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1.
Nature ; 589(7842): 420-425, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33361808

RESUMEN

Everyday tasks in social settings require humans to encode neural representations of not only their own spatial location, but also the location of other individuals within an environment. At present, the vast majority of what is known about neural representations of space for self and others stems from research in rodents and other non-human animals1-3. However, it is largely unknown how the human brain represents the location of others, and how aspects of human cognition may affect these location-encoding mechanisms. To address these questions, we examined individuals with chronically implanted electrodes while they carried out real-world spatial navigation and observation tasks. We report boundary-anchored neural representations in the medial temporal lobe that are modulated by one's own as well as another individual's spatial location. These representations depend on one's momentary cognitive state, and are strengthened when encoding of location is of higher behavioural relevance. Together, these results provide evidence for a common encoding mechanism in the human brain that represents the location of oneself and others in shared environments, and shed new light on the neural mechanisms that underlie spatial navigation and awareness of others in real-world scenarios.


Asunto(s)
Neuronas/fisiología , Percepción Espacial/fisiología , Navegación Espacial/fisiología , Adulto , Concienciación/fisiología , Relojes Biológicos , Cognición/fisiología , Electrodos Implantados , Femenino , Humanos , Masculino , Persona de Mediana Edad , Lóbulo Temporal/fisiología
2.
Proc Natl Acad Sci U S A ; 120(39): e2303590120, 2023 09 26.
Artículo en Inglés | MEDLINE | ID: mdl-37729196

RESUMEN

Site-specific proteolysis by the enzymatic cleavage of small linear sequence motifs is a key posttranslational modification involved in physiology and disease. The ability to robustly and rapidly predict protease-substrate specificity would also enable targeted proteolytic cleavage by designed proteases. Current methods for predicting protease specificity are limited to sequence pattern recognition in experimentally derived cleavage data obtained for libraries of potential substrates and generated separately for each protease variant. We reasoned that a more semantically rich and robust model of protease specificity could be developed by incorporating the energetics of molecular interactions between protease and substrates into machine learning workflows. We present Protein Graph Convolutional Network (PGCN), which develops a physically grounded, structure-based molecular interaction graph representation that describes molecular topology and interaction energetics to predict enzyme specificity. We show that PGCN accurately predicts the specificity landscapes of several variants of two model proteases. Node and edge ablation tests identified key graph elements for specificity prediction, some of which are consistent with known biochemical constraints for protease:substrate recognition. We used a pretrained PGCN model to guide the design of protease libraries for cleaving two noncanonical substrates, and found good agreement with experimental cleavage results. Importantly, the model can accurately assess designs featuring diversity at positions not present in the training data. The described methodology should enable the structure-based prediction of specificity landscapes of a wide variety of proteases and the construction of tailor-made protease editors for site-selectively and irreversibly modifying chosen target proteins.


Asunto(s)
Endopeptidasas , Péptido Hidrolasas , Péptido Hidrolasas/genética , Proteolisis , Concienciación , Aprendizaje Automático
3.
J Neurosci ; 44(8)2024 Feb 21.
Artículo en Inglés | MEDLINE | ID: mdl-38191569

RESUMEN

Identifying neural correlates of conscious perception is a fundamental endeavor of cognitive neuroscience. Most studies so far have focused on visual awareness along with trial-by-trial reports of task-relevant stimuli, which can confound neural measures of perceptual awareness with postperceptual processing. Here, we used a three-phase sine-wave speech paradigm that dissociated between conscious speech perception and task relevance while recording EEG in humans of both sexes. Compared with tokens perceived as noise, physically identical sine-wave speech tokens that were perceived as speech elicited a left-lateralized, near-vertex negativity, which we interpret as a phonological version of a perceptual awareness negativity. This response appeared between 200 and 300 ms after token onset and was not present for frequency-flipped control tokens that were never perceived as speech. In contrast, the P3b elicited by task-irrelevant tokens did not significantly differ when the tokens were perceived as speech versus noise and was only enhanced for tokens that were both perceived as speech and relevant to the task. Our results extend the findings from previous studies on visual awareness and speech perception and suggest that correlates of conscious perception, across types of conscious content, are most likely to be found in midlatency negative-going brain responses in content-specific sensory areas.


