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van Herk L, Schilder FP, de Weijer AD, Bruinsma B, Geuze E. Heightened SAM- and HPA-axis activity during acute stress impairs decision-making: A systematic review on underlying neuropharmacological mechanisms. Neurobiol Stress 2024; 31:100659. [PMID: 39070283 PMCID: PMC11277380 DOI: 10.1016/j.ynstr.2024.100659] [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: 08/01/2023] [Revised: 02/05/2024] [Accepted: 06/26/2024] [Indexed: 07/30/2024] Open
Abstract
Individuals might be exposed to intense acute stress while having to make decisions with far-reaching consequences. Acute stress impairs processes required for decision-making by activating different biological stress cascades that in turn affect the brain. By knowing which stress system, brain areas, and receptors are responsible for compromised decision-making processes, we can effectively find potential pharmaceutics that can prevent the deteriorating effects of acute stress. We used a systematic review procedure and found 44 articles providing information on this topic. Decision-making processes could be subdivided into 4 domains (cognitive, motivational, affective, and predictability) and could be referenced to specific brain areas, while mostly being impaired by molecules associated with the sympathetic-adrenal-medullar and hypothalamic-pituitary-adrenal axes. Potential drugs to alleviate these effects included α1 and β adrenoceptor antagonists, α2 adrenoceptor agonists, and corticotropin releasing factor receptor1/2 antagonists, while consistent stress-like effects were found with yohimbine, an α2 adrenoceptor antagonist. We suggest possible avenues for future research.
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Affiliation(s)
- Lukas van Herk
- Department of Psychiatry, University Medical Centre, Utrecht, the Netherlands
- Brain Research and Innovation Centre, Ministry of Defence, Utrecht, the Netherlands
| | - Frank P.M. Schilder
- Department of Psychiatry, University Medical Centre, Utrecht, the Netherlands
- Brain Research and Innovation Centre, Ministry of Defence, Utrecht, the Netherlands
| | - Antoin D. de Weijer
- Department of Psychiatry, University Medical Centre, Utrecht, the Netherlands
- Brain Research and Innovation Centre, Ministry of Defence, Utrecht, the Netherlands
| | - Bastiaan Bruinsma
- Department of Psychiatry, University Medical Centre, Utrecht, the Netherlands
- Brain Research and Innovation Centre, Ministry of Defence, Utrecht, the Netherlands
| | - Elbert Geuze
- Department of Psychiatry, University Medical Centre, Utrecht, the Netherlands
- Brain Research and Innovation Centre, Ministry of Defence, Utrecht, the Netherlands
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2
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Rose JM, Ganbold O, Rose AM, Thibodeau JC, Rotaru K. Overcoming resistance to belief revision and correction of misinformation beliefs: psychophysiological and behavioral effects of a counterfactual mindset. Sci Rep 2024; 14:12493. [PMID: 38822014 PMCID: PMC11143297 DOI: 10.1038/s41598-024-63230-5] [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: 04/05/2023] [Accepted: 05/27/2024] [Indexed: 06/02/2024] Open
Abstract
In a series of experiments involving beliefs and misinformation beliefs, we find that individuals who are prompted with a counterfactual mindset are significantly more likely to change their existing beliefs when presented with evidence that contradicts their beliefs. While research finds that beliefs that are considered part of one's identity are highly resistant to change in the face of evidence that challenges these beliefs, four experiments provide evidence that counterfactual generation causes individuals to adjust beliefs and correct misinformation beliefs in response to contradicting evidence. Indeed, we find that a counterfactual mindset was effective in promoting incorporation of accurate facts and causing individuals to revise misinformation beliefs about COVID vaccination safety for a large sample of individuals who have rejected COVID vaccinations. Finally, the results of the psychophysiological experiment reveal that counterfactual generation alters decision makers' search strategies, increases their cognitive arousal in response to evidence that challenges their beliefs, and increases their desire to seek out disconfirming evidence. Overall, the four experiments indicate that counterfactual generation can effectively activate mindsets that increase individuals' willingness to evaluate evidence that contradicts their beliefs and adjust their beliefs in response to evidence.
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Affiliation(s)
- Jacob M Rose
- Department of Accounting, University of Northern Colorado, Greeley, CO, 80639, USA
| | - Odkhishig Ganbold
- Department of Medicine at Royal Melbourne Hospital, Melbourne Medical School, The University of Melbourne, Melbourne, VIC, 3050, Australia
| | - Anna M Rose
- Department of Accounting, University of Northern Colorado, Greeley, CO, 80639, USA
| | - Jay C Thibodeau
- Department of Accounting, Bentley University, Waltham, MA, 02452, US
| | - Kristian Rotaru
- Department of Accounting, Monash Business School, Monash University, Caulfield East, VIC, 3145, Australia.
- The Turner Institute for Brain and Mental Health, School of Psychological Sciences and Monash Biomedical Imaging Facility, Monash University, BrainPark, Clayton, VIC, 3800, Australia.
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3
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Madsen J, Parra LC. Bidirectional brain-body interactions during natural story listening. Cell Rep 2024; 43:114081. [PMID: 38581682 DOI: 10.1016/j.celrep.2024.114081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 11/25/2023] [Accepted: 03/24/2024] [Indexed: 04/08/2024] Open
Abstract
Narratives can synchronize neural and physiological signals between individuals, but the relationship between these signals, and the underlying mechanism, is unclear. We hypothesized a top-down effect of cognition on arousal and predicted that auditory narratives will drive not only brain signals but also peripheral physiological signals. We find that auditory narratives entrained gaze variation, saccade initiation, pupil size, and heart rate. This is consistent with a top-down effect of cognition on autonomic function. We also hypothesized a bottom-up effect, whereby autonomic physiology affects arousal. Controlled breathing affected pupil size, and heart rate was entrained by controlled saccades. Additionally, fluctuations in heart rate preceded fluctuations of pupil size and brain signals. Gaze variation, pupil size, and heart rate were all associated with anterior-central brain signals. Together, these results suggest bidirectional causal effects between peripheral autonomic function and central brain circuits involved in the control of arousal.
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Affiliation(s)
- Jens Madsen
- Department of Biomedical Engineering, City College of New York, 85 St. Nicholas Terrace, New York, NY 10031, USA.
| | - Lucas C Parra
- Department of Biomedical Engineering, City College of New York, 85 St. Nicholas Terrace, New York, NY 10031, USA
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4
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Chang YH, Chen HJ, Barquero C, Tsai HJ, Liang WK, Hsu CH, Muggleton NG, Wang CA. Linking tonic and phasic pupil responses to P300 amplitude in an emotional face-word Stroop task. Psychophysiology 2024; 61:e14479. [PMID: 37920144 DOI: 10.1111/psyp.14479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 09/04/2023] [Accepted: 10/17/2023] [Indexed: 11/04/2023]
Abstract
The locus coeruleus-norepinephrine (LC-NE) system, which regulates arousal levels, is important for cognitive control, including emotional conflict resolution. Additionally, the LC-NE system is implicated in P300 generation. If the P300 is mediated by the LC-NE system, and considering the established correlations between LC activity and pupil dilation, P300 amplitude should correlate with task-evoked (phasic) pupil dilation on a trial-by-trial basis. However, prior studies, predominantly utilizing oddball-type paradigms, have not demonstrated correlations between concurrently recorded task-evoked pupil dilation and P300 responses. Using a recently developed emotional face-word Stroop task that links pupil dilation to the LC-NE system, here, we examined both intra- and inter-individual correlations between task-evoked pupil dilation and P300 amplitude. We found that lower accuracy, slower reaction times, and larger task-evoked pupil dilation were obtained in the incongruent compared to the congruent condition. Furthermore, we observed intra-individual correlations between task-evoked pupil dilation and P300 amplitude, with larger pupil dilation correlating with a greater P300 amplitude. In contrast, pupil dilation did not exhibit consistent correlations with N450 and N170 amplitudes. Baseline (tonic) pupil size also showed correlations with P300 and N170 amplitudes, with smaller pupil size corresponding to larger amplitude. Moreover, inter-individual differences in task-evoked pupil dilation between the congruent and incongruent conditions correlated with differences in reaction time and P300 amplitude, though these effects only approached significance. To summarize, our study provides evidence for a connection between task-evoked pupil dilation and P300 amplitude at the single-trial level, suggesting the involvement of the LC-NE system in P300 generation.
