Attention to audiovisual speech shapes neural processing through feedback-feedforward loops between different nodes of the speech network.

Selective attention-related top-down modulation plays a significant role in separating relevant speech from irrelevant background speech when vocal attributes separating concurrent speakers are small and continuously evolving. Electrophysiological studies have shown that such top-down modulation enhances neural tracking of attended speech. Yet, the specific cortical regions involved remain unclear due to the limited spatial resolution of most electrophysiological techniques. To overcome such limitations, we collected both electroencephalography (EEG) (high temporal resolution) and functional magnetic resonance imaging (fMRI) (high spatial resolution), while human participants selectively attended to speakers in audiovisual scenes containing overlapping cocktail party speech. To utilise the advantages of the respective techniques, we analysed neural tracking of speech using the EEG data and performed representational dissimilarity-based EEG-fMRI fusion. We observed that attention enhanced neural tracking and modulated EEG correlates throughout the latencies studied. Further, attention-related enhancement of neural tracking fluctuated in predictable temporal profiles. We discuss how such temporal dynamics could arise from a combination of interactions between attention and prediction as well as plastic properties of the auditory cortex. EEG-fMRI fusion revealed attention-related iterative feedforward-feedback loops between hierarchically organised nodes of the ventral auditory object related processing stream. Our findings support models where attention facilitates dynamic neural changes in the auditory cortex, ultimately aiding discrimination of relevant sounds from irrelevant ones while conserving neural resources.

Diagnostic errors during perceptual learning of dermatology - a prospective cohort study of Finnish undergraduate students.

BACKGROUND: Perceptual learning modules (PLMs) have been shown to significantly improve learning outcomes in teaching dermatology. OBJECTIVES: We aimed to investigate the quantity and quality of diagnostic errors during undergraduate PLMs and their potential implications. METHODS: The study data was acquired during eight successive dermatology courses (2021-2023) from 142 undergraduate medical students. Digital PLMs were held before, during, and at course ends. We investigated the amount and distribution of diagnostic errors, differences between specific skin conditions and classified them based on the type of errors students made. RESULTS: Diagnostic errors were not randomly distributed. Some skin conditions were almost always correctly identified, whereas in some diagnoses significant number of errors were made. Errors could be classified in three groups: mostly systematic errors of relevant differential diagnoses (similarity errors), partly systematic errors (mixed errors) and random errors. While significant learning effect during the repeated measures was found in accuracy (p<.001, η²p=.64), confidence (p<.001, η²p=.60) and fluency (p<.001, η²p=.16), the three categories differed in all outcome measures (all p <.001, all η²p>.47). Visual learning was more difficult in the similarity category (all p <.001, all η²p>.12) than in the mixed and random categories. CONCLUSIONS: Error analysis of PLMs provided relevant information about learning efficacy and progression, systematic errors of tasks, and more difficult to learn conditions. This information can be used in the development of adaptive, individual error-based PLMs to improve learning outcomes, both in dermatology and medical education in general.

Subjectively preferred octave size is resolved at the late stages of cerebral auditory processing.

Human listeners prefer octave intervals slightly above the exact 2:1 frequency ratio. To study the neural underpinnings of this subjective preference, called the octave enlargement phenomenon, we compared neural responses between exact, slightly enlarged, oversized, and compressed octaves (or their multiples). The first experiment (n = 20) focused on the N1 and P2 event-related potentials (ERPs) elicited in EEG 50-250 ms after the second tone onset during passive listening of one-octave intervals. In the second experiment (n = 20) applying four-octave intervals, musician participants actively rated the different octave types as 'low', 'good' and 'high'. The preferred slightly enlarged octave was individually determined prior to the second experiment. In both experiments, N1-P2 peak-to-peak amplitudes attenuated for the exact and slightly enlarged octave intervals compared with compressed and oversized intervals, suggesting overlapping neural representations of tones an octave (or its multiples) apart. While there were no differences between the N1-P2 amplitudes to the exact and preferred enlarged octaves, ERP amplitudes differed after 500 ms from onset of the second tone of the pair. In the multivariate pattern analysis (MVPA) of the second experiment, the different octave types were distinguishable (spatial classification across electroencephalography [EEG] channels) 200 ms after second tone onset. Temporal classification within channels suggested two separate discrimination processes peaking around 300 and 700 ms. These findings appear to be related to active listening, as no multivariate results were found in the first, passive listening experiment. The present results suggest that the subjectively preferred octave size is resolved at the late stages of auditory processing.

