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1.
Mol Psychiatry ; 28(3): 1137-1145, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36575305

RESUMO

Understanding how traumatic stress affects typical brain development during adolescence is critical to elucidate underlying mechanisms related to both maladaptive functioning and resilience after traumatic exposures. The current study aimed to map deviations from normative ranges of brain gray matter for youths with traumatic exposures. For each cortical and subcortical gray matter region, normative percentiles of variations were established using structural MRI from typically developing youths without any traumatic exposure (n = 245; age range = 8-23) from the Philadelphia Neurodevelopmental Cohort (PNC). The remaining PNC participants with neuroimaging data (n = 1129) were classified as either within the normative range (5-95%), delayed (>95%) or accelerated (<5%) maturational ranges for each region using the normative model. An averaged quantile regression index was calculated across all regions. Mediation models revealed that high traumatic stress load was positively associated with poorer cognitive functioning and greater psychopathology, and these associations were mediated by accelerated gray matter maturation. Furthermore, higher stressor reactivity scores, which represent a less resilient response under traumatic stress, were positively correlated with greater acceleration of gray matter maturation (r = 0.224, 95% CI = [0.17, 0.28], p < 0.001), suggesting that more accelerated maturation was linked to greater stressor response regardless of traumatic stress load. We conclude that traumatic stress is a source of deviation from normative brain development associated with poorer cognitive functioning and more psychopathology in the long run.


Assuntos
Cognição , Substância Cinzenta , Humanos , Adolescente , Criança , Adulto Jovem , Adulto , Cognição/fisiologia , Imageamento por Ressonância Magnética/métodos , Psicopatologia , Encéfalo/patologia
2.
Neuroimage ; 260: 119368, 2022 10 15.
Artigo em Inglês | MEDLINE | ID: mdl-35853318

RESUMO

The ability to keep track of time is one of the fundamental human behaviours that enhance survival in the wild. It is still an essential skill that enables an individual to function well in modern society. In the present study, we tested the attentional gate model, one of the most common conceptual frameworks in studies of subjective time perception. Its utility has been well established, but it has been criticised for its lack of neurophysiological support; few studies attempted to systematically identify its components and their neural correlates. Previous studies established that the dorsolateral prefrontal cortex (DLPFC) was associated with working memory tasks and a correlation between activity in the cerebellum and the timing of tasks. An fMRI study was conducted to confirm that these two cortical regions were activated during the execution of a new time discrimination task that considers individual variations in subjective time perception. Simulations were conducted to optimize the electrode placement in order to maximize the electric fields of tDCS perturbation to these two areas. According to the attentional gate model, hypotheses about tDCS perturbation to subjective time perception, attention and working memory were formulated and tested. Attention and working memory were measured by the attention network and N-back tasks. There are weak effects to the perceived subjective equivalent and the reaction time in the attention network task, but both are not statistically significant after correction for multiple comparisons. Exploration analyses show a link between attention and subjective time perception after tDCS perturbation. To conclude, the results do not support the attentional gate model, but show a linkage between attention and subjective time perception in terms of similar neural circuits and their relationships under certain circumstances.


Assuntos
Percepção do Tempo , Estimulação Transcraniana por Corrente Contínua , Humanos , Imageamento por Ressonância Magnética , Memória de Curto Prazo/fisiologia , Córtex Pré-Frontal/fisiologia , Estimulação Transcraniana por Corrente Contínua/métodos
3.
J Neurosci ; 39(27): 5326-5335, 2019 07 03.
Artigo em Inglês | MEDLINE | ID: mdl-31043485

