Cognition and social functioning in first episode psychosis: A systematic review of longitudinal studies.

Introduction: This systematic review aimed to answer whether we can predict subsequent social functioning in first episode psychosis (FEP) by means of an initial cognitive examination. In order to do this, we gathered longitudinal studies which evaluated neurocognition and/or social cognition regarding their impact on long-term social functioning of FEP patients. Methods: The MOOSE method was employed and 28 studies covering data from a total of 2572 patients with longitudinal trajectories from 2 months to 5 years were reviewed. Results: In general, cognitive deficits impacted on the social functioning of the FEP patients across the time. The neurocognitive domains which most closely predicted social functioning were processing speed, sustained attention and working memory. An overall cognitive dysfunction, low IQ and the academic trajectory were also found predictive. Regarding social cognition, the findings were not unanimous. Discussion: In addition of the impact of each variable, several of the articles found a complex relationship between social cognition, neurocognition, social functioning and negative symptoms, pointing social cognition as a modulator of neurocognition but being modulated as well by negative symptoms. The principal clinical implication of this review is that the initial assessment of FEP patients and their rehabilitation must take cognition into account.

Alterations in the volume of thalamic nuclei in patients with schizophrenia and persistent auditory hallucinations.

The thalamus is a subcortical structure formed by different nuclei that relay information to the neocortex. Several reports have already described alterations of this structure in patients of schizophrenia that experience auditory hallucinations. However, to date no study has addressed whether the volumes of specific thalamic nuclei are altered in chronic patients experiencing persistent auditory hallucinations. We have processed structural MRI images using Freesurfer, and have segmented them into 25 nuclei using the probabilistic atlas developed by Iglesias and collaborators (Iglesias et al., 2018). To homogenize the sample, we have matched patients of schizophrenia, with and without persistent auditory hallucinations, with control subjects, considering sex, age and their estimated intracranial volume. This rendered a group number of 41 patients experiencing persistent auditory hallucinations, 35 patients without auditory hallucinations, and 55 healthy controls. In addition, we have also correlated the volume of the altered thalamic nuclei with the total score of the PSYRATS, a clinical scale used to evaluate the positive symptoms of this disorder. We have found alterations in the volume of 8 thalamic nuclei in both cohorts of patients with schizophrenia: The medial and lateral geniculate nuclei, the anterior, inferior, and lateral pulvinar nuclei, the lateral complex and the lateral and medial mediodorsal nuclei. We have also found some significant correlations between the volume of these nuclei in patients experiencing auditory hallucinations, and the total score of the PSYRATS scale. Altogether our results indicate that volumetric alterations of thalamic nuclei involved in audition may be related to persistent auditory hallucinations in chronic schizophrenia patients, whereas alterations in nuclei related to association cortices are evident in all patients. Future studies should explore whether the structural alterations are cause or consequence of these positive symptoms and whether they are already present in first episodes of psychosis.

When animals cry: The effect of adding tears to animal expressions on human judgment.

At a time of growing interest in and awareness about the relationships between humans and animals, it is of relevance to scientifically analyse the intrinsic nature of these interactions. Reactions to emotional tears show our extraordinary capacity for detecting micro-nuances when judging another human's face. Regarding such behaviour, previous studies carried out in our laboratory have pointed to an adaptive function of emotional tears: i.e. their inhibitory influence on perceived aggressiveness. In the present work we aimed to further explore that hypothesis by extending our investigation from humans to animals, using pictures of five different animal faces (cat, dog, horse, chimpanzee, hamster) to which tears were added digitally. To this end, we conducted an online study of 403 participants recruited from different social networks and academic institutions. We questioned the participants about their perceptions of emotional intensity, aggressiveness and friendliness in the animal faces and analysed the comparisons they made between faces with and without tears. In addition, a latent variable referred to as "passion for animals" was measured using different indicators. By adding the results obtained in each species and breaking them down into different basic emotions, we found that the presence of tears was related to a higher absolute frequency of participants who perceived sadness, which endorsed our previous results obtained using images of humans. Regarding aggressiveness, the presence of tears favoured the perception of less aggressiveness. A structural equation model was also conducted to explore the relations among all the measured variables. The model confirmed that the presence of tears in the animal faces had a significant influence on the perception of higher emotional intensity and friendliness, and of lower aggressiveness.