Long-term cognitive functioning is impaired in ICU-treated COVID-19 patients: a comprehensive controlled neuropsychological study.

BACKGROUND: Cognitive impairment has emerged as a common post-acute sequela of coronavirus disease 2019 (COVID-19). We hypothesised that cognitive impairment exists in patients after COVID-19 and that it is most severe in patients admitted to the intensive care unit (ICU). METHODS: This prospective controlled cohort study of 213 participants performed at the Helsinki University Hospital and the University of Helsinki, Finland, comprised three groups of patients-ICU-treated (n = 72), ward-treated (n = 49), and home-isolated (n = 44)-with confirmed COVID-19 between March 13 and December 31, 2020, participating in a comprehensive neuropsychological evaluation six months after the acute phase. Our study included a control group with no history of COVID-19 (n = 48). Medical and demographic data were collected from electronic patient records and interviews carried out four months after the acute phase. Questionnaires filled six months after the acute phase provided information about change in cognitive functioning observed by a close informant, as well as the presence of self-reported depressive and post-traumatic symptoms. RESULTS: The groups differed (effect size η2p = 0.065, p = 0.004) in the total cognitive score, calculated from neuropsychological measures in three domains (attention, executive functions, and memory). Both ICU-treated (p = 0.011) and ward-treated patients (p = 0.005) performed worse than home-isolated patients. Among those with more than 12 years of education, ICU-treated patients performed worse in the attention domain than ward-treated patients (p = 0.021) or non-COVID controls (p = 0.045); ICU-treated male patients, in particular, were impaired in executive functions (p = 0.037). CONCLUSIONS: ICU-treated COVID-19 patients, compared to patients with less severe acute COVID-19 or non-COVID controls, showed more severe long-term cognitive impairment. Among those with more than 12 years of education, impairment existed particularly in the domains of attention and for men, of executive functions. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov NCT04864938, retrospectively registered February 9, 2021.

Perceptual learning modules in undergraduate dermatology teaching.

BACKGROUND: Dermatological diagnosis depends highly on visual skills, and implicit nonanalytical proficiency plays a key role. To correctly diagnose skin diseases, the clinician needs visual skills, and intuitive recognition plays a key role. AIM: To investigate the effectiveness of digital perceptual learning modules (PLMs) in undergraduate teaching, and how these affect medical students' learning about skin diseases. METHODS: This was a study performed in Finland, which enrolled 39 students of an undergraduate dermatology course. Online PLMs designed for dermatology, using different pictures of skin diseases were performed three times: before, during and at the end of the course. The modules provided four outcome measures: diagnostic accuracy (percentage of correct responses), a rating of confidence about the decision, fluency (response/decision time) and a list of features on which the decision was based. RESULTS: As the number of PLMs and the course duration increased, there were also improvements in the four measures, with a significant increase in diagnostic accuracy [from 66% to 94%; P < 0.001; partial η2 (η2 p ) = 0.92], fluency (as measured by a decrease in response time (from 10 to 6 s; P < 0 0.001; η2 p = 0.69) and self-perceived confidence (2.5 to 4.3; P < 0 0.001, η2 p = 0.86) with subsequent PLMs and course duration. There was a diversification of recognized features, an increase in pattern recognition, and better attention to localization and contextual association. Based on student feedback, the PLMs functioned well online, and enhanced motivation and learning. CONCLUSION: PLMs increased diagnostic accuracy, had a positive effect on learning outcomes and were easily integrated alongside clinical teaching. Considering the current era of digital technologies, we believe that there is potential for wider use of PLMs to improve visual skills and strengthen implicit learning in dermatology.

Breaking down the cocktail party: Attentional modulation of cerebral audiovisual speech processing.