Asunto(s)
Concienciación , Percepción del Habla , Masculino , Femenino , Humanos , Concienciación/fisiología , Percepción Visual/fisiología , Electroencefalografía/métodos , Habla , Estado de Conciencia/fisiología
4.
J Neurosci ; 44(20)2024 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-38531633

RESUMEN

A central question in consciousness theories is whether one is dealing with a dichotomous ("all-or-none") or a gradual phenomenon. In this 7T fMRI study, we investigated whether dichotomy or gradualness in fact depends on the brain region associated with perceptual awareness reports. Both male and female human subjects performed an emotion discrimination task (fear vs neutral bodies) presented under continuous flash suppression with trial-based perceptual awareness measures. Behaviorally, recognition sensitivity increased linearly with increased stimuli awareness and was at chance level during perceptual unawareness. Physiologically, threat stimuli triggered a slower heart rate than neutral ones during "almost clear" stimulus experience, indicating freezing behavior. Brain results showed that activity in the occipitotemporal, parietal, and frontal regions as well as in the amygdala increased with increased stimulus awareness while early visual areas showed the opposite pattern. The relationship between temporal area activity and perceptual awareness best fitted a gradual model while the activity in frontoparietal areas fitted a dichotomous model. Furthermore, our findings illustrate that specific experimental decisions, such as stimulus type or the approach used to evaluate awareness, play pivotal roles in consciousness studies and warrant careful consideration.


Asunto(s)
Concienciación , Lóbulo Frontal , Imagen por Resonancia Magnética , Lóbulo Parietal , Lóbulo Temporal , Humanos , Masculino , Femenino , Imagen por Resonancia Magnética/métodos , Concienciación/fisiología , Lóbulo Parietal/fisiología , Lóbulo Parietal/diagnóstico por imagen , Adulto , Lóbulo Frontal/fisiología , Lóbulo Frontal/diagnóstico por imagen , Adulto Joven , Lóbulo Temporal/fisiología , Lóbulo Temporal/diagnóstico por imagen , Mapeo Encefálico/métodos , Estimulación Luminosa/métodos , Emociones/fisiología
5.
Cereb Cortex ; 34(6)2024 Jun 04.
Artículo en Inglés | MEDLINE | ID: mdl-38863114

RESUMEN

When reminded of an unpleasant experience, people often try to exclude the unwanted memory from awareness, a process known as retrieval suppression. Here we used multivariate decoding (MVPA) and representational similarity analyses on EEG data to track how suppression unfolds in time and to reveal its impact on item-specific cortical patterns. We presented reminders to aversive scenes and asked people to either suppress or to retrieve the scene. During suppression, mid-frontal theta power within the first 500 ms distinguished suppression from passive viewing of the reminder, indicating that suppression rapidly recruited control. During retrieval, we could discern EEG cortical patterns relating to individual memories-initially, based on theta-driven visual perception of the reminders (0 to 500 ms) and later, based on alpha-driven reinstatement of the aversive scene (500 to 3000 ms). Critically, suppressing retrieval weakened (during 360 to 600 ms) and eventually abolished item-specific cortical patterns, a robust effect that persisted until the reminder disappeared (780 to 3000 ms). Representational similarity analyses provided converging evidence that retrieval suppression weakened the representation of target scenes during the 500 to 3000 ms reinstatement window. Together, rapid top-down control during retrieval suppression abolished cortical patterns of individual memories, and precipitated later forgetting. These findings reveal a precise chronometry on the voluntary suppression of individual memories.


Asunto(s)
Concienciación , Electroencefalografía , Recuerdo Mental , Humanos , Masculino , Femenino , Adulto Joven , Adulto , Concienciación/fisiología , Recuerdo Mental/fisiología , Estado de Conciencia/fisiología , Memoria/fisiología , Percepción Visual/fisiología , Encéfalo/fisiología
6.
Cereb Cortex ; 34(6)2024 Jun 04.
Artículo en Inglés | MEDLINE | ID: mdl-38850216

