Anterior prefrontal involvement in implicit contextual change detection

Classifying Learning Speed Using Brain Networks and Psychological States: Unraveling the Interdependence Between Learning Performance, Psychological States, and Brain Functions

Introduction The progression of performance learning (PL) may have complex relationships beyond mere concurrent occurrences and may influence each other. This study aimed to classify the speed of PL using a random forest based on brain network and stress state information and to identify the factors necessary for PL. In addition, this study also aimed to clarify the complex interdependent relationships between PL, psychological state, and brain function through these factors, using covariance structure analysis. Methods A total of 20 healthy individuals participated in a choice reaction time task, and brain function was measured using near-infrared spectroscopy (NIRS). Participants were divided into high-PL and low-PL groups based on the median difference in correct responses. Results Random forest analysis identified the left orbitofrontal area, right premotor cortex, right frontal pole, left frontal pole, left dorsolateral prefrontal cortex, and depression and anxiety as key factors. Covariance structure analysis revealed that depression and anxiety affected PL through the frontal pole and prefrontal cortex, suggesting a complex interplay between psychological state, brain function, and learning. Conclusions These findings suggest that psychological states influence brain networks, thereby affecting learning performance. Tailoring rehabilitation programs to address psychological states and providing targeted feedback may improve learning outcomes. The study provides insights into the theoretical and practical applications of understanding the brain's role in PL, as well as the importance of addressing psychological factors to optimize learning and rehabilitation strategies.

Analysis of microisolated frontal cortex excitatory layer III and V pyramidal neurons reveals a neurodegenerative phenotype in individuals with Down syndrome

We elucidated the molecular fingerprint of vulnerable excitatory neurons within select cortical lamina of individuals with Down syndrome (DS) for mechanistic understanding and therapeutic potential that also informs Alzheimer's disease (AD) pathophysiology. Frontal cortex (BA9) layer III (L3) and layer V (L5) pyramidal neurons were microisolated from postmortem human DS and age- and sex-matched controls (CTR) to interrogate differentially expressed genes (DEGs) and key biological pathways relevant to neurodegenerative programs. We identified > 2300 DEGs exhibiting convergent dysregulation of gene expression in both L3 and L5 pyramidal neurons in individuals with DS versus CTR subjects. DEGs included over 100 triplicated human chromosome 21 genes in L3 and L5 neurons, demonstrating a trisomic neuronal karyotype in both laminae. In addition, thousands of other DEGs were identified, indicating gene dysregulation is not limited to trisomic genes in the aged DS brain, which we postulate is relevant to AD pathobiology. Convergent L3 and L5 DEGs highlighted pertinent biological pathways and identified key pathway-associated targets likely underlying corticocortical neurodegeneration and related cognitive decline in individuals with DS. Select key DEGs were interrogated as potential hub genes driving dysregulation, namely the triplicated DEGs amyloid precursor protein (APP) and superoxide dismutase 1 (SOD1), along with key signaling DEGs including mitogen activated protein kinase 1 and 3 (MAPK1, MAPK3) and calcium calmodulin dependent protein kinase II alpha (CAMK2A), among others. Hub DEGs determined from multiple pathway analyses identified potential therapeutic candidates for amelioration of cortical neuron dysfunction and cognitive decline in DS with translational relevance to AD.

Behavioral Bias for Exploration Is Associated with Enhanced Signaling in the Lateral and Medial Frontopolar Cortex

Should we keep doing what we know works for us, or should we risk trying something new as it could work even better? The exploration-exploitation dilemma is ubiquitous in daily life decision-making, and balancing between the two is crucial for adaptive behavior. Yet, we only have started to unravel the neurocognitive mechanisms that help us to find this balance in practice. Analyzing BOLD signals of healthy young adults during virtual foraging, we could show that a behavioral tendency for prolonged exploitation was associated with weakened signaling during exploration in central node points of the frontoparietal attention network, plus the frontopolar cortex. These results provide an important link between behavioral heuristics that we use to balance between exploitation and exploration and the brain function that supports shifts from one tendency to the other. Importantly, they stress that interindividual differences in behavioral strategies are reflected in differences in brain activity during exploration and should thus be more in the focus of basic research that aims at delineating general laws governing visual attention.

