A Dissociation of Attention, Executive Function and Reaction to Difficulty: Development of the MindPulse Test, a Novel Digital Neuropsychological Test for Precise Quantification of Perceptual-Motor Decision-Making Processes

The link between tobacco smoking and susceptibility to misinformation

INTRODUCTION

This study investigates the relationship between tobacco smoking and susceptibility to misinformation, an area that has been underexplored despite its potential implications for public health and media literacy. Smoking behavior, along with the pharmacological components present in tobacco, is often associated with habitual and cognitive patterns that may influence an individual's ability to critically evaluate and discern false information. By examining this potential link, the present study aims to shed light on the broader implications of smoking for societal challenges, such as the spread of misinformation.

METHODS

A quantitative online survey was conducted to collect data from a sample of 1,575 adult participants (Mage = 41.37, SD = 13.58; females: 54%, males: 46%) from the United Kingdom. Participants were categorized into three groups based on their smoking status: individuals who had smoked tobacco less than an hour before the study (n = 550), individuals who had smoked more than an hour before the study (n = 472), and non-smokers (n = 553). The survey incorporated questions assessing susceptibility to misinformation by annotating certain claims as false or true, and other instruments in order to control for impulsivity, stress level, physiological arousal and education level.

RESULTS

Smokers exhibited a lower ability to correctly recognize false claims than non-smokers. There was no difference between these groups in true news recognition.

DISCUSSION

The study, controlling for confounding factors, such as education and perceived stress, reveals that tobacco smoking may be associated with misinformation susceptibility. Further laboratory-based research should be conducted to explore the mechanisms underlying the observed relationship.

Touchscreen Response Precision Is Sensitive to the Explore/Exploit Trade-off

The explore/exploit trade-off is a fundamental property of choice selection during reward-guided decision making, where the "same" choice can reflect either of these internal cognitive states. An unanswered question is whether the execution of a decision provides an underexplored measure of internal cognitive states. Touchscreens are increasingly used across species for cognitive testing and afford the ability to measure the precise location of choice touch responses. We examined how male and female mice in a restless bandit decision making task interacted with a touchscreen to determine if the explore/exploit trade-off, prior reward, and/or sex differences change the variability in the kinetics of touchscreen choices. During exploit states, successive touch responses are closer together than those made in an explore state, suggesting exploit states reflect periods of increased motor stereotypy. Although exploit decisions might be expected to be rewarded more frequently than explore decisions, we find that immediate past reward reduces choice variability independently of explore/exploit state. Male mice are more variable in their interactions with the touchscreen than females, even in low-variability trials such as exploit or following reward. These results suggest that as exploit behavior emerges in reward-guided decision making, all mice become less variable and more automated in both their choice and the actions taken to make that choice, but this occurs on a background of increased male variability. These data uncover the hidden potential for touchscreen decision making tasks to uncover the latent neural states that unite cognition and movement.

The Effects of Commando Training on Stress, Cognitive Performance, and Group Behavior in Military Personnel: An Exploratory Study

BACKGROUND

Military personnel are exposed to a high level of operational stress that degrades their psychophysiological and cognitive performance and could impact the mission. Commando training is a unique opportunity to assess psychological, physiological, and cognitive performance in an ecological setting.

METHODS

Psychological, physiological, and cognitive performance were evaluated at baseline, and before and after a 1-week commando training course consisting of exercises and night walks. Psychological factors (anxiety, subjective stress), physiological measures (heart rate variability, electrodermal conductance), cognitive behavior (cognitive bias, risk-taking, decision-making), and cognitive performance (the MindPulse neurophysiological test) were assessed. Volunteers were 39 young (mean age 21.6 years) French army officers.

RESULTS

Blind spot bias was found in all participants before training, except for the action-inaction bias. We observed a deterioration in parasympathetic functioning (Root Mean Square of Successive Differences, P = .05), an increase in subjective fatigue (P < .001), and impaired cognitive performance: reaction time (P = .02, F = 5.77), errors (P = .03, F = 4.97). Post-training, we observed an emerging group dynamic, notably an increase in avoidance (buck-passing) (P = .002, F = 10,43), a reduction of the action-inaction bias (P = .009, F = 7.59), ostrich effect (P = .008, F = 7.83) and stereotyping bias (P = .03, F = 5.11).

CONCLUSION

Commando training increases stress and impacts the cognitive performance of military personnel. Pre-deployment preparation could consider the need for physiological recovery, and the impact of deployment on cognitive performance.

