Consciousness, schizophrenia and complexity

What does it mean for consciousness to be multidimensional? A narrative review

A recent development in the psychological and neuroscientific study of consciousness has been the tendency to conceptualize consciousness as a multidimensional phenomenon. This narrative review elucidates the notion of dimensionality of consciousness and outlines the key concepts and disagreements on this topic through the viewpoints of several theoretical proposals. The reviewed literature is critically evaluated, and the main issues to be resolved by future theoretical and empirical work are identified: the problems of dimension selection and dimension aggregation, as well as some ethical considerations. This narrative review is seemingly the first to comprehensively overview this specific aspect of consciousness science.

A self-learned decomposition and classification model for schizophrenia diagnosis

BACKGROUND

Schizophrenia (SZ) is a type of neurological disorder that is diagnosed by professional psychiatrists based on interviews and manual screening of patients. The procedures are time-consuming, burdensome, and prone to human error. This urgently necessitates the development of an effective and precise computer-aided design for the detection of SZ. One such efficient source for SZ detection is the electroencephalogram (EEG) signals. Because EEG signals are non-stationary, it is challenging to find representative information in its raw form. Decomposing the signals into multi-modes can provide detailed insight information from it. But the choice of uniform decomposition and hyper-parameters leads to information loss affecting system performance drastically.

METHOD

In this paper, automatic signal decomposition and classification methods are proposed for the detection of SZ and healthy control EEG signals. The Fisher score method is used for the selection of the most discriminant channel. Flexible tunable Q wavelet transform (F-TQWT) is developed for efficient decomposition of EEG signals by reducing root mean square error with grey wolf optimization (GWO) algorithm. Five features are extracted from the adaptively generated subbands and selected by the Kruskal Wallis test. The feature matrix is given as an input to the flexible least square support vector machine (F-LSSVM) classifier. The hyper-parameters and kernel of classifier are selected such that the accuracy of each subband is maximized using GWO algorithm.

RESULTS

The effectiveness and superiority of the proposed method is tested by evaluating seven performance parameters. An accuracy of 91.39%, sensitivity, specificity, precision, F-1 measure, false positive rate and error of 92.65%, 93.22%, 95.57%, 0.9306, 6.78% and 8.61% is achieved. The results prove superiority of the developed F-TQWT decomposition and F-LSSVM classifier over existing methodologies.

CONCLUSION

The EEG signals of healthy control and SZ subjects performing motor and auditory tasks simultaneously provide higher discrimination ability over the subjects performing auditory and motory tasks separately. The developed model is accurate, robust, and effective as it is developed on a relatively larger data-set, obtained maximum performance, and tested using ten-fold cross-validation technique. This proposed model is ready to be put to test for real-time SZ detection.

On the Relevance of Computing a Local Version of Sample Entropy in Cardiovascular Control Analysis

OBJECTIVE

Traditional definition of sample entropy (SampEn), here referred to as global SampEn (GSampEn), provides a conditional entropy estimate that blurs the local statistical properties of the time series. We hypothesized that a local version of SampEn (LSampEn) might be more powerful in the presence of determinism than GSampEn.

METHODS

LSampEn was computed by calculating the probability of the current sample conditioned on each reference pattern and averaging it over all reference patterns. The improved ability of LSampEn compared to GSampEn was demonstrated by simulating deterministic periodic, deterministic chaotic, and linear stochastic dynamics corrupted by additive noise and over real cardiovascular variability series recorded from 16 healthy subjects (max-min age range: 22-58 years) during incremental bicycle ergometer exercise.

RESULTS

We found that: i) LSampEn is more robust in describing deterministic periodic or nonlinear features in the presence of additive noise than GSampEn, ii) in association with a surrogate approach, LSampEn is more powerful in detecting nonlinear dynamics than GSampEn, iii) LSampEn and GSampEn are equivalent in the presence of stochastic linear dynamics, and iv) only LSampEn can detect the decrease of complexity of heart period variability during bicycle exercise being a likely hallmark of sympathetic activation.

CONCLUSION

LSampEn preserves the GSampEn capability in characterizing the complexity of short sequences but improves its reliability in the presence of deterministic patterns featuring sharp state transitions and nonlinear dynamics.

SIGNIFICANCE

Variations of complexity can be measured with a greater statistical power over short series using LSampEn, especially when nonlinear features are present.

Application of Higuchi's fractal dimension from basic to clinical neurophysiology: A review

BACKGROUND AND OBJECTIVE

For more than 20 years, Higuchi's fractal dimension (HFD), as a nonlinear method, has occupied an important place in the analysis of biological signals. The use of HFD has evolved from EEG and single neuron activity analysis to the most recent application in automated assessments of different clinical conditions. Our objective is to provide an updated review of the HFD method applied in basic and clinical neurophysiological research.

METHODS

This article summarizes and critically reviews a broad literature and major findings concerning the applications of HFD for measuring the complexity of neuronal activity during different neurophysiological conditions. The source of information used in this review comes from the PubMed, Scopus, Google Scholar and IEEE Xplore Digital Library databases.

