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Lawrence AJ, Lawrence-Wood E, Aidman EV, Spencer-Merris PL, Felmingham KL, McFarlane AC. Reduced pre-attentive threat versus nonthreat signal discrimination in clinically healthy military personnel with recurrent combat exposure history: A preliminary event-related potential (ERP) study. J Psychiatr Res 2024; 172:266-273. [PMID: 38417322 DOI: 10.1016/j.jpsychires.2024.02.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2023] [Revised: 02/09/2024] [Accepted: 02/13/2024] [Indexed: 03/01/2024]
Abstract
Evidence now suggests that traumatic-stress impacts brain functions even in the absence of acute-onset post-traumatic stress disorder (PTSD) symptoms. These neurophysiological changes have also been suggested to account for increased risks of PTSD symptoms later developing in the aftermath of subsequent trauma. However, surprisingly few studies have explicitly examined brain function dynamics in high-risk populations, such as combat exposed military personnel without diagnosable PTSD. To extend available research, facial expression sensitive N170 event-related potential (ERP) amplitudes were examined in a clinically healthy sample of active service military personnel with recurrent combat exposure history. Consistent with several established theories of delayed-onset PTSD vulnerability, higher N170 amplitudes to backward-masked fearful and neutral facial expressions correlated with higher levels of past combat exposure. Significantly elevated amplitudes to nonthreatening neutral facial expressions also resulted in an absence of normal threat-versus-nonthreat signal processing specificity. While a modest sample size and cross-sectional design are key limitations here, ongoing prospective-longitudinal follow-ups may shed further light on the precise aetiology and prognostic utility of these preliminary findings in the near future.
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Affiliation(s)
- Andrew J Lawrence
- Discipline of Psychiatry, Adelaide Medical School, University of Adelaide, Adelaide, Australia.
| | - Ellie Lawrence-Wood
- Discipline of Psychiatry, Adelaide Medical School, University of Adelaide, Adelaide, Australia; Phoenix Australia Centre for Posttraumatic Mental Health, University of Melbourne, Australia
| | - Eugene V Aidman
- Human and Decision Sciences Division, Defence Science and Technology Group (DSTG), Adelaide, Australia; School of Biomedical Sciences & Pharmacy, University of Newcastle, Newcastle, Australia
| | | | - Kim L Felmingham
- School of Psychological Science, University of Melbourne, Melbourne, Australia
| | - Alexander C McFarlane
- Discipline of Psychiatry, Adelaide Medical School, University of Adelaide, Adelaide, Australia
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Fingelkurts AA, Fingelkurts AA. Turning Back the Clock: A Retrospective Single-Blind Study on Brain Age Change in Response to Nutraceuticals Supplementation vs. Lifestyle Modifications. Brain Sci 2023; 13:brainsci13030520. [PMID: 36979330 PMCID: PMC10046544 DOI: 10.3390/brainsci13030520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Revised: 03/17/2023] [Accepted: 03/19/2023] [Indexed: 03/30/2023] Open
Abstract
BACKGROUND There is a growing consensus that chronological age (CA) is not an accurate indicator of the aging process and that biological age (BA) instead is a better measure of an individual's risk of age-related outcomes and a more accurate predictor of mortality than actual CA. In this context, BA measures the "true" age, which is an integrated result of an individual's level of damage accumulation across all levels of biological organization, along with preserved resources. The BA is plastic and depends upon epigenetics. Brain state is an important factor contributing to health- and lifespan. METHODS AND OBJECTIVE Quantitative electroencephalography (qEEG)-derived brain BA (BBA) is a suitable and promising measure of brain aging. In the present study, we aimed to show that BBA can be decelerated or even reversed in humans (N = 89) by using customized programs of nutraceutical compounds or lifestyle changes (mean duration = 13 months). RESULTS We observed that BBA was younger than CA in both groups at the end of the intervention. Furthermore, the BBA of the participants in the nutraceuticals group was 2.83 years younger at the endpoint of the intervention compared with their BBA score at the beginning of the intervention, while the BBA of the participants in the lifestyle group was only 0.02 years younger at the end of the intervention. These results were accompanied by improvements in mental-physical health comorbidities in both groups. The pre-intervention BBA score and the sex of the participants were considered confounding factors and analyzed separately. CONCLUSIONS Overall, the obtained results support the feasibility of the goal of this study and also provide the first robust evidence that halting and reversal of brain aging are possible in humans within a reasonable (practical) timeframe of approximately one year.
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Li M, Wang Y, Lopez-Naranjo C, Hu S, Reyes RCG, Paz-Linares D, Areces-Gonzalez A, Hamid AIA, Evans AC, Savostyanov AN, Calzada-Reyes A, Villringer A, Tobon-Quintero CA, Garcia-Agustin D, Yao D, Dong L, Aubert-Vazquez E, Reza F, Razzaq FA, Omar H, Abdullah JM, Galler JR, Ochoa-Gomez JF, Prichep LS, Galan-Garcia L, Morales-Chacon L, Valdes-Sosa MJ, Tröndle M, Zulkifly MFM, Abdul Rahman MRB, Milakhina NS, Langer N, Rudych P, Koenig T, Virues-Alba TA, Lei X, Bringas-Vega ML, Bosch-Bayard JF, Valdes-Sosa PA. Harmonized-Multinational qEEG norms (HarMNqEEG). Neuroimage 2022; 256:119190. [PMID: 35398285 DOI: 10.1016/j.neuroimage.2022.119190] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Revised: 03/23/2022] [Accepted: 04/05/2022] [Indexed: 12/14/2022] Open
Abstract
This paper extends frequency domain quantitative electroencephalography (qEEG) methods pursuing higher sensitivity to detect Brain Developmental Disorders. Prior qEEG work lacked integration of cross-spectral information omitting important functional connectivity descriptors. Lack of geographical diversity precluded accounting for site-specific variance, increasing qEEG nuisance variance. We ameliorate these weaknesses. (i) Create lifespan Riemannian multinational qEEG norms for cross-spectral tensors. These norms result from the HarMNqEEG project fostered by the Global Brain Consortium. We calculate the norms with data from 9 countries, 12 devices, and 14 studies, including 1564 subjects. Instead of raw data, only anonymized metadata and EEG cross-spectral tensors were shared. After visual and automatic quality control, developmental equations for the mean and standard deviation of qEEG traditional and Riemannian DPs were calculated using additive mixed-effects models. We demonstrate qEEG "batch effects" and provide methods to calculate harmonized z-scores. (ii) We also show that harmonized Riemannian norms produce z-scores with increased diagnostic accuracy predicting brain dysfunction produced by malnutrition in the first year of life and detecting COVID induced brain dysfunction. (iii) We offer open code and data to calculate different individual z-scores from the HarMNqEEG dataset. These results contribute to developing bias-free, low-cost neuroimaging technologies applicable in various health settings.
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Affiliation(s)
- Min Li
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China
| | - Ying Wang
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China
| | - Carlos Lopez-Naranjo
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China
| | - Shiang Hu
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China; Anhui Provincial Key Laboratory of Multimodal Cognitive Computation, Key Laboratory of Intelligent Computing & Signal Processing of Ministry of Education, School of Computer Science and Technology, Anhui University, Hefei 230601, China
| | | | - Deirel Paz-Linares
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China; Cuban Center for Neurocience, La Habana, Cuba
| | - Ariosky Areces-Gonzalez
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China; University of Pinar del Río "Hermanos Saiz Montes de Oca", Pinar del Río, Cuba
| | - Aini Ismafairus Abd Hamid
- Brain and Behaviour Cluster, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan 16150, Malaysia; Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan 16150, Malaysia; McGill Centre for Integrative Neuroscience, Ludmer Centre for Neuroinformatics and Mental Health, Montreal Neurological Institute, Canada
| | - Alan C Evans
- McGill Centre for Integrative Neuroscience, Ludmer Centre for Neuroinformatics and Mental Health, Montreal Neurological Institute, Canada
| | - Alexander N Savostyanov
- Humanitarian Institute, Novosibirsk State University, Novosibirsk 630090, Russia; Laboratory of Psychophysiology of Individual Differences, Federal State Budgetary Scientific Institution Scientific Research Institute of Neurosciences and Medicine, Novosibirsk 630117, Russia; Laboratory of Psychological Genetics at the Institute of Cytology and Genetics Siberian Branch of the Russian Academy of Sciences, Novosibirsk 630090, Russia
| | | | - Arno Villringer
- Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany; Department of Cognitive Neurology, University Hospital Leipzig, Leipzig, Germany; Center for Stroke Research, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - Carlos A Tobon-Quintero
- Grupo Neuropsicología y Conducta - GRUNECO, Faculty of Medicine, Universidad de Antioquia, Colombia; Research Department, Institución Prestadora de Servicios de Salud IPS Universitaria, Colombia
| | - Daysi Garcia-Agustin
- Cuban Center for Neurocience, La Habana, Cuba; The Cuban center aging longevity and health, Havana Cuba
| | - Dezhong Yao
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China; Research Unit of NeuroInformation, Chinese Academy of Medical Sciences, Chengdu 2019RU035, China; School of Electrical Engineering, Zhengzhou University, Zhengzhou 450001, China
| | - Li Dong
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China; Research Unit of NeuroInformation, Chinese Academy of Medical Sciences, Chengdu 2019RU035, China; Sichuan Institute for Brain Science and Brain-Inspired Intelligence, Chengdu 611731, China
| | | | - Faruque Reza
- Brain and Behaviour Cluster, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan 16150, Malaysia; Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan 16150, Malaysia; McGill Centre for Integrative Neuroscience, Ludmer Centre for Neuroinformatics and Mental Health, Montreal Neurological Institute, Canada
| | - Fuleah Abdul Razzaq
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China
| | - Hazim Omar
- Brain and Behaviour Cluster, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan 16150, Malaysia; Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan 16150, Malaysia; McGill Centre for Integrative Neuroscience, Ludmer Centre for Neuroinformatics and Mental Health, Montreal Neurological Institute, Canada
| | - Jafri Malin Abdullah
- Department of Neurosciences, School of Medical Sciences, Universiti Sains Malaysia, Universiti Sains Malaysia Health Campus, Kota Bharu, Kelantan 16150, Malaysia; Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan 16150, Malaysia; McGill Centre for Integrative Neuroscience, Ludmer Centre for Neuroinformatics and Mental Health, Montreal Neurological Institute, Canada
| | - Janina R Galler
- Division of Pediatric Gastroenterology and Nutrition, Massachusetts General Hospital for Children, Boston, MA, United States Massachusetts General Hospital for Children, Boston, MA, United States
| | - John F Ochoa-Gomez
- Grupo Neuropsicología y Conducta - GRUNECO, Faculty of Medicine, Universidad de Antioquia, Colombia; Grupo de Neurociencias de Antioquia, Universidad de Antioquia, School of Medicine. Medellín, Colombia
| | - Leslie S Prichep
- Research & Development, BrainScope Company, Inc. Bethesda, MD, United States; Department of Psychiatry (Ret.), Brain Research Laboratories, NYU School of Medicine, New York, NY, United States
| | | | - Lilia Morales-Chacon
- Department of Clinical Neurophysiology, International Center for Neurological Restoration, Playa, Havana 11300, Cuba
| | | | - Marius Tröndle
- Department of Methods of Plasticity Research, Institute of Psychology, University of Zurich, Zurich, Switzerland; University Research Priority Program "Dynamic of Healthy Aging", University of Zurich, Zurich, Switzerland; Neuroscience Center Zurich (ZNZ), Zurich, Switzerland
| | - Mohd Faizal Mohd Zulkifly
- Brain and Behaviour Cluster, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan 16150, Malaysia; Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan 16150, Malaysia; McGill Centre for Integrative Neuroscience, Ludmer Centre for Neuroinformatics and Mental Health, Montreal Neurological Institute, Canada
| | - Muhammad Riddha Bin Abdul Rahman
- Brain and Behaviour Cluster, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan 16150, Malaysia; Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, Health Campus, Kota Bharu, Kelantan 16150, Malaysia; School of Medical Imaging, Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Kuala Nerus 21300, Malaysia
| | - Natalya S Milakhina
- Laboratory of Psychophysiology of Individual Differences, Federal State Budgetary Scientific Institution Scientific Research Institute of Neurosciences and Medicine, Novosibirsk 630117, Russia; Laboratory of Psychological Genetics at the Institute of Cytology and Genetics Siberian Branch of the Russian Academy of Sciences, Novosibirsk 630090, Russia
| | - Nicolas Langer
- Department of Methods of Plasticity Research, Institute of Psychology, University of Zurich, Zurich, Switzerland; University Research Priority Program "Dynamic of Healthy Aging", University of Zurich, Zurich, Switzerland; Neuroscience Center Zurich (ZNZ), Zurich, Switzerland
| | - Pavel Rudych
- Laboratory of Psychophysiology of Individual Differences, Federal State Budgetary Scientific Institution Scientific Research Institute of Neurosciences and Medicine, Novosibirsk 630117, Russia; Department of Information Technologies Novosibirsk State University, Novosibirsk 630090, Russia; Federal Research Center for Information and Computational Technologies, Biomedical Data Processing Lab, Novosibirsk 630090, Russia
| | - Thomas Koenig
- University Hospital of Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland
| | | | - Xu Lei
- Sleep and NeuroImaging Center, Faculty of Psychology, Southwest University, Chongqing 400715, China
| | - Maria L Bringas-Vega
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China; Cuban Center for Neurocience, La Habana, Cuba.
| | - Jorge F Bosch-Bayard
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China; Cuban Center for Neurocience, La Habana, Cuba; McGill Centre for Integrative Neuroscience, Ludmer Centre for Neuroinformatics and Mental Health, Montreal Neurological Institute, Canada.
| | - Pedro Antonio Valdes-Sosa
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, China; Cuban Center for Neurocience, La Habana, Cuba.
