Frontal midline theta reflects anxiety and cognitive control: meta-analytic evidence

Exploring virtual reality as an anxiety-inducing paradigm: Multimodal insights from subjective, behavioral and neurophysiological measures

Anxiety results from the complex interplay between innate defensive responses to perceived threats and higher-order cognitive processes, mediated by specialized circuits in the human neocortex. Traditional methods of anxiety induction often fail to replicate the inherent unpredictability of threats or maintain ecological validity, thereby limiting their ability to fully elucidate the underlying mechanisms of anxiety. To overcome these limitations, this study aimed to explore the effectiveness of virtual reality (VR) as an innovative anxiety-inducing tool. By further using its ability to simulate real world scenes, the neural activities inducing anxiety in VR scenes were studied. VR is used to induce anxiety through customized scenarios, while a range of data, including subjective self-reports, objective performance measures, eye movement data, and EEG signals, are collected. The findings indicate that VR is efficacious in induced anxiety, which manifests through the arousal of anxious emotions, alterations in cognitive processes, and distinct neurophysiological patterns, particularly increased theta and alpha activity in the frontal and parietal regions. This research reinforces the ecological validity of VR as a research tool, contributing to a deeper understanding of the neurophysiological basis of anxiety and providing a more nuanced framework for both anxiety research and interventions in real-world contexts.

Neural Response to Reward and Loss Following Basic Combat Training

BACKGROUND

The brain's responsiveness to rewarding stimuli is essential for adaptive functioning while deficits in neural reward processing have been linked to the transdiagnostic symptom of anhedonia. Acute or prolonged stressors may negatively impact neural reward responses; however, few studies have examined if real-world naturalistic stressors prospectively predict reductions in brain responses to rewards.

METHODS

This pre-registered analysis (https://osf.io/f6e8w) used data from the ARMOR study to assess whether exposure to basic combat training (BCT), a demanding and stress-inducing 10-week program, led to reductions in electrophysiological measures of reward response. One hundred sixteen military recruits completed a virtual gambling task while electroencephalogram (EEG) was recorded before and after BCT. Mean EEG activity in the time window of the Reward Positivity (RewP; 175 - 325ms post-feedback at FCz) was averaged separately for the gain and loss condition.

RESULTS

We found that neural response to both gain and loss feedback in the time-window of the RewP significantly decreased from baseline following BCT (b = -0.67, p <.001), but the difference between conditions did not (b = 0.28, p = .23). Greater reports of BCT-related stressors predicted decreased neural response to gain, but not loss. Finally, baseline reward-related power in the delta-band frequency prospectively predicted less self-reported BCT-related stress.

CONCLUSIONS

These findings suggest that experiencing the stress of BCT is associated with reductions in neural processing of both reward and loss feedback. Further, those with greater reward-related delta oscillatory activity may perceive less negative impact of real-world stressors.

A role for preparatory midfrontal theta in autism as revealed by a high executive load brain-computer interface reverse spelling task

Midfrontal theta oscillations have been linked to executive function, yet their role in autism-where this function is often compromised-remains unclear. We hypothesized that preparatory increases in theta power may help normalize performance in autism. To test this, we used a challenging interactive executive function task designed to impose a high working memory load and require constant error monitoring. An electroencephalogram (EEG)-based brain-computer interface (BCI) was used to maximize cognitive load and engagement. Neural activity from autistic and non-autistic adults was compared while participants were asked to mentally reverse pseudowords (engaging working memory) and write them using the BCI, which provided real-time performance feedback (maximizing error monitoring). The study focused on theta power modulation during the preparatory (pre-response) and feedback (post-response) periods but also explored the role of posterior alpha oscillations. Results showed similar task performance between groups, but distinct recruitment of brain resources, particularly during the preparatory period. The finding of an increased preparatory theta in autism favors the hypothesis of compensatory recruitment of cognitive control and attentional mechanisms to achieve accurate results.

Psychometric, pre-processing, and trial-type considerations in individual differences studies of EEG mid-frontal theta power and latency

EEG mid-frontal theta-band activity (MFT; 4-8 Hz) is of considerable interest as a possible biomarker in translational research on cognitive control. However, because most of the MFT literature has focused on experimental within-subjects effects, the impact of particular data processing choices on individual difference analyses is not well understood. This study aimed to reduce that gap by examining the psychometric properties of different pipelines for measuring individual differences in MFT power and latency. Ninety-three adults aged 60 or older completed a flanker task during EEG recording. Stimulus-locked MFT was extracted in three primary pipelines via the fast Fourier transform (FFT), linear- and log-spaced wavelet, and filter-Hilbert analyses. The effects of frequency resolution, electrode choice, overall versus peak power, and trial type (overall, congruent, incongruent, and subtraction- and regression-based residual scores contrasting congruent and incongruent activity) were examined, as was the degree of overlap among related variables. Internal consistency reliabilities and associations with reaction times (RT) during the Flanker were assessed for select measures. Results indicated no benefit of higher frequency resolutions or region of interest over single-electrode measurements from FCz. Two-part coefficient alpha reliabilities ranged from 0.63 to 1.00 for MFT power variables, and from 0.02 to 0.83 for latency variables. Contrary to hypotheses and common criticisms of derived scores, correlations with RT were generally strongest for the difference and residual scores, with an additional benefit of time-frequency-based peak power relative to FFT-based overall power (r ~ = 0.30 vs. 0.45). These findings add to the growing literature on psychometric properties of EEG biomarkers, and help clarify measurement strategies that may enhance detection of behavioral and clinical correlates of MFT power and latency.

Enhanced Performance Monitoring as a Transdiagnostic Risk Marker of the Anxiety and Obsessive-Compulsive Spectrum: The Role of Disorder Category, Clinical Status, Family Risk, and Anxiety Dimensions

In this preregistered study, we investigated the relationship between neural correlates of performance monitoring and disorders of the anxiety and obsessive-compulsive spectrum. Specifically, we aimed at understanding the role of disorder category, clinical status, family risk, and the transdiagnostic symptom dimensions of anxious apprehension and anxious arousal. To this end, we measured event-related potentials (ERPs) of performance monitoring (i.e., error-related negativity, ERN, and correct-response negativity, CRN) in a large sample of 156 participants, including groups of patients with obsessive-compulsive disorder, social anxiety disorder, and specific phobia, as well as a naturalistic control group. Contrary to our initial expectations, we did not observe significant differences in ERPs among the clinical groups, nor in comparison to the naturalistic control group. However, after creating a more strictly defined healthy control group, we found larger ERN amplitudes in the specific phobia compared with the healthy control group. In addition, when comparing participants with and without a lifetime clinical diagnosis of any internalizing disorder, regardless of their main diagnosis, as well as when comparing those with or without a family risk for internalizing psychopathology, we observed larger amplitudes for both ERN and CRN. Subsequently, we combined data from this study and a previously published subclinical study to examine the role of transdiagnostic symptom dimensions (i.e., anxious apprehension and anxious arousal) across a wider severity spectrum. In this joint sample of 246 participants, gender emerged as a moderator of the link between anxious apprehension and enhanced performance monitoring. Specifically, women with increasing anxious apprehension exhibited elevated ERN and CRN amplitudes. In conclusion, our study challenges the notion of a disorder-specific link to performance monitoring. Instead, our findings suggest that enhanced performance monitoring is associated with a higher propensity for anxious apprehension and acts as a broad risk marker for internalizing psychopathology, reflecting vulnerability beyond diagnostic borders within the anxiety- and obsessive-compulsive spectrum.

Basal ganglia theta power indexes trait anxiety in people with Parkinson's disease

Neuropsychiatric symptoms are common and disabling in Parkinson's disease, with troublesome anxiety occurring in one-third of patients. Management of anxiety in Parkinson's disease is challenging, hampered by insufficient insight into underlying mechanisms, lack of objective anxiety measurements and largely ineffective treatments. In this study, we assessed the intracranial neurophysiological correlates of anxiety in patients with Parkinson's disease treated with deep brain stimulation (DBS) in the laboratory and at home. We hypothesized that low-frequency (theta-alpha) activity would be associated with anxiety. We recorded local field potentials from subthalamic nucleus or globus pallidus pars interna DBS implants in three Parkinson's disease cohorts: (i) patients with recordings (subthalamic nucleus) performed in hospital at rest via perioperatively externalized leads, without active stimulation, both ON and OFF dopaminergic medication; (ii) patients with recordings (subthalamic nucleus or globus pallidus pars interna) performed at home while resting, via a chronically implanted commercially available sensing-enabled neurostimulator (Medtronic Percept™ device), ON dopaminergic medication, with stimulation both on and off; and (iii) patients with recordings performed at home while engaging in a behavioural task via subthalamic nucleus and globus pallidus pars interna leads and electrocorticography paddles over the premotor cortex connected to an investigational sensing-enabled neurostimulator, ON dopaminergic medication, with stimulation both on and off. Trait anxiety was measured with validated clinical scales in all participants, and state anxiety was measured with momentary assessment scales at multiple time points in the two at-home cohorts. Power in theta (4-8 Hz) and alpha (8-12 Hz) ranges was extracted from the local field potential recordings, and its relationship with anxiety ratings was assessed using linear mixed-effects models. In total, 33 patients with Parkinson's disease (59 hemispheres) were included. Across three independent cohorts, with stimulation off, basal ganglia theta power was positively related to trait anxiety (all P < 0.05). Also in a naturalistic setting, with individuals at home, at rest, with stimulation and medication ON, basal ganglia theta power was positively related to trait anxiety (P < 0.05). This relationship held regardless of the hemisphere and DBS target. There was no correlation between trait anxiety and premotor cortical theta-alpha power. There was no within-patient association between basal ganglia theta-alpha power and state anxiety. We showed that basal ganglia theta activity indexes trait anxiety in Parkinson's disease. Our data suggest that theta could be a possible physiomarker of neuropsychiatric symptoms and specifically of anxiety in Parkinson's disease, potentially suitable for guiding advanced DBS treatment tailored to the needs of the individual patient, including non-motor symptoms.

