Laboratory of functional neuroelectrical imaging and brain–computer interfacing at Fondazione Santa Lucia

The laboratory of functional neuroelectrical imaging and brain–computer interfacing at Fondazione Santa Lucia is based on the joint work of researchers with a bioengineering and clinical neurophysiology background. The activity is mainly devoted to two aims: the non-invasive investigation of the motor cortical function under physiological and pathological conditions, through the development of advanced processing methods of the electroencephalographic signals; the development of a real-time EEG-based brain–computer interface (BCI) and the study of its use as an aid to enhance (or even to allow) the functional independence of persons with different degrees of motor disability.     

Rumination and social problem-solving in depression

We tested the hypothesis that impaired social problem solving in depression is a consequence of state-oriented rumination, which can be ameliorated by improving awareness of mental processes. 32 currently depressed, 26 recovered depressed, and 26 never depressed participants completed the Means Ends Problem Solving Test while randomly allocated to no questions, state-oriented ruminative questions, (e.g. focusing on why you have a problem) or process-focused questions (e.g. focusing on how you decide to solve a problem). In the no question condition, the currently depressed group was significantly impaired at problem solving compared to the never depressed and recovered depressed groups, which did not differ from each other. As predicted, the process-focused questions significantly improved social problem solving in depressed patients, compared to no questions and state-oriented questions, which did not differ from each other. As predicted, compared to the process-focused questions, the state-oriented questions significantly impaired social problem solving in the recovered depressed group. These results are consistent with recent theories and treatment developments which suggest that increased awareness of mental processes can shift people away from ruminative thinking, thereby, reducing depressive relapse.     

Task unrelated thought whilst encoding information

Task unrelated thought (TUT) refers to thought directed away from the current situation, for example a daydream. Three experiments were conducted on healthy participants, with two broad aims. First, to contrast distributed and encapsulated views of cognition by comparing the encoding of categorical and random lists of words (Experiments One and Two). Second, to examine the consequences of experiencing TUT during study on the subsequent retrieval of information (Experiments One, Two, and Three). Experiments One and Two demonstrated lower levels of TUT and higher levels of word-fragment completion whilst encoding categorical relative to random stimuli, supporting the role of a distributed resource in the maintenance of TUT. In addition the results of all three experiments suggested that experiencing TUT during study had a measurable effect on subsequent retrieval. TUT was associated with increased frequency of false alarms at retrieval (Experiment One). In the subsequent experiments TUT was associated with no advantage to retrieval based on recollection, by manipulating instructions at encoding (Experiment Two), and/or at retrieval (Experiment Three). The implications of the results of all three experiments are discussed in terms of recent accounts of memory retrieval and conscious awareness.     

Fixed-target efficient search has logarithmic efficiency with and without eye movements

Stage 1 processing in visual search (e.g., efficient search) has long been thought to be unaffected by factors such as set size or lure–distractor similarity (or at least to be only minimally affected). Recent research from Buetti, Cronin, Madison, Wang, and Lleras (Journal of Experimental Psychology: General, 145, 672–707, 2016) showed that in efficient visual search with a fixed target, reaction times increase logarithmically as a function of set size and, further, that the slope of these logarithmic functions is modulated by target–distractor similarity. This has led to the proposal that the cognitive architecture of Stage 1 processing is parallel, of unlimited capacity, and exhaustive in nature. Such an architecture produces reaction time functions that increase logarithmically with set size (as opposed to being unaffected by it). However, in the previous studies, eye movements were not monitored. It is thus possible that the logarithmicity of the reaction time functions emerged simply as an artifact of eye movements rather than as a reflection of the underlying cognitive architecture. Here we ruled out the possibility that eye movements resulted in the observed logarithmic functions, by asking participants to keep their eyes at fixation while completing fixed-target efficient visual search tasks. The logarithmic RT functions still emerged even when participants were not allowed to make eye movements, thus providing further support for our proposal. Additionally, we found that search efficiency is slightly improved when eye movements are restricted and lure–target similarity is relatively high.     

The generation and maintenance of visual mental images: evidence from image type and aging

Imagery is a multi-componential process involving different mental operations. This paper addresses whether separate processes underlie the generation, maintenance and transformation of mental images or whether these cognitive processes rely on the same mental functions. We also examine the influence of age on these mental operations for independence of components. In Experiment 1, younger (22 years) and older (69 years) adults generated and maintained general, specific, contextual and autobiographical visual mental images evoked in response to concrete nouns. The older adults had longer generation times, but there was no difference between the two groups on maintenance. Both groups had shortest generation and maintenance times for general images, whereas only the older adults took longest in generating autobiographical images. In Experiment 2, the total maintenance time and number of transformations for each type of image were compared in another group of younger and older adults. General images were less transformed and more subject to decay for both groups. The older people maintained the autobiographical mental images for longest compared to other image types. In conclusion, image generation, maintenance and transformation seem to be differently affected by type of image and aging, supporting a model of their cognitive segregation.     

