How clinical decision tasks modulate emotional related EEG responses in nursing students.

Healthcare professionals play a vital role in conveying sensitive information as patients undergo stressful, demanding situations. However, the underlying neurocognitive dynamics in routine clinical tasks remain underexplored, creating gaps in healthcare research and social cognition models. Here, we examined whether the type of clinical task may differentially affect the emotional processing of nursing students in response to the emotional reactions of patients. In a within-subjects design, 40 nursing students read clinical cases prompting them to make procedural decisions or to respond to a patient with a proper communicative decision. Afterward, participants read sentences about patients' emotional states; some semantically consistent and others inconsistent along with filler sentences. EEG recordings toward critical words (emotional stimuli) were used to capture ERP indices of emotional salience (EPN), attentional engagement (LPP) and semantic integration (N400). Results showed that the procedural decision task elicited larger EPN amplitudes, reflecting pre-attentive categorization of emotional stimuli. The communicative decision task elicited larger LPP components associated with later elaborative processing. Additionally, the classical N400 effect elicited by semantically inconsistent sentences was found. The psychophysiological measures were tied by self-report measures indexing the difficulty of the task. These results suggest that the requirements of clinical tasks modulate emotional-related EEG responses.

Multidimensional inhibitory signatures of sentential negation in behavioral variant frontotemporal dementia.

BACKGROUND: Processing of linguistic negation has been associated to inhibitory brain mechanisms. However, no study has tapped this link via multimodal measures in patients with core inhibitory alterations, a critical approach to reveal direct neural correlates and potential disease markers. METHODS: Here we examined oscillatory, neuroanatomical, and functional connectivity signatures of a recently reported Go/No-go negation task in healthy controls and behavioral variant frontotemporal dementia (bvFTD) patients, typified by primary and generalized inhibitory disruptions. To test for specificity, we also recruited persons with Alzheimer's disease (AD), a disease involving frequent but nonprimary inhibitory deficits. RESULTS: In controls, negative sentences in the No-go condition distinctly involved frontocentral delta (2-3 Hz) suppression, a canonical inhibitory marker. In bvFTD patients, this modulation was selectively abolished and significantly correlated with the volume and functional connectivity of regions supporting inhibition (e.g. precentral gyrus, caudate nucleus, and cerebellum). Such canonical delta suppression was preserved in the AD group and associated with widespread anatomo-functional patterns across non-inhibitory regions. DISCUSSION: These findings suggest that negation hinges on the integrity and interaction of spatiotemporal inhibitory mechanisms. Moreover, our results reveal potential neurocognitive markers of bvFTD, opening a new agenda at the crossing of cognitive neuroscience and behavioral neurology.

Understanding the Links between Inferring Mental States, Empathy, and Burnout in Medical Contexts.

It is generally accepted that empathy should be the basis of patient care. However, this ideal may be unrealistic if healthcare professionals suffer adverse effects when engaging in empathy. The aim of this study is to explore the effect of inferring mental states and different components of empathy (perspective-taking; empathic concern; personal distress) in burnout dimensions (emotional exhaustion; depersonalization; personal accomplishment). A total of 184 healthcare professionals participated in the study (23% male, Mage = 44.60; SD = 10.46). We measured participants' empathy, the inference of mental states of patients, and burnout. Correlation analyses showed that inferring mental states was positively associated with perspective-taking and with empathic concern, but uncorrelated with personal distress. Furthermore, emotional exhaustion was related to greater levels of personal distress and greater levels of inferences of mental states. Depersonalization was associated with greater levels of personal distress and lower levels of empathic concern. Personal accomplishment was associated with the inference of mental states in patients, lower levels of personal distress, and perspective-taking. These results provide a better understanding of how different components of empathy and mental state inferences may preserve or promote healthcare professionals' burnout.

Brain Inhibitory Mechanisms Are Involved in the Processing of Sentential Negation, Regardless of Its Content. Evidence From EEG Theta and Beta Rhythms.

The two-step process account of negation understanding posits an initial representation of the negated events, followed by a representation of the actual state of events. On the other hand, behavioral and neurophysiological studies provided evidence that linguistic negation suppresses or reduces the activation of the negated events, contributing to shift attention to the actual state of events. However, the specific mechanism of this suppression is poorly known. Recently, based on the brain organization principle of neural reuse (Anderson, 2010), it has been proposed that understanding linguistic negation partially relies upon the neurophysiological mechanisms of response inhibition. Specifically, it was reported that negated action-related sentences modulate EEG signatures of response inhibition (de Vega et al., 2016; Beltrán et al., 2018). In the current EEG study, we ponder whether the reusing of response inhibition processes by negation is constrained to action-related contents or consists of a more general-purpose mechanism. To this end, we employed the same dual-task paradigm as in our prior study-a Go/NoGo task embedded into a sentence comprehension task-but this time including both action and non-action sentences. The results confirmed that the increase of theta power elicited by NoGo trials was modulated by negative sentences, compared to their affirmative counterparts, and this polarity effect was statistically similar for both action- and non-action-related sentences. Thus, a general-purpose inhibitory control mechanism, rather than one specific for action language, is likely operating in the comprehension of sentential negation to produce the transition between alternative representations.

Are Sensory-Motor Relationships Encoded ad hoc or by Default?: An ERP Study.

