Enhancing vigilance in operators with prefrontal cortex transcranial direct current stimulation (tDCS).

Sustained attention, often referred to as vigilance in humans, is the ability to maintain goal-directed behavior for extended periods of time and respond to intermittent targets in the environment. With greater time-on-task the ability to detect targets decreases and reaction time increases-a phenomenon termed the vigilance decrement. The purpose of this study was to examine the role of dorsolateral prefrontal cortex in the vigilance decrement. Subjects (n=19) received prefrontal transcranial direct current stimulation (tDCS) at one of two different time points during a vigilance task (early or late). The impact of tDCS was examined using measures of behavior, hemispheric blood flow velocity, and regional blood oxygenation relative to sham stimulation. In the sham condition greater time-on-task was accompanied by fewer target detections and slower reaction times, indicating a vigilance decrement, and decreased blood flow velocity. tDCS significantly altered baseline task-induced physiologic and behavioral changes, dependent on the time of stimulation administration and electrode configuration (determining polarity of stimulation). Compared to the sham condition, with more time-on-task blood flow velocity decreased less and cerebral oxygenation increased more in the tDCS condition. Behavioral measures showed a significant improvement in target detection performance with tDCS compared to the sham stimulation. Signal detection analysis revealed a significant change in operator discriminability and response bias with increased time-on-task, as well as interactions between time of stimulation administration and electrode configuration. Current density modeling of tDCS showed high densities in the medial prefrontal cortex and anterior cingulate cortex. These findings confirm that cerebral hemodynamic measures provide an index of resource utilization and point to the central role of the frontal cortex in vigilance. Further, they suggest that modulation of the frontal cortices-and connected structures-influences the availability of vigilance resources. These findings indicate that tDCS may be well-suited to mitigate performance degradation in work settings requiring sustained attention or as a possible treatment for neurological or psychiatric disorders involving sustained attention.

Training to Improve Spatial Hearing and Situation Awareness when Wearing Hearing Protection.

INTRODUCTION: Hearing protection devices (HPDs) are standard personal protective equipment in military settings, but many service members may choose to not use HPDs because they impair spatial hearing and situation awareness. In an effort to reduce barriers to compliance by improving situation awareness while wearing HPDs, this study investigated whether brief training could counteract spatial hearing deficits when wearing HPDs. Participant's ability to correctly apply the HPDs across days was also examined. MATERIALS AND METHODS: Young adults were randomly assigned to one of two groups: training or control (n = 25/group). Participants in each group performed a spatial hearing task while wearing HPDs and in an open ear condition without HPDs. Individual targets were battlefield sounds or white noise presented from a speaker array that surrounded the participant in the horizontal plane. After presentation of each target sound, the participant then controlled a white noise "auditory pointer," which they moved to the perceived location of the target. The two primary measures were the percent of trials with very large errors (> 45°), which were usually due to confusing front and back locations, and absolute localization, which is the difference between the pointer location and the true sound location. Both groups were tested on Days 1 (baseline) and 5 (post-test). On Days 2 to 4, the training group wore HPDs while receiving auditory and visual feedback after each trial. RESULTS: Across all participants on Day 1, wearing HPDs increased the frequency of very large errors by about 3× and impaired localization by about 40%, relative to the open ear condition. When comparing performance at baseline (Day 1) and post-training Day 5, the training group with HPDs had significant reductions in very large errors and improved absolute localization (P values < .001). The training group also had significant improvements from Days 1 to 5 in the open ear condition. When the control group wore HPDs, there were also significant improvements from Days 1 to 5 (fewer very large errors and better localization), with smaller effect sizes vs. the training group. Controls did not have significant improvement in the open ear condition, but had similar trends. Most participants consistently applied the HPDs, but a subset of ∼20% frequently failed to achieve the criterion attenuation of 15 dB (over 0.25-4.0 kHz) in both ears. CONCLUSIONS: These findings show that simple, relatively brief practice and training can substantially reduce HPD impairments on spatial hearing and situation awareness. The gains from training and practice can inform the development of relatively simple, brief methods to reduce HPD spatial hearing impairments, potentially leading to increased HPD compliance. Longitudinal data show that a subset of participants would not have received the full benefit of hearing protection because of improper application of the HPDs.

Evidence that the Lombard effect is frequency-specific in humans.

