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Faerman A, Clark JB, Sutton JP. Neuropsychological considerations for long-duration deep spaceflight. Front Physiol 2023; 14:1146096. [PMID: 37275233 PMCID: PMC10235498 DOI: 10.3389/fphys.2023.1146096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Accepted: 05/09/2023] [Indexed: 06/07/2023] Open
Abstract
The deep space environment far beyond low-Earth orbit (LEO) introduces multiple and simultaneous risks for the functioning and health of the central nervous system (CNS), which may impair astronauts' performance and wellbeing. As future deep space missions to Mars, moons, or asteroids will also exceed current LEO stay durations and are estimated to require up to 3 years, we review recent evidence with contemporary and historic spaceflight case studies addressing implications for long-duration missions. To highlight the need for specific further investigations, we provide neuropsychological considerations integrating cognitive and motor functions, neuroimaging, neurological biomarkers, behavior changes, and mood and affect to construct a multifactorial profile to explain performance variability, subjective experience, and potential risks. We discuss the importance of adopting a neuropsychological approach to long-duration deep spaceflight (LDDS) missions and draw specific recommendations for future research in space neuropsychology.
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Affiliation(s)
- Afik Faerman
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, United States
| | - Jonathan B. Clark
- Center for Space Medicine, Baylor College of Medicine, Houston, TX, United States
- Department of Neurology, Baylor College of Medicine, Houston, TX, United States
| | - Jeffrey P. Sutton
- Center for Space Medicine, Baylor College of Medicine, Houston, TX, United States
- Translational Research Institute for Space Health, Baylor College of Medicine, Houston, TX, United States
- Department of Medicine, Baylor College of Medicine, Houston, TX, United States
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Conversa G, Facco E, Leoni MLG, Buonocore M, Bagnasco R, Angelini L, Demartini L, Spiegel D. Quantitative Sensory Testing (QST) Estimation of Regional Cutaneous Thermal Sensitivity During Waking State, Neutral Hypnosis, and Temperature Specific Suggestions. Int J Clin Exp Hypn 2019; 67:364-381. [PMID: 31251711 DOI: 10.1080/00207144.2019.1613864] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
This study aimed to determine the effects of neutral hypnosis and hypnotic temperature suggestions in thermal and pain thresholds compared to resting state. Sixteen healthy medium or high hypnotizable volunteers were enrolled. Hypnotizability was assessed with the Hypnotic Induction Profile (HIP); QST was checked in resting state, in neutral hypnosis, after suggestions of heat and cold, and after deinduction. A significant increase in heat threshold was recorded during hypnosis with both cold and heat suggestions compared to neutral hypnosis. HIP induction score showed a linear correlation with changes of temperature thresholds after heat and cold suggestions. Thermal suggestions may result in a significant increase of heat perception thresholds with respect to neutral hypnosis. HIP score is related to thermal threshold changes. QST is a valuable and manageable tool to measure temperature threshold change during hypnosis.
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Affiliation(s)
| | - Enrico Facco
- b University of Padua and Inst. F. Granone - Italian Center of Clinical and Experimental Hypnosis (CIICS) , Turin , Italy
| | | | | | | | | | | | - David Spiegel
- d Stanford University School of Medicine , Stanford , CA , USA
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Santarcangelo EL, Scattina E. Complementing the Latest APA Definition of Hypnosis: Sensory-Motor and Vascular Peculiarities Involved in Hypnotizability. Int J Clin Exp Hypn 2016; 64:318-30. [PMID: 27267676 DOI: 10.1080/00207144.2016.1171093] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
The aim of this article is to complement the recently revised American Psychological Association (APA) definition of hypnotizability. It (a) lists a few differences in sensorimotor integration between subjects with high (highs) and low (lows) hypnotizability scores in the ordinary state of consciousness and in the absence of suggestions, (b) proposes that hypnotizability-related cerebellar peculiarities may account for them,
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Affiliation(s)
- Enrica L Santarcangelo
- Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa Pisa, Italy
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Huber A, Lui F, Duzzi D, Pagnoni G, Porro CA. Structural and functional cerebral correlates of hypnotic suggestibility. PLoS One 2014; 9:e93187. [PMID: 24671130 PMCID: PMC3966870 DOI: 10.1371/journal.pone.0093187] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2013] [Accepted: 03/01/2014] [Indexed: 01/12/2023] Open
Abstract
Little is known about the neural bases of hypnotic suggestibility, a cognitive trait referring to the tendency to respond to hypnotic suggestions. In the present magnetic resonance imaging study, we performed regression analyses to assess hypnotic suggestibility-related differences in local gray matter volume, using voxel-based morphometry, and in waking resting state functional connectivity of 10 resting state networks, in 37 healthy women. Hypnotic suggestibility was positively correlated with gray matter volume in portions of the left superior and medial frontal gyri, roughly overlapping with the supplementary and pre-supplementary motor area, and negatively correlated with gray matter volume in the left superior temporal gyrus and insula. In the functional connectivity analysis, hypnotic suggestibility was positively correlated with functional connectivity between medial posterior areas, including bilateral posterior cingulate cortex and precuneus, and both the lateral visual network and the left fronto-parietal network; a positive correlation was also found with functional connectivity between the executive-control network and a right postcentral/parietal area. In contrast, hypnotic suggestibility was negatively correlated with functional connectivity between the right fronto-parietal network and the right lateral thalamus. These findings demonstrate for the first time a correlation between hypnotic suggestibility, the structural features of specific cortical regions, and the functional connectivity during the normal resting state of brain structures involved in imagery and self-monitoring activity.
