A meta-analysis of the n-back task while driving and its effects on cognitive workload

This study investigates the effect of the n-back task on cognitive workload while driving. Results of 20 studies with over 800 participants in total show a moderate to high mean effect size. That means the n-back task varies cognitive load while driving in a substantial matter. Further analysis reveals several moderator variables: experiments conducted in a driving simulator showed larger effect sizes than on-road studies. This effect decreases with increasing driving simulator fidelity. Furthermore, the specific driving task assignment moderates the effect: lane change task scenarios result in higher effects than other situations. Regarding the different measurement methods of cognitive workload, subjective questionnaires seem to have very high sensitivity. In contrast, n-back performance measures, detection response task measures, and physiological measurements result in moderate effect sizes, and driving performance measures show reduced sensitivity. Regarding different implementations of the n-back task itself, surprisingly, no moderators are found. Overall, the findings highlight the suitability of the n-back task as a method of inducing cognitive load in transportation research. The moderator analysis gives an overview of different methodological designs and how these designs will affect effect sizes.     

A male advantage for spatial and object but not verbal working memory using the n-back task

Sex-related differences have been reported for performance and neural substrates on some working memory measures that carry a high cognitive load, including the popular n-back neuroimaging paradigm. Despite some evidence of a sex effect on the task, the influence of sex on performance represents a potential confound in neuroimaging research. The present study investigated sex-related differences in verbal, spatial, and common object versions of the high cognitive load "n-back" working memory task. Eighteen male and 18 female undergraduates completed all 3 versions of the task. A mixed ANOVA, with Sex (male and female) as the between-subjects factor and Condition (verbal, spatial, and object) as the within-subjects repeated measure revealed that males were significantly more accurate than females on the spatial and object versions of the n-back task and performed equivalently to females on the verbal version of the task. Although the expected female advantage for verbal working memory was not found using this effortful n-back task, these results support a male advantage for high cognitive load spatial and object working memory. Future research should take into account the influence of sex on performance of the n-back task, and examine sex-related differences in working memory using other paradigms.     

Dual-task influences on retrieval from semantic memory and coordination dynamics

Bimanual 1:1 rhythmic coordination was performed while retrieving words from a specified category. The effects of divided attention (DA) on coordination were indexed by changes in mean relative phase and recurrence measures of shared activity between the two limbs. Effects of DA on memory were indexed by deficits in exemplars retrieved relative to the baseline. Shifts in relative phase were found, accompanied by a recall deficit for DA during the retrieval task. DA also reduced the degree of shared activity between left and right rhythmic motions. Our discussion focuses on DA-induced parameter changes in retrieval and coordination dynamics, as well as on the hypothesis that stability is the general factor mediating dual-task performance.     

Encoding and retrieval during bimanual rhythmic coordination

In 2 experiments, bimanual 1:1 rhythmic coordination was performed concurrently with encoding or retrieval of word lists. Effects of divided attention (DA) on coordination were indexed by changes in mean relative phase and recurrence measures of shared activity between the 2 limbs. Effects of DA on memory were indexed by deficits in recall relative to baseline. For DA at both encoding and retrieval, the equilibrium values of relative phase were shifted and the degree of shared activity between left and right rhythmic motions was reduced. Recall was reduced, however, only for DA at encoding. The results corroborate and extend those obtained with more conventional secondary tasks (e.g., visual reaction time), suggesting attention dissimilarities between episodic encoding and retrieval.     

