Are all behavioral reward benefits created equally? An EEG-fMRI study

Brain responses to food viewing in women during pregnancy and post partum and their relationship with metabolic health: study protocol for the FOODY Brain Study, a prospective observational study

INTRODUCTION

Food cravings are common in pregnancy and along with emotional eating and eating in the absence of hunger, they are associated with excessive weight gain and adverse effects on metabolic health including gestational diabetes mellitus (GDM). Women with GDM also show poorer mental health, which further can contribute to dysregulated eating behaviour. Food cravings can lead to greater activity in brain centres known to be involved in food 'wanting' and reward valuation as well as emotional eating. They are also related to gestational weight gain. Thus, there is a great need to link implicit brain responses to food with explicit measures of food intake behaviour, especially in the perinatal period. The aim of this study is to investigate the spatiotemporal brain dynamics to visual presentations of food in women during pregnancy and in the post partum, and link these brain responses to the eating behaviour and metabolic health outcomes in women with and without GDM.

METHODS AND ANALYSIS

This prospective observational study will include 20 women with and 20 without GDM, that have valid data for the primary outcomes. Data will be assessed at 24-36 weeks gestational age and at 6 months post partum. The primary outcomes are brain responses to food pictures of varying carbohydrate and fat content during pregnancy and in the post partum using electroencephalography. Secondary outcomes including depressive symptoms, current mood and eating behaviours will be assessed with questionnaires, objective eating behaviours will be measured using Auracle and stress will be measured with heart rate and heart rate variability (Actiheart). Other secondary outcome measures include body composition and glycaemic control parameters.

ETHICS AND DISSEMINATION

The Human Research Ethics Committee of the Canton de Vaud approved the study protocol (2021-01976). Study results will be presented at public and scientific conferences and in peer-reviewed journals.

The potential application of event-related potentials to enhance research on reward processes in eating disorders

OBJECTIVE

Reward-related processes have been posited as key mechanisms underlying the onset and persistence of eating disorders, prompting a growing body of research in this area. Existing studies have primarily utilized self-report, behavioral, and functional magnetic resonance imaging measures to interrogate reward among individuals with eating disorders. However, limitations inherent in each of these methods (e.g., poor temporal resolution) may obscure distinct neurocognitive reward processes, potentially contributing to underdeveloped models of reward dysfunction within eating disorders. The temporal precision of event-related potentials (ERPs), derived from electroencephalography, may thus offer a powerful complementary tool for elucidating the neurocognitive underpinnings of reward. Indeed, a considerable amount of research in other domains of psychopathology (e.g., depression, substance use disorders), as well as studies investigating food reward among non-clinical samples, highlights the utility of ERPs for probing reward processes. However, no study to date has utilized ERPs to directly examine reward functioning in eating disorders.

METHODS

In this paper, we review evidence underscoring the clinical utility of ERP measures of reward, as well as a variety of reward-related tasks that can be used to elicit specific ERP components with demonstrated relevance to reward processing. We then consider the ways in which these tasks/components may be used to help answer a variety of open questions within the eating disorders literature on reward.

RESULTS/DISCUSSION

Given the promise of ERP measures of reward to the field of eating disorders, we ultimately hope to spur and guide research in this currently neglected area.

PUBLIC SIGNIFICANCE

Abnormalities in reward functioning appear to contribute to eating disorders. Event-related potentials (ERPs) offer temporally precise measures of neurocognitive reward processing and thus may be important tools for understanding the relationship between reward and disordered eating. However, research in this area is currently lacking. This paper attempts to facilitate the use of ERPs to study reward among individuals with eating disorders by reviewing the relevant theories and methods.

Task prioritization modulates alpha, theta and beta EEG dynamics reflecting proactive cognitive control

Most neuroscientific studies investigating mental effort apply unspecific effort allocation paradigms. In contrast, the present EEG study targets specific effort allocation during task prioritization. Twenty-eight participants performed a cued number classification task during the retention interval of a working memory task including retrospective cues. One of two possible number classifications was done per trial. Each trial started with a cue indicating which of the two tasks would be more important in the upcoming trial. Subjects were told to engage in both tasks, but to concentrate on the important one. Feedback given at the end of each trial was calculated based on task performance, with scores obtained from the relevant task being tripled. Participants performed significantly better in either task when it was important compared to when not. Task prioritization modulates theta, alpha and beta oscillations, predominantly during task preparation. Multivariate pattern analysis revealed that the exact type of the two possible number classifications was decodable, however, decoding accuracy did not depend on task importance. Hemispheric alpha power asymmetries indicating attentional orienting between working memory representations also did not depend on task importance. The findings suggest that task prioritization primarily affects proactive cognitive control on a superordinate level.