How Our Gaze Reacts to Another Person's Tears? Experimental Insights Into Eye Tracking Technology.

Crying is an ubiquitous human behavior through which an emotion is expressed on the face together with visible tears and constitutes a slippery riddle for researchers. To provide an answer to the question "How our gaze reacts to another person's tears?," we made use of eye tracking technology to study a series of visual stimuli. By presenting an illustrative example through an experimental setting specifically designed to study the "tearing effect," the present work aims to offer methodological insight on how to use eye-tracking technology to study non-verbal cues. A sample of 30 healthy young women with normal visual acuity performed a within-subjects task in which they evaluated images of real faces with and without tears while their eye movements were tracked. Tears were found to be a magnet for visual attention in the task of facial attribution, facilitating a greater perception of emotional intensity. Moreover, the inspection pattern changed qualitatively and quantitatively, with our participants becoming fully focused on the tears when they were visible. The mere presence of a single tear running down a cheek was associated with an increased emotional inference and greater perception of sincerity. Using normalized and validated tools (Reading the Eyes in the Mind Test and the SALAMANCA screening test for personality disorders), we measured the influence of certain characteristics of the participants on their performance of the experimental task. On the one hand, a higher level of cognitive empathy helped to classify tearful faces with higher emotional intensity and tearless faces with less emotional intensity. On the other hand, we observed that less sincerity was attributed to the tearful faces as the SALAMANCA test scores rose in clusters A (strange and extravagant) and B (immature and emotionally unstable) of our sample. The present findings highlight the advantages of using eye tracking technology to study non-verbal cues and draw attention to methodological issues that should be taken into account. Further exploration of the relationship between empathy and tear perception could be a fruitful avenue of future research using eye tracking.

Effects of a single session of SMR neurofeedback training on anxiety and cortisol levels.

OBJECTIVES: According to some studies, a putatively calming effect of EEG neurofeedback training could be useful as a therapeutic tool in psychiatric practice. With the aim of elucidating this possibility, we tested the efficacy of a single session of ↑sensorimotor (SMR)/↓theta neurofeedback training for mood improvement in 32 healthy men, taking into account trainability, independence and interpretability of the results. METHODS: A pre-post design, with the following dependent variables, was applied: (i) psychometric measures of mood with regards to anxiety, depression, and anger (Profile of Mood State, POMS, and State Trait Anxiety Inventory, STAI); (ii) biological measures (salivary levels of cortisol); (iii) neurophysiological measures (EEG frequency band power analysis). In accordance with general recommendations for research in neurofeedback, a control group receiving sham neurofeedback was included. RESULTS: Anxiety levels decreased after the real neurofeedback and increased after the sham neurofeedback (P<0.01, size effect 0.9 for comparison between groups). Cortisol decreased after the experiment in both groups, though with significantly more pronounced effects in the desired direction after the real neurofeedback (P<0.04; size effect 0.7). The group receiving real neurofeedback significantly enhanced their SMR band (P<0.004; size effect 0.88), without changes in the theta band. The group receiving sham neurofeedback did not show any EEG changes. CONCLUSIONS: The improvement observed in anxiety was greater in the experimental group than in the sham group, confirmed by both subjective (psychometric) measures and objective (biological) measures. This was demonstrated to be associated with the real neurofeedback, though a nonspecific (placebo) effect likely also contributed.

Psychobiological response to an anger induction task in schizophrenia: The key role of anxiety.

In this study an anger induction laboratory task was applied to men with schizophrenia, and resulted in significant changes in different psychophysiological parameters that were measured in a pre-post design. We observed a significantly greater self-reported anger mood and negative affection, lower self-reported positive affection, an increase in cardiovascular reactivity (with blood pressure in deeper affection compared to controls), higher salivary testosterone levels, lower salivary cortisol levels, and an increase in right ear items reported in dichotic listening. Furthermore, clinical risk factors related to anger in our patients were analyzed by Stepwise Regression analyses. Trait anger was significantly associated with a higher level of delusional pathology and impulsivity. Regarding the resulted state of anger as an output of the induction, the most relevant finding was that anxiety consistently and significantly predicted the increasing in anger feelings, and, remarkably, it predicted also the increasing in T levels and the cardiovascular reactivity of the patients.