Adaptive n-back training does not improve fluid intelligence at the construct level: Gains on individual tests suggest that training may enhance visuospatial processing

Short-term adaptive cognitive training based on the n-back task is reported to increase scores on individual ability tests, but the key question of whether such increases generalize to the intelligence construct is not clear. Here we evaluate fluid/abstract intelligence (Gf), crystallized/verbal intelligence (Gc), working memory capacity (WMC), and attention control (ATT) using diverse measures, with equivalent versions, for estimating any changes at the construct level after training. Beginning with a sample of 169 participants, two groups of twenty-eight women each were selected and matched for their general cognitive ability scores and demographic variables. Under strict supervision in the laboratory, the training group completed an intensive adaptive training program based on the n-back task (visual, auditory, and dual versions) across twenty-four sessions distributed over twelve weeks. Results showed that this group had the expected systematic improvements in n-back performance over time; this performance systematically correlated across sessions with Gf, Gc, and WMC, but not with ATT. However, the main finding showed no significant changes in the assessed psychological constructs for the training group as compared with the control group. Nevertheless, post-hoc analyses suggested that specific tests and tasks tapping visuospatial processing might be sensitive to training.     

Patterns of impaired verbal,spatial, and object working memory after thalamic lesions

Working memory processes in six individuals with isolated thalamic lesions were assessed. Participants were given a verbal, spatial, and object n-back task, each at three levels of task load (1-back, 2-back, and 3-back). Relative to a control group, the patients were impaired on the verbal and spatial n-back tasks, and possibly on the object n-back task as well. None of the patients showed impaired short-term memory as measured by digit span. Group differences on trials measuring matching, sequencing, and inhibitory abilities were consistent with other reports suggesting that thalamic lesions may impair the operation of executive processes.     

The relationship between n-back performance and matrix reasoning — implications for training and transfer

We have previously demonstrated that training on a dual n-back task results in improvements in fluid intelligence (Gf) as measured by matrix reasoning tasks. Here, we explored the underlying mechanisms of this transfer effect in two studies, and we evaluated the transfer potential of a single n-back task. In the first study, we demonstrated that dual and single n-back task performances are approximately equally correlated with performance on two different tasks measuring Gf, whereas the correlation with a task assessing working memory capacity was smaller. Based on these results, the second study was aimed on testing the hypothesis that training on a single n-back task yields the same improvement in Gf as training on a dual n-back task, but that there should be less transfer to working memory capacity. We trained two groups of students for four weeks with either a single or a dual n-back intervention. We investigated transfer effects on working memory capacity and Gf comparing the two training groups' performance to controls who received no training of any kind. Our results showed that both training groups improved more on Gf than controls, thereby replicating and extending our prior results.     

Working memory improvement with non-invasive brain stimulation of the dorsolateral prefrontal cortex: A systematic review and meta-analysis

Recent studies have used non-invasive brain stimulation (NIBS) techniques, such as repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS), to increase dorsolateral prefrontal cortex (DLPFC) activity and, consequently, working memory (WM) performance. However, such experiments have yielded mixed results, possibly due to small sample sizes and heterogeneity of outcomes. Therefore, our aim was to perform a systematic review and meta-analyses on NIBS studies assessing the n-back task, which is a reliable index for WM. From the first data available to February 2013, we looked for sham-controlled, randomized studies that used NIBS over the DLPFC using the n-back task in PubMed/MEDLINE and other databases. Twelve studies (describing 33 experiments) matched our eligibility criteria. Active vs. sham NIBS was significantly associated with faster response times (RTs), higher percentage of correct responses and lower percentage of error responses. However, meta-regressions showed that tDCS (vs. rTMS) presented only an improvement in RT, and not in accuracy. This could have occurred in part because almost all tDCS studies employed a crossover design, possibly due to the reliable tDCS blinding. Study design was also associated with no improvement in correct responses in the active vs. sham groups. To conclude, rTMS of the DLPFC significantly improved all measures of WM performance whereas tDCS significantly improved RT, but not the percentage of correct and error responses. Mechanistic insights on the role of DLPFC in WM are further discussed, as well as how NIBS techniques could be used in neuropsychiatric samples presenting WM deficits, such as major depression, dementia and schizophrenia.     