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4
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A Comprehensive Examination of Severely Ill ME/CFS Patients. Healthcare (Basel) 2021; 9:healthcare9101290. [PMID: 34682970 PMCID: PMC8535418 DOI: 10.3390/healthcare9101290] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Revised: 09/20/2021] [Accepted: 09/22/2021] [Indexed: 12/13/2022] Open
Abstract
One in four myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) patients are estimated to be severely affected by the disease, and these house-bound or bedbound patients are currently understudied. Here, we report a comprehensive examination of the symptoms and clinical laboratory tests of a cohort of severely ill patients and healthy controls. The greatly reduced quality of life of the patients was negatively correlated with clinical depression. The most troublesome symptoms included fatigue (85%), pain (65%), cognitive impairment (50%), orthostatic intolerance (45%), sleep disturbance (35%), post-exertional malaise (30%), and neurosensory disturbance (30%). Sleep profiles and cognitive tests revealed distinctive impairments. Lower morning cortisol level and alterations in its diurnal rhythm were observed in the patients, and antibody and antigen measurements showed no evidence for acute infections by common viral or bacterial pathogens. These results highlight the urgent need of developing molecular diagnostic tests for ME/CFS. In addition, there was a striking similarity in symptoms between long COVID and ME/CFS, suggesting that studies on the mechanism and treatment of ME/CFS may help prevent and treat long COVID and vice versa.
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5
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El-Zghir RK, Gabay NC, Robinson PA. Modal-Polar Representation of Evoked Response Potentials in Multiple Arousal States. Front Hum Neurosci 2021; 15:642479. [PMID: 34163339 PMCID: PMC8215109 DOI: 10.3389/fnhum.2021.642479] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Accepted: 05/10/2021] [Indexed: 11/13/2022] Open
Abstract
An expansion of the corticothalamic transfer function into eigenmodes and resonant poles is used to derive a simple formula for evoked response potentials (ERPs) in various states of arousal. The transfer function corresponds to the cortical response to an external stimulus, which encodes all the information and properties of the linear system. This approach links experimental observations of resonances and characteristic timescales in brain activity with physically based neural field theory (NFT). The present work greatly simplifies the formula of the analytical ERP, and separates its spatial part (eigenmodes) from the temporal part (poles). Within this framework, calculations involve contour integrations that yield an explicit expression for ERPs. The dominant global mode is considered explicitly in more detail to study how the ERP varies with time in this mode and to illustrate the method. For each arousal state in sleep and wake, the resonances of the system are determined and it is found that five poles are sufficient to study the main dynamics of the system in waking eyes-open and eyes-closed states. Similarly, it is shown that six poles suffice to reproduce ERPs in rapid-eye movement sleep, sleep state 1, and sleep state 2 states, whereas just four poles suffice to reproduce the dynamics in slow wave sleep. Thus, six poles are sufficient to preserve the main global ERP dynamics of the system for all states of arousal. These six poles correspond to the dominant resonances of the system at slow-wave, alpha, and beta frequencies. These results provide the basis for simplified analytic treatment of brain dynamics and link observations more closely to theory.
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Affiliation(s)
- Rawan K El-Zghir
- School of Physics, University of Sydney, Sydney, NSW, Australia.,Center for Integrative Brain Function, University of Sydney, Sydney, NSW, Australia
| | - Natasha C Gabay
- School of Physics, University of Sydney, Sydney, NSW, Australia.,Center for Integrative Brain Function, University of Sydney, Sydney, NSW, Australia
| | - Peter A Robinson
- School of Physics, University of Sydney, Sydney, NSW, Australia.,Center for Integrative Brain Function, University of Sydney, Sydney, NSW, Australia
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McNabb CB, McIlwain ME, Anderson VM, Kydd RR, Sundram F, Russell BR. Aberrant white matter microstructure in treatment-resistant schizophrenia ✰. Psychiatry Res Neuroimaging 2020; 305:111198. [PMID: 33035754 DOI: 10.1016/j.pscychresns.2020.111198] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2020] [Revised: 09/28/2020] [Accepted: 09/28/2020] [Indexed: 02/01/2023]
Abstract
Treatment response in schizophrenia divides into three subcategories: treatment-responsive (first-line responders; FLR), treatment-resistant (TRS), and ultra-treatment-resistant schizophrenia (UTRS). White matter abnormalities could drive antipsychotic resistance but little work has investigated differences between TRS and UTRS. The current study aimed to establish whether differences in white matter structure are present across both treatment-resistant subtypes or if UTRS is distinct from TRS. Diffusion-weighted images were acquired for 18 individuals with TRS, 14 with UTRS, 18 FLR and 20 healthy controls. Measures of fractional anisotropy (FA), mean diffusivity (MD), radial diffusivity (RD) and axial diffusivity (AD) were obtained using tract-based spatial statistics. Analysis of variance and post-hoc t-tests were conducted for each measure. Those with TRS had lower FA than healthy controls in superior longitudinal fasciculus, corpus callosum, thalamic radiation, corticospinal tract, internal capsule, corona radiata and fronto-occipital fasciculus (p<.05 FWE-corrected). Lower FA was also observed in TRS compared with UTRS in the superior longitudinal fasciculus (p<.05 FWE-corrected). No post-hoc tests survived corrections for multiple comparisons and no differences in MD, AD or RD were observed. These data suggest that microstructural deficits in white matter could contribute to TRS but suggest that other mechanisms may be more relevant for UTRS.
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Affiliation(s)
- Carolyn B McNabb
- School of Pharmacy, University of Auckland, 85 Park Road, Grafton, Auckland 1023, New Zealand; School of Psychology and Clinical Language Sciences, University of Reading, Earley Gate, Reading RG6 7BE, United Kingdom
| | - Meghan E McIlwain
- School of Pharmacy, University of Auckland, 85 Park Road, Grafton, Auckland 1023, New Zealand
| | - Valerie M Anderson
- School of Pharmacy, University of Auckland, 85 Park Road, Grafton, Auckland 1023, New Zealand
| | - Robert R Kydd
- Department of Psychological Medicine, University of Auckland, Auckland City Hospital, 2 Park Road, Grafton, Auckland 1023, New Zealand
| | - Frederick Sundram
- Department of Psychological Medicine, University of Auckland, Auckland City Hospital, 2 Park Road, Grafton, Auckland 1023, New Zealand
| | - Bruce R Russell
- School of Pharmacy, University of Otago, PO Box 56, Dunedin 9054, New Zealand.
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7
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Fingelkurts AA, Fingelkurts AA, Neves CFH. Neuro-assessment of leadership training. COACHING: AN INTERNATIONAL JOURNAL OF THEORY, RESEARCH AND PRACTICE 2020. [DOI: 10.1080/17521882.2019.1619796] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
| | | | - Carlos F. H. Neves
- BM-Science – Brain and Mind Technologies Research Centre, Espoo, Finland
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8
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Garcia-Egan PM, Preston-Campbell RN, Salminen LE, Heaps-Woodruff JM, Balla L, Cabeen RP, Laidlaw DH, Conturo TE, Paul RH. Behavioral inhibition corresponds to white matter fiber bundle integrity in older adults. Brain Imaging Behav 2020; 13:1602-1611. [PMID: 31209835 DOI: 10.1007/s11682-019-00144-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Little is known about the contribution of white matter integrity to inhibitory cognitive control, particularly in healthy aging. The present study examines the correspondence between white matter fiber bundle length and behavioral inhibition in 37 community-dwelling older adults (aged 51-78 years). Participants underwent neuroimaging with 3 Tesla MRI, and completed a behavioral test of inhibition (i.e., Go/NoGo task). Quantitative tractography derived from diffusion tensor imaging (qtDTI) was used to measure white matter fiber bundle lengths (FBLs) in tracts known to innervate frontal brain regions, including the anterior corpus callosum (AntCC), the cingulate gyrus segment of the cingulum bundle (CING), uncinate fasciculus (UNC), and the superior longitudinal fasciculus (SLF). Performance on the Go/NoGo task was measured by the number of commission errors standardized to reaction time. Hierarchical regression models revealed that shorter FBLs in the CING (p < 0.05) and the bilateral UNC (p < 0.01) were associated with lower inhibitory performance after adjusting for multiple comparisons, supporting a disconnection model of response inhibition in older adults. Prospective longitudinal studies are needed to examine the evolution of inhibitory errors in older adult populations and potential for therapeutic intervention.
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Affiliation(s)
- Paola M Garcia-Egan
- Department of Psychological Sciences, University of Missouri, St. Louis, MO, 63121, USA
| | | | - Lauren E Salminen
- Imaging Genetics Center, Stevens Neuroimaging and Informatics Institute, University of Southern California, Marina del Rey, CA, 90292, USA
| | | | - Lila Balla
- Missouri Institute of Mental Health, St. Louis, MO, 63134, USA
| | - Ryan P Cabeen
- Laboratory of Neuro Imaging, Stevens Neuroimaging and Informatics Institute, Keck School of Medicine of USC, University of Southern California, LosAngeles, CA, 90033, USA
| | - David H Laidlaw
- Department of Computer Science, Brown University, Providence, RI, 02906, USA
| | - Thomas E Conturo
- Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, 63110, USA
| | - Robert H Paul
- Department of Psychological Sciences, University of Missouri, St. Louis, MO, 63121, USA.
- Missouri Institute of Mental Health, St. Louis, MO, 63134, USA.
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Biagianti B, Fisher M, Brandrett B, Schlosser D, Loewy R, Nahum M, Vinogradov S. Development and testing of a web-based battery to remotely assess cognitive health in individuals with schizophrenia. Schizophr Res 2019; 208:250-257. [PMID: 30733167 PMCID: PMC6544475 DOI: 10.1016/j.schres.2019.01.047] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2018] [Revised: 01/21/2019] [Accepted: 01/26/2019] [Indexed: 01/06/2023]
Abstract
Cognitive impairment in schizophrenia is often severe, enduring, and contributes significantly to chronic disability. A standardized platform for identifying cognitive impairments and measuring treatment effects in cognition is a critical aspect of comprehensive evaluation and treatment for individuals with schizophrenia. In this project, we developed and tested a suite of ten web-based, neuroscience-informed cognitive assessments that are designed to enable the interpretation of specific deficits that could signal that an individual is experiencing cognitive difficulties. The assessment suite assays speed of processing, sustained attention, executive functioning, learning and socio-affective processing in the auditory and visual modalities. We have obtained data from 283 healthy individuals who were recruited online and 104 individuals with schizophrenia who also completed formal neuropsychological testing. Our data show that the assessments 1) are acceptable and tolerable to users, with successful completion in an average of under 40 min; 2) reliably measure the distinct theoretical cognitive constructs they were designed to assess; 3) can discriminate schizophrenia patients from healthy controls with a fair degree of accuracy (AUROC > 0.70); and 4) have promising construct, convergent, and external validity. Further optimization and validation work is in progress to finalize the evaluation process prior to promoting the dissemination of these assessments in real-world settings.
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Affiliation(s)
| | | | | | - Danielle Schlosser
- Department of Psychiatry, University of California, San Francisco,Verily Life Sciences
| | - Rachel Loewy
- Department of Psychiatry, University of California, San Francisco
| | - Mor Nahum
- School of Occupational Therapy, Hebrew University of Jerusalem
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Braund TA, Palmer DM, Tillman G, Hanna H, Gordon E. Increased chronic stress predicts greater emotional negativity bias and poorer social skills but not cognitive functioning in healthy adults. ANXIETY STRESS AND COPING 2019; 32:399-411. [PMID: 30912994 DOI: 10.1080/10615806.2019.1598555] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Background and Objectives: Chronically stressed individuals report deficits spanning cognitive and emotional functioning. However, limitations to clinical populations and measures of stress have impeded the generalisability and scope of results. This study investigated whether chronic stress predicted cognitive and emotional functioning, and whether these relationships differed between males and females, in a large representative sample of healthy participants. Design: Cross-sectional study. Method: 1883 healthy adults sampled from the Brain Resource International Database reported stress using the 21-item Depression Anxiety Stress Scales. Participants then completed a cognitive and emotional assessment battery (IntegNeuro), as well as questionnaires related to sleep, emotional functioning, and self-regulation. Results: In contrast to previously reported results, chronic stress did not predict cognitive functioning. However, higher stress predicted a greater negativity bias and poorer social skills, confirming previous research identifying these links. Conclusions: Cognitive deficits related to stress are absent in healthy participants when stress is measured using the 21-items Depression Anxiety Stress Scales. Identifying how chronic stress is associated with aspects of emotional functioning can lead to personalized interventions for individuals to better manage the negative outcomes resulting from stress.
