1
|
Falk JR, Gollwitzer PM, Oettingen G, Gendolla GHE. Noise annoys-But personal choice can attenuate noise effects on cardiac response reflecting effort. Psychophysiology 2024; 61:e14502. [PMID: 38145304 DOI: 10.1111/psyp.14502] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 11/19/2023] [Accepted: 11/25/2023] [Indexed: 12/26/2023]
Abstract
Since personal choice fosters commitment and shields action execution against potentially conflicting influences, two laboratory experiments with university students (N = 228) tested whether engaging in action by personal choice versus external assignment of task characteristics moderates the effect of irrelevant acoustic noise on cardiovascular responses reflecting effort. Participants who could personally choose the stimulus color of moderately difficult cognitive tasks were expected to be shielded against the irrelevant noise. By contrast, when the stimulus color was externally assigned, we predicted receptivity for the irrelevant noise to be high. As expected, in both experiments, participants in the assigned color condition showed stronger cardiac pre-ejection period reactivity during task performance when exposed to noise than when working in silence. On the contrary, participants who could choose the stimulus color were shielded against the noise effect on effort. These findings conceptually replicate and extend research on the action shielding effect by personal choice and hold practical implications for occupational health.
Collapse
Affiliation(s)
- Johanna R Falk
- Section of Psychology, FPSE, University of Geneva, Geneva, Switzerland
- Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland
| | | | | | - Guido H E Gendolla
- Section of Psychology, FPSE, University of Geneva, Geneva, Switzerland
- Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland
| |
Collapse
|
2
|
Wolpe N, Holton R, Fletcher PC. What Is Mental Effort: A Clinical Perspective. Biol Psychiatry 2024:S0006-3223(24)00065-9. [PMID: 38309319 DOI: 10.1016/j.biopsych.2024.01.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 01/21/2024] [Accepted: 01/25/2024] [Indexed: 02/05/2024]
Abstract
Although mental effort is a frequently used term, it is poorly defined and understood. Consequently, its usage is frequently loose and potentially misleading. In neuroscience research, the term is used to mean both the cognitive work that is done to meet task demands and the subjective experience of performing that work. We argue that conflating these two meanings hampers progress in understanding cognitive impairments in neuropsychiatric conditions because cognitive work and the subjective experience of it have distinct underlying mechanisms. We suggest that the most coherent and clinically useful perspective on mental effort is that it is a subjective experience. This makes a clear distinction between cognitive impairments that arise from changes in the cognitive apparatus, as in dementia and brain injury, and those that arise from subjective difficulties in carrying out the cognitive work, as in attention-deficit/hyperactivity disorder, depression, and other motivational disorders. We review recent advances in neuroscience research that suggests that the experience of effort has emerged to control task switches so as to minimize costs relative to benefits. We consider how these advances can contribute to our understanding of the experience of increased effort perception in clinical populations. This more specific framing of mental effort will offer a deeper understanding of the mechanisms of cognitive impairments in differing clinical groups and will ultimately facilitate better therapeutic interventions.
Collapse
Affiliation(s)
- Noham Wolpe
- Department of Physical Therapy, The Stanley Steyer School of Health Professions, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel; Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom.
