Neural networks supporting autobiographical memory retrieval in posttraumatic stress disorder

Posttraumatic stress disorder (PTSD) affects the functional recruitment and connectivity between neural regions during autobiographical memory (AM) retrieval that overlap with default and control networks. Whether such univariate changes relate to potential differences in the contributions of the large-scale neural networks supporting cognition in PTSD is unknown. In the present functional MRI study, we employed independent-component analysis to examine the influence of the engagement of neural networks during the recall of personal memories in a PTSD group (15 participants) as compared to non-trauma-exposed healthy controls (14 participants). We found that the PTSD group recruited similar neural networks when compared to the controls during AM recall, including default-network subsystems and control networks, but group differences emerged in the spatial and temporal characteristics of these networks. First, we found spatial differences in the contributions of the anterior and posterior midline across the networks, and of the amygdala in particular, for the medial temporal subsystem of the default network. Second, we found temporal differences within the medial prefrontal subsystem of the default network, with less temporal coupling of this network during AM retrieval in PTSD relative to controls. These findings suggest that the spatial and temporal characteristics of the default and control networks potentially differ in a PTSD group versus healthy controls and contribute to altered recall of personal memory.     

<Emphasis Type="Italic">DSM-5</Emphasis> Posttraumatic Stress Disorder Symptom Structure in Disaster-Exposed Adolescents: Stability across Gender and Relation to Behavioral Problems

Given the significant modifications to posttraumatic stress disorder (PTSD) symptom criteria from DSM-IV to DSM-5, a better understanding of the dimensionality underlying DSM-5 PTSD symptoms among adolescents is needed. However, to date, whether gender moderates the latent structure of DSM-5 PTSD symptoms in youth remains unclear. Meanwhile, little is known about how distinct PTSD dimensions relate to adolescent behavioral problems. The aim of this study was to fill these gaps. A sample of 1184 disaster-exposed Chinese adolescents (53.8 % girls) with age ranging from 13 to 17 years (M = 14.3, SD = 0.8) completed the PTSD Checklist for DSM-5, and the Withdrawn, Aggressive Behavior, and Delinquent Behavior subscales of the Youth Self-Report. Confirmatory factor analyses revealed that the seven-factor hybrid PTSD model provided the best fit to the data for both girls and boys. Measurement equivalence of this model held across gender, although girls had higher mean scores than boys on some factors. Differential patterns of associations emerged between PTSD dimensions and behavioral problems, with anhedonia symptoms most strongly relating to social withdrawal, and externalizing behavior symptoms most strongly relating to aggression and delinquency. These findings further support the gender invariance and external criterion validity of the newly refined hybrid model that best represents DSM-5 PTSD symptom structure in youth, and carry implications for accurate assessment, diagnosis, and gender comparison of DSM-5 PTSD symptomatology, and potential symptom targets for PTSD intervention among adolescent disaster survivors.     

低自尊个体注意偏向的ERP研究

本研究以高兴、愤怒和中性面孔图片为实验材料,采用空间线索任务,借助事件相关电位技术(ERP)探讨低自尊个体注意偏向的内在机制及生理基础,即从电生理的角度,探讨注意偏向的内在机制是反映了注意的快速定向还是注意的解脱困难,亦或是既有快速注意定向又伴随注意的解脱困难。行为数据发现,高低自尊个体在有效提示下的反应显著快于无效提示条件。脑电数据发现,无效提示条件下,愤怒面孔后的靶子比高兴和中性面孔后的靶子在低自尊个体中诱发了更大的P1和更小的N1波幅,有效提示下无显著差异;高自尊个体在N1和P1波幅上无显著结果。晚期P300成分上,无效提示比有效提示诱发了更正的波幅,未发现自尊相关的显著差异。结果表明,低自尊个体对评价性威胁信息(愤怒)的注意偏向是对威胁信息(愤怒)的注意解脱困难。     

