Mental flexibility assessment: A research protocol for patients with Parkinson's Disease and Anorexia Nervosa

In Medio Stat Virtus: Moderate Cognitive Flexibility as a Key to Affective Flexibility Responses in Long-Term HRV

This study examines the relationship between cognitive and affective flexibility, two critical aspects of adaptability. Cognitive flexibility involves switching between activities as rules change, assessed through task-switching or neuropsychological tests and questionnaires. Affective flexibility, meanwhile, refers to shifting between emotional and non-emotional tasks or states. Although similar conceptually, prior research shows inconsistent findings on their link, especially regarding physiological and self-reported measures. Affective flexibility was operationalized as changes in heart rate variability (HRV) in response to transitioning affective stimuli, while cognitive flexibility was assessed using self-report questionnaires that captured individuals' perceived adaptability. The findings revealed that individuals with extremely high or low cognitive flexibility displayed similar HRV patterns in response to emotional stimuli, while those with medium levels of cognitive flexibility showed distinct responses. The Extreme group exhibited higher baseline autonomic activation that decreased after exposure, whereas the Average group's moderate baseline activation increased post-stimuli. This interaction was mainly seen in long-term HRV indexes, while short-term indexes showed a uniform response across groups, suggesting that differences in flexibility were probably not discernible via state features but rather as traits and long-term attributes. The findings suggest that cognitive and affective flexibility exist on a continuum; extremely high and low cognitive flexibility is linked to intense affective responses, while moderate cognitive flexibility corresponds to balanced physiological regulation, supporting the notion that "in medio stat virtus" (virtue lies in moderation).

Linking Affect Dynamics and Well-Being: A Novel Methodological Approach for Mental Health

Emotions are dynamic processes; their variability relates to psychological well-being and psychopathology. Affective alterations have been linked to mental diseases like depression, although little is known about how similar patterns occur in healthy individuals. This study investigates the psychophysiological correlations of emotional processing in healthy subjects, specifically exploring the relationship between depressive traits, cognitive distortions, and facial electromyographic (f-EMG) responses during affective transitions. A cohort of 44 healthy participants underwent f-EMG recording while viewing emotional images from the International Affective Picture System (IAPS). Self-report measures included the Beck Depression Inventory (BDI) and the Cognitive Distortion Scale (CDS). Higher BDI scores were associated with increased EMG activity in the corrugator muscle during transitions between positive and negative emotional states. Cognitive distortions such as Catastrophizing, All-or-Nothing Thinking, and Minimization showed significant positive correlations with EMG activity, indicating that individuals with higher levels of these distortions experienced greater facial muscle activation during emotional transitions. This study's results indicate that there is a bidirectional correlation between depressed features and cognitive distortions and alterations in facial emotional processing, even in healthy subjects. Facial EMG in the context of dynamic affective transitions has the potential to be used as a non-invasive method for detecting abnormal emotional reactions at an early stage. This might help in identifying individuals who are at risk of developing depression and guide therapies to prevent its advancement.

Mind and body connection in expert meditators: a computational study based on central and peripheral nervous system

A meditative 'technique' is conceived as a continuum of different affective states involving mind and body jointly. Meditative practices can involve cognitive effort (e.g., focused attention and open-minded techniques), as well as automatic and implicit practices (e.g., transcendental techniques). The NGALSO tantric self-healing meditation technique is a brief, comprehensive meditation technique relying on mind and body connection. In this study, we aimed to investigate the state and the trait neurophysiological correlates of NGALSO meditation practice. First, 19 EEG channels and a 3-lead ECG signal were recorded from 10 expert meditators (more than 7 years of daily meditation) and 10 healthy inexpert participants (controls) who underwent the same meditative procedure. The neuropsychological profiles of experts and controls were compared. Results showed that expert meditators had significantly higher power spectra on alpha, theta and beta, and a higher sympathetic tone with lower parasympathetic tone after meditation. Conversely, the control group had significantly less power spectra on alpha, theta and beta, and a higher parasympathetic tone with lower sympathetic tone after meditation. A machine learning approach also allowed us to classify experts vs. controls correctly by using only EEG Theta bands before or after meditation. ECG results allowed us to show a significantly higher effort by expert meditators vs. controls, thus suggesting that a higher effort is required for this meditation, in line with the principle 'no pain, no gain' in body and mind.