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Affiliation(s)
- Yi-Hsuan Chang
- Institute of Cognitive Neuroscience, National Central University, Taoyuan City, Taiwan
| | - He-Jun Chen
- Eye-Tracking Laboratory, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan
| | - Cesar Barquero
- Institute of Cognitive Neuroscience, National Central University, Taoyuan City, Taiwan
- Eye-Tracking Laboratory, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan
- Department of Physical Activity and Sport Science, Universidad Peruana de Ciencias Aplicadas, Lima, Peru
| | - Hsu Jung Tsai
- Eye-Tracking Laboratory, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan
- Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei City, Taiwan
- Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan
| | - Wei-Kuang Liang
- Institute of Cognitive Neuroscience, National Central University, Taoyuan City, Taiwan
- Cognitive Intelligence and Precision Healthcare Center, National Central University, Taoyuan City, Taiwan
| | - Chun-Hsien Hsu
- Institute of Cognitive Neuroscience, National Central University, Taoyuan City, Taiwan
| | - Neil G Muggleton
- Institute of Cognitive Neuroscience, National Central University, Taoyuan City, Taiwan
- Cognitive Intelligence and Precision Healthcare Center, National Central University, Taoyuan City, Taiwan
| | - Chin-An Wang
- Eye-Tracking Laboratory, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan
- Department of Anesthesiology, School of Medicine, College of Medicine, Taipei Medical University, Taipei City, Taiwan
- Department of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan
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5
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Mendonça-Dos-Santos M, Gonçalves TCT, Falconi-Sobrinho LL, Dos Anjos-Garcia T, Matias I, de Oliveira RC, Dos Santos Sampaio MDF, Dos Santos Cardoso F, Dos Santos WF, Machado HR, Coimbra NC. GABAergic and glutamatergic inputs to the medulla oblongata and locus coeruleus noradrenergic pathways are critical for seizures and postictal antinociception neuromodulation. Sci Rep 2024; 14:4069. [PMID: 38374419 PMCID: PMC10876930 DOI: 10.1038/s41598-024-53744-3] [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: 06/26/2023] [Accepted: 02/04/2024] [Indexed: 02/21/2024] Open
Abstract
We investigated the participation of the nucleus of the tractus solitarius (NTS) in tonic‒clonic seizures and postictal antinociception control mediated by NMDA receptors, the role of NTS GABAergic interneurons and noradrenergic pathways from the locus coeruleus (LC) in these phenomena. The NTS-lateral nucleus reticularis paragigantocellularis (lPGi)-LC pathway was studied by evaluating neural tract tracer deposits in the lPGi. NMDA and GABAergic receptors agonists and antagonists were microinjected into the NTS, followed by pharmacologically induced seizures. The effects of LC neurotoxic lesions caused by DSP-4, followed by NTS-NMDA receptor activation, on both tonic‒clonic seizures and postictal antinociception were also investigated. The NTS is connected to lPGi neurons that send outputs to the LC. Glutamatergic vesicles were found on dendrites and perikarya of GABAergic interneurons in the NTS. Both tonic‒clonic seizures and postictal antinociception are partially dependent on glutamatergic-mediated neurotransmission in the NTS of seizing rats in addition to the integrity of the noradrenergic system since NMDA receptor blockade in the NTS and intrathecal administration of DSP-4 decrease the postictal antinociception. The GABAA receptor activation in the NTS decreases both seizure severity and postictal antinociception. These findings suggest that glutamatergic inputs to NTS-GABAergic interneurons, in addition to ascending and descending noradrenergic pathways from the LC, are critical for the control of both seizures and postictal antinociception.
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Affiliation(s)
- Marcelo Mendonça-Dos-Santos
- Laboratory of Neuroanatomy and Neuropsychobiology, Department of Pharmacology, Ribeirão Preto Medical School of the University of São Paulo (FMRP-USP), Av. Bandeirantes, 3900, Ribeirão Preto, São Paulo, 14049-900, Brazil
- Laboratory of Paediatric Neurosurgery and Developmental Neuropathology, Department of Surgery and Anatomy, Ribeirão Preto Medical School of the University of São Paulo, Av. Bandeirantes, 3900, Ribeirão Preto, São Paulo, 14049-900, Brazil
| | - Thaís Cristina Teixeira Gonçalves
- Laboratory of Neuroanatomy and Neuropsychobiology, Department of Pharmacology, Ribeirão Preto Medical School of the University of São Paulo (FMRP-USP), Av. Bandeirantes, 3900, Ribeirão Preto, São Paulo, 14049-900, Brazil
- Laboratory of Paediatric Neurosurgery and Developmental Neuropathology, Department of Surgery and Anatomy, Ribeirão Preto Medical School of the University of São Paulo, Av. Bandeirantes, 3900, Ribeirão Preto, São Paulo, 14049-900, Brazil
| | - Luiz Luciano Falconi-Sobrinho
- Laboratory of Neuroanatomy and Neuropsychobiology, Department of Pharmacology, Ribeirão Preto Medical School of the University of São Paulo (FMRP-USP), Av. Bandeirantes, 3900, Ribeirão Preto, São Paulo, 14049-900, Brazil
| | - Tayllon Dos Anjos-Garcia
- Laboratory of Neuroanatomy and Neuropsychobiology, Department of Pharmacology, Ribeirão Preto Medical School of the University of São Paulo (FMRP-USP), Av. Bandeirantes, 3900, Ribeirão Preto, São Paulo, 14049-900, Brazil
| | - Ivair Matias
- Laboratory of Neuroanatomy and Neuropsychobiology, Department of Pharmacology, Ribeirão Preto Medical School of the University of São Paulo (FMRP-USP), Av. Bandeirantes, 3900, Ribeirão Preto, São Paulo, 14049-900, Brazil
- Laboratory of Paediatric Neurosurgery and Developmental Neuropathology, Department of Surgery and Anatomy, Ribeirão Preto Medical School of the University of São Paulo, Av. Bandeirantes, 3900, Ribeirão Preto, São Paulo, 14049-900, Brazil
| | - Rithiele Cristina de Oliveira
- Laboratory of Neuroanatomy and Neuropsychobiology, Department of Pharmacology, Ribeirão Preto Medical School of the University of São Paulo (FMRP-USP), Av. Bandeirantes, 3900, Ribeirão Preto, São Paulo, 14049-900, Brazil
| | - Maria de Fátima Dos Santos Sampaio
- Laboratory of Neuroanatomy and Neuropsychobiology, Department of Pharmacology, Ribeirão Preto Medical School of the University of São Paulo (FMRP-USP), Av. Bandeirantes, 3900, Ribeirão Preto, São Paulo, 14049-900, Brazil
- Laboratory of Tissue and Cellular Biology, Centre of Biosciences and Biotechnology of Darcy Ribeiro Northern, Fluminense State University (UENF), Av. Alberto Lamego, 2000, Campos dos Goytacazes, Rio de Janeiro, 28013-602, Brazil
| | - Fabrízio Dos Santos Cardoso
- Laboratory of Neuroanatomy and Neuropsychobiology, Department of Pharmacology, Ribeirão Preto Medical School of the University of São Paulo (FMRP-USP), Av. Bandeirantes, 3900, Ribeirão Preto, São Paulo, 14049-900, Brazil
| | - Wagner Ferreira Dos Santos
- Neurobiology and Venoms Laboratory, Department of Biology, Ribeirão Preto School of Philosophy, Sciences and Literature of the University of São Paulo (FFCLRP-USP), Ribeirão Preto, SP, 14040-901, Brazil
| | - Helio Rubens Machado
- Laboratory of Paediatric Neurosurgery and Developmental Neuropathology, Department of Surgery and Anatomy, Ribeirão Preto Medical School of the University of São Paulo, Av. Bandeirantes, 3900, Ribeirão Preto, São Paulo, 14049-900, Brazil.
- Department of Surgery and Anatomy, Multiuser Centre of Neuroelectrophysiology, Ribeirão Preto Medical School of the University of São Paulo (FMRP-USP), Av. Bandeirantes, 3900, Ribeirão Preto, São Paulo, 14049-900, Brazil.
| | - Norberto Cysne Coimbra
- Laboratory of Neuroanatomy and Neuropsychobiology, Department of Pharmacology, Ribeirão Preto Medical School of the University of São Paulo (FMRP-USP), Av. Bandeirantes, 3900, Ribeirão Preto, São Paulo, 14049-900, Brazil.
- Department of Surgery and Anatomy, Multiuser Centre of Neuroelectrophysiology, Ribeirão Preto Medical School of the University of São Paulo (FMRP-USP), Av. Bandeirantes, 3900, Ribeirão Preto, São Paulo, 14049-900, Brazil.