RESUMO

Dopamine dysfunction is associated with a wide range of neuropsychiatric disorders commonly treated pharmacologically or invasively. Recent studies provide evidence for a nonpharmacological and noninvasive alternative that allows similar manipulation of the dopaminergic system: transcranial direct current stimulation (tDCS). In rodents, tDCS has been shown to increase neural activity in subcortical parts of the dopaminergic system, and recent studies in humans provide evidence that tDCS over prefrontal regions induces striatal dopamine release and affects reward-related behavior. Based on these findings, we used fMRI in healthy human participants and measured the fractional amplitude of low-frequency fluctuations to assess spontaneous neural activity strength in regions of the mesostriatal dopamine system before and after tDCS over prefrontal regions (n = 40, 22 females). In a second study, we examined the effect of a single dose of the dopamine precursor levodopa (l-DOPA) on mesostriatal fractional amplitude of low-frequency fluctuation values in male humans (n = 22) and compared the results between both studies. We found that prefrontal tDCS and l-DOPA both enhance neural activity in core regions of the dopaminergic system and show similar subcortical activation patterns. We furthermore assessed the spatial similarity of whole-brain statistical parametric maps, indicating tDCS- and l-DOPA-induced activation, and >100 neuronal receptor gene expression maps based on transcriptional data from the Allen Institute for Brain Science. In line with a specific activation of the dopaminergic system, we found that both interventions predominantly activated regions with high expression levels of the dopamine receptors D2 and D3.SIGNIFICANCE STATEMENT Studies in animals and humans provide evidence that transcranial direct current stimulation (tDCS) allows a manipulation of the dopaminergic system. Based on these findings, we used fMRI to assess changes in spontaneous neural activity strength in the human dopaminergic system after prefrontal tDCS compared with the administration of the dopamine precursor and standard anti-Parkinson drug levodopa (l-DOPA). We found that prefrontal tDCS and l-DOPA both enhance neural activity in core regions of the dopaminergic system and show similar subcortical activation patterns. Using whole-brain transcriptional data of >100 neuronal receptor genes, we found that both interventions specifically activated regions with high expression levels of the dopamine receptors D2 and D3.


Assuntos
Corpo Estriado/fisiologia , Dopamina/fisiologia , Neurônios/fisiologia , Córtex Pré-Frontal/fisiologia , Estimulação Transcraniana por Corrente Contínua , Adulto , Animais , Mapeamento Encefálico , Corpo Estriado/efeitos dos fármacos , Feminino , Humanos , Levodopa/administração & dosagem , Imageamento por Ressonância Magnética , Masculino , Neurônios/efeitos dos fármacos , Córtex Pré-Frontal/efeitos dos fármacos , Ratos Endogâmicos Lew , Receptores de Dopamina D1/metabolismo , Receptores de Dopamina D2/metabolismo , Método Simples-Cego , Adulto Jovem
4.
Neuroimage ; 204: 116223, 2020 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-31557545

RESUMO

Motivated by the recent replicability crisis we tested replicability of functional magnetic resonance imaging (fMRI) group activations in two independent samples. An identical behavioral and fMRI test battery for the longitudinal investigation of stress resilience mechanisms was developed for the Mainz Resilience Project (MARP) and conducted in a discovery (N = 54) and a replication sample (N = 103). The test battery consisted of a stress reactivity task, a reward sensitivity task, a fear conditioning and extinction paradigm, two volitional reappraisal tasks and an emotional interference inhibition task. Replicability of group activations was tested with the Jaccard index and the Intra Class Correlation (ICC). Overall, we observed good to excellent replicability of activations at the whole brain level. Only a minority of contrasts showed unsatisfactory replicability. Replicability at the level of individual regions of interest (ROIs) was generally lower. Tasks with stronger activation in the discovery sample showed better replicability.


Assuntos
Mapeamento Encefálico/normas , Encéfalo/fisiologia , Reprodutibilidade dos Testes , Resiliência Psicológica , Estresse Psicológico/fisiopatologia , Adolescente , Adulto , Encéfalo/diagnóstico por imagem , Feminino , Humanos , Estudos Longitudinais , Imageamento por Ressonância Magnética/normas , Masculino , Estresse Psicológico/diagnóstico por imagem , Adulto Jovem
5.
Cereb Cortex ; 29(8): 3201-3210, 2019 07 22.
Artigo em Inglês | MEDLINE | ID: mdl-30124792

RESUMO

Anxiety reduction through mere expectation of anxiolytic treatment effects (placebo anxiolysis) has enormous clinical importance. Recent behavioral and electrophysiological data suggest that placebo anxiolysis involves reduced vigilance and enhanced internalization of attention; however, the underlying neurobiological mechanisms are not yet clear. Given the fundamental function of intrinsic connectivity networks (ICNs) in basic cognitive processes, we investigated ICN activity patterns associated with externally and internally directed mental states under the influence of an anxiolytic placebo medication. Based on recent findings, we specifically analyzed the functional role of the rostral anterior cingulate cortex (rACC) in coordinating placebo-dependent cue-related (phasic) and cue-unrelated (sustained) network activity. Under placebo, we observed a down-regulation of the entire salience network (SN), particularly in response to threatening cues. The rACC exhibited enhanced cue-unrelated functional connectivity (FC) with the SN, which correlated with reductions in tonic arousal and anxiety. Hence, apart from the frequently reported modulation of aversive cue responses, the rACC appears to be crucially involved in exerting a tonically dampening control over salience-responsive structures. In line with a more internally directed mental state, we also found enhanced FC within the default mode network (DMN), again predicting reductions in anxiety under placebo.