Normal executive attention but abnormal orienting attention in individuals with sluggish cognitive tempo

Background/objective: Sluggish Cognitive Tempo (SCT) is an attentional disorder characterized by the symptoms of slowness in behavior or thinking, a lack of en.ergy, difficulty initiating and sustaining effort, daydreaming, and drowsiness. The aim of the present study was to investigate the distinctive attentional characteristics of SCT as compared to Attention-Deficit/Hyperactivity Disorder (ADHD). Method: A total of 110 adults were recruited and divided into four groups: SCT+ADHD, SCT, ADHD, and healthy controls. The Revised version of Attention Networks Test was used to investigate each group’s attentional profile. Results: The results revealed that the two SCT groups (SCT+ADHD and SCT) showed a significantly weaker orienting network due to the problems of engaging and disengaging attention than the other two groups. Additionally, the two ADHD groups (SCT+ADHD and ADHD) showed a significantly weaker executive control network than the other two groups. Conclusions: The findings demonstrate an attentional distinction between the SCT and the ADHD groups with a greater dysfunction in the orienting network in the SCT group as compared to the ADHD group. Furthermore, a greater executive control dysfunction was observed in the ADHD group as compared to the SCT group.     

The development of attentional orienting during the school‐age years

This study was designed to assess the development of spatial attentional orienting during the school‐age years. To that end, we used a cost‐benefit attentional cueing task with short (100 ms) and long (800 ms) cue‐to‐target intervals to examine attentional processing independent of motor skills and perceptual processing in 200 7–17‐year‐olds and 40 adults. We found that orienting attention, disengaging attention and visual processing in an unattended location, were all progressively more accurate and faster with increasing age. Our data thus suggest that the efficiency of attentional orienting improves in an age‐related manner throughout the school‐age years.     

Emotional modulation of attention orienting: A classical conditioning study

Emotional modulation of attention shifting was investigated in Posner's (1980) spatial orienting task by conditioning the attention cue to an aversive white noise. Prior to the attention task, the Conditioning group received a 90dB white noise unconditioned stimulus (UCS) contingent upon the frame-lit rectangle attention cue, while the Control group received non-contingent presentations. The Conditioning group evidenced greater skin conductance responses to the frame-lit rectangle in the conditioning phase, reflecting an electrodermal conditioned response. In the attention phase, the frame-lit rectangle served as the attention cue in the spatial orienting task. The Conditioning group showed equally fast reaction times (RTs) to targets presented outside the location of the cue as to targets at the same location as the cue, reflecting elimination of the cognitive cost usually involved in shifting attention. The Control group evidenced the regular cost of shifting attention away from the location of the cue. The Conditioning group also evidenced a larger N1-component with a parietal distribution of the event-related brain potentials to the cue and a larger N1-component at the frontal regions to targets presented outside the cued location. This suggests that both visual orienting to the cue and attention shifting from cue to target on invalid trials were amplified by the emotional salience attached to the cue through the classical conditioning procedure.     

Are Episodic Buffer Processes Intact in ADHD? Experimental Evidence and Linkage with Hyperactive Behavior

Working memory deficits are present in a substantial proportion of children with ADHD, and converging evidence links these deficits with ADHD-related behavioral and functional impairments. At the same time, working memory is not a unitary construct, and evidence is lacking regarding the role of several components of this system in ADHD. Preclinical behavioral studies are needed to fractionate the multicomponent working memory system, determine which specific subcomponent(s) are impaired in ADHD, and more importantly link these subcomponent(s) with specific ADHD-related behavioral symptoms/functional impairments. The current study reflects one piece of that puzzle, and focuses on the episodic buffer component of working memory. Across multiple testing days, a well-characterized sample of 86 children ages 8–13 (M=10.52, SD=1.54; 34 girls; 64% Caucasian/Non-Hispanic) with ADHD (n=49) and without ADHD (n=37) completed three counterbalanced working memory tests that were identical in all aspects except the key subcomponent process (phonological, visuospatial, episodic buffer). Gross motor movement during these and control tasks were measured using 4 high-precision actigraphs. There was no evidence of group differences in gender, age, SES, or IQ. Bayesian mixed-model ANOVAs indicated that the ADHD group performed significantly worse on all three working memory tests (d=1.17–1.44) and was significantly more hyperactive than controls (d=0.66–1.05) during the visuospatial and episodic buffer tests. In contrast, the ADHD and Non-ADHD groups were equivalent with regard to effects of episodic buffer demands on performance and hyperactive behavior. The most parsimonious conclusion is that the episodic buffer is likely intact in ADHD, and unrelated to ADHD hyperactivity symptoms.     