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6
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Carvalheiro J, Philiastides MG. Distinct spatiotemporal brainstem pathways of outcome valence during reward- and punishment-based learning. Cell Rep 2023; 42:113589. [PMID: 38100353 DOI: 10.1016/j.celrep.2023.113589] [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: 06/23/2023] [Revised: 10/05/2023] [Accepted: 11/30/2023] [Indexed: 12/17/2023] Open
Abstract
Learning to seek rewards and avoid punishments, based on positive and negative choice outcomes, is essential for human survival. Yet, the neural underpinnings of outcome valence in the human brainstem and the extent to which they differ in reward and punishment learning contexts remain largely elusive. Here, using simultaneously acquired electroencephalography and functional magnetic resonance imaging data, we show that during reward learning the substantia nigra (SN)/ventral tegmental area (VTA) and locus coeruleus are initially activated following negative outcomes, while the VTA subsequently re-engages exhibiting greater responses for positive than negative outcomes, consistent with an early arousal/avoidance response and a later value-updating process, respectively. During punishment learning, we show that distinct raphe nucleus and SN subregions are activated only by negative outcomes with a sustained post-outcome activity across time, supporting the involvement of these brainstem subregions in avoidance behavior. Finally, we demonstrate that the coupling of these brainstem structures with other subcortical and cortical areas helps to shape participants' serial choice behavior in each context.
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Affiliation(s)
- Joana Carvalheiro
- School of Psychology and Neuroscience, University of Glasgow, Glasgow G12 8QB, UK; Centre for Cognitive Neuroimaging, University of Glasgow, Glasgow G12 8QB, UK.
| | - Marios G Philiastides
- School of Psychology and Neuroscience, University of Glasgow, Glasgow G12 8QB, UK; Centre for Cognitive Neuroimaging, University of Glasgow, Glasgow G12 8QB, UK.
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7
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Koorathota S, Ma JL, Faller J, Hong L, Lapborisuth P, Sajda P. Pupil-linked arousal correlates with neural activity prior to sensorimotor decisions. J Neural Eng 2023; 20:066031. [PMID: 38016448 DOI: 10.1088/1741-2552/ad1055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Accepted: 11/28/2023] [Indexed: 11/30/2023]
Abstract
Objective.Sensorimotor decisions require the brain to process external information and combine it with relevant knowledge prior to actions. In this study, we explore the neural predictors of motor actions in a novel, realistic driving task designed to study decisions while driving.Approach.Through a spatiospectral assessment of functional connectivity during the premotor period, we identified the organization of visual cortex regions of interest into a distinct scene processing network. Additionally, we identified a motor action selection network characterized by coherence between the anterior cingulate cortex (ACC) and dorsolateral prefrontal cortex (DLPFC).Main results.We show that steering behavior can be predicted from oscillatory power in the visual cortex, DLPFC, and ACC. Power during the premotor periods (specific to the theta and beta bands) correlates with pupil-linked arousal and saccade duration.Significance.We interpret our findings in the context of network-level correlations with saccade-related behavior and show that the DLPFC is a key node in arousal circuitry and in sensorimotor decisions.
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Affiliation(s)
- Sharath Koorathota
- Department of Biomedical Engineering, Columbia University, New York, NY, United States of America
| | - Jia Li Ma
- Department of Biomedical Engineering, Columbia University, New York, NY, United States of America
| | - Josef Faller
- Department of Biomedical Engineering, Columbia University, New York, NY, United States of America
| | - Linbi Hong
- Department of Biomedical Engineering, Columbia University, New York, NY, United States of America
| | - Pawan Lapborisuth
- Department of Biomedical Engineering, Columbia University, New York, NY, United States of America
| | - Paul Sajda
- Department of Biomedical Engineering, Columbia University, New York, NY, United States of America
- Department of Electrical Engineering, Columbia University, New York, NY, United States of America
- Data Science Institute, Columbia University, New York, NY, United States of America
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Pelegrino A, Guimaraes AL, Sena W, Emele N, Scoriels L, Panizzutti R. Dysregulated noradrenergic response is associated with symptom severity in individuals with schizophrenia. Front Psychiatry 2023; 14:1190329. [PMID: 38025452 PMCID: PMC10661901 DOI: 10.3389/fpsyt.2023.1190329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/20/2023] [Accepted: 10/23/2023] [Indexed: 12/01/2023] Open
Abstract
Introduction The locus coeruleus-noradrenaline (LC-NA) system is involved in a wide range of cognitive functions and may be altered in schizophrenia. A non-invasive method to indirectly measure LC activity is task-evoked pupillary response. Individuals with schizophrenia present reduced pupil dilation compared to healthy subjects, particularly when task demand increases. However, the extent to which alteration in LC activity contributes to schizophrenia symptomatology remains largely unexplored. We aimed to investigate the association between symptomatology, cognition, and noradrenergic response in individuals with schizophrenia. Methods We assessed task-evoked pupil dilation during a pro- and antisaccade task in 23 individuals with schizophrenia and 28 healthy subjects. Results Both groups showed similar preparatory pupil dilation during prosaccade trials, but individuals with schizophrenia showed significantly lower pupil dilation compared to healthy subjects in antisaccade trials. Importantly, reduced preparatory pupil dilation for antisaccade trials was associated with worse general symptomatology in individuals with schizophrenia. Discussion Our findings suggest that changes in LC-NA activity - measured by task-evoked pupil dilation - when task demand increases is associated with schizophrenia symptoms. Interventions targeting the modulation of noradrenergic responses may be suitable candidates to reduce schizophrenia symptomatology.
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Affiliation(s)
- Ana Pelegrino
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
- Instituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Anna Luiza Guimaraes
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
- Instituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Walter Sena
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
- Instituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Nwabunwanne Emele
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
- Instituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
| | - Linda Scoriels
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
- Université Paris Cité, Institut de Psychiatrie et Neurosciences de Paris, Inserm, Paris, France
| | - Rogerio Panizzutti
- Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
- Instituto de Ciências Biomédicas, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil
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Wienke C, Grueschow M, Haghikia A, Zaehle T. Phasic, Event-Related Transcutaneous Auricular Vagus Nerve Stimulation Modifies Behavioral, Pupillary, and Low-Frequency Oscillatory Power Responses. J Neurosci 2023; 43:6306-6319. [PMID: 37591736 PMCID: PMC10490471 DOI: 10.1523/jneurosci.0452-23.2023] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 07/14/2023] [Accepted: 07/23/2023] [Indexed: 08/19/2023] Open
Abstract
Transcutaneous auricular vagus nerve stimulation (taVNS) has been proposed to activate the locus ceruleus-noradrenaline (LC-NA) system. However, previous studies failed to find consistent modulatory effects of taVNS on LC-NA biomarkers. Previous studies suggest that phasic taVNS may be capable of modulating LC-NA biomarkers such as pupil dilation and alpha oscillations. However, it is unclear whether these effects extend beyond pure sensory vagal nerve responses. Critically, the potential of the pupillary light reflex as an additional taVNS biomarker has not been explored so far. Here, we applied phasic active and sham taVNS in 29 subjects (16 female, 13 male) while they performed an emotional Stroop task (EST) and a passive pupil light reflex task (PLRT). We recorded pupil size and brain activity dynamics using a combined Magnetoencephalography (MEG) and pupillometry design. Our results show that phasic taVNS significantly increased pupil dilation and performance during the EST. During the PLRT, active taVNS reduced and delayed pupil constriction. In the MEG, taVNS increased frontal-midline theta and alpha power during the EST, whereas occipital alpha power was reduced during both the EST and PLRT. Our findings provide evidence that phasic taVNS systematically modulates behavioral, pupillary, and electrophysiological parameters of LC-NA activity during cognitive processing. Moreover, we demonstrate for the first time that the pupillary light reflex can be used as a simple and effective proxy of taVNS efficacy. These findings have important implications for the development of noninvasive neuromodulation interventions for various cognitive and clinical applications.SIGNIFICANCE STATEMENT taVNS has gained increasing attention as a noninvasive neuromodulation technique and is widely used in clinical and nonclinical research. Nevertheless, the exact mechanism of action of taVNS is not yet fully understood. By assessing physiology and behavior in a response conflict task in healthy humans, we demonstrate the first successful application of a phasic, noninvasive vagus nerve stimulation to improve cognitive control and to systematically modulate pupillary and electrophysiological markers of the noradrenergic system. Understanding the mechanisms of action of taVNS could optimize future clinical applications and lead to better treatments for mental disorders associated with noradrenergic dysfunction. In addition, we present a new taVNS-sensitive pupillary measure representing an easy-to-use biomarker for future taVNS studies.