| | - Richard Holton
- Faculty of Philosophy, University of Cambridge, Cambridge, United Kingdom
| | - Paul C Fletcher
- Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom; Cambridgeshire and Peterborough National Health Service Foundation Trust, Elizabeth House, Fulbourn, Cambridge, United Kingdom; Wellcome Trust Medical Research Council Institute of Metabolic Science, University of Cambridge, Cambridge Biomedical Campus, Cambridge, United Kingdom
| |
Collapse
|
3
|
Bouzidi YS, Gendolla GHE. Action-orientation shields against primed cognitive conflict effects on effort-related cardiac response. Psychophysiology 2023; 60:e14407. [PMID: 37551961 DOI: 10.1111/psyp.14407] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 05/30/2023] [Accepted: 07/21/2023] [Indexed: 08/09/2023]
Abstract
This article presents a quasi-experiment (N = 79 university students) testing whether individual differences in action-state orientation moderate primed cognitive conflict's effects on sympathetically mediated cardiac response during task performance reflecting effort. Action control theory posits that action-oriented individuals are less receptive to distracting affective stimuli during goal pursuit than state-oriented individuals because action-orientation is related to higher volitional skills. Therefore, we expected that action-oriented individuals should be shielded against conflict primes' effect on effort-related responses in the cardiovascular system. By contrast, state-oriented individuals should be more sensitive to irrelevant negative affective stimulation and therefore mobilize higher resources under such conditions. Responses of the cardiac pre-ejection period (PEP) during a moderately difficult short-term memory task corroborated these predictions. The present findings provide the first evidence that individual differences in action-state orientation indeed moderate previously demonstrated cognitive conflict priming effects on effort-related cardiac response and extend recent findings on action shielding.
Collapse
Affiliation(s)
- Yann S Bouzidi
- FPSE, Section of Psychology, University of Geneva, Geneva, Switzerland
- Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland
| | - Guido H E Gendolla
- FPSE, Section of Psychology, University of Geneva, Geneva, Switzerland
- Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland
| |
Collapse
|
4
|
Bouzidi YS, Gendolla GHE. Is cognitive conflict really effortful? Conflict priming and shielding effects on cardiac response. Psychophysiology 2023; 60:e14169. [PMID: 36073767 PMCID: PMC10078432 DOI: 10.1111/psyp.14169] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 06/29/2022] [Accepted: 07/25/2022] [Indexed: 01/04/2023]
Abstract
Two experiments with N = 221 university students investigated the impact of primed cognitive conflict on effort assessed as cardiac response in tasks that were not conflict-related themselves. Manifest cognitive conflict in cognitive control tasks is confounded with objective response difficulty (e.g., in incongruent Stroop task trials). This makes conclusions about the effortfulness of cognitive conflict itself difficult. We bypassed this problem by administrating pictures of congruent versus incongruent Stroop task stimuli as conflict primes. As predicted, primed cognitive conflict increased cardiac pre-ejection period (PEP) responses in an easy attention task in Experiment 1. Accordingly, cognitive conflict itself is indeed effortful. This effect was replicated in an easy short-term memory task in Experiment 2. Moreover, as further predicted, the primed cognitive conflict effect on PEP reactivity disappeared when participants could personally choose task characteristics. This latter effect corresponds to other recent evidence showing that personal action choice shields against incidental affective influences on action execution and especially on effort-related cardiovascular response.
Collapse
Affiliation(s)
- Yann S Bouzidi
- Geneva Motivation Lab, FPSE, Section of Psychology, University of Geneva, Geneva, Switzerland
| | - Guido H E Gendolla
- Geneva Motivation Lab, FPSE, Section of Psychology, University of Geneva, Geneva, Switzerland
| |
Collapse
|
5
|
Cancela T, Gendolla GHE, Silvestrini N. Pain and gain: Monetary incentive moderates pain's impact on
effort‐related
cardiac response. Psychophysiology 2022; 60:e14231. [PMID: 36546506 DOI: 10.1111/psyp.14231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 09/20/2022] [Accepted: 11/25/2022] [Indexed: 12/24/2022]
Abstract
Ample evidence suggests that pain leads to additional demand in cognitive functioning, presumably due to its negative affective component and its propensity to capture attention. To highlight the role of motivational incentive, two experiments tested the combined effect of pain and monetary incentive on effort-related cardiovascular response during cognitive performance. In both studies, healthy volunteers received individually adjusted painful or nonpainful thermal stimulations during a difficult cognitive task (4-back task in Experiment 1; short-term memory task in Experiment 2) and expected high (12 Swiss Francs in both experiments) or low monetary incentive (1 Swiss Franc in Experiment 1; 0.10 Swiss Francs in Experiment 2) for successful performance. Effort was primarily assessed as changes in cardiac pre-ejection period (PEP). We predicted pain to increase subjective task difficulty during cognitive performance. Moreover, according to motivational intensity theory, we expected this to increase effort only when high effort was justified by high monetary incentive. Correspondingly, pain should lead to low effort (disengagement) when monetary incentive was low. Effort in the nonpainful conditions was expected to fall in between these conditions. The results of both studies support our predictions. Our findings provide the first evidence for the moderating effect of monetary incentive on physical pain's impact on effort-related cardiovascular response. Accordingly, motivational incentives can counteract effort deficits associated with pain.