RESUMEN

Whether attention is a prerequisite of perceptual awareness or an independent and dissociable process remains a matter of debate. Importantly, understanding the relation between attention and awareness is probably not possible without taking into account the fact that both are heterogeneous and multifaceted mechanisms. Therefore, the present study tested the impact on visual awareness of two attentional mechanisms proposed by the Posner model: temporal alerting and spatio-temporal orienting. Specifically, we evaluated the effects of attention on the perceptual level, by measuring objective and subjective awareness of a threshold-level stimulus; and on the neural level, by investigating how attention affects two postulated event-related potential correlates of awareness. We found that alerting and orienting mechanisms additively facilitate perceptual consciousness, with activation of the latter resulting in the most vivid awareness. Furthermore, we found that late positivity is unlikely to constitute a neural correlate of consciousness as its amplitude was modulated by both attentional mechanisms, but early visual awareness negativity was independent of the alerting and orienting mechanisms. In conclusion, our study reveals a nuanced relationship between attention and awareness; moreover, by investigating the effect of the alerting mechanism, this study provides insights into the role of temporal attention in perceptual consciousness.


Asunto(s)
Atención , Concienciación , Electroencefalografía , Potenciales Evocados , Percepción Visual , Humanos , Atención/fisiología , Concienciación/fisiología , Masculino , Femenino , Adulto Joven , Adulto , Percepción Visual/fisiología , Potenciales Evocados/fisiología , Estimulación Luminosa/métodos , Percepción Espacial/fisiología , Estado de Conciencia/fisiología , Encéfalo/fisiología
7.
Proc Natl Acad Sci U S A ; 119(16): e2119868119, 2022 04 19.
Artículo en Inglés | MEDLINE | ID: mdl-35412910

RESUMEN

The sensation of internal bodily signals, such as when your stomach is contracting or your heart is beating, plays a critical role in broad biological and psychological functions ranging from homeostasis to emotional experience and self-awareness. The evolutionary origins of this capacity and, thus, the extent to which it is present in nonhuman animals remain unclear. Here, we show that rhesus monkeys (Macaca mulatta) spend significantly more time viewing stimuli presented asynchronously, as compared to synchronously, with their heartbeats. This is consistent with evidence previously shown in human infants using a nearly identical experimental paradigm, suggesting that rhesus monkeys have a human-like capacity to integrate interoceptive signals from the heart with exteroceptive audiovisual information. As no prior work has demonstrated behavioral evidence of innate cardiac interoceptive ability in nonhuman animals, these results have important implications for our understanding of the evolution of this ability and for establishing rhesus monkeys as an animal model for human interoceptive function and dysfunction. We anticipate that this work may also provide an important model for future psychiatric research, as disordered interoceptive processing is implicated in a wide variety of psychiatric conditions.


Asunto(s)
Frecuencia Cardíaca , Interocepción , Animales , Concienciación , Corazón , Macaca mulatta , Modelos Animales
8.
Proc Natl Acad Sci U S A ; 119(12): e2116884119, 2022 03 22.
Artículo en Inglés | MEDLINE | ID: mdl-35286213

RESUMEN

Our cognitive system is tuned toward spotting the uncommon and unexpected. We propose that individuals coming from minority groups are, by definition, just that­uncommon and often unexpected. Consequently, they are psychologically salient in perception, memory, and visual awareness. This minority salience creates a tendency to overestimate the prevalence of minorities, leading to an erroneous picture of our social environments­an illusion of diversity. In 12 experiments with 942 participants, we found evidence that the presence of minority group members is indeed overestimated in memory and perception and that masked images of minority group members are prioritized for visual awareness. These findings were consistent when participants were members of both the majority group and the minority group. Moreover, this overestimated prevalence of minorities led to decreased support for diversity-promoting policies. We discuss the theoretical implications of the illusion of diversity and how it may inform more equitable and inclusive decision-making.


Asunto(s)
Concienciación , Memoria , Grupos Minoritarios , Percepción , Sesgo , Humanos , Grupos Minoritarios/psicología
9.
J Neurosci ; 43(40): 6760-6778, 2023 10 04.
Artículo en Inglés | MEDLINE | ID: mdl-37607820

