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Wang C, Zhang Y, Chong JS, Zhang W, Zhang X, McIntyre RS, Li Z, Ho RCM, Tang TB, Lim LG. Altered functional connectivity subserving expressed emotion environments in schizophrenia: An fNIRS study. Schizophr Res 2024; 270:178-187. [PMID: 38917555 DOI: 10.1016/j.schres.2024.06.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 04/16/2024] [Accepted: 06/15/2024] [Indexed: 06/27/2024]
Abstract
Living in high-expressed emotion (EE) environments, characterized by critical, hostile, or over-involved family attitudes, has been linked to increased relapse rates among individuals with schizophrenia (SZ). In our previous work (Wang et al., 2023), we conducted the first feasibility study of using functional near-infrared spectroscopy (fNIRS) with our developed EE stimuli to examine cortical hemodynamics in SZ. To better understand the neural mechanisms underlying EE environmental factors in SZ, we extended our investigation by employing functional connectivity (FC) analysis with a graph theory approach to fNIRS signals. Relative to healthy controls (N=40), individuals with SZ (N=37) exhibited altered connectivity across the medial prefrontal cortex (mPFC), left ventrolateral prefrontal cortex (vlPFC), and left superior temporal gyrus (STG) while exposed to EE environments. Notably, while individuals with SZ were exposed to high-EE environments, (i) reduced connectivity was observed in these brain regions and (ii) the left vlPFC-STG coupling was found to be associated with the negative symptom severity. Taken together, our FC findings suggest individuals with SZ experience a more extensive disruption in neural functioning and coordination, particularly indicating an increased susceptibility to high-EE environments. This further supports the potential utility of integrating fNIRS with the created EE stimuli for assessing EE environmental influences, paving the way for more targeted therapeutic interventions.
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Affiliation(s)
| | | | - Jie Sheng Chong
- Centre for Intelligent Signal and Imaging Research (CISIR), Universiti Teknologi PETRONAS, Seri Iskandar 32610, Perak, Malaysia
| | | | - Xi Zhang
- Huaibei Mental Health Center, China
| | - Roger S McIntyre
- Mood Disorders Psychopharmacology Unit, Poul Hansen Family Centre for Depression, Canada; Department of Pharmacology and Toxicology, University of Toronto, Toronto, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada; Brain and Cognition Discovery Foundation, Toronto, Canada
| | - Zhifei Li
- Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, 119077, Singapore
| | - Roger C M Ho
- Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, 119077, Singapore; Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, 119228, Singapore; Division of Life Science (LIFS), Hong Kong University of Science and Technology, Hong Kong
| | - Tong Boon Tang
- Centre for Intelligent Signal and Imaging Research (CISIR), Universiti Teknologi PETRONAS, Seri Iskandar 32610, Perak, Malaysia
| | - Lam Ghai Lim
- Department of Electrical and Robotics Engineering, School of Engineering, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway 47500, Selangor, Malaysia; Medical Engineering & Technology Hub, School of Engineering, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway 47500, Selangor, Malaysia.
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Xie P, Nie Z, Zhang T, Xu G, Sun A, Chen T, Lv Y. FNIRS based study of brain network characteristics in children with cerebral palsy during bilateral lower limb movement. Med Phys 2024; 51:4434-4446. [PMID: 38683184 DOI: 10.1002/mp.17106] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2023] [Revised: 03/23/2024] [Accepted: 04/12/2024] [Indexed: 05/01/2024] Open
Abstract
BACKGROUND Motor dysfunctions in children with cerebral palsy (CP) are caused by nonprogressive brain damage. Understanding the functional characteristics of the brain is important for rehabilitation. PURPOSE This paper aimed to study the brain networks of children with CP during bilateral lower limb movement using functional near-infrared spectroscopy (fNIRS) and to explore effective fNIRS indices for reflecting functional brain activity. METHODS Using fNIRS, cerebral oxygenation signals in the bilateral prefrontal cortex (LPFC/RPFC) and motor cortex (LMC/RMC) were recorded from fifteen children with spastic CP and seventeen children with typical development (CTDs) in the resting state and during bilateral lower limb movement. Functional connectivity matrices based on phase-locking values (PLVs) were calculated using Hilbert transformation, and binary networks were constructed at different sparsity levels. Network metrics such as the clustering coefficient, global efficiency, local efficiency, and transitivity were calculated. Furthermore, the time-varying curves of network metrics during movement were obtained by dividing the time window and using sparse inverse covariance matrices. Finally, conditional Granger causality (GC) was used to explore the causal relationships between different brain regions. RESULTS Compared to CTDs, the connectivity between RMC-RPFC (p = 0.017) and RMC-LMC (p = 0.002) in the brain network was decreased in children with CP, and the clustering coefficient (p = 0.003), global efficiency (p = 0.034), local efficiency (p = 0.015), and transitivity (p = 0.009) were significantly lower. The standard deviation of the changes in global efficiency of children with CP during motion was also greater than that of CTDs. Using GC, it was found that there was a significant increase in causal strength from the RMC to the RPFC (p = 0.04) and from the RMC to the LMC (p = 0.042) in children with CP during motion. Additionally, there were significant negative correlations between the PLV of LMC-RMC (p = 0.002) and the Gross Motor Function Classification System (GMFCS) and between the GMFCS and the clustering coefficient (p = 0.01). CONCLUSIONS During rehabilitation training of the lower limbs, there were significant differences in brain network indices between children with CP and CTDs. The indicators proposed in this paper are effective at evaluating motor function and the real-time impact of rehabilitation training on the brain network and have great potential for application in guiding clinical motor function assessment and planning rehabilitation strategies.