Enfermedad de moyamoya: aspectos clínicos, neurorradiológicos, neuropsicolológicos y genéticos / Moyamoya disease: clinical, neuroradiological, neuropsychological and genetic perspective

Introducción. La enfermedad de moyamoya (EMM) es una enfermedad cerebrovascular oclusiva caracterizada por estenosis progresiva o la oclusión en la porción terminal de las arterias carótidas internas bilaterales, que afecta tanto a niños como a adultos. Objetivo. Realizar una revisión y actualización sobre la EMM desde una perspectiva clínica, neurorradiológica, neuropsicológica y genética. Desarrollo. En esta patología, que cursa con isquemia o hemorragia cerebral, se desarrolla una red vascular inusual compensatoria (vasos moyamoya) en la base del cerebro en forma de canales colaterales. La EMM puede cursar clínicamente con hemiparesia, disartria, afasia, cefalea, convulsiones, déficits visuales, síncopes o cambios en la personalidad. Neuropsicológicamente, y aun en ausencia de ictus evidentes, los pacientes suelen presentar afectación de la atención, memoria, conducta y funciones ejecutivas. La angiografía y la resonancia magnética de alta resolución han supuesto un avance neurorradiológico hacia una detección precoz de esta enfermedad. Recientemente se ha identificado el RING (really interesting new gene) RNF213, que se considera el factor genético de riesgo más importante conocido hasta ahora en la EMM. Conclusiones. La EMM es una patología rara que afecta de forma predominante a los lóbulos frontales. Los avances genéticos y neurorradiológicos, además de un perfil cognitivo, contribuyen a un diagnóstico y tratamiento tempranos para mejorar la calidad de vida de estos pacientes (AU)

Introduction. Moyamoya disease (MMD) is an occlusive cerebrovascular disease characterized by progressive stenosis or occlusion in the terminal portion of the bilateral internal carotid arteries, affecting both children and adults. Aim. To conduct a review and update on MMD from a clinical, neuroradiological, neuropsychological and genetic perspective. Development. In this pathology, which occurs with ischemia or cerebral hemorrhage, an unusual compensatory vascular network (moyamoya vessels) develops at the base of the brain in the form of collateral channels. MMD can present clinically with hemiparesis, dysarthria, aphasia, headache, seizures, visual deficits, syncopes or changes in personality. At the neuropsychological level, and even in the absence of obvious strokes, patients usually present impairment of attention, memory, behavior and executive functions. High resolution angiography and magnetic resonance imaging have been a neuroradiological advance towards an early detection of this disease. At the genetic level, the RING (really interesting new gene) RNF213 has recently been identified, and it is considered the most important genetic risk factor known up to now in the MMD. Conclusions. MMD is a rare pathology that predominantly affects the frontal lobes. The genetic and neuroradiological advances, in addition to a cognitive profile, contribute to early diagnosis and treatment to improve the quality of life of these patients (AU)

Efectos organizacionales y activacionales de la testosterona sobre la asunción de riesgos en conductas económicas: una revisión sistemática / Organizational and activational effects of testosterone on risk-taking in economical behavior: A systematic review

Resumen El objetivo de esta revisión sistemática es evaluar la influencia de la testosterona circulante (efectos activacionales) y de la exposición prenatal a ella (efectos organizacionales) sobre la asunción de riesgos en conductas económicas, evaluando los trabajos de investigación existentes hasta la fecha acerca de la temática. La base bibliográfica analizada se obtuvo de distintas bases de datos especializadas en el ámbito de la psicología y las neurociencias. Los resultados obtenidos concluyen en una relación contrastada entre la testosterona circulante y la asunción de riesgo financiero. En lo referente a la exposición prenatal se evidencia un estado inmaduro de la investigación sobre la temática, ya que los pocos artículos disponibles difieren en gran medida en cuanto a metodologías y resultados. Se espera que este trabajo sirva como visión general del estado actual de la cuestión tratada, con vistas a unificar las metodologías y tratar de mejorar la calidad de las futuras investigaciones.