The development of exogenous orienting: mechanisms of control

The present study examined exogenous orienting in children ages 6 years (n=14), 10 years (n=13), 14 years (n=14), and adults (n=13). The main purpose was to identify which of the attentional operations underlying exogenous orienting (disengaging, shifting, and/or engaging) improves with age. A simple detection task was used in which single targets were correctly (80%) or incorrectly (20%) cued. The main finding was that disengaging attention alone distinguished the performance of younger children from that of older children and adults, regardless of whether attention alone (covert attention) or attention and associated sensory and motor systems (overt attention) were involved. In addition, our data, in contrast to those reported previously, raise the possibility that even the youngest children tested were able to use the predictability of the cue to enhance their performance. These and related neuroanatomical findings are taken as evidence for the development with age of more flexible control in orienting visual attention.     

Where is the chocolate? Rapid spatial orienting toward stimuli associated with primary rewards

Some stimuli can orient attentional resources and access awareness even if they appear outside the focus of voluntary attention. Stimuli with low-level perceptual salience and stimuli with an emotional content can modulate attention independently of voluntary processes. In Experiment 1, we used a spatial cuing task to investigate whether stimuli that are controlled for their perceptual salience can modulate the rapid orienting of attention based exclusively on their affective relevance. Affective relevance was manipulated through a Pavlovian conditioning paradigm in which an arbitrary and affectively neutral perceptual stimulus was associated with a primary reward (i.e., a chocolate odor). Results revealed that, after conditioning, attentional resources were rapidly oriented toward the stimulus that was previously associated with the reward. In Experiment 2, we used the very same conditioning procedure, but we devaluated the reward after conditioning for half of the participants through a sensory-specific satiation procedure. Strikingly, when the reward was devaluated, attention was no longer oriented toward reward-associated stimuli. Our findings therefore suggest that reward associations rapidly modulate visual processing independently of both voluntary processing and the perceptual salience of the stimulus. This supports the notion that stimuli associated with primary rewards modulate rapid attention orienting on the basis of the affective relevance of the stimulus.     

Operant discrimination of relative frequency ratios in black-capped chickadee song

The two-note fee bee song of the black-capped chickadee (Poecile atricapillus) is sung at many different absolute frequencies, but the relative frequencies, or “pitch ratios”, between the start and end of the fee note (glissando) and the fee and the bee notes (inter-note interval) are preserved with each pitch-shift. Ability to perceive these ratios and their relative salience varies with sex of the bird and setting: while both sexes appear to perceive changes in the inter-note interval, males appear to attend to the glissando in the field, and females appear to attend to both ratios. In this study, we compared directly whether male and female chickadees could discriminate between normal fee bee songs and songs that had one or both of the pitch ratios altered, and whether birds attended to one type of alteration over another. Both sexes learned to discriminate normal from altered songs; songs lacking an inter-note interval were more easily discriminated than songs with only the glissando removed. Females performed slightly better than males, including in the most difficult task with the stimuli lacking the glissando. Our study illustrates the value of using perceptual tasks to directly compare performance between the sexes and to demonstrate the difference between perception of and attention to acoustic features of vocal communication.     