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Affiliation(s)
| | - Marcus Grueschow
- Zurich Center for Neuroeconomics, Departement of Economics, University of Zurich, 8006 Zurich, Switzerland
| | - Aiden Haghikia
- Otto-von-Guericke University, 39120 Magdeburg, Germany
- Deusches Zentrum für Neurodegenrative Erkrankungen, 39120 Magdeburg, Germany
- Center for Behavioral Brain Sciences, Magdeburg, 39120, Germany
| | - Tino Zaehle
- Otto-von-Guericke University, 39120 Magdeburg, Germany
- Center for Behavioral Brain Sciences, Magdeburg, 39120, Germany
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10
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Kuwamizu R, Yamazaki Y, Aoike N, Hiraga T, Hata T, Yassa MA, Soya H. Pupil dynamics during very light exercise predict benefits to prefrontal cognition. Neuroimage 2023; 277:120244. [PMID: 37353097 PMCID: PMC10788147 DOI: 10.1016/j.neuroimage.2023.120244] [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: 03/20/2023] [Revised: 06/12/2023] [Accepted: 06/20/2023] [Indexed: 06/25/2023] Open
Abstract
Physical exercise, even stress-free very-light-intensity exercise such as yoga and very slow running, can have beneficial effects on executive function, possibly by potentiating prefrontal cortical activity. However, the exact mechanisms underlying this potentiation have not been identified. Evidence from studies using pupillometry demonstrates that pupil changes track the real-time dynamics of activity linked to arousal and attention, including neural circuits from the locus coeruleus to the cortex. This makes it possible to examine whether pupil-linked brain dynamics induced during very-light-intensity exercise mediate benefits to prefrontal executive function in healthy young adults. In this experiment, pupil diameter was measured during 10 min of very-light-intensity exercise (30% V˙o2peak). A Stroop task was used to assess executive function before and after exercise. Prefrontal cortical activation during the task was assessed using multichannel functional near-infrared spectroscopy (fNIRS). We observed that very-light-intensity exercise significantly elicited pupil dilation, reduction of Stroop interference, and task-related left dorsolateral prefrontal cortex activation compared with the resting-control condition. The magnitude of change in pupil dilation predicted the magnitude of improvement in Stroop performance. In addition, causal mediation analysis showed that pupil dilation during very-light-intensity exercise robustly determined subsequent enhancement of Stroop performance. This finding supports our hypothesis that the pupil-linked mechanisms, which may be tied to locus coeruleus activation, are a potential mechanism by which very light exercise enhances prefrontal cortex activation and executive function. It also suggests that pupillometry may be a useful tool to interpret the beneficial impact of exercise on boosting cognition.
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Affiliation(s)
- Ryuta Kuwamizu
- Laboratory of Exercise Biochemistry and Neuroendocrinology, Faculty of Health and Sport Sciences, University of Tsukuba, Ibaraki 305-8574, Japan; Graduate School of Letters, Kyoto University, Kyoto 606-8501, Japan
| | - Yudai Yamazaki
- Laboratory of Exercise Biochemistry and Neuroendocrinology, Faculty of Health and Sport Sciences, University of Tsukuba, Ibaraki 305-8574, Japan; Sport Neuroscience Division, Advanced Research Initiative for Human High Performance (ARIHHP), Faculty of Health and Sport Sciences, University of Tsukuba, Ibaraki 305-8574, Japan
| | - Naoki Aoike
- Laboratory of Exercise Biochemistry and Neuroendocrinology, Faculty of Health and Sport Sciences, University of Tsukuba, Ibaraki 305-8574, Japan; Sport Neuroscience Division, Advanced Research Initiative for Human High Performance (ARIHHP), Faculty of Health and Sport Sciences, University of Tsukuba, Ibaraki 305-8574, Japan
| | - Taichi Hiraga
- Laboratory of Exercise Biochemistry and Neuroendocrinology, Faculty of Health and Sport Sciences, University of Tsukuba, Ibaraki 305-8574, Japan
| | - Toshiaki Hata
- Laboratory of Exercise Biochemistry and Neuroendocrinology, Faculty of Health and Sport Sciences, University of Tsukuba, Ibaraki 305-8574, Japan
| | - Michael A Yassa
- Sport Neuroscience Division, Advanced Research Initiative for Human High Performance (ARIHHP), Faculty of Health and Sport Sciences, University of Tsukuba, Ibaraki 305-8574, Japan; Department of Neurobiology and Behavior and Center for the Neurobiology of Learning and Memory, University of California Irvine, Irvine, CA 92679-3800, USA
| | - Hideaki Soya
- Laboratory of Exercise Biochemistry and Neuroendocrinology, Faculty of Health and Sport Sciences, University of Tsukuba, Ibaraki 305-8574, Japan; Sport Neuroscience Division, Advanced Research Initiative for Human High Performance (ARIHHP), Faculty of Health and Sport Sciences, University of Tsukuba, Ibaraki 305-8574, Japan.
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11
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Yarmolovsky J, Sabag M, Lipschits O, Geva R. Parents regulate arousal while sharing experiences with their child: a study of pupil diameter change responses. Front Hum Neurosci 2023; 17:1177687. [PMID: 37397856 PMCID: PMC10312006 DOI: 10.3389/fnhum.2023.1177687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 06/02/2023] [Indexed: 07/04/2023] Open
Abstract
Introduction Parents provide their children with their first exposures to reciprocal shared experiences, and parental modeling of socio-emotional behaviors and regulatory responses largely influences their child's behavioral and neurological development. Some parental reactions are conscious, while others are non-volitional. This project aimed to explore parent-child pupil dilation change responses during shared interactions, specifically, whether parents' neuro-regulatory responses when sharing experiences with their child are different than responses of children interacting with their parents or children and adult peers sharing with each other. Methods To test this, four distinct interacting groups were recruited: (1) Parents sharing with their child; (2) Children sharing with their parent; (3) Children sharing with peers; and (4) Adults sharing with peers. All dyads engaged in a computerized shared imagery task, which facilitates communication and mental imagery during a shared experience. During the task, pupil diameter change was recorded as a measure of regulatory response. Results Findings highlight that parents sharing with their child have lower pupil diameter change than children sharing with their parents (p < 0.01), children sharing with peers (p < 0.01), and adults sharing with peers (p < 0.05), While no differences were seen between children sharing with parents, children sharing with peers or adults sharing with peers. Discussion Findings deepen the understanding of the neuroscience of parenting, by suggesting that parents, even of older children and adolescents, tend to regulate their arousal when interacting with their child, a response that proves to be unique compared to other dyad types for sharing experiences. Considering this dynamic, findings may direct future parent-led intervention methods to improve the child's socio-emotional development.
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Affiliation(s)
- Jessica Yarmolovsky
- The Developmental Neuropsychology Laboratory, The Department of Psychology, Bar-Ilan University, Ramat Gan, Israel
| | - Maya Sabag
- The Developmental Neuropsychology Laboratory, The Department of Psychology, Bar-Ilan University, Ramat Gan, Israel
- The Susan Gonda Brain Research Center, Bar-Ilan University, Ramat Gan, Israel
| | - Or Lipschits
- The Developmental Neuropsychology Laboratory, The Department of Psychology, Bar-Ilan University, Ramat Gan, Israel
- The Susan Gonda Brain Research Center, Bar-Ilan University, Ramat Gan, Israel
| | - Ronny Geva
- The Developmental Neuropsychology Laboratory, The Department of Psychology, Bar-Ilan University, Ramat Gan, Israel
- The Susan Gonda Brain Research Center, Bar-Ilan University, Ramat Gan, Israel
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12
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Feher da Silva C, Lombardi G, Edelson M, Hare TA. Rethinking model-based and model-free influences on mental effort and striatal prediction errors. Nat Hum Behav 2023:10.1038/s41562-023-01573-1. [PMID: 37012365 DOI: 10.1038/s41562-023-01573-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Accepted: 02/27/2023] [Indexed: 04/05/2023]
Abstract
A standard assumption in neuroscience is that low-effort model-free learning is automatic and continuously used, whereas more complex model-based strategies are only used when the rewards they generate are worth the additional effort. We present evidence refuting this assumption. First, we demonstrate flaws in previous reports of combined model-free and model-based reward prediction errors in the ventral striatum that probably led to spurious results. More appropriate analyses yield no evidence of model-free prediction errors in this region. Second, we find that task instructions generating more correct model-based behaviour reduce rather than increase mental effort. This is inconsistent with cost-benefit arbitration between model-based and model-free strategies. Together, our data indicate that model-free learning may not be automatic. Instead, humans can reduce mental effort by using a model-based strategy alone rather than arbitrating between multiple strategies. Our results call for re-evaluation of the assumptions in influential theories of learning and decision-making.
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Affiliation(s)
| | - Gaia Lombardi
- Zurich Center for Neuroeconomics, Department of Economics, University of Zurich, Zurich, Switzerland
| | - Micah Edelson
- Zurich Center for Neuroeconomics, Department of Economics, University of Zurich, Zurich, Switzerland
| | - Todd A Hare
- Zurich Center for Neuroeconomics, Department of Economics, University of Zurich, Zurich, Switzerland.
