Cardiac interoception in patients accessing secondary mental health services: A transdiagnostic study.

BACKGROUND: Abnormalities in the regulation of physiological arousal and interoceptive processing are implicated in the expression and maintenance of specific psychiatric conditions and symptoms. We undertook a cross-sectional characterisation of patients accessing secondary mental health services, recording measures relating to cardiac physiology and interoception, to understand how physiological state and interoceptive ability relate transdiagnostically to affective symptoms. METHODS: Participants were patients (n = 258) and a non-clinical comparison group (n = 67). Clinical diagnoses spanned affective disorders, complex personality presentations and psychoses. We first tested for differences between patient and non-clinical participants in terms of cardiac physiology and interoceptive ability, considering interoceptive tasks and a self-report measure. We then tested for correlations between cardiac and interoceptive measures and affective symptoms. Lastly, we explored group differences across recorded clinical diagnoses. RESULTS: Patients exhibited lower performance accuracy and confidence in heartbeat discrimination and lower heartbeat tracking confidence relative to comparisons. In patients, greater anxiety and depression predicted greater self-reported interoceptive sensibility and a greater mismatch between performance accuracy and sensibility. This effect was not observed in comparison participants. Significant differences between patient groups were observed for heart rate variability (HRV) although post hoc differences were not significant after correction for multiple comparisons. Finally, accuracy in heartbeat tracking was significantly lower in schizophrenia compared to other diagnostic groups. CONCLUSIONS: The multilevel characterisation presented here identified certain physiological and interoceptive differences associated with psychiatric symptoms and diagnoses. The clinical stratification and therapeutic targeting of interoceptive mechanisms is therefore of potential value in treating certain psychiatric conditions.

Revealing the Dynamics of Neural Information Processing with Multivariate Information Decomposition.

The varied cognitive abilities and rich adaptive behaviors enabled by the animal nervous system are often described in terms of information processing. This framing raises the issue of how biological neural circuits actually process information, and some of the most fundamental outstanding questions in neuroscience center on understanding the mechanisms of neural information processing. Classical information theory has long been understood to be a natural framework within which information processing can be understood, and recent advances in the field of multivariate information theory offer new insights into the structure of computation in complex systems. In this review, we provide an introduction to the conceptual and practical issues associated with using multivariate information theory to analyze information processing in neural circuits, as well as discussing recent empirical work in this vein. Specifically, we provide an accessible introduction to the partial information decomposition (PID) framework. PID reveals redundant, unique, and synergistic modes by which neurons integrate information from multiple sources. We focus particularly on the synergistic mode, which quantifies the "higher-order" information carried in the patterns of multiple inputs and is not reducible to input from any single source. Recent work in a variety of model systems has revealed that synergistic dynamics are ubiquitous in neural circuitry and show reliable structure-function relationships, emerging disproportionately in neuronal rich clubs, downstream of recurrent connectivity, and in the convergence of correlated activity. We draw on the existing literature on higher-order information dynamics in neuronal networks to illustrate the insights that have been gained by taking an information decomposition perspective on neural activity. Finally, we briefly discuss future promising directions for information decomposition approaches to neuroscience, such as work on behaving animals, multi-target generalizations of PID, and time-resolved local analyses.

Partial information decomposition reveals that synergistic neural integration is greater downstream of recurrent information flow in organotypic cortical cultures.

The directionality of network information flow dictates how networks process information. A central component of information processing in both biological and artificial neural networks is their ability to perform synergistic integration-a type of computation. We established previously that synergistic integration varies directly with the strength of feedforward information flow. However, the relationships between both recurrent and feedback information flow and synergistic integration remain unknown. To address this, we analyzed the spiking activity of hundreds of neurons in organotypic cultures of mouse cortex. We asked how empirically observed synergistic integration-determined from partial information decomposition-varied with local functional network structure that was categorized into motifs with varying recurrent and feedback information flow. We found that synergistic integration was elevated in motifs with greater recurrent information flow beyond that expected from the local feedforward information flow. Feedback information flow was interrelated with feedforward information flow and was associated with decreased synergistic integration. Our results indicate that synergistic integration is distinctly influenced by the directionality of local information flow.

Correlated activity favors synergistic processing in local cortical networks in vitro at synaptically relevant timescales.

Neural information processing is widely understood to depend on correlations in neuronal activity. However, whether correlation is favorable or not is contentious. Here, we sought to determine how correlated activity and information processing are related in cortical circuits. Using recordings of hundreds of spiking neurons in organotypic cultures of mouse neocortex, we asked whether mutual information between neurons that feed into a common third neuron increased synergistic information processing by the receiving neuron. We found that mutual information and synergistic processing were positively related at synaptic timescales (0.05-14 ms), where mutual information values were low. This effect was mediated by the increase in information transmission-of which synergistic processing is a component-that resulted as mutual information grew. However, at extrasynaptic windows (up to 3,000 ms), where mutual information values were high, the relationship between mutual information and synergistic processing became negative. In this regime, greater mutual information resulted in a disproportionate increase in redundancy relative to information transmission. These results indicate that the emergence of synergistic processing from correlated activity differs according to timescale and correlation regime. In a low-correlation regime, synergistic processing increases with greater correlation, and in a high-correlation regime, synergistic processing decreases with greater correlation.