Collapse
Affiliation(s)
- Tamara Cancela
- Geneva Motivation Lab, FPSE, Section of Psychology University of Geneva Geneva Switzerland
| | - Guido H. E. Gendolla
- Geneva Motivation Lab, FPSE, Section of Psychology University of Geneva Geneva Switzerland
- Swiss Center for Affective Sciences University of Geneva Geneva Switzerland
| | - Nicolas Silvestrini
- Geneva Motivation Lab, FPSE, Section of Psychology University of Geneva Geneva Switzerland
| |
Collapse
|
6
|
Bouzidi YS, Gendolla GHE. Individual differences in action‐state orientation moderate task difficulty effects on effort‐related cardiac response. Psychophysiology 2022; 60:e14238. [PMID: 36541123 DOI: 10.1111/psyp.14238] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 11/07/2022] [Accepted: 12/01/2022] [Indexed: 12/24/2022]
Abstract
A quasi experiment (N = 100 university students) tested whether individual differences in action-state orientation moderate task difficulty effects on resource mobilization assessed as cardiovascular response. According to action control theory, action-oriented individuals have higher self-regulation capacities in demanding situations than state-oriented persons. Action-orientated individuals should also self-generate positive affect in face of obstacles. Therefore, drawing on Wright's (1998) ability extension of motivational intensity theory and research on affective influences on effort-related cardiovascular response, we expected that action-orientation should lead to stronger effort-related cardiovascular responses in a difficult task, while state-orientation should do so in an easy task. Reactivity of cardiac pre-ejection period (PEP) during performance on a short-term memory task corroborated this hypothesis. The present findings provide the first evidence of a link between action-state orientation and effort-related responses in the cardiovascular system.
Collapse
Affiliation(s)
- Yann S. Bouzidi
- FPSE, Section of Psychology University of Geneva Geneva Switzerland
- Swiss Center for Affective Sciences, University of Geneva Geneva Switzerland
| | - Guido H. E. Gendolla
- FPSE, Section of Psychology University of Geneva Geneva Switzerland
- Swiss Center for Affective Sciences, University of Geneva Geneva Switzerland
| |
Collapse
|
7
|
Décombe A, Brinkmann K, Merenciano M, Capdevielle D, Gendolla GHE, Raffard S. Cognitive effort in Schizophrenia: Dissimilar effects on cardiovascular activity and subjective effort. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-03145-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
8
|
Kahmann R, Ozuer Y, Zedelius CM, Bijleveld E. Mind wandering increases linearly with text difficulty. PSYCHOLOGICAL RESEARCH 2021; 86:284-293. [PMID: 33576850 PMCID: PMC8821482 DOI: 10.1007/s00426-021-01483-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2020] [Accepted: 01/22/2021] [Indexed: 11/30/2022]
Abstract
Although mind wandering during reading is known to be affected by text difficulty, the nature of this relationship is not yet fully understood. To examine this issue, we conducted an experiment in which participants read non-fiction texts that varied along five levels of difficulty under naturalistic conditions. Difficulty levels were determined based on Flesch-Kincaid Grade Levels and verified with Coh-Metrix indices. Mind wandering was measured with thought probes. We predicted that text difficulty and mind wandering have a U-shaped (i.e., quadratic) relationship. Contrary to our expectations, but in line with some prior studies, mind wandering linearly increased with text difficulty. Additionally, text interest moderated the effect of text difficulty on mind wandering. Finally, mind wandering was associated with worse performance on a comprehension test. Together, our findings extend previous work by showing that (a) a linear relationship between difficulty and mind wandering exists during common page-by-page reading of pre-existing texts and that (b) this relationship holds across a broad range of difficulty levels.