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13
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Ivanovic D, Zamorano F, Soto-Icaza P, Rojas T, Larraín C, Silva C, Almagià A, Bustamante C, Arancibia V, Villagrán F, Valenzuela R, Barrera C, Billeke P. Brain structural parameters correlate with University Selection Test outcomes in Chilean high school graduates. Sci Rep 2022; 12:20562. [PMID: 36446926 PMCID: PMC9709063 DOI: 10.1038/s41598-022-24958-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Accepted: 11/22/2022] [Indexed: 11/30/2022] Open
Abstract
How well students learn and perform in academic contexts is a focus of interest for the students, their families, and the entire educational system. Although evidence has shown that several neurobiological factors are involved in scholastic achievement (SA), specific brain measures associated with academic outcomes and whether such associations are independent of other factors remain unclear. This study attempts to identify the relationship between brain structural parameters, and the Chilean national University Selection Test (PSU) results in high school graduates within a multidimensional approach that considers socio-economic, intellectual, nutritional, and demographic variables. To this end, the brain morphology of a sample of 102 students who took the PSU test was estimated using Magnetic Resonance Imaging. Anthropometric parameters, intellectual ability (IA), and socioeconomic status (SES) were also measured. The results revealed that, independently of sex, IA, gray matter volume, right inferior frontal gyrus thickness, and SES were significantly associated with SA. These findings highlight the role of nutrition, health, and socioeconomic variables in academic success.
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Affiliation(s)
- Daniza Ivanovic
- Laboratory of Nutrition and Neurological Sciences, Human Nutrition Area, Institute of Nutrition and Food Technology Dr. Fernando Monckeberg Barros (INTA), University of Chile, Santiago, Chile.
- Laboratorio de Neurociencia Social y Neuromodulación, Centro de Investigación en Complejidad Social (neuroCICS), Facultad de Gobierno, Universidad del Desarrollo, Santiago, Chile.
| | - Francisco Zamorano
- Unidad de Imágenes Cuantitativas Avanzadas, Departamento de Imágenes, Clínica Alemana, Universidad del Desarrollo, Santiago, Chile
| | - Patricia Soto-Icaza
- Laboratorio de Neurociencia Social y Neuromodulación, Centro de Investigación en Complejidad Social (neuroCICS), Facultad de Gobierno, Universidad del Desarrollo, Santiago, Chile
| | - Tatiana Rojas
- Laboratory of Nutrition and Neurological Sciences, Human Nutrition Area, Institute of Nutrition and Food Technology Dr. Fernando Monckeberg Barros (INTA), University of Chile, Santiago, Chile
| | - Cristián Larraín
- Radiology Department, Facultad de Medicina-Clínica Alemana, Universidad del Desarrollo, Santiago, Chile
| | - Claudio Silva
- Radiology Department, Facultad de Medicina-Clínica Alemana, Universidad del Desarrollo, Santiago, Chile
| | - Atilio Almagià
- Laboratory of Physical Anthropology and Human Anatomy, Institute of Biology, Faculty of Sciences, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile
| | - Claudia Bustamante
- Laboratory of Nutrition and Neurological Sciences, Human Nutrition Area, Institute of Nutrition and Food Technology Dr. Fernando Monckeberg Barros (INTA), University of Chile, Santiago, Chile
| | - Violeta Arancibia
- Department of Global Partnership for Education (GPE) World Bank, Washington, USA
| | - Francisca Villagrán
- Laboratory of Nutrition and Neurological Sciences, Human Nutrition Area, Institute of Nutrition and Food Technology Dr. Fernando Monckeberg Barros (INTA), University of Chile, Santiago, Chile
| | - Rodrigo Valenzuela
- Department of Nutrition, Faculty of Medicine, University of Chile, Santiago, Chile
| | - Cynthia Barrera
- Department of Nutrition, Faculty of Medicine, University of Chile, Santiago, Chile
| | - Pablo Billeke
- Laboratorio de Neurociencia Social y Neuromodulación, Centro de Investigación en Complejidad Social (neuroCICS), Facultad de Gobierno, Universidad del Desarrollo, Santiago, Chile.
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14
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Beyond mindfulness: Arousal-driven modulation of attentional control during arousal-based practices. CURRENT RESEARCH IN NEUROBIOLOGY 2022; 3:100053. [PMID: 36246552 PMCID: PMC9559070 DOI: 10.1016/j.crneur.2022.100053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Accepted: 08/22/2022] [Indexed: 11/20/2022] Open
Abstract
Here we report meditative techniques, which modulate attentional control by arousal-driven influences and not by monitoring continuous thought processes as during mindfulness-related practices. We focus on Vajrayana (Tantric Buddhism) practices, during which a sequence of generation (self-visualization as a deity - Yidam) or completion with sign (inner heat -Tummo) stages necessarily precedes non-dual awareness (NDA) Tantric Mahamudra. We compared the electrocardiographic and electroencephalographic correlates of Mahamudra performed after rest (non-Tantric Mahamudra) with Mahamudra performed after Yidam (Tantric Mahamudra) in 16 highly experienced Vajrayana practitioners, 10 of whom also performed Tummo. Both Yidam and Tummo developed the state of PNS withdrawal (arousal) and phasic alertness, as reflected by HF HRV decreases and Alpha2 power increases, later neurophysiologically employed in Tantric Mahamudra. The latter led to the unique state of high cortical excitability, “non-selective” focused attention, and significantly reduced attentional control, quantified by power reductions in all frequency bands, except Theta. In contrast, similar to mindfulness-related practices, non-Tantric Mahamudra was performed in a state of PNS dominance (relaxation), tonic alertness, and active monitoring, as suggested by Alpha1 power increases and less pronounced decreases in other frequency bands. A neurobiological model of meditation is proposed, differentiating arousal-based and mindfulness-related practices. Arousal-based meditations involve the state of PNS withdrawal and phasic alertness. Top-down control during arousal-based practices is modulated by arousal. Mindfulness-based practices involve the state of PNS dominance and tonic alertness. Top-down control during mindfulness-based practices is regulated by monitoring. NDA practices aim at non-selectivity of attention and reduction of top-down control.
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15
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Spiech C, Sioros G, Endestad T, Danielsen A, Laeng B. Pupil drift rate indexes groove ratings. Sci Rep 2022; 12:11620. [PMID: 35804069 PMCID: PMC9270355 DOI: 10.1038/s41598-022-15763-w] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 06/29/2022] [Indexed: 11/09/2022] Open
Abstract
Groove, understood as an enjoyable compulsion to move to musical rhythms, typically varies along an inverted U-curve with increasing rhythmic complexity (e.g., syncopation, pickups). Predictive coding accounts posit that moderate complexity drives us to move to reduce sensory prediction errors and model the temporal structure. While musicologists generally distinguish the effects of pickups (anacruses) and syncopations, their difference remains unexplored in groove. We used pupillometry as an index to noradrenergic arousal while subjects listened to and rated drumbeats varying in rhythmic complexity. We replicated the inverted U-shaped relationship between rhythmic complexity and groove and showed this is modulated by musical ability, based on a psychoacoustic beat perception test. The pupil drift rates suggest that groovier rhythms hold attention longer than ones rated less groovy. Moreover, we found complementary effects of syncopations and pickups on groove ratings and pupil size, respectively, discovering a distinct predictive process related to pickups. We suggest that the brain deploys attention to pickups to sharpen subsequent strong beats, augmenting the predictive scaffolding's focus on beats that reduce syncopations' prediction errors. This interpretation is in accordance with groove envisioned as an embodied resolution of precision-weighted prediction error.
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Affiliation(s)
- Connor Spiech
- RITMO Centre for Interdisciplinary Studies in Rhythm, Time and Motion, University of Oslo, Postboks 1133 Blindern, 0318, Oslo, Norway. .,Department of Psychology, University of Oslo, Oslo, Norway.