RESUMEN

Unconscious acquisition of sequence structure from experienced events can lead to explicit awareness of the pattern through extended practice. Although the implicit-to-explicit transition has been extensively studied in humans using the serial reaction time (SRT) task, the subtle neural activity supporting this transition remains unclear. Here, we investigated whether frequency-specific neural signal transfer contributes to this transition. A total of 208 participants (107 females) learned a sequence pattern through a multisession SRT task, allowing us to observe the transitions. Session-by-session measures of participants' awareness for sequence knowledge were conducted during the SRT task to identify the session when the transition occurred. By analyzing time course RT data using switchpoint modeling, we identified an increase in learning benefit specifically at the transition session. Electroencephalogram (EEG)/magnetoencephalogram (MEG) recordings revealed increased theta power in parietal (precuneus) regions one session before the transition (pretransition) and a prefrontal (superior frontal gyrus; SFG) one at the transition session. Phase transfer entropy (PTE) analysis confirmed that directional theta transfer from precuneus → SFG occurred at the pretransition session and its strength positively predicted learning improvement at the subsequent transition session. Furthermore, repetitive transcranial magnetic stimulation (TMS) modulated precuneus theta power and altered transfer strength from precuneus to SFG, resulting in changes in both transition rate and learning benefit at that specific point of transition. Our brain-stimulation evidence supports a role for parietal → prefrontal theta signal transfer in igniting conscious awareness of implicitly acquired knowledge.SIGNIFICANCE STATEMENT There exists a pervasive phenomenon wherein individuals unconsciously acquire sequence patterns from their environment, gradually becoming aware of the underlying regularities through repeated practice. While previous studies have established the robustness of this implicit-to-explicit transition in humans, the refined neural mechanisms facilitating conscious access to implicit knowledge remain poorly understood. Here, we demonstrate that prefrontal activity, known to be crucial for conscious awareness, is triggered by neural signal transfer originating from the posterior brain region, specifically the precuneus. By employing brain stimulation techniques, we establish a causal link between neural signal transfer and the occurrence of awareness. Our findings unveil a mechanism by which implicit knowledge becomes consciously accessible in human cognition.


Asunto(s)
Concienciación , Aprendizaje , Femenino , Humanos , Concienciación/fisiología , Aprendizaje/fisiología , Corteza Prefrontal/fisiología , Tiempo de Reacción/fisiología , Electroencefalografía
10.
J Cogn Neurosci ; 36(8): 1546-1556, 2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38527082

RESUMEN

Results from paradigms like change blindness and inattentional blindness indicate that observers are unaware of numerous aspects of the visual world. However, intuition suggests that perceptual experience is richer than these results indicate. Why does it feel like we see so much when the data suggests we see so little? One possibility stems from the fact that experimental studies always present observers with stimuli that they have never seen before. Meanwhile, when forming intuitions about perceptual experience, observers reflect on their experiences with scenes with which they are highly familiar (e.g., their office). Does prior experience with a scene change the bandwidth of perceptual awareness? Here, we asked if observers were better at noticing alterations to the periphery in familiar scenes compared with unfamiliar scenes. We found that observers noticed changes to the periphery more frequently with familiar stimuli. Signal detection theoretic analyses revealed that when observers are unfamiliar with a stimulus, they are less sensitive at noticing (d') and are more conservative in their response criterion (c). Taken together, these results suggest that prior knowledge expands the bandwidth of perceptual awareness. It should be stressed that these results challenge the widely held idea that prior knowledge fills in perception. Overall, these findings highlight how prior knowledge plays an important role in determining the limits of perceptual experience and is an important factor to consider when attempting to reconcile the tension between empirical observation and personal introspection.


Asunto(s)
Concienciación , Reconocimiento en Psicología , Humanos , Concienciación/fisiología , Reconocimiento en Psicología/fisiología , Adulto Joven , Femenino , Masculino , Percepción Visual/fisiología , Adulto , Estimulación Luminosa , Detección de Señal Psicológica/fisiología
11.
J Cogn Neurosci ; 36(8): 1599-1609, 2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38527095

RESUMEN

Perceptual awareness in infants during the first year of life is understudied, despite the philosophical, scientific, and clinical importance of understanding how and when consciousness emerges during human brain development. Although parents are undoubtedly convinced that their infant is conscious, the lack of adequate experimental paradigms to address this question in preverbal infants has been a hindrance to research on this topic. However, recent behavioral and brain imaging studies have shown that infants are engaged in complex learning from an early age and that their brains are more structured than traditionally thought. I will present a rapid overview of these results, which might provide indirect evidence of early perceptual awareness and then describe how a more systematic approach to this question could stand within the framework of global workspace theory, which identifies specific signatures of conscious perception in adults. Relying on these brain signatures as a benchmark for conscious perception, we can deduce that it exists in the second half of the first year, whereas the evidence before the age of 5 months is less solid, mainly because of the paucity of studies. The question of conscious perception before term remains open, with the possibility of short periods of conscious perception, which would facilitate early learning. Advances in brain imaging and growing interest in this subject should enable us to gain a better understanding of this important issue in the years to come.


