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1.
Article in English | MEDLINE | ID: mdl-39243136

ABSTRACT

OBJECTIVES: Healthy age-related cognitive changes are highly heterogeneous across individuals. This variability is increasingly explained through the lens of spontaneous fluctuations of brain activity, now considered as powerful index of age-related changes. However, brain activity is a biological process modulated by circadian rhythms, and how these fluctuations evolve throughout the day is under investigated. METHODS: We analyzed data from one hundred and one healthy late middle-aged participants from the Cognitive Fitness in Aging study (68 women and 33 men; aged 50-69 years). Participants completed five EEG recordings of spontaneous resting-state activity on the same day. We used weighted phase-lag index (wPLI) analyses as an index of the functional synchrony between brain regions couplings and we computed daily global PLI fluctuation rates of the five recordings to assess the association with cognitive performance and ß-amyloid and tau/neuroinflammation pathological markers. RESULTS: We found that theta and gamma daily fluctuations in the salience-control executive inter-network (SN-CEN) are associated with distinct mechanisms underlying cognitive heterogeneity in aging. Higher levels of SN-CEN theta daily fluctuations appear to be deleterious for memory performance and were associated with higher tau/neuroinflammation rates. In contrast, higher levels of gamma daily fluctuations are positively associated with executive performance, and were associated with lower rate of ß-amyloid deposition. DISCUSSION: Thus, accounting for daily EEG fluctuations of brain activity contributes to better understand subtle brain changes underlying individuals' cognitive performance in healthy aging. Results also provide arguments for considering time-of-day when assessing cognition for old adults in a clinical context.

2.
Commun Biol ; 7(1): 987, 2024 Aug 14.
Article in English | MEDLINE | ID: mdl-39143328

ABSTRACT

The ability to organize and memorize the unfolding of events over time is a fundamental feature of cognition, which develops concurrently with the maturation of the brain. Nonetheless, how temporal processing evolves across the lifetime as well as the links with the underlying neural substrates remains unclear. Here, we intend to retrace the main developmental stages of brain structure, function, and cognition linked to the emergence of timing abilities. This neurodevelopmental perspective aims to untangle the puzzling trajectory of temporal processing aspects across the lifetime, paving the way to novel neuropsychological assessments and cognitive rehabilitation strategies.


Subject(s)
Brain , Cognition , Humans , Cognition/physiology , Brain/physiology , Brain/growth & development
3.
PLoS One ; 19(7): e0306462, 2024.
Article in English | MEDLINE | ID: mdl-39083526

ABSTRACT

BACKGROUND: Patients with breast cancer (BC) exhibit circadian rhythm disruptions, mainly of rest-activity rhythm (RAR), of which sleep is an essential component, and cortisol rhythm. Sleep complaints such as insomnia and cognitive impairments are prevalent in BC. In general population, sleep is known to contribute greatly to cognition. Thus, improving RAR (and particularly sleep) could help limiting cognitive impairments in BC patients. It has recently been suggested that, in addition to its essential role in spatial memory, the vestibular system contributes to RAR synchronization. Its stimulation could therefore limit both sleep disturbances and spatial memory deficits in BC. OBJECTIVES: The main aim of the ICANSLEEP-2 study is to assess the effects of galvanic vestibular stimulation (GVS) on circadian rhythms. The secondary aim is to assess whether GVS improves sleep and spatial memory in BC patients. METHODS: Two groups with insomnia complaints (Insomnia Severity Index > 7) will be included: a patients' group with BC (n = 50) and a healthy control group without history of cancer (n = 25). There will be two assessment sessions, before and after 2 weeks of GVS. Patients will be randomly assigned to either a GVS group or a sham group (noneffective stimulation). Controls will receive GVS. GVS effects will be quantified and compared between groups. Assessments will include actigraphy, salivary cortisol, polysomnography, a cognitive test battery (including a computer-based task for spatial memory) and validated questionnaires (for psychological functioning and sleep complaints). DISCUSSION: Current methods for improving sleep in BC have had controversial outcomes regarding sleep structure. We expect GVS to offer a new mean of directly targeting RAR disruptions in BC patients, with beneficial effects on sleep structure. Given the crucial impact of sleep on cognitive functioning, notably spatial memory, improving sleep of BC patients should enhance their cognitive functioning. ETHICS AND DISSEMINATION: This study received ethical approval from the Ile de France IV institutional review board on 19 April 2022 (no. ID-RCB: 2022-A00437-36). The findings yielded by this protocol will be presented at various conferences and in peer-reviewed journals. CLINICALTRIALS.GOV REGISTRATION NUMBER: NCT05414357.