No evidence for contextual cueing beyond explicit recognition

Many studies claim that visual regularities can be learned unconsciously and without explicit awareness. For example in the contextual cueing paradigm, studies often make claims using a standard reasoning based on two results: (1) a reliable response time (RT) difference between repeated vs. new stimulus displays and (2) a close-to-chance sensitivity when participants are asked to explicitly recognize repeated stimulus displays. From this pattern of results, studies routinely conclude that the sensitivity of RT responses is higher than that of explicit responses-an empirical situation we call Indirect Task Advantage (ITA). Many studies further infer from an ITA that RT effects were driven by a form of recognition that exceeds explicit memory: implicit recognition. However, this reasoning is flawed because the sensitivity underlying RT effects is never computed. To properly establish a difference, a sensitivity comparison is required. We apply this sensitivity comparison in a reanalysis of 20 contextual cueing studies showing that not a single study provides consistent evidence for ITAs. Responding to recent correlation-based arguments, we also demonstrate the absence of evidence for ITAs at the level of individual participants. This lack of ITAs has serious consequences for the field: If RT effects can be fully explained by weak but above-chance explicit recognition sensitivity, what is the empirical content of the label "implicit"? Thus, theoretical discussions in this paradigm-and likely in other paradigms using this standard reasoning-require serious reassessment because the current data from contextual cueing studies is insufficient to consider recognition as implicit.

Negative emotions enhance memory-guided attention in a visual search task by increasing frontoparietal, insular, and parahippocampal cortical activity

Previous literature demonstrated that long-term memory representations guide spatial attention during visual search in real-world pictures. However, it is currently unknown whether memory-guided visual search is affected by the emotional content of the picture. During functional magnetic resonance imaging (fMRI), participants were asked to encode the position of high-contrast targets embedded in emotional (negative or positive) or neutral pictures. At retrieval, they performed a visual search for targets presented at the same location as during encoding, but at a much lower contrast. Behaviorally, participants detected more accurately targets presented in negative pictures compared to those in positive or neutral pictures. They were also faster in detecting targets presented at encoding in emotional (negative or positive) pictures than in neutral pictures, or targets not presented during encoding (i.e., memory-guided attention effect). At the neural level, we found increased activation in a large circuit of regions involving the dorsal and ventral frontoparietal cortex, insular and parahippocampal cortex, selectively during the detection of targets presented in negative pictures during encoding. We propose that these regions might form an integrated neural circuit recruited to select and process previously encoded target locations (i.e., memory-guided attention sustained by the frontoparietal cortex) embedded in emotional contexts (i.e., emotional contexts recollection supported by the parahippocampal cortex and emotional monitoring supported by the insular cortex). Ultimately, these findings reveal that negative emotions can enhance memory-guided visual search performance by increasing neural activity in a large-scale brain circuit, contributing to disentangle the complex relationship between emotion, attention, and memory.

Wearable functional near-infrared spectroscopy for measuring dissociable activation dynamics of prefrontal cortex subregions during working memory