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Affiliation(s)
- Ping Xie
- Key Laboratory of Intelligent Rehabilitation and Neuromodulation of Hebei Province, Institute of Electric Engineering, Yanshan University, Qinhuangdao, Hebei, China
| | - Zichao Nie
- Key Laboratory of Intelligent Rehabilitation and Neuromodulation of Hebei Province, Institute of Electric Engineering, Yanshan University, Qinhuangdao, Hebei, China
- Key Laboratory of Neuro-functional Information and Rehabilitation Engineering of the Ministry of Civil Affairs, Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical Aids, Beijing, China
| | - Tengyu Zhang
- Key Laboratory of Neuro-functional Information and Rehabilitation Engineering of the Ministry of Civil Affairs, Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical Aids, Beijing, China
| | - Gongcheng Xu
- Key Laboratory of Neuro-functional Information and Rehabilitation Engineering of the Ministry of Civil Affairs, Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical Aids, Beijing, China
- Beijing Advanced Innovation Centre for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University, Beijing, China
| | - Aiping Sun
- Key Laboratory of Neuro-functional Information and Rehabilitation Engineering of the Ministry of Civil Affairs, Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical Aids, Beijing, China
| | - Tiandi Chen
- Key Laboratory of Neuro-functional Information and Rehabilitation Engineering of the Ministry of Civil Affairs, Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical Aids, Beijing, China
- Nanchang City Key Laboratory of Integrated Medical and Industrial Technology, Nanchang university, Nanchang, China
| | - Yan Lv
- Key Laboratory of Intelligent Rehabilitation and Neuromodulation of Hebei Province, Institute of Electric Engineering, Yanshan University, Qinhuangdao, Hebei, China
- Key Laboratory of Neuro-functional Information and Rehabilitation Engineering of the Ministry of Civil Affairs, Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, National Research Center for Rehabilitation Technical Aids, Beijing, China
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Zhu S, Liu Q, Zhang X, Zhou M, Zhou X, Ding F, Zhang R, Becker B, Kendrick KM, Zhao W. Transcutaneous auricular vagus nerve stimulation enhanced emotional inhibitory control via increasing intrinsic prefrontal couplings. Int J Clin Health Psychol 2024; 24:100462. [PMID: 38665809 PMCID: PMC11044052 DOI: 10.1016/j.ijchp.2024.100462] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Accepted: 04/11/2024] [Indexed: 04/28/2024] Open
Abstract
Background Inhibitory control represents a core executive function that critically facilitates adaptive behavior and survival in an ever-changing environment. Non-invasive transcutaneous auricular vagus nerve stimulation (taVNS) has been hypothesized to improve behavioral inhibition performance, however the neurocomputational mechanism of taVNS-induced neuroenhancement remains elusive. Method In the current study, we investigated the efficacy of taVNS in a sham-controlled between-subject functional near infrared spectroscopy (fNIRS) experiment with an emotional face Go/No-Go paradigm in ninety healthy young adults. Results After a data quality check, eighty-two subjects were included in the final data analysis. Behaviorally, the taVNS improved No-Go response accuracy, together with computational modeling using Hierarchical Bayesian estimation of the Drift Diffusion Model (HDDM) indicating that it specifically reduced the information accumulation rate for Go responses, and this was negatively associated with increased accuracy of No-Go responses. On the neural level, taVNS enhanced engagement of the bilateral inferior frontal gyrus (IFG) during inhibition of angry expression faces and modulated functional couplings (FCs) within the prefrontal inhibitory control network. Mediation models revealed that taVNS-induced facilitation of inhibitory control was critically mediated by a decreased information accumulation for Go responses and concomitantly enhanced neurofunctional coupling between the inferior and orbital frontal cortex. Discussion Our findings demonstrate a potential for taVNS to improve emotional inhibitory control via reducing pre-potent responses and enhancing FCs within prefrontal inhibitory control networks, suggesting a promising therapeutic role in treating specific disorders characterized by inhibitory control deficits.