孤独症谱系障碍者视觉定向与视觉搜索的特点及神经机制

定向网络是注意网络的重要组成部分, 主要包括视觉定向与视觉搜索两大任务。对于这两大注意任务, 正常个体在神经机制上存在较大的重叠, 然而, 孤独症个体却表现出截然相反的行为证据。研究者从非社会信息的注意视角发现, 一般而言, 在视觉定向上, 孤独症个体注意转移不存在缺陷, 而注意脱离存在困难, 但该结论仍有争议; 在视觉搜索上, 孤独症个体存在视觉搜索优势, 但该优势发生的阶段及原因仍需进一步探究。未来研究应进一步考察孤独症个体在视觉定向任务中左右视野的不对称性、视觉搜索优势的内在机制及两大注意任务之间的相互关系。     

Visual field asymmetries in attention vary with self-reported attention deficits

The purpose of this study was to determine whether an index of self-reported attention deficits predicts the pattern of visual field asymmetries observed in behavioral measures of attention. Studies of “normal” subjects do not present a consistent pattern of asymmetry in attention functions, with some studies showing better left visual field (LVF) performance, others showing no asymmetry or even a right visual field (RVF) advantage. Here we found that a participant variable (a measure of self-reported attention problems) may help to explain these inconsistencies. We used Conners’ Adult ADHD Rating Scales to measure self-reported attention problems in a group of 36 normal (non-ADHD) subjects, and we used two behavioral tasks to directly measure their attentional abilities: a lateralized Attention Network Task (ANT) and a visual search task. Comparing subjects with relatively Low versus High scores on the attention-deficit (AD) scale, we found that subjects with High scores were less efficient in orienting attention to the left visual field. When LVF targets were preceded by a valid spatial cue, response times were positively correlated with AD scores, indicating slower covert-attention shifts as attention-deficit scores increased. Right visual field data showed a different pattern of results. Subjects with High AD scores were at least as efficient as those with Low AD scores in orienting attention to the RVF. This study provides evidence that visual field asymmetries in orienting attention vary across individuals, and that level of self-reported attention problems correlates with behavioral deficiencies in orienting attention to the left visual field.     

Suppression of overt attentional capture by salient-but-irrelevant color singletons

For more than 2 decades, researchers have debated the nature of cognitive control in the guidance of visual attention. Stimulus-driven theories claim that salient stimuli automatically capture attention, whereas goal-driven theories propose that an individual’s attentional control settings determine whether salient stimuli capture attention. In the current study, we tested a hybrid account called the signal suppression hypothesis, which claims that all stimuli automatically generate a salience signal but that this signal can be actively suppressed by top-down attentional mechanisms. Previous behavioral and electrophysiological research has shown that participants can suppress covert shifts of attention to salient-but-irrelevant color singletons. In this study, we used eye-tracking methods to determine whether participants can also suppress overt shifts of attention to irrelevant singletons. We found that under conditions that promote active suppression of the irrelevant singletons, overt attention was less likely to be directed toward the salient distractors than toward nonsalient distractors. This result provides direct evidence that people can suppress salient-but-irrelevant singletons below baseline levels.     

Automatic attentional orienting to other people’s gaze in schizophrenia

Explicit tests of social cognition have revealed pervasive deficits in schizophrenia. Less is known of automatic social cognition in schizophrenia. We used a spatial orienting task to investigate automatic shifts of attention cued by another person’s eye gaze in 29 patients and 28 controls. Central photographic images of a face with eyes shifted left or right, or looking straight ahead, preceded targets that appeared left or right of the cue. To examine automatic effects, cue direction was non-predictive of target location. Cue–target intervals were 100, 300, and 800?ms. In non-social control trials, arrows replaced eye-gaze cues. Both groups showed automatic attentional orienting indexed by faster reaction times (RTs) when arrows were congruent with target location across all cue–target intervals. Similar congruency effects were seen for eye-shift cues at 300 and 800?ms intervals, but patients showed significantly larger congruency effects at 800?ms, which were driven by delayed responses to incongruent target locations. At short 100-ms cue–target intervals, neither group showed faster RTs for congruent than for incongruent eye-shift cues, but patients were significantly slower to detect targets after direct-gaze cues. These findings conflict with previous studies using schematic line drawings of eye-shifts that have found automatic attentional orienting to be reduced in schizophrenia. Instead, our data indicate that patients display abnormalities in responding to gaze direction at various stages of gaze processing—reflected by a stronger preferential capture of attention by another person’s direct eye contact at initial stages of gaze processing and difficulties disengaging from a gazed-at location once shared attention is established.     