The prefrontal cortex (PFC) has been extensively studied in relation to various cognitive abilities, including executive function, attention, and memory. Nevertheless, there is a gap in our scientific knowledge regarding the functionally dissociable neural dynamics across the PFC during a cognitive task and their individual differences in performance. Here, we explored this possibility using a delayed match-to-sample (DMTS) working memory (WM) task using NIRSIT, a high-density, wireless, wearable functional near-infrared spectroscopy (fNIRS) system. First, upon presentation of the sample stimulus, we observed an immediate signal increase in the ventral (orbitofrontal) region of the anterior PFC, followed by activity in the dorsolateral PFC. After the DMTS test stimulus appeared, the orbitofrontal cortex activated once again, while the rest of the PFC showed overall disengagement. Individuals with higher accuracy showed earlier and sustained activation of the PFC across the trial. Furthermore, higher network efficiency and functional connectivity in the PFC were correlated with individual WM performance. Our study sheds new light on the dynamics of PFC subregional activity during a cognitive task and its potential applicability in explaining individual differences in experimental, educational, or clinical populations. PRACTITIONER POINTS: Wearable functional near-infrared spectroscopy (fNIRS) captured dissociable temporal dynamics across prefrontal subregions during a delayed match-to-sample task. Anterior regions of the orbitofrontal cortex (OFC) activated first during the delay period, followed by the dorsolateral prefrontal cortex (PFC). PFC disengaged overall after the delay, but the OFC reactivated to the test stimulus. Earlier and sustained activation of PFC was associated with better accuracy. Functional connectivity and network efficiency also varied with task performance.

Contextual cueing of visual search reflects the acquisition of an optimal, one-for-all oculomotor scanning strategy

Visual search improves when a target is encountered repeatedly at a fixed location within a stable distractor arrangement (spatial context), compared to non-repeated contexts. The standard account attributes this contextual-cueing effect to the acquisition of display-specific long-term memories, which, when activated by the current display, cue attention to the target location. Here we present an alternative, procedural-optimization account, according to which contextual facilitation arises from the acquisition of generic oculomotor scanning strategies, optimized with respect to the entire set of displays, with frequently searched displays accruing greater weight in the optimization process. To decide between these alternatives, we examined measures of the similarity, across time-on-task, of the spatio-temporal sequences of fixations through repeated and non-repeated displays. We found scanpath similarity to increase generally with learning, but more for repeated versus non-repeated displays. This pattern contradicts display-specific guidance, but supports one-for-all scanpath optimization.

Spatial context target relearning following a target relocation event: Not mission impossible

Our visual system relies on memory to store and retrieve goal-relevant structures and information from the environment for the purpose of optimizing the allocation of attention. This concept, referred to as contextual cueing, has been demonstrated using visual search tasks, wherein repeated visual contexts lead to reduced search times compared with random displays. Subsequently, when an unexpected change occurs in the environment, or memory fails, a cognitive expense is incurred as the mind tries to resolve the conflict with the memory of the previous environmental context. How memory resolves these conflicts and is updated is of great interest. Previous studies showed that, without extensive practice, individuals were unable to associate a secondary target location with a previously learned spatial context following the relocation of the initially learned target. Here, we explored variables that could potentially affect contextual learning and relearning, such as display size, crowding, context color, and whether the target switched to a previously occupied or unoccupied location. In a series of four experiments, we find relearning occurring in all instances. Previous research may have suffered from underpowered designs.

Distributed attention beats the down-side of statistical context learning in visual search

Spatial attention can be deployed with a narrower focus to process individual items or distributed relatively broadly to process larger parts of a scene. This study investigated how focused- versus distributed-attention modes contribute to the adaptation of context-based memories that guide visual search. In two experiments, participants were either required to fixate the screen center and use peripheral vision for search ("distributed attention"), or they could freely move their eyes, enabling serial scanning of the search array ("focused attention"). Both experiments consisted of an initial learning phase and a subsequent test phase. During learning, participants searched for targets presented either among repeated (invariant) or nonrepeated (randomly generated) spatial layouts of distractor items. Prior research showed that repeated encounters of invariant display arrangements lead to long-term context memory about these arrays, which can then come to guide search (contextual-cueing effect). The crucial manipulation in the test phase was a change of the target location within an otherwise constant distractor layout, which has previously been shown to abolish the cueing effect. The current results replicated these findings, although importantly only when attention was focused. By contrast, with distributed attention, the cueing effect recovered rapidly and attained a level comparable to the initial effect (before the target location change). This indicates that contextual cueing can adapt more easily when attention is distributed, likely because a broad attentional set facilitates the flexible updating of global (distractor-distractor), as compared to more local (distractor-target), context representations-allowing local changes to be incorporated more readily.