Subject(s)
Breast Neoplasms , Circadian Rhythm , Sleep , Spatial Memory , Humans , Breast Neoplasms/complications , Female , Circadian Rhythm/physiology , Spatial Memory/physiology , Sleep/physiology , Middle Aged , Adult , Vestibule, Labyrinth/physiopathology , Sleep Initiation and Maintenance Disorders/therapy , Sleep Initiation and Maintenance Disorders/physiopathology , Electric Stimulation Therapy/methods
4.
Eur J Psychotraumatol ; 15(1): 2375904, 2024.
Article in English | MEDLINE | ID: mdl-39037343

ABSTRACT

Background: The words people use in everyday life tell us about their emotions, their mental state and allow us to understand how people process and interpret an event. Previous research has established a link between the content analysis of narrative texts and the psychopathology of people who have experienced trauma.Objectives: This study examines whether the development of PTSD following exposure to a previous traumatic event alters the way people express themselves in the context of an anxiety-provoking event, the COVID-19 pandemic.Methods: This study is based on semi-structured interviews conducted during the first lockdown period in France (23 April-16 May 2020) with people exposed to the 13 November 2015 attacks (N = 31) and nonexposed people (N = 57).Results: People with PTSD had longer narratives and used more first-person singular pronouns, lower first-person plural pronouns, more words related to negative emotions and anxiety compared to the nonexposed group. Within the PTSD group, there was no significant difference between the use of words related to the attacks and the pandemic. Conversely, the nonexposed group used more words related to the COVID-19 pandemic compared to words related to the attacks.Conclusion: These results confirm, as have other studies, that a history of PTSD can specifically modify the style and narrative of past experiences. They underline the importance of including linguistic analyses in psychological assessments of PTSD.


The PTSD group has a longer narrative compared to the nonexposed group.The PTSD group narrative was more individualistic and emotionally focused than the nonexposed group.The lexical field of the attacks relatively to the field of pandemic seems to occupy the same place in the accounts of people suffering from PTSD.


Subject(s)
COVID-19 , Stress Disorders, Post-Traumatic , Humans , COVID-19/psychology , COVID-19/epidemiology , Stress Disorders, Post-Traumatic/psychology , Stress Disorders, Post-Traumatic/epidemiology , Female , Male , France , Adult , SARS-CoV-2 , Middle Aged , Narration , Anxiety/psychology , Pandemics , Emotions
5.
Cereb Cortex ; 34(6)2024 Jun 04.
Article in English | MEDLINE | ID: mdl-38864573

ABSTRACT

The experience of an extremely aversive event can produce enduring deleterious behavioral, and neural consequences, among which posttraumatic stress disorder (PTSD) is a representative example. Although adolescence is a period of great exposure to potentially traumatic events, the effects of trauma during adolescence remain understudied in clinical neuroscience. In this exploratory work, we aim to study the whole-cortex functional organization of 14 adolescents with PTSD using a data-driven method tailored to our population of interest. To do so, we built on the network neuroscience framework and specifically on multilayer (multisubject) community analysis to study the functional connectivity of the brain. We show, across different topological scales (the number of communities composing the cortex), a hyper-colocalization between regions belonging to occipital and pericentral regions and hypo-colocalization in middle temporal, posterior-anterior medial, and frontal cortices in the adolescent PTSD group compared to a nontrauma exposed group of adolescents. These preliminary results raise the question of an altered large-scale cortical organization in adolescent PTSD, opening an interesting line of research for future investigations.


Subject(s)
Brain , Magnetic Resonance Imaging , Stress Disorders, Post-Traumatic , Humans , Stress Disorders, Post-Traumatic/physiopathology , Stress Disorders, Post-Traumatic/diagnostic imaging , Stress Disorders, Post-Traumatic/psychology , Adolescent , Female , Male , Brain/physiopathology , Brain/diagnostic imaging , Neural Pathways/physiopathology , Brain Mapping/methods , Nerve Net/physiopathology , Nerve Net/diagnostic imaging , Cerebral Cortex/physiopathology , Cerebral Cortex/diagnostic imaging
6.
Front Sociol ; 9: 1388380, 2024.
Article in English | MEDLINE | ID: mdl-38841401

ABSTRACT

The present study was based on empirical data collected during the first phase (2016) of Study 1000, part of the 13-November Program: a corpus of 934 individual interviews conducted 6-11 months after the events. To process this empirical material, the authors used integrated TXM software, which provides several classic textometry tools. They mainly used the lexical specificity analysis tool, which statistically measures the irregularity of the word distribution according to the parts of the corpus. They also analyzed the concordances of certain very specific lexical forms. Analysis revealed the important influence of social roles on the construction of memories and narratives of this event. Application of textometry tools highlighted lexical fields specific to the different social roles played by the interviewees in this social drama, and showed that it was through these specific vocabularies that they remembered and recounted this extraordinary story. Social roles therefore influence the formation of memories both individual and collective, by modulating the way in which individuals select what to remember and what to forget. The article opens up several interesting avenues for future analyses, mainly a longitudinal perspective (including phases 2 and 3 of Study 1000) for the study of flashbulb memories and the gender issue to fine-tune the analysis of social roles.