The effect of inpatient cognitive-behavioral therapy for eating disorders on temperament and character

Personality traits seem to have an important role in the development, clinical expression, course, and treatment response in eating disorders (EDs). We investigated the effects of an inpatient cognitive-behavioral treatment (CBT) on the measures of temperament and character (Temperament and Character Inventory (TCI)) in 149 consecutive patients with EDs. Baseline assessment included anthropometry, the Eating Disorder Examination (EDE), the Beck Depression Inventory (BDI), and the TCI. Treatment was based on the transdiagnostic cognitive behavior theory and treatment of ED, adapted for an inpatient setting. Treatment effects were tested by paired ANOVA, adjusted for covariates. No effects were found on Novelty Seeking, Reward Dependence, and Cooperativeness. Harm Avoidance (F=18.17, p<0.001), Persistence (F=7.71, p=0.006), Self-Directedness (F=27.55, p<0.001), and Self Transcendence (F=16.38, p<0.001) significantly changed after treatment. Changes in TCI scores were wholly dependent on the changes in BDI and EDE, and independent of ED diagnosis and behavior and of BMI changes. We conclude that in ED, a few scales of both temperament and character are significantly modified by CBT, in relation to changes in psychopathology and depression, independently of nutrition. These results are relevant for future studies based on TCI.     

Cognitive and neuronal processes involved in sequential generation of general and specific mental images

Mental image generation is a complex process mediated by dynamically interrelated components, e.g. image generation and image enrichment of details. This study investigated the cognitive and neural correlates of sequential image generation. An event-related fMRI experiment was carried out in which general and specific images had to be generated sequentially in two different positions. Participants had to generate either a general image first and then a specific one or a specific image first and then a general one, in response to the same word-stimulus. Generation times showed that specific images took shorter to be produced if they had been preceded by the generation of a general image. The fMRI results showed that position of generation and type of image was associated with different patterns of neurofunctional change. When an image was generated as first, areas of activation were found in the parahippocampal, fusiform and occipital regions. These are areas associated with memory retrieval and visual processing. When an image was generated as second, significant activations were found in superior temporal and precuneus areas, brain structures that are involved in the storage of visual memory for object shapes and imagery, respectively. The generation of a general image was supported by frontal areas and by the precuneus. The generation of a specific image involved frontal and thalamic areas (structures associated with visual processing of details) and the posterior cingulate cortex. When shifting from a specific image to a general one, a higher level of activity was found in the middle frontal gyrus involved in global visuo-spatial processing, suggesting that the generation of specific images required the retrieval of an object’s global shape. Altogether, these data suggest that the sequential generation of different types of image is associated with discrete processes but also shares common cognitive and neural components.     

Time course of the Simon effect in pointing movements for horizontal, vertical, and acoustic stimuli: evidence for a common mechanism

In the Simon effect, responses to a non-spatial attribute are faster when the irrelevant spatial position of the stimulus corresponds to the position of the response. It was suggested that there are two distinct mechanisms involved in the Simon effect. In the visuomotor Simon effect, the stimulus transiently activates the corresponding response which results in a decaying Simon effect function (i.e., the Simon effect decreases in slower reaction time [RT]-bins). In contrast, the cognitive Simon effect arises from a conflict between stimulus and response codes and is associated with a stable Simon effect function (i.e., the Simon effect is the same in fast and slow RT-bins). We recorded RTs and motor parameters of pointing movements in a Simon paradigm. Consistent with the previous research, the time course of the Simon effect in RTs was stable with vertical visual and horizontal acoustic stimuli (cognitive Simon tasks), but decreased with horizontal visual stimuli (visuomotor Simon task). In contrast, the Simon effect in motor parameters decreased across RT-bins in all conditions, supporting the idea that only a single, common mechanism underlies the Simon effect.     

Is amenorrhea a clinically useful criterion for the diagnosis of anorexia nervosa?

Aim of the study was to evaluate the clinical characteristics and the treatment outcome of underweight patients with eating disorder (ED) not otherwise specified without amenorrhea (EDNOS-WA), compared with classical anorexia nervosa (AN) cases. Seventy-three consecutive female patients (57 AN, and 16 EDNOS-WA) were evaluated before and after a 20-week cognitive behaviour inpatient treatment (CBT-I). Assessment included anthropometry, the Eating Disorder Examination (EDE), the Beck Depression Inventory (BDI), the State-Trait Anxiety Inventory (STAI), and the Temperament and Character Inventory (TCI). At logistic regression analysis, amenorrhea was only predicted by baseline BMI and intense exercise, not by psychopathological variables. Response to CBT-I was good and similar between groups, without differences in the dropout rate or time-to-dropout. Our data lend support to the hypothesis that the criterion “amenorrhea” is of no clinical utility in the diagnosis and treatment of AN and could be removed in the forthcoming DSM-V proposal.