Reconstructing Rapid Natural Vision with fMRI-Conditional Video Generative Adversarial Network

Recent functional magnetic resonance imaging (fMRI) studies have made significant progress in reconstructing perceived visual content, which advanced our understanding of the visual mechanism. However, reconstructing dynamic natural vision remains a challenge because of the limitation of the temporal resolution of fMRI. Here, we developed a novel fMRI-conditional video generative adversarial network (f-CVGAN) to reconstruct rapid video stimuli from evoked fMRI responses. In this model, we employed a generator to produce spatiotemporal reconstructions and employed two separate discriminators (spatial and temporal discriminators) for the assessment. We trained and tested the f-CVGAN on two publicly available video-fMRI datasets, and the model produced pixel-level reconstructions of 8 perceived video frames from each fMRI volume. Experimental results showed that the reconstructed videos were fMRI-related and captured important spatial and temporal information of the original stimuli. Moreover, we visualized the cortical importance map and found that the visual cortex is extensively involved in the reconstruction, whereas the low-level visual areas (V1/V2/V3/V4) showed the largest contribution. Our work suggests that slow blood oxygen level-dependent signals describe neural representations of the fast perceptual process that can be decoded in practice.

Selective reinforcement of conflict processing in the Stroop task

Motivation signals have been shown to influence the engagement of cognitive control processes. However, most studies focus on the invigorating effect of reward prospect, rather than the reinforcing effect of reward feedback. The present study aimed to test whether people strategically adapt conflict processing when confronted with condition-specific congruency-reward contingencies in a manual Stroop task. Results show that the size of the Stroop effect can be affected by selectively rewarding responses following incongruent versus congruent trials. However, our findings also suggest important boundary conditions. Our first two experiments only show a modulation of the Stroop effect in the first half of the experimental blocks, possibly due to our adaptive threshold procedure demotivating adaptive behavior over time. The third experiment showed an overall modulation of the Stroop effect, but did not find evidence for a similar modulation on test items, leaving open whether this effect generalizes to the congruency conditions, or is stimulus-specific. More generally, our results are consistent with computational models of cognitive control and support contemporary learning perspectives on cognitive control. The findings also offer new guidelines and directions for future investigations on the selective reinforcement of cognitive control processes.

Neural underpinnings of valence-action interactions triggered by cues and targets in a rewarded approach/avoidance task

Incentive-valence signals have a large impact on our actions in everyday life. While it is intuitive (and most often beneficial) to approach positive and avoid negative stimuli, these prepotent response tendencies can also be maladaptive, as exemplified by clinical conditions such as overeating or pathological gambling. We have recently shown that targets associated with monetary incentives can trigger such valence-action biases (target condition), and that these are absent when valence and action information are provided by advance cues (cue condition). Here, we explored the neural correlates underlying the absence of the behavioral bias in this condition using fMRI. Specifically, we tested in how far valence and action information are integrated at all in the cue condition (where no behavioral biases are observed), assessing activity at the moment of the cue (mainly preparation) and the target (mainly implementation). The cue-locked data was dominated by main effects of valence with increased activity for incentive versus no-incentive cues in a network including anterior insula, premotor cortex, (mostly ventral) striatum (voxel-wise analysis), and across five predefined regions of interest (ROI analysis). Only one region, the anterior cingulate cortex, featured a valence-action interaction, with increased activity for win-approach compared to no-incentive-approach cues. The target-locked data revealed a different interaction pattern with increased activity in loss-approach as compared to win-approach targets in the cerebellum (voxel-wise) and across all ROIs. For comparison, the uncued target condition (target-locked data only) featured valence and action main effects (incentive > no-incentive targets; approach > avoid targets), but no interactions. The results resonate with the common observations that performance benefits after incentive-valence cues are promoted by increased preparatory control. Moreover, the data provide support for the idea that valence and action information are integrated according to an evolutionary benefit (cue-locked), requiring additional neural resources to implement non-intuitive valence-action mappings (target-locked).