7.
BMC Psychol ; 12(1): 307, 2024 May 28.
Article in English | MEDLINE | ID: mdl-38807183

ABSTRACT

BACKGROUND: People with neurodegenerative diseases may have difficulty learning new information, owing to their cognitive impairments. Teaching them techniques for learning in social contexts could alleviate this difficulty. The present study will examine the performances of patients with Alzheimer's disease and patients with the semantic variant of primary progressive aphasia on a memory test administered in three social contexts. The protocol will make it possible to identify determinants of social interactions, social abilities, cognition, and personality that can explain the potentially beneficial effect of social context on learning in these patients. METHODS: Thirty dyads (patient with primary memory impairment who meets criteria for Alzheimer's disease paired with caregiver), 16 dyads (patient meeting criteria for semantic variant of primary progressive aphasia paired with caregiver), and 46 dyads (healthy controls with no cognitive complaints) will be recruited. A nonverbal memory test (social memory task) will be administered to each dyad in three different social contexts (presence-only, observation, collaboration). Patients and healthy controls will also undergo a neuropsychological assessment to measure social (interactions and abilities), cognitive and personality aspects. Patients will be compared with controls on differential social scores calculated between the presence-only and collaboration contexts, and between the presence-only and observation contexts. A multiple comparative case study will be conducted to identify social, cognitive and personality variables that potentially explain the differential scores in the collaboration and observation contexts. DISCUSSION: For the first time, memory will be assessed in patients with Alzheimer's disease and patients with the semantic variant of primary progressive aphasia in three different contexts (presence-only, observation, collaboration). The multiple comparative case study will make it possible to identify the determinants of memory performance in the social context, in order to create the most beneficial learning context for individual patients, according to their profile. TRIAL REGISTRATION: This study was approved by the Ile de France XI institutional review board (2022-A00198-35), and registered on ClinicalTrials.gov (no. NCT05800028), on April 27, 2023.


Subject(s)
Alzheimer Disease , Aphasia, Primary Progressive , Neuropsychological Tests , Social Interaction , Social Learning , Aged , Female , Humans , Male , Middle Aged , Alzheimer Disease/psychology , Aphasia, Primary Progressive/psychology , Cognition , Neurodegenerative Diseases/psychology
8.
Sci Rep ; 14(1): 12468, 2024 05 30.
Article in English | MEDLINE | ID: mdl-38816468

ABSTRACT

Post-traumatic stress disorder (PTSD) lacks clear biomarkers in clinical practice. Language as a potential diagnostic biomarker for PTSD is investigated in this study. We analyze an original cohort of 148 individuals exposed to the November 13, 2015, terrorist attacks in Paris. The interviews, conducted 5-11 months after the event, include individuals from similar socioeconomic backgrounds exposed to the same incident, responding to identical questions and using uniform PTSD measures. Using this dataset to collect nuanced insights that might be clinically relevant, we propose a three-step interdisciplinary methodology that integrates expertise from psychiatry, linguistics, and the Natural Language Processing (NLP) community to examine the relationship between language and PTSD. The first step assesses a clinical psychiatrist's ability to diagnose PTSD using interview transcription alone. The second step uses statistical analysis and machine learning models to create language features based on psycholinguistic hypotheses and evaluate their predictive strength. The third step is the application of a hypothesis-free deep learning approach to the classification of PTSD in our cohort. Results show that the clinical psychiatrist achieved a diagnosis of PTSD with an AUC of 0.72. This is comparable to a gold standard questionnaire (Area Under Curve (AUC) ≈ 0.80). The machine learning model achieved a diagnostic AUC of 0.69. The deep learning approach achieved an AUC of 0.64. An examination of model error informs our discussion. Importantly, the study controls for confounding factors, establishes associations between language and DSM-5 subsymptoms, and integrates automated methods with qualitative analysis. This study provides a direct and methodologically robust description of the relationship between PTSD and language. Our work lays the groundwork for advancing early and accurate diagnosis and using linguistic markers to assess the effectiveness of pharmacological treatments and psychotherapies.