Working memory and attention in pediatric brain tumor patients treated with and without radiation therapy

Children are at risk for cognitive difficulties following the diagnosis and treatment of a brain tumor. Longitudinal studies have consistently demonstrated declines on measures of intellectual functioning, and recently it has been proposed that specific neurocognitive processes underlie these changes, including working memory, processing speed, and attention. However, a fine-grained examination of the affected neurocognitive processes is required to inform intervention efforts. Radiation therapy (RT) impacts white matter integrity, likely affecting those cognitive processes supported by distributed neural networks. This study examined working memory and attention in children during the early delayed stages of recovery following surgical resection and RT. The participants included 27 children diagnosed with pediatric brain tumor, treated with (n = 12) or without (n = 15) RT, who completed experimental and standardized measures of working memory and attention (n-back and digit span tasks). Children treated with radiation performed less well than those who did not receive radiation on the n-back measure, though performance at the 0-back level was considerably poorer than would be expected for both groups, perhaps suggesting difficulties with more basic processes such as vigilance. Along these lines, marginal differences were noted on digit span forward. The findings are discussed with respect to models of attention and working memory, and the interplay between the two.     

A multi-method investigation of the personality correlates of digital aggression

Digital aggression (DA) refers to the use of computer-mediated technologies to harm others. A handful of previous studies have provided mixed results regarding the personality correlates of DA. We clarified these findings by analyzing the associations between three measures of DA (behavioral, Twitter, and self-report) and the Big Five traits using data from 1167 undergraduate participants. Big Five personality trait measures predicted all three DA measures, but results varied across particular assessments of DA. These results point to possible moderators and potentially important differences within the broader construct of DA.     

Effects of verbal and nonverbal interference on spatial and object visual working memory

We tested the hypothesis that a verbal coding mechanism is necessarily engaged by object, but not spatial, visual working memory tasks. We employed a dual-task procedure that paired n-back working memory tasks with domain-specific distractor trials inserted into each interstimulus interval of the n-back tasks. In two experiments, object n-back performance demonstrated greater sensitivity to verbal distraction, whereas spatial n-back performance demonstrated greater sensitivity to motion distraction. Visual object and spatial working memory may differ fundamentally in that the mnemonic representation of featural characteristics of objects incorporates a verbal (perhaps semantic) code, whereas the mnemonic representation of the location of objects does not. Thus, the processes supporting working memory for these two types of information may differ in more ways than those dictated by the "what/where" organization of the visual system, a fact more easily reconciled with a component process than a memory systems account of working memory function.     

Evaluating the Safety and Effectiveness of the Weighted Blanket With Adults During an Inpatient Mental Health Hospitalization

The weighted blanket (WB) is a modality used to self-comfort, rest, sleep, and decrease anxiety. This exploratory, pilot study investigates the safety and effectiveness of the standardized use of the 30-pound WB with 30 adults during an acute inpatient mental health hospitalization. Safety measures include blood pressure, pulse rate, and pulse oximetry monitoring, with and without the 30-pound WB. The State Trait Anxiety Inventory-10 (STAI-10), a self-rating 0–10 anxiety scale, and electrodermal activity (EDA) readings measure effectiveness for anxiety reduction. No statistical differences in vital signs indicate WB safety. The STAI-10 and self-ratings indicate 60% had a significant reduction in anxiety using the WB. EDA readings were inconclusive.     

The interruptive effect of pain on attention

Pain is known to disrupt attentional performance in both healthy adults and patients with chronic pain. Exactly which aspects of attentional function are affected are, however, still to be determined. The primary aim of this investigation was to systematically examine the effects of experimentally induced pain on a range of attentional performance tasks. Following a review of tests of attentional disruption, seven best candidate tasks were selected and examined across seven experiments. The tasks were: continuous performance, flanker, endogenous precueing, n-back, inhibition, attentional switching, and divided attention. Healthy adult participants performed each of these tasks under three different conditions: a painful heat sensation, a warm heat sensation, and a nonheat control. Pain differentially affected attentional performance across these tasks; pain-related attentional impairment was found on the n-back, attentional switching, and divided attention tasks, but not on the other tasks. This finding suggests that the aspects of attention most affected by pain are those essential for the completion of complex tasks that require the processing of multiple cues and control over attentional deployment. These results are discussed in the context of an emerging view of pain as a demand for executive control and the development of measures that could be used to examine attentional disruption in the context of pain.     