Recent studies utilizing electrophysiological speech envelope reconstruction have sparked renewed interest in the cocktail party effect by showing that auditory neurons entrain to selectively attended speech. Yet, the neural networks of attention to speech in naturalistic audiovisual settings with multiple sound sources remain poorly understood. We collected functional brain imaging data while participants viewed audiovisual video clips of lifelike dialogues with concurrent distracting speech in the background. Dialogues were presented in a full-factorial design, comprising task (listen to the dialogues vs. ignore them), audiovisual quality and semantic predictability. We used univariate analyses in combination with multivariate pattern analysis (MVPA) to study modulations of brain activity related to attentive processing of audiovisual speech. We found attentive speech processing to cause distinct spatiotemporal modulation profiles in distributed cortical areas including sensory and frontal-control networks. Semantic coherence modulated attention-related activation patterns in the earliest stages of auditory cortical processing, suggesting that the auditory cortex is involved in high-level speech processing. Our results corroborate views that emphasize the dynamic nature of attention, with task-specificity and context as cornerstones of the underlying neuro-cognitive mechanisms.

Reduced visual contrast suppression during major depressive episodes.

Background: Previous studies have suggested that processing of visual contrast information could be altered in major depressive disorder. To clarify the changes at different levels of the visual hierarchy, we behaviourally measured contrast perception in 2 centre-surround conditions, assessing retinal and cortical processing. Methods: As part of a prospective cohort study, our sample consisted of controls (n = 29; 21 female) and patients with unipolar depression, bipolar disorder and borderline personality disorder who had baseline major depressive episodes (n = 111; 74 female). In a brightness induction test that assessed retinal processing, participants compared the perceived luminance of uniform patches (presented on a computer screen) as the luminance of the backgrounds was varied. In a contrast suppression test that assessed cortical processing, participants compared the perceived contrast of gratings, which were presented with collinearly or orthogonally oriented backgrounds. Results: Brightness induction was similar for patients with major depressive episodes and controls (p = 0.60, d = 0.115, Bayes factor = 3.9), but contrast suppression was significantly lower for patients than for controls (p < 0.006, d = 0.663, Bayes factor = 35.2). We observed no statistically significant associations between contrast suppression and age, sex, or medication or diagnostic subgroup. At follow-up (n = 74), we observed some normalization of contrast perception. Limitations: We assessed contrast perception using behavioural tests instead of electrophysiology. Conclusion: The reduced contrast suppression we observed may have been caused by decreased retinal feedforward or cortical feedback signals. Because we observed intact brightness induction, our results suggest normal retinal but altered cortical processing of visual contrast during a major depressive episode. This alteration is likely to be present in multiple types of depression and to partially normalize upon remission.

Working memory training restores aberrant brain activity in adult attention-deficit hyperactivity disorder.

The development of treatments for attention impairments is hampered by limited knowledge about the malleability of underlying neural functions. We conducted the first randomized controlled trial to determine the modulations of brain activity associated with working memory (WM) training in adults with attention-deficit hyperactivity disorder (ADHD). At baseline, we assessed the aberrant functional brain activity in the n-back WM task by comparing 44 adults with ADHD with 18 healthy controls using fMRI. Participants with ADHD were then randomized to train on an adaptive dual n-back task or an active control task. We tested whether WM training elicits redistribution of brain activity as observed in healthy controls, and whether it might further restore aberrant activity related to ADHD. As expected, activity in areas of the default-mode (DMN), salience (SN), sensory-motor (SMN), frontoparietal (FPN), and subcortical (SCN) networks was decreased in participants with ADHD at pretest as compared with healthy controls, especially when the cognitive load was high. WM training modulated widespread FPN and SN areas, restoring some of the aberrant activity. Training effects were mainly observed as decreased brain activity during the trained task and increased activity during the untrained task, suggesting different neural mechanisms for trained and transfer tasks.

Recall of facial expressions and simple orientations reveals competition for resources at multiple levels of the visual hierarchy.