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Affiliation(s)
- Taylor A Braund
- a Total Brain , Sydney , Australia.,b Brain Dynamics Centre, The Westmead Institute for Medical Research , University of Sydney , Sydney , Australia.,c Discipline of Psychiatry, Sydney Medical School , University of Sydney , Sydney , Australia
| | - Donna M Palmer
- a Total Brain , Sydney , Australia.,b Brain Dynamics Centre, The Westmead Institute for Medical Research , University of Sydney , Sydney , Australia
| | - Gabriel Tillman
- d Australian College of Applied Psychology , Sydney , Australia
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Chen H, Chen W, Song Y, Sun L, Li X. EEG characteristics of children with attention-deficit/hyperactivity disorder. Neuroscience 2019; 406:444-456. [PMID: 30926547 DOI: 10.1016/j.neuroscience.2019.03.048] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2018] [Revised: 02/26/2019] [Accepted: 03/20/2019] [Indexed: 11/18/2022]
Abstract
The electroencephalogram (EEG) is an informative neuroimaging tool for studying attention-deficit/hyperactivity disorder (ADHD); one main goal is to characterize the EEG of children with ADHD. In this study, we employed the power spectrum, complexity and bicoherence, biomarker candidates for identifying ADHD children in a machine learning approach, to characterize resting-state EEG (rsEEG). We built support vector machine classifiers using a single type of feature, all features from a method (relative spectral power, spectral power ratio, complexity or bicoherence), or all features from all four methods. We evaluated effectiveness and performance of the classifiers using the permutation test and the area under the receiver operating characteristic curve (AUC). We analyzed the rsEEG from 50 ADHD children and 58 age-matched controls. The results show that though spectral features can be used to build a convincing model, the prediction accuracy of the model was unfortunately unstable. Bicoherence features had significant between-group differences, but classifier performance was sensitive to brain region used. rsEEG complexity of ADHD children was significantly lower than controls and may be a suitable biomarker candidate. Through a machine learning approach, 14 features from various brain regions using different methods were selected; the classifier based on these features had an AUC of 0.9158 and an accuracy of 84.59%. These findings strongly suggest that the combination of rsEEG characteristics obtained by various methods may be a tool for identifying ADHD.
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Affiliation(s)
- He Chen
- State Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
| | - Wenqing Chen
- State Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
| | - Yan Song
- State Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
| | - Li Sun
- Peking University Sixth Hospital / Institute of Mental Health, Key Laboratory of Ministry of Health (Peking University), Beijing 100191, China
| | - Xiaoli Li
- State Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China.
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12
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Chu DA, Bryant RA, Gatt JM, Harris AW. Cumulative childhood interpersonal trauma is associated with reduced cortical differentiation between threat and non-threat faces in posttraumatic stress disorder adults. Aust N Z J Psychiatry 2019. [PMID: 29519128 DOI: 10.1177/0004867418761578] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE Posttraumatic stress disorder and childhood trauma frequently co-occur. Both are associated with abnormal neural responses to salient emotion stimuli. As childhood trauma is a risk factor for posttraumatic stress disorder, differentiating between their neurophysiological effects is necessary to elucidate the neural pathways by which childhood trauma exposure contributes to increased posttraumatic stress disorder risks. METHODS Face-specific N170 evoked response potentials for backward-masked (non-conscious) and conscious threat (fear, angry) and non-threat (happy) faces were measured in 77 adults (18-64 years old, 64% women, 78% right-handed) symptomatic for posttraumatic stress disorder. Differences in N170 peak amplitudes for fear-versus-happy and angry-versus-happy faces at bilateral temporo-occipital (T5, T6) sites were computed. The effect of cumulative exposure to childhood interpersonal trauma, other childhood trauma, adult trauma, depression and posttraumatic stress disorder symptom severity on the N170 response was assessed using hierarchical multiple regression analyses. RESULTS T5 N170 peak amplitudes for non-conscious fear-versus-happy faces were inversely related to cumulative childhood interpersonal trauma after accounting for socio-demographic, clinical symptom and other trauma factors. Posttraumatic stress disorder Avoidance was positively associated with N170 peak amplitudes for non-conscious fear-versus-happy faces, primarily due to reduced N170 responsivity to happy faces. CONCLUSION Childhood interpersonal trauma exposure is associated with reduced discrimination between fear and happy faces, while avoidance symptom severity is associated with dampened responsivity to automatically processed happy faces in posttraumatic stress disorder adults. Results are discussed in terms of the likely contributions of impaired threat discrimination and deficient reward processing during neural processing of salient emotion stimuli, to increased risks of posttraumatic stress disorder onset and chronicity in childhood interpersonal trauma-exposed adults.
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Affiliation(s)
- Denise A Chu
- 1 Westmead Clinical School, University of Sydney, Westmead, NSW, Australia.,2 Brain Dynamics Centre, The Westmead Institute for Medical Research, University of Sydney, Westmead, NSW, Australia.,3 Cumberland Hospital, Parramatta, NSW, Australia
| | - Richard A Bryant
- 4 School of Psychology, University of New South Wales, Kensington, NSW, Australia
| | - Justine M Gatt
- 4 School of Psychology, University of New South Wales, Kensington, NSW, Australia.,5 Neuroscience Research Australia, Randwick, NSW, Australia
| | - Anthony Wf Harris
- 1 Westmead Clinical School, University of Sydney, Westmead, NSW, Australia.,2 Brain Dynamics Centre, The Westmead Institute for Medical Research, University of Sydney, Westmead, NSW, Australia
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13
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Zobaer MS, Robinson PA, Kerr CC. Physiology-based ERPs in normal and abnormal states. BIOLOGICAL CYBERNETICS 2018; 112:465-482. [PMID: 30019237 DOI: 10.1007/s00422-018-0766-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/16/2017] [Accepted: 06/03/2018] [Indexed: 06/08/2023]
Abstract
Evoked response potentials (ERPs) and other transients are modeled as impulse responses using physiology-based neural field theory (NFT) of the corticothalamic system of neural activity in the human brain that incorporates synaptic and dendritic dynamics, firing response, axonal propagation, and corticocortical and corticothalamic pathways. The properties of model-predicted ERPs are explored throughout the stability zone of the corticothalamic system, and predicted time series and wavelet spectra are also analyzed. This provides a unified treatment of predicted ERPs for both normal and abnormal states within the brain's stability zone, including likely parameters to represent abnormal states of reduced arousal.
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Affiliation(s)
- M S Zobaer
- School of Physics, The University of Sydney, Sydney, NSW, 2006, Australia.
- Center for Integrative Brain Function, The University of Sydney, Sydney, NSW, 2006, Australia.
- Center for Research Excellence, Neurosleep, 431 Glebe Point Rd, Glebe, NSW, 2037, Australia.
- Department of Physics, Bangladesh University of Textiles, Dhaka, 1208, Bangladesh.
| | - P A Robinson
- School of Physics, The University of Sydney, Sydney, NSW, 2006, Australia
- Center for Integrative Brain Function, The University of Sydney, Sydney, NSW, 2006, Australia
- Center for Research Excellence, Neurosleep, 431 Glebe Point Rd, Glebe, NSW, 2037, Australia
| | - C C Kerr
- School of Physics, The University of Sydney, Sydney, NSW, 2006, Australia
- Center for Integrative Brain Function, The University of Sydney, Sydney, NSW, 2006, Australia
- Department of Physiology and Pharmacology, State University of New York Downstate Medical Center, 450 Clarkson Ave, Brooklyn, NY, USA
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14
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Campanella S, Schroder E, Kajosch H, Noel X, Kornreich C. Why cognitive event-related potentials (ERPs) should have a role in the management of alcohol disorders. Neurosci Biobehav Rev 2018; 106:234-244. [PMID: 29936112 DOI: 10.1016/j.neubiorev.2018.06.016] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2017] [Revised: 05/09/2018] [Accepted: 06/18/2018] [Indexed: 01/11/2023]
Abstract
Alcohol dependence is currently one of the most serious public health problems. Indeed, 3-8% of all deaths worldwide are attributable to effects of alcohol consumption. Although the first step in alcohol dependence treatment is straightforward, the main problem for clinicians lies with the prevention of relapse, as 40-70% of patients who only undergo psychosocial therapy resume alcohol use within a year following treatment. This review of the literature regarding event-related potentials (ERPs) is focused on two major neurocognitive factors that partially account for the inability of many alcoholics to remain abstinent: attentional biases towards alcohol-related stimuli that increase the urge to drink, and impaired response inhibition towards these cues that makes it more difficult for alcoholics to resist the temptation to drink. On this basis, we propose new research avenues to better implement ERPs in the management of alcohol disorders, according to four main directions that relate to (1) the development of ERP serial recordings; (2) the promotion of a multi-component ERP approach; (3) the definition of multi-site guidelines; and (4) the use of more representative laboratory situations through the use of more compelling environments.
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Affiliation(s)
- Salvatore Campanella
- Laboratoire de Psychologie Médicale et d'Addictologie, ULB Neuroscience Institute (UNI), CHU Brugmann-Université Libre de Bruxelles (U.L.B.), Belgium.
| | - Elisa Schroder
- Laboratoire de Psychologie Médicale et d'Addictologie, ULB Neuroscience Institute (UNI), CHU Brugmann-Université Libre de Bruxelles (U.L.B.), Belgium
| | - Hendrik Kajosch
- Laboratoire de Psychologie Médicale et d'Addictologie, ULB Neuroscience Institute (UNI), CHU Brugmann-Université Libre de Bruxelles (U.L.B.), Belgium
| | - Xavier Noel
- Laboratoire de Psychologie Médicale et d'Addictologie, ULB Neuroscience Institute (UNI), CHU Brugmann-Université Libre de Bruxelles (U.L.B.), Belgium
| | - Charles Kornreich
- Laboratoire de Psychologie Médicale et d'Addictologie, ULB Neuroscience Institute (UNI), CHU Brugmann-Université Libre de Bruxelles (U.L.B.), Belgium
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15
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Abstract
Cognitive deficits in Posttraumatic Stress Disorder (PTSD) and dissociative symptoms suggest there may be an underlying and persistent problem with temporal processing in PTSD, but this question has not been systematically examined. We investigated the ability of a group of PTSD participants in estimating the duration of supra-second visual stimuli relative to healthy controls. The data of 59 participants with PTSD and 62 healthy controls, collected from the BRID database, have been examined. Overall, our results indicate that PTSD patients overestimate the duration of the displayed stimuli. Moreover, we found that PTSD are more variable in the time estimation compared to the control group. Finally, we found evidence that working memory and attention impairments were associated with time overestimation in PTSD. The finding of time overestimation in PTSD accords with previous reports of time overestimation during stressful experiences associated with fear and arousal, but extends findings to suggest it remains in chronic PTSD populations processing non-emotional stimuli. The evidence of time overestimation in PTSD suggests the potential relevance of this factor as a cognitive marker in assessing the neuropsychological profile of this clinical population.
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16
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Busovaca E, Zimmerman ME, Meier IB, Griffith EY, Grieve SM, Korgaonkar MS, Williams LM, Brickman AM. Is the Alzheimer's disease cortical thickness signature a biological marker for memory? Brain Imaging Behav 2017; 10:517-23. [PMID: 26040979 DOI: 10.1007/s11682-015-9413-5] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Recent work suggests that analysis of the cortical thickness in key brain regions can be used to identify individuals at greatest risk for development of Alzheimer's disease (AD). It is unclear to what extent this "signature" is a biological marker of normal memory function - the primary cognitive domain affected by AD. We examined the relationship between the AD signature biomarker and memory functioning in a group of neurologically healthy young and older adults. Cortical thickness measurements and neuropsychological evaluations were obtained in 110 adults (age range 21-78, mean = 46) drawn from the Brain Resource International Database. The cohort was divided into young adult (n = 64, age 21-50) and older adult (n = 46, age 51-78) groups. Cortical thickness analysis was performed with FreeSurfer, and the average cortical thickness extracted from the eight regions that comprise the AD signature. Mean AD-signature cortical thickness was positively associated with performance on the delayed free recall trial of a list learning task and this relationship did not differ between younger and older adults. Mean AD-signature cortical thickness was not associated with performance on a test of psychomotor speed, as a control task, in either group. The results suggest that the AD signature cortical thickness is a marker for memory functioning across the adult lifespan.