The interruptive effect of pain on attention

Pain is known to disrupt attentional performance in both healthy adults and patients with chronic pain. Exactly which aspects of attentional function are affected are, however, still to be determined. The primary aim of this investigation was to systematically examine the effects of experimentally induced pain on a range of attentional performance tasks. Following a review of tests of attentional disruption, seven best candidate tasks were selected and examined across seven experiments. The tasks were: continuous performance, flanker, endogenous precueing, n-back, inhibition, attentional switching, and divided attention. Healthy adult participants performed each of these tasks under three different conditions: a painful heat sensation, a warm heat sensation, and a nonheat control. Pain differentially affected attentional performance across these tasks; pain-related attentional impairment was found on the n-back, attentional switching, and divided attention tasks, but not on the other tasks. This finding suggests that the aspects of attention most affected by pain are those essential for the completion of complex tasks that require the processing of multiple cues and control over attentional deployment. These results are discussed in the context of an emerging view of pain as a demand for executive control and the development of measures that could be used to examine attentional disruption in the context of pain.     

Working memory training revisited: A multi-level meta-analysis of n-back training studies

The efficacy of working memory (WM) training has been a controversial and hotly debated issue during the past years. Despite a large number of training studies and several meta-analyses, the matter has not yet been solved. We conducted a multi-level meta-analysis on the cognitive transfer effects in healthy adults who have been administered WM updating training with n-back tasks, the most common experimental WM training paradigm. Thanks to this methodological approach that has not been employed in previous meta-analyses in this field, we were able to include effect sizes from all relevant tasks used in the original studies. Altogether 203 effect sizes were derived from 33 published, randomized, controlled trials. In contrast to earlier meta-analyses, we separated task-specific transfer (here untrained n-back tasks) from other WM transfer tasks. Two additional cognitive domains of transfer that we analyzed consisted of fluid intelligence (Gf) and cognitive control tasks. A medium-sized transfer effect was observed to untrained n-back tasks. For other WM tasks, Gf, and cognitive control, the effect sizes were of similar size and very small. Moderator analyses showed no effects of age, training dose, training type (single vs. dual), or WM and Gf transfer task contents (verbal vs. visuospatial). We conclude that a substantial part of transfer following WM training with the n-back task is task-specific and discuss the implications of the results to WM training research.     

A comparison of laboratory and clinical working memory tests and their prediction of fluid intelligence

The working memory (WM) construct is conceptualized similarly across domains of psychology, yet the methods used to measure WM function vary widely. The present study examined the relationship between WM measures used in the laboratory and those used in applied settings. A large sample of undergraduates completed three laboratory-based WM measures (operation span, listening span, and n-back), as well as the WM subtests from the Wechsler Adult Intelligence Scale-III and the Wechsler Memory Scale-III. Performance on all of the WM subtests of the clinical batteries shared positive correlations with the lab measures; however, the Arithmetic and Spatial Span subtests shared lower correlations than the other WM tests. Factor analyses revealed that a factor comprising scores from the three lab WM measures and the clinical subtest, Letter-Number Sequencing (LNS), provided the best measurement of WM. Additionally, a latent variable approach was taken using fluid intelligence as a criterion construct to further discriminate between the WM tests. The results revealed that the lab measures, along with the LNS task, were the best predictors of fluid abilities.     

工作记忆更新任务中的认知优势效应

目的：采用N-back范式,探讨熟练双语者与非熟练双语者之间工作记忆更新能力的差异,以验证双语优势效应是否存在于工作记忆更新任务中。方法：采用数字型2-back任务,两因素混合实验设计。自变量分别为被试间变量(熟练双语者与非熟练双语者）和被试内变量（低难度任务组和高难度任务组）,因变量为2-back任务中目标刺激、非目标刺激、诱惑刺激和非诱惑刺激的准确率和反应时。结果：熟练双语者与非熟练双语者在低难度的2-back任务（一般的2-back任务）中,目标刺激和非目标刺激的准确率和反应时上没有差异;在高难度任务组（有冲突的2-back任务）中,熟练双语者在非目标刺激、诱惑刺激和非诱惑刺激的准确率显著高于非熟练双语者。结论：工作记忆更新中的“双语优势效应”更容易体现在高执行功能需求的条件下。     