Assuntos
Ansiedade/diagnóstico por imagem , Encéfalo/diagnóstico por imagem , Medo/psicologia , Dor/psicologia , Adulto , Ansiedade/psicologia , Atenção , Sinais (Psicologia) , Medo/fisiologia , Feminino , Neuroimagem Funcional , Resposta Galvânica da Pele , Giro do Cíngulo/diagnóstico por imagem , Humanos , Imageamento por Ressonância Magnética , Masculino , Vias Neurais/diagnóstico por imagem , Efeito Placebo , Adulto Jovem
6.
J Neurosci ; 37(34): 8116-8130, 2017 08 23.
Artigo em Inglês | MEDLINE | ID: mdl-28733358

RESUMO

Learning fear via the experience of contingencies between a conditioned stimulus (CS) and an aversive unconditioned stimulus (US) is often assumed to be fundamentally different from learning fear via instructions. An open question is whether fear-related brain areas respond differently to experienced CS-US contingencies than to merely instructed CS-US contingencies. Here, we contrasted two experimental conditions where subjects were instructed to expect the same CS-US contingencies while only one condition was characterized by prior experience with the CS-US contingency. Using multivoxel pattern analysis of fMRI data, we found CS-related neural activation patterns in the right amygdala (but not in other fear-related regions) that dissociated between whether a CS-US contingency had been instructed and experienced versus merely instructed. A second experiment further corroborated this finding by showing a category-independent neural response to instructed and experienced, but not merely instructed, CS presentations in the human right amygdala. Together, these findings are in line with previous studies showing that verbal fear instructions have a strong impact on both brain and behavior. However, even in the face of fear instructions, the human right amygdala still shows a separable neural pattern response to experience-based fear contingencies.SIGNIFICANCE STATEMENT In our study, we addressed a fundamental problem of the science of human fear learning and memory, namely whether fear learning via experience in humans relies on a neural pathway that can be separated from fear learning via verbal information. Using two new procedures and recent advances in the analysis of brain imaging data, we localized purely experience-based fear processing and memory in the right amygdala, thereby making a direct link between human and animal research.


Assuntos
Tonsila do Cerebelo/fisiologia , Antecipação Psicológica/fisiologia , Condicionamento Psicológico/fisiologia , Medo/fisiologia , Memória/fisiologia , Reconhecimento Visual de Modelos/fisiologia , Adolescente , Adulto , Tonsila do Cerebelo/diagnóstico por imagem , Estimulação Elétrica/efeitos adversos , Medo/psicologia , Feminino , Lateralidade Funcional/fisiologia , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Estimulação Luminosa/métodos , Adulto Jovem
7.
Hum Brain Mapp ; 39(1): 249-263, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29080232

RESUMO

Directed forgetting (DF) is considered an adaptive mechanism to cope with unwanted memories. Understanding it is crucial to develop treatments for disorders in which thought control is an issue. With an item-method DF paradigm in an auditory form, the underlying neurocognitive processes that support auditory DF were investigated. Subjects were asked to perform multi-modal encoding of word-stimuli before knowing whether to remember or forget each word. Using functional magnetic resonance imaging, we found that DF is subserved by a right frontal-parietal-cingulate network. Both qualitative and quantitative analyses of the activation of this network show converging evidence suggesting that DF is a complex process in which active inhibition, attentional switching, and working memory are needed to manipulate both unwanted and preferred items. These results indicate that DF is a complex inhibitory mechanism which requires the crucial involvement of brain areas outside prefrontal regions to operate over attentional and working memory processes. Hum Brain Mapp 39:249-263, 2018. © 2017 Wiley Periodicals, Inc.