Contextual Cueing Effect in Spatial Layout Defined by Binocular Disparity

Repeated visual context induces higher search efficiency, revealing a contextual cueing effect, which depends on the association between the target and its visual context. In this study, participants performed a visual search task where search items were presented with depth information defined by binocular disparity. When the 3-dimensional (3D) configurations were repeated over blocks, the contextual cueing effect was obtained (Experiment 1). When depth information was in chaos over repeated configurations, visual search was not facilitated and the contextual cueing effect largely crippled (Experiment 2). However, when we made the search items within a tiny random displacement in the 2-dimentional (2D) plane but maintained the depth information constant, the contextual cueing was preserved (Experiment 3). We concluded that the contextual cueing effect was robust in the context provided by 3D space with stereoscopic information, and more importantly, the visual system prioritized stereoscopic information in learning of spatial information when depth information was available.

Electrophysiological revelations of trial history effects in a color oddball search task

In visual oddball search tasks, viewing a no-target scene (i.e., no-target selection trial) leads to the facilitation or delay of the search time for a target in a subsequent trial. Presumably, this selection failure leads to biasing attentional set and prioritizing stimulus features unseen in the no-target scene. We observed attention-related ERP components and tracked the course of attentional biasing as a function of trial history. Participants were instructed to identify color oddballs (i.e., targets) shown in varied trial sequences. The number of no-target scenes preceding a target scene was increased from zero to two to reinforce attentional biasing, and colors presented in two successive no-target scenes were repeated or changed to systematically bias attention to specific colors. For the no-target scenes, the presentation of a second no-target scene resulted in an early selection of, and sustained attention to, the changed colors (mirrored in the frontal selection positivity, the anterior N2, and the P3b). For the target scenes, the N2pc indicated an earlier allocation of attention to the targets with unseen or remotely seen colors. Inhibitory control of attention, shown in the anterior N2, was greatest when the target scene was followed by repeated no-target scenes with repeated colors. Finally, search times and the P3b were influenced by both color previewing and its history. The current results demonstrate that attentional biasing can occur on a trial-by-trial basis and be influenced by both feature previewing and its history.

Underpowered samples, false negatives, and unconscious learning

The scientific community has witnessed growing concern about the high rate of false positives and unreliable results within the psychological literature, but the harmful impact of false negatives has been largely ignored. False negatives are particularly concerning in research areas where demonstrating the absence of an effect is crucial, such as studies of unconscious or implicit processing. Research on implicit processes seeks evidence of above-chance performance on some implicit behavioral measure at the same time as chance-level performance (that is, a null result) on an explicit measure of awareness. A systematic review of 73 studies of contextual cuing, a popular implicit learning paradigm, involving 181 statistical analyses of awareness tests, reveals how underpowered studies can lead to failure to reject a false null hypothesis. Among the studies that reported sufficient information, the meta-analytic effect size across awareness tests was d_z = 0.31 (95 % CI 0.24–0.37), showing that participants’ learning in these experiments was conscious. The unusually large number of positive results in this literature cannot be explained by selective publication. Instead, our analyses demonstrate that these tests are typically insensitive and underpowered to detect medium to small, but true, effects in awareness tests. These findings challenge a widespread and theoretically important claim about the extent of unconscious human cognition.