Abstract This systematic review undertook to evaluate the influence of circulating testosterone (activational effects) and the pre-natal exposure to this (organisational effects) as regards risk-taking decisions in financial behaviour. An evaluation was also made on the research work to date on this subject. The bibliographic database analysed was obtained from different databases specialised in the field of psychology and neuroscience. The results obtained show a relationship between circulating testosterone and financial risk-taking. As regards prenatal exposure, research on this topic is still in its infancy, since the few articles found widely differ in methodologies and results. It is hoped that this study will serve as an over view of the current state of the topic, in order to unify the methodologies and to try to improve the quality of future research.

Neuropsicología del trastorno de Tourette: cognición, neuroimagen y creatividad / Neuropsychology of Tourette’s disorder: cognition, neuroimaging and creativity

Introducción. El trastorno de Tourette es el resultado de una disfunción cerebral frontoestriatal que afecta a personas de todas las edades, con un inicio en la primera infancia y continuación en la adolescencia y la adultez. Desarrollo. Este artículo revisa los principales aspectos cognitivos, de neuroimagen funcional y estudios relacionados con la creatividad en un trastorno caracterizado por un exceso de dopamina en el cerebro. Conclusiones. Dada la especial configuración cerebral de estos pacientes, deberían esperarse alteraciones neuropsicológicas, especialmente en las funciones ejecutivas. Sin embargo, los hallazgos son poco concluyentes y están condicionados por factores como la comorbilidad con el trastorno por déficit de atención/hiperactividad y el trastorno obsesivo compulsivo, la edad o variables metodológicas. Por otro lado, los estudios de neuroimagen realizados a lo largo de la última década han podido explicar la sintomatología clínica de pacientes con trastorno de Tourette, con especial relevancia del área motora suplementaria y el giro cingulado anterior. Finalmente, a pesar de no existir una relación lineal entre el exceso de dopamina y la creatividad, la literatura científica destaca una asociación entre el trastorno de Tourette y la creatividad musical, lo que podría traducirse en programas de intervención basados en la música (AU)

Introduction. Tourette’s disorder is the result of fronto-striatal brain dysfunction affecting people of all ages, with a debut in early childhood and continuing into adolescence and adulthood. Development. This article reviews the main cognitive, functional neuroimaging and creativity-related studies in a disorder characterized by an excess of dopamine in the brain. Conclusions. Given the special cerebral configuration of these patients, neuropsychological alterations, especially in executive functions, should be expected. However, the findings are inconclusive and are conditioned by factors such as comorbidity with attention deficit hyperactivity disorder and obsessive-compulsive disorder, age or methodological variables. On the other hand, the neuroimaging studies carried out over the last decade have been able to explain the clinical symptoms of Tourette’s disorder patients, with special relevance for the supplementary motor area and the anterior cingulate gyrus. Finally, although there is no linear relationship between excess of dopamine and creativity, the scientific literature emphasizes an association between Tourette’s disorder and musical creativity, which could be translated into intervention programs based on music (AU)

An effective Neurofeedback training, with cortisol correlates, in a clinical case of anxiety / Efectividad de un entrenamiento asistido por Neurofeedback, con correlatos de cortisol, en un caso clínico de ansiedad