Subject(s)
Deep Learning , Language , Machine Learning , Stress Disorders, Post-Traumatic , Stress Disorders, Post-Traumatic/diagnosis , Humans , Male , Female , Adult , Natural Language Processing , Biomarkers , Middle Aged
9.
Front Psychiatry ; 15: 1351695, 2024.
Article in English | MEDLINE | ID: mdl-38606406

ABSTRACT

Background: When faced with a surge of physically injured individuals, especially following a traumatic event like an attack, frontline practitioners prioritize early triage. Detecting potential psychological injuries soon after such events remains challenging. Some individuals might develop post-traumatic stress disorder (PTSD) according to DSM-V criteria. Others may exhibit PTSD symptoms without meeting full diagnostic criteria, termed partial or sub-syndromal PTSD, a less-explored area in literature. This study aims to identify predictive factors for both full and partial PTSD. Method: In a cohort of victims of the 2015 Paris attacks, multinomial logistic regressions explored predictive factors for partial or full PTSD status 8 to 18 months post-attacks. Analyses considered pre, peri, and posttraumatic factors chosen from literature review and univariate analysis within each group. Results: Within the cohort, 50 individuals showed no signs of PTSD, 35 experienced partial PTSD, and 30 presented with full PTSD. After logistic regression, risk factors associated with full PTSD included a history of trauma (OR = 1.30, CI [1.02-1.66], p < 0.05), the intensity of peri-traumatic physical reactions (OR = 1.22, CI [1.09-1.36], p < 0.001), the difficulties in suppressing intrusive thoughts (OR = 1.11, CI [1.02-1.21], p < 0.013). Only the intensity of peri-traumatic physical reactions emerged as a risk factor for partial PTSD (OR = 1.13, [CI 1.02-1.24], p < 0.001). Discussion: This study revealed that a history of trauma, the intensity of peri-traumatic physical reactions (e.g., tachycardia, trembling, flushes, numbness.), and the difficulties in suppressing intrusive thoughts constitute risk factors for the development of full PTSD. Moreover, the study identified that only the intensity of peri-traumatic physical reactions emerged as a risk factor for partial PTSD. These findings seem to underscore the significance of peri-traumatic experiences in influencing the development of post-traumatic stress symptoms. Conclusion: This study emphasizes the significance of examining peri-traumatic reactions in PTSD development, suggesting its potential as a straightforward screening tool for post-traumatic stress disorder. It also underscores the influence of prior traumatic experiences, before de novo traumatization, in shaping vulnerability to PTSD and illuminates the crucial role of compromised control of intrusive thoughts that could perpetuate PTSD.

10.
Commun Biol ; 7(1): 239, 2024 Feb 28.
Article in English | MEDLINE | ID: mdl-38418523

ABSTRACT

Brain structure and function are intimately linked, however this association remains poorly understood and the complexity of this relationship has remained understudied. Healthy aging is characterised by heterogenous levels of structural integrity changes that influence functional network dynamics. Here, we use the multilayer brain network analysis on structural (diffusion weighted imaging) and functional (magnetoencephalography) data from the Cam-CAN database. We found that the level of similarity of connectivity patterns between brain structure and function in the parietal and temporal regions (alpha frequency band) is associated with cognitive performance in healthy older individuals. These results highlight the impact of structural connectivity changes on the reorganisation of functional connectivity associated with the preservation of cognitive function, and provide a mechanistic understanding of the concepts of brain maintenance and compensation with aging. Investigation of the link between structure and function could thus represent a new marker of individual variability, and of pathological changes.


Subject(s)
Aging , Brain , Humans , Brain/pathology , Aging/pathology , Cognition , Brain Mapping , Magnetoencephalography/methods
11.
Biol Res Nurs ; 26(2): 257-269, 2024 Apr.
Article in English | MEDLINE | ID: mdl-37907265

ABSTRACT

INTRODUCTION: Reminiscence therapy (RT), which engages individuals to evoke positive memories, has been shown to be effective in improving psychological well-being in older adults suffering from PTSD, depression, and anxiety. However, its impact on brain function has yet to be determined. This paper presents functional magnetic resonance imaging (fMRI) data to describe changes in autobiographical memory networks (AMN) in community-dwelling older adults. METHODS: This pilot study used a within-subject design to measure changes in AMN activation in 11 older adults who underwent 6 weeks of RT. In the scanner, participants retrieved autobiographical memories which were either recent or remote, rehearsed or unrehearsed. Participants also underwent a clinical interview to assess changes in memory, quality of life, mental health, and affect. FINDINGS: Compared to pretreatment, anxiety decreased (z = -2.014, p = .040) and activated significant areas within the AMN, including bilateral medial prefrontal cortex, left precuneus, right occipital cortex, and left anterior hippocampus. CONCLUSION: Although RT had subtle effects on psychological function in this sample with no evidence of impairments, including depression at baseline, the fMRI data support current thinking of the effect RT has on the AMN. Increased activation of right posterior hippocampus following RT is compatible with the Multiple Trace Theory Theory (Nadel & Moscovitch, 1997).


