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Balada F, Aymamí N, García Ó, García LF, Aluja A. Prefrontal Oxygenation in a Subjective Decision on a Situational Danger Assessment Task: Personality Traits and Decision-Making Styles Involvement. Behav Sci (Basel) 2025; 15:647. [PMID: 40426425 DOI: 10.3390/bs15050647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2025] [Revised: 04/17/2025] [Accepted: 04/30/2025] [Indexed: 05/29/2025] Open
Abstract
This study investigated prefrontal cortex activity during the viewing and evaluation of pictures depicting scenarios with varying levels of danger, with a focus on the modulatory effects of personality traits and decision-making styles. The study sample included 120 male participants (44.4 ± 12.9 years) and 87 female participants (38.9 ± 10.5 years). Functional Near-Infrared Spectroscopy (fNIRS) was used to measure prefrontal oxygenation during the period of looking at pictures and the subsequent period of judging how dangerous they looked. Psychometric assessments included the Zuckerman-Kuhlman-Aluja Personality Questionnaire (ZKA-PQ) and the Melbourne Decision-Making Questionnaire (MDMQ). The results revealed significant time-by-region (F = 2.9, p = 0.013) and danger level by region interactions (F = 2.8, p = 0.021) during the viewing period. During the evaluation period, a significant time-by-region interaction was observed (F = 8.7, p < 0.001). High sensation seekers exhibited reduced oxygenation levels in specific right prefrontal regions, reflecting a differential neural response to varying danger levels. Similarly, individuals with higher Aggressiveness and Extraversion displayed distinct oxygenation patterns during the evaluation phase, suggesting that personality traits influence prefrontal activity. However, no significant effects of decision-making styles were detected in either phase. These findings emphasise the pivotal role of the prefrontal cortex in assessing scene safety and highlight how neural responses are modulated by personality traits, rather than by decision-making styles.
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Affiliation(s)
- Ferran Balada
- Lleida Institute for Biomedical Research, Dr. Pifarré Foundation, 25198 Lleida, Spain
- Department of Psychobiology and Methodology of Health Sciences, Faculty of Psychology, Autonomous University of Barcelona, 08193 Barcelona, Spain
| | - Neus Aymamí
- Lleida Institute for Biomedical Research, Dr. Pifarré Foundation, 25198 Lleida, Spain
- Psychiatry, Mental Health and Addictions Service, Santa Maria Hospital of Lleida, 25198 Lleida, Spain
| | - Óscar García
- Lleida Institute for Biomedical Research, Dr. Pifarré Foundation, 25198 Lleida, Spain
- Department of Psychology, European University of Madrid, 28670 Madrid, Spain
| | - Luis F García
- Lleida Institute for Biomedical Research, Dr. Pifarré Foundation, 25198 Lleida, Spain
- Department of Biological and Health Psychology, Faculty of Psychology, Autonomous University of Madrid, 28049 Madrid, Spain
| | - Anton Aluja
- Lleida Institute for Biomedical Research, Dr. Pifarré Foundation, 25198 Lleida, Spain
- Department of Psychology, Faculty of Psychology, University of Lleida, 25001 Lleida, Spain
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Balada F, Aluja A, García O, Aymamí N, García LF. Prefrontal activity during IOWA Gambling Task in young adult women. Behav Brain Res 2024; 466:114957. [PMID: 38490266 DOI: 10.1016/j.bbr.2024.114957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Revised: 02/05/2024] [Accepted: 03/11/2024] [Indexed: 03/17/2024]
Abstract
This study aims to investigate the relationships between personality traits of impulsivity, using the UPPS-P Impulsive Behaviour Scales shortened version, and prefrontal cortex (PFC) activity during the IOWA Gambling Task (IGT) in young adult women. The study included a sample of 83 young, healthy females (19.8 ± 1.4 years), who voluntarily took part in the study. Repeated measures analysis during the IGT revealed a significant increase in HbO (all p <.001; ηp2 >.31) and a decrease in Hbr (all p <.003; ηp2 >.08) in all prefrontal quadrants. This increase in oxygenation occurs primarily during the choice period under ambiguity (r =.23; p =.039). Additionally, there was a significant linear decrease in selecting the decks associated with a high frequency of losses (p <.001), while the favorable deck with low losses showed a linear increase (F = 12.96; p <.001). Notably, discrepancies were found between UPPS-P and IGT impulsivity ratings. The Lack of Perseverance and Lack of Premeditation scales from the UPPS-P were identified as significant predictors of HbO levels, mainly in the two quadrants of the left hemisphere's, lateral (adjusted R2 =.23; p <.001; f2 =.34) and rostral (adjusted R2 =.13; p <.002; f2 =.17). These findings suggest that young adult women predominantly adopt a punishment-avoidance strategy during IGT, exhibiting increased activation in the left hemisphere, especially during the task's initial phase characterized by ambiguity.