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Affiliation(s)
- Edgar Busovaca
- Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Department of Neurology, College of Physicians and Surgeons, Columbia University, 630 West 168th Street, P&S Box 16, New York, NY, 10032, USA
| | - Molly E Zimmerman
- Department of Psychology, Fordham University, Bronx, NY, USA
- Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA
| | - Irene B Meier
- Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Department of Neurology, College of Physicians and Surgeons, Columbia University, 630 West 168th Street, P&S Box 16, New York, NY, 10032, USA
| | - Erica Y Griffith
- Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Department of Neurology, College of Physicians and Surgeons, Columbia University, 630 West 168th Street, P&S Box 16, New York, NY, 10032, USA
| | - Stuart M Grieve
- Sydney Translational Imaging Laboratory, Sydney Medical School, University of Sydney, Sydney, Australia
- Brain Dynamics Centre, Westmead Millennium Institute, Westmead, Australia
- Sydney Medical School, Westmead, Australia
| | - Mayuresh S Korgaonkar
- Sydney Translational Imaging Laboratory, Sydney Medical School, University of Sydney, Sydney, Australia
- Brain Dynamics Centre, Westmead Millennium Institute, Westmead, Australia
- Sydney Medical School, Westmead, Australia
| | - Leanne M Williams
- Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA
- Sierra-Pacific Mental Illness Research, Education, Clinical Center (MIRECC) Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, USA
| | - Adam M Brickman
- Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Department of Neurology, College of Physicians and Surgeons, Columbia University, 630 West 168th Street, P&S Box 16, New York, NY, 10032, USA.
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17
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Zobaer MS, Anderson RM, Kerr CC, Robinson PA, Wong KKH, D'Rozario AL. K-complexes, spindles, and ERPs as impulse responses: unification via neural field theory. BIOLOGICAL CYBERNETICS 2017; 111:149-164. [PMID: 28251306 DOI: 10.1007/s00422-017-0713-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/04/2016] [Accepted: 02/12/2017] [Indexed: 06/06/2023]
Abstract
To interrelate K-complexes, spindles, evoked response potentials (ERPs), and spontaneous electroencephalography (EEG) using neural field theory (NFT), physiology-based NFT of the corticothalamic system is used to model cortical excitatory and inhibitory populations and thalamic relay and reticular nuclei. The impulse response function of the model is used to predict the responses to impulses, which are compared with transient waveforms in sleep studies. Fits to empirical data then allow underlying brain physiology to be inferred and compared with other waves. Spontaneous K-complexes, spindles, and other transient waveforms can be reproduced using NFT by treating them as evoked responses to impulsive stimuli with brain parameters appropriate to spontaneous EEG in sleep stage 2. Using this approach, spontaneous K-complexes and sleep spindles can be analyzed using the same single theory as previously been used to account for waking ERPs and other EEG phenomena. As a result, NFT can explain a wide variety of transient waveforms that have only been phenomenologically classified to date. This enables noninvasive fitting to be used to infer underlying physiological parameters. This physiology-based model reproduces the time series of different transient EEG waveforms; it has previously reproduced experimental EEG spectra, and waking ERPs, and many other observations, thereby unifying transient sleep waveforms with these phenomena.
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Affiliation(s)
- M S Zobaer
- School of Physics, The University of Sydney, Sydney, NSW, 2006, Australia.
- Center for Integrative Brain Function, University of Sydney, Sydney, NSW, 2006, Australia.
- Center for Research Excellence, Neurosleep, 431 Glebe Point Rd, Glebe, NSW, 2037, Australia.
- Department of Physics, Bangladesh University of Textiles, Dhaka, 1208, Bangladesh.
| | - R M Anderson
- School of Physics, The University of Sydney, Sydney, NSW, 2006, Australia
| | - C C Kerr
- School of Physics, The University of Sydney, Sydney, NSW, 2006, Australia
- Center for Integrative Brain Function, University of Sydney, Sydney, NSW, 2006, Australia
- Department of Physiology and Pharmacology, State University of New York Downstate Medical Center, 450 Clarkson Ave, Brooklyn, NY, USA
| | - P A Robinson
- School of Physics, The University of Sydney, Sydney, NSW, 2006, Australia
- Center for Integrative Brain Function, University of Sydney, Sydney, NSW, 2006, Australia
- Center for Research Excellence, Neurosleep, 431 Glebe Point Rd, Glebe, NSW, 2037, Australia
| | - K K H Wong
- CIRUS, Woolcock Institute of Medical Research, The University of Sydney, Sydney, NSW, Australia
- Respiratory and Sleep Disorders Department, Royal Prince Alfred Hospital and Sydney Local Health District, Sydney, NSW, Australia
- Sydney Medical School, The University of Sydney, Sydney, NSW, Australia
| | - A L D'Rozario
- CIRUS, Woolcock Institute of Medical Research, The University of Sydney, Sydney, NSW, Australia
- Respiratory and Sleep Disorders Department, Royal Prince Alfred Hospital and Sydney Local Health District, Sydney, NSW, Australia
- School of Psychology, Faculty of Science, Brain and Mind Centre and Charles Perkins Centre, The University of Sydney, Sydney, NSW, Australia
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18
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Berryman C, Wise V, Stanton TR, McFarlane A, Moseley GL. A case-matched study of neurophysiological correlates to attention/working memory in people with somatic hypervigilance. J Clin Exp Neuropsychol 2016; 39:84-99. [DOI: 10.1080/13803395.2016.1203869] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
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19
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Chu DA, Bryant RA, Gatt JM, Harris AWF. Failure to differentiate between threat-related and positive emotion cues in healthy adults with childhood interpersonal or adult trauma. J Psychiatr Res 2016; 78:31-41. [PMID: 27055015 DOI: 10.1016/j.jpsychires.2016.03.006] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2015] [Revised: 03/02/2016] [Accepted: 03/16/2016] [Indexed: 10/22/2022]
Abstract
Enhanced threat-related processing is associated with both elevated anxiety and childhood exposure to trauma. Given the paucity of evidence regarding the effects of childhood and adult trauma exposure on subsequent psychophysiological processes in the absence of psychopathology, we investigated the relative impacts of childhood interpersonal and non-interpersonal trauma, as well as adult trauma exposure on neural processing of threat in healthy adults. We measured peak amplitudes of the N170 face-sensitive visual ERP component response to non-conscious and conscious Angry (threat) versus Happy (non-threat, positive) and Neutral (non-threat baseline) faces at temporo-occipital sites (right-T6; left-T5) in 489 psychiatrically asymptomatic adults (aged 18-70 years, 54% women, 94% right-handed). N170 peak amplitude differences between Angry vs Happy or Neutral faces were calculated and subjected to hierarchical multiple regression analysis, with trauma types (childhood interpersonal, childhood non-interpersonal and adult trauma) entered as predictors of interest. After controlling for sociodemographic and health factors, N170 peak amplitudes for non-conscious Angry vs Happy faces were inversely associated with childhood interpersonal trauma at T6 and adult trauma exposure at T5. Post-hoc repeated measures ANOVA indicated that unlike adults without trauma exposure, trauma-exposed adults failed to show significantly reduced N170 responses to Happy relative to Angry faces during non-conscious processing. This suggests that childhood interpersonal and adult trauma exposure are associated with a failure to differentiate between non-threat or positive and threat-related emotion cues. This is consistent with generalised hypervigilance seen in PTSD, and suggests trauma exposure is associated with a generalized heightened responsivity to non-conscious non-threat or positive as well as threat-related emotion cues in psychiatrically healthy adults.
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Affiliation(s)
- Denise A Chu
- University of Sydney - Western Clinical School, Faculty of Medicine, NSW 2145, Australia; Brain Dynamics Centre, Westmead Institute, NSW 2145, Australia.
| | - Richard A Bryant
- School of Psychology, University of New South Wales, Sydney, NSW 2052, Australia
| | - Justine M Gatt
- University of Sydney - Western Clinical School, Faculty of Medicine, NSW 2145, Australia; Brain Dynamics Centre, Westmead Institute, NSW 2145, Australia; Neuroscience Research Australia, Randwick, NSW 2031, Australia; School of Psychology, University of New South Wales, Sydney, NSW 2052, Australia
| | - Anthony W F Harris
- University of Sydney, Discipline of Psychiatry, NSW, Australia; Brain Dynamics Centre, Westmead Institute, NSW 2145, Australia
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20
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Abeysuriya RG, Robinson PA. Real-time automated EEG tracking of brain states using neural field theory. J Neurosci Methods 2015; 258:28-45. [PMID: 26523766 DOI: 10.1016/j.jneumeth.2015.09.026] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2015] [Revised: 09/13/2015] [Accepted: 09/16/2015] [Indexed: 12/01/2022]
Abstract
A real-time fitting system is developed and used to fit the predictions of an established physiologically-based neural field model to electroencephalographic spectra, yielding a trajectory in a physiological parameter space that parametrizes intracortical, intrathalamic, and corticothalamic feedbacks as the arousal state evolves continuously over time. This avoids traditional sleep/wake staging (e.g., using Rechtschaffen-Kales stages), which is fundamentally limited because it forces classification of continuous dynamics into a few discrete categories that are neither physiologically informative nor individualized. The classification is also subject to substantial interobserver disagreement because traditional staging relies in part on subjective evaluations. The fitting routine objectively and robustly tracks arousal parameters over the course of a full night of sleep, and runs in real-time on a desktop computer. The system developed here supersedes discrete staging systems by representing arousal states in terms of physiology, and provides an objective measure of arousal state which solves the problem of interobserver disagreement. Discrete stages from traditional schemes can be expressed in terms of model parameters for backward compatibility with prior studies.
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Affiliation(s)
- R G Abeysuriya
- School of Physics, University of Sydney, New South Wales 2006, Australia; Center for Integrative Brain Function, University of Sydney, New South Wales 2006, Australia; Neurosleep, 431 Glebe Point Rd, Glebe, New South Wales 2037, Australia; Brain Dynamics Center, Sydney Medical School - Western, University of Sydney, Westmead, New South Wales 2145, Australia.
| | - P A Robinson
- School of Physics, University of Sydney, New South Wales 2006, Australia; Center for Integrative Brain Function, University of Sydney, New South Wales 2006, Australia; Neurosleep, 431 Glebe Point Rd, Glebe, New South Wales 2037, Australia; Brain Dynamics Center, Sydney Medical School - Western, University of Sydney, Westmead, New South Wales 2145, Australia
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21
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Woods DL, Kishiyamaa MM, Lund EW, Herron TJ, Edwards B, Poliva O, Hink RF, Reed B. Improving digit span assessment of short-term verbal memory. J Clin Exp Neuropsychol 2015; 33:101-11. [PMID: 20680884 DOI: 10.1080/13803395.2010.493149] [Citation(s) in RCA: 152] [Impact Index Per Article: 16.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
We measured digit span (DS) in two experiments that used computerized presentation of randomized auditory digits with performance-adapted list length adjustment. A new mean span (MS) metric of DS was developed that showed reduced variance, improved test-retest reliability, and higher correlations with the results of other neuropsychological test results when compared to traditional DS measures. The MS metric also enhanced the sensitivity of forward versus backward span comparisons, enabled the development of normative performance criteria with subdigit precision, and elucidated changes in DS performance with age and education level. Computerized stimulus delivery and improved scoring metrics significantly enhance the precision of DS assessments of short-term verbal memory.
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Affiliation(s)
- David L Woods
- Human Cognitive Neurophysiology Laboratory, VANCHCS, Martinez, CA, USA
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22
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Physiologically based arousal state estimation and dynamics. J Neurosci Methods 2015; 253:55-69. [PMID: 26072247 DOI: 10.1016/j.jneumeth.2015.06.002] [Citation(s) in RCA: 47] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2015] [Revised: 05/13/2015] [Accepted: 06/03/2015] [Indexed: 11/21/2022]
Abstract
A neural field model of the brain is used to represent brain states using physiologically based parameters rather than arbitrary, discrete sleep stages. Each brain state is represented as a point in a physiologically parametrized space. Over time, changes in brain state cause these points to trace continuous trajectories, unlike the artificial discrete jumps in sleep stage that occur with traditional sleep staging. The discrete Rechtschaffen and Kales sleep stages are associated with regions in the physiological parameter space based on their electroencephalographic features, which enables interpretation of traditional sleep stages in terms of physiological trajectories. Wake states are found to be associated with strong positive corticothalamic feedback compared to sleep. The existence of physiologically valid trajectories between brain states in the model is demonstrated. Actual trajectories for an individual can be determined by fitting the model using EEG alone, and enable analysis of the physiological differences between subjects.