Posttraumatic reexperiencing and alcohol use: Mediofrontal theta as a neural mechanism for negative reinforcement

Over half of U.S. military veterans with posttraumatic stress disorder (PTSD) use alcohol heavily, potentially to cope with their symptoms. This study investigated the neural underpinnings of PTSD symptoms and heavy drinking in veterans. We focused on brain responses to salient outcomes within predictive coding theory. This framework suggests the brain generates prediction errors (PEs) when outcomes deviate from expectations. Alcohol use might provide negative reinforcement by reducing the salience of negatively valenced PEs and dampening experiences like loss. We analyzed electroencephalography responses to unpredictable gain/loss feedback in n = 82 veterans of Operations Enduring and Iraqi Freedom. We used time-frequency principal components analysis of event-related potentials to isolate neural responses indicative of PEs, identifying mediofrontal theta linked to losses (feedback-related negativity) and central delta associated with gains (reward positivity). Intrusive reexperiencing symptoms of PTSD were associated with intensified mediofrontal theta signaling during losses, suggesting heightened negative PE sensitivity. Conversely, increased hazardous alcohol use was associated with reduced theta responses, implying a dampening of these negative PEs. The separate delta-reward positivity component showed associations with alcohol use but not PTSD symptoms. The findings suggest a common neural component of PTSD and hazardous alcohol use involving altered PE processing. We suggest that reexperiencing enhances the intensity of salient negative PEs, while chronic alcohol use may reduce their intensity, thereby providing negative reinforcement by muting posttraumatic distress and associated brain responses. Modifying the mediofrontal theta response could address the intertwined nature of PTSD symptoms and alcohol use, providing new avenues for treatment. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Long-term affective and non-affective brain alterations across three generations following the genocide in Cambodia

The literature has largely indicated that trauma can lead to post-traumatic stress disorder (PTSD) and alterations in brain functioning. However, to what extent these alterations remain present decades after the traumatic event, and how the next generations may also suffer from them, remains unclear, especially in a non-Western culture. Uniquely, the present project focused on survivors of the Cambodian genocide and the subsequent two generations to determine whether brain alterations are observable approximately five decades after the traumatic event and in subsequent generations from the same society. Using portable electroencephalography (EEG), we used four experimental tasks-two targeting non-affective processing (i.e., sensory gating, oddball) and two targeting affective processing (i.e., emotion recognition, threat processing). Results indicated that although the rate of PTSD symptoms was similar across generations, the affective reaction to threat for the LPP and FMθ was primarily observed or intensified in the directly affected generation (i.e., G0), regardless of the presence of PTSD. We also observed that G0 exhibited reduced attenuation over standard tones in the oddball task for the N100 and a reduced sensory gating effect on the auditory P200. The present study underscores that affective and non-affective alterations might still be present decades after a trauma, but are not necessarily observable in subsequent generations. Our results also support a dissociation between reported PTSD symptoms and neural alterations.

EEG time-frequency dynamics of early cognitive control development

Cognitive control is crucial for goal-directed behavior, and essential for other aspects of cognitive and socioemotional development. This review examines when and how the neural dynamics of cognitive control emerge and develop, focusing on electroencephalography measures used to study cognitive control in infants and children. We argue that time-frequency analyses are uniquely able to capture two distinct components of cognitive control: 1) the detection that control is needed, and 2) the instantiation of control. Starting in infancy and increasing across childhood and adolescence, studies suggest the signal strength and consistency of midfrontal theta and delta oscillations are involved in processes that detect the need for control. For control instantiation, there is evidence that theta band connectivity between midfrontal and lateral-frontal cortices is present from early childhood. There is also evidence for the involvement of midfrontal theta power in the instantiation of control in infancy. We further review emerging evidence that indicates individual differences in midfrontal theta are not only proximally related to behavior, but also sensitive to variations in early experience and risk for psychopathology, providing a neural mechanism linking early adversity to future psychopathology. We discuss needed future steps, including novel paradigms, computational models, and aperiodic/periodic modeling of EEG.

Decoding the impact of negative physical self-perception on inhibitory control ability from theta and beta rhythms

Previous studies have found inhibitory control differences between obese individuals and those of normal weight. However, some normal-weight individuals with high negative physical self-perception on the fatness subscale show restrictive eating behaviors and attentional bias toward high-calorie food, potentially influencing these differences. We collected behavioral and electroencephalography data using a novel inhibitory control task. Results showed that individuals with high negative physical self-perception on the fatness subscale exhibited significantly greater restraint eating behavior compared to controls. Both theta and beta power differed between groups, with higher theta power in the high negative physical self-perception on the fatness subscale group than in the obese group and more negative beta power in the high negative physical self-perception on the fatness subscale group compared to both other groups. Theta power was greater in no-go than go conditions, while beta power was more negative in response to high-calorie versus low-calorie food stimuli. Importantly, theta power successfully decoded go/no-go conditions across all groups using multivariate pattern analysis, while beta power distinguished these conditions only in the negative physical self-perception on the fatness subscale and control groups. These findings suggest that theta and beta power, along with multivariate pattern analysis, can reliably distinguish inhibitory control ability among the three groups, highlighting the importance of considering negative physical self-perception on the fatness subscale when assessing inhibitory control differences between normal-weight and obese individuals.

Psychometric Properties of the Neural Response to Rewards and Errors Across Mid- to Late-Adolescence

Event-related potential (ERP) measures of reward- and error-related brain activity have been used to elucidate neural mechanisms contributing to the development of psychopathology. Adolescence is a critical developmental period that is associated with changes in ERP reward- and error-related brain activity. However, there is a paucity of within-subject research examining whether the reliability of ERP measures is the same or changes across adolescence. Moreover, it is unclear whether the time-frequency representation of reward- and error-related brain activity demonstrates similar psychometric properties. The present study examined the psychometric properties of reward- and error-related brain activity in five hundred and fifty 13.5- to 15.5-year-old (M = 14.4, SD = 0.63) girls. Participants completed the doors and flanker tasks while electroencephalography (EEG) was recorded at two assessments: baseline and 3 years later. Reward- and error-related brain activity were quantified using the time-domain reward positivity (RewP) and error-related negativity (ERN), respectively, as well as time-frequency delta and theta activity. Results indicated that all measures demonstrated adequate split-half reliability at each assessment and 3-year test-retest reliability across assessments. The present study indicates that the psychometric properties of time-domain and time-frequency reward- and error-related brain activity are largely consistent across adolescence, supporting their potential use as individual differences measures of risk for psychopathology.

Mind in others' shoes: Neuroscientific protocol for external referent decision awareness (ERDA) in organizations

This study investigates the neural and physiological mechanisms underlying External Referent Decision Awareness (ERDA) within organizational contexts, focusing on hierarchical roles (Head, Peer, Staff). Twenty-two professionals participated, and electroencephalographic (EEG frequency band: Delta, Theta, Alpha, Beta, Gamma) and autonomic indices (skin conductance and cardiovascular indices) were recorded, while personality traits and decision-making styles were assessed. Results revealed higher Delta and Theta activation in the left temporo-parietal junction (TPJ) during Peer-related decisions, reflecting increased social cognition and ambiguity regulation in those contexts. Gamma activity, associated with high-order cognitive processes, was prominent in the left frontal cortex across all roles, indicating complex decision evaluation. These findings underscore the complexity of low-frequency bands (Delta and Theta), involved in emotional regulation and social cognition, while high-frequency bands (Gamma) reflect cognitive integration and decision complexity. Furthermore, autonomic data showed higher Skin Conductance Levels (SCL) for Head decisions, suggesting greater emotional involvement.The findings revealed a significant negative correlation between avoidant decision-making styles and the neural and behavioral evaluations of leader decisions, suggesting reduced engagement of neurocognitive systems involved in reward processing and evaluative judgment in individuals with a tendency to avoid decision-making. Additionally, higher extraversion correlated with more favorable evaluations of decisions made by Staff, potentially indicating greater activation in neural circuits associated with social reward and group dynamics. In conclusion, these findings suggest that neural activity and personality traits interact to shape hierarchical decision-making awareness, highlighting the need for tailored leadership and decision-making strategies in organizations.