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Affiliation(s)
- Siyu Zhu
- The Center of Psychosomatic Medicine, Sichuan Provincial Center for Mental Health, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, 611731, PR China
- The Laboratory of Sport Psychology, School of Sport Training, Chengdu Sport University, Chengdu, 610041, PR China
- Sichuan Key Laboratory of Psychology and Behavior of Discipline Inspection and Supervision, Sichuan Normal University, Chengdu 610066, PR China
| | - Qi Liu
- The Center of Psychosomatic Medicine, Sichuan Provincial Center for Mental Health, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, 611731, PR China
| | - Xiaolu Zhang
- Anhui Children's Hospital, Pediatric Hospital Affiliated to Fudan University, Hefei 230051, PR China
| | - Menghan Zhou
- The Center of Psychosomatic Medicine, Sichuan Provincial Center for Mental Health, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, 611731, PR China
| | - Xinqi Zhou
- Institute of Brain and Psychological Science, Sichuan Normal University, Chengdu, 610066, PR China
| | - Fangyuan Ding
- College of National Culture and Cognitive Science, Guizhou Minzu University, Guiyang, 550025, PR China
| | - Rong Zhang
- Neuroscience Research Institute, Key Laboratory for Neuroscience, Ministry of Education of China, National Committee of Health and Family Planning of China and Department of Neurobiology, School of Basic Medical Sciences, Peking University, Beijing, 100191, PR China
| | - Benjamin Becker
- The Center of Psychosomatic Medicine, Sichuan Provincial Center for Mental Health, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, 611731, PR China
- The State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Department of Psychology, Hong Kong, 999077, PR China
| | - Keith M Kendrick
- The Center of Psychosomatic Medicine, Sichuan Provincial Center for Mental Health, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, 611731, PR China
| | - Weihua Zhao
- The Center of Psychosomatic Medicine, Sichuan Provincial Center for Mental Health, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, 611731, PR China
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Al-Shargie F, Katmah R, Tariq U, Babiloni F, Al-Mughairbi F, Al-Nashash H. Stress management using fNIRS and binaural beats stimulation. BIOMEDICAL OPTICS EXPRESS 2022; 13:3552-3575. [PMID: 35781942 PMCID: PMC9208616 DOI: 10.1364/boe.455097] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Revised: 04/21/2022] [Accepted: 05/19/2022] [Indexed: 06/15/2023]
Abstract
In this study, we investigate the effectiveness of binaural beats stimulation (BBs) in enhancing cognitive vigilance and mitigating mental stress level at the workplace. We developed an experimental protocol under four cognitive conditions: high vigilance (HV), vigilance enhancement (VE), mental stress (MS) and stress mitigation (SM). The VE and SM conditions were achieved by listening to 16 Hz of BBs. We assessed the four cognitive conditions using salivary alpha-amylase, behavioral responses, and Functional Near-Infrared Spectroscopy (fNIRS). We quantified the vigilance and stress levels using the reaction time (RT) to stimuli, accuracy of detection, and the functional connectivity metrics of the fNIRS estimated by Phase Locking Values (PLV). We propose using the orthogonal minimum spanning tree (OMST) to determine the true connectivity network patterns of the PLV. Our results show that listening to 16-Hz BBs has significantly reduced the level of alpha amylase by 44%, reduced the RT to stimuli by 20% and increased the accuracy of target detection by 25%, (p < 0.001). The analysis of the connectivity network across the four different cognitive conditions revealed several statistically significant trends. Specifically, a significant increase in connectivity between the right and left dorsolateral prefrontal cortex (DLPFC) areas and left orbitofrontal cortex was found during the vigilance enhancement condition compared to the high vigilance. Likewise, similar patterns were found between the right and left DLPFC, orbitofrontal cortex, right ventrolateral prefrontal cortex (VLPFC) and right frontopolar PFC (prefrontal cortex) area during stress mitigation compared to mental stress. Furthermore, the connectivity network under stress condition alone showed significant connectivity increase between the VLPFC and DLPFC compared to other areas. The laterality index demonstrated left frontal laterality under high vigilance and VE conditions, and right DLPFC and left frontopolar PFC while under mental stress. Overall, our results showed that BBs can be used for vigilance enhancement and stress mitigation.