Asunto(s)
Concienciación , Humanos , Lactante , Concienciación/fisiología , Estado de Conciencia/fisiología , Desarrollo Infantil/fisiología , Encéfalo/fisiología , Encéfalo/diagnóstico por imagen , Percepción/fisiología
12.
J Cogn Neurosci ; 36(8): 1578-1598, 2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38319889

RESUMEN

Individuals with aphantasia, a nonclinical condition typically characterized by mental imagery deficits, often report reduced episodic memory. However, findings have hitherto rested largely on subjective self-reports, with few studies experimentally investigating both objective and subjective aspects of episodic memory in aphantasia. In this study, we tested both aspects of remembering in aphantasic individuals using a custom 3-D object and spatial memory task that manipulated visuospatial perspective, which is considered to be a key factor determining the subjective experience of remembering. Objective and subjective measures of memory performance were taken for both object and spatial memory features under different perspective conditions. Surprisingly, aphantasic participants were found to be unimpaired on all objective memory measures, including those for object memory features, despite reporting weaker overall mental imagery experience and lower subjective vividness ratings on the memory task. These results add to newly emerging evidence that aphantasia is a heterogenous condition, where some aphantasic individuals may lack metacognitive awareness of mental imagery rather than mental imagery itself. In addition, we found that both participant groups remembered object memory features with greater precision when encoded and retrieved in the first person versus third person, suggesting a first-person perspective might facilitate subjective memory reliving by enhancing the representational quality of scene contents.


Asunto(s)
Memoria Episódica , Metacognición , Humanos , Metacognición/fisiología , Masculino , Femenino , Persona de Mediana Edad , Imaginación/fisiología , Anciano , Recuerdo Mental/fisiología , Adulto , Concienciación/fisiología , Memoria Espacial/fisiología
13.
J Cogn Neurosci ; 36(7): 1297-1324, 2024 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-38579265

RESUMEN

It has been proposed that visual awareness negativity (VAN), which is an early ERP component, constitutes a neural correlate of visual consciousness that is independent of perceptual and cognitive mechanisms. In the present study, we investigated whether VAN is indeed a specific marker of phenomenal awareness or rather reflects the involvement of attention. To this end, we reanalyzed data collected in a previously published EEG experiment in which awareness of visual stimuli and two aspects that define attentional involvement, namely, the inherent saliency and task relevance of a stimulus, were manipulated orthogonally. During the experimental procedure, participants (n = 41) were presented with images of faces that were backward-masked or unmasked, fearful or neutral, and defined as task-relevant targets or task-irrelevant distractors. Single-trial ERP analysis revealed that VAN was highly dependent on attentional manipulations in the early time window (140-200 msec), up to the point that the effect of awareness was not observed for attentionally irrelevant stimuli (i.e., neutral faces presented as distractors). In the late time window (200-350 msec), VAN was present in all attentional conditions, but its amplitude was significantly higher in response to fearful faces and task-relevant face images than in response to neutral ones and task-irrelevant ones, respectively. In conclusion, we demonstrate that the amplitude of VAN is highly dependent on both exogenous (stimulus saliency) and endogenous attention (task requirements). Our results challenge the view that VAN constitutes an attention-independent correlate of phenomenal awareness.


