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Tillman GD, Motes MA, Bass CM, Morris EE, Jones P, Kozel FA, Hart J, Kraut MA. Auditory N2 Correlates of Treatment Response in Posttraumatic Stress Disorder. J Trauma Stress 2022; 35:90-100. [PMID: 33960006 DOI: 10.1002/jts.22684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Revised: 03/18/2021] [Accepted: 03/21/2021] [Indexed: 11/06/2022]
Abstract
Emotional processing and cognitive control are implicated as being dysfunctional in posttraumatic stress disorder (PTSD) and targeted in cognitive processing therapy (CPT), a trauma-focused treatment for PTSD. The N2 event-related potential has been interpreted in the context of emotional processing and cognitive control. In this analysis of secondary outcome measures from a randomized controlled trial, we investigated the latency and amplitude changes of the N2 in responses to task-relevant target tones and task-irrelevant distractor sounds (e.g., a trauma-related gunshot and a trauma-unrelated lion's roar) and the associations between these responses and PTSD symptom changes. United States military veterans (N = 60) diagnosed with combat-related PTSD were randomized to either active or sham repetitive transcranial magnetic stimulation (rTMS) and received a CPT intervention that included a written trauma account element (CPT+A). Participants were tested before and 6 months after protocol completion. Reduction in N2 amplitude to the gunshot stimulus was correlated with reductions in reexperiencing, |r| = .445, and hyperarousal measures, |r| = .364. In addition, in both groups, the latency of the N2 event-related potential to the distractors became longer with treatment and the N2 latency to the task-relevant stimulus became shorter, ηp 2 = .064, both of which are consistent with improved cognitive control. There were no between-group differences in N2 amplitude and latency. Normalized N2 latencies, reduced N2 amplitude to threatening distractors, and the correlation between N2 amplitude reduction and PTSD symptom reduction reflect improved cognitive control, consistent with the CPT+A objective of addressing patients' abilities to respond more appropriately to trauma triggers.
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Affiliation(s)
- Gail D Tillman
- Callier Center, University of Texas at Dallas, Dallas, Texas, USA
| | - Michael A Motes
- Callier Center, University of Texas at Dallas, Dallas, Texas, USA
| | - Christina M Bass
- Callier Center, University of Texas at Dallas, Dallas, Texas, USA
| | | | - Penelope Jones
- Callier Center, University of Texas at Dallas, Dallas, Texas, USA
| | - F Andrew Kozel
- Mental Health and Behavioral Sciences, James A. Haley Veterans Administration Hospital and Clinics, Tampa, Florida, USA.,Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa, Florida, USA
| | - John Hart
- Callier Center, University of Texas at Dallas, Dallas, Texas, USA.,Departments of Neurology & Neurotherapeutics and Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Michael A Kraut
- Departments of Neurology & Neurotherapeutics and Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas, USA
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Mühlberg S, Müller MM. Alignment of Continuous Auditory and Visual Distractor Stimuli Is Leading to an Increased Performance. Front Psychol 2020; 11:790. [PMID: 32457678 PMCID: PMC7225351 DOI: 10.3389/fpsyg.2020.00790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2019] [Accepted: 03/31/2020] [Indexed: 12/02/2022] Open
Abstract
Information across different senses can affect our behavior in both positive and negative ways. Stimuli aligned with a target stimulus can lead to improved behavioral performances, while competing, transient stimuli often negatively affect our task performance. But what about subtle changes in task-irrelevant multisensory stimuli? Within this experiment we tested the effect of the alignment of subtle auditory and visual distractor stimuli on the performance of detection and discrimination tasks respectively. Participants performed either a detection or a discrimination task on a centrally presented Gabor patch, while being simultaneously subjected to a random dot kinematogram, which alternated its color from green to red with a frequency of 7.5 Hz and a continuous tone, which was either a frequency modulated pure tone for the audiovisual congruent and incongruent conditions or white noise for the visual control condition. While the modulation frequency of the pure tone initially differed from the modulation frequency of the random dot kinematogram, the modulation frequencies of both stimuli could align after a variable delay, and we measured accuracy and reaction times around the possible alignment time. We found increases in accuracy for the audiovisual congruent condition suggesting subtle alignments of multisensory background stimuli can increase performance on the current task.
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Rescuing the attentional performance of rats with cholinergic losses by the M1 positive allosteric modulator TAK-071. Psychopharmacology (Berl) 2020; 237:137-153. [PMID: 31620809 DOI: 10.1007/s00213-019-05354-5] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2019] [Accepted: 08/15/2019] [Indexed: 02/07/2023]
Abstract
RATIONALE Loss of basal forebrain cholinergic neurons contributes to the severity of the cognitive decline in age-related dementia and, in patients with Parkinson's disease (PD), to impairments in gait and balance and the resulting risks for falls. Contrasting with the extensive evidence indicating an essential role of cholinergic activity in mediating cognitive, specifically attentional abilities, treatment with conventional acetylcholinesterase inhibitors (AChEIs) has not fulfilled the promise of efficacy of pro-cholinergic treatments. OBJECTIVES Here, we investigated the potential usefulness of a muscarinic M1 positive allosteric modulator (PAM) in an animal model of cholinergic loss-induced impairments in attentional performance. Given evidence indicating that fast, transient cholinergic signaling mediates the detection of cues in attentional contexts, we hypothesized that a M1 PAM amplifies such transient signaling and thereby rescues attentional performance. RESULTS Rats performed an operant sustained attention task (SAT), including in the presence of a distractor (dSAT) and during a post-distractor (post-dSAT) period. The post-dSAT period served to assess the capacity for recovering performance following a disruptive event. Basal forebrain infusions of the cholino-specific immunotoxin 192 IgG-saporin impaired SAT performance, and greater cholinergic losses predicted lower post-dSAT performance. Administration of TAK-071 (0.1, 0.3 mg/kg, p.o., administered over 6-day blocks) improved the performance of all rats during the post-dSAT period (main effect of dose). Drug-induced improvement of post-dSAT performance was relatively greater in lesioned rats, irrespective of sex, but also manifested in female control rats. TAK-071 primarily improved perceptual sensitivity (d') in lesioned rats and facilitated the adoption of a more liberal response bias (B˝D) in all female rats. CONCLUSIONS These findings suggest that TAK-071 may benefit the attentional performance of patients with partial cholinergic losses and specifically in situations that tax top-down, or goal-driven, attentional control.