Working memory deficit in patients with focal epilepsy is associated with higher interictal theta connectivity

OBJECTIVE

Interictal cognitive disturbances are frequent in patients with focal epilepsies and the links with alteration of resting state brain oscillations are not well known. Changes in theta oscillations, may contribute to cognitive impairment. This study aimed to investigate whether changes in theta activity are related to cognitive disturbances.

METHODS

Retrospective data of 23 patients with temporal/frontal lobe epilepsy were included. Theta connectivity, power and interictal spikes rate from five-minute interictal resting state stereoelectroencephalography datasets were computed. Cognitive performances were assessed by Wechsler Intelligence Scale (WAIS-IV) and Weschler Memory Scale (WMS-III). Linear regression was performed to evaluate effect of interictal activity and seizure related parameters on cognitive scores.

RESULTS

WAIS-IV working memory score in patients with epilepsy showed negative correlation with frontotemporal theta connectivity (F(1,17) = 5,239, p = 0,036, R2 = 0,200, β = -0,497). Moreover, theta connectivity was correlated with mesial temporal spike rate and theta power (F(2,17) = 10,967, p = 0,001, adj.R2 = 0,540).

CONCLUSIONS

Patients with focal epilepsy often encounter compromised cognitive functions, particularly notable in the domain of working memory. This impairment might be attributed to physiological mechanisms involving increased theta connectivity within the frontotemporal regions and interictal spiking.

SIGNIFICANCE

Our study highlights the relation between theta connectivity and working memory impairments in patients with focal epilepsy.

Adult norms for the decision-making MindPulse Digital Test

We present adult normalized data for MindPulse (MP), a new tool evaluating attentional and executive functioning (AEF) in decision-making. We recruited 722 neurotypical participants (18-80 years), with 149 retested. The MP test includes three tasks: Simple Reaction Time (SRT), Go/No-go, and complex Go/No-go, involving perceptual components, motor responses, and measurements of reaction time (RT) and correctness. We compare responses, evaluating 14 cognitive indices (including new composite indices to describe AEF: Executive Speed and Reaction to Difficulty). We adjust for age/sex effects, introduce a difficulty scale, and consider standard deviations, aberrant times, and Spearman Correlation for speed-accuracy balance. Wilcoxon unpaired rank test is used to assess sex effects, and linear regression is employed to assess the age linear dependency model on the normalized database. The study demonstrated age and sex effects on RTs, in all three subtests, and the ability to correct it for individual results. The test showed excellent validity (Cronbach Alpha for the three subtasks is 92, 87, 95%) and high internal consistency (p < 0.001 for each subtask significantly faster than the more complex subtask) of the MP across the wide age range. Results showed correlation within the three RT parts of the test (p < .001 for each) and the independence of SRT, RD, and ES indices. The Retest effect was lower than intersubject variance, showing consistency over time. This study highlights the MP test's strong validity on a homogeneous, large adult sample. It emphasizes assessing AEF and Reaction to Difficulty dynamically with high sensitivity.

Rhythmic temporal prediction enhances neural representations of movement intention for brain-computer interface

Objective.Detecting movement intention is a typical use of brain-computer interfaces (BCI). However, as an endogenous electroencephalography (EEG) feature, the neural representation of movement is insufficient for improving motor-based BCI. This study aimed to develop a new movement augmentation BCI encoding paradigm by incorporating the cognitive function of rhythmic temporal prediction, and test the feasibility of this new paradigm in optimizing detections of movement intention.Methods.A visual-motion synchronization task was designed with two movement intentions (left vs. right) and three rhythmic temporal prediction conditions (1000 ms vs. 1500 ms vs. no temporal prediction). Behavioural and EEG data of 24 healthy participants were recorded. Event-related potentials (ERPs), event-related spectral perturbation induced by left- and right-finger movements, the common spatial pattern (CSP) and support vector machine, Riemann tangent space algorithm and logistic regression were used and compared across the three temporal prediction conditions, aiming to test the impact of temporal prediction on movement detection.Results.Behavioural results showed significantly smaller deviation time for 1000 ms and 1500 ms conditions. ERP analyses revealed 1000 ms and 1500 ms conditions led to rhythmic oscillations with a time lag in contralateral and ipsilateral areas of movement. Compared with no temporal prediction, 1000 ms condition exhibited greater beta event-related desynchronization (ERD) lateralization in motor area (P< 0.001) and larger beta ERD in frontal area (P< 0.001). 1000 ms condition achieved an averaged left-right decoding accuracy of 89.71% using CSP and 97.30% using Riemann tangent space, both significantly higher than no temporal prediction. Moreover, movement and temporal information can be decoded simultaneously, achieving 88.51% four-classification accuracy.Significance.The results not only confirm the effectiveness of rhythmic temporal prediction in enhancing detection ability of motor-based BCI, but also highlight the dual encodings of movement and temporal information within a single BCI paradigm, which is promising to expand the range of intentions that can be decoded by the BCI.