Behavioural and ERP Effects of Cognitive and Combined Cognitive and Physical Training on Working Memory and Executive Function in Healthy Older Adults

Cognitive and physical training have been shown to be effective in improving older adults’ cognition. However, it is not yet clear whether combined cognitive and physical training offers an advantage compared to cognitive training alone. Twenty-two older adults performed cognitive or combined cognitive and physical training in order to compare their effects on working memory event-related potentials (ERPs) and on working memory and executive function performance. Before and after eight weeks of training, performance in Plus Minus, Flanker, Updated Span, and Complex Span tasks was measured, and ERPs were registered during performance of an n-back task (0-back, 2-back, and 3-back). Post-training behavioural improvement was observed in Updated Span, Complex Span, and n-back tasks. During the n-back task, the N2/P3 complex was modulated by training, with a decrease in N2 amplitude and an increase in P3 amplitude in the posttraining session compared to the pretraining session. These changes in ERP components suggest that both types of training potentially reduce the need for attentional control to perform the tasks correctly and increase working memory capacity. Thus, based on our data, no conclusion can be reached on the direct advantage of combined training, either at behavioural or at neural level. However, the present study might suggest an indirect advantage of such a combined training, because the cognitive benefit was found to be highly similar in both types of training. Using combined cognitive and physical training may produce a potential improvement in general fitness and an increased appeal of training.     

Nicotinic cholinergic synaptic mechanisms in the ventral tegmental area contribute to nicotine addiction

Tobacco use is a major health problem that is estimated to cause 4 million deaths a year worldwide. Nicotine is the main addictive component of tobacco. It acts as an agonist to activate and desensitize nicotinic acetylcholine receptors (nAChRs). A component of nicotine's addictive power is attributable to actions on the mesolimbic dopaminergic system, which serves a fundamental role in the acquisition of behaviors that are inappropriately reinforced by addictive drugs. Here we show that nicotine, in the same concentration and time ranges as obtained from tobacco, has three main actions that regulate the activity of midbrain dopamine (DA) neurons. Nicotine first activates and then desensitizes nAChRs on the DA neurons. This process directly excites the DA neurons for a short period of time before the nAChRs desensitize. Nicotine also enhances glutamatergic excitation and decreases GABAergic inhibition onto DA neurons. These events increase the probability for synaptic plasticity, such as long-term potentiation. The short-lived direct excitation of the DA neurons coupled with the enhanced glutamatergic afferent activity provides the presynaptic and postsynaptic coincidence necessary to initiate synaptic potentiation. In total, these synaptic events lead to a relatively long-lasting heightened activity of midbrain DA neurons. Consistent with other summarized studies, this work indicates that the synaptic changes normally associated with learning and memory can be influenced and commandeered during the nicotine addiction process.     

基于手机APP的双维n-back训练的认知与情绪效益

工作记忆训练的训练获益能够迁移至与工作记忆相关的各项基础认知活动中去。基于情绪认知控制与工作记忆之间的密切关联, 本研究设计了一种新型情绪性双维n-back训练, 并且验证利用手机APP搭载训练任务的适用性。结果表明：基于APP的短期双维n-back训练能够使个体在视空间工作记忆任务、活动记忆任务、数字转换任务、Stroop任务上的成绩产生相较控制组更大的进步, 表明训练可以提高个体工作记忆的容量和中央执行功能。然而, 基于不同情绪材料的训练(中性、负性、正性)在各类迁移上差异不大。短期训练无法迁移到情绪Stroop任务中, 即无法产生特异的情绪控制上的效益。双维n-back任务通道单一, 且搭载于手机APP, 拥有较为广阔的应用前景。但将情绪材料单纯地糅合进工作记忆任务中的价值与意义须被进一步考察。