From Foreground to Background: How Task-Neutral Context Influences Contextual Cueing of Visual Search

Selective attention determines the effectiveness of implicit contextual learning (e.g., Jiang and Leung, 2005). Visual foreground-background segmentation, on the other hand, is a key process in the guidance of attention (Wolfe, 2003). In the present study, we examined the impact of foreground-background segmentation on contextual cueing of visual search in three experiments. A visual search display, consisting of distractor 'L's and a target 'T', was overlaid on a task-neutral cuboid on the same depth plane (Experiment 1), on stereoscopically separated depth planes (Experiment 2), or spread over the entire display on the same depth plane (Experiment 3). Half of the search displays contained repeated target-distractor arrangements, whereas the other half was always newly generated. The task-neutral cuboid was constant during an initial training session, but was either rotated by 90° or entirely removed in the subsequent test sessions. We found that the gains resulting from repeated presentation of display arrangements during training (i.e., contextual-cueing effects) were diminished when the cuboid was changed or removed in Experiment 1, but remained intact in Experiments 2 and 3 when the cuboid was placed in a different depth plane, or when the items were randomly spread over the whole display but not on the edges of the cuboid. These findings suggest that foreground-background segmentation occurs prior to contextual learning, and only objects/arrangements that are grouped as foreground are learned over the course of repeated visual search.

Impact of cannabis use on prefrontal and parietal cortex gyrification and surface area in adolescents and emerging adults

BACKGROUND

Regions undergoing maturation with CB1 receptors may be at increased risk for cannabis-induced alterations. Here, we examine the relationships between cannabis use and prefrontal (PFC) and inferior parietal gyrification and surface area (SA) in youth.

METHODS

Participants included 33 cannabis users and 35 controls (ages 18-25). Exclusions included co-morbid psychiatric/neurologic disorders and heavy other drug use. Multiple regressions and Pearson r correlations examined the effects of cannabis use on gyrification, SA and cognition.

RESULTS

Cannabis use was associated with decreased gyrification in: ventral-medial PFC (RH: [FDR corrected p=.02], LH: [FDR corrected p=.02]); medial PFC (RH: [FDR corrected p=.02], LH: [FDR corrected p=.02]); and frontal poles (RH: [FDR corrected p=.02], LH: [FDR corrected p=.02]). No differences were observed in bilateral hemispheres, PFC, dorsolateral, ventrolateral, or inferior parietal ROIs. Cannabis use was associated with marginally decreased SA in left: medial PFC [FDR corrected p=.09], and ventral lateral PFC: [FDR corrected p=.09]. In cannabis users, increased gyrification was associated with improved working-memory performance in right medial (p=.003), ventral-medial (p=.03), and frontal pole ROIs (p=.007).

CONCLUSIONS

Cannabis use was associated with reduced gyrification in PFC regions implicated in self-referential thought and social cognition. Results suggest that these gyrification characteristics may have cognitive implications.

Predicting clinical outcome using brain activation associated with set-shifting and central coherence skills in Anorexia Nervosa

BACKGROUND

Patients with Anorexia Nervosa (AN) have neuropsychological deficits in Set-Shifting (SS) and central coherence (CC) consistent with an inflexible thinking style and overly detailed processing style, respectively. This study investigates brain activation during SS and CC tasks in patients with AN and tests whether this activation is a biomarker that predicts response to treatment.

METHODS

FMRI data were collected from 21 females with AN while performing an SS task (the Wisconsin Card Sort) and a CC task (embedded figures), and used to predict outcome following 16 weeks of treatment (either 16 weeks of cognitive behavioral therapy or 8 weeks cognitive remediation therapy followed by 8 weeks of cognitive behavioral therapy).

RESULTS

Significant activation during the SS task included bilateral dorsolateral and ventrolateral prefrontal cortex and left anterior middle frontal gyrus. Higher scores on the neuropsychological test of SS (measured outside the scanner at baseline) were correlated with greater DLPFC and VLPFC/insula activation. Improvements in SS following treatment were significantly predicted by a combination of low VLPFC/insula and high anterior middle frontal activation (R squared = .68, p = .001). For the CC task, visual and parietal cortical areas were activated, but were not significantly correlated with neuropsychological measures of CC and did not predict outcome.