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23
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Goldstein ME, Anderson VM, Pillai A, Kydd RR, Russell BR. Glutamatergic neurometabolites in clozapine-responsive and -resistant schizophrenia. Int J Neuropsychopharmacol 2015; 18:pyu117. [PMID: 25603859 PMCID: PMC4438552 DOI: 10.1093/ijnp/pyu117] [Citation(s) in RCA: 64] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2014] [Accepted: 12/19/2014] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND According to the current schizophrenia treatment guidelines, 3 levels of responsiveness to antipsychotic medication exist: those who respond to first-line antipsychotics, those with treatment-resistant schizophrenia who respond to clozapine, and those with clozapine-resistant or ultra-treatment resistant schizophrenia. Proton magnetic resonance spectroscopy studies indicate that antipsychotic medication decreases glutamate or total glutamate + glutamine in the brains of patients with schizophrenia and may represent a biomarker of treatment response; however, the 3 levels of treatment responsiveness have not been evaluated. METHODS Proton magnetic resonance spectroscopy spectra were acquired at 3 Tesla from patients taking a second generation non-clozapine antipsychotic (first-line responders), patients with treatment-resistant schizophrenia taking clozapine, patients with ultra-treatment resistant schizophrenia taking a combination of antipsychotics, and healthy comparison subjects. RESULTS Group differences in cerebrospinal fluid-corrected total glutamate + glutamine levels scaled to creatine were detected in the dorsolateral prefrontal cortex [df(3,48); F = 3.07, P = .04, partial η(2) = 0.16] and the putamen [df(3,32); F = 2.93, P = .05, partial η(2) = 0.22]. The first-line responder group had higher dorsolateral prefrontal cortex total glutamate + glutamine levels scaled to creatine than those with ultra-treatment resistant schizophrenia [mean difference = 0.25, standard error = 0.09, P = .04, family-wise error-corrected]. Those with treatment-resistant schizophrenia had higher total glutamate + glutamine levels scaled to creatine in the putamen than the first-line responders (mean difference = 0.31, standard error = 0.12, P = .05, family-wise error-corrected) and those with ultra-treatment-resistant schizophrenia (mean difference = 0.39, standard error = 0.12, P = .02, family-wise error-corrected). CONCLUSIONS Total glutamate + glutamine levels scaled to creatine in the putamen may represent a marker of response to clozapine. Future studies should investigate glutamatergic anomalies prior to clozapine initiation and following successful treatment.
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Affiliation(s)
- Meghan Elizabeth Goldstein
- Department of Psychiatry, University of California, San Diego, CA (Dr Goldstein); School of Pharmacy and Centre for Brain Research, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand (Drs Goldstein, Anderson, and Russell and Mr Pillai); Centre for Brain Research and Department of Psychological Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand (Dr Kydd)
| | - Valerie Margaret Anderson
- Department of Psychiatry, University of California, San Diego, CA (Dr Goldstein); School of Pharmacy and Centre for Brain Research, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand (Drs Goldstein, Anderson, and Russell and Mr Pillai); Centre for Brain Research and Department of Psychological Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand (Dr Kydd)
| | - Avinesh Pillai
- Department of Psychiatry, University of California, San Diego, CA (Dr Goldstein); School of Pharmacy and Centre for Brain Research, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand (Drs Goldstein, Anderson, and Russell and Mr Pillai); Centre for Brain Research and Department of Psychological Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand (Dr Kydd)
| | - Robert R Kydd
- Department of Psychiatry, University of California, San Diego, CA (Dr Goldstein); School of Pharmacy and Centre for Brain Research, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand (Drs Goldstein, Anderson, and Russell and Mr Pillai); Centre for Brain Research and Department of Psychological Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand (Dr Kydd)
| | - Bruce R Russell
- Department of Psychiatry, University of California, San Diego, CA (Dr Goldstein); School of Pharmacy and Centre for Brain Research, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand (Drs Goldstein, Anderson, and Russell and Mr Pillai); Centre for Brain Research and Department of Psychological Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand (Dr Kydd).
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Gordon E, Rush AJ, Palmer DM, Braund TA, Rekshan W. Toward an online cognitive and emotional battery to predict treatment remission in depression. Neuropsychiatr Dis Treat 2015; 11:517-31. [PMID: 25750532 PMCID: PMC4348126 DOI: 10.2147/ndt.s75975] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
PURPOSE To evaluate the performance of a cognitive and emotional test battery in a representative sample of depressed outpatients to inform likelihood of remission over 8 weeks of treatment with each of three common antidepressant medications. PATIENTS AND METHODS Outpatients 18-65 years old with nonpsychotic major depressive disorder (17 sites) were randomized to escitalopram, sertraline or venlafaxine-XR (extended release). Participants scored ≥12 on the baseline 16-item Quick Inventory of Depressive Symptomatology - Self-Report and completed 8 weeks of treatment. The baseline test battery measured cognitive and emotional status. Exploratory multivariate logistic regression models predicting remission (16-item Quick Inventory of Depressive Symptomatology - Self-Report score ≤5 at 8 weeks) were developed independently for each medication in subgroups stratified by age, sex, or cognitive and emotional test performance. The model with the highest cross-validated accuracy determined the participant proportion in each arm for whom remission could be predicted with an accuracy ≥10% above chance. The proportion for whom a prediction could be made with very high certainty (positive predictive value and negative predictive value exceeding 80%) was calculated by incrementally increasing test battery thresholds to predict remission/non-remission. RESULTS The test battery, individually developed for each medication, improved identification of remitting and non-remitting participants by ≥10% beyond chance for 243 of 467 participants. The overall remission rates were escitalopram: 40.8%, sertraline: 30.3%, and venlafaxine-XR: 31.1%. Within this subset for whom prediction exceeded chance, test battery thresholds established a negative predictive value of ≥80%, which identified 40.9% of participants not remitting on escitalopram, 77.1% of participants not remitting on sertraline, and 38.7% of participants not remitting on venlafaxine-XR (all including 20% false negatives). CONCLUSION The test battery identified about 50% of each medication group as being ≥10% more or less likely to remit than by chance, and identified about 38% of individuals who did not remit with ≥80% certainty. Clinicians might choose to avoid this specific medication in these particular patients.
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Affiliation(s)
| | | | - Donna M Palmer
- Brain Resource, Sydney, NSW, Australia ; Brain Dynamics Center, Sydney Medical School - Westmead and Westmead Millennium Institute, The University of Sydney, Sydney, NSW, Australia
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25
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Myers AJ, Williams L, Gatt JM, McAuley-Clark EZ, Dobson-Stone C, Schofield PR, Nemeroff CB. Variation in the oxytocin receptor gene is associated with increased risk for anxiety, stress and depression in individuals with a history of exposure to early life stress. J Psychiatr Res 2014; 59:93-100. [PMID: 25262417 PMCID: PMC4252971 DOI: 10.1016/j.jpsychires.2014.08.021] [Citation(s) in RCA: 69] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2014] [Revised: 08/14/2014] [Accepted: 08/28/2014] [Indexed: 02/06/2023]
Abstract
BACKGROUND Oxytocin is a neuropeptide that is involved in the regulation of mood, anxiety and social biology. Genetic variation in the oxytocin receptor gene (OXTR) has been implicated in anxiety, depression and related stress phenotypes. It is not yet known whether OXTR interacts with other risk factors such as early life trauma to heighten the severity of experienced anxiety and depression. METHODS In this study, we examined genotypes in 653 individuals and tested whether SNP variation in OXTR correlates with severity of features of self-reported experience on the Depression Anxiety and Stress Scale (DASS), and whether this correlation is enhanced when early life trauma is taken into account. We also assessed the effects of OXTR SNPs on RNA expression levels in two separate brain tissue cohorts totaling 365 samples. RESULTS A significant effect of OXTR genotype on DASS anxiety, stress and depression scores was found and ELS events, in combination with several different OXTR SNPs, were significantly associated with differences in DASS scores with one SNP (rs139832701) showing significant association or a trend towards association for all three measures. Several OXTR SNPs were correlated with alterations in OXTR RNA expression and rs3831817 replicated across both sets of tissues. CONCLUSIONS These results support the hypothesis that the oxytocin system plays a role in the pathophysiology of mood and anxiety disorders.
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Affiliation(s)
- Amanda J. Myers
- University of Miami, Miller School of Medicine, Department of Psychiatry & Behavioral Sciences, Miami, FL, USA,Corresponding author: University of Miami, Miller School of Medicine, Department of Psychiatry & Behavioral Sciences, Rosenstiel Medical Science Building, room 6152A (D-106), 1600 NW 10th Avenue, Miami, FL 33136, ph: 305-243-3522, fax: 305-243-7522,
| | - Leanne Williams
- Brain Dynamics Center, University of Sydney Medical School, Westmead and Westmead Millennium Institute, Sydney, New South Wales, Australia,Department of Psychiatry and Behavioral Neuroscience, Stanford University, CA, USA
| | - Justine M. Gatt
- Brain Dynamics Center, University of Sydney Medical School, Westmead and Westmead Millennium Institute, Sydney, New South Wales, Australia,Discipline of Psychiatry, University of Sydney Medical School, Sydney, New South Wales, Australia
| | | | - Carol Dobson-Stone
- Neuroscience Research Australia, Sydney, New South Wales, Australia,School of Medical Sciences, University of New South Wales, Sydney, New South Wales, Australia
| | - Peter R. Schofield
- Neuroscience Research Australia, Sydney, New South Wales, Australia,School of Medical Sciences, University of New South Wales, Sydney, New South Wales, Australia
| | - Charles B. Nemeroff
- University of Miami, Miller School of Medicine, Department of Psychiatry & Behavioral Sciences, Miami, FL, USA
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26
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Kemp AH, Quintana DS, Quinn CR, Hopkinson P, Harris AWF. Major depressive disorder with melancholia displays robust alterations in resting state heart rate and its variability: implications for future morbidity and mortality. Front Psychol 2014; 5:1387. [PMID: 25505893 PMCID: PMC4245890 DOI: 10.3389/fpsyg.2014.01387] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2014] [Accepted: 11/13/2014] [Indexed: 01/09/2023] Open
Abstract
Background: Major depressive disorder (MDD) is associated with increased heart rate and reductions in its variability (heart rate variability, HRV) – markers of future morbidity and mortality – yet prior studies have reported contradictory effects. We hypothesized that increases in heart rate and reductions in HRV would be more robust in melancholia relative to controls, than in patients with non-melancholia. Methods: A total of 72 patients with a primary diagnosis of MDD (age M: 36.26, SE: 1.34; 42 females) and 94 controls (age M: 35.69, SE: 1.16; 52 females) were included in this study. Heart rate and measures of its variability (HRV) were calculated from two 2-min electrocardiogram recordings during resting state. Propensity score matching controlled imbalance on potential confounds between patients with melancholia (n = 40) and non-melancholia (n = 32) including age, gender, disorder severity, and comorbid anxiety disorders. Results: MDD patients with melancholia displayed significantly increased heart rate and lower resting-state HRV (including the square root of the mean squared differences between successive N–N intervals, the absolute power of high frequency and standard deviation of the Poincaré plot perpendicular to the line of identity measures of HRV) relative to controls, findings associated with a moderate effect size (Cohens d’s = 0.56–0.58). Patients with melancholia also displayed an increased heart rate relative to those with non-melancholia (Cohen’s d = 0.20). Conclusion: MDD patients with melancholia – but not non-melancholia – display robust increases in heart rate and decreases in HRV. These findings may underpin a variety of behavioral impairments in patients with melancholia including somatic symptoms, cognitive impairment, reduced responsiveness to the environment, and over the longer-term, morbidity and mortality.
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Affiliation(s)
- Andrew H Kemp
- Discipline of Psychiatry, Sydney Medical School, University of Sydney Sydney, NSW, Australia ; School of Psychology, Faculty of Science, University of Sydney Sydney, NSW, Australia ; Centro de Pesquisa Clínica e Epidemiológica, Hospital Universitário - Universidade de São Paulo São Paulo, Brazil
| | - Daniel S Quintana
- School of Psychology, Faculty of Science, University of Sydney Sydney, NSW, Australia ; NORMENT, K.G. Jebsen Centre for Psychosis Research, Institute of Clinical Medicine, University of Oslo Oslo, Norway ; Division of Mental Health and Addiction, Oslo University Hospital Oslo, Norway
| | - Candice R Quinn
- Discipline of Psychiatry, Sydney Medical School, University of Sydney Sydney, NSW, Australia
| | - Patrick Hopkinson
- Discipline of Psychiatry, Sydney Medical School, University of Sydney Sydney, NSW, Australia
| | - Anthony W F Harris
- Discipline of Psychiatry, Sydney Medical School, University of Sydney Sydney, NSW, Australia ; Brain Dynamics Centre, Westmead Millennium Institute, University of Sydney - Westmead Hospital Sydney, NSW, Australia
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27
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Abstract
Electroencephalography (EEG) has, historically, played a focal role in the assessment of neural function in children with attention deficit hyperactivity disorder (ADHD). We review here the most recent developments in the utility of EEG in the diagnosis of ADHD, with emphasis on the most commonly used and emerging EEG metrics and their reliability in diagnostic classification. Considering the clinical heterogeneity of ADHD and the complexity of information available from the EEG signals, we suggest that considerable benefits are to be gained from multivariate analyses and a focus towards understanding of the neural generators of EEG. We conclude that while EEG cannot currently be used as a diagnostic tool, vast developments in analytical and technological tools in its domain anticipate future progress in its utility in the clinical setting.