Neural correlates of reciprocity bias: social debts modulate unfairness perception of violation during third-party observation

The phenomenon of beneficiaries ignoring benefactors' violations, ranging from everyday favors to bribes, is widespread yet lacks targeted theoretical and empirical attention. We propose a conceptual framework that includes "social debt" and "reciprocity bias," where "social debt" is defined as information about benefits bestowed by benefactors and "reciprocity bias" as the influence of social debt on beneficiaries' perceptions and decisions in situations involving the benefactor. To investigate this bias in moral perception and its cognitive-neural mechanisms, we manipulated three levels of social debt (none, less, more) by varying the amount of unasked benefits that benefactors bestowed upon participants. Participants then observed the distributor's fair or unfair allocation of resources to another person, while their electroencephalography (EEG) was recorded. Results indicate that more (vs. none/less) social debt reduces perceptions of unfairness toward benefactors' violations and enhances fairness perceptions of their norm adherence. This was, accompanied by the diminished fairness effect on fronto-centered P2 and a reversal fairness effect on the power of theta oscillations (4 to 7 Hz). These findings support a multilevel reciprocity bias in fairness perception, suggesting that strong social debt may heighten concern for benefactor's interests and increase the adaptive value of their violations at the cognitive-neural level.

Engagement and Disengagement: From the Basic Science of Emotion Regulation to an Anxiety Spectrum

Emotion regulation strategies vary in depth of processing. For instance, reappraisal requires greater engagement than distraction. This affects short-term and long-term response to stimuli. In this review, I describe how the "engagement-disengagement dimension" improves understanding of emotion regulation in normative contexts and in internalizing psychopathology. Part 1 reviews work from my laboratory and others, suggesting that relatively disengaged emotion regulation strategies (e.g., distraction), may have short-term benefits (e.g., faster implementation), but may come with long-term costs (e.g., increased processing of stimuli at subsequent encounter). Therefore, depending on the desired outcome, the adaptive selection of an emotion regulation strategy will be determined by extent of emotional engagement-disengagement. In Part 2, I describe how individuals with more comorbid internalizing psychopathology (e.g., multiple anxiety and depressive diagnoses) are characterized by disengagement from negative stimuli as measured by the late positive potential (LPP). In addition, I introduce a brain profile I have termed, HARM-A (heightened "alarm" and reduced motivated attention), which is characterized by a combination of heightened "alarm" (i.e., increased amygdala) and emotional disengagement (i.e., blunted LPPs) in response to negative stimuli. HARM-A prospectively predicts worse outcomes over 2 years in a mixed internalizing sample. As such, chronic disengagement from negative stimuli appears to contribute to more comorbid and more severe internalizing psychopathology. Overall, emotional disengagement can be beneficial in the short term but may be poorly suited to emotional coping in the longer term.

EEG Correlates of Cognitive Dynamics in Task Resumption After Interruptions: The Impact of Available Time and Flexibility

Interruptions are a common aspect of everyday working life, negatively affecting both task performance and long-term psychological well-being. However, research suggests that the effects of interruptions can be mitigated in several ways, such as the opportunity to anticipate the interruptions and preparation time. Here, we used a retrospective visual working memory task to investigate the effects of duration and flexible resumption after interruptions, with 28 participants (18-30 years old) attending the experiment. For this main task participants were required to remember the orientations of a set of coloured bars and retrieve one at the end of the trial in response to a retro-cue. This task was sometimes interrupted with an arithmetic task that was presented before the retro-cue. The period after the interruptions and the retro-cue was either short (no additional time), long (additional 1000 ms), or self-determined. Interruptions affected the main task performance irrespective of duration condition, but response times were shorter with the flexible condition. EEG analysis showed that having more time before resuming the interrupted task enabled stronger beta suppression which in turn modulated task performance, helping participants to safely disengage from the interrupting task, and refocus their attention back more efficiently. Further, flexibility in the timing of resumption provided additional benefits as seen in stronger oscillatory alpha and beta suppression to the retro-cue, also being related to better task performance. These results demonstrate the important role of resumption time and individual flexibility in dealing with interruptions.

Current source density and functional connectivity extracted from resting-state electroencephalography as biomarkers for chronic low back pain

Introduction

Chronic low back pain (CLBP) is a global health issue, and its nonspecific causes make treatment challenging. Understanding the neural mechanisms of CLBP should contribute to developing effective therapies.

Objectives

To compare current source density (CSD) and functional connectivity (FC) extracted from resting electroencephalography (EEG) between patients with CLBP and healthy controls and to examine the correlations between EEG indices and symptoms.

Methods

Thirty-four patients with CLBP and 34 healthy controls in an open data set were analyzed. Five-minute resting-state closed-eye EEG was acquired using the international 10-20 system. Current source density across frequency bands was calculated using exact low-resolution electromagnetic tomography. Functional connectivity was assessed between 24 cortical regions using lagged linear connectivity. Correlations between pain symptoms and CSD distribution and FC were examined in patients with CLBP.

Results

Current source density analysis showed no significant differences between the groups. The CLBP group exhibited significantly reduced FC in the β3 band between the left middle temporal gyrus and the posterior cingulate cortex, and between the ventral medial prefrontal cortex and the left inferior parietal lobule. Prefrontal θ and δ activity positively correlated with pain symptoms. Increased β1 band FC between the right dorsolateral prefrontal cortex and right auditory cortex correlated with greater pain intensity.

Conclusions

We found altered neural activity and connectivity in patients with CLBP, particularly in prefrontal and temporal regions. These results suggest potential targets for pain modulation through brain pathways and highlight the value of EEG biomarkers in understanding pain mechanisms and assessing treatment efficacy.

The Impact of Immediate and Delayed Rewards on Task-Switching Performance

BACKGROUND/OBJECTIVES

Switching between different tasks incurs switch costs. Previous research has demonstrated that rewards can enhance performance in cognitive tasks. However, prior studies have primarily focused on the overall improvement in cognitive task performance, with limited research on how different types of rewards function under various task conditions. This study aims to investigate the distinct effects of immediate and delayed rewards on cognitive task performance in different task conditions (repeated trials and task-switching trials) and to explore the underlying neural mechanisms, particularly focusing on how rewards influence attention allocation during the concurrent processing of multiple cues.

METHODS

This study recruited 27 college students (average age 19 years old, 10 males and 17 females). A cue-based task-switching paradigm incorporating immediate and delayed rewards was employed. The study examined the effects of immediate and delayed rewards on cognitive task performance in repeated trials and task-switching trials. Event-related potentials (ERPs) were recorded to investigate the neural mechanisms underlying reward effects on attention allocation.

RESULTS

Behavioral results indicated that immediate rewards significantly enhanced performance in repeated trials compared to delayed rewards. In contrast, no significant difference between immediate and delayed rewards was observed in task-switching trials. ERP results showed that immediate rewards induced a larger P300 amplitude than delayed rewards under the task repetition condition. No P300 difference was found between immediate and delayed rewards under the task-switching condition.

CONCLUSIONS

The findings suggest that rewards enhance task performance by optimizing the allocation of attention to the ongoing task when multiple cues are processed concurrently. When additional resources are required to process task-related cues, there may be insufficient remaining capacity to effectively process reward cues, which could be essential for the optimal completion of the task. These results support the Expected Value of Control (EVC) theory in task-switching scenarios.

Frontal midline theta reveals temporal dynamics of target amplification and distracter inhibition during mental set-shifting

When humans shift between tasks, they initially show slower responses in the new task than in the previous one. Persisting attentional settings are increasingly recognized as a source for these shifting costs. However, the extent to which specific mechanisms underlying information selection and interference control contribute to this phenomenon remains less clear. Here, we use time-frequency analyses of human electroencephalogram (EEG) data to explore the aftereffects of two such mechanisms: target amplification and distracter inhibition. Participants completed a set-shifting task in which interference during switch trials could either result from the persisting amplification of previous target colors or the persisting inhibition of previous distracter colors. In a first set of analyses, we focused on frontal midline theta (FMT) as a time-continuous marker of overall interference. Compared to a control condition, we found transient peaks of FMT in both experimental conditions that matched the effects of persisting target amplification and distracter inhibition predicted by a computational model of the task. In a second set of analyses we used steady-state visually evoked potentials (SSVEPs) as a direct measure of the attentional resources allocated to target and distracter colors. However, SSVEP amplitudes did not differ reliably between stimulation frequencies during switch trials, preventing us from drawing further conclusions on the origins of the interference processes reflected in FMT dynamics. Implications for theories of selective attention and potential limitations of frequency tagging in the context of mental set-shifting research are discussed.