Assuntos
Percepção Auditiva/fisiologia , Encéfalo/fisiologia , Memória/fisiologia , Adulto , Atenção/fisiologia , Encéfalo/diagnóstico por imagem , Mapeamento Encefálico , Cognição/fisiologia , Feminino , Humanos , Inibição Psicológica , Idioma , Imageamento por Ressonância Magnética , Masculino , Testes Neuropsicológicos , Pesquisa Qualitativa , Adulto Jovem
8.
Brain Cogn ; 127: 60-71, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-30340181

RESUMO

Enumeration is one of the building blocks of arithmetic and fingers are used as a counting tool in early steps. Subitizing-fast and accurate enumeration of small quantities-has been vastly studied in the visual modality, but less in the tactile modality. We explored tactile enumeration using fingers, and gray matter (GM) changes using voxel-based morphometry (VBM), in acalculia. We examined JD, a 22-year-old female with acalculia following a stroke to the left inferior parietal cortex. JD and a neurologically healthy normal comparison (NC) group reported how many fingers were stimulated. JD was tested at several time points, including at acute and chronic phases. Using the sensory intact hand for tactile enumeration, JD showed deficit in the acute phase, compared to the NC group, and improvement in the chronic phase of (1) the RT slope of enumerating up to four stimuli, (2) enumerating neighboring fingers, and (3) arithmetic fluency performance. Moreover, VBM analysis showed a larger GM volume for JD relative to the NC group in the right middle occipital cortex, most profoundly in the chronic phase. JD's performance serves as a first glance of tactile enumeration in acalculia. Pattern-recognition-based results support the suggestion of subitizing being the enumeration process when using one hand. Moreover, the increase in GM in the occipital cortex lays the groundwork for studying the innate and primitive ability to perceive and evaluate sizes or amounts-"sense of magnitude"- as a multisensory magnitude area and as part of a recovery path for deficits in basic numerical abilities.


Assuntos
Encéfalo/diagnóstico por imagem , Discalculia/diagnóstico por imagem , Substância Cinzenta/diagnóstico por imagem , Matemática , Tato/fisiologia , Encéfalo/fisiopatologia , Discalculia/fisiopatologia , Feminino , Dedos , Substância Cinzenta/fisiopatologia , Mãos , Humanos , Imageamento por Ressonância Magnética , Percepção do Tato/fisiologia , Adulto Jovem
9.
Magn Reson Med ; 77(3): 1115-1123, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-26947146

RESUMO

PURPOSE: Phantoms are often used to assess MR system stability in multicenter studies. Postmortem brain phantoms best replicate human brain anatomy, allowing for a combined assessment of the MR system and software chain for data analysis. However, a wash-out of fixative fluid affecting T1 values and thus T1-weighted sequences such as magnetization-prepared 180 degrees radiofrequency pulses and rapid gradient-echo (MP-RAGE) has been reported for brain phantoms, hampering their immediate use. The purpose of this study was the creation of anatomical data that provide the characteristics of conventional data while avoiding this artifact. THEORY AND METHODS: Two brain phantoms were scanned at several time points, acquiring conventional MP-RAGE data and quantitative T1 and proton density (PD) maps. Assuming a suitable cutoff value T1cut , synthetic MP-RAGE data were created from these maps, being T1-weighted for T1 > T1cut to reduce fluid signal in the sulci, but PD-weighted for T1 < T1cut for artifact suppression. RESULTS: A time-dependent artifact was observed in the T1 but not in the PD maps. The temporal stability of the synthetic data was greatly improved as compared to the conventional data. CONCLUSION: The proposed method enables anatomical imaging of postmortem brain phantoms, avoiding artifacts induced by the wash-out of fixative fluid, and thus achieving high signal stability shortly after fixation. Magn Reson Med 77:1115-1123, 2017. © 2016 International Society for Magnetic Resonance in Medicine.


Assuntos
Artefatos , Fixadores , Aumento da Imagem/métodos , Imageamento por Ressonância Magnética/instrumentação , Imageamento por Ressonância Magnética/métodos , Imagens de Fantasmas , Algoritmos , Humanos , Interpretação de Imagem Assistida por Computador/métodos , Mudanças Depois da Morte , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
10.
J Neurosci ; 35(19): 7365-73, 2015 May 13.
Artigo em Inglês | MEDLINE | ID: mdl-25972166