| | - George Sioros
- RITMO Centre for Interdisciplinary Studies in Rhythm, Time and Motion, University of Oslo, Postboks 1133 Blindern, 0318, Oslo, Norway.,Department of Musicology, University of Oslo, Oslo, Norway
| | - Tor Endestad
- RITMO Centre for Interdisciplinary Studies in Rhythm, Time and Motion, University of Oslo, Postboks 1133 Blindern, 0318, Oslo, Norway.,Department of Psychology, University of Oslo, Oslo, Norway
| | - Anne Danielsen
- RITMO Centre for Interdisciplinary Studies in Rhythm, Time and Motion, University of Oslo, Postboks 1133 Blindern, 0318, Oslo, Norway.,Department of Musicology, University of Oslo, Oslo, Norway
| | - Bruno Laeng
- RITMO Centre for Interdisciplinary Studies in Rhythm, Time and Motion, University of Oslo, Postboks 1133 Blindern, 0318, Oslo, Norway.,Department of Psychology, University of Oslo, Oslo, Norway
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16
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Vlašković T, Brkić BG, Stević Z, Vukićević M, Đurović O, Kostić D, Stanisavljević N, Marinković I, Kapor S, Marinković S. Anatomic and MRI bases for pontine infarctions with patients presentation. J Stroke Cerebrovasc Dis 2022; 31:106613. [PMID: 35777083 DOI: 10.1016/j.jstrokecerebrovasdis.2022.106613] [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: 05/08/2022] [Revised: 06/10/2022] [Accepted: 06/19/2022] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES There are scarce data regarding pontine arteries anatomy, which is the basis for ischemic lesions following their occlusion. The aim of this study was to examine pontine vasculature and its relationships with the radiologic and neurologic features of pontine infarctions. MATERIALS AND METHODS Branches of eight basilar arteries and their twigs, including the larger intrapontine branches, were microdissected following an injection of a 10% mixture of India ink and gelatin. Two additional brain stems were prepared for microscopic examination after being stained with luxol fast blue and cresyl violet. Finally, 30 patients with pontine infarctions underwent magnetic resonance imaging (MRI) in order to determine the position and size of the infarctions. RESULTS The perforating arteries, which averaged 5.8 in number and 0.39 mm in diameter, gave rise to paramedian and anteromedial branches, and also to anterolateral twigs (62.5%). The longer leptomeningeal and cerebellar arteries occasionally gave off perforating and anterolateral twigs, and either the lateral or posterior branches. Occlusion of some of these vessels resulted in the paramedian (30%), anterolateral (26.7%), lateral (20%), and combined infarctions (23.3%), which were most often isolated and unilateral, and rarely bilateral (10%). They were located in the lower pons (23.3%), middle (10%) or rostral (26.7%), or in two or three portions (40%). Each type of infarction usually produced characteristic neurologic signs. The clinical significance of the anatomic findings was discussed. CONCLUSIONS There was a good correlation between the intrapontine vascular territories, the position, size and shape of the infarctions, and the type of neurologic manifestations.
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Affiliation(s)
- Tatjana Vlašković
- University of Belgrade, Faculty of Medicine, Laza Lazarević Hospital of Psychiatry, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Biljana Georgievski Brkić
- University of Belgrade, Faculty of Medicine, Sveti Sava Stroke Hospital, Department of CT and MRI, Belgrade, Serbia
| | - Zorica Stević
- Clinic of Neurology, Clinical Center of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia
| | - Marjana Vukićević
- University of Belgrade, Faculty of Medicine, Sveti Sava Stroke Hospital, Department of Neurology, Belgrade, Serbia
| | - Olivera Đurović
- University of Belgrade, Faculty of Medicine, Sveti Sava Stroke Hospital, Department of Neurology, Belgrade, Serbia
| | - Dejan Kostić
- Military Medical Academy, Institute of Radiology, Belgrade, Serbia
| | - Nataša Stanisavljević
- University of Belgrade, Clinical Hospital Center Bezanijska Kosa, Department of Hematology, Belgrade, Serbia
| | - Ivan Marinković
- University of Helsinki, Helsinki University Hospital, Clinical Neuroscience, Neurology, Helsinki, Finland.
| | - Slobodan Kapor
- University of Belgrade, Faculty of Medicine, Institute of Anatomy, Department of Neuroanatomy, Belgrade, Serbia
| | - Slobodan Marinković
- University of Belgrade, Faculty of Medicine, Institute of Anatomy, Department of Neuroanatomy, Belgrade, Serbia
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17
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Functional Coupling of the Locus Coeruleus Is Linked to Successful Cognitive Control. Brain Sci 2022; 12:brainsci12030305. [PMID: 35326262 PMCID: PMC8946131 DOI: 10.3390/brainsci12030305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 02/13/2022] [Accepted: 02/17/2022] [Indexed: 11/20/2022] Open
Abstract
The locus coeruleus (LC) is a brainstem structure that sends widespread efferent projections throughout the mammalian brain. The LC constitutes the major source of noradrenaline (NE), a modulatory neurotransmitter that is crucial for fundamental brain functions such as arousal, attention, and cognitive control. This role of the LC-NE is traditionally not believed to reflect functional influences on the frontoparietal network or the striatum, but recent advances in chemogenetic manipulations of the rodent brain have challenged this notion. However, demonstrations of LC-NE functional connectivity with these areas in the human brain are surprisingly sparse. Here, we close this gap. Using an established emotional stroop task, we directly compared trials requiring response conflict control with trials that did not require this, but were matched for visual stimulus properties, response modality, and controlled for pupil dilation differences across both trial types. We found that LC-NE functional coupling with the parietal cortex and regions of the striatum is substantially enhanced during trials requiring response conflict control. Crucially, the strength of this functional coupling was directly related to individual reaction time differences incurred by conflict resolution. Our data concur with recent rodent findings and highlight the importance of converging evidence between human and nonhuman neurophysiology to further understand the neural systems supporting adaptive and maladaptive behavior in health and disease.
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18
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Nilsson EJ, Bärgman J, Ljung Aust M, Matthews G, Svanberg B. Let Complexity Bring Clarity: A Multidimensional Assessment of Cognitive Load Using Physiological Measures. FRONTIERS IN NEUROERGONOMICS 2022; 3:787295. [PMID: 38235474 PMCID: PMC10790847 DOI: 10.3389/fnrgo.2022.787295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Accepted: 01/07/2022] [Indexed: 01/19/2024]
Abstract
The effects of cognitive load on driver behavior and traffic safety are unclear and in need of further investigation. Reliable measures of cognitive load for use in research and, subsequently, in the development and implementation of driver monitoring systems are therefore sought. Physiological measures are of interest since they can provide continuous recordings of driver state. Currently, however, a few issues related to their use in this context are not usually taken into consideration, despite being well-known. First, cognitive load is a multidimensional construct consisting of many mental responses (cognitive load components) to added task demand. Yet, researchers treat it as unidimensional. Second, cognitive load does not occur in isolation; rather, it is part of a complex response to task demands in a specific operational setting. Third, physiological measures typically correlate with more than one mental state, limiting the inferences that can be made from them individually. We suggest that acknowledging these issues and studying multiple mental responses using multiple physiological measures and independent variables will lead to greatly improved measurability of cognitive load. To demonstrate the potential of this approach, we used data from a driving simulator study in which a number of physiological measures (heart rate, heart rate variability, breathing rate, skin conductance, pupil diameter, eye blink rate, eye blink duration, EEG alpha power, and EEG theta power) were analyzed. Participants performed a cognitively loading n-back task at two levels of difficulty while driving through three different traffic scenarios, each repeated four times. Cognitive load components and other coinciding mental responses were assessed by considering response patterns of multiple physiological measures in relation to multiple independent variables. With this approach, the construct validity of cognitive load is improved, which is important for interpreting results accurately. Also, the use of multiple measures and independent variables makes the measurements (when analyzed jointly) more diagnostic-that is, better able to distinguish between different cognitive load components. This in turn improves the overall external validity. With more detailed, diagnostic, and valid measures of cognitive load, the effects of cognitive load on traffic safety can be better understood, and hence possibly mitigated.
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Affiliation(s)
- Emma J. Nilsson
- Volvo Cars Safety Centre, Volvo Car Corporation, Gothenburg, Sweden
- Department of Mechanics and Maritime Sciences, Chalmers University of Technology, Gothenburg, Sweden
| | - Jonas Bärgman
- Department of Mechanics and Maritime Sciences, Chalmers University of Technology, Gothenburg, Sweden
| | | | - Gerald Matthews
- Department of Psychology, George Mason University, Fairfax, VA, United States
| | - Bo Svanberg
- Volvo Cars Safety Centre, Volvo Car Corporation, Gothenburg, Sweden
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19
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Tramonti Fantozzi MP, De Cicco V, De Cicco D, d'Ascanio P, Cataldo E, Bruschini L, Faraguna U, Manzoni D. Chewing and Cognitive Improvement: The Side Matters. Front Syst Neurosci 2022; 15:749444. [PMID: 35002642 PMCID: PMC8734061 DOI: 10.3389/fnsys.2021.749444] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Accepted: 11/24/2021] [Indexed: 11/13/2022] Open
Abstract
Chewing improves cognitive performance, which is impaired in subjects showing an asymmetry in electromyographic (EMG) masseter activity during clenching. In these subjects, the simultaneous presence of an asymmetry in pupil size (anisocoria) at rest indicates an imbalance in Ascending Reticular Activating System (ARAS) influencing arousal and pupil size. The aim of the present study was to verify whether a trigeminal EMG asymmetry may bias the stimulating effect of chewing on cognition. Cognitive performance and pupil size at rest were recorded before and after 1 min of unilateral chewing in 20 subjects with anisocoria, showing an EMG asymmetry during clenching. Unilateral chewing stimulated performance mainly when it occurred on the side of lower EMG activity (and smaller pupil size). Following chewing on the hypotonic side, changes in cognitive performance were negatively and positively correlated with those in anisocoria and pupil size, respectively. We propose that, following chewing on the hypotonic side, the arousing effects of trigeminal stimulation on performance are enhanced by a rebalancing of ARAS structures. At variance, following chewing on the hypertonic side, the arousing effect of trigeminal stimulation could be partially or completely prevented by the simultaneous increase in ARAS imbalance.
