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Robledo-Castro C, Castillo-Ossa LF, Corchado JM. Artificial Cognitive Systems Applied in Executive Function Stimulation and Rehabilitation Programs: A Systematic Review. ARABIAN JOURNAL FOR SCIENCE AND ENGINEERING 2022; 48:2399-2427. [PMID: 36185593 PMCID: PMC9516512 DOI: 10.1007/s13369-022-07292-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 09/15/2022] [Indexed: 11/11/2022]
Abstract
This article presents a systematic review of studies on cognitive training programs based on artificial cognitive systems and digital technologies and their effect on executive functions. The aim has been to identify which populations have been studied, the characteristics of the implemented programs, the types of implemented cognitive systems and digital technologies, the evaluated executive functions, and the key findings of these studies. The review has been carried out following the PRISMA protocol; five databases have been selected from which 1889 records were extracted. The articles were filtered following established criteria, to give a final selection of 264 articles that have been used for the purposes of this study in the analysis phase. The findings showed that the most studied populations were school-age children and the elderly. The most studied executive functions were working memory and attentional processes, followed by inhibitory control and processing speed. Many programs were commercial, customizable, gamified, and based on classic tasks. Some more recent initiatives have begun to incorporate user-machine interfaces, robotics, and virtual reality, although studies on their effects remain scarce. The studies recognize multiple benefits of computerized neuropsychological stimulation and rehabilitation programs for executive functions in different age groups, but there is a lack of studies in specific population sectors and with more rigorous research designs. Supplementary Information The online version contains supplementary material available at 10.1007/s13369-022-07292-5.
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Affiliation(s)
- Carolina Robledo-Castro
- Currículo, Universidad y Sociedad Research Group, Universidad del Tolima, Calle 42 1-02, 730006299 Ibagué, Colombia
- Ingeniería del Software Research Group, Universidad Autónoma de Manizales, Antigua Estación del Ferrocarril, 170001 Manizales, Colombia
| | - Luis F. Castillo-Ossa
- Ingeniería del Software Research Group, Universidad Autónoma de Manizales, Antigua Estación del Ferrocarril, 170001 Manizales, Colombia
- Inteligencia Artificial Research Group, Universidad de Caldas, Calle 65 26-10, 170002 Manizales, Colombia
- Departamento de Ingeniería Indutrial, Universidad Nacional de Colombia Sede Manizales, Campus La Nubia, 170001 Manizales, Colombia
| | - Juan M. Corchado
- BISITE Research Group, University of Salamanca, Calle Espejo s/n, 37007 Salamanca, Spain
- Air Institute, IoT Digital Innovation Hub, 37188 Salamanca, Spain
- Department of Electronics, Information and Communication, Osaka Institute of Technology, 535-8585 Osaka, Japan
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Giustiniani J, Nicolier M, Teti Mayer J, Chabin T, Masse C, Galmès N, Pazart L, Trojak B, Bennabi D, Vandel P, Haffen E, Gabriel D. Behavioral and Neural Arguments of Motivational Influence on Decision Making During Uncertainty. Front Neurosci 2020; 14:583. [PMID: 32581698 PMCID: PMC7290000 DOI: 10.3389/fnins.2020.00583] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2020] [Accepted: 05/12/2020] [Indexed: 11/24/2022] Open
Abstract
The scientific world is increasingly interested in motivation, primarily due to the suspected impact on decision-making abilities, particularly in uncertain conditions. To explore this plausible relationship, 28 healthy participants were included in the study and performed decision-making and motivational tasks while their neural activity was recorded. All participants performed the Iowa Gambling Task (IGT) and were split into two groups based on their score, one favorable group with 14 participants who performed advantageously and one undecided group with 14 participants who failed to develop the correct strategy on the IGT. In addition, all participants performed the Effort Expenditure for Reward Task (EEfRT), which defines the motivational level of each participant by the effort that participants agree to do in function of reward magnitudes and probabilities to receive these reward (10, 50, and 90%). The completion of both tasks allowed for the exploration of the relationship between the motivational level and decision-making abilities. The EEfRT was adapted to electroencephalography (EEG) recordings to explore how motivation could influence reward experience. Behavioral results showed no difference in EEfRT performances on the whole task between the two groups’ performances on the IGT. However, there was a negative correlation between the difficulty to develop an optimal strategy on the IGT and the percentage of difficult choices at the 90% condition on the EEfRT. Each probability condition has been previously associated to different motivational and emotional states, with the 90% condition associated to the reward sensitivity. This behavioral result leads to the hypothesis that reward sensitivity may induce an inability to develop an optimal strategy on the IGT. Group analysis demonstrated that only the undecided group showed a P300 during the processing of the outcome, whereas the favorable group showed a blunted P300. Similarly, there was a negative correlation between the P300 amplitude and the ability to develop an optimal strategy on the IGT. In conclusion, behavioral and neuronal data provides evidence that the propensity to focus only on the immediate outcomes is related to the development of an inefficient strategy on the IGT, without influence of motivation.