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Affiliation(s)
- Fares Al-Shargie
- Department of Electrical Engineering, American University of Sharjah, Sharjah, P.O. Box 26666, United Arab Emirates
- Biomedical Engineering Graduate Program, American University of Sharjah, Sharjah, P.O. Box 26666, United Arab Emirates
| | - Rateb Katmah
- Biomedical Engineering Graduate Program, American University of Sharjah, Sharjah, P.O. Box 26666, United Arab Emirates
| | - Usman Tariq
- Department of Electrical Engineering, American University of Sharjah, Sharjah, P.O. Box 26666, United Arab Emirates
- Biomedical Engineering Graduate Program, American University of Sharjah, Sharjah, P.O. Box 26666, United Arab Emirates
| | - Fabio Babiloni
- Department Molecular Medicine, University of Sapienza Rome, 00185 Rome, Italy
| | - Fadwa Al-Mughairbi
- Department of Clinical Psychology, College of Medicines and Health Sciences, UAE University, Al Ain, United Arab Emirates
| | - Hasan Al-Nashash
- Department of Electrical Engineering, American University of Sharjah, Sharjah, P.O. Box 26666, United Arab Emirates
- Biomedical Engineering Graduate Program, American University of Sharjah, Sharjah, P.O. Box 26666, United Arab Emirates
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Brain Melody Interaction: Understanding Effects of Music on Cerebral Hemodynamic Responses. MULTIMODAL TECHNOLOGIES AND INTERACTION 2022. [DOI: 10.3390/mti6050035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Music elicits strong emotional reactions in people, regardless of their gender, age or cultural background. Understanding the effects of music on brain activity can enhance existing music therapy techniques and lead to improvements in various medical and affective computing research. We explore the effects of three different music genres on people’s cerebral hemodynamic responses. Functional near-infrared spectroscopy (fNIRS) signals were collected from 27 participants while they listened to 12 different pieces of music. The signals were pre-processed to reflect oxyhemoglobin (HbO2) and deoxyhemoglobin (HbR) concentrations in the brain. K-nearest neighbor (KNN), random forest (RF) and a one-dimensional (1D) convolutional neural network (CNN) were used to classify the signals using music genre and subjective responses provided by the participants as labels. Results from this study show that the highest accuracy in distinguishing three music genres was achieved by deep learning models (73.4% accuracy in music genre classification and 80.5% accuracy when predicting participants’ subjective rating of emotional content of music). This study validates a strong motivation for using fNIRS signals to detect people’s emotional state while listening to music. It could also be beneficial in giving personalised music recommendations based on people’s brain activity to improve their emotional well-being.
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Yang C, Zhang T, Huang K, Xiong M, Liu H, Wang P, Zhang Y. Increased both cortical activation and functional connectivity after transcranial direct current stimulation in patients with post-stroke: A functional near-infrared spectroscopy study. Front Psychiatry 2022; 13:1046849. [PMID: 36569623 PMCID: PMC9784914 DOI: 10.3389/fpsyt.2022.1046849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2022] [Accepted: 11/14/2022] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Previous studies have shown that cognitive impairment is common after stroke. Transcranial direct current stimulation (tDCS) is a promising tool for rehabilitating cognitive impairment. This study aimed to investigate the effects of tDCS on the rehabilitation of cognitive impairment in patients with stroke. METHODS Twenty-two mild-moderate post-stroke patients with cognitive impairments were treated with 14 tDCS sessions. A total of 14 healthy individuals were included in the control group. Cognitive function was assessed using the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA). Cortical activation was assessed using functional near-infrared spectroscopy (fNIRS) during the verbal fluency task (VFT). RESULTS The cognitive function of patients with stroke, as assessed by the MMSE and MoCA scores, was lower than that of healthy individuals but improved after tDCS. The cortical activation of patients with stroke was lower than that of healthy individuals in the left superior temporal cortex (lSTC), right superior temporal cortex (rSTC), right dorsolateral prefrontal cortex (rDLPFC), right ventrolateral prefrontal cortex (rVLPFC), and left ventrolateral prefrontal cortex (lVLPFC) cortical regions. Cortical activation increased in the lSTC cortex after tDCS. The functional connectivity (FC) between the cerebral hemispheres of patients with stroke was lower than that of healthy individuals but increased after tDCS. CONCLUSION The cognitive and brain functions of patients with mild-to-moderate stroke were damaged but recovered to a degree after tDCS. Increased cortical activation and increased FC between the bilateral cerebral hemispheres measured by fNIRS are promising biomarkers to assess the effectiveness of tDCS in stroke.
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Affiliation(s)
- Caihong Yang
- Department of Rehabilitation Medicine, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China.,School of Psychology, Central China Normal University, Wuhan, Hubei, China
| | - Tingyu Zhang
- Department of Rehabilitation Medicine, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China
| | - Kaiqi Huang
- The Seventh Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China
| | - Menghui Xiong
- Brain Cognition and Brain Disease Institute (BCBDI), Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China
| | - Huiyu Liu
- Department of Rehabilitation Medicine, Yue Bei People's Hospital, Shaoguan, Guangdong, China
| | - Pu Wang
- Department of Rehabilitation Medicine, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China.,Department of Rehabilitation Medicine, Tianyang District People's Hospital, Baise, Guangxi, China
| | - Yan Zhang
- School of Educational Science, Huazhong University of Science and Technology, Wuhan, Hubei, China
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