Structural hemispheric asymmetries underlie verbal Stroop performance

The Stroop legacy: A cautionary tale on methodological issues and a proposed spatial solution

The Stroop task is a seminal paradigm in experimental psychology, so much that various variants of the classical color-word version have been proposed. Here we offer a methodological review of them to emphasize the importance of designing methodologically rigorous Stroop tasks. This is not an end by itself, but it is fundamental to achieve adequate measurement validity, which is currently hindered by methodological heterogeneity and limitations. Among the several Stroop task variants in the literature, our methodological overview shows that the spatial Stroop task is not only a potentially methodologically adequate variant, which can thus assure measuring the Stroop effect with the required validity, but it might even allow researchers to overcome some of the methodological limitations of the classical paradigm due to its use of verbal stimuli. We thus focused on the spatial Stroop tasks in the literature to verify whether they really exploit such inherent potentiality. However, we show that this was generally not the case because only a few of them (1) are purely spatial, (2) ensure both all the three types of conflicts/facilitations (at the stimulus, response, and task levels) and the dimensional overlaps considered fundamental for yielding a complete Stroop effect according to the multiple loci account and Kornblum's theory, respectively, and (3) controlled for low-level binding and priming effects that could bias the estimated Stroop effect. Based on these methodological considerations, we present some examples of spatial Stroop tasks that, in our view, satisfy such requirements and, thus, ensure producing complete Stroop effects.

Areas of cerebral blood flow changes on arterial spin labelling with the use of symmetric template during nitroglycerin triggered cluster headache attacks

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Cluster headache is a severe unilateral primary headache disorder; however, the brain is asymmetric, therefore using a symmetric template before flipping in the x-axis allows for ipsilateral analysis of attacks without loss of coherence across the group.

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Increases in cerebral blood flow beyond pain anticipation, processing and modulation areas, including hypothalamic regions and ipsilateral pons, have a crucial pathophysiological role in cluster headache attacks.

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The pain experienced during cluster headache attacks is so severe that it “switches off” areas involved in the default brain network.

Background

Cluster headache is a rare, strictly unilateral, severe episodic primary headache disorder. Due to the unpredictable and episodic nature of the attacks, nitroglycerin has been used to trigger attacks for research purposes to further our understanding of cluster headache pathophysiology.

Objectives

We aimed to identify regions of significant cerebral blood flow (CBF) changes during nitroglycerin triggered cluster headache attacks, using MRI with arterial spin labelling (ASL).

Methods

Thirty-three subjects aged 18–60 years with episodic and chronic cluster headache were recruited and attended an open clinical screening visit without scanning to receive an intravenous nitroglycerin infusion (0.5 μg/kg/min over 20 min). Those for whom nitroglycerin successfully triggered a cluster headache attack, were invited to attend two subsequent scanning visits. They received either single-blinded intravenous nitroglycerin (0.5 μg/kg/min) or an equivalent volume of single-blinded intravenous 0.9% sodium chloride over a 20-minute infusion. Whole-brain CBF maps were acquired using a 3 Tesla MRI scanner pre-infusion and post-infusion. As cluster headache is a rare condition and purely unilateral disorder, an analysis strategy to ensure all the image data corresponded to symptomatology in the same hemisphere, without losing coherence across the group, was adopted. This consisted of spatially normalising all CBF maps to a standard symmetric reference template before flipping the images about the anterior-posterior axis for those CBF maps of subjects who experienced their headache in the right hemisphere. This procedure has been employed in previous studies and generated a group data set with expected features on the left hemisphere only.

Results

Twenty-two subjects successfully responded to the nitroglycerin infusion and experienced triggered cluster headache attacks. A total of 20 subjects completed the placebo scanning visit, 20 completed the nitroglycerin scanning visit, and 18 subjects had completed both the nitroglycerin and placebo scanning visits. In a whole-brain analysis, we identified regions of significantly elevated CBF in the medial frontal gyrus, superior frontal gyrus, inferior frontal gyrus and cingulate gyrus, ipsilateral to attack side, in CBF maps acquired during cluster headache attack; compared with data from the placebo session. We also identified significantly reduced CBF in the precuneus, cuneus, superior parietal lobe and occipital lobe contralateral to the attack side. Of particular interest to this field of investigation, both the hypothalamus and ipsilateral ventral pons showed higher CBF in a separate region of interest analysis.