Subject(s)
Memory, Episodic , Quality of Life , Humans , Aged , Pilot Projects , Hippocampus/physiology
12.
BMC Cancer ; 23(1): 1178, 2023 Dec 01.
Article in English | MEDLINE | ID: mdl-38041077

ABSTRACT

BACKGROUND: Many patients treated for breast cancer (BC) complain about cognitive difficulties affecting their daily lives. Recently, sleep disturbances and circadian rhythm disruptions have been brought to the fore as potential contributors to cognitive difficulties in patients with BC. Yet, studies on these factors as well as their neural correlates are scarce. The purpose of the ICANSLEEP-1 (Impact of SLEEP disturbances in CANcer) study is to characterize sleep using polysomnography and its relationship with the evolution of cognitive functioning at both the behavioral and the neuroanatomical levels across treatment in BC patients treated or not with adjuvant chemotherapy. METHODS: ICANSLEEP-1 is a longitudinal study including BC patients treated with adjuvant chemotherapy (n = 25) or not treated with adjuvant chemotherapy (n = 25) and healthy controls with no history of BC (n = 25) matched for age (45-65 years old) and education level. The evaluations will take place within 6 weeks after inclusion, before the initiation of chemotherapy (for BC patients who are candidates for chemotherapy) or before the first fraction of radiotherapy (for BC patients with no indication for chemotherapy) and 6 months later (corresponding to 2 weeks after the end of chemotherapy). Episodic memory, executive functions, psychological factors, and quality of life will be assessed with validated neuropsychological tests and self-questionnaires. Sleep quantity and quality will be assessed with polysomnography and circadian rhythms with both actigraphy and saliva cortisol. Grey and white matter volumes, as well as white matter microstructural integrity, will be compared across time between patients and controls and will serve to further investigate the relationship between sleep disturbances and cognitive decline. DISCUSSION: Our results will help patients and clinicians to better understand sleep disturbances in BC and their relationship with cognitive functioning across treatment. This will aid the identification of more appropriate sleep therapeutic approaches adapted to BC patients. Improving sleep in BC would eventually help limit cognitive deficits and thus improve quality of life during and after treatments. TRIAL REGISTRATION: NCT05414357, registered June 10, 2022. PROTOCOL VERSION: Version 1.2 dated March 23, 2022.


Subject(s)
Breast Neoplasms , Aged , Female , Humans , Middle Aged , Breast Neoplasms/complications , Breast Neoplasms/drug therapy , Chemotherapy, Adjuvant/adverse effects , Circadian Rhythm , Cognition , Longitudinal Studies , Quality of Life , Sleep , Case-Control Studies
13.
Front Psychol ; 14: 1238272, 2023.
Article in English | MEDLINE | ID: mdl-37901083

ABSTRACT

Following a long period of neglect, research on different facets of collective memory is now developing apace in the human and social sciences, as well as at their interface with psychology and neuroscience. This resolutely multidisciplinary renewal of interest in memory sciences has given rise to a plethora of concepts with diverse meanings (e.g., social frameworks of memory, collective, shared, collaborative, social memory). The purpose of the present study was to provide a conceptual overview from a historical perspective, and above all to clarify concepts that are often used interchangeably, even though they refer to very different realities. Based on recent research in psychology and neuroscience, we use the concept of collective memory to refer to the operations of individual systems of consciousness. Collective memory is not the memory of a collective, but that of its individual members, either as members of social groups (shared memory) or as participants in social interactions (collaborative memory). Drawing on the contributions of contemporary sociology, we show that social memory is not collective memory, as it refers not to individual systems of consciousness, but to social systems. More specifically, it is the outcome of communication operations which, through redundancy and repetition, perform a continuous and selective re-imprinting of meaning that can be used for communication. Writing, printing and the new communication technologies constitute the three historical stages in the formation and development of an autonomous social memory, independent of living memories and social interactions. In the modern era, mass media fulfill an essential function of social memory, by sorting between forgetting and remembering on a planetary scale. When thinking about the articulation between collective memory and social memory, the concept of structural coupling allows us to identify two mechanisms by which individual systems of consciousness and social systems can interact and be mutually sensitized: schemas and scripts, and social roles. Transdisciplinary approach spearheads major methodological and conceptual advances and is particularly promising for clinical practice, as it should result in a better understanding of memory pathologies, including PTSD, but also cognitive disorders in cancer (chemobrain) or in neurodegenerative diseases.