Collapse
Affiliation(s)
- Rebecca Kahmann
- Behavioural Science Institute, Radboud University, P.O. Box 9104, 6500HE, Nijmegen, The Netherlands.
| | - Yesim Ozuer
- Behavioural Science Institute, Radboud University, P.O. Box 9104, 6500HE, Nijmegen, The Netherlands
| | - Claire M Zedelius
- Psychological and Brain Sciences, University of California, Santa Barbara, CA, USA
| | - Erik Bijleveld
- Behavioural Science Institute, Radboud University, P.O. Box 9104, 6500HE, Nijmegen, The Netherlands
| |
Collapse
|
9
|
Cognitive labor shapes the desire for social and monetary compensation. MOTIVATION AND EMOTION 2020. [DOI: 10.1007/s11031-020-09856-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
AbstractWhen do people want something back for their mental labor? Based on equity theory, we propose that conscious experiences of success and effort—which emerge during cognitive work—shape people’s subsequent desire for social and monetary rewards. We examined this idea in a series of experiments, in which participants carried out a cognitive task, in which we manipulated task difficulty (easy vs. difficult) and performance feedback (high vs. low) within subjects. After each trial of this task, we probed people’s desire for compensation, in terms of social appreciation or money. Findings were in line with the entitlement hypothesis, which assumes that the experience of success can cause people to feel entitled to money. However, we found only indirect support for the effort compensation hypothesis, which assumes that the feeling of effort increases the subsequent desire for compensation, and no support for the intrinsic reward hypothesis, which assumes that people desire less social appreciation after already having experienced success. When considered together, our results suggest that labor-related feelings (of success and effort) shape people’s subsequent desire for money and social appreciation in several ways. These findings have potential implications for the effective use of performance feedback in work contexts.
Collapse
|
10
|
Massar SAA, Pu Z, Chen C, Chee MWL. Losses Motivate Cognitive Effort More Than Gains in Effort-Based Decision Making and Performance. Front Hum Neurosci 2020; 14:287. [PMID: 32765247 PMCID: PMC7379863 DOI: 10.3389/fnhum.2020.00287] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Accepted: 06/26/2020] [Indexed: 12/15/2022] Open
Abstract
Human behavior is more strongly driven by the motivation to avoid losses than to pursue gains (loss aversion). However, there is little research on how losses influence the motivation to exert effort. We compared the effects of loss and gain incentives on cognitive task performance and effort-based decision making. In three experiments, participants performed a cognitively effortful task under gain and loss conditions and made choices about effort expenditure in a decision-making task. Results consistently showed significant loss aversion in effort-based decision making. Participants were willing to invest more effort in the loss compared to the gain condition (i.e., perform a longer duration task: Experiments 1 and 2; or higher task load: Experiment 3). On the other hand, losses did not lead to improved performance (sustained attention), or higher physiological effort (pupil diameter) in Experiments 1 and 2. In Experiment 3, losses did enhance working memory performance, but only at the highest load level. Taken together, these results suggest that loss aversion motivates higher effort investment in effort-based decision-making, while the effect of loss aversion during a performance may depend on the task type or effort level.