Recent perspectives suggest that the Lombard effect is an increase in the suprasegmental speech parameters of vocal intensity, duration, and fundamental frequency in the presence of noise. It has been viewed as a non-specific response to ambient noise, but this assumption has not been thoroughly tested. Two experiments using healthy adults measured intensity, duration, and F0 changes in broadband (0.2-20 kHz) and notched noise (0.05-4 kHz removed) during a picture naming task. The pilot experiment showed that broadband noise containing speech-similar frequencies significantly increased intensity, duration, and F0 while notched noise, which removed the majority of speech-similar frequencies, had no effect. The main experiment added bandpass noise (0.05-4.0 kHz) which contained a major portion of speech-similar frequencies and was the mirror image of the notched noise. Broadband and notched noise results were replicated. Bandpass noise increased intensity and duration, but to a lesser degree than did broadband noise, and had no effect on F0. Findings show that the Lombard effect is sensitive to frequencies vital for speech and is not a general response to any competing sound in the environment. Implications for suprasegmental control of speech are discussed.

A novel non-word speech preparation task to increase stuttering frequency in experimental settings for longitudinal research.

PURPOSE: The variable and intermittent nature of stuttering makes it difficult to consistently elicit a sufficient number of stuttered trials for longitudinal experimental research. This study tests the efficacy of using non-word pairs that phonetically mimic English words with no associated meaning, to reliably elicit balanced numbers of stuttering and fluent trials over multiple sessions. The study also evaluated the effect of non-word length on stuttering frequency, the consistency of stuttering frequency across sessions, and potential carry-over effects of increased stuttering frequency in the experimental task to conversational and reading speech after the task. METHODS: Twelve adults who stutter completed multiple sessions (mean of 4.8 sessions) where they were video-recorded during pre-task reading and conversation, followed by an experimental task where they read 400 non-word pairs randomized for each session, and then a post-task reading and conversation sample. RESULTS: On average, across sessions and participants, non-word pairs consistently yielded a balanced distribution of fluent (60.7%) and stuttered (39.3%) trials over five sessions. Non-word length had a positive effect on stuttering frequency. No carryover effects from experimental to post-task conversation and reading were found. CONCLUSIONS: Non-word pairs effectively and consistently elicited balanced proportions of stuttered and fluent trials. This approach can be used to gather longitudinal data to better understand the neurophysiological and behavioral correlates of stuttering.

Modulation of sensory and motor cortex activity during speech preparation.

Previous studies have shown that speaking affects auditory and motor cortex responsiveness, which may reflect the influence of motor efference copy. If motor efference copy is involved, it would also likely influence auditory and motor cortical activity when preparing to speak. We tested this hypothesis by using auditory event-related potentials and transcranial magnetic stimulation (TMS) of the motor cortex. In the speech condition subjects were visually cued to prepare a vocal response to a subsequent target, which was compared to a control condition without speech preparation. Auditory and motor cortex responsiveness at variable times between the cue and target were probed with an acoustic stimulus (Experiment 1, tone or consonant-vowels) or motor cortical TMS (Experiment 2). Acoustic probes delivered shortly before targets elicited a fronto-central negative potential in the speech condition. Current density analysis showed that auditory cortical activity was attenuated at the beginning of the slow potential in the speech condition. Sensory potentials in response to probes had shorter latencies (N100) and larger amplitudes (P200) when consonant-vowels matched the sound of cue words. Motor cortex excitability was greater in the speech than in the control condition at all time points before picture onset. The results suggest that speech preparation induces top-down regulation of sensory and motor cortex responsiveness, with different time courses for auditory and motor systems.

Widespread theta coherence during spatial cognitive control.

Cognitive control allows humans to process relevant sensory information while minimizing distractions from irrelevant stimuli. The neural basis of cognitive control is known to involve frontal regions of the brain such as the medial prefrontal cortex (mPFC) and anterior cingulate cortex (ACC), but the temporal dynamics of larger scale networks is unclear. Here we used EEG with source localization to identify how the neural oscillations localized to the mPFC and ACC coordinate with parietal, sensory, and motor areas during spatial cognitive control. Theta coherence (3-8 Hz) between the mPFC and ACC increased with task difficulty and predicted individual differences in reaction time. Individual differences in accuracy were predicted by earlier activation of ACC-motor coherence, highlighting the relationship between processing speed and task performance. Our results provide evidence that successful cognitive control requires dynamic coordination between a widespread network of brain regions. Long range theta coherence may be a key mechanism for efficient cognitive control across the neocortex.

Auditory spatial attention gradients and cognitive control as a function of vigilance.