RESUMO

The beneficial effects of placebo treatments on fear and anxiety (placebo anxiolysis) are well known from clinical practice, and there is strong evidence indicating a contribution of treatment expectations to the efficacy of anxiolytic drugs. Although clinically highly relevant, the neural mechanisms underlying placebo anxiolysis are poorly understood. In two studies in humans, we tested whether the administration of an inactive treatment along with verbal suggestions of anxiolysis can attenuate experimentally induced states of phasic fear and/or sustained anxiety. Phasic fear is the response to a well defined threat and includes attentional focusing on the source of threat and concomitant phasic increases of autonomic arousal, whereas in sustained states of anxiety potential and unclear danger requires vigilant scanning of the environment and elevated tonic arousal levels. Our placebo manipulation consistently reduced vigilance measured in terms of undifferentiated reactivity to salient cues (indexed by subjective ratings, skin conductance responses and EEG event-related potentials) and tonic arousal [indexed by cue-unrelated skin conductance levels and enhanced EEG alpha (8-12 Hz) activity], indicating a downregulation of sustained anxiety rather than phasic fear. We also observed a placebo-dependent sustained increase of frontal midline EEG theta (4-7 Hz) power and frontoposterior theta coupling, suggesting the recruitment of frontally based cognitive control functions. Our results thus support the crucial role of treatment expectations in placebo anxiolysis and provide insight into the underlying neural mechanisms.


Assuntos
Ansiedade/psicologia , Ansiedade/terapia , Mapeamento Encefálico , Encéfalo/fisiopatologia , Efeito Placebo , Adulto , Ansiedade/fisiopatologia , Sinais (Psicologia) , Estimulação Elétrica/efeitos adversos , Eletroencefalografia , Medo , Feminino , Resposta Galvânica da Pele , Voluntários Saudáveis , Humanos , Masculino , Pessoa de Meia-Idade , Dor/complicações , Dor/etiologia , Dor/psicologia , Medição da Dor , Placebos/uso terapêutico , Fatores de Tempo , Adulto Jovem
11.
Neuroimage ; 91: 210-9, 2014 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-24457067

RESUMO

In slot machine gambling, the "near-miss effect" (when a losing display physically resembles an actual win display) has been implicated in pathological gambling (PG). Functional magnetic resonance imaging (fMRI) with PG and non-PG participants shows that near-misses recruit reward-related circuitry, but little is known about the temporal dynamics and oscillatory changes underlying near-misses. The present multi-modal imaging study investigated the near-miss effect by combining the spatial resolution of blood oxygen-level dependent (BOLD)-fMRI with the spatial and temporal resolution of magnetoencephalography (MEG) during a slot machine task in PG and non-PG groups. Given previous findings on outcome (win and near-miss) processing, functional overlap was hypothesized between induced changes in temporal oscillations and BOLD response to wins and near-misses in PG. We first validated our task in a sample of varying gambling severity using BOLD-fMRI and then compared PG and non-PG participants using MEG to investigate changes in induced oscillatory power associated with win and near-miss, relative to loss, outcomes. Across both modalities, near-misses recruited similar brain regions to wins, including right inferior frontal gyrus and insula. Using MEG, increased theta-band (4-7Hz) oscillations to near-misses were observed in the insula and right orbitofrontal cortex (OFC). Furthermore, this theta-band activity was positively associated with gambling severity. These findings demonstrate that the near-miss effect in insula and OFC is associated with induced theta oscillations. The significance of these findings for theories of PG and the development of potential biomarkers and therapeutic targets is discussed.


Assuntos
Córtex Cerebral/fisiopatologia , Lobo Frontal/fisiopatologia , Jogo de Azar/fisiopatologia , Jogo de Azar/psicologia , Magnetoencefalografia/métodos , Adolescente , Adulto , Ritmo alfa/fisiologia , Humanos , Processamento de Imagem Assistida por Computador , Entrevista Psicológica , Modelos Lineares , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Oxigênio/sangue
12.
J Strength Cond Res ; 28(10): 2872-9, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24714536

RESUMO

The purpose of this study was to explore the immediate effects of different frequencies of whole-body vibration (WBV) on the performance of trunk muscles of healthy young adults. A group of 30 healthy subjects (15 men; 15 women; age, 26.8 ± 3.74 years; body mass index, 21.9 ± 1.802) participated in the study. Each subject received 3 sessions of vibration exercise with different exercise parameters with frequencies of 25 Hz and 40 Hz and sham stimulation in a random order on different days. Before and after each WBV exercise session, subjects were assessed for trunk muscle strength/endurance tests and trunk proprioception tests. There was a significant increase in trunk extensor strength (p ≤ 0.05) after low-frequency (25 Hz) WBV exercise, but high-frequency (40 Hz) vibration exercise had resulted in a significant decrease in trunk extensor endurance (p ≤ 0.05). Statistical gender difference (p = 0.04) was found for trunk extensor endurance with lower WBV training. No change was noted in the trunk proprioception with different frequencies of WBV. In conclusions, the immediate response of the body to WBV was different for low and high frequencies. Low-frequency vibration enhanced trunk extensor strength, but high-frequency vibration would decrease endurance of the trunk extensor muscles. Males are more sensitive than females in trunk extensor endurance for lower frequency WBV exposure. These results indicated that short-term WBV with low frequency was effective to improve trunk extensor strength in healthy adults, and that could be helpful for relevant activities of trunk extensor performing and preventing sport injury.