Conclusion

Our data demonstrate that severe cluster headache leads to significant increases in regional cerebral perfusion, likely to reflect changes in neuronal activity in several regions of the brain, including the hypothalamus and the ventral pons. These data contribute to our understanding of cluster headache pathophysiology; and suggest that non-invasive ASL technology may be valuable in future mechanistic studies of this debilitating condition.

Supramodal executive control of attention: Evidence from unimodal and crossmodal dual conflict effects

Although we have demonstrated that the executive control of attention acts supramodally as shown by significant correlation between conflict effect measures in visual and auditory tasks, no direct evidence of the equivalence in the computational mechanisms governing the allocation of executive control resources within and across modalities has been found. Here, in two independent groups of 40 participants each, we examined the interaction effect of conflict processing in both unimodal (visual) and crossmodal (visual and auditory) dual-conflict paradigms (flanker conflict processing in Task 1 and then in the following Task 2) with a manipulation of the stimulus onset asynchrony (SOA). In both the unimodal and the crossmodal dual-conflict paradigms, the conflict processing of Task 1 significantly interfered with the processing of Task 2 when the SOA was short, as shown by an additive interference effect of Task 1 on Task 2 under the time constraints. These results suggest that there is a unified supramodal entity that supports conflict processing by implementing comparable mechanisms in unimodal and crossmodal scenarios.

The Cortical Neuroanatomy Related to Specific Neuropsychological Deficits in Alzheimer's Continuum

Background and Purpose

In Alzheimer's continuum (a comprehensive of preclinical Alzheimer's disease [AD], mild cognitive impairment [MCI] due to AD, and AD dementia), cognitive dysfunctions are often related to cortical atrophy in specific brain regions. The purpose of this study was to investigate the association between anatomical pattern of cortical atrophy and specific neuropsychological deficits.

Methods

A total of 249 participants with Alzheimer's continuum (125 AD dementia, 103 MCI due to AD, and 21 preclinical AD) who were confirmed to be positive for amyloid deposits were collected from the memory disorder clinic in the department of neurology at Samsung Medical Center in Korea between September 2013 and March 2018. To analyze neuropsychological test-specific neural correlates representing the relationship between cortical atrophy measured by cortical thickness and performance in specific neuropsychological tests, a linear regression analysis was performed. Two neural correlates acquired by 2 different standardized scores in neuropsychological tests were also compared.

Results

Cortical atrophy in several specific brain regions was associated with most neuropsychological deficits, including digit span backward, naming, drawing-copying, verbal and visual recall, semantic fluency, phonemic fluency, and response inhibition. There were a few differences between 2 neural correlates obtained by different z-scores.

Conclusions

The poor performance of most neuropsychological tests is closely related to cortical thinning in specific brain areas in Alzheimer's continuum. Therefore, the brain atrophy pattern in patients with Alzheimer's continuum can be predict by an accurate analysis of neuropsychological tests in clinical practice.

Individual Differences in Verbal and Spatial Stroop Tasks: Interactive Role of Handedness and Domain

A longstanding debate in psychology concerns the relation between handedness and cognitive functioning. The present study aimed to contribute to this debate by comparing performance of right- and non-right-handers on verbal and spatial Stroop tasks. Previous studies have shown that non-right-handers have better inter-hemispheric interaction and greater access to right hemisphere processes. On this ground, we expected performance of right- and non-right-handers to differ on verbal and spatial Stroop tasks. Specifically, relative to right-handers, non-right-handers should have greater Stroop effect in the color-word Stroop task, for which inter-hemispheric interaction does not seem to be advantageous to performance. By contrast, non-right-handers should be better able to overcome interference in the spatial Stroop task. This is for their preferential access to the right hemisphere dealing with spatial material and their greater inter-hemispheric interaction with the left hemisphere hosting Stroop task processes. Our results confirmed these predictions, showing that handedness and the underlying brain asymmetries may be a useful variable to partly explain individual differences in executive functions.