Selection and effort are central to attention, yet it is unclear whether they draw on a common pool of cognitive resources, and if so, whether there are differences for early versus later stages of cognitive processing. This study assessed effort by quantifying the vigilance decrement, and spatial processing at early and later stages as a function of time-on-task. Participants performed an auditory spatial attention task, with occasional "catch" trials requiring no response. Psychophysiological measures included bilateral cerebral blood flow (transcranial Doppler), pupil dilation, and blink rate. The shape of attention gradients using reaction time indexed early processing, and did not significantly vary over time. Later stimulus-response conflict was comparable over time, except for a reduction to left hemispace stimuli. Target and catch trial accuracy decreased with time, with a more abrupt decrease for catch versus target trials. Diffusion decision modeling found progressive decreases in information accumulation rate and non-decision time, and the adoption of more liberal response criteria. Cerebral blood flow increased from baseline and then decreased over time, particularly in the left hemisphere. Blink rate steadily increased over time, while pupil dilation increased only at the beginning and then returned towards baseline. The findings suggest dissociations between resources for selectivity and effort. Measures of high subjective effort and temporal declines in catch trial accuracy and cerebral blood flow velocity suggest a standard vigilance decrement was evident in parallel with preserved selection. Different attentional systems and classes of computations that may account for dissociations between selectivity versus effort are discussed.

Numbers in short-term memory bias auditory spatial perception.

The cognitive penetration literature suggests that top-down knowledge influences perception, but whether such influences exist is controversial. We tested for top-down influences on perception by loading short-term memory with digits and then had participants make perceptual judgments to index spatial hearing. Memory of spatial number codes were predicted to bias spatial judgments to the left for small digits and rightward for larger digits. Participants encoded one or more digits and then made spatial judgments in either spatial hearing or dichotic listening tasks. Results across five experiments supported the predicted spatial biases. Digits had to be deliberately encoded, and at least two were needed to be memorized before a small number left-right bias in dichotic listening was evident. In dichotic listening, smaller numbers in memory also promoted more intrusions, and a mix of small and large numbers enhanced the right ear advantage. Results suggest that long-term knowledge about number magnitude imparts a top-down bias on auditory spatial perception. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Strategic encoding and retrieval processes in verbal recall among middle-aged and older adults.

The authors used an analysis of individual differences to examine the role of executive control in strategic encoding and retrieval in verbal recall. Participants enrolled in the Louisiana Healthy Aging Study completed measures of working memory (WM), cognitive status, vocabulary, and free recall of words. Indices of clustering in free recall were calculated to permit inferences on strategic encoding and retrieval processes. We hypothesized that WM would be more strongly associated with strategic encoding and retrieval metrics than vocabulary based on the assumption that successful remembering requires executive control in WM. Regression analyses, together with a variance portioning procedure, confirmed that WM had comparable levels of unique and shared variance with the strategic encoding and retrieval metrics, and both exceeded vocabulary. Theoretical and clinical implications of these data are considered, with the suggestion of future research in lifespan samples as opposed to exclusively young adult or older adult samples.

Neural correlates of auditory sensory memory dynamics in the aging brain.

The auditory system allows us to monitor background environmental sound patterns and recognize deviations that may indicate opportunities or threats. The mismatch negativity and P3a potentials have generators in the auditory and inferior frontal cortex and index expected sound patterns (standards) and any aberrations (deviants). The mismatch negativity and P3a waveforms show increased positivity for consecutive standards and deviants preceded by more standards. We hypothesized attenuated repetition effects in older participants, potentially because of differences in prefrontal functions. Young (23 ± 5 years) and older (75 ± 5 years) adults were tested in 2 oddball paradigms with pitch or location deviants. Significant repetition effects were observed in the young standard and deviant waveforms at multiple time windows. Except the earliest time window (30-100 ms), repetition effects were absent in the older group. Repetition effects were significant at frontal but not temporal lobe sites and did not differ among pitch and location deviants. However, P3a repetition was evident in both ages. Findings suggest age differences in the dynamic updating of sensory memory for background sound patterns.

Dynamics of auditory spatial attention gradients.

Auditory spatial attention faces the conflicting demands of focusing on the current task while also rapidly shifting location to unexpected stimuli. We examined the interplay of sustained focus and intermittent shifts in an auditory spatial attention task. Most trials required a choice response from a standard location in virtual space (L-R: -90°, 0°, +90°), but occasionally the location shifted between 45°-180°. Reaction time curves for angular shifts had a quadratic shape, with slowing for small shifts but faster reaction times for larger shifts. The reaction time curves were maintained at faster stimulus rates and usually scaled to fit the range of stimulus locations. However, focus on the right had an attenuated curve, and did not scale to the range of locations. The findings suggest two mechanisms: a top-down bias centered on standard locations that decreases with distance, and a bottom-up bias that under these conditions increases with distance from the standard location.

Sensorimotor Integration Can Enhance Auditory Perception.

