abuse have been shown to modify perceived time-duration, little is known regarding the relationship between impulsive decision-making in intertemporal choice and estimation of time-duration. In classical economic theory, it has been hypothesized that people discount future reward value exponentially. In exponential discounting, a temporal discounting rate is constant over time, which has been referred to as dynamic consistency. However, accumulating empirical evidence in biology, psychopharmacology, behavioral neuroscience, and neuroeconomics does not support the hypothesis. Rather, dynamically inconsistent manners of discounting delayed rewards, e.g., hyperbolic discounting, have been repeatedly observed in humans and non-human animals. In spite of recent advances in neuroimaging and neuropsychopharmacological study, the reason why humans and animals discount delayed rewards hyperbolically is unknown. In this study, we hypothesized that empirically-observed dynamical inconsistency in intertemporal choice may result from errors in the perception of time-duration. It is proposed that perception of temporal duration following Weber's law might explain the dynamical inconsistency. Possible future study directions for elucidating neural mechanisms underlying inconsistent intertemporal choice are discussed.
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Affiliation(s)
- Taiki Takahashi
- Department of Behavioral Science, Hokkaido University, N10 W7 Kita-ku, Sapporo 060-0810, Japan.
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