Neural markers of error processing relate to task performance, but not to substance-related risks and problems and externalizing problems in adolescence and emerging adulthood

Detecting errors and adapting behavior accordingly constitutes an integral aspect of cognition. Previous studies have linked neural correlates of error processing (e.g., error-related negativity (ERN) and error-related positivity (Pe)) to task performance and broader behavioral constructs, but few studies examined how these associations manifest in adolescence. In this study, we examined neural error processing markers and their behavioral associations in an adolescent/emerging adult sample (N = 143, Mage = 18.0 years, range 11-25 years), employing a stop-signal task. Linear regressions were conducted using bootstrap resampling to explore associations between ERN/Pe peak amplitudes and latencies, stop accuracy, stop-signal reaction time (SSRT), and post-error slowing, as well as self-reported substance-related risks and problems and externalizing problems. After adjusting for age and sex, smaller frontocentral Pe amplitude and later Pe latency were associated with longer SSRT, and later Pe latency was associated with lower stop accuracy. This might indicate that the Pe, which is thought to reflect conscious error processing, reflects task performance on a response inhibition task better than the ERN, which reflects subconscious error processing. After correcting for multiple testing, there were no associations between ERN/Pe parameters and substance-related or externalizing problems, and no age interactions for these associations were detected.

Are errors more aversive in an uncertain world? Testing the influence of uncertainty on the error-related negativity in a randomized controlled trial

Overactive error monitoring-as measured by the error-related negativity (ERN)-is a candidate transdiagnostic risk marker for internalizing psychopathology. Previous research reported associations of the ERN and individual differences in intolerance of uncertainty (IU). These findings imply associations between the subconstructs of IU (prospective and inhibitory IU) and the ERN, which we sought to replicate and extend by testing for causal influences that might elucidate specific mechanisms underlying this association. To test associations of uncertainty and the ERN, a preregistered, randomized-controlled design was employed. After measuring the baseline ERN of N = 120 university students, a subsample was randomly assigned to two groups: While an intervention group (n = 30) performed an unsolvable probabilistic "learning" task intended to induce state uncertainty, a passive control group (n = 30) rested. Subsequently, the ERN was assessed again. Self-reported uncertainty was assessed before and after the intervention. To further increase the statistical power of the replication attempt, we performed a correlation analysis (non-preregistered) by including data from two additional samples collected at different study sites. This analysis comprised psychophysiological data from a total of N = 355 participants. Cross-sectionally, no effects of IU on the ERN emerged. Regarding the state uncertainty induction, the intervention group displayed increased self-reported uncertainty after the intervention, but no evidence emerged for ERN alterations attributable to the intervention. The link between individual differences in IU and the ERN might be smaller and less robust than previous findings suggest, reflecting the understudied character of this association. The absence of evidence for mechanistic changes in the ERN due to a successful induction of state uncertainty further questions a link between IU and the ERN. In line with previous studies that linked increased ERN to anxiety, independent of current clinical status, the ERN seems unaffected by short-term changes such as symptom provocations in non-clinical populations.

Theta/Beta Ratio Neurofeedback Effects on Resting and Task-Related Theta Activity in Children with ADHD

The EEG theta band displays distinct roles in resting and task states. Low resting theta and transient increases in frontal-midline (fm) theta power during tasks are associated with better cognitive control, such as error monitoring. ADHD can disrupt this balance, resulting in high resting theta linked to drowsiness and low fm-theta activity associated with reduced cognitive abilities. Theta/beta ratio (TBR) neurofeedback aims to normalize resting state activity by downregulating theta, which could potentially unfavorably affect task-related fm-theta. This study examines the TBR neurofeedback's impact on both resting and fm-theta activity, hypothesizing that remission depends on these effects. We analyzed data from a multi-center, double-blind randomized controlled trial with 142 children with ADHD and high TBR (ICAN study). Participants were randomized into experimental or sham NF groups. EEG measurements were taken at rest and during an Oddball task before and after neurofeedback, assessing global electrodes for resting theta and fm electrodes during error dynamics. Post-intervention changes were calculated as differences, and ANOVAs were conducted on GROUP, REMISSION, and CONDITION variables. Final analysis included fewer participants for all analyses. Resting state analysis showed no significant effects on global or fm-theta after TBR neurofeedback. Error dynamics analysis was inconclusive for global and fm-theta in both remitters and non-remitters. Results suggest that the current TBR neurofeedback protocol did not reduce aberrant resting state theta, and emphasize the need for refined protocols targeting specific theta-band networks to reduce resting-state theta without affecting fm-theta related to cognitive control.

Neural response to errors among mothers with a history of recurrent depression and their adolescent daughters

Depression is transmitted within families, but the mechanisms involved in such transmission are not clearly defined. A potential marker of familial risk is the neural response to errors, which may play a role in depression symptoms and is known to be partially heritable. Here, 97 mother-daughter dyads completed a Flanker task while electroencephalography markers of error monitoring were recorded: the error-related negativity (ERN) and response-locked delta and theta power. We assessed whether these measures of neural response to errors 1) were associated with history of recurrent major depressive disorder (MDD) and current depression symptoms among mothers, 2) were correlated among mother-daughter dyads, and 3) were associated with maternal history of recurrent MDD and maternal symptoms of depression among daughters. A history of recurrent MDD was associated with blunted delta and increased theta among mothers. Across mothers, delta and theta were negatively and positively associated, respectively, with current depression symptoms. Mothers’ and daughters’ ERN were positively correlated. Finally, current maternal depression symptoms were negatively associated with delta power in daughters. These results suggest that neural responses to errors may be implicated in the intergenerational transmission of depression. These results also support the relevance of delta oscillations to understanding pathways to depression.

Exploring the predictors of foreign language anxiety: the roles of language proficiency, language exposure, and cognitive control

This research delves into unexplored territories of Foreign Language Anxiety (FLA), going beyond the traditional focus on language proficiency. We examined the nuanced roles of language exposure and individual differences in cognitive control abilities in shaping FLA. By engaging 46 English learners in a comprehensive assessment, our analysis uncovered significant yet distinct contributions of these factors to various aspects of FLA. Notably, proficiency predicted communication and overall anxiety, exposure influenced evaluation anxiety, while inhibition and mental set shifting abilities significantly predicted communication and test anxiety respectively. These findings illuminate the complexity of FLA, revealing that it stems from a multifaceted interplay of language proficiency, exposure, and cognitive control. This holistic understanding offers valuable insights for educators and learners alike, emphasizing the importance of tailored strategies that address not just language proficiency but also exposure opportunities and cognitive strengths.

The Organization of Anxiety Symptoms Along the Threat Imminence Continuum

Pathological anxiety is highly prevalent, impairing, and often chronic. Yet, despite considerable research, mechanistic understanding of anxiety and its translation to clinical practice remain limited. Here, we first highlight two foundational complications that contribute to this gap: a reliance on a phenomenology-driven definition of pathological anxiety in neurobiological mechanistic research, and a limited understanding of the chronicity of anxiety symptom expression. We then posit that anxiety symptoms may reflect aberrant expression of otherwise normative defensive responses. Accordingly, we propose that threat imminence, an organizing dimension for normative defensive responses observed across species, may be applied to organize and understand anxiety symptoms along a temporal dimension of expression. Empirical evidence linking distinct anxiety symptoms and the aberrant expression of imminence-dependent defensive responses is reviewed, alongside the neural mechanisms which may underpin these cognitive, physiological, and behavioral responses. Drawing from extensive translational and clinical research, we suggest that understanding anxiety symptoms through this neurobiologically-informed framework may begin to overcome the conceptual complications hindering advancement in mechanistic research and clinical interventions for pathological anxiety.

No association between error-related ERPs and trait anxiety in a nonclinical sample: Convergence across analytical methods including mass-univariate statistics

Enhanced error monitoring, as indexed by increased amplitude of the error-related negativity (ERN) event-related potential (ERP) component, has been suggested to reflect a vulnerability neuro-marker of anxiety disorders. Another error-related ERP component is the error positivity (Pe), which reflects late-stage error processing. The associations between heightened ERN and Pe amplitudes and anxiety levels in the nonclinical population have been inconsistent. In this preregistered study, we examined the association between anxiety, ERN, and Pe, using different analytical methods (mass-univariate analyses, MUAs and conventional analyses), self-reported anxiety scales (STAI and STICSA), and trial numbers (all correct trials and equal numbers of correct and error trials). In a sample of 82 healthy adults, both conventional and MUAs demonstrated a robust enhancement of the ERN and Pe to errors relative to the correct-response ERPs. However, the mass-univariate approach additionally unveiled a wider array of electrodes and a longer effect duration for this error enhancement. Across the analytic methods, the results showed a lack of consistent correlation between trait anxiety and error-related ERPs. Findings were not modulated by trial numbers, analyses, or anxiety scales. The present results suggest a lack of enhancement of error monitoring by anxious traits in individuals with subclinical anxiety and those with clinical anxiety but without a clinical diagnosis. Importantly, the absence of such correlation questions the validity of the ERN as a neural marker for anxiety disorders. Future studies that investigate neuro-markers of anxiety may explore alternative task designs and employ robust statistics to provide a more comprehensive understanding of anxiety vulnerability.