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Affiliation(s)
- Ferran Balada
- Autonomous University of Barcelona, Catalonia, Spain; Lleida Institute for Biomedical Research, Dr. Pifarré Foundation, Catalonia, Spain.
| | - Anton Aluja
- Lleida Institute for Biomedical Research, Dr. Pifarré Foundation, Catalonia, Spain; University of Lleida, Catalonia, Spain
| | - Oscar García
- Lleida Institute for Biomedical Research, Dr. Pifarré Foundation, Catalonia, Spain; European University of Madrid, Spain
| | - Neus Aymamí
- Lleida Institute for Biomedical Research, Dr. Pifarré Foundation, Catalonia, Spain; Psychiatry, Mental Health and Addictions Service, Santa Maria Hospital of Lleida, Catalonia, Spain
| | - Luis F García
- Lleida Institute for Biomedical Research, Dr. Pifarré Foundation, Catalonia, Spain; Autonomous University of Madrid, Spain
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Chen J, Yu K, Zhuang S, Zhang D. Exploratory insights into prefrontal cortex activity in continuous glucose monitoring: findings from a portable wearable functional near-infrared spectroscopy system. Front Neurosci 2024; 18:1342744. [PMID: 38779512 PMCID: PMC11110533 DOI: 10.3389/fnins.2024.1342744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2023] [Accepted: 04/17/2024] [Indexed: 05/25/2024] Open
Abstract
The escalating global prevalence of diabetes highlights an urgent need for advancements in continuous glucose monitoring (CGM) technologies that are non-invasive, accurate, and user-friendly. Here, we introduce a groundbreaking portable wearable functional near-infrared spectroscopy (fNIRS) system designed to monitor glucose levels by assessing prefrontal cortex (PFC) activity. Our study delineates the development and application of this novel fNIRS system, emphasizing its potential to revolutionize diabetes management by providing a non-invasive, real-time monitoring solution. Fifteen healthy university students participated in a controlled study, where we monitored their PFC activity and blood glucose levels under fasting and glucose-loaded conditions. Our findings reveal a significant correlation between PFC activity, as measured by our fNIRS system, and blood glucose levels, suggesting the feasibility of fNIRS technology for CGM. The portable nature of our system overcomes the mobility limitations of traditional setups, enabling continuous, real-time monitoring in everyday settings. We identified 10 critical features related to blood glucose levels from extensive fNIRS data and successfully correlated PFC function with blood glucose levels by constructing predictive models. Results show a positive association between fNIRS data and blood glucose levels, with the PFC exhibiting a clear response to blood glucose. Furthermore, the improved regressive rule principal component analysis (PCA) method outperforms traditional PCA in model prediction. We propose a model validation approach based on leave-one-out cross-validation, demonstrating the unique advantages of K-nearest neighbor (KNN) models. Comparative analysis with existing CGM methods reveals that our paper's KNN model exhibits lower RMSE and MARD at 0.11 and 8.96%, respectively, and the fNIRS data were highly significant positive correlation with actual blood glucose levels (r = 0.995, p < 0.000). This study provides valuable insights into the relationship between metabolic states and brain activity, laying the foundation for innovative CGM solutions. Our portable wearable fNIRS system represents a significant advancement in effective diabetes management, offering a promising alternative to current technologies and paving the way for future advancements in health monitoring and personalized medicine.
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Affiliation(s)
| | | | | | - Dawei Zhang
- Research Center of Optical Instrument and System, Ministry of Education and Shanghai Key Lab of Modern Optical System, University of Shanghai for Science and Technology, Shanghai, China
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Shao C, Zhang X, Wu Y, Zhang W, Sun B. Increased Interpersonal Brain Synchronization in Romantic Couples Is Associated with Higher Honesty: An fNIRS Hyperscanning Study. Brain Sci 2023; 13:brainsci13050833. [PMID: 37239304 DOI: 10.3390/brainsci13050833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2023] [Revised: 05/16/2023] [Accepted: 05/19/2023] [Indexed: 05/28/2023] Open
Abstract
Previous studies on the brain-brain interaction of deception have shown different patterns of interpersonal brain synchronization (IBS) between different genders. However, the brain-brain mechanisms in the cross-sex composition need to be better understood. Furthermore, there needs to be more discussion about how relationships (e.g., romantic couples vs. strangers) affect the brain-brain mechanism under interactive deception. To elaborate on these issues, we used the functional near-infrared spectroscopy (fNIRS)-based hyperscanning approach to simultaneously measure interpersonal brain synchronization (IBS) in romantic couples (heterosexual) and cross-sex stranger dyads during the sender-receiver game. The behavioral results found that the deception rate of males was lower than that of females, and romantic couples were deceived less than strangers. Significantly increased IBS was observed in the frontopolar cortex (FPC) and right temporoparietal junction (rTPJ) of the romantic couple group. Moreover, the IBS is negatively correlated with the deception rate. No significantly increased IBS was observed in cross-sex stranger dyads. The result corroborated the lower deception of males and romantic couples in cross-sex interactions. Furthermore, IBS in the PFC and rTPJ was the underlying dual-brain neural basis for supporting honesty in romantic couples.