Visual orienting and attention deficits in 5- and 10-month-old preterm infants

Cognitive outcomes for children born prematurely are well characterized, including increased risk for deficits in memory, attention, processing speed, and executive function. However, little is known about deficits that appear within the first 12 months, and how these early deficits contribute to later outcomes. To probe for functional deficits in visual attention, preterm and full-term infants were tested at 5 and 10 months with the Infant Orienting With Attention task (IOWA; Ross-Sheehy, Schneegans and Spencer, 2015). 5-month-old preterm infants showed significant deficits in orienting speed and task related error. However, 10-month-old preterm infants showed only selective deficits in spatial attention, particularly reflexive orienting responses, and responses that required some inhibition. These emergent deficits in spatial attention suggest preterm differences may be related to altered postnatal developmental trajectories. Moreover, we found no evidence of a dose-response relation between increased gestational risk and spatial attention. These results highlight the critical role of postnatal visual experience, and suggest that visual orienting may be a sensitive measure of attentional delay. Results reported here both inform current theoretical models of early perceptual/cognitive development, and future intervention efforts.     

Childhood Cancer and Brain Tumor Late Effects: Relationships with Family Burden and Survivor Psychological Outcomes

This study examines illness-specific family burden as a mediator of the association between late effects of childhood cancer and survivors’ emotional and behavioral outcomes. Childhood cancer survivors (n?=?65; ages 10–17) two or more years off-treatment completed measures assessing internalizing and PTSD symptoms. Parents reported on illness-specific family burden, late effects severity, and survivor internalizing/externalizing problems. Providers documented the number of late effects. Illness-specific family burden was correlated with provider-reported late effects (r?=?.29, p?<?.05) and parent report of severe late effects (r?=?.56, p?<?.01). Results supported an indirect effect of illness-specific family burden on number of late effects and parent-reported survivor internalizing problems, p?<?.05. Indirect effects were not found in models predicting PTSD and externalizing problems. Illness-specific family burden is an important intervention target for reducing internalizing problems in childhood cancer survivors with late effects.     

The Effectiveness of Coping Power Program for ADHD: An Observational Outcome Study

The present study evaluates the implementation of the Coping Power Program (CPP)-Child Component in a group of patients with attention deficit/hyperactivity disorder (ADHD), and explores the effects of this treatment on changes in the primary and associated symptoms of ADHD. A clinical sample of 50 children and preadolescents (8–13 years) with ADHD was involved. The clinical sample was split into a treatment group (TG; N?=?26), which was included in the child training program (CPP), and a control group (CG; N?=?24), which was placed on a waiting list. The Clinical Global Impression-Severity (CGI-S) and the Child Behavior Checklist 6–18 (CBCL 6–18) were assessed at baseline and at the end of treatment. The outcomes were assessed as a CBCL-subscale response rate and a CGI-S shift. Our results showed a significant improvement in children’s global functioning and in emotional and behavioral symptoms. The children in the TG were more likely to shift from a more severe functional impairment class to a less severe one (69.2% of TG vs. 20.8% of CG). Further, the CGI-S scores diminished significantly in the TG (p?<?0.01). There were significant differences in the changes in Social Problems (p?<?0.05), Attention Problems (p?<?0.05) and Rule-Breaking Behavior Scales (p?<?0.05). CPP seemed to be effective in children and adolescents with ADHD without comorbidity for ODD or CD. Our study revealed an improved outcome, not only in the core symptoms of ADHD, but also in global functioning and social adjustment. Possible improvements to the present formulation of CPP-C are discussed.     