Frontal midline theta power during the cue-target-interval reflects increased cognitive effort in rewarded task-switching

Cognitive performance largely depends on how much effort is invested during task-execution. This also means that we rarely perform as good as we could. Cognitive effort is adjusted to the expected outcome of performance, meaning that it is driven by motivation. The results from recent studies suggest that the expenditure of cognitive control is particularly prone to being affected by modulations of cognitive effort. Although recent EEG studies investigated the neural underpinnings of the interaction of effort and control, reports on how cognitive effort is reflected by oscillatory activity of the EEG are quite sparse. It is the goal of the present study to bridge this gap by performing an exploratory analysis of high-density EEG data from a switching-task using manipulations of monetary incentives. A beamformer approach is used to localize the sensor-level effects in source-space. The results indicate that the manipulation of cognitive effort was successful. The participants reported significantly higher motivation and cognitive effort in high versus low reward trials. Performance was also significantly increased. The analysis of the EEG data revealed that the increase of cognitive effort was reflected by an increased mid-frontal theta activity during the cue-target interval, suggesting an increased use of proactive control. This interpretation is supported by the result from a regression analysis performed on single-trial data, showing higher mid-frontal theta power prior to target-onset being associated with faster responses. Alpha-desynchronization throughout the trial was also more pronounced in high reward trials, signaling a bias of attention towards the processing of external stimuli. Source reconstruction suggests that these effects are located in areas related to cognitive control, and visual processing.

Anxious/depressed individuals exhibit disrupted frontotemporal synchrony during cognitive conflict encoding

Anxiety and depressive disorders are associated with cognitive control deficits, yet their underlying neural mechanisms remain poorly understood. Here, we used high-resolution stereotactic EEG (sEEG) to determine how anxiety and/or depression modulates neural and behavioral responses when cognitive control is engaged in individuals with medically refractory epilepsy undergoing sEEG monitoring for surgical evaluation. We analyzed sEEG data recorded from frontotemporal regions of 29 participants (age range: 19-55, mean age: 35.5, female: 16/29) while they performed a Multi-Source Interference Task (MSIT) designed to elicit cognitive conflict. Neurobehavioral interviews, symptom rating scales, and clinical documentation were used to categorize participants as demonstrating anxiety and/or depression symptoms (A/D, n=13) or as epilepsy controls (EC, n=16). Generalized linear mixed-effects (GLME) models were used to analyze behavioral and neural data. Models of oscillatory power were used to identify brain regions within conflict-encoding networks in which coherence and phase locking values (PLV) were examined in A/D and EC. A/D participants demonstrated a greater conflict effect (response time slowing with higher cognitive load), without impairment in response time (RT) or accuracy compared to EC. A/D participants also showed significantly enhanced conflict-evoked theta (4-8Hz) and alpha (8-15Hz) power in the dorsolateral prefrontal cortex (dlPFC) and amygdala as well as widespread broadband activity in the lateral temporal lobe (LTL) compared to EC. Additionally, theta coherence and PLV between dlPFC-LTL and dlPFC-amygdala were reduced by conflict in A/D. Our findings suggest individuals with anxiety/depression symptoms exhibit heightened frontotemporal oscillatory activity and disrupted frontotemporal synchrony during cognitive conflict encoding, which may indicate a greater need for cognitive resources due to ineffective cognitive processing. These results highlight a potential role of frontotemporal circuits in conflict encoding that are altered in anxiety/depression, and may further inform future therapeutic interventions aimed at enhancing cognitive control in these populations.

Prefrontal projections to the bed nuclei of the stria terminalis modulate the specificity of aversive memories

Generalizing aversive memories helps organisms avoid danger, whereas discriminating between dissimilar situations promotes opportunistic behaviors. We identified a novel pathway that controls the contextual specificity of memory consolidation of inhibitory avoidance learning. Optogenetic inhibition of the rostral medial prefrontal cortex (mPFC)-to-anteroventral bed nuclei of the stria terminalis (avBST) pathway after a single footshock exacerbated stress hormonal output, and 2 d later promoted generalization to a novel context. Rostral mPFC-avBST influences were directly mnemonic rather than associated with stress hormone increases, as adrenalectomy did not prevent such influences on generalization. We next observed that fear discrimination between novel and aversive contexts engaged activity along the rostral mPFC and avBST pathway. Finally, post-footshock optogenetic pathway excitation enhanced 2-d discrimination. These findings highlight a prefrontal pathway in which activity immediately after aversive experiences promotes mnemonic discrimination between threatening and non-threatening contexts and may be importance for understanding trauma generalization in psychiatric illnesses.

A network analysis of affective and motivational individual differences and error monitoring in a non-clinical sample

Error monitoring, which plays a crucial role in shaping adaptive behavior, is influenced by a complex interplay of affective and motivational factors. Understanding these associations often proves challenging due to the intricate nature of these variables. With the aim of addressing previous inconsistencies and methodological gaps, in this study, we utilized network analysis to investigate the relationship between affective and motivational individual differences and error monitoring. We employed six Gaussian Graphical Models on a non-clinical population ($N$ = 236) to examine the conditional dependence between the amplitude of response-related potentials (error-related negativity; correct-related negativity) and 29 self-report measures related to anxiety, depression, obsessive thoughts, compulsive behavior, and motivation while adjusting for covariates: age, handedness, and latency of error-related negativity and correct-related negativity. We then validated our results on an independent sample of 107 participants. Our findings revealed unique associations between error-related negativity amplitudes and specific traits. Notably, more pronounced error-related negativity amplitudes were associated with increased rumination and obsessing, and decreased reward sensitivity. Importantly, in our non-clinical sample, error-related negativity was not directly associated with trait anxiety. These results underscore the nuanced effects of affective and motivational traits on error processing in healthy population.

The association of dispositional anxiety with the NoGo N2 under relaxation instruction vs. speed/accuracy instruction

Prior research suggests that cognitive control, indicated by NoGo N2 amplitudes in Go/NoGo tasks, is associated with dispositional anxiety. This negative association tends to be reduced in anxiety-enhancing experimental conditions. However, anxiety-reducing conditions have not yet been investigated systematically. Thus, the present study compares the effect of a relaxation instruction with the conventional speed/accuracy instruction in a Go/NoGo task on the correlation of the NoGo N2 with two subconstructs of dispositional anxiety, namely anxious apprehension and anxious arousal. As the test of differences between correlations needs considerable statistical power, the present study was included into the multi-lab CoScience Project. The hypotheses, manipulation checks, and the main path of pre-processing and statistical analysis were preregistered. Complete data sets of 777 participants were available for data analysis. Preregistered general linear models revealed that the different instructions of the task (speed/accuracy vs. relaxation) had no effect on the association between dispositional anxiety and the NoGo N2 amplitude in general. This result was supported by Cooperative-Forking-Path analysis. In contrast, a preregistered latent growth model with categorical variables revealed that anxious arousal was a negative predictor of the NoGo N2 intercept and a positive predictor of the NoGo N2 slope. Non-preregistered growth models, allowing for correlations of anxious apprehension with anxious arousal, revealed that higher anxious apprehension scores were associated with more negative NoGo N2 amplitudes with increased relaxation. Results are discussed in the context of the compensatory error monitoring hypothesis and the revised Reinforcement Sensitivity Theory.

Neurophysiological response to social feedback in stressful situations

The relationship between external feedback and cognitive and neurophysiological performance has been extensively investigated in social neuroscience. However, few studies have considered the role of positive and negative external social feedback on electroencephalographic (EEG) and moderate stress response. Twenty-six healthy adults underwent a moderately stressful job interview consisting of a modified version of the Trier Social Stress Test. After each preparation, feedback was provided by an external committee, ranging from positive to negative with increasing impact on subjects. Stress response was measured by analysing response times (RTs) during the speech phase, while cognitive performance was assessed using a Stroop-like task before and after the test. Results indicate that RTs used to deliver the final speeches with negative feedback were significantly lower compared with those used for the initial speech with positive feedback. Moreover, a generalized improvement in Stroop-like task performance was observed in the post-SST compared with the pre-SST. Consistent with behavioural results, EEG data indicated greater delta, theta, and alpha band responses in right prefrontal and left central areas, and for delta and theta bands, also in parietal areas in response to positive feedback compared with aversive-neutral feedback, highlighting greater cognitive effort required by the former. Conversely, an increase in these bands in right and left temporal and left occipital areas was observed following negative and aversive feedback, indicative of an adaptive response to stress and emotion-regulatory processes. These findings suggest that negative social feedback in moderately stressful and noncritical conditions could contribute to improving individual cognitive performance.

Toward a mechanistic understanding of the role of error monitoring and memory in social anxiety

Cognitive models state that social anxiety (SA) involves biased cognitive processing that impacts what is learned and remembered within social situations, leading to the maintenance of SA. Neuroscience work links SA to enhanced error monitoring, reflected in error-related neural responses arising from mediofrontal cortex (MFC). Yet, the role of error monitoring in SA remains unclear, as it is unknown whether error monitoring can drive changes in memory, biasing what is learned or remembered about social situations. Motivated by the longer-term goal of identifying mechanisms implicated in SA, in the current study we developed and validated a novel paradigm for probing the role of error-related MFC theta oscillations (associated with error monitoring) and incidental memory biases in SA. Electroencephalography (EEG) data were collected while participants completed a novel Face-Flanker task, involving presentation of task-unrelated, trial-unique faces behind target/flanker arrows on each trial. A subsequent incidental memory assessment evaluated memory biases for error events. Severity of SA symptoms were associated with greater error-related theta synchrony over MFC, as well as between MFC and sensory cortex. Social anxiety also was positively associated with incidental memory biases for error events. Moreover, greater error-related MFC-sensory theta synchrony during the Face-Flanker predicted subsequent incidental memory biases for error events. Collectively, the results demonstrate the potential of a novel paradigm to elucidate mechanisms underlying relations between error monitoring and SA.