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Affiliation(s)
| | - Vincenzo De Cicco
- Department of Translational Research and of New Surgical and Medical Technologies, University of Pisa, Pisa, Italy
| | - Davide De Cicco
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Naples, Italy
| | - Paola d'Ascanio
- Department of Translational Research and of New Surgical and Medical Technologies, University of Pisa, Pisa, Italy
| | | | - Luca Bruschini
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy
| | - Ugo Faraguna
- Department of Translational Research and of New Surgical and Medical Technologies, University of Pisa, Pisa, Italy.,Department of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Pisa, Italy
| | - Diego Manzoni
- Department of Translational Research and of New Surgical and Medical Technologies, University of Pisa, Pisa, Italy
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20
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Li C, Liu Y, Yang N, Lan Z, Huang S, Wu Y, Ma X, Jiang G. Functional Connectivity Disturbances of the Locus Coeruleus in Chronic Insomnia Disorder. Nat Sci Sleep 2022; 14:1341-1350. [PMID: 35942365 PMCID: PMC9356738 DOI: 10.2147/nss.s366234] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Accepted: 07/14/2022] [Indexed: 11/25/2022] Open
Abstract
INTRODUCTION In recent years, people have gained a profound understanding of chronic insomnia disorder (CID), but the pathophysiological mechanism of CID is still unclear. There is some evidence that the locus coeruleus (LC) is involved in the regulation of wakefulness in CID, but there have been few studies using brain functional imaging. The purpose of this study was to evaluate the resting-state functional connectivity (FC) between the LC and other brain voxels in CID and whether these abnormal FC are involved in the regulation of wakefulness. METHODS A total of 49 patients with chronic insomnia disorder and 47 healthy controls (HC) matched for gender, age, and education were examined with rs-fMRI in this study. The LC was selected as the region of interest, and then seed-based analysis was conducted on the LC and other voxels to obtain the brain regions with abnormal FC. The correlation between the FC value of the abnormal connection area and the clinical scale score was analyzed. RESULTS Compared with the HC, the FC between the LC and right precuneus, right posterior cingulate cortex, left middle temporal gyrus, left calcarine, and right superior orbitofrontal cortex was significantly enhanced (p < 0.05, FDR correction), and the functional connectivity signal value between the locus coeruleus and left middle temporal gyrus was positively correlated with the Self-Rating Depression Scale (p = 0.021). CONCLUSION The abnormal FC between the LC and multiple brain regions may contribute to a better understanding of the neurobiological mechanism of CID.
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Affiliation(s)
- Chunlong Li
- Department of Medical Imaging, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, People' s Republic of China
| | - Yuexia Liu
- Department of Ultrasound, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, People' s Republic of China
| | - Ning Yang
- Department of Medical Imaging, Guangdong Second Provincial General Hospital, Guangzhou, People's Republic of China
| | - Zhihong Lan
- Department of Medical Imaging, Zhuhai City People's Hospital, Zhuhai, People's Republic of China
| | - Shumei Huang
- Department of Medical Imaging, Guangdong Second Provincial General Hospital, Guangzhou, People's Republic of China
| | - Yunfan Wu
- Department of Medical Imaging, Guangdong Second Provincial General Hospital, Guangzhou, People's Republic of China
| | - Xiaofen Ma
- Department of Medical Imaging, Guangdong Second Provincial General Hospital, Guangzhou, People's Republic of China
| | - Guihua Jiang
- Department of Medical Imaging, Guangdong Second Provincial General Hospital, Guangzhou, People's Republic of China
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21
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Compton RJ, Jaskir M, Mu J. Effects of post-response arousal on cognitive control: Adaptive or maladaptive? Psychophysiology 2021; 59:e13988. [PMID: 34904230 DOI: 10.1111/psyp.13988] [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: 03/25/2021] [Revised: 10/28/2021] [Accepted: 11/23/2021] [Indexed: 11/28/2022]
Abstract
This study investigated whether detection of a performance mistake is followed by adaptive or detrimental effects on subsequent attention and performance. Using a Stroop task with spatial cueing, along with simultaneous EEG and pupillary measurements, we examined evidence bearing on two alternative hypotheses: maladaptive arousal and adaptive control. Error detection, indexed by the error-related negativity ERP component, was followed by pupil dilation and suppression of EEG oscillations in the alpha band, two indices of arousal that were associated with one another on a trial-by-trial basis. On the trials following errors, there was neural evidence of enhanced spatial cueing, manifested in greater hemispheric activation contralateral to the cued visual field. However, this post-error enhancement was not followed by changes in Stroop or spatial cueing effects in performance, nor by increased attentional cueing effects in ERP responses to targets. Rather, performance tended to be slower and less accurate following errors compared to correct trials, and higher post-response arousal, indexed by larger pupils, predicted next-trial slowing and decreased P2 amplitude to targets. Results favor the maladaptive arousal account of post-error cognitive control and offer only limited support for adaptive control.
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Affiliation(s)
- Rebecca J Compton
- Department of Psychology, Haverford College, Haverford, Pennsylvania, USA
| | - Marc Jaskir
- Department of Psychology, Haverford College, Haverford, Pennsylvania, USA
| | - Jianing Mu
- Department of Psychology, Haverford College, Haverford, Pennsylvania, USA
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22
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Sanilevici M, Reuveni O, Lev-Ari S, Golland Y, Levit-Binnun N. Mindfulness-Based Stress Reduction Increases Mental Wellbeing and Emotion Regulation During the First Wave of the COVID-19 Pandemic: A Synchronous Online Intervention Study. Front Psychol 2021; 12:720965. [PMID: 34858260 PMCID: PMC8631924 DOI: 10.3389/fpsyg.2021.720965] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2021] [Accepted: 10/13/2021] [Indexed: 12/23/2022] Open
Abstract
The COVID-19 pandemic imposed extreme living conditions of social distancing, which triggered negative mental health problems and created challenges in seeking mental health support. Mindfulness-based interventions (MBIs) have been found to enhance wellbeing and mental health by reducing stress and anxiety and improving emotion regulation. Preliminary evidence suggests that online, synchronous MBIs may produce beneficial effects similar to face-to-face programs. However, the effectiveness of such online-MBIs to support mental health in highly stressful times, such as a global pandemic, requires further study. To this end, we investigated the effect of an online 8-week Mindfulness-Based Stress Reduction (MBSR) program on aspects of mental health during the first wave of the COVID-19 pandemic. Participants (N=92) who expressed interest in discounted online-MBSR programs were recruited for the study. The division into experimental and control groups was based on actual enrollment to the courses. Those who enrolled in a program were assigned to the experimental condition and those who decided not to enroll served as controls. Participants were assessed pre-intervention, post-intervention, and 1-month post-intervention for levels of mindfulness, perceived stress, anxiety, emotion regulation, and intolerance of uncertainty. Differences between the groups were tested using the general linear mixed effects model (GLMM) and Individual Growth Curve Models (IGCM) in intent to treat analysis. The findings indicated that, relative to the control group, MBSR improved mindfulness abilities (p <0.001), decreased anxiety (p <0.001), and stress (p <0.001) and increased emotion regulation (p <0.001). These effects were found to persist 1 month after the end of the program, despite the increased governmental public-health restrictions due to COVID-19 at that time. The ability to tolerate uncertainty, a central characteristic of the pandemic, was not found to be affected by the program. A mediation analysis revealed that the effect of the intervention on mental health improvement was partially mediated by the improvement in emotion regulation. Overall, the findings provide positive evidence for the feasibility of an online-MBSR program to support the mental health of individuals from the general population through the mediation of emotion regulation in challenging times, such as a global pandemic.