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Affiliation(s)
- Chong Shao
- School of Psychology, Zhejiang Normal University, Jinhua 321004, China
| | - Xuecheng Zhang
- School of Psychology, Zhejiang Normal University, Jinhua 321004, China
| | - You Wu
- School of Psychology, Zhejiang Normal University, Jinhua 321004, China
| | - Wenhai Zhang
- School of Psychology, Zhejiang Normal University, Jinhua 321004, China
- Big Data Center for Educational Neuroscience and Artificial Intelligence, Hengyang Normal University, Hengyang 421001, China
| | - Binghai Sun
- School of Psychology, Zhejiang Normal University, Jinhua 321004, China
- Key Laboratory of Intelligent Education Technology and Application of Zhejiang Province, Zhejiang Normal University, Jinhua 321004, China
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Bystritsky A, Spivak NM, Dang BH, Becerra SA, Distler MG, Jordan SE, Kuhn TP. Brain circuitry underlying the ABC model of anxiety. J Psychiatr Res 2021; 138:3-14. [PMID: 33798786 DOI: 10.1016/j.jpsychires.2021.03.030] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Revised: 03/12/2021] [Accepted: 03/17/2021] [Indexed: 12/13/2022]
Abstract
Anxiety Disorders are prevalent and often chronic, recurrent conditions that reduce quality of life. The first-line treatments, such as serotonin reuptake inhibitors and cognitive behavioral therapy, leave a significant proportion of patients symptomatic. As psychiatry moves toward targeted circuit-based treatments, there is a need for a theory that unites the phenomenology of anxiety with its underlying neural circuits. The Alarm, Belief, Coping (ABC) theory of anxiety describes how the neural circuits associated with anxiety interact with each other and domains of the anxiety symptoms, both temporally and spatially. The latest advancements in neuroimaging techniques offer the ability to assess these circuits in vivo. Using Neurosynth, a large open-access meta-analytic imaging database, the association between terms related to specific neural circuits was explored within the ABC theory framework. Alarm-related terms were associated with the amygdala, anterior cingulum, insula, and bed nucleus of stria terminalis. Belief-related terms were associated with medial prefrontal cortex, precuneus, bilateral temporal poles, and hippocampus. Coping-related terms were associated with the ventrolateral and dorsolateral prefrontal cortices, basal ganglia, and anterior cingulate. Neural connections underlying the functional neuroanatomy of the ABC model were observed. Additionally, there was considerable interaction and overlap between circuits associated with the symptom domains. Further neuroimaging research is needed to explore the dynamic interaction between the functional domains of the ABC theory. This will pave the way for probing the neuroanatomical underpinnings of anxiety disorders and provide an evidence-based foundation for the development of targeted treatments, such as neuromodulation.
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Affiliation(s)
- Alexander Bystritsky
- Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA, USA; BrainSonix Corporation, Sherman Oaks, CA, USA.