In this event-related potentials study we tested whether sensory-motor relations between concrete words are encoded by default or only under explicit ad hoc instructions. In Exp. 1, participants were explicitly asked to encode sensory-motor relations (e.g., "do the following objects fit in a pencil-cup?"), while other possible semantic relations remained implicit. In Exp. 2, using the same materials other group of participants were explicitly asked to encode semantic relations (e.g., "are the following objects related to a pencil-cup?"), and the possible sensory-motor relations remained implicit. The N400 component was sensitive to semantic relations (e.g., "desk" related to "pencil-cup") both under implicit (Exp. 1) and explicit instructions (Exp. 2). By contrast, most sensory-motor relations (e.g., "pea" fitting in "pencil-cup") were encoded ad hoc under explicit instructions (Exp. 1). Interestingly some sensory-motor relations were also encoded implicitly, but only when they corresponded to "functional" actions associated with high-related objects (e.g., "eraser" fitting in "pencil-cup") and occurring at a late time window (500-650 ms; Exp. 2), suggesting that this type of sensory-motor relations were encoding by default.

Negation markers inhibit motor routines during typing of manual action verbs.

We explored whether negation markers recruit inhibitory mechanisms during keyboard-based action-verb typing. In each trial, participants read two sentences: the first featured a context (There is a contract) and the second ended with a relevant verb which had to be immediately typed. Crucially, the verb could describe manual actions, non-manual actions or non-motor processes, with either affirmative (You do sign it) or negative (You don't sign it) polarity. We assessed the impact of verb type and polarity on two typing dimensions: motor programming (lapse between target onset and first keystroke) and motor execution (lapse between first and last keystroke). Negation yielded no effect on motor planning, but it selectively delayed typing execution for manual-action verbs, irrespective of the subjects' typing skills. This suggests that processing negations during comprehension of manual-action sentences recruits inhibitory mechanisms acting on same-effector movements. Our novel finding extends embodied models of language and effector-specific motor-language integration.

Sentential Negation Might Share Neurophysiological Mechanisms with Action Inhibition. Evidence from Frontal Theta Rhythm.

UNLABELLED: According to the literature, negations such as "not" or "don't" reduce the accessibility in memory of the concepts under their scope. Moreover, negations applied to action contents (e.g., "don't write the letter") impede the activation of motor processes in the brain, inducing "disembodied" representations. These facts provide important information on the behavioral and neural consequences of negations. However, how negations themselves are processed in the brain is still poorly understood. In two electrophysiological experiments, we explored whether sentential negation shares neural mechanisms with action monitoring or inhibition. Human participants read action-related sentences in affirmative or negative form ("now you will cut the bread" vs "now you will not cut the bread") while performing a simultaneous Go/NoGo task. The analysis of the EEG rhythms revealed that theta oscillations were significantly reduced for NoGo trials in the context of negative sentences compared with affirmative sentences. Given the fact that theta oscillations are often considered as neural markers of response inhibition processes, their modulation by negative sentences strongly suggests that negation uses neural resources of response inhibition. We propose a new approach that views the syntactic operator of negation as relying on the neural machinery of high-order action-monitoring processes. SIGNIFICANCE STATEMENT: Previous studies have shown that linguistic negation reduces the accessibility of the negated concepts and suppresses the activation of specific brain regions that operate in affirmative statements. Although these studies focus on the consequences of negation on cognitive and neural processes, the proper neural mechanisms of negation have not yet been explored. In the present EEG study, we tested the hypothesis that negation uses the neural network of action inhibition. Using a Go/NoGo task embedded in a sentence comprehension task, we found that negation in the context of NoGo trials modulates frontal theta rhythm, which is usually considered a signature of action inhibition and control mechanisms.

Effects of valence and causal direction in the emotion inferences processing during reading: evidence from a lexical decision task / Efectos de la valencia y la dirección causal en el procesamiento de inferencias emocionales durante la lectura: evidencia mediante una tarea de decisión léxica

In two experiments we investigated the role that activation of emotional inferences when readers represent fictional characters' emotional states using an affective lexical decision task. Subjects read short stories that described concrete actions. In the first experiment, we analyzed whether the valence (positive or negative) was an important factor of inference´s activation. The results showed that valence was determinant factor in the moment that emotional inference was generated, being the positive valence faster than negative. In the second experiment we studied whether the emotion inference activation was influenced by the causal direction of the story, where the causal direction of the text was manipulated in order to induce towards an emotional inference predictive (the reader looking for a consequence that promote a particular emotion) or inducing an explanatory inference (reader looking for a cause that 'explain' a particular emotion). The results suggest that emotional inferences are made online, and that valence and causal directions are two decisive components of emotional trait, but only positive valence increase their processing

En dos experimentos se investigó el papel que juega la activación de inferencias emocionales cuando los lectores representan estados emocionales de los personajes ficticios mediante una tarea de decisión léxica. Los participantes leyeron historias cortas que describían acciones concretas. En el primer experimento se analizó si la valencia emocional (positiva o negativa) influía en la activación de la inferencia. Los resultados mostraron que la valencia fue factor determinante en el momento en que generaba la inferencia emocional, siendo la valencia positiva más rápida que la negativa. En el segundo experimento se analizó la dirección causal de la historia, donde en un caso fue manipulada para inducir hacia una inferencia emocional predictiva (el lector busca una acción que anticipa una emoción particular), y en otro explicativa (el lector busca una causa que 'explique' una emoción en particular) y si estas dos condiciones diferían en la activación de la inferencia emocional. Los resultados revelaron que las inferencias emocionales se hacen de manera automática en ambos estudios y que tanto la valencia como la dirección causal se consideran componentes básicos de las inferencias emocionales, pero sólo la valencia positiva acelera aún más el procesamiento del rasgo emocional