Transferability and sustainability of process-based multi-task adaptive cognitive training in community-dwelling older adults with mild cognitive impairment: a randomized controlled trial

BACKGROUND

Cognitive training shows promising effects for improving cognitive domains in individuals with mild cognitive impairment (MCI), including the crucial predictive factor of executive function (EF) for dementia prognosis. Few studies have paid sufficient emphasis on the training-induced effects of cognitive training programs, particularly with regards to targeting EF. A process-based multi-task adaptive cognitive training (P-bM-tACT) program targeting EF is required to examine direct, transfer, and sustainability effects in older adults with MCI.

OBJECTIVE

This study aimed to evaluate the direct effects of a P-bM-tACT program on EF, the transfer effects on untrained cognitive domains, and further explore the sustainability of training gains for older adults with MCI in the community.

METHODS

In a single-blind, randomized controlled trial, 92 participants with MCI were randomly assigned to either the intervention group, participating in a P-bM-tACT program (3 training sessions/week, 60 min/session for 10 weeks) or the wait-list control group, accepting a health education program on MCI (1 education session/ twice a week, 40-60 min/session for 10 weeks). The direct and transfer effects of the P-bM-tACT program were assessed at baseline, immediately after 10 weeks of training, and the 3-month follow-up. Repeated measures analysis of variance and a simple effect test were used to compare the direct and transfer effects over the 3-time points between the two groups.

RESULTS

The P-bM-tACT program yielded a greater benefit of direct and transfer effects in the intervention group participants than in the wait-list control group. Combined with the results of simple effect tests, the direct and transfer effects of participants in the intervention group significantly increased immediately after 10 weeks of training compared to the baseline (F = 14.702 ~ 62.905, p < 0.05), and these effects were maintained at the 3-month follow-up (F = 19.595 ~ 122.22, p < 0.05). Besides, the acceptability of the cognitive training program was established with a high adherence rate of 83.4%.

CONCLUSIONS

The P-bM-tACT program exerted positive direct and transfer effects on the improvement of cognitive function, and these effects were sustained for 3 months. The findings provided a viable and potential approach to improving cognitive function in older adults with MCI in the community.

TRIAL REGISTRATION

The trial was registered at Chinese Clinical Trials Registry on 09/01/2019 ( www.chictr.org.cn ; Number Registry: ChiCTR1900020585).

The EPIDIA4Kids protocol for a digital epidemiology study on brain functioning in children, based on a multimodality biometry tool running on an unmodified tablet

Introduction

Neurodevelopment and related mental disorders (NDDs) are one of the most frequent disabilities among young people. They have complex clinical phenotypes often associated with transnosographic dimensions, such as emotion dysregulation and executive dysfunction, that lead to adverse impacts in personal, social, academic, and occupational functioning. Strong overlap exists then across NDDs phenotypes that are challenging for diagnosis and therapeutic intervention. Recently, digital epidemiology uses the rapidly growing data streams from various devices to advance our understanding of health's and disorders' dynamics, both in individuals and the general population, once coupled with computational science. An alternative transdiagnostic approach using digital epidemiology may thus better help understanding brain functioning and hereby NDDs in the general population.

Objective

The EPIDIA4Kids study aims to propose and evaluate in children, a new transdiagnostic approach for brain functioning examination, combining AI-based multimodality biometry and clinical e-assessments on an unmodified tablet. We will examine this digital epidemiology approach in an ecological context through data-driven methods to characterize cognition, emotion, and behavior, and ultimately the potential of transdiagnostic models of NDDs for children in real-life practice.

Methods and analysis

The EPIDIA4Kids is an uncontrolled open-label study. 786 participants will be recruited and enrolled if eligible: they are (1) aged 7 to 12 years and (2) are French speaker/reader; (3) have no severe intellectual deficiencies. Legal representative and children will complete online demographic, psychosocial and health assessments. During the same visit, children will perform additionally a paper/pencil neuro-assessments followed by a 30-min gamified assessment on a touch-screen tablet. Multi-stream data including questionnaires, video, audio, digit-tracking, will be collected, and the resulting multimodality biometrics will be generated using machine- and deep-learning algorithms. The trial will start in March 2023 and is expected to end by December 2024.

Discussion

We hypothesize that the biometrics and digital biomarkers will be capable of detecting early onset symptoms of neurodevelopment compared to paper-based screening while as or more accessible in real-life practice.