Neurofeedback treatments have shown successful results in anxiety disorders. The effectiveness of a betal Neurofeedback protocol was tested in a longitudinal clinical case study. A participant suffering from an anxiety syndrome underwent 10 sessions of Neurofeedback, in a protocol consisting of uptraining the betal rhythm (16-21 Hz) while downtraining the theta (4-8 Hz) band. State anxiety and salivary cortisol levels were measured during each of the 10 sessions following a pre/post design. Initial and final examinations of anxiety symptoms and sustained attention performance were also implemented. The final evaluation revealed that levels of anxiety fell within a normative range and that sustained attention had improved. A t-test for related samples disclosed a significant improvement of beta1 amplitude across the sessions, without modifications in untrained bands. A significant inverse correlation between beta1 amplitude and salivary cortisol was detected, suggesting that brain activity could be considered a marker of anxiety. The validation of the betal Neurofeedback protocol was assessed according to independence, trainability and interpretability criteria. We demonstrate the effectiveness of a neurofeedback protocol on anxiety and sustained attention, the success of which may lie in the reestablishment of an optimal cortical arousal capable of inhibiting elevated amygdalar activity.

El Neurofeedback (NF) ha demostrado exitosos resultados en trastornos de ansiedad. Así pues, la efectividad de un protocolo basado en el entrenamiento del ritmo beta1 ha sido probada en un estudio longitudinal de caso clínico. Una participante con síndrome de ansiedad completó 10 sesiones de NF, cuyo protocolo consistía en la potenciación del ritmo beta1 (16-21 Hz) e inhibición del ritmo theta (4-8 Hz). Los niveles de ansiedad-estado y cortisol fueron registrados durante las 10 sesiones de acuerdo a un diseño pre/post. Se realizaron evaluaciones iniciales y finales de sintomatología ansiosa y rendimiento en atención sostenida. La evaluación final evidenció que los niveles de ansiedad volvieron a situarse en el rango normativo y la atención sostenida mostró importantes mejoras. Una prueba t para muestras relacionadas reveló un aumento significativo de la amplitud de beta1 entre sesiones sin cambios en ritmos no entrenados. Se evidenció una correlación significativa negativa entre la amplitud de betal y niveles de cortisol, sugiriendo que la actividad cerebral podría considerarse como posible marcador de ansiedad. La validación del protocolo se evaluó de acuerdo a criterios de independiencia, entrenabilidad e interpretabilidad. Se mostró la efectividad de un protocolo de NF sobre sintomatología ansiosa y atención sostenida, cuyo éxito residiría en el restablecimiento del arousal cortical óptimo capaz de inhibir la elevada actividad de la amígdala.

Testing the Benefits of Neurofeedback on Selective Attention Measured Through Dichotic Listening.

The electrophysiological changes after a single session of neurofeedback training (↑SMR/↓Theta) and its effects on executive attention during a dichotic listening test with forced attentional procedures were measured in a sample of 20 healthy women. A pre-post moment test double blind design, with the inclusion of a group receiving sham neurofeedback, allowed for minimization of alien influences. The interaction of Moment × Group was significant, indicating an enhancement of SMR band after the real neurofeedback. The dichotic listening scores were correlated with the amplitude of Beta band in baseline conditions. The performance on the forced left attentional condition in dichotic listening was significantly improved and correlated positively with the post-training enhancement of the SMR band. The sham neurofeedback group also improved DL scores, so a clear affirmation about the benefits of neurofeedback training over cognitive performance could not be unambiguously established. It is concluded that the protocol showed a good independence and acceptable trainability in modifying the EEG results, but there was limited interpretability regarding cognitive outcomes.

Deceit and facial expression in children: the enabling role of the "poker face" child and the dependent personality of the detector.

This study presents the relation between the facial expression of a group of children when they told a lie and the accuracy in detecting the lie by a sample of adults. To evaluate the intensity and type of emotional content of the children's faces, we applied an automated method capable of analyzing the facial information from the video recordings (FaceReader 5.0 software). The program classified videos as showing a neutral facial expression or an emotional one. There was a significant higher mean of hits for the emotional than for the neutral videos, and a significant negative correlation between the intensity of the neutral expression and the number of hits from the detectors. The lies expressed with emotional facial expression were more easily recognized by adults than the lies expressed with a "poker face"; thus, the less expressive the child the harder it was to guess. The accuracy of the lie detectors was then correlated with their subclinical traits of personality disorders, to find that participants scoring higher in the dependent personality were significantly better lie detectors. A non-significant tendency for women to discriminate better was also found, whereas men tended to be more suspicious than women when judging the children's veracity. This study is the first to automatically decode the facial information of the lying child and relate these results with personality characteristics of the lie detectors in the context of deceptive behavior research. Implications for forensic psychology were suggested: to explore whether the induction of an emotion in a child during an interview could be useful to evaluate the testimony during legal trials.