Whenever we move, speak, or play musical instruments, our actions generate auditory sensory input. The sensory consequences of our actions are thought to be predicted via sensorimotor integration, which involves anatomical and functional links between auditory and motor brain regions. The physiological connections are relatively well established, but less is known about how sensorimotor integration affects auditory perception. The sensory attenuation hypothesis suggests that the perceived loudness of self-generated sounds is attenuated to help distinguish self-generated sounds from ambient sounds. Sensory attenuation would work for louder ambient sounds, but could lead to less accurate perception if the ambient sounds were quieter. We hypothesize that a key function of sensorimotor integration is the facilitated processing of self-generated sounds, leading to more accurate perception under most conditions. The sensory attenuation hypothesis predicts better performance for higher but not lower intensity comparisons, whereas sensory facilitation predicts improved perception regardless of comparison sound intensity. A series of experiments tested these hypotheses, with results supporting the enhancement hypothesis. Overall, people were more accurate at comparing the loudness of two sounds when making one of the sounds themselves. We propose that the brain selectively modulates the perception of self-generated sounds to enhance representations of action consequences.

Auditory spatial attention capture, disengagement, and response selection in normal aging.

Attention control is a core element of cognitive aging, but the specific mechanisms that differ with age are unclear. Here we used a novel auditory spatial attention task to evaluate stimulus processing at the level of early attention capture, later response selection, and the lingering effects of attention capture across trials in young and older adults. We found that the shapes of spatial attention capture gradients were remarkably similar in young and older adults, but only the older group had lingering effects of attention capture on the next trial. Response selection for stimulus-response incompatibilities took longer in older subjects, but primarily when attending to the midline location. The results suggest that the likelihood and spatial tuning of attention capture is comparable among groups, but once attention is captured, older subjects take longer to disengage. Age differences in response selection were supported, but may not be a general feature of cognitive aging.

Auditory cortical activity in amnestic mild cognitive impairment: relationship to subtype and conversion to dementia.

Mild cognitive impairment (MCI) patients have a high risk of converting to Alzheimer's disease. The most common diagnostic subtypes of MCI have an episodic memory disorder (amnestic MCI) occurring either alone [single domain (SD)] or with other cognitive impairments [multiple domain (MD)]. Previous studies report increased amplitudes of auditory cortical potentials in MCI, but their relationships to MCI subtypes and clinical outcomes were not defined. We studied subjects with amnestic MCI (n = 41: 28 SD, 13 MD), Alzheimer's disease (n = 14), and both younger (n = 22) and age-matched older controls (n = 44). Baseline auditory sensory (P50, N100) and cognitive potentials (P300) were recorded during an auditory discrimination task. MCI patients were followed for up to 5 years, and outcomes were classified as (i) continued diagnosis of MCI (MCI-stable, n = 16), (ii) probable Alzheimer's disease (MCI-convert, n = 18), or other outcomes (n = 7). Auditory potentials were analysed as a function of MCI diagnosis and outcomes, and compared with young, older controls, and mild Alzheimer's disease subjects. P50 amplitude increased with normal ageing, and had additional increases in MCI as a function of both initial diagnosis (MD > than SD) and outcome (MCI-convert > MCI-stable). P300 latency increased with normal ageing, and had additional increases in MCI but did not differ among outcomes. We conclude that auditory cortical sensory potentials differ among amnestic MCI subtypes and outcomes occurring up to 5 years later.

Cognitive control and midline theta adjust across multiple timescales.

Cognitive control of attention in conflict situations is a basic skill that is vital for goal-oriented behavior. Behavioral evidence shows that conflict control occurs over successive trials as well as longer time scales of trial blocks, but the relation among time scales as well as their neural mechanisms are unclear. This study used measures of behavior, EEG, and a simple quantitative model to test the hypothesis that conflict control at the block level is not exclusively driven by control adjustments over successive trials. Young adults performed an auditory Simon task, and the base rate of compatible vs. incompatible trials was manipulated in separate blocks (25, 50, 75% compatible). EEG data were analyzed using independent component analysis (ICA) to define cortical mechanisms of any base rate and trial-by-trial sequence effects. Reaction time measures had both sequence and base rate effects. Two fronto-medial ICA components indexed sequence and base rate effects, with specific profiles for evoked potentials and oscillations in the theta and alpha frequency bands. Predictive modeling showed that sequence effects accounted for a minority of the variance on behavioral and ICA measures (all < 36%). The results strongly suggest that the base rate manipulation affected behavior and many neural measures beyond the influence of sequence effects.

Spatial Integration and the Underlying Mechanisms of Cross-Modality Interference.

