Ventromedial prefrontal cortex activation and neurofeedback modulation during episodic future thinking for individuals with suicidal thoughts and behaviors.

Individuals experiencing suicidal thoughts and behaviors (STBs) show less specificity and positivity during episodic future thinking (EFT). Here, we present findings from two studies aiming to (1) further our understanding of how STBs may relate to neural responsivity during EFT and (2) examine the feasibility of modulating EFT-related activation using real-time fMRI neurofeedback (rtfMRI-nf). Study 1 involved 30 individuals with major depressive disorder (MDD; half with STBs) who performed an EFT task during fMRI, for which they imagined personally-relevant future positive, negative, or neutral events. Positive EFT elicited greater ventromedial prefrontal cortex (vmPFC) activation compared to negative EFT. Importantly, the MDD + STB group exhibited reduced vmPFC activation across all EFT conditions compared to MDD-STB; although EFT fluency and subjective experience remained consistent across groups. Study 2 included rtfMRI-nf focused on vmPFC modulation during positive EFT for six participants with MDD + STBs. Results support the feasibility and acceptability of the rtfMRI-nf protocol and quantitative and qualitative observations are provided to help inform future, larger studies aiming to examine similar neurofeedback protocols. Results implicate vmPFC blunting as a promising treatment target for MDD + STBs and suggest rtfMRI-nf as one potential technique to explore for enhancing vmPFC engagement.

Prefrontal regions supporting spontaneous and directed application of verbal learning strategies: evidence from PET.

The prefrontal cortex has been implicated in strategic memory processes, including the ability to use semantic organizational strategies to facilitate episodic learning. An important feature of these strategies is the way they are applied in novel or ambiguous situations-failure to initiate effective strategies spontaneously in unstructured settings is a central cognitive deficit in patients with frontal lobe disorders. The current study examined strategic memory with PET and a verbal encoding paradigm that manipulated semantic organization in three encoding conditions: spontaneous, directed and unrelated. During the spontaneous condition, subjects heard 24 words that were related in four categories but presented in mixed order, and they were not informed of this structure beforehand. Any semantic reorganization was, therefore, initiated spontaneously by the subject. In the directed condition, subjects were given a different list of 24 related words and explicitly instructed to notice relationships and mentally group related words together to improve memory. The unrelated list consisted of 24 unrelated words. Behavioural measures included semantic clustering, which assessed active regrouping of words into semantic categories during free recall. In graded PET contrasts (directed > spontaneous > unrelated), two distinct activations were found in left inferior prefrontal cortex (inferior frontal gyrus) and left dorsolateral prefrontal cortex (middle frontal gyrus), corresponding to levels of semantic clustering observed in the behavioural data. Additional covariate analyses in the first spontaneous condition indicated that blood flow in orbitofrontal cortex (OFC) was strongly correlated with semantic clustering scores during immediate free recall. Thus, blood flow in OFC during encoding predicted which subjects would spontaneously initiate effective strategies during free recall. Our findings indicate that OFC performs an important, and previously unappreciated, role in strategic memory by supporting the early mobilization of effective behavioural strategies in novel or ambiguous situations. Once initiated, lateral regions of left prefrontal cortex control verbal semantic organization.

Abnormalities in the thalamus and prefrontal cortex during episodic object recognition in schizophrenia.

BACKGROUND: Many patients with schizophrenia demonstrate memory deficits. We studied patterns of brain activity during episodic recognition of new and previously seen three-dimensional objects. METHODS: We used (15)O positron emission tomography to study regional cerebral blood flow in eight normal subjects and nine patients with schizophrenia during a visual object recognition task. RESULTS: In comparison with control subjects, patients with schizophrenia showed less regional cerebral blood flow increases in the pulvinar region of the right thalamus and the right prefrontal cortex during the recognition of new objects and significantly greater left prefrontal cortex regional cerebral blood flow increases during the recognition of previously seen objects. Patients with schizophrenia exhibited alarm rates to new objects similar to those of control subjects, but significantly lower recognition rates for previously seen objects. CONCLUSIONS: Schizophrenia is associated with attenuated right thalamic and right prefrontal activation during the recognition of novel visual stimuli and with increased left prefrontal cortical activation during impaired episodic recognition of previously seen visual stimuli. This study provides further evidence for abnormal thalamic and prefrontal cortex function in schizophrenia.

Functional MRI evidence for a role of frontal and inferior temporal cortex in amodal components of priming.

Changes in human brain activity associated with repetition priming during word generation were characterized across a series of neuroimaging and behavioural studies. Repetition priming was consistently observed behaviourally as a decrease in response latency for repeated items, and was found for both visually and aurally cued word-generation tasks. Brain imaging using whole-brain functional MRI identified neural correlates of these effects. The principal effect of priming was to reduce neural activity within regions that were already being used to perform the word-generation tasks. Repeated word generation in response to visual cues was correlated with anatomically selective reductions in activity within the left frontal cortex along the inferior frontal gyrus and inferior temporal regions and, to a lesser degree, in specific earlier visual regions. These reductions were reversed when new items were presented, indicating that they were item-specific. Repeated word generation in response to aural cues also showed anatomically selective activity reductions within the left frontal and inferior temporal regions, indicating that these activity reductions were not dependent on the perceptual modality of the cue. The auditory cortex showed minimal repetition-related reductions. The presence of activity within left frontal regions that decreases as a function of item repetition for both visual and auditory cues suggests that these reductions may underlie an amodal repetition-priming effect existing at processing stages involving lexical/semantic search and access. The surprising finding that activity reductions in the inferior temporal cortex can be linked to repetition of either visual or auditory cues further suggests that these regions may be modulated in a top-down fashion during repetition priming, independent of (or in parallel with) stimulus-driven perceptual processes. Taken collectively, the data converge on a neural correlate of lexical/semantic priming. Amodal lexical/semantic processes, which may be triggered initially by modality-specific cues, proceed via an interaction between frontal and posterior brain regions. These interdependent regions show activity reductions that correlate with facilitated task performance when items are repeated.