Assuntos
Exercício Físico/fisiologia , Músculo Esquelético/fisiologia , Vibração , Adulto , Teste de Esforço , Feminino , Humanos , Masculino , Força Muscular , Resistência Física , Propriocepção , Distribuição Aleatória , Tronco , Adulto Jovem
13.
Artigo em Inglês | MEDLINE | ID: mdl-39167464

RESUMO

Susceptibility to misinformation and belief polarization often reflect people's tendency to incorporate information in a biased way. Despite the presence of competing theoretical models, the underlying neurocognitive mechanisms of motivated reasoning remain elusive as previous empirical work did not properly track the belief formation process. To address this problem, we employed a design that identifies motivated reasoning as directional deviations from a Bayesian benchmark of unbiased belief updating. We asked members of a pro-immigration or an anti-immigration group how much they endorse factual messages on foreign criminality, a polarizing political topic. Both groups exhibited a desirability bias by over-endorsing attitude-consistent messages and under-endorsing attitude-discrepant messages and an identity bias by over-endorsing messages from ingroup members and under-endorsing messages from outgroup members. In both groups, neural responses to the messages predicted subsequent expression of desirability and identity biases suggesting a common neural basis of motivated reasoning across ideologically opposing groups. Specifically, brain regions implicated in encoding value, error detection, and mentalizing tracked the degree of desirability bias. Less extensive activation in the mentalizing network tracked the degree of identity bias. These findings illustrate the distinct neurocognitive architecture of desirability and identity biases and inform existing cognitive models of politically motivated reasoning.

14.
Digit Health ; 10: 20552076241249267, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38698832

RESUMO

Objective: Digital mental health interventions delivered via smartphone-based apps effectively treat various conditions; however, optimizing their efficacy while minimizing participant burden remains a key challenge. In this study, we investigated the potential benefits of a burst delivery design (i.e. interventions delivered only in pre-defined time intervals) in comparison to the continuous delivery of interventions. Methods: We randomly assigned 93 participants to the continuous delivery (CD) or burst delivery (BD) group. The CD group engaged in ReApp, a mobile app that increases positive cognitive reappraisal with a consistent delivery schedule that provides five prompts per day throughout the 3-week-long study, while the BD group received five daily prompts only in the first and third weeks of the study. Results: No significant differences were found between the groups in terms of adherence, mental health outcomes (specifically depressive and anxiety symptoms), level of perceived stress, and perceived helpfulness of intervention. The BD group showed a significantly decreased perceived difficulty of intervention over time. Conclusions: The results suggest that the burst delivery may be as suitable for digital mental health interventions as the continuous delivery. The perceived difficulty of the intervention declined more steeply for the BD group, indicating that it improved the feasibility of the positive cognitive reappraisal intervention without hurting its efficacy. This outcome may inform the design of less burdensome interventions with improved outcomes in future research.

15.
Artigo em Inglês | MEDLINE | ID: mdl-37942875

RESUMO

Robust reward sensitivity may help preserve mental well-being in the face of adversity and has been proposed as a key stress resilience factor. Here, we present a mobile health application, "Imager," which targets reward sensitivity by training individuals to create mental images of future rewarding experiences. We conducted a two-arm randomized controlled trial with 95 participants screened for reward sensitivity. Participants in the intervention group received an ecological momentary intervention-Imager, which encouraged participants to create mental images of rewarding events for 1 week. The control group participants received only ecological momentary assessment, without the instruction to generate mental images. Adherence to Imager was high; participants in the intervention group engaged in 88% of the planned activities. In the follow-up assessment, the intervention group reported less mental health symptoms, mainly in depression (ß = -0.34, df = 93, p = .004) and less perceived stress (ß = -0.18, df = 93, p = .035), than control group participants and compared with the baseline assessment. Our results show the positive effects of Imager on mental health symptoms. The encouraging effects of the app on mental health outcomes may lead to greater use of ecological momentary interventions in the clinical preventive practice of affective disorders.