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Affiliation(s)
- Alexa Huber
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - Fausta Lui
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - Davide Duzzi
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - Giuseppe Pagnoni
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - Carlo Adolfo Porro
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
- * E-mail:
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The role of motivational factors in the relationship between hypnotizability and pain-inducing imagery. Neurosci Lett 2013; 557 Pt B:181-3. [DOI: 10.1016/j.neulet.2013.09.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2013] [Accepted: 09/06/2013] [Indexed: 01/17/2023]
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7
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Hypnotizability and haptics: visual recognition of unimanually explored ‘nonmeaningful’ objects. Exp Brain Res 2012; 221:137-42. [DOI: 10.1007/s00221-012-3154-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2011] [Accepted: 06/19/2012] [Indexed: 10/28/2022]
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Santarcangelo EL, Paoletti G, Balocchi R, Scattina E, Ghelarducci B, Varanini M. Watching neutral and threatening movies: subjective experience and autonomic responses in subjects with different hypnotizability levels. Int J Psychophysiol 2012; 84:59-64. [PMID: 22285555 DOI: 10.1016/j.ijpsycho.2012.01.010] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2011] [Revised: 12/26/2011] [Accepted: 01/10/2012] [Indexed: 11/26/2022]
Abstract
Subjects with high hypnotizability scores (Highs) have been considered more prone to experience negative affect and more vulnerable to its autonomic effects with respect to low hypnotizable individuals (Lows). The aim of the study was to analyze the subjective experience, tonic skin conductance (SC), respiratory frequency (RF), heart rate (HR) and heart rate variability (HRV) of healthy Highs and Lows during a long-lasting, emotionally neutral task (Session R, 46 subjects) and a moderately threatening one (Session T, 35 subjects). At the end of the relaxing Session R, all participants reported an increased relaxation. At the end of the threatening Session T, only 20 subjects reported a decreased relaxation (effective T: eT subsample). Highs and Lows of this subsample reported a similarly reduced relaxation and showed a similarly increased skin conductance. HR and HRV did not differ between the two sessions and between Highs and Lows. Among the subjects not reporting decreased relaxation at the end of Session T (ineffective T: iT subsample, n=15), relaxation was deeper and associated with lower skin conductance in Highs, although HR and HRV did not differ between Highs and Lows. All together, the results do not support the hypothesis of higher proneness of Highs to experience negative affect and to exhibit the autonomic correlates of negative emotion.
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Marinelli R, Bindi R, Marchi S, Castellani E, Carli G, Santarcangelo EL. Hypnotizability-related differences in written language. Int J Clin Exp Hypn 2012; 60:54-66. [PMID: 22098569 DOI: 10.1080/00207144.2011.622196] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
The study analyzed the writing products of subjects with high (highs) and low (lows) hypnotizability. The participants were asked to write short texts in response to highly imaginative scenarios in standard conditions. The texts were processed through computerized and manual methods. The results showed that the highs' texts were more sophisticated due to a higher number of abstract nouns, more intense and imaginative due to a larger number of similes, metaphors, and onomatopoeias, and less detailed due to a higher nouns-to-adjectives ratio. The differences in the use of abstract nouns and highly imageable expressions are discussed in relation to the preeminent left-hemisphere activity of highs during wakefulness and to a possibly different involvement of the precuneus, which is involved in hypnotic phenomena.
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Affiliation(s)
- Rita Marinelli
- Institute of Computational Linguistics, National Council of Research, Pisa, Italy
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Menzocchi M, Santarcangelo EL, Carli G, Berthoz A. Hypnotizability-dependent accuracy in the reproduction of haptically explored paths. Exp Brain Res 2011; 216:217-23. [PMID: 22057781 DOI: 10.1007/s00221-011-2922-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2011] [Accepted: 10/21/2011] [Indexed: 11/25/2022]
Abstract
The study assessed differences between highly (Highs) and low hypnotizable (Lows) subjects in the blindfolded reproduction of paths connected at acute or obtuse angles. Reproduction attempts were made after path exploration performed by one finger, with or without concomitant cognitive activities (mental computation or imagery of exploring an angle larger than the explored one). The variables analyzed were: subjective experience (scores of the exploring effort, reproduction difficulty, perceived accuracy of reproduction, attention to mental computation and efficacy of imagery), exploration time, relative error in reproduction (under or overestimation) and the percentage of "successful" trials (absolute error <10°). The results showed that the subjective experience of exploration/reproduction and the exploration times are similar in Highs and Lows and that all subjects underestimate the explored angles and reproduce the acute angle more accurately than the obtuse one. Exploration of the acute angle concomitant with imagery of a larger one reduced its underestimation in both groups. Highs exhibited a larger number of successful trials after exploration of the obtuse angle, while Lows (males) decreased their relative error in the reproduction of the acute angle. In conclusion, in the more demanding condition of reproducing an obtuse angle, the Highs' reproduction was more accurate and more independent of cognitive load than that of the Lows.