Collapse
Affiliation(s)
- Stijn A A Massar
- Sleep and Cognition Laboratory, Centre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Zhenghao Pu
- Sleep and Cognition Laboratory, Centre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Christina Chen
- Sleep and Cognition Laboratory, Centre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Michael W L Chee
- Sleep and Cognition Laboratory, Centre for Sleep and Cognition, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| |
Collapse
|
11
|
André N, Audiffren M, Baumeister RF. An Integrative Model of Effortful Control. Front Syst Neurosci 2019; 13:79. [PMID: 31920573 PMCID: PMC6933500 DOI: 10.3389/fnsys.2019.00079] [Citation(s) in RCA: 26] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2019] [Accepted: 12/06/2019] [Indexed: 11/21/2022] Open
Abstract
This article presents an integrative model of effortful control, a resource-limited top-down control mechanism involved in mental tasks and physical exercises. Based on recent findings in the fields of neuroscience, social psychology and cognitive psychology, this model posits the intrinsic costs related to a weakening of the connectivity of neural networks underpinning effortful control as the main cause of mental fatigue in long and high-demanding tasks. In this framework, effort reflects three different inter-related aspects of the same construct. First, effort is a mechanism comprising a limited number of interconnected processing units that integrate information regarding the task constraints and subject’s state. Second, effort is the main output of this mechanism, namely, the effort signal that modulates neuronal activity in brain regions involved in the current task to select pertinent information. Third, effort is a feeling that emerges in awareness during effortful tasks and reflects the costs associated with goal-directed behavior. Finally, the model opens new avenues for research investigating effortful control at the behavioral and neurophysiological levels.
Collapse
Affiliation(s)
- Nathalie André
- Research Centre on Cognition and Learning, UMR CNRS 7295, University of Poitiers, Poitiers, France
| | - Michel Audiffren
- Research Centre on Cognition and Learning, UMR CNRS 7295, University of Poitiers, Poitiers, France
| | - Roy F Baumeister
- School of Psychology, University of Queensland, Brisbane, QLD, Australia
| |
Collapse
|
12
|
Abstract
In conditions of constant illumination, the eye pupil diameter indexes the modulation of arousal state and responds to a large breadth of cognitive processes, including mental effort, attention, surprise, decision processes, decision biases, value beliefs, uncertainty, volatility, exploitation/exploration trade-off, or learning rate. Here, I propose an information theoretic framework that has the potential to explain the ensemble of these findings as reflecting pupillary response to information processing. In short, updates of the brain’s internal model, quantified formally as the Kullback–Leibler (KL) divergence between prior and posterior beliefs, would be the common denominator to all these instances of pupillary dilation to cognition. I show that stimulus presentation leads to pupillary response that is proportional to the amount of information the stimulus carries about itself and to the quantity of information it provides about other task variables. In the context of decision making, pupil dilation in relation to uncertainty is explained by the wandering of the evidence accumulation process, leading to large summed KL divergences. Finally, pupillary response to mental effort and variations in tonic pupil size are also formalized in terms of information theory. On the basis of this framework, I compare pupillary data from past studies to simple information-theoretic simulations of task designs and show good correspondance with data across studies. The present framework has the potential to unify the large set of results reported on pupillary dilation to cognition and to provide a theory to guide future research.
Collapse
|
13
|
Silvestrini N, Gendolla GHE. Affect and cognitive control: Insights from research on effort mobilization. Int J Psychophysiol 2019; 143:116-125. [PMID: 31302145 DOI: 10.1016/j.ijpsycho.2019.07.003] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2019] [Revised: 07/08/2019] [Accepted: 07/10/2019] [Indexed: 12/17/2022]
Abstract
We present theory and research on effort mobilization that is relevant for understanding the role of affect in cognitive control. We posit that cognitive control and effort are closely related and introduce motivational intensity theory and supporting empirical evidence mainly based on cardiovascular measures of effort. Most important, we discuss the role of affect in the context of effort mobilization and cognitive control from different perspectives. We first present theories predicting affective influences on effort, namely the mood-behavior-model and the implicit-affect-primes-effort model, and supporting empirical evidence. Second, we discuss further implications of the resource conservation principle highlighting the aversive aspect of effort and review evidence for the impact of value and its affective component on effort and cognitive control. Finally, we present a recent integration of the neural mechanisms underlying both effort and cognitive control. We conclude that affective processes are necessary and instrumental for both effort mobilization and cognitive control.
