Cognitive deficits in relation to personality type and hypothalamic-pituitary-adrenal (HPA) axis dysfunction in women with stress-related exhaustion

Exhaustion caused by long-term work-related stress may cause cognitive dysfunction. We explored factors that may link chronic stress and cognitive impairment. Personality, psychiatric screening, and behavior were assessed by self-reporting measures in 20 female patients (mean age 39.3 years; range 26-53) with a preliminary diagnosis of stress-related exhaustion and in 16 healthy matched controls. Cognitive performance was investigated with a detailed neuropsychological test battery. Cortisol axis function was assessed by urinary and saliva collections of cortisol, dexamethasone suppression, Synacthen response, and corticotropin-releasing hormone (CRH) tests. Proinflammatory cytokines were measured. Hippocampal volumes were estimated by magnetic resonance imaging. Multivariate and univariate statistical methods were used to explore putative differences between groups and factors linked to cognitive impairment. Cognitive function clearly differed between groups, with decreased attention and visuospatial memory in the patient group, suggesting frontal cortex/medial temporal cortex-network dysfunction. Increased harm avoidance and persistence was present among patients, with lowered self-directedness linked to lower quality of life, increased anxious and depressive tendencies, and experiences of psychosocial stress. Attention was decreased with concomitantly impaired visuospatial memory. The pituitary (adrenocorticotropic hormone, ACTH) response to CRH was decreased in patients, with an increased cortisol/ACTH response to CRH. However, cortisol production rates, diurnal or dexamethasone-suppressed saliva cortisol levels, and the cortisol response to Synacthen were unaltered. Hippocampal volumes did not differ between groups. These findings suggest that cognitive dysfunction in stress-related exhaustion is linked to distinct personality traits, low quality of life, and a decreased ACTH response to CRH.     

内侧颞叶与来源记忆

来源记忆不同于项目记忆。早期的研究认为来源记忆的神经基础主要是前额叶,但近几年的相关研究发现内侧颞叶在来源记忆中的作用也是相当重要的,健康被试的功能神经成像研究和内侧颞叶损伤病人研究都为内侧颞叶在来源记忆中的作用提供了可靠证据。     

Brain mechanisms associated with background monitoring of the environment for potentially significant sensory events

Background monitoring is a necessary prerequisite to detect unexpected changes in the environment, while being involved in a primary task. Here, we used fMRI to investigate the neural mechanisms that underlie adaptive goal-directed behavior in a cued task switching paradigm during real response conflict or, more generally, when expectations on the repetitive features of the environment were violated. Unexpected changes in sensory stimulus attributes in the currently unattended stimulus dimension thereby led to activations in a bilateral network comprising inferior lateral frontal, intraparietal, and posterior medial frontal brain regions, independent of whether these attributes elicited a factual response conflict or not. This fronto-parietal network may thus play an important role in adaptive responding to potentially significant events outside the current focus of attention.     

Certain Emotional Factors in Learning and Efficiency

A group of measures duplicating the original battery of tests which Halstead used to obtain his four biological intelligence factors were given to a group of subjects with acute lateralized brain lesions. These results were compared to the results of the same battery when administered to subjects with chronic diffuse brain damage. This comparison demonstrated that the factors derived from brain damage testing are affected by (a) the subjects' mental abilities, (b) the sensitivity of the measures to brain damage in general, and (c) the lateralization of the damage.     

Executive Function: The Search for an Integrated Account

ABSTRACT— In general, executive function can be thought of as the set of abilities required to effortfully guide behavior toward a goal, especially in nonroutine situations. Psychologists are interested in expanding the understanding of executive function because it is thought to be a key process in intelligent behavior, it is compromised in a variety of psychiatric and neurological disorders, it varies across the life span, and it affects performance in complicated environments, such as the cockpits of advanced aircraft. This article provides a brief introduction to the concept of executive function and discusses how it is assessed and the conditions under which it is compromised. A short overview of the diverse theoretical viewpoints regarding its psychological and biological underpinnings is also provided. The article concludes with a consideration of how a multilevel approach may provide a more integrated account of executive function than has been previously available.     