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Abstract
The authors describe 3 studies in which hypnosis itself is not studied but instead used to create anomalous states in the laboratory that can be studied under controlled conditions. The 1st article is a comprehensive review of programmatic research using hypnosis to elicit and study clinically relevant delusions. The 2nd article reviews studies comparing the brain activity of hysterical/dissociative patients with nonpatients hypnotized and given suggestions for sensory-motor and cognitive anomalies typical of the clinical syndromes. The authors conclude that the hypnosis analogues are relevant and revealing. The 3rd article describes a single experiment using hypnosis to elicit distressing and intrusive memories, typical of acute anxiety disorders. Findings with hypnotic subjects are in keeping with those from patients suffering intrusive memories. Across all 3 papers, hypnosis is shown to be a viable and helpful tool for experimental psychopathology.
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Affiliation(s)
- Michael R Nash
- Psychology Department, Universityof Tennessee, Knoxville, TN 37996-0900, USA.
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Castellani E, Carli G, Santarcangelo EL. Visual identification of haptically explored objects in high and low hypnotizable subjects. Int J Clin Exp Hypn 2011; 59:250-65. [PMID: 21390983 DOI: 10.1080/00207144.2011.546269] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Hypnotizability is associated with peculiar characteristics of sensorimotor integration, imaginal abilities, and preferences in the sensory modality of imagery. The visual recognition of haptically explored objects involves an interaction among these processes and is a proper tool to investigate their possible hypnotizability-related modulation. Sixteen high hypnotizables and 16 lows participated in the study. Higher frequencies of correct recognition (RF) were observed in highs. RF improved across both groups. As an effect of learning, shorter recognition times were found in males among highs and in females among lows. The findings are consistent with the literature suggesting that hypnotizability levels may be associated with specific modes of sensory integration and/or imagery.
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Santarcangelo EL, Scattina E, Carli G, Ghelarducci B, Orsini P, Manzoni D. Can imagery become reality? Exp Brain Res 2010; 206:329-35. [PMID: 20848275 DOI: 10.1007/s00221-010-2412-2] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2010] [Accepted: 09/02/2010] [Indexed: 10/19/2022]
Abstract
Previous studies showed that highly hypnotizable persons imagining a specific sensory context behave according to the corresponding real stimulation and perceive their behaviour as involuntary. The aim of the study was to confirm the hypothesis of a translation of sensory imagery into real perception and, thus, of a true involuntary response. We studied the imagery-induced modulation of the vestibulospinal (VS) reflex earlier component in highly (Highs) and low hypnotizable subjects (Lows), as it is not affected by voluntary control, its amplitude depends on the stimulus intensity, and the plane of body sway depends on the position of the head with respect to the trunk. Results showed that the effects of the "obstructive" imagery of anaesthesia are different from those elicited by the "constructive" imagery of head rotation. Indeed, both Highs and Lows having their face forward and reporting high vividness of imagery experienced anaesthesia and reduced their VS reflex amplitude in the frontal plane, while only Highs changed the plane of body sway according to the imagined head rotation that is from the frontal to the sagittal one. These effects cannot be voluntary and should be attributed to translation of sensory imagery into the corresponding real perception.
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Affiliation(s)
- E L Santarcangelo
- Department of Physiological Sciences, University of Pisa, Via San Zeno 31, Pisa, Italy.
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Menzocchi M, Paoletti G, Carli G, Scattina E, Manzoni D, Santarcangelo EL. Hypnotizability-related effects of vestibular impairment on posture and locomotion. Int J Clin Exp Hypn 2010; 58:329-44. [PMID: 20509072 DOI: 10.1080/00207141003761155] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Body sway and locomotion are differentially modulated in high (highs) and low (lows) hypnotizable subjects undergoing alteration of visual and neck/leg proprioceptive inputs. The study's aim was to investigate whether partial impairment of vestibular information due to backward head extension affects postural (Study 1) and locomotor behavior (Study 2) differentially in highs and lows. Results showed that, at variance with the visual and proprioceptive modalities, vestibular inactivation did not induce major differences between the 2 groups, with the exception of improvement in walking straight across consecutive trials, which was observed only in highs. The article presents an overview of the structures and mechanisms possibly involved in the observed hypnotizability-related differences in motor control and suggests that hypnotic susceptibility might be a relevant factor in neuro-rehabilitative treatments because it accounts for part of the variability in the sensorimotor self.
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Cardiovascular and respiratory correlates of deep nociceptive stimulation, suggestions for analgesia, pain imagery and cognitive load as a function of hypnotizability. Brain Res Bull 2010; 82:65-73. [DOI: 10.1016/j.brainresbull.2010.03.003] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2009] [Revised: 03/04/2010] [Accepted: 03/08/2010] [Indexed: 11/21/2022]
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