Collapse
|
14
|
Explore or reset? Pupil diameter transiently increases in self-chosen switches between cognitive labor and leisure in either direction. COGNITIVE AFFECTIVE & BEHAVIORAL NEUROSCIENCE 2019; 19:1113-1128. [PMID: 31209733 PMCID: PMC6785586 DOI: 10.3758/s13415-019-00727-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
When people invest effort in cognitive work, they often keep an eye open for rewarding alternative activities. Previous research suggests that the norepinephrine (NE) system regulates such trade-offs between exploitation of the current task and exploration of alternative possibilities. We examined the possibility that the NE system is involved in another trade-off, i.e., the trade-off between cognitive labor and leisure. We conducted two pre-registered studies (total N = 62) in which participants freely chose to perform either a paid 2-back task (labor) versus a non-paid task (leisure), while we tracked their pupil diameter—which is an indicator of the state of the NE system. In both studies, consistent with prior work, we found (a) increases in pupil baseline and (b) decreases in pupil dilation when participants switched from labor to leisure. Unexpectedly, we found the same pattern when participants switched from leisure back to labor. Both increases in pupil baseline and decreases in pupil dilation were short-lived. Collectively, these results are more consistent with a role of norepinephrine in reorienting attention and task switching, as suggested by network reset theory, than with a role in motivation, as suggested by adaptive gain theory.
Collapse
|
15
|
Peinkhofer C, Knudsen GM, Moretti R, Kondziella D. Cortical modulation of pupillary function: systematic review. PeerJ 2019; 7:e6882. [PMID: 31119083 PMCID: PMC6510220 DOI: 10.7717/peerj.6882] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2019] [Accepted: 03/26/2019] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND The pupillary light reflex is the main mechanism that regulates the pupillary diameter; it is controlled by the autonomic system and mediated by subcortical pathways. In addition, cognitive and emotional processes influence pupillary function due to input from cortical innervation, but the exact circuits remain poorly understood. We performed a systematic review to evaluate the mechanisms behind pupillary changes associated with cognitive efforts and processing of emotions and to investigate the cerebral areas involved in cortical modulation of the pupillary light reflex. METHODOLOGY We searched multiple databases until November 2018 for studies on cortical modulation of pupillary function in humans and non-human primates. Of 8,809 papers screened, 258 studies were included. RESULTS Most investigators focused on pupillary dilatation and/or constriction as an index of cognitive and emotional processing, evaluating how changes in pupillary diameter reflect levels of attention and arousal. Only few tried to correlate specific cerebral areas to pupillary changes, using either cortical activation models (employing micro-stimulation of cortical structures in non-human primates) or cortical lesion models (e.g., investigating patients with stroke and damage to salient cortical and/or subcortical areas). Results suggest the involvement of several cortical regions, including the insular cortex (Brodmann areas 13 and 16), the frontal eye field (Brodmann area 8) and the prefrontal cortex (Brodmann areas 11 and 25), and of subcortical structures such as the locus coeruleus and the superior colliculus. CONCLUSIONS Pupillary dilatation occurs with many kinds of mental or emotional processes, following sympathetic activation or parasympathetic inhibition. Conversely, pupillary constriction may occur with anticipation of a bright stimulus (even in its absence) and relies on a parasympathetic activation. All these reactions are controlled by subcortical and cortical structures that are directly or indirectly connected to the brainstem pupillary innervation system.
Collapse
Affiliation(s)
- Costanza Peinkhofer
- Department of Neurology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
- Medical Faculty, University of Trieste, Trieste, Italy
| | - Gitte M. Knudsen
- Department of Neurology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
- Neurobiology Research Unit, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
- Faculty of Health and Medical Science, University of Copenhagen, Copenhagen, Denmark
| | - Rita Moretti
- Medical Faculty, University of Trieste, Trieste, Italy
- Department of Medical, Surgical and Health Sciences, Neurological Unit, Trieste University Hospital, Cattinara, Trieste, Italy
| | - Daniel Kondziella
- Department of Neurology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
- Faculty of Health and Medical Science, University of Copenhagen, Copenhagen, Denmark
- Department of Neuroscience, Norwegian University of Technology and Science, Trondheim, Norway
| |
Collapse
|