Risk avoidance and social anxiety in adolescence: Examination of event-related potentials and theta-dynamics on the Balloon Risk Avoidance Task

Adolescents are at relatively high-risk for developing anxiety, particularly social anxiety. A primary hallmark of social anxiety is the impulse to avoid situations that introduce risk. Here, we examined the neural and behavioral correlates of risk avoidance in adolescents (N=59) 11 to 19 years of age. The Balloon Risk Avoidance Task was used with concurrent electroencephalography to measure event-related potentials (frontal P2; late slow-wave; N2, feedback-related negativity, FRN; posterior P3) and oscillatory dynamics (midfrontal theta, 4-7 Hz) in response to unsuccessful and successful risk avoidance conditions. Social anxiety was measured using the Social Phobia and Anxiety Inventory for Children. Results indicated that, across the whole sample, youth exhibited smaller P3, larger FRN, and larger theta responses to unsuccessful risk avoidance. Youth reporting high (compared to low) levels of social anxiety exhibited larger P2, slow-wave, and FRN responses to unsuccessful, compared to successful, risk avoidance. Further, greater social anxiety was associated with reduced theta responses to successful avoidance. Youth with higher levels of social anxiety showed smaller theta responses to both conditions compared to those with low levels of social anxiety. Taken together, the ERP-component differences and weakened theta power in socially anxious youth following unsuccessful avoidance are informative neural correlates for socially anxious youth during risk avoidance.

Neural activation changes following attention bias modification treatment or a selective serotonin reuptake inhibitor for social anxiety disorder

BACKGROUND

Delineation of changes in neural function associated with novel and established treatments for social anxiety disorder (SAD) can advance treatment development. We examined such changes following selective serotonin reuptake inhibitor (SSRI) and attention bias modification (ABM) variant - gaze-contingent music reward therapy (GC-MRT), a first-line and an emerging treatments for SAD.

METHODS

Eighty-one patients with SAD were allocated to 12-week treatments of either SSRI or GC-MRT, or waitlist (ns = 22, 29, and 30, respectively). Baseline and post-treatment functional magnetic resonance imaging (fMRI) data were collected during a social-threat processing task, in which attention was directed toward and away from threat/neutral faces.

RESULTS

Patients who received GC-MRT or SSRI showed greater clinical improvement relative to patients in waitlist. Compared to waitlist patients, treated patients showed greater activation increase in the right inferior frontal gyrus and anterior cingulate cortex when instructed to attend toward social threats and away from neutral stimuli. An additional anterior cingulate cortex cluster differentiated between the two active groups. Activation in this region increased in ABM and decreased in SSRI. In the ABM group, symptom change was positively correlated with neural activation change in the dorsolateral prefrontal cortex.

CONCLUSIONS

Brain function measures show both shared and treatment-specific changes following ABM and SSRI treatments for SAD, highlighting the multiple pathways through which the two treatments might work. Treatment-specific neural responses suggest that patients with SAD who do not fully benefit from SSRI or ABM may potentially benefit from the alternative treatment, or from a combination of the two.

TRIAL REGISTRATION

ClinicalTrials.gov, Identifier: NCT03346239. https://clinicaltrials.gov/ct2/show/NCT03346239.

Flanker task parameters are related to the strength of association between the ERN and anxiety: a meta-analysis

The error-related negativity (ERN)-an index of error monitoring-is associated with anxiety symptomatology. Although recent work suggests associations between the ERN and anxiety are relatively modest, little attention has been paid to how variation in task parameters may influence the strength of ERN-anxiety associations. To close this gap, the current meta-analysis assesses the possible influence of task parameter variation in the Flanker task-the most commonly used task to elicit the ERN-on observed ERN-anxiety associations. Here, we leveraged an existing open database of published/unpublished ERN-anxiety effect sizes, supplementing this database by further coding for variation in stimulus type (letter vs. arrow), response type (one-handed vs. two-handed), and block-level feedback (with vs. without). We then performed meta-regression analyses to assess whether variation in these Flanker task parameters moderated the effect size of ERN-anxiety associations. No evidence for an effect of stimulus type was identified. However, both response type and block-level feedback significantly moderated the magnitude of ERN-anxiety associations. Specifically, studies employing either a two-handed (vs. one-handed) task, or those with (vs. without) block-level feedback exhibited more than a two-fold increase in the estimated ERN-anxiety effect size. Thus, accounting for common variation in task parameters may at least partially explain apparent inconsistencies in the literature regarding the magnitude of ERN-anxiety associations. At a practical level, these data can inform the design of studies seeking to maximize ERN-anxiety associations. At a theoretical level, the results also inform testable hypotheses regarding the exact nature of the association between the ERN and anxiety.

Successful retrieval is its own reward

The ability to successfully remember past events is critical to our daily lives, yet the neural mechanisms underlying the motivation to retrieve is unclear. Although reward-system activity and feedback-related signals have been observed during memory retrieval, whether this signal reflects intrinsic reward or goal-attainment is unknown. Adjudicating between these two alternatives is crucial for understanding how individuals are motivated to engage in retrieval and how retrieval supports later remembering. To test these two accounts, we conducted between-subjects recognition memory tasks on human participants undergoing scalp electroencephalography and varied test-phase goals (recognize old vs. detect new items). We used an independently validated feedback classifier to measure positive feedback evidence. We find positive feedback following successful retrieval regardless of task goals. Together, these results suggest that successful retrieval is intrinsically rewarding. Such a feedback signal may promote future retrieval attempts as well as bolster later memory for the successfully retrieved events.

Alpha and theta oscillations on a visual strategic processing task in age-related hearing loss

Introduction

Emerging evidence suggests changes in several cognitive control processes in individuals with age-related hearing loss (ARHL). However, value-directed strategic processing, which involves selectively processing salient information based on high value, has been relatively unexplored in ARHL. Our previous work has shown behavioral changes in strategic processing in individuals with ARHL. The current study examined event-related alpha and theta oscillations linked to a visual, value-directed strategic processing task in 19 individuals with mild untreated ARHL and 17 normal hearing controls of comparable age and education.

Methods

Five unique word lists were presented where words were assigned high- or low-value based on the letter case, and electroencephalography (EEG) data was recorded during task performance.

Results

The main effect of the group was observed in early time periods. Specifically, greater theta synchronization was seen in the ARHL group relative to the control group. Interaction between group and value was observed at later time points, with greater theta synchronization for high- versus low-value information in those with ARHL.

Discussion

Our findings provide evidence for oscillatory changes tied to a visual task of value-directed strategic processing in individuals with mild untreated ARHL. This points towards modality-independent neurophysiological changes in cognitive control in individuals with mild degrees of ARHL and adds to the rapidly growing literature on the cognitive consequences of ARHL.

Modulation of human frontal midline theta by neurofeedback: A systematic review and quantitative meta-analysis

Human brain activity consists of different frequency bands associated with varying functions. Oscillatory activity of frontal brain regions in the theta range (4-8 Hz) is linked to cognitive processing and can be modulated by neurofeedback - a technique where participants receive real-time feedback about their brain activity and learn to modulate it. However, criticism of this technique evolved, and high heterogeneity of study designs complicates a valid evaluation of its effectiveness. This meta-analysis provides the first systematic overview over studies attempting to modulate frontal midline theta with neurofeedback in healthy human participants. Out of 1261 articles screened, 14 studies were eligible for systematic review and 11 for quantitative meta-analyses. Studies were evaluated following the DIAD model and the PRISMA guidelines. A significant across-study effect of medium size (Hedges' g = .66; 95%-CI [-0.62, 1.73]) with substantial between-study heterogeneity (Q(16) = 167.43, p < .001) was observed and subanalysis revealed effective frontal midline theta upregulation. We discuss moderators of effect sizes and provide guidelines for future research in this dynamic field.

Neural Mechanisms of Malodor Masking: A Wearable EEG Study

Olfactory neuroscience has uncovered much about the neural underpinnings of conscious olfactory evaluations, most particularly in relation to pleasantness. Past research have focused on how the brain responds to purely pleasant or unpleasant odors, leaving little known about the neural responses to the masking of known unpleasant stimuli (malodors) by pleasant stimuli. To address this, in the present study participants were exposed to malodor of high and low intensity, with and without a pleasant masking stimuli. Electroencephalography (EEG) analyses have revealed that malodor masking induces significant modulations in cortical activity over frontal, central and parietal cortex, supported primarily by θ and β frequency band oscillations, which likely represent attention and affective neural processing, while also involving δ and α band oscillations. The findings pave the way for EEG-based detection of malodor suppression, which can support the design of effective olfactory masking techniques to combat odor annoyance in domestic and public environments.