Researchers have often utilized the classic Stroop task as a measure of selective attention processes. While it is largely agreed upon that semantic interference plays a role in the classic task, the role of attentional processes is less clear. The picture is further muddied when variations on the classic task are used. For example, the cross-modal Stroop task, in which one names the color of visual items while ignoring distracting auditory color words, typically leads to smaller sized interference effects and little or no facilitation when compared to the classic task. Furthermore, relationship(s) with working memory capacity have only been found in the classic version. We examined whether these differences are due to a methodological factor; namely, spatial integration versus separation of the target and distractor locations. We conducted four experiments manipulating the location of auditory distractors within the cross-modal Stroop task, and found that the location of the distractors had little to no impact on the size of the effect. This lack of an effect of location implies that the mechanisms contributing to the cross-modal Stroop effect are not the same as those of the classic Stroop effect, and that the role of spatial attention in cross-modal Stroop is limited. The implications of a unique role for auditory distractors is considered as well, and supports the conclusion that interference in the cross-modal Stroop effect is the result of a combination of semantic interference and modality-specific interference.

Single-Trial Classification of Disfluent Brain States in Adults Who Stutter.

Normal human speech requires precise coordination between motor planning and sensory processing. Speech disfluencies are common when children learn to talk, but usually abate with time. About 5% of children experience stuttering. For most, this resolves within a year. However, for approximately 1% of the world population, stuttering continues into adulthood, which is termed 'persistent developmental stuttering'. Most stuttering events occur at the beginning of an utterance. So, in principle, brain activity before speaking should differ between fluent and stuttered speech. Here we present a method for classifying brain network states associated with fluent vs. stuttered speech on a single trial basis. Brain activity was recorded with EEG before people who stutter read aloud pseudo-word pairs. Offline independent component analysis (ICA) was used to identify the independent neural sources that underlie speech preparation. A time window selection algorithm extracted spectral power and coherence data from salient windows specific to each neural source. A stepwise linear discriminant analysis (sLDA) algorithm predicted fluent vs. stuttered speech for 81% of trials in two subjects. These results support the feasibility of developing a brain-computer interface (BCI) system to detect stuttering before it occurs, with potential for therapeutic application.

Cholinesterase inhibitors affect brain potentials in amnestic mild cognitive impairment.

Amnestic mild cognitive impairment (MCI) is an isolated episodic memory disorder that has a high likelihood of progressing to Alzheimer's disease. Auditory sensory cortical responses (P50, N100) have been shown to be increased in amplitude in MCI compared to older controls. We tested whether (1) cortical potentials to other sensory modalities (somatosensory and visual) were also affected in MCI and (2) cholinesterase inhibitors (ChEIs), one of the therapies used in this disorder, modulated sensory cortical potentials in MCI. Somatosensory cortical potentials to median nerve stimulation and visual cortical potentials to reversing checkerboard stimulation were recorded from 15 older controls and 15 amnestic MCI subjects (single domain). Results were analyzed as a function of diagnosis (Control, MCI) and ChEIs treatment (Treated MCI, Untreated MCI). Somatosensory and visual potentials did not differ significantly in amplitude in MCI subjects compared to controls. When ChEIs use was considered, somatosensory potentials (N20, P50) but not visual potentials (N70, P100, N150) were of larger amplitude in untreated MCI subjects compared to treated MCI subjects. Three individual MCI subjects showed increased N20 amplitude while off ChEIs compared to while on ChEIs. An enhancement of N20 somatosensory cortical activity occurs in amnestic single-domain MCI and is sensitive to modulation by ChEIs.

Impact of Spatial and Verbal Short-Term Memory Load on Auditory Spatial Attention Gradients.

Short-term memory load can impair attentional control, but prior work shows that the extent of the effect ranges from being very general to very specific. One factor for the mixed results may be reliance on point estimates of memory load effects on attention. Here we used auditory attention gradients as an analog measure to map-out the impact of short-term memory load over space. Verbal or spatial information was maintained during an auditory spatial attention task and compared to no-load. Stimuli were presented from five virtual locations in the frontal azimuth plane, and subjects focused on the midline. Reaction times progressively increased for lateral stimuli, indicating an attention gradient. Spatial load further slowed responses at lateral locations, particularly in the left hemispace, but had little effect at midline. Verbal memory load had no (Experiment 1), or a minimal (Experiment 2) influence on reaction times. Spatial and verbal load increased switch costs between memory encoding and attention tasks relative to the no load condition. The findings show that short-term memory influences the distribution of auditory attention over space; and that the specific pattern depends on the type of information in short-term memory.