Many studies of visual working memory have tested humans' ability to reproduce primary visual features of simple objects, such as the orientation of a grating or the hue of a color patch, following a delay. A consistent finding of such studies is that precision of responses declines as the number of items in memory increases. Here we compared visual working memory for primary features and high-level objects. We presented participants with memory arrays consisting of oriented gratings, facial expressions, or a mixture of both. Precision of reproduction for all facial expressions declined steadily as the memory load was increased from one to five faces. For primary features, this decline and the specific distributions of error observed, have been parsimoniously explained in terms of neural population codes. We adapted the population coding model for circular variables to the non-circular and bounded parameter space used for expression estimation. Total population activity was held constant according to the principle of normalization and the intensity of expression was decoded by drawing samples from the Bayesian posterior distribution. The model fit the data well, showing that principles of population coding can be applied to model memory representations at multiple levels of the visual hierarchy. When both gratings and faces had to be remembered, an asymmetry was observed. Increasing the number of faces decreased precision of orientation recall, but increasing the number of gratings did not affect recall of expression, suggesting that memorizing faces involves the automatic encoding of low-level features, in addition to higher-level expression information.

Stimulus duration has little effect on auditory, visual and audiovisual temporal order judgement.

Some classical studies on temporal order judgments (TOJ) suggested a single central process comparing stimulus onsets across modalities. The prevalent current view suggests that there is modality-specific timing estimation followed by a cross-modal stage. If the latter view is correct, TOJ's may vary depending on stimulus modality. Further, if TOJ is based only on onsets, stimulus duration should be irrelevant. To address these issues, we used both unisensory and multisensory stimuli to test whether unisensory duration processing influences cross-modal TOJ's. The stimuli were auditory noise bursts, visual squares, and their cross-modal combinations presented at 10, 40 and 500 ms durations, and various stimulus onset asynchronies. Psychometric functions were measured with an identical task in all conditions: On each trial, two stimuli were presented, one to the left, the other to the right of fixation. The participants judged which one started first. TOJ's were little affected by stimulus duration, implying that they are mainly determined by stimulus onsets. Throughout, the cross-modal just noticeable differences were larger than the unisensory ones. In accordance with the current view, our results suggest that cross-modal TOJ's require a comparison of timing after modality-specific estimations.

Radial Frequency Analysis of Contour Shapes in the Visual Cortex.

Cumulative psychophysical evidence suggests that the shape of closed contours is analysed by means of their radial frequency components (RFC). However, neurophysiological evidence for RFC-based representations is still missing. We investigated the representation of radial frequency in the human visual cortex with functional magnetic resonance imaging. We parametrically varied the radial frequency, amplitude and local curvature of contour shapes. The stimuli evoked clear responses across visual areas in the univariate analysis, but the response magnitude did not depend on radial frequency or local curvature. Searchlight-based, multivariate representational similarity analysis revealed RFC specific response patterns in areas V2d, V3d, V3AB, and IPS0. Interestingly, RFC-specific representations were not found in hV4 or LO, traditionally associated with visual shape analysis. The modulation amplitude of the shapes did not affect the responses in any visual area. Local curvature, SF-spectrum and contrast energy related representations were found across visual areas but without similar specificity for visual area that was found for RFC. The results suggest that the radial frequency of a closed contour is one of the cortical shape analysis dimensions, represented in the early and mid-level visual areas.

Brain magnetic resonance imaging findings six months after critical COVID-19: A prospective cohort study.

BACKGROUND: COVID-19 patients suffered from neurological symptoms in the acute phase. Whether this led to long-term consequences was unknown. We studied long-term brain MRI findings in ICU-treated COVID-19 patients and compared them with findings in groups with less severe acute disease. MATERIALS AND METHODS: In this prospective cohort study, 69 ICU-treated, 46 ward-treated, and 46 home-isolated patients, as well as 53 non-COVID-19 controls, underwent brain MRI six months after acute COVID-19. Plasma neurofilament light chain (NfL), a biomarker of neuroaxonal injury, was measured simultaneously. RESULTS: Ischaemic infarctions existed in 5.8% of ICU-treated patients. Cerebral microbleeds (CMBs) existed in 27 (39.1%) ICU-treated, 13 (28.3%) ward-treated, 8 (17.4%) home-isolated COVID-19 patients, and 12 (22.6%) non-COVID controls. Patients with CMBs were older (p < 0.001), had a higher level of plasma NfL (p = 0.003), and higher supplementary oxygen days (p < 0.001). In multivariable analysis, age (OR 1.06, 95% CI 1.02-1.09) and supplementary oxygen days (OR 1.07, 95% CI 1.02-1.13) were associated with CMBs. The ICU group showed prevalent distribution of CMBs in deep regions. CONCLUSION: Age and supplementary oxygen days were independently associated with CMBs; COVID-19 status showed no association. Accumulation of risk factors in the ICU group may explain the higher prevalence of CMBs. TRIAL REGISTRATION: ClinicalTrials.govNCT04864938, registered February 9, 2021.