CONCLUSION

Cognitive flexibility requires the support of several prefrontal cortex resources. As previous studies suggest that the VLPFC is important for selecting context-appropriate responses, patients who have difficulties with this skill may benefit the most from cognitive therapy with or without cognitive remediation therapy. The ability to sustain inhibition of an unwanted response, subserved by the anterior middle frontal gyrus, is a cognitive feature that predicts favorable outcome to cognitive treatment. CC deficits may not be an effective predictor of clinical outcome.

Prediction of higher visual function in macular degeneration with multifocal electroretinogram and multifocal visual evoked potential

OBJECTIVE

Visual search can be guided by past experience of regularities in our visual environment. This search guidance by contextual memory cues is impaired by foveal vision loss. Here we compared retinal and cortical visually evoked responses in their predictive value for contextual cueing impairment and visual acuity.

METHODS

Multifocal electroretinograms to flash stimulation (mfERGs; 103 locations; 55.8° diameter) and visual evoked potentials to pattern-reversal stimulation (mfVEPs; 60 locations; 48.6° diameter) were recorded monocularly in participants with age-related macular degeneration (n = 14 and 16, respectively). Response magnitudes were calculated as the respective signal-to-noise ratios for each eccentricity. Visual acuities (logMAR, range: 0.0-1.2) and contextual cueing effects on visual search (reaction time gain, range: -0.14-0.15) were correlated with the signal-to-noise ratios. A step-wise regression analysis was applied separately to the mfERG- and mfVEP-dataset to determine the eccentricity range and the processing stage that is critical for these visual functions.

RESULTS

Central mfERGs (1.0-3.2°) were the sole predictor of contextual cueing of visual search (p = 0.006), but they were not significant predictors of visual acuity. In contrast, central mfVEPs (1.3-3.2°) were the sole predictor of visual acuity (p < 0.001), but they were not significant predictors of contextual cueing.

CONCLUSIONS

Contextual cueing is more dependent on parafoveal mfERG magnitude while visual acuity is more dependent on parafoveal mfVEP magnitude. The relation of contextual cueing to parafoveal mfERG magnitudes indicates the predictive value of retinal bipolar cell activity for this advanced level of visual function.

Accelerated HF-rTMS in treatment-resistant unipolar depression: Insights from subgenual anterior cingulate functional connectivity

OBJECTIVES

Intensified repetitive transcranial magnetic stimulation (rTMS) applied to the left dorsolateral prefrontal cortex (DLPFC) may result in fast clinical responses in treatment resistant depression (TRD). In these kinds of patients, subgenual anterior cingulate cortex (sgACC) functional connectivity (FC) seems to be consistently disturbed. So far, no de novo data on the relationship between sgACC FC changes and clinical efficacy of accelerated rTMS were available.

METHODS

Twenty unipolar TRD patients, all at least stage III treatment resistant, were recruited in a randomized sham-controlled crossover high-frequency (HF)-rTMS treatment study. Resting-state (rs) functional MRI scans were collected at baseline and at the end of treatment.

RESULTS

HF-rTMS responders showed significantly stronger resting-state functional connectivity (rsFC) anti-correlation between the sgACC and parts of the left superior medial prefrontal cortex. After successful treatment an inverted relative strength of the anti-correlations was observed in the perigenual prefrontal cortex (pgPFC). No effects on sgACC rsFC were observed in non-responders.

CONCLUSIONS

Strong rsFC anti-correlation between the sgACC and parts of the left prefrontal cortex could be indicative of a beneficial outcome. Accelerated HF-rTMS treatment designs have the potential to acutely adjust deregulated sgACC neuronal networks in TRD patients.