Effects of assisted training with neurofeedback on EEG measures, executive function and mood in a healthy sample / Efectos del entrenamiento asistido con neurofeedback sobre el EEG, los procesos de función ejecutiva y el estado de ánimo en una muestra de población normal

The training in neurofeedback (NF) consists of teaching individuals to modify, adjust and enhance their brain activity pattern. The aim of our research was to evaluate the effect of training on cognitive processes, specifically executive function, and mood in a non-clinical sample. A sample of30 female college students were assigned to three groups: HD: right hemisphere(n = 10), HI: left hemisphere (n = 10) and control (n = 10). The dominance pattern of beta and the inhibition of the theta pattern were trained in a single session. Measures of executive function (Iowa GamblingTest) and questionnaires of mood were taken pre and post training. We found that NF training produced significant positive changes in executive performance in the HD group. In the EEG a tendency to improve beta rhythm after the training emerged too. Additionally, significant correlations were found between executive performance and negative mood in relation to theta frequency band. We conclude that the protocol seems effective to enhance some aspects of executive function as well as to decrease theta power improves the negative mood

El entrenamiento en neurofeedback (NF) consiste en enseñar a los individuos a modificar, regular y potenciar su patrón de actividad cerebral. El objetivo de nuestra investigación fue evaluar el efecto del entrenamiento sobre los procesos cognitivos de función ejecutiva y sobre el afecto en una muestra de población normal. Se seleccionó una muestra de 30 mujeres estudiantes universitarias, asignadas a tres grupos: HD: hemisferio derecho (n=10), HI: hemisferio izquierdo (n=10) y control (n=10). Se entrenó durante una sola sesión el predominio del patrón beta y la inhibición del patrón theta y se realizó una evaluación pre y post-entrenamiento de la función ejecutiva (Iowa Gambling Test) y del afecto (cuestionarios PANAS y POMS). Se encontró que el entrenamiento en NF produjo cambios positivos significativos en el rendimiento ejecutivo en el grupo HD. En relación con el EEG, se encontró una tendencia al cambio tras el entrenamiento de ondas beta. Se encontraron correlaciones entre el rendimiento ejecutivo y el afecto negativo, y la banda de frecuencia theta. Se concluye que el protocolo resulta efectivo para potenciar aspectos de la función ejecutiva y que la disminución de ondas theta favorece la disminución del afecto negativo

Abnormal synchrony and effective connectivity in patients with schizophrenia and auditory hallucinations.

Auditory hallucinations (AH) are the most frequent positive symptoms in patients with schizophrenia. Hallucinations have been related to emotional processing disturbances, altered functional connectivity and effective connectivity deficits. Previously, we observed that, compared to healthy controls, the limbic network responses of patients with auditory hallucinations differed when the subjects were listening to emotionally charged words. We aimed to compare the synchrony patterns and effective connectivity of task-related networks between schizophrenia patients with and without AH and healthy controls. Schizophrenia patients with AH (n = 27) and without AH (n = 14) were compared with healthy participants (n = 31). We examined functional connectivity by analyzing correlations and cross-correlations among previously detected independent component analysis time courses. Granger causality was used to infer the information flow direction in the brain regions. The results demonstrate that the patterns of cortico-cortical functional synchrony differentiated the patients with AH from the patients without AH and from the healthy participants. Additionally, Granger-causal relationships between the networks clearly differentiated the groups. In the patients with AH, the principal causal source was an occipital-cerebellar component, versus a temporal component in the patients without AH and the healthy controls. These data indicate that an anomalous process of neural connectivity exists when patients with AH process emotional auditory stimuli. Additionally, a central role is suggested for the cerebellum in processing emotional stimuli in patients with persistent AH.

The sad, the angry, and the asymmetrical brain: dichotic listening studies of negative affect and depression.