| | - Norman M Spivak
- Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA, USA; Department of Neurosurgery, UCLA, Los Angeles, CA, USA; David Geffen School of Medicine, UCLA, Los Angeles, CA, USA
| | - Bianca H Dang
- Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA, USA
| | - Sergio A Becerra
- Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA, USA
| | - Margaret G Distler
- Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA, USA
| | - Sheldon E Jordan
- Neurology Management Associates - Los Angeles, Santa Monica, CA, USA
| | - Taylor P Kuhn
- Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA, USA; David Geffen School of Medicine, UCLA, Los Angeles, CA, USA
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Westgarth MMP, Hogan CA, Neumann DL, Shum DHK. A systematic review of studies that used NIRS to measure neural activation during emotion processing in healthy individuals. Soc Cogn Affect Neurosci 2021; 16:345-369. [PMID: 33528022 PMCID: PMC7990068 DOI: 10.1093/scan/nsab017] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2020] [Revised: 01/10/2021] [Accepted: 02/02/2021] [Indexed: 12/05/2022] Open
Abstract
Functional neuroimaging provides an avenue for earlier diagnosis and tailored treatment of psychological disorders characterised by emotional impairment. Near-infrared spectroscopy (NIRS) offers ecological advantages compared to other neuroimaging techniques and suitability of measuring regions involved in emotion functions. A systematic review was conducted to evaluate the capacity of NIRS to detect activation during emotion processing and to provide recommendations for future research. Following a comprehensive literature search, we reviewed 85 journal articles, which compared activation during emotional experience, regulation or perception with either a neutral condition or baseline period among healthy participants. The quantitative synthesis of outcomes was limited to thematical analysis, owing to the lack of standardisation between studies. Although most studies found increased prefrontal activity during emotional experience and regulation, the findings were more inconsistent for emotion perception. Some researchers reported increased activity during the task, some reported decreases, some no significant changes, and some reported mixed findings depending on the valence and region. We propose that variations in the cognitive task and stimuli, recruited sample, and measurement and analysis of data are the primary causes of inconsistency. Recommendations to improve consistency in future research by carefully considering the choice of population, cognitive task and analysis approach are provided.
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Affiliation(s)
- Matthew M P Westgarth
- School of Applied Psychology, Griffith University, Brisbane, Queensland, 4122, Australia
| | - Christy A Hogan
- School of Applied Psychology, Griffith University, Brisbane, Queensland, 4122, Australia
| | - David L Neumann
- School of Applied Psychology, Griffith University, Brisbane, Queensland, 4122, Australia
| | - David H K Shum
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon City District, 100077, Hong Kong
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De Jager CH, White CC, Bennett DA, Ma Y. Neuroticism alters the transcriptome of the frontal cortex to contribute to the cognitive decline and onset of Alzheimer's disease. Transl Psychiatry 2021; 11:139. [PMID: 33627625 PMCID: PMC7904919 DOI: 10.1038/s41398-021-01253-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 01/06/2021] [Accepted: 01/28/2021] [Indexed: 12/18/2022] Open
Abstract
Accumulating evidence has suggested that the molecular transcriptional mechanism contributes to Alzheimer's disease (AD) and its endophenotypes of cognitive decline and neuropathological traits, β-amyloid (Aβ) and phosphorylated tangles (TAU). However, it is unknown what is the impact of the AD risk factors, personality characteristics assessed by the NEO Five-Factor Inventory, on the human brain's transcriptome. Using postmortem human brain samples from 466 subjects, we found that neuroticism has a significant overall impact on the brain transcriptome (omnibus P = 0.005) but not the other four personality characteristics. Focused on those cognitive decline related gene co-expressed modules, neuroticism has nominally significant associations (P < 0.05) with four neuronal modules, which are more related to PHFtau than Aβ across all eight brain regions. Furthermore, the effect of neuroticism on cognitive decline and AD might be mediated through the expression of module 7 and TAU pathology (P = 0.008). To conclude, neuroticism has a broad impact on the transcriptome of human brains, and its effect on cognitive decline and AD may be mediated through gene transcription programs related to TAU pathology.
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Affiliation(s)
- Céline H. De Jager
- grid.21729.3f0000000419368729Center for Translational & Computational Neuroimmunology, Department of Neurology, Columbia University Irving Medical Center, New York, NY 10032 USA
| | - Charles C. White
- grid.21729.3f0000000419368729Center for Translational & Computational Neuroimmunology, Department of Neurology, Columbia University Irving Medical Center, New York, NY 10032 USA ,grid.66859.34Cell Circuits Program, Broad Institute, 415 Main street, Cambridge, MA 02142 USA
| | - David A. Bennett
- grid.240684.c0000 0001 0705 3621Rush Alzheimer Disease Center, RUSH University Medical Center, Chicago, IL 60612 USA
| | - Yiyi Ma
- Center for Translational & Computational Neuroimmunology, Department of Neurology, Columbia University Irving Medical Center, New York, NY, 10032, USA.