Asunto(s)
Atención , Estado de Conciencia , Electroencefalografía , Humanos , Femenino , Masculino , Atención/fisiología , Estado de Conciencia/fisiología , Adulto Joven , Adulto , Estimulación Luminosa , Percepción Visual/fisiología , Potenciales Evocados/fisiología , Concienciación/fisiología , Reconocimiento Facial/fisiología , Encéfalo/fisiología
14.
Br J Cancer ; 130(11): 1795-1802, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38555316

RESUMEN

BACKGROUND: Modifying public awareness of oesophageal cancer symptoms might help to decrease late-stage diagnosis and, in turn, improve cancer outcomes. This study aimed to explore oesophageal cancer symptom awareness and determinants of lower awareness and anticipated time to help-seeking. METHODS: We invited 18,156 individuals aged 18 to 75 years using random sampling of the nationwide Dutch population registry. A cross-sectional web-based survey containing items adapted from the Awareness and Beliefs about Cancer measure (i.e., cancer symptom awareness, anticipated time to presentation with dysphagia, health beliefs, and sociodemographic variables) was filled out by 3106 participants (response rate: 17%). Descriptive statistics were calculated and logistic regression analyses were performed to explore determinants of awareness and anticipated presentation (dichotomised as <1 month or ≥1 month). RESULTS: The number of participants that recognised dysphagia as a potential symptom of cancer was low (47%) compared with symptoms of other cancer types (change in bowel habits: 77%; change of a mole: 93%; breast lump: 93%). In multivariable analyses, non-recognition of dysphagia was associated with male gender (OR 0.50, 95% CI 0.43-0.58), lower education (OR 0.44, 0.35-0.54), and non-western migration background (OR 0.43, 0.28-0.67). Anticipated delayed help-seeking for dysphagia was associated with not recognising it as possible cancer symptom (OR 1.58, 1.27-1.97), perceived high risk of oesophageal cancer (OR 2.20, 1.39-3.47), and negative beliefs about oesophageal cancer (OR 1.86, 1.20-2.87). CONCLUSION: Our findings demonstrate a disconcertingly low public awareness of oesophageal cancer symptoms. Educational interventions targeting groups with decreased awareness and addressing negative cancer beliefs may lead to faster help-seeking behaviour, although additional studies are needed to determine the effect on clinical cancer outcomes.


Asunto(s)
Neoplasias Esofágicas , Conocimientos, Actitudes y Práctica en Salud , Aceptación de la Atención de Salud , Humanos , Neoplasias Esofágicas/epidemiología , Neoplasias Esofágicas/psicología , Masculino , Persona de Mediana Edad , Femenino , Adulto , Anciano , Estudios Transversales , Adolescente , Adulto Joven , Aceptación de la Atención de Salud/estadística & datos numéricos , Encuestas y Cuestionarios , Trastornos de Deglución/epidemiología , Concienciación , Factores de Tiempo , Países Bajos/epidemiología , Conducta de Búsqueda de Ayuda
15.
Hum Brain Mapp ; 45(10): e26786, 2024 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-38994692

RESUMEN

Whether in performing arts, sporting, or everyday contexts, when we watch others move, we tend to enjoy bodies moving in synchrony. Our enjoyment of body movements is further enhanced by our own prior experience with performing those movements, or our 'embodied experience'. The relationships between movement synchrony and enjoyment, as well as embodied experience and movement enjoyment, are well known. The interaction between enjoyment of movements, synchrony, and embodiment is less well understood, and may be central for developing new approaches for enriching social interaction. To examine the interplay between movement enjoyment, synchrony, and embodiment, we asked participants to copy another person's movements as accurately as possible, thereby gaining embodied experience of movement sequences. Participants then viewed other dyads performing the same or different sequences synchronously, and we assessed participants' recognition of having performed these sequences, as well as their enjoyment of each movement sequence. We used functional near-infrared spectroscopy to measure cortical activation over frontotemporal sensorimotor regions while participants performed and viewed movements. We found that enjoyment was greatest when participants had mirrored the sequence and recognised it, suggesting that awareness of embodiment may be central to enjoyment of synchronous movements. Exploratory analyses of relationships between cortical activation and enjoyment and recognition implicated the sensorimotor cortices, which subserve action observation and aesthetic processing. These findings hold implications for clinical research and therapies seeking to foster successful social interaction.