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Szalárdy O, Tóth B, Farkas D, György E, Winkler I. Neuronal Correlates of Informational and Energetic Masking in the Human Brain in a Multi-Talker Situation. Front Psychol 2019; 10:786. [PMID: 31024409 PMCID: PMC6465330 DOI: 10.3389/fpsyg.2019.00786] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2018] [Accepted: 03/21/2019] [Indexed: 11/13/2022] Open
Abstract
Human listeners can follow the voice of one speaker while several others are talking at the same time. This process requires segregating the speech streams from each other and continuously directing attention to the target stream. We investigated the functional brain networks underlying this ability. Two speech streams were presented simultaneously to participants, who followed one of them and detected targets within it (target stream). The loudness of the distractor speech stream varied on five levels: moderately softer, slightly softer, equal, slightly louder, or moderately louder than the attended. Performance measures showed that the most demanding task was the moderately softer distractors condition, which indicates that a softer distractor speech may receive more covert attention than louder distractors and, therefore, they require more cognitive resources. EEG-based measurement of functional connectivity between various brain regions revealed frequency-band specific networks: (1) energetic masking (comparing the louder distractor conditions with the equal loudness condition) was predominantly associated with stronger connectivity between the frontal and temporal regions at the lower alpha (8–10 Hz) and gamma (30–70 Hz) bands; (2) informational masking (comparing the softer distractor conditions with the equal loudness condition) was associated with a distributed network between parietal, frontal, and temporal regions at the theta (4–8 Hz) and beta (13–30 Hz) bands. These results suggest the presence of distinct cognitive and neural processes for solving the interference from energetic vs. informational masking.
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Affiliation(s)
- Orsolya Szalárdy
- Institute of Cognitive Neuroscience and Psychology, Research Centre for Natural Sciences, Hungarian Academy of Sciences, Budapest, Hungary.,Institute of Behavioural Sciences, Faculty of Medicine, Semmelweis University, Budapest, Hungary
| | - Brigitta Tóth
- Institute of Cognitive Neuroscience and Psychology, Research Centre for Natural Sciences, Hungarian Academy of Sciences, Budapest, Hungary
| | - Dávid Farkas
- Institute of Cognitive Neuroscience and Psychology, Research Centre for Natural Sciences, Hungarian Academy of Sciences, Budapest, Hungary
| | - Erika György
- Institute of Cognitive Neuroscience and Psychology, Research Centre for Natural Sciences, Hungarian Academy of Sciences, Budapest, Hungary
| | - István Winkler
- Institute of Cognitive Neuroscience and Psychology, Research Centre for Natural Sciences, Hungarian Academy of Sciences, Budapest, Hungary
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Xia R, Jin R, Yong L, Li S, Li S, Zhou A. Temporal Features of the Differentiation between Self-Name and Religious Leader Name among Christians: An ERP Study. Front Psychol 2018; 8:2114. [PMID: 29422874 PMCID: PMC5788907 DOI: 10.3389/fpsyg.2017.02114] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2017] [Accepted: 11/20/2017] [Indexed: 11/21/2022] Open
Abstract
Existing neuroimaging studies have shown that religion, as a subjective culture, can influence self-referential processing. However, the time course of this impact remains unclear. The present study examined how Christians process their own names, the name of their religious leader (i.e., Jesus), and a famous person’s name (i.e., Yao Ming). Behavioral and EEG data were recorded while the participants performed a name-color judgment task for these three names. The behavioral data showed no significant differences in reaction time or accuracy among the names. However, the ERP data showed that the P200 and P300 amplitudes elicited by the self-name and religious leader name were larger than those elicited by the famous name. Furthermore, the self-name also elicited a larger P300 amplitude than the religious leader name did. These results suggested that both the self-name and the religious leader name were processed preferentially due to their important social value for the self as compared to a generally famous name. Importantly, the dissociation between the self-name and the religious leader name was observed at a high-order cognitive stage, which might be attributed to their different roles in one’s self-concept.
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Affiliation(s)
- Ruixue Xia
- School of Psychology, Northwest Normal University, Lanzhou, China.,Key Laboratory of Behavioral and Mental Health of Gansu Province, Lanzhou, China
| | - Ruijie Jin
- School of Psychology, Northwest Normal University, Lanzhou, China.,Key Laboratory of Behavioral and Mental Health of Gansu Province, Lanzhou, China
| | - Lin Yong
- School of Psychology, Northwest Normal University, Lanzhou, China.,Key Laboratory of Behavioral and Mental Health of Gansu Province, Lanzhou, China
| | - Shaodong Li
- School of Psychology, Northwest Normal University, Lanzhou, China.,Key Laboratory of Behavioral and Mental Health of Gansu Province, Lanzhou, China
| | - Shifeng Li
- School of Psychology, Northwest Normal University, Lanzhou, China.,Key Laboratory of Behavioral and Mental Health of Gansu Province, Lanzhou, China
| | - Aibao Zhou
- School of Psychology, Northwest Normal University, Lanzhou, China.,Key Laboratory of Behavioral and Mental Health of Gansu Province, Lanzhou, China
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