Brightness and transparency in the early visual cortex.

Several psychophysical studies have shown that transparency can have drastic effects on brightness and lightness. However, the neural processes generating these effects have remained unresolved. Several lines of evidence suggest that the early visual cortex is important for brightness perception. While single cell recordings suggest that surface brightness is represented in the primary visual cortex, the results of functional magnetic resonance imaging (fMRI) studies have been discrepant. In addition, the location of the neural representation of transparency is not yet known. We investigated whether the fMRI responses in areas V1, V2, and V3 correlate with brightness and transparency. To dissociate the blood oxygen level-dependent (BOLD) response to brightness from the response to local border contrast and mean luminance, we used variants of White's brightness illusion, both opaque and transparent, in which luminance increments and decrements cancel each other out. The stimuli consisted of a target surface and a surround. The surround luminance was always sinusoidally modulated at 0.5 Hz to induce brightness modulation to the target. The target luminance was constant or modulated in counterphase to null brightness modulation. The mean signal changes were calculated from the voxels in V1, V2, and V3 corresponding to the retinotopic location of the target surface. The BOLD responses were significantly stronger for modulating brightness than for stimuli with constant brightness. In addition, the responses were stronger for transparent than for opaque stimuli, but there was more individual variation. No interaction between brightness and transparency was found. The results show that the early visual areas V1-V3 are sensitive to surface brightness and transparency and suggest that brightness and transparency are represented separately.

Associations of subjective and objective cognitive functioning after COVID-19: A six-month follow-up of ICU, ward, and home-isolated patients.

Background: Subjective and objective cognitive dysfunction are reported after COVID-19 but with limited data on their congruence and associations with the severity of the acute disease. The aim of this cohort study is to describe the prevalence of subjective and objective cognitive dysfunction at three and six months after COVID-19 and the associations of subjective cognitive symptoms and psychological and disease-related factors. Methods: We assessed a cohort of 184 patients at three and six months after COVID-19: 82 patients admitted to the Intensive Care Unit (ICU), 53 admitted to regular hospital wards, and 49 isolated at home. A non-COVID control group of 53 individuals was included. Demographic and clinical data were collected. Subjective cognitive symptoms, objective cognitive impairment, and depressive and post-traumatic stress disorder (PTSD) symptoms were assessed. Results: At six months, subjective cognitive impairment was reported by 32.3% of ICU-treated, 37.3% of ward-treated, and 33.3% of home-isolated patients and objective cognitive impairment was observed in 36.1% of ICU-treated, 34.7% of ward-treated, and 8.9% of home-isolated patients. Subjective cognitive symptoms were associated with depressive and PTSD symptoms and female sex, but not with objective cognitive assessment or hospital metrics. Conclusions: One-third of COVID-19 patients, regardless of the acute disease severity, reported high levels of subjective cognitive dysfunction which was not associated with results from objective cognitive screening but with psychological and demographic factors. Our study stresses the importance of thorough assessment of patients reporting long-term subjective symptoms, screening for underlying mental health related factors such as PTSD or depression.

Visual working memory for amplitude-modulated shapes.