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Yang J, Yu Y, Wang W, Qiu J. Atypical neural activation associated with implicit negative emotional facial processing in fMRI tasks in individuals with neuroticism personality traits. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-01486-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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9
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Lucas I, Urieta P, Balada F, Blanco E, Aluja A. Differences in prefrontal cortex activity based on difficulty in a working memory task using near-infrared spectroscopy. Behav Brain Res 2020; 392:112722. [PMID: 32479853 DOI: 10.1016/j.bbr.2020.112722] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2020] [Revised: 05/15/2020] [Accepted: 05/20/2020] [Indexed: 11/24/2022]
Abstract
The Prefrontal cortex (PFC) has been highly related to executive functions such as working memory (WM). This study assesses the activity of the PFC in performing the Sternberg WM task (ST) with three levels of difficulty (easy, medium and hard) using the near-infrared spectroscopy (fNIRS) technique. Participants were 43 young and healthy right-handed women. Nine WM task blocks were pseudo randomly presented, three for each difficulty task. The results showed that the participant's performance was better in the easy trials than in the medium and hard trials. Performance in the medium trials was also better than in the hard ones. Bonferroni-corrected paired post-hoc t-tests indicated higher oxygenation in medium and hard tasks than in the easy ones for times between 13 and 42 s in the left lateral PFC and in both, medial and lateral, right PFC. Significant differences in Oxygenated hemoglobin (HbO), Total hemoglobin (HbT) and oxygenation (Oxy) changes depending on the Sternberg WM task were found. Unlike previous studies with fNIRS and WM, the current study uses a highly controlled WM task that differentiates between encoding, retention and retrieval phases, comparing different levels of task load.
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Affiliation(s)
- Ignacio Lucas
- Lleida Institute for Biomedical Research Dr. Pifarré Foundation (IRBLleida), Catalonia, Spain; University of Lleida, Catalonia, Spain
| | - Patrícia Urieta
- Lleida Institute for Biomedical Research Dr. Pifarré Foundation (IRBLleida), Catalonia, Spain; University of Lleida, Catalonia, Spain
| | - Ferran Balada
- Lleida Institute for Biomedical Research Dr. Pifarré Foundation (IRBLleida), Catalonia, Spain; Dept. Psicobiologia i Metodologia de les Ciències de la Salut, Universitat Autònoma de Barcelona, Catalonia, Spain
| | - Eduardo Blanco
- Lleida Institute for Biomedical Research Dr. Pifarré Foundation (IRBLleida), Catalonia, Spain; University of Lleida, Catalonia, Spain
| | - Anton Aluja
- Lleida Institute for Biomedical Research Dr. Pifarré Foundation (IRBLleida), Catalonia, Spain; University of Lleida, Catalonia, Spain.
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Sun Y, Ayaz H, Akansu AN. Multimodal Affective State Assessment Using fNIRS + EEG and Spontaneous Facial Expression. Brain Sci 2020; 10:E85. [PMID: 32041316 PMCID: PMC7071625 DOI: 10.3390/brainsci10020085] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2019] [Revised: 01/31/2020] [Accepted: 02/01/2020] [Indexed: 01/04/2023] Open
Abstract
Human facial expressions are regarded as a vital indicator of one's emotion and intention, and even reveal the state of health and wellbeing. Emotional states have been associated with information processing within and between subcortical and cortical areas of the brain, including the amygdala and prefrontal cortex. In this study, we evaluated the relationship between spontaneous human facial affective expressions and multi-modal brain activity measured via non-invasive and wearable sensors: functional near-infrared spectroscopy (fNIRS) and electroencephalography (EEG) signals. The affective states of twelve male participants detected via fNIRS, EEG, and spontaneous facial expressions were investigated in response to both image-content stimuli and video-content stimuli. We propose a method to jointly evaluate fNIRS and EEG signals for affective state detection (emotional valence as positive or negative). Experimental results reveal a strong correlation between spontaneous facial affective expressions and the perceived emotional valence. Moreover, the affective states were estimated by the fNIRS, EEG, and fNIRS + EEG brain activity measurements. We show that the proposed EEG + fNIRS hybrid method outperforms fNIRS-only and EEG-only approaches. Our findings indicate that the dynamic (video-content based) stimuli triggers a larger affective response than the static (image-content based) stimuli. These findings also suggest joint utilization of facial expression and wearable neuroimaging, fNIRS, and EEG, for improved emotional analysis and affective brain-computer interface applications.
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Affiliation(s)
- Yanjia Sun
- Department of Electrical and Computer Engineering, New Jersey Institute of Technology, Newark, NJ 07102, USA;
| | - Hasan Ayaz
- School of Biomedical Engineering, Science and Health Systems, Drexel University, Philadelphia, PA 19104, USA;
- Department of Psychology, College of Arts and Sciences, Drexel University, Philadelphia, PA 19104, USA
- Department of Family and Community Health, University of Pennsylvania, Philadelphia, PA 19104, USA
- Center for Injury Research and Prevention, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USA
| | - Ali N. Akansu
- Department of Electrical and Computer Engineering, New Jersey Institute of Technology, Newark, NJ 07102, USA;
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