Larger,smaller, odd or even? Task-specific effects of optokinetic stimulation on the mental number space

Previous studies have shown that number processing can induce spatial biases in perception and action and can trigger the orienting of visuospatial attention. Few studies, however, have investigated how spatial processing and visuospatial attention influences number processing. In the present study, we used the optokinetic stimulation (OKS) technique to trigger eye movements and thus overt orienting of visuospatial attention. Participants were asked to stare at OKS, while performing parity judgements (Experiment 1) or number comparison (Experiment 2), two numerical tasks that differ in terms of demands on magnitude processing. Numerical stimuli were acoustically presented, and participants responded orally. We examined the effects of OKS direction (leftward or rightward) on number processing. The results showed that rightward OKS abolished the classic number size effect (i.e., faster reaction times for small than large numbers) in the comparison task, whereas the parity task was unaffected by OKS direction. The effect of OKS highlights a link between visuospatial orienting and processing of number magnitude that is complementary to the more established link between numerical and visuospatial processing. We suggest that the bidirectional link between numbers and space is embodied in the mechanisms subserving sensorimotor transformations for the control of eye movements and spatial attention.     

PTSD青少年对威胁图片注意偏向的时程特点及习惯化倾向

探讨创伤后应激障碍(post-traumatic stress disorder,PTSD)青少年(n=20)与创伤控制组(n=20)对威胁图片注意偏向的时间进程特点以及习惯化倾向.在线索提示任务中,图片的呈现时间为100ms、500ms和1250ms.研究表明:(1)在时间进程上,当图片呈现100ms时,创伤控制组对地震图存在注意警觉;当呈现时间为500ms时,两组被试对负性图和地震图存在注意回避;当呈现时间为1250ms时,PTSD组对负性图仍存在注意回避、对地震图的注意偏向消失,创伤控制组对负性图和地震图的注意偏向均消失.(2)在习惯化倾向上,当第六次呈现威胁图片时,PTSD组对负性图和地震图的注意偏向消失,而创伤控制组对负性图和地震图的注意回避仍未消失.     

Creative thinking and brain network development in schoolchildren

Fostering creative minds has always been a premise to ensure adaptation to new challenges of human civilization. While some alternative educational settings (i.e., Montessori) were shown to nurture creative skills, it is unknown how they impact underlying brain mechanisms across the school years. This study assessed creative thinking and resting-state functional connectivity via fMRI in 75 children (4–18 y.o.) enrolled either in Montessori or traditional schools. We found that pedagogy significantly influenced creative performance and underlying brain networks. Replicating past work, Montessori-schooled children showed higher scores on creative thinking tests. Using static functional connectivity analysis, we found that Montessori-schooled children showed decreased within-network functional connectivity of the salience network. Moreover, using dynamic functional connectivity, we found that traditionally-schooled children spent more time in a brain state characterized by high intra-default mode network connectivity. These findings suggest that pedagogy may influence brain networks relevant to creative thinking—particularly the default and salience networks. Further research is needed, like a longitudinal study, to verify these results given the implications for educational practitioners. A video abstract of this article can be viewed at https://www.youtube.com/watch?v=xWV_5o8wB5g .

Research Highlights

• Most executive jobs are prospected to be obsolete within several decades, so creative skills are seen as essential for the near future.
• School experience has been shown to play a role in creativity development, however, the underlying brain mechanisms remained under-investigated yet.
• Seventy-five 4–18 years-old children, from Montessori or traditional schools, performed a creativity task at the behavioral level, and a 6-min resting-state MR scan.
• We uniquely report preliminary evidence for the impact of pedagogy on functional brain networks.