14.
Front Psychol ; 14: 1220489, 2023.
Article in English | MEDLINE | ID: mdl-37599747

ABSTRACT

Resilience mechanisms can be dynamically triggered throughout the lifecourse by resilience factors in order to prevent individuals from developing stress-related pathologies such as posttraumatic stress disorder (PTSD). Some interventional studies have suggested that listening to music and musical practice after experiencing a traumatic event decrease the intensity of PTSD, but surprisingly, no study to our knowledge has explored musical experience as a potential resilience factor before the potential occurrence of a traumatic event. In the present conceptual analysis, we sought to summarize what is known about the concept of resilience and how musical experience could trigger two key mechanisms altered in PTSD: emotion regulation and cognitive control. Our hypothesis is that the stimulation of these two mechanisms by musical experience during the pre-traumatic period could help protect against the symptoms of emotional dysregulation and intrusions present in PTSD. We then developed a new framework to guide future research aimed at isolating and investigating the protective role of musical experience regarding the development of PTSD in response to trauma. The clinical application of this type of research could be to develop pre-trauma training that promotes emotional regulation and cognitive control, aimed at populations at risk of developing PTSD such as healthcare workers, police officers, and military staffs.

15.
Eur J Psychotraumatol ; 14(2): 2225154, 2023.
Article in English | MEDLINE | ID: mdl-37458735

ABSTRACT

Introduction: Following a mass casualty event, such as the Paris terrorist attacks of 13 November 2015, first responders need to identify individuals at risk of PTSD. Physical peritraumatic symptoms involving the autonomic nervous system may be useful in this task.Objective: We sought to determine the trajectory of physical response intensity in individuals exposed to the Paris terrorist attacks using repeated measures, and to examine its associations with PTSD. Using network modelling, we examined whether peritraumatic physical symptom associations differed by PTSD status.Methods: Physical reactions were assessed using the Subjective Physical Reactions Scale at three time points: peritraumatic by retrospective recall, then current at one year (8-18 months) and three years (30-42 months) after the attacks. Interaction networks between peritraumatic physical reactions were compared according to PTSD status.Results: On the one hand, the reported intensity of physical reactions was significantly higher in the PTSD group at all time points. On the other hand, using the dynamic approach, more robust positive interactions between peritraumatic physical reactions were found in the PTSD group one and three years after the attacks. Negative interactions were found in the no-PTSD group at one year. Peritraumatic physical numbness was found to be the most central network symptom in the PTSD group, whereas it was least central in the no-PTSD group.Discussion: Network analysis of the interaction between peritraumatic physical subjective responses, particularly physical numbness, may provide insight into the clinical course of PTSD. Our knowledge of the brain regions involved in dissociation supports the hypothesis that the periaqueductal grey may contribute to the process leading to physical numbing.Conclusions: Our findings highlight the role of peritraumatic somatic symptoms in the course of PTSD. Peritraumatic physical numbness appears to be a key marker of PTSD and its identification may help to improve early triage.


Physical numbness was found to be a central symptom in people developing PTSD in our study examining peritraumatic physical symptoms related to the 2015 Paris terrorist attacks.


Subject(s)
Stress Disorders, Post-Traumatic , Terrorism , Humans , Stress Disorders, Post-Traumatic/diagnosis , Retrospective Studies , Hypesthesia , Brain
16.
Sci Rep ; 13(1): 11375, 2023 07 14.
Article in English | MEDLINE | ID: mdl-37452125

ABSTRACT

Temporal processing, the ability to mentally represent and process the dynamical unfolding of events over time, is a fundamental feature of cognition that evolves with advancing age. Aging has indeed been associated with slower and more variable performance in timing tasks. However, the role of depressive symptoms in age-related changes in temporal processing remains to be investigated. Therefore, the present work aims to shed light on the link between temporal processing and depressive symptoms, which are frequent with advancing age. We relied on the multicentric "Blursday Project" database, providing measures of temporal processing together with questionnaires investigating psychological wellbeing. Results reveal that aging influences several timing abilities, from the reproduction of short time intervals to verbal estimations of longer temporal distances. Furthermore, the slowing down of felt passage of time regarding the last few days with age was fully mediated by the intensity of depressive symptoms. Overall, these findings suggest that depressive symptoms may play a pivotal role in age-related temporal processing changes.


Subject(s)
Depression , Time Perception , Depression/psychology , Cognition
17.
Biol Aujourdhui ; 217(1-2): 35-38, 2023.
Article in French | MEDLINE | ID: mdl-37409862

ABSTRACT

This article is a brief Introduction to a series of articles issued from the Journée Claude Bernard, organized at the Académie Nationale de Médecine. This session had for thematic "Memory and traumatism" and was composed of presentations coming from different disciplines including biological sciences and humanities. Several publications come from the Programme 13-Novembre, devoted to a traumatic event in French society - the attacks of 13 November 2015 in Paris and its immediate suburbs - and its consequences on the construction of individual and collective memories of this tragic event.