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Affiliation(s)
- Agatha Lenartowicz
- Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, 760 Westwood Pl. Suite 17-369, Los Angeles, CA, 90095, USA,
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28
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New neurotechnologies for the diagnosis and modulation of brain dysfunctions. HEALTH PSYCHOLOGY REPORT 2014. [DOI: 10.5114/hpr.2014.43913] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
This is a major review article to acquaint psychologists with new neurotechnologies for the diagnosis and modulation of brain abnormalities. While psychometrics measures brain functions in terms of behavioral parameters, a recently emerged branch of neuroscience called neurometrics relies on measuring the electrophysiological parameters of brain functioning. There are two approaches in neurometrics. The first relies on the spectral characteristics of spontaneous electroencephalograms (EEG) and measures deviations from normality in EEG recorded in the resting state. The second approach relies on event-related potentials (ERPs) that measure the electrical responses of the brain to stimuli and actions in behavioral tasks. The present study reviews recent research on the application of ERPs for the discrimination of different types of brain dysfunction. Attention deficit-hyperactivity disorder (ADHD) is used as an example. It is shown that the diagnostic power of ERPs is enhanced by the recent emergence of new methods of analysis, such as independent component analysis (ICA) and low resolution electromagnetic tomography (LORETA).
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Bakkour N, Samp J, Akhras K, El Hammi E, Soussi I, Zahra F, Duru G, Kooli A, Toumi M. Systematic review of appropriate cognitive assessment instruments used in clinical trials of schizophrenia, major depressive disorder and bipolar disorder. Psychiatry Res 2014; 216:291-302. [PMID: 24656516 DOI: 10.1016/j.psychres.2014.02.014] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2013] [Revised: 02/03/2014] [Accepted: 02/09/2014] [Indexed: 12/01/2022]
Abstract
Cognitive dysfunction is increasingly recognized as a symptom in mental conditions including schizophrenia, major depressive disorder (MDD), and bipolar disorder (BPD). Despite the many available cognitive assessment instruments, consensus is lacking on their appropriate use in clinical trials. We conducted a systematic literature review in Embase, PubMed/Medline and PsychINFO to identify appropriate cognitive function instruments for use in clinical trials of schizophrenia, MDD, and BPD. Instruments were identified from the articles. Instruments and articles were excluded if they did not address schizophrenia, MDD, or BPD. Instrument appropriateness was further assessed by the criteria of the Measurement and Treatment Research to Improve Cognition in Schizophrenia (MATRICS) initiative: test-retest reliability, utility, relationship to functional status, potential changeability to pharmacological agents, and tolerability and practicality for clinical trials. The database search yielded 173 articles describing 150 instruments used to assess cognitive function. Seventeen additional instruments were identified through Google and clinicaltrials.gov. Among all these, only 30 (18%) were deemed appropriate for use in the diseases of interest. Of these, 27 were studied in schizophrenia, one in MDD and two in BPD. These findings suggest the need for careful selection of appropriate cognitive assessment instruments, as not all may be valid in these disorders.
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Affiliation(s)
- Nadia Bakkour
- Creativ-Ceutical, 500 Lake Cook Road #350, Deerfield, IL, USA
| | - Jennifer Samp
- Takeda Pharmaceuticals International, One Takeda Parkway, Deerfield, IL, USA
| | - Kasem Akhras
- Takeda Pharmaceuticals International, One Takeda Parkway, Deerfield, IL, USA
| | - Emna El Hammi
- Creativ-Ceutical, 500 Lake Cook Road #350, Deerfield, IL, USA
| | - Imen Soussi
- Creativ-Ceutical, 500 Lake Cook Road #350, Deerfield, IL, USA
| | - Fatma Zahra
- Creativ-Ceutical, 500 Lake Cook Road #350, Deerfield, IL, USA
| | - Gérard Duru
- University of Lyon, University Claude Bernard Lyon I, UFR d׳Odontologie, 11 rue Guillaume Paradin, 69372 Lyon, Cedex 08, France
| | - Amna Kooli
- Creativ-Ceutical, 500 Lake Cook Road #350, Deerfield, IL, USA
| | - Mondher Toumi
- University of Lyon, University Claude Bernard Lyon I, UFR d׳Odontologie, 11 rue Guillaume Paradin, 69372 Lyon, Cedex 08, France.
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Lang K, Stahl D, Espie J, Treasure J, Tchanturia K. Set shifting in children and adolescents with anorexia nervosa: an exploratory systematic review and meta-analysis. Int J Eat Disord 2014; 47:394-9. [PMID: 24347025 DOI: 10.1002/eat.22235] [Citation(s) in RCA: 107] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2013] [Revised: 11/19/2013] [Accepted: 11/21/2013] [Indexed: 11/08/2022]
Abstract
OBJECTIVE Set shifting inefficiencies in adults with anorexia nervosa (AN) are established, however the neurocognitive profile of children and adolescents with AN is less clear. This study aimed to provide a review of the literature. METHOD Electronic databases were used to search for manuscripts. RESULTS Meta-analysis was performed on seven studies using two neuropsychological tests (Trail Making Task, TMT; Wisconsin Card Sorting Task, WCST). The mean difference in outcome between AN and healthy control (HC) groups was standardized by calculating Cohen's d. Meta-analysis of TMT studies showed a nonsignificant negative, pooled standardized mean difference of -0.005 (95% C.I. -0.416 to 0.406, z = 0.02, p = .98). WCST studies revealed a nonsignificant pooled effect size of d = 0.196 (95% C.I. -0.091-0.483, z = 1.34, p = .18). Studies which did not allow for a calculation of effect size typically showed a nonsignificant, worse performance by the AN groups. DISCUSSION The inefficiencies in set shifting that are apparent in the adult AN literature do not appear to be as pronounced in children. This may suggest that set shifting difficulties in adult AN are the result of starvation or indicative of longer duration of illness. Larger studies are needed to confirm these impressions.
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Affiliation(s)
- Katie Lang
- King's College London (KCL), Psychological Medicine, Institute of Psychiatry, United Kingdom
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31
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Quinn CR, Rennie CJ, Harris AWF, Kemp AH. The impact of melancholia versus non-melancholia on resting-state, EEG alpha asymmetry: electrophysiological evidence for depression heterogeneity. Psychiatry Res 2014; 215:614-7. [PMID: 24467874 DOI: 10.1016/j.psychres.2013.12.049] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/29/2012] [Revised: 12/21/2013] [Accepted: 12/29/2013] [Indexed: 11/17/2022]
Abstract
While depression has been associated with relatively greater right than left frontal cortical activity - a neurophysiological marker reflecting greater activation of the withdrawal system - contradictory findings have been reported. It was hypothesised that melancholia would be associated with relative right frontal activation, in comparison to non-melancholia and controls. We collected 2-min of resting-state, eyes closed, electroencephalographic activity from a total of 237 participants including 117 patients with major depressive disorder (57 with melancholia, 60 with non-melancholia) and 120 healthy controls. In contrast to hypotheses, patients with non-melancholia displayed relative left frontal activation in comparison to controls and those with melancholia. These findings were associated with a small to moderate effect size (Cohen's d=0.30-0.34). Critically, patients with melancholic subtype did not differ from controls despite increased severity - relative to those with non-melancholia - on clinical measures. These results may reflect an increase in approach tendencies in patients with non-melancholia including reassurance seeking, anger or irritable aggression. Findings highlight the need for further research on the heterogeneity MDD.
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Affiliation(s)
- Candice R Quinn
- Discipline of Psychiatry, Sydney Medical School, University of Sydney, Australia
| | - Chris J Rennie
- School of Physics, University of Sydney, Sydney, New South Wales, Australia; Brain Dynamics Centre, University of Sydney, Westmead Hospital, Australia
| | - Anthony W F Harris
- Discipline of Psychiatry, Sydney Medical School, University of Sydney, Australia; Brain Dynamics Centre, University of Sydney, Westmead Hospital, Australia
| | - Andrew H Kemp
- Discipline of Psychiatry, Sydney Medical School, University of Sydney, Australia; University of Sydney Cognitive and Affective Neuroscience (SCAN) Research and Teaching Unit, School of Psychology, University of Sydney, Australia; University Hospital and Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
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32
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Rowe DL, Hermens DF. Attention-deficit/hyperactivity disorder: neurophysiology, information processing, arousal and drug development. Expert Rev Neurother 2014; 6:1721-34. [PMID: 17144785 DOI: 10.1586/14737175.6.11.1721] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
In this review, we draw on literature from both animal and human neurophysiological studies to consider the neurochemical mechanisms underlying attention-deficit/ hyperactivity disorder (ADHD). Psychophysiological and neuropsychological research is used to propose possible etiological endophenotypes of ADHD. These are conceptualized as patients with distinct cortical-arousal, information-processing or maturational abnormalities, or a combination thereof, and how the endophenotypes can be used to help drug development and optimize treatment and management. To illustrate, the paper focuses on neuro- and psychophysiological evidence that suggests cholinergic mechanisms may underlie specific information-processing abnormalities that occur in ADHD. The clinical implications for a cholinergic hypothesis of ADHD are considered, along with its possible implications for treatment and pharmacological development.
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Affiliation(s)
- Donald L Rowe
- The Brain Dynamics Centre and Department of Psychological Medicine, Westmead Hospital and University of Sydney, NSW, Australia.
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Williams LM, Tsang TW, Clarke S, Kohn M. An ‘integrative neuroscience’ perspective on ADHD: linking cognition, emotion, brain and genetic measures with implications for clinical support. Expert Rev Neurother 2014; 10:1607-21. [DOI: 10.1586/ern.10.140] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Abstract
This article reviews the off-label prescription of quetiapine in the treatment of a broad range of psychiatric disorders including obsessive-compulsive disorder, post-traumatic stress disorder, personality disorder, substance abuse, bipolar disorder (now US FDA approved), anxiety and depression. The article highlights the primary reliance on selective serotonin reuptake inhibitors (SSRIs) in the treatment of these disorders (cf bipolar disorder) and the high percentage of patients (30-60%) that do not respond to SSRIs. The studies suggest that low-dose quetiapine shows good tolerability and efficacy in patients diagnosed with these disorders, particularly in the case of treatment-resistant patients that do not respond to primary treatments including SSRIs and cognitive-behavioral therapy. Quetiapine generally appears to be very effective in trauma-related conditions by improving autonomic stability, and decreasing the stress and anxiety response that arises due to specific fears or triggers. Quetiapine also appears to be particularly useful for normalizing obsessions and compulsions, and improving low mood, irritability and aggressiveness. A greater understanding of the pharmacology of drug alternatives and the neurobiology of psychiatric disorders is required to permit a more personalized medicine approach.
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Affiliation(s)
- Donald L Rowe
- Westmead Hospital & University of Sydney, The Brain Dynamics Centre & Department of Psychological Medicine, NSW, Australia.
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35
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Bragazzi NL, Puente GD. Incorporating and integrating cognitive event-related potentials in the management of psychiatric disorders. Neuropsychiatr Dis Treat 2014; 10:83-4. [PMID: 24453489 PMCID: PMC3894139 DOI: 10.2147/ndt.s58859] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
- Nicola Luigi Bragazzi
- School of Public Health, Department of Health Sciences (DISSAL), University of Genoa, Genoa, Italy ; DINOGMI, Department of Neuroscience, Rehabilitation, Ophtalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, Genoa, Italy
| | - Giovanni Del Puente
- DINOGMI, Department of Neuroscience, Rehabilitation, Ophtalmology, Genetics, Maternal and Child Health, Section of Psychiatry, University of Genoa, Genoa, Italy
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Yu TY, Ho HH. Designing an efficient electroencephalography system using database with embedded images management approach. Comput Biol Med 2014; 44:27-36. [PMID: 24377686 DOI: 10.1016/j.compbiomed.2013.10.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2012] [Revised: 10/22/2013] [Accepted: 10/24/2013] [Indexed: 11/15/2022]
Abstract
Many diseases associated with mental deterioration among aged patients can be effectively treated using neurological treatments. Research shows that electroencephalography (EEG) can be used as an independent prognostic indicator of morbidity and mortality. Unfortunately, EEG data are typically inaccessible to modern software. It is therefore important to design a comprehensive approach to integrate EEG results into institutional medical systems. A customized EEG system utilizing a database management approach was designed to bridge the gap between the commercial EEG software and hospital data management platforms. Practical and useful medical findings are discoursed from statistical analysis of large amounts of EEG data.
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Affiliation(s)
- Tzu-Yi Yu
- Department of Information Management, National Chi Nan University, 470, University Rd., Puli, 54561, Nantou, Taiwan, ROC
| | - Hsu-Hua Ho
- Neurology Department, St. Joseph's Hospital, Huwei, 74, Sinsheng Rd. Huwei, Yunlin 632, Taiwan, ROC.