We investigated the trade-off between capacity and precision in visual working memory with two different tasks: delayed discrimination and recall. The stimuli were radial frequency patterns that require global pooling of local visual features. The thresholds in delayed amplitude discrimination were measured with a two-interval, forced-choice setup using the Quest procedure. In the recall experiment, the observers' task was to adjust the amplitude of a probe to match the amplitude of a cued item. For one item, the amplitude thresholds were low (0.01-0.05) and the adjustments precise (standard deviations, 0.03-0.05). As the number of items increased from one to six, there was a linear, 6-to-14-fold increase in the thresholds (0.14-0.29) and a 1.5-to-3-fold increase in the standard deviations (0.06-0.11). No sudden or complete breakdown in performance was observed for any subject. The results show a continuous trade-off between memory capacity and precision; six items can be discriminated with the same performance level (75% correct) as one item if the difference between the stimuli is set accordingly. Thus, the stimulus discriminability determines the capacity of visual working memory, and the trade-off between the capacity and precision is linear.

Early life stress is associated with the default mode and fronto-limbic network connectivity among young adults.

Exposure to early life stress (ELS) is associated with a variety of detrimental psychological and neurodevelopmental effects. Importantly, ELS has been associated with regional alterations and aberrant connectivity in the structure and functioning of brain regions involved in emotion processing and self-regulation, creating vulnerability to mental health problems. However, longitudinal research regarding the impact of ELS on functional connectivity between brain regions in the default mode network (DMN) and fronto-limbic network (FLN), both implicated in emotion-related processes, is relatively scarce. Neuroimaging research on ELS has mostly focused on single nodes or bi-nodal connectivity instead of functional networks. We examined how ELS is associated with connectivity patterns within the DMN and FLN during rest in early adulthood. The participants (n = 86; 47 females) in the current functional magnetic resonance imaging (fMRI) study were young adults (18-21 years old) whose families had participated in a longitudinal study since pregnancy. ELS was assessed both prospectively (parental reports of family relationship problems and mental health problems during pregnancy and infancy) and retrospectively (self-reported adverse childhood experiences). Inter-subject representational similarity analysis (IS-RSA) and multivariate distance matrix regression (MDMR) were used to analyze the association between ELS and the chosen networks. The IS-RSA results suggested that prospective ELS was associated with complex alterations within the DMN, and that retrospective ELS was associated with alterations in the FLN. MDMR results, in turn, suggested that that retrospective ELS was associated with DMN connectivity. Mean connectivity of the DMN was also associated with retrospective ELS. Analyses further showed that ELS-related alterations in the FLN were associated with increased connectivity between the prefrontal and limbic regions, and between different prefrontal regions. These results suggest that exposure to ELS in infancy might have long-lasting influences on functional brain connectivity that persist until early adulthood. Our results also speak for the importance of differentiating prospective and retrospective assessment methods to understand the specific neurodevelopmental effects of ELS.

Perceived emotional expressions of composite faces.

The eye and mouth regions serve as the primary sources of facial information regarding an individual's emotional state. The aim of this study was to provide a comprehensive assessment of the relative importance of those two information sources in the identification of different emotions. The stimuli were composite facial images, in which different expressions (Neutral, Anger, Disgust, Fear, Happiness, Contempt, and Surprise) were presented in the eyes and the mouth. Participants (21 women, 11 men, mean age 25 years) rated the expressions of 7 congruent and 42 incongruent composite faces by clicking on a point within the valence-arousal emotion space. Eye movements were also monitored. With most incongruent composite images, the perceived emotion corresponded to the expression of either the eye region or the mouth region or an average of those. The happy expression was different. Happy eyes often shifted the perceived emotion towards a slightly negative point in the valence-arousal space, not towards the location associated with a congruent happy expression. The eye-tracking data revealed significant effects of congruency, expressions and interaction on total dwell time. Our data indicate that whether a face that combines features from two emotional expressions leads to a percept based on only one of the expressions (categorical perception) or integration of the two expressions (dimensional perception), or something altogether different, strongly depends upon the expressions involved.

Modulation of Brain Activity by Selective Attention to Audiovisual Dialogues.