Title: Mémoire et traumatisme : de la biologie aux sciences sociales. Abstract: Cet article est une brève Introduction à une série d'articles issus de la Journée Claude Bernard, organisée à l'Académie Nationale de Médecine le 24 novembre 2021. Cette Journée, dont le thème était « Mémoire et traumatisme ¼, avait pour originalité de présenter des travaux provenant de disciplines différentes allant des sciences biologiques aux sciences humaines et sociales. Plusieurs publications s'appuient sur le Programme 13-Novembre, qui envisage les conséquences des attentats du 13 novembre 2015 sur la construction des mémoires individuelles et collectives de cet événement dramatique.


Subject(s)
Biology , Humanities , Humans
18.
Biol Aujourdhui ; 217(1-2): 39-48, 2023.
Article in French | MEDLINE | ID: mdl-37409863

ABSTRACT

The purpose of this article is to present the evolution of scientific work on human memory from the end of the 19th century. The work of experimental psychology and neuropsychology first dominated the scientific scene. Research in the humanities and social sciences was established in the interwar period, but without any real interaction with psychology and neurosciences. We recall the most emblematic historical works of two distinct visions of memory: those of the experimental psychologist Hermann Ebbinghaus who measured memory, on himself, from lists of meaningless syllables, and those of the sociologist Maurice Halbwachs for whom any act of memory is a social act. This disciplinary closure persisted until the end of the 20th century. A real social shift has taken place since the 2000s, with a desire to studying and understanding the interactions between individual and collective memories. In this article, the authors argue for the emergence of "sciences of memory" based on dialectic and transdisciplinarity. They draw on the Programme 13-Novembre that is emblematic of this evolution. The Programme 13-Novembre has seized upon a diversity of research tools on memory by applying them to a traumatic event in French society: the attacks of 13 November 2015 in Paris and its immediate suburbs. Its genesis, its overall architecture and several of its components are presented here, as well as a few results already published. In addition to its theoretical scope, this work has many possible applications, particularly in the understanding and management of various pathologies, post-traumatic stress disorder being the most demonstrative in this respect.


Title: Le Programme 13-Novembre entre mémoire individuelle et mémoire collective. Abstract: Cet article a pour objectif de présenter l'évolution des travaux scientifiques sur la mémoire humaine de la fin du 19e siècle à aujourd'hui. Les travaux de psychologie expérimentale et de neuropsychologie ont d'abord dominé la scène scientifique. Des recherches en sciences humaines et sociales se sont mises en place dans l'entre-deux-guerres, mais sans réelle interaction avec celles menées en psychologie et en neurosciences. Cette clôture disciplinaire a persisté jusqu'à la fin du 20e siècle. Un véritable tournant social s'est opéré depuis les années 2000 avec comme volonté d'étudier et de comprendre les interactions entre mémoires individuelles et mémoires collectives. Dans cet article, les auteurs plaident pour l'émergence de « sciences de la mémoire ¼ fondées sur la dialectique et la transdisciplinarité. Ils s'appuient sur le Programme 13-Novembre, emblématique de cette évolution. Sa genèse, son architecture d'ensemble et plusieurs de ses composantes sont présentées ici ainsi que quelques résultats déjà publiés. Outre leur portée théorique, ces travaux rendent possibles de nombreuses applications, en particulier dans la compréhension et la prise en charge de différentes pathologies, le trouble de stress post-traumatique étant la plus démonstrative à cet égard.

19.
Biol Aujourdhui ; 217(1-2): 55-64, 2023.
Article in French | MEDLINE | ID: mdl-37409865

ABSTRACT

Post-Traumatic Stress Disorder (PTSD) is a disorder that develops following the experience of a highly stressful event, which involves a confrontation with death or the threat of death, serious injury or sexual violence. It is characterized by symptoms such as intrusions, avoidance and hypervigilance. According to the literature, PTSD is associated with an imbalance between a privileged memorization of the emotional and sensory aspects of the traumatic event and a failure to memorize the contextual aspects. That is why PTSD is now considered a memory disorder whose effects extend to several components. In this review article, we focus on how PTSD affects long-term memory. The first part describes the long-term effects of PTSD on episodic memory with emphasis on the difficulties in encoding certain elements of the traumatic event and their consequences. These difficulties may be manifested in the narration of the trauma, with a discourse of the traumatic event lacking in contextual details. They may also lead to reliving and generalizing the fear to other contexts, whether they are related to the trauma or not. The second part of the article discusses how PTSD affects autobiographical memory and has consequences for the construction of identity and the perception of the past, present and future of people with this disorder. Autobiographical memory, which plays a key role in the storage of past personal memories as well as in identity formation, shows several forms of disruption induced by PTSD. First, a decrease in contextual details associated with memories of the personal past is observed, meaning that people with PTSD tend to remember their past experiences less accurately. Second, a propensity to project the future in a more negative and unpredictable manner is evidenced, related to a feeling of uncertainty about the future in PTSD suffering individuals. Finally, alterations in the encoding of present events due to the disruptive effects of post-traumatic stress symptoms during the encoding process are also identified.