Asunto(s)
Concienciación , Placer , Corteza Sensoriomotora , Espectroscopía Infrarroja Corta , Humanos , Masculino , Femenino , Adulto Joven , Adulto , Corteza Sensoriomotora/fisiología , Corteza Sensoriomotora/diagnóstico por imagen , Concienciación/fisiología , Placer/fisiología , Desempeño Psicomotor/fisiología , Interacción Social , Movimiento/fisiología , Actividad Motora/fisiología
16.
Ann Neurol ; 94(3): 434-441, 2023 09.
Artículo en Inglés | MEDLINE | ID: mdl-37289520

RESUMEN

OBJECTIVE: Unawareness of a deficit, anosognosia, can occur for visual or motor deficits and lends insight into awareness itself; however, lesions associated with anosognosia occur in many different brain locations. METHODS: We analyzed 267 lesion locations associated with either vision loss (with and without awareness) or weakness (with and without awareness). The network of brain regions connected to each lesion location was computed using resting-state functional connectivity from 1,000 healthy subjects. Both domain specific and cross-modal associations with awareness were identified. RESULTS: The domain-specific network for visual anosognosia demonstrated connectivity to visual association cortex and posterior cingulate while motor anosognosia was defined by insula, supplementary motor area, and anterior cingulate connectivity. A cross-modal anosognosia network was defined by connectivity to the hippocampus and precuneus (false discovery rate p < 0.05). INTERPRETATION: Our results identify distinct network connections associated with visual and motor anosognosia and a shared, cross-modal network for awareness of deficits centered on memory-related brain structures. ANN NEUROL 2023;94:434-441.


Asunto(s)
Agnosia , Concienciación , Humanos , Encéfalo/patología , Corteza Cerebral , Giro del Cíngulo , Imagen por Resonancia Magnética/métodos
17.
Diabet Med ; 41(1): e15231, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37746767

RESUMEN

AIMS: To determine the frequency, severity, burden, and utility of hypoglycaemia symptoms among adults with type 1 diabetes (T1D) and impaired awareness of hypoglycaemia (IAH) at baseline and week 24 following the HypoCOMPaSS awareness restoration intervention. METHODS: Adults (N = 96) with T1D (duration: 29 ± 12 years; 64% women) and IAH completed the Hypoglycaemia Burden Questionnaire (HypoB-Q), assessing experience of 20 pre-specified hypoglycaemia symptoms, at baseline and week 24. RESULTS: At baseline, 93 (97%) participants experienced at least one symptom (mean ± SD 10.6 ± 4.6 symptoms). The proportion recognising each specific symptom ranged from 15% to 83%. At 24 weeks, symptom severity and burden appear reduced, and utility increased. CONCLUSIONS: Adults with T1D and IAH experience a range of hypoglycaemia symptoms. Perceptions of symptom burden or utility are malleable. Although larger scale studies are needed to confirm, these findings suggest that changing the salience of the symptomatic response may be more important in recovering protection from hypoglycaemia through regained awareness than intensifying symptom frequency or severity.


Asunto(s)
Diabetes Mellitus Tipo 1 , Hipoglucemia , Adulto , Humanos , Femenino , Masculino , Diabetes Mellitus Tipo 1/complicaciones , Concienciación , Hipoglucemia/epidemiología , Hipoglucemia/prevención & control , Hipoglucemia/diagnóstico , Encuestas y Cuestionarios
18.
PLoS Biol ; 19(5): e3001241, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33951043

RESUMEN

The study of unconscious processing requires a measure of conscious awareness. Awareness measures can be either subjective (based on participant's report) or objective (based on perceptual performance). The preferred awareness measure depends on the theoretical position about consciousness and may influence conclusions about the extent of unconscious processing and about the neural correlates of consciousness. We obtained functional magnetic resonance imaging (fMRI) measurements from 43 subjects while they viewed masked faces and houses that were either subjectively or objectively invisible. Even for objectively invisible (perceptually indiscriminable) stimuli, we found significant category information in both early, lower-level visual areas and in higher-level visual cortex, although representations in anterior, category-selective ventrotemporal areas were less robust. For subjectively invisible stimuli, similar to visible stimuli, there was a clear posterior-to-anterior gradient in visual cortex, with stronger category information in ventrotemporal cortex than in early visual cortex. For objectively invisible stimuli, however, category information remained virtually unchanged from early visual cortex to object- and category-selective visual areas. These results demonstrate that although both objectively and subjectively invisible stimuli are represented in visual cortex, the extent of unconscious information processing is influenced by the measurement approach. Furthermore, our data show that subjective and objective approaches are associated with different neural correlates of consciousness and thus have implications for neural theories of consciousness.