In real-life noisy situations, we can selectively attend to conversations in the presence of irrelevant voices, but neurocognitive mechanisms in such natural listening situations remain largely unexplored. Previous research has shown distributed activity in the mid superior temporal gyrus (STG) and sulcus (STS) while listening to speech and human voices, in the posterior STS and fusiform gyrus when combining auditory, visual and linguistic information, as well as in left-hemisphere temporal and frontal cortical areas during comprehension. In the present functional magnetic resonance imaging (fMRI) study, we investigated how selective attention modulates neural responses to naturalistic audiovisual dialogues. Our healthy adult participants (N = 15) selectively attended to video-taped dialogues between a man and woman in the presence of irrelevant continuous speech in the background. We modulated the auditory quality of dialogues with noise vocoding and their visual quality by masking speech-related facial movements. Both increased auditory quality and increased visual quality were associated with bilateral activity enhancements in the STG/STS. In addition, decreased audiovisual stimulus quality elicited enhanced fronto-parietal activity, presumably reflecting increased attentional demands. Finally, attention to the dialogues, in relation to a control task where a fixation cross was attended and the dialogue ignored, yielded enhanced activity in the left planum polare, angular gyrus, the right temporal pole, as well as in the orbitofrontal/ventromedial prefrontal cortex and posterior cingulate gyrus. Our findings suggest that naturalistic conversations effectively engage participants and reveal brain networks related to social perception in addition to speech and semantic processing networks.

Neural activity patterns between different executive tasks are more similar in adulthood than in adolescence.

BACKGROUND: Adolescence is a time of ongoing neural maturation and cognitive development, especially regarding executive functions. In the current study, age-related differences in the neural correlates of different executive functions were tracked by comparing three age groups consisting of adolescents and young adults. METHODS: Brain activity was measured with functional magnetic resonance imaging (fMRI) from 167 human participants (13- to 14-year-old middle adolescents, 16- to 17-year-old late adolescents and 20- to 24-year-old young adults; 80 female, 87 male) while they performed attention and working memory tasks. The tasks were designed to tap into four putative sub-processes of executive function: division of attention, inhibition of distractors, working memory, and attention switching. RESULTS: Behaviorally, our results demonstrated superior task performance in older participants across all task types. When brain activity was examined, young adult participants demonstrated a greater degree of overlap between brain regions recruited by the different executive tasks than adolescent participants. Similarly, functional connectivity between frontoparietal cortical regions was less task specific in the young adult participants than in adolescent participants. CONCLUSIONS: Together, these results demonstrate that the similarity between different executive processes in terms of both neural recruitment and functional connectivity increases with age from middle adolescence to early adulthood, possibly contributing to age-related behavioral improvements in executive functioning. These developmental changes in brain recruitment may reflect a more homogenous morphological organization between process-specific neural networks, increased reliance on a more domain-general network involved in executive processing, or developmental changes in cognitive strategy.

Out of focus - Brain attention control deficits in adult ADHD.

Modern environments are full of information, and place high demands on the attention control mechanisms that allow the selection of information from one (focused attention) or multiple (divided attention) sources, react to changes in a given situation (stimulus-driven attention), and allocate effort according to demands (task-positive and task-negative activity). We aimed to reveal how attention deficit hyperactivity disorder (ADHD) affects the brain functions associated with these attention control processes in constantly demanding tasks. Sixteen adults with ADHD and 17 controls performed adaptive visual and auditory discrimination tasks during functional magnetic resonance imaging (fMRI). Overlapping brain activity in frontoparietal saliency and default-mode networks, as well as in the somato-motor, cerebellar, and striatal areas were observed in all participants. In the ADHD participants, we observed exclusive activity enhancement in the brain areas typically considered to be primarily involved in other attention control functions: During auditory-focused attention, we observed higher activation in the sensory cortical areas of irrelevant modality and the default-mode network (DMN). DMN activity also increased during divided attention in the ADHD group, in turn decreasing during a simple button-press task. Adding irrelevant stimulation resulted in enhanced activity in the salience network. Finally, the irrelevant distractors that capture attention in a stimulus-driven manner activated dorsal attention networks and the cerebellum. Our findings suggest that attention control deficits involve the activation of irrelevant sensory modality, problems in regulating the level of attention on demand, and may encumber top-down processing in cases of irrelevant information.