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Affiliation(s)
- Julie Giustiniani
- Department of Clinical Psychiatry, University Hospital of Besançon, Besançon, France.,EA 481, Laboratory of Neurosciences, University of Burgundy Franche-Comté, Besançon, France.,Clinical Investigation Centre, University Hospital of Besançon, Besançon, France
| | - Magali Nicolier
- Department of Clinical Psychiatry, University Hospital of Besançon, Besançon, France.,EA 481, Laboratory of Neurosciences, University of Burgundy Franche-Comté, Besançon, France.,Clinical Investigation Centre, University Hospital of Besançon, Besançon, France.,Neuroimaging and neurostimulation department Neuraxess, University of Burgundy Franche-Comté, Besançon, France
| | - Juliana Teti Mayer
- Department of Clinical Psychiatry, University Hospital of Besançon, Besançon, France.,EA 481, Laboratory of Neurosciences, University of Burgundy Franche-Comté, Besançon, France
| | - Thibault Chabin
- EA 481, Laboratory of Neurosciences, University of Burgundy Franche-Comté, Besançon, France
| | - Caroline Masse
- Department of Clinical Psychiatry, University Hospital of Besançon, Besançon, France.,EA 481, Laboratory of Neurosciences, University of Burgundy Franche-Comté, Besançon, France
| | - Nathan Galmès
- EA 481, Laboratory of Neurosciences, University of Burgundy Franche-Comté, Besançon, France
| | - Lionel Pazart
- EA 481, Laboratory of Neurosciences, University of Burgundy Franche-Comté, Besançon, France.,Clinical Investigation Centre, University Hospital of Besançon, Besançon, France
| | - Benoit Trojak
- Fondation FondaMental, Hôpital Albert Chenevier, Créteil, France.,Department of Psychiatry and Addictology, University Hospital of Dijon, Dijon, France.,EA 4452, LPPM, University of Burgundy Franche-Comté, Dijon, France
| | - Djamila Bennabi
- Department of Clinical Psychiatry, University Hospital of Besançon, Besançon, France.,EA 481, Laboratory of Neurosciences, University of Burgundy Franche-Comté, Besançon, France.,Fondation FondaMental, Hôpital Albert Chenevier, Créteil, France
| | - Pierre Vandel
- Department of Clinical Psychiatry, University Hospital of Besançon, Besançon, France.,EA 481, Laboratory of Neurosciences, University of Burgundy Franche-Comté, Besançon, France.,Clinical Investigation Centre, University Hospital of Besançon, Besançon, France
| | - Emmanuel Haffen
- Department of Clinical Psychiatry, University Hospital of Besançon, Besançon, France.,EA 481, Laboratory of Neurosciences, University of Burgundy Franche-Comté, Besançon, France.,Clinical Investigation Centre, University Hospital of Besançon, Besançon, France.,Fondation FondaMental, Hôpital Albert Chenevier, Créteil, France
| | - Damien Gabriel
- EA 481, Laboratory of Neurosciences, University of Burgundy Franche-Comté, Besançon, France.,Clinical Investigation Centre, University Hospital of Besançon, Besançon, France.,Neuroimaging and neurostimulation department Neuraxess, University of Burgundy Franche-Comté, Besançon, France
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Schmicker M, Menze I, Koch D, Rumpf U, Müller P, Pelzer L, Müller NG. Decision-Making Deficits in Elderly Can Be Alleviated by Attention Training. J Clin Med 2019; 8:jcm8081131. [PMID: 31366057 PMCID: PMC6723638 DOI: 10.3390/jcm8081131] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Revised: 07/23/2019] [Accepted: 07/25/2019] [Indexed: 11/16/2022] Open
Abstract
Decision-making is an important everyday function that deteriorates during normal aging. Here, we asked whether value-based decision-making can be improved in the elderly by cognitive training. We compared the effects of two training regimens on the performance in the Iowa Gambling Task (IGT), a real-life decision-making simulation task. Elderly participants (age 62–75 years) were randomized into three matched groups. The filter training (FT) group performed a selective attention task and the memory training (MT) group performed a memory storage task on five consecutive days. The control group (CG) did not perform another task besides the IGT. Only the FT group showed an improvement in IGT performance over the five days—the overall gain rose and the prominent deck B phenomenon decreased. The latter refers to the selection of cards associated with high gains and rare losses, which are nevertheless a disadvantageous choice as the frequent losses lead to a negative net outcome. As the deck B phenomenon has been associated with impaired cognitive abilities in aging, the positive effect of FT here is of special importance. In sum, attention training seems superior in improving decision-making in the elderly.