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Dobson-Stone C, Polly P, Korgaonkar MS, Williams LM, Gordon E, Schofield PR, Mather K, Armstrong NJ, Wen W, Sachdev PS, Kwok JBJ. GSK3B and MAPT polymorphisms are associated with grey matter and intracranial volume in healthy individuals. PLoS One 2013; 8:e71750. [PMID: 23951236 PMCID: PMC3741177 DOI: 10.1371/journal.pone.0071750] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2013] [Accepted: 07/02/2013] [Indexed: 12/12/2022] Open
Abstract
The microtubule-associated protein tau gene (MAPT) codes for a protein that plays an integral role in stabilisation of microtubules and axonal transport in neurons. As well as its role in susceptibility to neurodegeneration, previous studies have found an association between the MAPT haplotype and intracranial volume and regional grey matter volumes in healthy adults. The glycogen synthase kinase-3β gene (GSK3B) codes for a serine/threonine kinase that phosphorylates various proteins, including tau, and has also been associated with risk for neurodegenerative disorders and schizophrenia. We examined the effects of MAPT and two functional promoter polymorphisms in GSK3B (rs3755557 and rs334558) on total grey matter and intracranial volume in three independent cohorts totaling 776 neurologically healthy individuals. In vitro analyses revealed a significant effect of rs3755557 on gene expression, and altered binding of at least two transcription factors, Octamer transcription factor 1 (Oct-1) and Pre-B-cell leukemia transcription factor 1 (Pbx-1), to the GSK3B promoter. Meta-analysis across the three cohorts revealed a significant effect of rs3755557 on total grey matter volume (summary B = 0.082, 95% confidence interval = 0.037–0.128) and intracranial volume (summary B = 0.113, 95% confidence interval = 0.082–0.144). No significant effect was observed for MAPT H1/H2 diplotype or GSK3B rs334558 on total grey matter or intracranial volume. Our genetic and biochemical analyses have identified a role for GSK3B in brain development, which could have important aetiological implications for neurodegenerative and neurodevelopmental disorders.
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Affiliation(s)
- Carol Dobson-Stone
- Neuroscience Research Australia, Randwick, New South Wales, Australia
- Department of Pathology and Inflammation and Infection Research Centre, School of Medical Sciences, University of New South Wales, Kensington, Australia
| | - Patsie Polly
- Department of Pathology and Inflammation and Infection Research Centre, School of Medical Sciences, University of New South Wales, Kensington, Australia
| | - Mayuresh S. Korgaonkar
- The Brain Dynamics Centre, University of Sydney Medical School and Westmead Millennium Institute, Westmead, Australia
| | - Leanne M. Williams
- The Brain Dynamics Centre, University of Sydney Medical School and Westmead Millennium Institute, Westmead, Australia
- Brain Resource International Database, Brain Resource Ltd., Ultimo, Sydney, New South Wales, Australia, and San Francisco, California
| | - Evian Gordon
- Brain Resource International Database, Brain Resource Ltd., Ultimo, Sydney, New South Wales, Australia, and San Francisco, California
| | - Peter R. Schofield
- Neuroscience Research Australia, Randwick, New South Wales, Australia
- Department of Pathology and Inflammation and Infection Research Centre, School of Medical Sciences, University of New South Wales, Kensington, Australia
| | - Karen Mather
- Euroa Centre, Prince of Wales Hospital, Randwick, Australia
| | - Nicola J. Armstrong
- Cancer Program, Garvan Institute of Medical Research, Sydney, Australia, School of Mathematics and Statistics, and Prince of Wales Clinical School, University of New South Wales, Sydney, Australia
| | - Wei Wen
- Euroa Centre, Prince of Wales Hospital, Randwick, Australia
- School of Psychiatry, University of New South Wales, Sydney, Australia
| | - Perminder S. Sachdev
- Euroa Centre, Prince of Wales Hospital, Randwick, Australia
- School of Psychiatry, University of New South Wales, Sydney, Australia
| | - John B. J. Kwok
- Neuroscience Research Australia, Randwick, New South Wales, Australia
- Department of Pathology and Inflammation and Infection Research Centre, School of Medical Sciences, University of New South Wales, Kensington, Australia
- * E-mail:
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EEG Alpha Power as an Intermediate Measure Between Brain-Derived Neurotrophic Factor Val66Met and Depression Severity in Patients With Major Depressive Disorder. J Clin Neurophysiol 2013; 30:261-7. [DOI: 10.1097/wnp.0b013e3182933d6e] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
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Kropotov JD, Pronina MV, Polyakov JI, Ponomarev VA. Functional biomarkers in the diagnostics of mental disorders: Cognitive event-related potentials. ACTA ACUST UNITED AC 2013. [DOI: 10.1134/s0362119713010088] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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van Albada SJ, Robinson PA. Relationships between Electroencephalographic Spectral Peaks Across Frequency Bands. Front Hum Neurosci 2013; 7:56. [PMID: 23483663 PMCID: PMC3586764 DOI: 10.3389/fnhum.2013.00056] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2012] [Accepted: 02/11/2013] [Indexed: 11/18/2022] Open
Abstract
The degree to which electroencephalographic spectral peaks are independent, and the relationships between their frequencies have been debated. A novel fitting method was used to determine peak parameters in the range 2-35 Hz from a large sample of eyes-closed spectra, and their interrelationships were investigated. Findings were compared with a mean-field model of thalamocortical activity, which predicts near-harmonic relationships between peaks. The subject set consisted of 1424 healthy subjects from the Brain Resource International Database. Peaks in the theta range occurred on average near half the alpha peak frequency, while peaks in the beta range tended to occur near twice and three times the alpha peak frequency on an individual-subject basis. Moreover, for the majority of subjects, alpha peak frequencies were significantly positively correlated with frequencies of peaks in the theta and low and high beta ranges. Such a harmonic progression agrees semiquantitatively with theoretical predictions from the mean-field model. These findings indicate a common or analogous source for different rhythms, and help to define appropriate individual frequency bands for peak identification.
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Affiliation(s)
- S. J. van Albada
- Institute of Neuroscience and Medicine (INM-6) and Institute for Advanced Simulation (IAS-6), Jülich Research Centre and Jülich-Aachen Research AllianceJülich, Germany
- School of Physics, The University of SydneySydney, NSW, Australia
- Brain Dynamics Center, Sydney Medical School – Western, University of SydneySydney, NSW, Australia
| | - P. A. Robinson
- School of Physics, The University of SydneySydney, NSW, Australia
- Brain Dynamics Center, Sydney Medical School – Western, University of SydneySydney, NSW, Australia
- Center for Integrated Research and Understanding of SleepGlebe, NSW, Australia
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Chu DA, Williams LM, Harris AWF, Bryant RA, Gatt JM. Early life trauma predicts self-reported levels of depressive and anxiety symptoms in nonclinical community adults: relative contributions of early life stressor types and adult trauma exposure. J Psychiatr Res 2013; 47:23-32. [PMID: 23020924 DOI: 10.1016/j.jpsychires.2012.08.006] [Citation(s) in RCA: 78] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2012] [Revised: 08/03/2012] [Accepted: 08/08/2012] [Indexed: 12/21/2022]
Abstract
Exposure to early life trauma is a known risk factor for depression and anxiety disorders in adulthood. This study aimed to evaluate the relative contributions of early life versus adult trauma in predicting levels of depressive and anxiety symptoms in nonclinical community adults. 1209 nonclinical community adults (18-70 years; 45% male) were assessed for mental health status, early life stressors, lifetime trauma exposure, and self-reported levels of depressive and anxiety symptoms. A subset of the full sample subjected to group comparisons (n = 1088) indicated that early life stressor exposure primarily accounted for significantly higher depressive and anxiety symptom scores when compared against adults reporting to be free of childhood stressor or adult trauma exposure. Subsequent hierarchical multiple regression analyses of this subset using five distinct early life stressor types, namely 'Interpersonal violation', 'Family breakup', 'Disasters/war', 'Familial health trauma/death' and 'Personal health trauma' derived from principal component analysis of a wide range of self-reported early stressor events in the full sample, showed childhood 'Interpersonal violation' differentially predicted higher self-reported depressive and anxiety symptom scores in both males and females. Adult trauma exposure did not significantly predict these symptom scores. These findings underline the relative importance of exposure to 'interpersonal violation' relative to other types of early life stressors and adult trauma in the risk of depressive and anxiety symptoms in nonclinical community adults.
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Affiliation(s)
- Denise A Chu
- Brain Dynamics Centre, Westmead Millennium Institute & Discipline of Psychiatry, University of Sydney Medical School, Westmead, NSW 2145, Australia.
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Spronk DB, Veth CPM, Arns M, Schofield PR, Dobson-Stone C, Ramaekers JG, Franke B, de Bruijn ERA, Verkes RJ. DBH -1021C>T and COMT Val108/158Met genotype are not associated with the P300 ERP in an auditory oddball task. Clin Neurophysiol 2012; 124:909-15. [PMID: 23261162 DOI: 10.1016/j.clinph.2012.11.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2012] [Revised: 10/29/2012] [Accepted: 11/06/2012] [Indexed: 11/24/2022]
Abstract
OBJECTIVE The amplitude and latency of the P300 may be associated by variations in dopaminergic genes. The current study was conducted to determine whether functional variants of the catechol-O-methyltransferase (COMT) and dopamine beta-hydroxylase (DBH) gene were associated with P300 amplitude and latency in an auditory oddball task. METHODS The P300 ERP was assessed by a two-tone auditory oddball paradigm in a large sample of 320 healthy volunteers. The Val108/158Met polymorphism (rs4680) of the COMT gene and the -1021C>T polymorphism (rs1611115) of the DBH gene were genotyped. P300 amplitude and latency were compared across genotype groups using analysis of variance. RESULTS There were no differences in demographic characteristics in subjects for genotypic subgroups. No genotype associations were observed for the P300 amplitude and latency on frontal, central and parietal electrode positions. CONCLUSIONS COMT Val108/158Met and DBH -1021C>T polymorphisms do not show evidence of association with characteristics of the P300 ERP in an auditory oddball paradigm in healthy volunteers. SIGNIFICANCE We failed to find evidence for the association between dopaminergic enzymatic polymorphisms and the P300 ERP in healthy volunteers, in the largest study undertaken to date.
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Affiliation(s)
- D B Spronk
- Department of Psychiatry (966), Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
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de Ruiter MA, Schouten-Van Meeteren AYN, van Mourik R, Janssen TWP, Greidanus JEM, Oosterlaan J, Grootenhuis MA. Neurofeedback to improve neurocognitive functioning of children treated for a brain tumor: design of a randomized controlled double-blind trial. BMC Cancer 2012; 12:581. [PMID: 23217162 PMCID: PMC3530427 DOI: 10.1186/1471-2407-12-581] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2012] [Accepted: 11/22/2012] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Neurotoxicity caused by treatment for a brain tumor is a major cause of neurocognitive decline in survivors. Studies have shown that neurofeedback may enhance neurocognitive functioning. This paper describes the protocol of the PRISMA study, a randomized controlled trial to investigate the efficacy of neurofeedback to improve neurocognitive functioning in children treated for a brain tumor. METHODS/DESIGN Efficacy of neurofeedback will be compared to placebo training in a randomized controlled double-blind trial. A total of 70 brain tumor survivors in the age range of 8 to 18 years will be recruited. Inclusion also requires caregiver-reported neurocognitive problems and being off treatment for more than two years. A group of 35 healthy siblings will be included as the control group. On the basis of a qEEG patients will be assigned to one of three treatment protocols. Thereafter patients will be randomized to receive either neurofeedback training (n=35) or placebo training (n=35). Neurocognitive tests, and questionnaires administered to the patient, caregivers, and teacher, will be used to evaluate pre- and post-intervention functioning, as well as at 6-month follow-up. Siblings will be administered the same tests and questionnaires once. DISCUSSION If neurofeedback proves to be effective for pediatric brain tumor survivors, this can be a valuable addition to the scarce interventions available to improve neurocognitive and psychosocial functioning. TRIAL REGISTRATION ClinicalTrials.gov NCT00961922.
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Affiliation(s)
- Marieke A de Ruiter
- Psychosocial Department, Emma Children's Hospital AMC, room A3-241, Meibergdreef 9, Amsterdam 1105 AZ, The Netherlands.