Title: Les altérations de la mémoire dans le trouble de stress post-traumatique. Abstract: Le Trouble de Stress Post-Traumatique (TSPT) est une pathologie qui se développe chez une personne qui a fait l'expérience d'un événement hautement stressant impliquant une confrontation à la mort ou à une menace de mort, à une blessure grave ou à des violences sexuelles. Ce trouble se caractérise par plusieurs symptômes dont les intrusions, l'évitement et l'hypervigilance. Le TSPT est associé à un déséquilibre entre une mémorisation exacerbée des aspects émotionnels et sensoriels de l'événement traumatique et un défaut de mémorisation des aspects contextuels. En conséquence, le TSPT est aujourd'hui considéré comme un trouble de la mémoire dont les retentissements s'étendent à plusieurs de ses composantes. Cet article expose les conséquences du TSPT sur la mémoire à long terme et met la focale sur deux mécanismes : l'encodage partiel de l'événement traumatique en mémoire épisodique et l'influence de cette expérience traumatique sur les souvenirs personnels en mémoire autobiographique. L'article aborde en première partie les difficultés d'encodage de certains éléments de l'événement traumatique et leurs conséquences, comprenant les reviviscences ainsi que la persistance et la généralisation de la peur à d'autres contextes plus ou moins liés à l'événement traumatique. La deuxième partie aborde la façon dont le trouble affecte la mémoire autobiographique et l'identité en occasionnant une réduction de la précision des événements du passé, des altérations de la capacité à se projeter dans des événements futurs et un encodage incomplet de nouveaux événements.


Subject(s)
Memory , Stress Disorders, Post-Traumatic , Humans , Stress Disorders, Post-Traumatic/etiology , Stress Disorders, Post-Traumatic/diagnosis , Stress Disorders, Post-Traumatic/psychology
20.
Biol Aujourdhui ; 217(1-2): 79-87, 2023.
Article in French | MEDLINE | ID: mdl-37409868

ABSTRACT

The brain is a highly complex system whose functioning is critical for our interaction with the world. Neural elements, from single cells to brain systems, constantly fluctuate in their dynamics, accompanying the plethora of possible exchanges between our environment and ourselves. However, sometimes things go awry. An unfortunate example is post-traumatic stress disorder (PTSD), a debilitating clinical condition that can appear after exposure to a threatening life event. In this work, using complexity as a framework, we aim to introduce the dynamic brain network model of PTSD. We hope this model will allow the generation of novel specific hypotheses concerning brain organization and dynamics in PTSD research. We first introduce how the network framework complements the localizationist approach centered in specific brain regions or subsets of brain regions, with a whole brain approach considering brain regions' dynamic relationships. Then, we review key concepts in network neuroscience, focusing on the importance of the network topology and dynamics to understand the organizational principles of the brain, that is, functional segregation and integration. In the third part, we apply this knowledge to describe the possible trajectories conducting a brain system to present PTSD alterations. Accordingly, we introduce the Dynamic Brain Network Model (DBNM) of PTSD, a concrete framework built on the network approach and resilience theory to study the transition of a brain network from state 1 (e.g., before the traumatic event) to state 2 (e.g., after the traumatic event). To conclude, we provide a summary of metrics for quantifying elements on the DBNM and its potential use in computational models of PTSD.


Title: Les sciences des réseaux appliquées à l'étude du Trouble de Stress Post-Traumatique. Abstract: Cet article expose la manière dont les sciences des réseaux peuvent contribuer à la compréhension du Trouble de Stress Post-Traumatique (TSPT). Nous soulignons l'intérêt de concevoir le cerveau comme un système complexe et dynamique pour affiner la description et la prédiction des réponses cérébrales après exposition à un évènement traumatique. À partir des modèles de résilience au stress et sous le prisme des sciences des réseaux, nous proposons une ligne temporelle du TSPT, partant des facteurs de résilience intrinsèques au réseau, présents avant l'évènement traumatique, jusqu'à la réponse cérébrale ayant lieu après l'évènement traumatique. Dans ce cadre, il est essentiel de considérer la topologie du cerveau et les dynamiques cérébrales dans des processus permettant d'utiliser ces facteurs de résilience. Ainsi, nous proposons un cadre concret, autorisant la formulation d'hypothèses explicites sur des aspects potentiellement critiques de l'organisation et des dynamiques des réseaux cérébraux impliqués dans le TSPT.


Subject(s)
Stress Disorders, Post-Traumatic , Humans , Brain , Brain Mapping , Nerve Net , Magnetic Resonance Imaging
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