Asunto(s)
Concienciación/fisiología , Visión Ocular/fisiología , Percepción Visual/fisiología , Adolescente , Adulto , Encéfalo/fisiología , Mapeo Encefálico/métodos , Corteza Cerebral/fisiología , Estado de Conciencia/fisiología , Femenino , Sustancia Gris/fisiología , Humanos , Imagen por Resonancia Magnética/métodos , Masculino , Estimulación Luminosa/métodos , Corteza Visual/fisiología , Adulto Joven
19.
Lupus ; 33(7): 663-674, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38577967

RESUMEN

BACKGROUND AND OBJECTIVES: Systemic lupus erythematosus (SLE) is an autoimmune condition that can highly impact patients' quality of life (QoL). However, there is a lack of knowledge about SLE, affecting the general population and health care professionals (HCPs) alike. This lack of knowledge has negative implications for patients and the healthcare system, worsening prognosis, negatively impacting QoL, and increasing healthcare utilization. The aim of this paper is to draw attention, according to the perspective of the participants of this study, to the lack of awareness of SLE and its consequences in Spain, and to suggest improvements. PATIENTS AND METHODS: This qualitative, descriptive, observational, multicenter, and cross-sectional study included 40 patients with moderate or severe SLE, recruited during their routine visits in six university hospitals in Spain. The study also included 11 caregivers and 9 HCPs. All participants were individually interviewed. Data from the interviews were coded and analyzed thematically by two anthropologists following a phenomenological perspective. RESULTS: Our study identified a lack of disease awareness among primary care physicians, emergency medicine doctors, and other specialists treating SLE symptomatology. This led to diagnostic delays, which had a clinical and emotional impact on patients. Furthermore, symptom awareness was found to be context dependent. Differences in symptom awareness between HCPs and patients led to a mismatch between the severity evaluation made by doctors and patients. Some HCPs did not consider the limitations of the current severity evaluation of SLE, and therefore attributed symptoms potentially caused by SLE to the unfavorable socioeconomic conditions patients lived in. Finally, a lack of social awareness among friends, family members, and romantic partners led to lower social support, increased isolation, and negative physical and emotional impact for patients. Gender differences in the provision of support were identified. CONCLUSION: This study highlights the need to increase SLE awareness among patients, HCPs, and the broader public in order to improve patient QoL. Being aware of the clinical and emotional impact of such lack of awareness, as well as the role played by context on the patient experience of SLE, is a crucial step towards achieving this goal.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Lupus Eritematoso Sistémico , Calidad de Vida , Índice de Severidad de la Enfermedad , Humanos , Lupus Eritematoso Sistémico/psicología , Lupus Eritematoso Sistémico/diagnóstico , España , Femenino , Estudios Transversales , Masculino , Adulto , Persona de Mediana Edad , Investigación Cualitativa , Personal de Salud/psicología , Anciano , Diagnóstico Tardío , Adulto Joven , Concienciación
20.
Anim Cogn ; 27(1): 16, 2024 Mar 02.
Artículo en Inglés | MEDLINE | ID: mdl-38429535

RESUMEN

We are said to experience insight when we suddenly and unexpectedly become aware of the solution to a problem that we previously took ourselves to be unable to solve. In the field of comparative cognition, there is rising interest in the question of whether non-human animals are capable of insightful problem-solving. Putative cases of animals demonstrating insight have generally attracted two types of criticism: first, that insight is being conflated with other cognitive capacities (e.g., causal cognition, or mental trial and error); and, second, that the relevant performances merely reflect associative learning-and on the received understanding of insight within comparative cognition, insight necessarily involves non-associative processes. I argue that even if we grant that some cases of animal insight do withstand these two criticisms, these cases of purported animal insight cannot shed light on the nature of insightful problem-solving in humans. For the phenomenon studied by cognitive psychologists under the heading of insight is fundamentally different from that studied in comparative cognition. In light of this impasse, I argue that the reinterpretation of the extant research on animal insight in terms of other high-level cognitive capacities (means-end reasoning in particular) can improve the prospect of a successful comparative research program.


Asunto(s)
Cognición , Solución de Problemas , Animales , Concienciación , Condicionamiento Clásico
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