Dorsal prefrontal cortical serotonin 2A receptor binding indices are differentially related to individual scores on harm avoidance

Although the serotonergic system has been implicated in healthy as well as in pathological emotional states, knowledge about its involvement in personality is limited. Earlier research on this topic suggests that post-synaptic 5-HT2A receptors could be involved in particular in frontal cortical areas. In drug-naïve healthy individuals, we examined the relationship between these 5-HT2A receptors and the temperament dimension harm avoidance (HA) using 123I-5-I-R91150 single photon emission computed tomography (SPECT). HA is a personality feature closely related to stress, anxiety and depression proneness, and it is thought to be mediated by the serotonergic system. We focused on the prefrontal cortices as these regions are frequently implicated in cognitive processes related to a variety of affective disorders. We found a positive relationship between dorsal prefrontal cortical (DPFC) 5-HT2A receptor binding indices (BI) and individual HA scores. Further, our results suggest that those individuals with a tendency to worry or to ruminate are particularly prone to display significantly higher 5-HT2A receptor BI in the left DPFC. Although we only examined psychologically healthy individuals, this relationship suggests a possible vulnerability for affective disorders.

Neural mechanisms by which attention modulates the comparison of remembered and perceptual representations

Attention is important for effectively comparing incoming perceptual information with the contents of visual short-term memory (VSTM), such that any differences can be detected. However, how attentional mechanisms operate upon these comparison processes remains largely unknown. Here we investigate the underlying neural mechanisms by which attention modulates the comparisons between VSTM and perceptual representations using functional magnetic resonance imaging (fMRI). Participants performed a cued change detection task. Spatial cues were presented to orient their attention either to the location of an item in VSTM prior to its comparison (retro-cues), or simultaneously (simultaneous-cues) with the probe array. A no-cue condition was also included. When attention cannot be effectively deployed in advance (i.e. following the simultaneous-cues), we observed a distributed and extensive activation pattern in the prefrontal and parietal cortices in support of successful change detection. This was not the case when participants can deploy their attention in advance (i.e. following the retro-cues). The region-of-interest analyses confirmed that neural responses for successful change detection versus correct rejection in the visual and parietal regions were significantly different for simultaneous-cues compared to retro-cues. Importantly, we found enhanced functional connectivity between prefrontal and parietal cortices when detecting changes on the simultaneous-cue trials. Moreover, we demonstrated a close relationship between this functional connectivity and d′ scores. Together, our findings elucidate the attentional and neural mechanisms by which items held in VSTM are compared with incoming perceptual information.

Anterior prefrontal contributions to implicit attention control

Prefrontal cortex function has traditionally been associated with explicit executive function. Recently, however, evidence has been presented that lateral prefrontal cortex is also involved in high-level cognitive processes such as task set selection or inhibition in the absence of awareness. Here, we discuss evidence that not only lateral prefrontal cortex, but also rostral prefrontal cortex is involved in such kinds of implicit control processes. Specifically, rostral prefrontal cortex activation changes have been observed when implicitly learned spatial contingencies in a search display become invalid, requiring a change of attentional settings for optimal guidance of visual search.

The effect of one left-sided dorsolateral prefrontal sham-controlled HF-rTMS session on approach and withdrawal related emotional neuronal processes

OBJECTIVE

Although repetitive Transcranial Magnetic Stimulation (rTMS) is frequently used to examine emotional changes in healthy volunteers, it remains largely unknown how rTMS is able to influence emotion.

METHODS

In this sham-controlled, single-blind crossover study using fMRI, we examined in 20 right-handed healthy females whether a single high frequency (HF)-rTMS session applied to the left dorsolateral prefrontal cortex could influence emotional processing while focussing on blocks of positively and negatively valenced baby faces.

RESULTS

While positive information was being processed, we observed after one active HF-rTMS session enhanced neuronal activity in the left superior frontal cortex and right inferior parietal cortex. After sham HF-rTMS, we found significant decreases in neuronal activity in the left superior frontal cortex, the left inferior prefrontal cortex, as well as in the right posterior cingulate gyrus. When negative information was processed, one active stimulation attenuated neuronal activity in the right insula only.

CONCLUSIONS

Our findings suggest that during the processing of positive information one active session enhanced the ability to empathize with the depicted emotional stimuli, while during the processing of negative information it resulted in decreased psychophysiological reactions.

SIGNIFICANCE

These results provide new information on the working mechanism of left-sided HF-rTMS.