16.
JMIR Ment Health ; 10: e46518, 2023 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-37847551

RESUMO

BACKGROUND: Cross-sectional relationships between psychosocial resilience factors (RFs) and resilience, operationalized as the outcome of low mental health reactivity to stressor exposure (low "stressor reactivity" [SR]), were reported during the first wave of the COVID-19 pandemic in 2020. OBJECTIVE: Extending these findings, we here examined prospective relationships and weekly dynamics between the same RFs and SR in a longitudinal sample during the aftermath of the first wave in several European countries. METHODS: Over 5 weeks of app-based assessments, participants reported weekly stressor exposure, mental health problems, RFs, and demographic data in 1 of 6 different languages. As (partly) preregistered, hypotheses were tested cross-sectionally at baseline (N=558), and longitudinally (n=200), using mixed effects models and mediation analyses. RESULTS: RFs at baseline, including positive appraisal style (PAS), optimism (OPT), general self-efficacy (GSE), perceived good stress recovery (REC), and perceived social support (PSS), were negatively associated with SR scores, not only cross-sectionally (baseline SR scores; all P<.001) but also prospectively (average SR scores across subsequent weeks; positive appraisal (PA), P=.008; OPT, P<.001; GSE, P=.01; REC, P<.001; and PSS, P=.002). In both associations, PAS mediated the effects of PSS on SR (cross-sectionally: 95% CI -0.064 to -0.013; prospectively: 95% CI -0.074 to -0.0008). In the analyses of weekly RF-SR dynamics, the RFs PA of stressors generally and specifically related to the COVID-19 pandemic, and GSE were negatively associated with SR in a contemporaneous fashion (PA, P<.001; PAC,P=.03; and GSE, P<.001), but not in a lagged fashion (PA, P=.36; PAC, P=.52; and GSE, P=.06). CONCLUSIONS: We identified psychological RFs that prospectively predict resilience and cofluctuate with weekly SR within individuals. These prospective results endorse that the previously reported RF-SR associations do not exclusively reflect mood congruency or other temporal bias effects. We further confirm the important role of PA in resilience.

17.
JMIR Res Protoc ; 12: e39817, 2023 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-37402143

RESUMO

BACKGROUND: Stress-related mental disorders are highly prevalent and pose a substantial burden on individuals and society. Improving strategies for the prevention and treatment of mental disorders requires a better understanding of their risk and resilience factors. This multicenter study aims to contribute to this endeavor by investigating psychological resilience in healthy but susceptible young adults over 9 months. Resilience is conceptualized in this study as the maintenance of mental health or quick recovery from mental health perturbations upon exposure to stressors, assessed longitudinally via frequent monitoring of stressors and mental health. OBJECTIVE: This study aims to investigate the factors predicting mental resilience and adaptive processes and mechanisms contributing to mental resilience and to provide a methodological and evidence-based framework for later intervention studies. METHODS: In a multicenter setting, across 5 research sites, a sample with a total target size of 250 young male and female adults was assessed longitudinally over 9 months. Participants were included if they reported at least 3 past stressful life events and an elevated level of (internalizing) mental health problems but were not presently affected by any mental disorder other than mild depression. At baseline, sociodemographic, psychological, neuropsychological, structural, and functional brain imaging; salivary cortisol and α-amylase levels; and cardiovascular data were acquired. In a 6-month longitudinal phase 1, stressor exposure, mental health problems, and perceived positive appraisal were monitored biweekly in a web-based environment, while ecological momentary assessments and ecological physiological assessments took place once per month for 1 week, using mobile phones and wristbands. In a subsequent 3-month longitudinal phase 2, web-based monitoring was reduced to once a month, and psychological resilience and risk factors were assessed again at the end of the 9-month period. In addition, samples for genetic, epigenetic, and microbiome analyses were collected at baseline and at months 3 and 6. As an approximation of resilience, an individual stressor reactivity score will be calculated. Using regularized regression methods, network modeling, ordinary differential equations, landmarking methods, and neural net-based methods for imputation and dimension reduction, we will identify the predictors and mechanisms of stressor reactivity and thus be able to identify resilience factors and mechanisms that facilitate adaptation to stressors. RESULTS: Participant inclusion began in October 2020, and data acquisition was completed in June 2022. A total of 249 participants were assessed at baseline, 209 finished longitudinal phase 1, and 153 finished longitudinal phase 2. CONCLUSIONS: The Dynamic Modelling of Resilience-Observational Study provides a methodological framework and data set to identify predictors and mechanisms of mental resilience, which are intended to serve as an empirical foundation for future intervention studies. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/39817.