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Affiliation(s)
- Marlen Schmicker
- Neuroprotection Lab, German Center for Neurodegenerative Diseases (DZNE), Magdeburg 39120, Germany.
| | - Inga Menze
- Neuroprotection Lab, German Center for Neurodegenerative Diseases (DZNE), Magdeburg 39120, Germany
- Institute of Psychology, Otto von Guericke University, Magdeburg 39106, Germany
| | - David Koch
- Neuroprotection Lab, German Center for Neurodegenerative Diseases (DZNE), Magdeburg 39120, Germany
- Medical Faculty, Otto von Guericke University, Magdeburg 39120, Germany
| | - Ulrike Rumpf
- Neuroprotection Lab, German Center for Neurodegenerative Diseases (DZNE), Magdeburg 39120, Germany
- Institute of Psychology, Otto von Guericke University, Magdeburg 39106, Germany
| | - Patrick Müller
- Neuroprotection Lab, German Center for Neurodegenerative Diseases (DZNE), Magdeburg 39120, Germany
- Medical Faculty, Otto von Guericke University, Magdeburg 39120, Germany
| | - Lasse Pelzer
- Neuroprotection Lab, German Center for Neurodegenerative Diseases (DZNE), Magdeburg 39120, Germany
- Institute of Psychology, Otto von Guericke University, Magdeburg 39106, Germany
| | - Notger G Müller
- Neuroprotection Lab, German Center for Neurodegenerative Diseases (DZNE), Magdeburg 39120, Germany
- Medical Faculty, Otto von Guericke University, Magdeburg 39120, Germany
- Center for Behavioral Brain Sciences, Magdeburg 39106, Germany
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Rumpf U, Menze I, Müller NG, Schmicker M. Investigating the Potential Role of Ecological Validity on Change-Detection Memory Tasks and Distractor Processing in Younger and Older Adults. Front Psychol 2019; 10:1046. [PMID: 31178777 PMCID: PMC6542998 DOI: 10.3389/fpsyg.2019.01046] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2018] [Accepted: 04/23/2019] [Indexed: 11/13/2022] Open
Abstract
Cognitive performance is often found to be lower in older adults, especially when the task requires memory, executive functions, or selective attention. But this alleged deterioration may have been overestimated in the past due to ecologically invalid testing. To verify this possible misjudgment here we compared age-related memory performance in a typical, abstract computer task to a paper-pencil test with a real-world map and to an even more realistic task that took place in a real room with everyday objects. Retention and response intervals differed between the tasks as they had to be adjusted to the different settings. Twenty-seven younger (19-29 years old) and twenty-three older participants (61-77 years old) took part in the study. As expected younger participants outperformed the older ones in the computer task. However, although older adults' performance was better in both more realistic tasks, the delta to the young remained the same as in the computer task. Hence, these results do not support the general notion that older adults would profit from more realistic test scenarios. On the other hand, performance in a clinical screening task correlated only with the performance in the real world task suggesting that this task reflected the general cognitive status of participants better than the more abstract tasks. Finally, it was observed that the presence of task-irrelevant distractor items actually helped older adults to improve their performance in the paper pencil task arguing against the assumption of a general age-related impairment of inhibition. In sum, the present results show that age-related changes in memory are neither simply explained by reduced abilities to deal with abstract computer tasks nor by disturbed inhibition processes.
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Affiliation(s)
- Ulrike Rumpf
- Neuroprotection Laboratory, German Center for Neurodegenerative Diseases, Magdeburg, Germany.,Otto von Guericke University of Magdeburg, Magdeburg, Germany
| | - Inga Menze
- Neuroprotection Laboratory, German Center for Neurodegenerative Diseases, Magdeburg, Germany.,Otto von Guericke University of Magdeburg, Magdeburg, Germany
| | - Notger G Müller
- Neuroprotection Laboratory, German Center for Neurodegenerative Diseases, Magdeburg, Germany.,Otto von Guericke University of Magdeburg, Magdeburg, Germany.,Center for Behavioral Brain Sciences, Magdeburg, Germany
| | - Marlen Schmicker
- Neuroprotection Laboratory, German Center for Neurodegenerative Diseases, Magdeburg, Germany
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