Magnitude and chronometry of neural mechanisms of emotion regulation in subtypes of aggressive children

Emotion regulation is a key social skill and children who fail to master it are at risk for clinical disorders. Specific styles of emotion regulation have been associated with particular patterns of prefrontal activation. We investigated whether anxious aggressive children would reveal a different pattern of cortical activation than non-anxious aggressive children and normally-developing children. We examined the magnitude and timing of source activation underlying the N2—an ERP associated with inhibitory control—during a go/nogo task with a negative emotion induction component (loss of earned points). We estimated cortical activation for two regions of interest—a ventral prefrontal and a dorsomedial prefrontal region—for three 100-ms windows over the range of the N2 (200–500 ms). Anxious aggressive children showed high ventral prefrontal activation in the early window; non-anxious aggressive children showed high ventral prefrontal activation in the late window, but only for the duration of the emotion induction; and normally-developing children showed low ventral prefrontal activation throughout. There were no group differences in dorsomedial prefrontal activation. These results suggest that anxious aggressive children recruit ventral prefrontal activation quickly and indiscriminately, possibly giving rise to their rigid, threat-oriented approach to conflict. The late ventral prefrontal activation seen for non-anxious aggressive children may underlie a more delayed, situation-specific, but ineffective response to frustration.     

Executive function as a function of sub-clinical psychopathy

Some aspects of executive function are thought to be dysfunctional in psychopathic individuals. We administered a small battery of neuropsychological tests (spatial alternation task, object alternation task, and Porteus Maze) to two samples of college students and obtained a measure of psychopathy via a self-report questionnaire. Psychopathic traits were related to the tests of object alternation and Porteus Maze but not to the spatial alternation task. Our results support the hypothesis of orbitofrontal cortex (OFC) dysfunction with sparing of dorsolateral prefrontal cortex (DLPFC) in psychopathy and provide a downward extension of this theory to sub-clinical levels of psychopathy.     

社会决策中的公平准则及其神经机制

社会决策中的公平准则一直受到广泛的关注,经济学家和心理学家们分别从动机和认知的角度对这个课题进行了深入探索.在这些工作中,最为突出的是“均等”,“互惠”和“情绪”三个模型的提出.均等和互惠模型试图从动机角度理解个体的公平行为,而情绪模型则更强调个体在公平决策中的认知和情绪的加工过程.近年来脑成像的研究也为这些模型提供了相应的支持,其中与公平准则最密切的脑区是脑岛和背外侧前额叶:前者一般被认为是反映了个体面对不公平待遇时的负性情绪体验;而后者主要负责决策过程中的抑制控制.但这些脑区具体的功能还存在很多争议,反映了不同理论模型对特定脑区功能的不同理解.未来研究应注意三个模型之间的相互补充,以及加强多模态的脑指标的运用,并注重相关脑区的整体性,此外,公平决策行为中的个体差异,以及社会情境对其的影响也应受到重视.     

经颅直流电刺激在抑郁症治疗中的应用

已有的神经影像学研究成果揭示, 抑郁症发作的重要原因之一是大脑前额叶皮层结构和功能受损。经颅直流电刺激(tDCS)作为一种无创脑刺激, 选取前额叶皮层作为刺激区域, 通过调节皮层兴奋性来治疗抑郁症, 能够有效缓解抑郁症状和改善受损的认知功能, 疗效明显且持久稳定。针对tDCS在抑郁症治疗研究中的问题, 未来可从有效性、个体差异以及预防干预等六个方面进一步研究, 以期tDCS作为一种具有潜力的治疗手段, 在临床上有更为广泛地应用。     

慢性应激损害大鼠学习记忆且抑制海马及额叶FGF2蛋白表达

慢性应激能够影响学习和记忆等认知功能。海马和额叶是与学习和记忆联系密切的脑区, 参与信息的获得、保持及提取。碱性成纤维生长因子(FGF2)对神经元发生、存活以及损伤修复具有重要促进作用, 目前成为神经系统退行性疾病相关研究的热点。本研究旨在探索慢性应激如何影响大鼠学习和记忆能力, 以及这一过程中FGF2蛋白在海马和额叶中表达的改变。实验中将16只雄性SD大鼠随机分为对照组和慢性应激组, 采用慢性不可预见温和刺激建立大鼠慢性应激模型, 通过Morris水迷宫实验及Y迷宫实验检测学习与记忆功能的改变, 并对海马及额叶中FGF2蛋白的表达情况进行Western blot及免疫组织化学检测。结果发现, 5周慢性应激导致大鼠学习和记忆能力受损, 海马及额叶FGF2蛋白表达下调。因此认为, FGF2蛋白可能参与慢性应激损害学习记忆能力的机制, 提示FGF2可能是诊断和治疗神经系统退行性病变的分子靶目标。