RESULTS

The review process substantiated the significance, advantages and shortcomings of HFD application within all key areas of basic and clinical neurophysiology. Therefore, the paper discusses HFD application alone, combined with other linear or nonlinear measures, or as a part of automated methods for analyzing neurophysiological signals.

CONCLUSIONS

The speed, accuracy and cost of applying the HFD method for research and medical diagnosis make it stand out from the widely used linear methods. However, only a combination of HFD with other nonlinear methods ensures reliable and accurate analysis of a wide range of neurophysiological signals.

Insomnia Characterization: From Hypnogram to Graph Spectral Theory

OBJECTIVE

To quantify and differentiate control and insomnia sleep onset patterns through biomedical signal processing of overnight polysomnograms.

METHODS

The approach consisted of three tandem modules: 1) biosignal processing module, which used state-space time-varying autoregressive moving average (TVARMA) processes with recursive particle filter, 2) hypnogram generation module that implemented a fuzzy inference system (FIS), and 3) insomnia characterization module that discriminated between control and subjects with insomnia using a logistic regression model trained with a set of similarity measures ( d1, d2 , d3, d4). The study employed sleep onset periods from 16 control and 16 subjects with insomnia.

RESULTS

State-spaced TVARMA processes with recursive particle filtering provided resilience to nonlinear, nonstationary, and non-Gaussian conditions of biosignals. FIS managed automated sleep scoring robust to intersubjects' and interraters' variability. The similarity distances quantified in a scalar measure the transitions amongst sleep onset stages, computed from expert and automated hypnograms. A statistical set of unpaired two-tailed t -tests suggested that distances d1 , d2, and d3 had larger statistical significance ( ) to characterize sleeping patterns. The logistic regression model classified control and subjects with insomnia with sensitivity 87 % , specificity 75 %, and accuracy 81 %.

CONCLUSION

Our approach can perform a supportive role in either biosignal processing, sleep staging, insomnia characterization, or all the previous, coping with time-consuming procedures and massive data volumes of standard protocols.

SIGNIFICANCE

The introduction of graph spectral theory and logistic regression for the diagnosis of insomnia represents a novel concept, attempting to describe complex sleep dynamics throughout transitions networks and scalar measures.

Sleep electroencephalography and heart rate variability interdependence amongst healthy subjects and insomnia/schizophrenia patients

The quantification of interdependencies within autonomic nervous system has gained increasing importance to characterise healthy and psychiatric disordered subjects. The present work introduces a biosignal processing approach, suggesting a computational resource to estimate coherent or synchronised interactions as an eventual supportive aid in the diagnosis of primary insomnia and schizophrenia pathologies. By deploying linear, nonlinear and statistical methods upon 25 electroencephalographic and electrocardiographic overnight sleep recordings, the assessment of cross-correlation, wavelet coherence and [Formula: see text]:[Formula: see text] phase synchronisation is focused on tracking discerning features amongst the clinical cohorts. Our results indicate that certain neuronal oscillations interact with cardiac power bands in distinctive ways responding to standardised sleep stages and patient groups, which promotes the hypothesis of subtle functional dynamics between neuronal assembles and (para)sympathetic activity subject to pathophysiological conditions.

Characterising insomnia: A graph spectral theory approach

This paper introduces a computational approach to characterise healthy controls and insomniacs based on graph spectral theory. Based upon expert-generated hypnograms of sleep onset periods, a network of sleep stages transitions is derived to compute four similarity distances amongst subjects' sleeping patterns. A subsequent statistical analysis is performed to differentiate the 16-subject healthy group from a 16-patient disordered cohort. Our findings demonstrated that the similarity distances based on eigenvalues determination, i.e. d1 and d4 were the most reliable and robust measures to characterise insomniacs, discriminating 93% and 87% of the affected population, respectively.

Complexity of spontaneous brain activity in mental disorders

Recent reports of functional and anatomical studies have provided evidence that aberrant neural connectivity lies at the heart of many mental disorders. Information related to neural networks has elucidated the nonlinear dynamical complexity in brain signals over a range of temporal scales. The recent advent of nonlinear analytic methods, which have served for the quantitative description of the brain signal complexity, has provided new insights into aberrant neural connectivity in many mental disorders. Although many studies have underpinned aberrant neural connectivity, findings related to complexity behavior are still inconsistent. This inconsistency might result from (i) heterogeneity in mental disorders, (ii) analytical issues, (iii) interference of typical development and aging. First, most mental disorders are heterogeneous in their clinical feature or intrinsic pathological mechanisms. Second, neurophysiologic output signals from complex brain connectivity might be characterized with multiple time scales or frequencies. Finally, age-related brain complexity changes must be considered when investigating pathological brain because typical brain complexity is not constant across generations. Future systematic studies addressing these issues will greatly expand our knowledge of neural connections and dynamics related to mental disorders.