Disentangling effort from probability of success: Temporal dynamics of frontal midline theta in effort-based reward processing

The ability to weigh a reward against the effort required to acquire it is critical for decision-making. However, extant experimental paradigms oftentimes confound increased effort demand with decreased reward probability, thereby obscuring neural correlates underlying these cognitive processes. To resolve this issue, we designed novel tasks that disentangled probability of success - and therefore reward probability - from effort demand. In Experiment 1, reward magnitude and effort demand were varied while reward probability was kept constant. In Experiment 2, effort demand and reward probability were varied while reward magnitude remained fixed. Electroencephalogram (EEG) data was recorded to explore how frontal midline theta (FMT; an electrophysiological index of mPFC function) and component P3 (an index of incentive salience) respond to effort demand, and reward magnitude and probability. We found no evidence that FMT tracked effort demands or net value during cue evaluation. At feedback, however, FMT power was enhanced for high compared to low effort trials, but not modulated by reward magnitude or probability. Conversely, P3 was sensitive to reward magnitude and probability at both cue and feedback phases and only integrated expended effort costs at feedback, such that P3 amplitudes continued to scale with reward magnitude and probability but were also increased for high compared to low effort reward feedback. These findings suggest that, when likelihood of success is equal, FMT power does not track net value of prospective effort-based rewards. Instead, expended cognitive effort potentiates FMT power and enhances the saliency of rewards at feedback. SIGNIFICANCE STATEMENT: The way the brain weighs rewards against the effort required to achieve them is critical for understanding motivational disorders. Current paradigms confound increased effort demand with decreased reward probability, making it difficult to disentangle neural activity associated with effort costs from those associated with reward likelihood. Here, we explored the temporal dynamics of effort-based reward (via frontal midline theta (FMT) and component P3) while participants underwent a novel paradigm that kept probability of reward constant between mental effort demand conditions. Our findings suggest that the FMT does not track net value and that expended effort enhances, instead of attenuates, the saliency of rewards.

Linking Dementia Pathology and Alteration in Brain Activation to Complex Daily Functional Decline During the Preclinical Dementia Stages: Protocol for a Prospective Observational Cohort Study

BACKGROUND

Progressive difficulty in performing everyday functional activities is a key diagnostic feature of dementia syndromes. However, not much is known about the neural signature of functional decline, particularly during the very early stages of dementia. Early intervention before overt impairment is observed offers the best hope of reducing the burdens of Alzheimer disease (AD) and other dementias. However, to justify early intervention, those at risk need to be detected earlier and more accurately. The decline in complex daily function (CdF) such as managing medications has been reported to precede impairment in basic activities of daily living (eg, eating and dressing).

OBJECTIVE

Our goal is to establish the neural signature of decline in CdF during the preclinical dementia period.

METHODS

Gait is central to many CdF and community-based activities. Hence, to elucidate the neural signature of CdF, we validated a novel electroencephalographic approach to measuring gait-related brain activation while participants perform complex gait-based functional tasks. We hypothesize that dementia-related pathology during the preclinical period activates a unique gait-related electroencephalographic (grEEG) pattern that predicts a subsequent decline in CdF.

RESULTS

We provide preliminary findings showing that older adults reporting CdF limitations can be characterized by a unique gait-related neural signature: weaker sensorimotor and stronger motor control activation. This subsample also had smaller brain volume and white matter hyperintensities in regions affected early by dementia and engaged in less physical exercise. We propose a prospective observational cohort study in cognitively unimpaired older adults with and without subclinical AD (plasma amyloid-β) and vascular (white matter hyperintensities) pathologies. We aim to (1) establish the unique grEEG activation as the neural signature and predictor of decline in CdF during the preclinical dementia period; (2) determine associations between dementia-related pathologies and incidence of the neural signature of CdF; and (3) establish associations between a dementia risk factor, physical inactivity, and the neural signature of CdF.

CONCLUSIONS

By establishing the clinical relevance and biological basis of the neural signature of CdF decline, we aim to improve prediction during the preclinical stages of ADs and other dementias. Our approach has important research and translational implications because grEEG protocols are relatively inexpensive and portable, and predicting CdF decline may have real-world benefits.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID)

DERR1-10.2196/56726.

Basal ganglia theta power indexes trait anxiety in people with Parkinson's disease

Background

Neuropsychiatric symptoms are common and disabling in Parkinson's disease (PD), with troublesome anxiety occurring in one-third of patients. Management of anxiety in PD is challenging, hampered by insufficient insight into underlying mechanisms, lack of objective anxiety measurements, and largely ineffective treatments.In this study, we assessed the intracranial neurophysiological correlates of anxiety in PD patients treated with deep brain stimulation (DBS) in the laboratory and at home. We hypothesized that low-frequency (theta-alpha) activity would be associated with anxiety.

Methods

We recorded local field potentials (LFP) from the subthalamic nucleus (STN) or the globus pallidus pars interna (GPi) DBS implants in three PD cohorts: 1) patients with recordings (STN) performed in hospital at rest via perioperatively externalized leads, without active stimulation, both ON or OFF dopaminergic medication; 2) patients with recordings (STN or GPi) performed at home while resting, via a chronically implanted commercially available sensing-enabled neurostimulator (Medtronic Percept™ device), ON dopaminergic medication, with stimulation both ON or OFF; 3) patients with recordings performed at home while engaging in a behavioral task via STN and GPi leads and electrocorticography paddles (ECoG) over premotor cortex connected to an investigational sensing-enabled neurostimulator, ON dopaminergic medication, with stimulation both ON or OFF.Trait anxiety was measured with validated clinical scales in all participants, and state anxiety was measured with momentary assessment scales at multiple time points in the two at-home cohorts. Power in theta (4-8 Hz) and alpha (8-12 Hz) ranges were extracted from the LFP recordings, and their relation with anxiety ratings was assessed using linear mixed-effects models.

Results

In total, 33 PD patients (59 hemispheres) were included. Across three independent cohorts, with stimulation OFF, basal ganglia theta power was positively related to trait anxiety (all p<0.05). Also in a naturalistic setting, with individuals at home at rest with stimulation and medication ON, basal ganglia theta power was positively related to trait anxiety (p<0.05). This relationship held regardless of the hemisphere and DBS target. There was no correlation between trait anxiety and premotor cortical theta-alpha power. There was no within-patient association between basal ganglia theta-alpha power and state anxiety.

Conclusion

We showed that basal ganglia theta activity indexes trait anxiety in PD. Our data suggest that theta could be a possible physiomarker of neuropsychiatric symptoms and specifically of anxiety in PD, potentially suitable for guiding advanced DBS treatment tailored to the individual patient's needs, including non-motor symptoms.

Interictal EEG features as computational biomarkers of West syndrome

BACKGROUND

West syndrome (WS) is a devastating epileptic encephalopathy with onset in infancy and early childhood. It is characterized by clustered epileptic spasms, developmental arrest, and interictal hypsarrhythmia on electroencephalogram (EEG). Hypsarrhythmia is considered the hallmark of WS, but its visual assessment is challenging due to its wide variability and lack of a quantifiable definition. This study aims to analyze the EEG patterns in WS and identify computational diagnostic biomarkers of the disease.

METHOD

Linear and non-linear features derived from EEG recordings of 31 WS patients and 20 age-matched controls were compared. Subsequently, the correlation of the identified features with structural and genetic abnormalities was investigated.

RESULTS

WS patients showed significantly elevated alpha-band activity (0.2516 vs. 0.1914, p < 0.001) and decreased delta-band activity (0.5117 vs. 0.5479, p < 0.001), particularly in the occipital region, as well as globally strengthened theta-band activity (0.2145 vs. 0.1655, p < 0.001) in power spectrum analysis. Moreover, wavelet-bicoherence analysis revealed significantly attenuated cross-frequency coupling in WS patients. Additionally, bi-channel coherence analysis indicated minor connectivity alterations in WS patients. Among the four non-linear characteristics of the EEG data (i.e., approximate entropy, sample entropy, permutation entropy, and wavelet entropy), permutation entropy showed the most prominent global reduction in the EEG of WS patients compared to controls (1.4411 vs. 1.5544, p < 0.001). Multivariate regression results suggested that genetic etiologies could influence the EEG profiles of WS, whereas structural factors could not.

SIGNIFICANCE

A combined global strengthening of theta activity and global reduction of permutation entropy can serve as computational EEG biomarkers for WS. Implementing these biomarkers in clinical practice may expedite diagnosis and treatment in WS, thereby improving long-term outcomes.

Approaching lifelong learning: An integrated framework for explaining decision-making processes in personal and professional development

BACKGROUND

Individual differences in commitment to lifelong learning, a process aimed at seizing opportunities for self-development, have not been extensively studied.

OBJECTIVE

Our aim is to provide a comprehensive understanding of the decision-making mechanisms involved in pursuing learning for self-development.

METHOD

We conducted a literature review on the taxing nature of cognitive exertion and its impact on the inclination to engage in cognitively demanding tasks for learning, as well as individual differences in sensitivity to aversive or rewarding outcomes inherent in the learning process.