Auditory priming within and across modalities: evidence from positron emission tomography.

Previous neuroimaging studies of perceptual priming have reported priming-related decreases in the extrastriate cortex. However, because these experiments have used visual stimuli, it is unclear whether the observed decreases are associated specifically with some aspect of visual perceptual processing or with more general aspects of priming. We studied within- and cross-modality priming using an auditory word stem completion paradigm. Positron emission tomography (PET) images were obtained during stem completion and a fixation task. Within-modality auditory priming was associated with blood flow decreases in the extrastriate cortex (bilateral), medial/right anterior prefrontal cortex, right angular gyrus, and precuneus. In cross-modality priming, the study list was presented visually, and subjects completed auditory word stems. Cross-modality priming was associated with trends for blood flow decreases in the left angular gyrus and increases in the medial/right anterior prefrontal cortex. Results thus indicate that reduced activity in the extrastriate cortex accompanies within-modality priming in both visual and auditory modalities.

Visual word stem completion priming within and across modalities: a PET study.

Using positron emission tomography, we studied changes in the regional cerebral blood flow (rCBF) associated with cross modality (auditory to visual) and within modality visual priming in a word stem completion task. Compared to baseline completion performance and to within modality visual priming, cross modality priming was associated with increased rCBF in prefrontal cortex and decreased rCBF in the left angular gyrus. The results confirm and complement trends observed in a previous study concerning visual to auditory cross modality priming, and suggest that distinct cortical mechanisms may mediate within- and cross modality priming on the stem completion task. The findings are consistent with the neuropsychological data concerning auditory to visual cross modality priming, and indicate involvement of aspects of explicit retrieval and lexical processes in cross modality priming.

Effects of guided imagery on memory distortion in women reporting recovered memories of childhood sexual abuse.

We tested whether having participants imagine unusual childhood events inflates their confidence that these events happened to them, and tested whether this effect is greater in women who report recovered memories of childhood sexual abuse than in women who do not. Participants were pretested on how confident they were that certain childhood events had happened to them before being asked to imagine some of these events in the laboratory. New confidence measures were readministered. Although guided imagery did not significantly inflate confidence that early childhood events had occurred in either group, the effect size of inflated confidence was more than twice as large in the control group as in the group with recovered memory. These data suggest that individuals can counteract memory distortions potentially associated with guided imagery, at least under some conditions.

Form-specific visual priming for new associations in the right cerebral hemisphere.

In three experiments, we examined the internal processing mechanisms of relatively independent visual-form subsystems. Participants first viewed centrally presented word pairs and then completed word stems presented beneath context words in the left or right visual field. Letter-case-specific priming in stem completion was found only when the context word was the same word that had previously appeared above the primed completion word and the items were presented directly to the right cerebral hemisphere. This pattern of results was not found when participants deliberately recollected previously presented words when completing the stems. Results suggest that holistic processing, not parts-based processing as assumed in many contemporary theories of visual-form recognition, is performed in a subsystem that distinguishes specific instances in the same abstract category of form and that operates more effectively in the right hemisphere than in the left hemisphere.

Neuroanatomical correlates of veridical and illusory recognition memory: evidence from positron emission tomography.

Memory distortions and illusions have been thoroughly documented in psychological studies, but little is known about the neuroanatomical correlates of true and false memories. Vivid but illusory memories can be induced by asking people whether they recall or recognize words that were not previously presented, but are semantically related to other previously presented words. We used positron emission tomography to compare brain regions involved in veridical recognition of printed words that were heard several minutes earlier and illusory recognition of printed words that had not been heard earlier. Veridical and illusory recognition were each associated with blood flow increases in a left medial temporal region previously implicated in episodic memory; veridical recognition was distinguished by additional blood flow increases in a left temporoparietal region previously implicated in the retention of auditory/phonological information. This study reveals similarities and differences in the way the brain processes accurate and illusory memories.

Auditory priming for nonverbal information: Implicit and explicit memory for environmental sounds.

Three experiments examined repetition priming for meaningful environmental sounds (e.g., clock ticking, tooth brushing, toilet flushing, etc.) in a sound stem identification paradigm using brief sound cues. Prior encoding of target sounds together with their associated names facilitated subsequent identification of sound stems relative to nonstudied controls. In contrast, prior exposure to the names alone in the absence of the environmental sounds did not prime subsequent sound stem identification performance at all (Experiments 1 and 3). Explicit and implicit memory were dissociated such that sound stem cued recall was higher following semantic than nonsemantic encoding, whereas sound priming was insensitive to manipulations of depth of encoding (Experiments 2 and 3). These results extend the findings of long-term repetition priming into the auditory nonverbal domain and suggest that priming for environmental sounds is mediated primarily by perceptual processes.

EEG theta waves and psychological phenomena: a review and analysis.

In this paper, studies which have explored the relation between EEG theta waves and psychological phenomena in normal human subjects are reviewed. It is noted that increases in theta activity occur in conjunction with several kinds of psychological processes. The importance of ocnsidering properties of theta activity, such as amplitude, rhythmicity and scalp topography when analyzing the relation between theta and psychological processes is emphasized. Although there is some evidence for a relationship between theta and psychological processes, it is concluded that the degree to which properties of theta activity are systematically related to specific psychological processes is not yet known.