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Noble KG, Grieve SM, Korgaonkar MS, Engelhardt LE, Griffith EY, Williams LM, Brickman AM. Hippocampal volume varies with educational attainment across the life-span. Front Hum Neurosci 2012; 6:307. [PMID: 23162453 PMCID: PMC3494123 DOI: 10.3389/fnhum.2012.00307] [Citation(s) in RCA: 99] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2012] [Accepted: 10/24/2012] [Indexed: 11/25/2022] Open
Abstract
Socioeconomic disparities—and particularly differences in educational attainment—are associated with remarkable differences in cognition and behavior across the life-span. Decreased educational attainment has been linked to increased exposure to life stressors, which in turn have been associated with structural differences in the hippocampus and the amygdala. However, the degree to which educational attainment is directly associated with anatomical differences in these structures remains unclear. Recent studies in children have found socioeconomic differences in regional brain volume in the hippocampus and amygdala across childhood and adolescence. Here we expand on this work, by investigating whether disparities in hippocampal and amygdala volume persist across the life-span. In a sample of 275 individuals from the BRAINnet Foundation database ranging in age from 17 to 87, we found that socioeconomic status (SES), as operationalized by years of educational attainment, moderates the effect of age on hippocampal volume. Specifically, hippocampal volume tended to markedly decrease with age among less educated individuals, whereas age-related reductions in hippocampal volume were less pronounced among more highly educated individuals. No such effects were found for amygdala volume. Possible mechanisms by which education may buffer age-related effects on hippocampal volume are discussed.
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Affiliation(s)
- Kimberly G Noble
- Department of Pediatrics, College of Physicians and Surgeons, Columbia University New York, NY, USA ; Gertrude H. Sergievsky Center, College of Physicians and Surgeons, Columbia University New York, NY, USA
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Quinn CR, Harris A, Felmingham K, Boyce P, Kemp A. The impact of depression heterogeneity on cognitive control in major depressive disorder. Aust N Z J Psychiatry 2012; 46:1079-88. [PMID: 23104927 DOI: 10.1177/0004867412461383] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE Depressed patients display a variety of deficits in neuropsychological function, and contradictory findings in the literature may be due to disorder heterogeneity. The aim of this study was to examine the impact of severity, subtype and symptoms on cognitive control. METHODS Neuropsychological function across a range of cognitive control tasks was examined in melancholic (n = 65) and non-melancholic depressed patients (n = 59) relative to controls (n = 124). The relationship between subtype (melancholia vs non-melancholia) and anxiety was also examined. RESULTS Melancholia was characterised by attention and working memory deficits typically associated with the dorsolateral prefrontal cortex, while non-melancholia was characterised by verbal memory recall deficits indicative of left frontal lobe and medial temporal lobe function. The severity of anxious arousal and psychomotor disturbance contributed to cognitive impairment more than the severity of depression symptoms and anxious apprehension. CONCLUSIONS Findings highlight a differential impact of depression subtype and severity, and suggest that anxious arousal and psychomotor disturbance may contribute to poorer performance on neuropsychological tasks associated with dorsolateral prefrontal cortex function.
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Affiliation(s)
- Candice R Quinn
- Discipline of Psychiatry, Sydney Medical School, University of Sydney, Australia
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Burns JG, Svetec N, Rowe L, Mery F, Dolan MJ, Boyce WT, Sokolowski MB. Gene-environment interplay in Drosophila melanogaster: chronic food deprivation in early life affects adult exploratory and fitness traits. Proc Natl Acad Sci U S A 2012; 109 Suppl 2:17239-44. [PMID: 23045644 PMCID: PMC3477394 DOI: 10.1073/pnas.1121265109] [Citation(s) in RCA: 52] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
Early life adversity has known impacts on adult health and behavior, yet little is known about the gene-environment interactions (GEIs) that underlie these consequences. We used the fruit fly Drosophila melanogaster to show that chronic early nutritional adversity interacts with rover and sitter allelic variants of foraging (for) to affect adult exploratory behavior, a phenotype that is critical for foraging, and reproductive fitness. Chronic nutritional adversity during adulthood did not affect rover or sitter adult exploratory behavior; however, early nutritional adversity in the larval period increased sitter but not rover adult exploratory behavior. Increasing for gene expression in the mushroom bodies, an important center of integration in the fly brain, changed the amount of exploratory behavior exhibited by sitter adults when they did not experience early nutritional adversity but had no effect in sitters that experienced early nutritional adversity. Manipulation of the larval nutritional environment also affected adult reproductive output of sitters but not rovers, indicating GEIs on fitness itself. The natural for variants are an excellent model to examine how GEIs underlie the biological embedding of early experience.
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Affiliation(s)
- James Geoffrey Burns
- Department of Ecology and Evolutionary Biology, University of Toronto, Toronto, ON, Canada M5S 3B2
| | - Nicolas Svetec
- Department of Ecology and Evolutionary Biology, University of Toronto, Toronto, ON, Canada M5S 3B2
| | - Locke Rowe
- Department of Ecology and Evolutionary Biology, University of Toronto, Toronto, ON, Canada M5S 3B2
| | - Frederic Mery
- Laboratoire Évolution, Génomes, et Spéciation, Unité Propre de Recherche 9034, Centre National de la Recherche Scientifique, 91198 Gif sur Yvette, France
- Université Paris-Sud 11, 91405 Orsay, France; and
| | - Michael J. Dolan
- Department of Ecology and Evolutionary Biology, University of Toronto, Toronto, ON, Canada M5S 3B2
| | - W. Thomas Boyce
- School of Population and Public Health and Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada V6T 1Z3
| | - Marla B. Sokolowski
- Department of Ecology and Evolutionary Biology, University of Toronto, Toronto, ON, Canada M5S 3B2
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Comorbid externalising behaviour in AD/HD: evidence for a distinct pathological entity in adolescence. PLoS One 2012; 7:e41407. [PMID: 22984398 PMCID: PMC3440414 DOI: 10.1371/journal.pone.0041407] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2012] [Accepted: 06/22/2012] [Indexed: 11/20/2022] Open
Abstract
While the profiling of subtypes of Attention Deficit Hyperactivity Disorder (AD/HD) have been the subject of considerable scrutiny, both psychometrically and psychophysiologically, little attention has been paid to the effect of diagnoses comorbid with AD/HD on such profiles. This is despite the greater than 80% prevalence of comorbidity under the DSM-IV-TR diagnostic definitions. Here we investigate the event related potential (ERP) and psychometric profiles of Controls, AD/HD, and comorbid AD/HD (particularly AD/HD+ODD/CD) groups on six neurocognitive tasks thought to probe the constructs of selective and sustained attention, response inhibition and executive function. Data from 29 parameters extracted from a child group (age range 6 to 12; 52 Controls and 64 AD/HD) and from an adolescent group (age range 13 to 17; 79 Controls and 88 AD/HD) were reduced via a Principal Components Analysis, the 6 significant eigenvectors then used as determinants of cluster membership via a Two-Step Cluster Analysis. Two clusters were found in the analysis of the adolescent age group - a cluster dominated by Control and AD/HD participants without comorbidity, while the second cluster was dominated by AD/HD participants with externalising comorbidity (largely oppositional defiant/conduct disorder ODD/CD). A similar segregation within the child age group was not found. Further analysis of these objectively determined clusters in terms of their clinical diagnoses indicates a significant effect of ODD/CD comorbidity on a concurrent AD/HD diagnosis. We conclude that comorbid externalising behaviour in AD/HD constitutes a distinct pathological entity in adolescence.
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Williams LM, Cooper NJ, Wisniewski SR, Gatt JM, Koslow SH, Kulkarni J, Devarney S, Gordon E, John Rush A. Sensitivity, specificity, and predictive power of the "Brief Risk-resilience Index for SCreening," a brief pan-diagnostic web screen for emotional health. Brain Behav 2012; 2:576-89. [PMID: 23139903 PMCID: PMC3489810 DOI: 10.1002/brb3.76] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2011] [Revised: 05/02/2012] [Accepted: 05/16/2012] [Indexed: 11/11/2022] Open
Abstract
Few standardized tools are available for time-efficient screening of emotional health status across diagnostic categories, especially in primary care. We evaluated the 45-question Brief Risk-resilience Index for SCreening (BRISC) and the 15-question mini-BRISC in identifying poor emotional health and coping capacity across a range of diagnostic groups - compared with a detailed clinical assessment - in a large sample of adult outpatients. Participants 18-60 years of age (n = 1079) recruited from 12 medical research and clinical sites completed the computerized assessments. Three index scores were derived from the full BRISC and the mini-BRISC: one for risk (negativity-positivity bias) and two for coping (resilience and social capacity). Summed answers were converted to standardized z-scores. BRISC scores were compared with detailed health assessment and diagnostic interview (for current psychiatric, psychological, and neurological conditions) by clinicians at each site according to diagnostic criteria. Clinicians were blinded to BRISC scores. Clinical assessment stratified participants as having "clinical" (n = 435) or "healthy" (n = 644) diagnostic status. Receiver operating characteristic analyses showed that a z-score threshold of -1.57 on the full BRISC index of emotional health provided an optimal classification of "clinical" versus "healthy" status (sensitivity: 81.2%, specificity: 92.7%, positive predictive power: 80.2%, and negative predictive power: 93.1%). Comparable findings were revealed for the mini-BRISC. Negativity-positivity bias index scores contributed the most to prediction. The negativity-positivity index of emotional health was most sensitive to classifying major depressive disorder (100%), posttraumatic stress disorder (95.8%), and panic disorder (88.7%). The BRISC and mini-BRISC both offer a brief, clinically useful screen to identify individuals at risk of disorders characterized by poor emotion regulation, from those with good emotional health and coping.
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Affiliation(s)
- Leanne M Williams
- BRAINnet Foundation 71 Stephenson Street, Suite 400, San Francisco, California, 94105 ; University of Sydney Medical School and Westmead Millennium Institute Sydney, New South Wales, 2145, Australia
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Brickman AM, Meier IB, Korgaonkar MS, Provenzano FA, Grieve SM, Siedlecki KL, Wasserman BT, Williams LM, Zimmerman ME. Testing the white matter retrogenesis hypothesis of cognitive aging. Neurobiol Aging 2012; 33:1699-715. [PMID: 21783280 PMCID: PMC3222729 DOI: 10.1016/j.neurobiolaging.2011.06.001] [Citation(s) in RCA: 115] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2010] [Revised: 05/16/2011] [Accepted: 06/01/2011] [Indexed: 10/18/2022]
Abstract
The retrogenesis hypothesis postulates that late-myelinated white matter fibers are most vulnerable to age- and disease-related degeneration, which in turn mediate cognitive decline. While recent evidence supports this hypothesis in the context of Alzheimer's disease, it has not been tested systematically in normal cognitive aging. In the current study, we examined the retrogenesis hypothesis in a group (n = 282) of cognitively normal individuals, ranging in age from 7 to 87 years, from the Brain Resource International Database. Participants were evaluated with a comprehensive neuropsychological battery and were imaged with diffusion tensor imaging. Fractional anisotropy (FA), radial diffusivity (RD), and axial diffusivity (DA), measures of white matter coherence, were computed in 2 prototypical early-myelinated fiber tracts (posterior limb of the internal capsule, cerebral peduncles) and 2 prototypical late-myelinated fiber tracts (superior longitudinal fasciculus, inferior longitudinal fasciculus) chosen to parallel previous studies; mean summary values were also computed for other early- and late-myelinated fiber tracts. We examined age-associated differences in FA, RD, and DA in the developmental trajectory (ages 7-30 years) and degenerative trajectory (ages 31-87 years), and tested whether the measures of white matter coherence mediated age-related cognitive decline in the older group. FA and DA values were greater for early-myelinated fibers than for late-myelinated fibers, and RD values were lower for early-myelinated than late-myelinated fibers. There were age-associated differences in FA, RD, and DA across early- and late-myelinated fiber tracts in the younger group, but the magnitude of differences did not vary as a function of early or late myelinating status. FA and RD in most fiber tracts showed reliable age-associated differences in the older age group, but the magnitudes were greatest for the late-myelinated tract summary measure, inferior longitudinal fasciculus (late fiber tract), and cerebral peduncles (early fiber tract). Finally, FA in the inferior longitudinal fasciculus and cerebral peduncles and RD in the cerebral peduncles mediated age-associated differences in an executive functioning factor. Taken together, the findings highlight the importance of white matter coherence in cognitive aging and provide some, but not complete, support for the white matter retrogenesis hypothesis in normal cognitive aging.
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Affiliation(s)
- Adam M Brickman
- Taub Institute for Research on Alzheimer's Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA.
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Abstract
OBJECTIVE Major depressive disorder (MDD) is associated with deficits in executive cognitive function, including inhibitory control. However, inconsistencies have been found across studies. Depression is a heterogeneous disorder and these inconsistencies may therefore relate to heterogeneity in relatively small samples. METHOD Here we sought to examine event-related potentials (ERPs) during a cognitive Go/No-Go task in melancholic (n = 60) and non-melancholic depressed patients (n = 54) relative to controls (n = 114). RESULTS Behavioural responses indicate that inhibitory control processes are differentially affected by subtypes of depression such that melancholic patients exhibit a greater number of commission errors and more variable response rates in comparison to non-melancholic patients and controls respectively. However, ERPs do not differ during a cognitive Go/No-Go task when ERPs associated with correct responses are examined. CONCLUSIONS These findings indicate that while patients with melancholia differ from patients without melancholia and controls, no neurophysiological differences are observed when controlling for observable behavioural impairment.
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Affiliation(s)
- Candice R Quinn
- Discipline of Psychiatry, Sydney Medical School, University of Sydney, Australia
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