RESULTS

Our findings indicate that the Expected Value of Control (EVC) theory can elucidate the former, while research on approach-avoidance motivation can shed light on the latter.

CONCLUSION

We propose and develop an integrated framework that incorporates both lines of research. This framework holds relevance for neuropsychology, experimental psychology, and education psychology, offering theoretical guidance for tailoring learning experiences to enhance engagement and commitment to self-development.

Rhythmic Attention and ADHD: A Narrative and Systematic Review

In recent decades, a growing body of evidence has confirmed the existence of rhythmic fluctuations in attention, but the effect of inter-individual variations in these attentional rhythms has yet to be investigated. The aim of this review is to identify trends in the attention deficit/hyperactivity disorder (ADHD) literature that could be indicative of between-subject differences in rhythmic attention. A narrative review of the rhythmic attention and electrophysiological ADHD research literature was conducted, and the commonly-reported difference in slow-wave power between ADHD subjects and controls was found to have the most relevance to an understanding of rhythmic attention. A systematic review of the literature examining electrophysiological power differences in ADHD was then conducted to identify studies with conditions similar to those utilised in the rhythmic attention research literature. Fifteen relevant studies were identified and reviewed. The most consistent finding in the studies reviewed was for no spectral power differences between ADHD subjects and controls. However, the strongest trend in the studies reporting power differences was for higher power in the delta and theta frequency bands and lower power in the alpha band. In the context of rhythmic attention, this trend is suggestive of a slowing in the frequency and/or increase in the amplitude of the attentional oscillation in a subgroup of ADHD subjects. It is suggested that this characteristic electrophysiological modulation could be indicative of a global slowing of the attentional rhythm and/or an increase in the rhythmic recruitment of neurons in frontal attention networks in individuals with ADHD.

Anxiety Symptoms in Young Children Are Associated With a Maladaptive Neurobehavioral Profile of Error Responding

BACKGROUND

Childhood anxiety symptoms have been linked to alterations in cognitive control and error processing, but the diverse findings on neural markers of anxiety in young children, which vary by severity and developmental stage, suggest the need for a wider perspective. Integrating new neural markers with established ones, such as the error-related negativity, the error positivity, and frontal theta, could clarify this association. Error-related alpha suppression (ERAS) is a recently proposed index of post-error attentional engagement that has not yet been explored in children with anxiety.

METHODS

To identify neurobehavioral profiles of anxiety in young children by integrating ERAS with the error-related negativity, error positivity, frontal theta, and post-error performance indicators, we employed K-means clustering as an unsupervised multimetric approach. For this, we first aimed to confirm the presence and scalp distribution of ERAS in young children. We performed event-related potentials and spectral analysis of electroencephalogram data collected during a Go/NoGo task (Zoo Task) completed by 181 children (ages 4-7 years; 103 female) who were sampled from across the clinical-to-nonclinical range of anxiety severity using the Child Behavior Checklist.

RESULTS

Results confirmed ERAS, showing lower post-error alpha power, maximal suppression at occipital sites, and less ERAS in younger children. K-means clustering revealed that high anxiety and younger age were associated with reduction in ERAS and frontal theta, less negative error-related negativity, enlarged error positivity, more post-error slowing, and reduced post-error accuracy.

CONCLUSIONS

Our findings indicate a link between ERAS, maladaptive neural mechanisms of attention elicited by errors, and anxiety in young children, suggesting that anxiety may arise from or interfere with attention and error processing.

Long-lasting negativity in the left motoric brain structures during word memory inhibition in the Think/No-Think paradigm

In this study, we investigated the electrical brain responses in a high-density EEG array (64 electrodes) elicited specifically by the word memory cue in the Think/No-Think paradigm in 46 participants. In a first step, we corroborated previous findings demonstrating sustained and reduced brain electrical frontal and parietal late potentials elicited by memory cues following the No-Think (NT) instructions as compared to the Think (T) instructions. The topographical analysis revealed that such reduction was significant 1000 ms after memory cue onset and that it was long-lasting for 1000 ms. In a second step, we estimated the underlying brain generators with a distributed method (swLORETA) which does not preconceive any localization in the gray matter. This method revealed that the cognitive process related to the inhibition of memory retrieval involved classical motoric cerebral structures with the left primary motor cortex (M1, BA4), thalamus, and premotor cortex (BA6). Also, the right frontal-polar cortex was involved in the T condition which we interpreted as an indication of its role in the maintaining of a cognitive set during remembering, by the selection of one cognitive mode of processing, Think, over the other, No-Think, across extended periods of time, as it might be necessary for the successful execution of the Think/No-Think task.

Dysfunctional feedback processing in male methamphetamine abusers: Evidence from neurophysiological and computational approaches

Methamphetamine use disorder (MUD) as a major public health risk is associated with dysfunctional neural feedback processing. Although dysfunctional feedback processing in people who are substance dependent has been explored in several behavioral, computational, and electrocortical studies, this mechanism in MUDs requires to be well understood. Furthermore, the current understanding of latent components of their behavior such as learning speed and exploration-exploitation dilemma is still limited. In addition, the association between the latent cognitive components and the related neural mechanisms also needs to be explored. Therefore, in this study, the underlying neurocognitive mechanisms of feedback processing of such impairment, and age/gender-matched healthy controls are evaluated within a probabilistic learning task with rewards and punishments. Mathematical modeling results based on the Q-learning paradigm suggested that MUDs show less sensitivity in distinguishing optimal options. Additionally, it may be worth noting that MUDs exhibited a slight decrease in their ability to learn from negative feedback compared to healthy controls. Also through the lens of underlying neural mechanisms, MUDs showed lower theta power at the medial-frontal areas while responding to negative feedback. However, other EEG measures of reinforcement learning including feedback-related negativity, parietal-P300, and activity flow from the medial frontal to lateral prefrontal regions, remained intact in MUDs. On the other hand, the elimination of the linkage between value sensitivity and medial-frontal theta activity in MUDs was observed. The observed dysfunction could be due to the adverse effects of methamphetamine on the cortico-striatal dopamine circuit, which is reflected in the anterior cingulate cortex activity as the most likely region responsible for efficient behavior adjustment. These findings could help us to pave the way toward tailored therapeutic approaches.

Midfrontal theta reactivity to conflict and error are linked to externalizing and internalizing respectively

Dimensional psychopathology scores measure symptom severity; cutting across disorder categories. Their clinical utility is high given comorbidity, but their neural basis is unclear. We used scalp electroencephalography (EEG) to concurrently assess neural activity across internalizing and externalizing traits. "Theta rhythm" (4-7 Hz) spectral power at the frontal midline site Fz in specific goal conflict and action error phases within a trial of a Stop-Signal Task was extracted using process-specific contrasts. A final sample of 146 community participants (63 males, 83 females; mean age = 36; SD = 9; range = 18 - 56), oversampled for externalizing disorder (49% diagnosed with a DSM-5 externalizing disorder), also supplied psychopathology and personality data. We used the Minnesota Multiphasic Personality Inventory-3 (MMPI-3) to measure symptoms and traits of psychopathology. An MMPI-3 measure of the higher-order internalizing psychopathology spectrum was positively correlated with action error theta. An MMPI-3 measure of the higher-order spectrum of externalizing psychopathology was negatively correlated with goal-conflict theta. We showed that goal-conflict and error theta activity are higher-order processes that index psychopathology severity. The associations extend into the nominally healthy range, and so reflect theta-related factors that apply to the general population as well as patients with sub-threshold diagnoses.

Midfrontal conflict theta and parietal P300 are linked to a latent factor of DSM externalising disorders

Psychiatric illnesses form spectra rather than categories, with symptoms varying continuously across individuals, i.e., there is no clear break between health and disorder. Dimensional measures of behaviour and brain activity are promising targets for studying biological mechanisms that are common across disorders. Here, we assessed the extent to which neural measures of the sensitivity of the three biological systems in the reinforcement sensitivity theory (RST) could account for individual differences in a latent general factor estimated from symptom counts across externalising disorders (EXTs). RST explanatory power was pitted against reduced P300, a reliable indicator of externalising per previous research. We assessed 206 participants for DSM-5 EXTs (antisocial personality disorder, conduct disorder, attention-deficit/hyperactivity disorder, intermittent explosive disorder symptoms, alcohol use disorder, and cannabis use disorder). Of the final sample, 49% met diagnostic criteria for at least one of the EXTs. Electroencephalographic measures of the sensitivities of the behavioural activation system (BAS), the fight/flight/freeze system, and the behavioural inhibition system (BIS), as well as P300 were extracted from the gold bar-lemon and stop-signal tasks. As predicted, we found that low neural BIS sensitivity and low P300 were uniquely and negatively associated with our latent factor of externalising. Contrary to prediction, neural BAS/"dopamine" sensitivity was not associated with externalising. Our results provide empirical support for low BIS sensitivity and P300 as neural mechanisms common to disorders within the externalising spectrum; but, given the low N involved, future studies should seek to assess the replicability of our findings and, in particular, the differential involvement of the three RST systems.