18.
Front Psychiatry ; 13: 988495, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36304561

RESUMO

The obesity epidemic has crossed social-demographic barriers and is a matter of significant concern. Why do individuals fail to restrain from eating high-calorie foods and fail to follow treatment routines that reduce the risk of health complications? These questions have been addressed through behavioral and brain imaging studies on prefrontal cortex inhibitory mechanisms. Failure to inhibit undesirable behaviors has become a hallmark of obesity. In many life situations, obesity risk is increased by inaction (e.g., not taking blood pressure medication, not following a healthy diet). Risk by inaction has been defined as passive risk-taking, and it is correlated with traits such as procrastination, future time perspective, and cognitive avoidance. To the present, passive tendencies, specifically in the context of risk-taking behaviors, have not been addressed in the obesity literature. We introduce a framework in which active and passive risk-taking behaviors are integrated within the scope of bidirectional models of obesity that describe the brain as both the cause and the consequence of obesity vulnerability. The present perspective aims to foster new research on treatment and prevention, and also on the neurobiology of passive behaviors in obesity and other metabolic conditions.

19.
Neuropsychologia ; 166: 108155, 2022 02 10.
Artigo em Inglês | MEDLINE | ID: mdl-35016889

RESUMO

Synaesthesia is a condition in which one sensory dimension triggers another sensation. The exact contribution of genetic and environmental factors in synaesthesia is not yet fully understood. Most synaesthesia phenotypes involve associations in which the synaesthetic inducer constitutes some form of linguistic/conceptual information acquired during the course of development (e.g., digits, letters, and names of months). To study the role of learning in synaesthesia, we induced synaesthesia by training and examined the behavioural and brain correlates of number-colour associations. We took advantage of the well-known behavioural and neural signature of numbers and used number symbols as inducers. Short (2 weeks) and long (4 weeks) training protocols were conducted with two different groups. Task-related BOLD response was acquired while participants performed Stroop tasks requiring naming colours while ignoring the stimuli (i.e., number symbols, dots, words). If the arbitrary association involving number-colour is automatic, the irrelevant dimension (i.e., numbers) would interfere with the colour response. In addition, if number-colour associations are transferred to linguistic and non-symbolic representations, the passive viewing of stimuli (i.e., words and dots) would disrupt colour naming. Behavioural findings showed automatic associations as both training protocols elicited reliable congruency effects for all stimulus dimensions. Congruency effects following both training protocols produced reliable brain activations in various cortical sites involved in number and in cognitive control. The behavioural and brain patterns reported here support the role of learning in the brain correlates of developmental synaesthesia and provide the first evidence that automatic associations involving different magnitude dimensions can be acquired.


Assuntos
Encéfalo , Percepção de Cores , Encéfalo/diagnóstico por imagem , Cognição , Cor , Percepção de Cores/fisiologia , Humanos , Sinestesia
20.
Front Neurosci ; 16: 970878, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36440286

RESUMO

Greater cortical gyrification (GY) is linked with enhanced cognitive abilities and is also negatively related to cortical thickness (CT). Individuals who are congenitally blind (CB) exhibits remarkable functional brain plasticity which enables them to perform certain non-visual and cognitive tasks with supranormal abilities. For instance, extensive training using touch and audition enables CB people to develop impressive skills and there is evidence linking these skills to cross-modal activations of primary visual areas. There is a cascade of anatomical, morphometric and functional-connectivity changes in non-visual structures, volumetric reductions in several components of the visual system, and CT is also increased in CB. No study to date has explored GY changes in this population, and no study has explored how variations in CT are related to GY changes in CB. T1-weighted 3D structural magnetic resonance imaging scans were acquired to examine the effects of congenital visual deprivation in cortical structures in a healthy sample of 11 CB individuals (6 male) and 16 age-matched sighted controls (SC) (10 male). In this report, we show for the first time an increase in GY in several brain areas of CB individuals compared to SC, and a negative relationship between GY and CT in the CB brain in several different cortical areas. We discuss the implications of our findings and the contributions of developmental factors and synaptogenesis to the relationship between CT and GY in CB individuals compared to SC. F.

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