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Affiliation(s)
- Maya Sanilevici
- Sagol Center for Brain and Mind, Baruch Ivcher School of Psychology, Interdisciplinary Center Herzliya (IDC), Herzliya, Israel
| | - Omer Reuveni
- Sagol Center for Brain and Mind, Baruch Ivcher School of Psychology, Interdisciplinary Center Herzliya (IDC), Herzliya, Israel
| | - Shahar Lev-Ari
- Department of Health Promotion, Faculty of Medicine, School of Public Health, Tel-Aviv University, Tel-Aviv, Israel
| | - Yulia Golland
- Sagol Center for Brain and Mind, Baruch Ivcher School of Psychology, Interdisciplinary Center Herzliya (IDC), Herzliya, Israel
| | - Nava Levit-Binnun
- Sagol Center for Brain and Mind, Baruch Ivcher School of Psychology, Interdisciplinary Center Herzliya (IDC), Herzliya, Israel
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23
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Prével A, Hoofs V, Krebs RM. Effect of non-instructed instrumental contingency of monetary reward and positive affect in a cognitive control task. ROYAL SOCIETY OPEN SCIENCE 2021; 8:202002. [PMID: 34457322 PMCID: PMC8385383 DOI: 10.1098/rsos.202002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Accepted: 08/02/2021] [Indexed: 06/13/2023]
Abstract
In recent years, we observed a strong interest in the influence of motivation and emotion on cognitive control. Prior studies suggest that the instrumental contingency between a response and a rewarding or affective stimulus is particularly important in that context-which is resonating with observations in the associative learning literature. However, despite this overlap, and the relevance of non-instructed learning in real life, the vast majority of studies investigating motivation-cognition interactions use direct instructions to inform participants about the contingencies between responses and stimuli. Thus, there is little experimental insight regarding how humans detect non-instructed contingencies between their actions and motivational or affective outcomes, and how these learned contingencies come to influence cognitive control processes. In an attempt to close this gap, the goal of the present study was to test the effect of non-instructed contingent and non-contingent outcomes (i.e. monetary reward and positive affective stimuli) on cognitive control using the AX-continuous performance task (AX-CPT) paradigm. We found that entirely non-instructed contingencies between responses and positive outcomes (both monetary and affective ones) led to significant performance improvement. The present results open new perspectives for studying the influence of motivation and emotion on cognitive control at the insertion with associative learning.
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Affiliation(s)
- Arthur Prével
- Department of Experimental Psychology, Ghent University, Henri Dunantlaan, 2, Ghent 9000, Belgium
| | - Vincent Hoofs
- Department of Experimental Psychology, Ghent University, Henri Dunantlaan, 2, Ghent 9000, Belgium
| | - Ruth M Krebs
- Department of Experimental Psychology, Ghent University, Henri Dunantlaan, 2, Ghent 9000, Belgium
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24
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Kurniawan IT, Grueschow M, Ruff CC. Anticipatory Energization Revealed by Pupil and Brain Activity Guides Human Effort-Based Decision Making. J Neurosci 2021; 41:6328-6342. [PMID: 34103359 PMCID: PMC8287989 DOI: 10.1523/jneurosci.3027-20.2021] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 05/10/2021] [Accepted: 05/24/2021] [Indexed: 01/07/2023] Open
Abstract
An organism's fitness is determined by how it chooses to adapt to effort in response to challenges. Exertion of effort correlates with activity in dorsomedial prefrontal cortex (dmPFC) and noradrenergic pupil dilation, but little is known about the role of these neurophysiological processes for decisions about future efforts, they may provide anticipatory energization to help us accept the challenge or a cost representation that is weighted against the expected rewards. Here, we provide evidence for the former, by measuring pupil and functional magnetic resonance imaging (fMRI) brain responses while 52 human participants (29 females) chose whether to exert efforts to obtain rewards. Both pupil-dilation rate and dmPFC fMRI activity increased with anticipated effort level, and these increases differ depending on the choice outcome: they were stronger when participants chose to accept the challenge compared with when the challenge was declined. Crucially, the choice-dependent modulation of pupil and brain-activity effort representations were stronger in participants whose behavioral choices were more sensitive to effort. Our results identify a process involving the peripheral and central human nervous system that simulates the required energization before overt response, suggesting a role in guiding effort-based decisions.SIGNIFICANCE STATEMENT The brain's arousal system tracks the effort we engage in during strenuous activity. But much less is known about what role this effort signaling may play when we decide whether to exert effort in the future. Here, we characterize pupil-linked arousal and brain signals that guide decisions whether to engage in effort to gain money. During such choices, increases in brain activity and pupil dilation correlated with the effort involved in the chosen option, and these increases were stronger when people decided to accept the effort compared with when they rejected it. These results suggest that the brain arousal system guides decisions by energizing the organism for the prospective challenge.
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Affiliation(s)
- Irma T Kurniawan
- Zurich Center for Neuroeconomics, Department of Economics, University of Zurich, Zürich 8006, Switzerland
| | - Marcus Grueschow
- Zurich Center for Neuroeconomics, Department of Economics, University of Zurich, Zürich 8006, Switzerland
| | - Christian C Ruff
- Zurich Center for Neuroeconomics, Department of Economics, University of Zurich, Zürich 8006, Switzerland
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25
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Maier SU, Grueschow M. Pupil dilation predicts individual self-regulation success across domains. Sci Rep 2021; 11:14342. [PMID: 34253756 PMCID: PMC8275757 DOI: 10.1038/s41598-021-93121-y] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2021] [Accepted: 06/14/2021] [Indexed: 02/06/2023] Open
Abstract
Multiple theories have proposed that increasing central arousal through the brain's locus coeruleus-norepinephrine system may facilitate cognitive control and memory. However, the role of the arousal system in emotion regulation is less well understood. Pupil diameter is a proxy to infer upon the central arousal state. We employed an emotion regulation paradigm with a combination of design features that allowed us to dissociate regulation from emotional arousal in the pupil diameter time course of 34 healthy adults. Pupil diameter increase during regulation predicted individual differences in emotion regulation success beyond task difficulty. Moreover, the extent of this individual regulatory arousal boost predicted performance in another self-control task, dietary health challenges. Participants who harnessed more regulation-associated arousal during emotion regulation were also more successful in choosing healthier foods. These results suggest that a common arousal-based facilitation mechanism may support an individual's self-control across domains.
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Affiliation(s)
- Silvia U Maier
- Zurich Center for Neuroeconomics, Department of Economics, University of Zurich, Bluemlisalpstrasse 10, 8006, Zurich, Switzerland.
- Neuroscience Center Zurich, University of Zurich, Swiss Federal Institute of Technology Zurich, Zurich, Switzerland.
- Translational Neuromodeling Unit, Institute for Biomedical Engineering, University of Zurich and ETH Zurich, Zurich, Switzerland.
| | - Marcus Grueschow
- Zurich Center for Neuroeconomics, Department of Economics, University of Zurich, Bluemlisalpstrasse 10, 8006, Zurich, Switzerland.
- Neuroscience Center Zurich, University of Zurich, Swiss Federal Institute of Technology Zurich, Zurich, Switzerland.
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26
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Hansen N. Locus Coeruleus Malfunction Is Linked to Psychopathology in Prodromal Dementia With Lewy Bodies. Front Aging Neurosci 2021; 13:641101. [PMID: 33732141 PMCID: PMC7956945 DOI: 10.3389/fnagi.2021.641101] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2020] [Accepted: 02/03/2021] [Indexed: 12/28/2022] Open
Abstract
Background: The locus coeruleus (LC) is a nucleus in the human brainstem with a variety of noradrenaline-driven functions involved in cognition, emotions, and perception. Dementia with Lewy bodies (DLB) constitutes a neurodegenerative disease involving deposits of alpha-synuclein, first appearing in the brainstem. The goal of this narrative review is to delineate the relationship between the expression of psychiatric symptoms as an early-onset of DLB and the degeneration of the LC's noradrenaline system. Methods: We searched in PubMed for relevant articles concerning LC degeneration and psychiatric symptoms in prodromal DLB in this narrative review. We rely on the McKeith criteria for prodromal psychiatric DLB. Results: We found four studies that document neuronal loss, deposits of Lewy bodies and other hints for neurodegeneration in the LC in patients with DLB. Furthermore, we reviewed theories and studies on how the degenerated noradrenaline LC system contributes to psychiatric DLB's phenotype. We hypothesized how anxiety, hallucinations, delusions, and depressive symptoms might occur in DLB patients due to degenerated noradrenergic neurons entailing consecutive altered noradrenergic transmission in the LC's projection areas. Conclusions: LC degeneration in prodromal DLB might cause psychiatric symptoms as the first and non-motor manifestation of DLB, as the LC is affected earlier by degeneration than are dopaminergic structures such as the substantia nigra, which are impaired later in the disease course.
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Affiliation(s)
- Niels Hansen
- Department of Psychiatry and Psychotherapy, University Medical Center Goettingen, Göttingen, Germany
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27
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Preissl H, Small D, Kullmann S. Neuroendocrinology and brain imaging. J Neuroendocrinol 2020; 32:e12927. [PMID: 33373090 DOI: 10.1111/jne.12927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Accepted: 12/03/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Hubert Preissl
- Institute for Diabetes Research and Metabolic Diseases of the Helmholtz Center Munich at the University of Tübingen, German Center for Diabetes Research (DZD e.V.), Tübingen, Germany
| | - Dana Small
- Modern Diet and Physiology Research Center, Department of Psychiatry, Yale University, New Haven, CT, USA
| | - Stephanie Kullmann
- Institute for Diabetes Research and Metabolic Diseases of the Helmholtz Center Munich at the University of Tübingen, German Center for Diabetes Research (DZD e.V.), Tübingen, Germany
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