Dichotic Listening (DL) is a valuable tool to study emotional brain lateralization. Regarding the perception of sadness and anger through affective prosody, the main finding has been a left ear advantage (LEA) for the sad but contradictory data for the anger prosody. Regarding an induced mood in the laboratory, its consequences upon DL were a diminished right ear advantage (REA) for the induction of sadness and an increased REA for the induction of anger. The global results fit with the approach-withdrawal motivational model of emotional processing, pointing to sadness as a right hemisphere emotion but anger processed bilaterally or even in the left hemisphere, depending on the subject's preferred mode of expression. On the other hand, the study of DL in clinically depressed patients found an abnormally larger REA in verbal DL tasks which was predictive of therapeutic pharmacological response. However, the mobilization of the available left hemisphere resources in these responders (reflected in a higher REA) would indicate a remission of the episode but would not assure the absence of new relapses.

What happens when we get angry? Hormonal, cardiovascular and asymmetrical brain responses.

This study aimed to evaluate neuroendocrine and cardiovascular responses together with changes in brain asymmetry following an anger mood induction laboratory task. Previous research has shown an increase in heart rate and blood pressure when anger is experienced. Increased testosterone and decreased cortisol in response to anger and aggressive behavior have also been reported. With regard to asymmetrical frontal brain activity and emotion, the valence model links negative affect (as anger) to the right hemisphere while the motivational direction model links approach-related emotions (as anger) to the left hemisphere. From the subjective perception and from the neuroendocrine and cardiovascular response of the subjects, we can conclude that the self-referent statement anger induction method by Engebretson et al. (1999) was able to generate an experience of an anger affect in 30 healthy men. Another question was to analyze the consequences of that experience upon perceptual asymmetry when measured with a non-emotional laterality task. Regarding dichotic listening, an enhanced REA (right ear advantage) was observed after anger which indicates greater left hemisphere activity, supporting the motivational direction model.

Corpus callosum function in verbal dichotic listening: inferences from a longitudinal follow-up of Relapsing-Remitting Multiple Sclerosis patients.

This study conducted a follow-up of 13 early-onset slightly disabled Relapsing-Remitting Multiple Sclerosis (RRMS) patients within an year, evaluating both CC area measurements in a midsagittal Magnetic Resonance (MR) image, and Dichotic Listening (DL) testing with stop consonant vowel (C-V) syllables. Patients showed a significant progressive loss of posterior CC areas (isthmus and splenium) related to increasing EDSS scores and an enhancing right ear advantage (REA) over time. A significant correlation between posterior CC areas and DL scores emerged in both evaluations, being negative for the right and positive for the left ear. The pattern of correlations suggests that the CC can serve an inhibitory and also excitatory influence on the contralateral hemisphere when studying the phonological processing of language. STATEMENT OF SIGNIFICANCE TO THE NEUROSCIENCE OF LANGUAGE: The scope of the manuscript is language lateralization. The task used in the experiment is a verbal dichotic listening task, tapping the most basic phonological aspects of language. Finally, the available research is scarce when focusing on the interhemispheric excitation or inhibition of the corpus callosum in linguistic functioning.

A comparison of the effects for sustained versus shifted attention on dichotic listening performance.

We measured the effect of two types of directed attention instructions, sustained by a verbal cue or shifted by a tone cue with different time intervals (150, 450, and 750 ms), on a consonant-vowel dichotic listening (C-V DL) test for a large group of right- and left-handed participants of both sexes. An increasing of the hits and a decreasing of the intrusions from the baseline DL test scores was evident for both types of attentional manipulations, with no differences regarding sex or handedness. Increasing the time from 150 to 450 ms benefited the focusing of attention but this advantage was markedly attenuated at the longer 750-ms interval. The improving effect was seen for the hits of both the left and right ears and so a right ear advantage was evident for the three time intervals.

Increased cortisol and decreased right ear advantage (REA) in dichotic listening following a negative mood induction.

This study aimed to evaluate neuroendocrine responses and changes in perceptual asymmetry following an induced negative affect. Cortisol increasing in response to negative affect has been reported, while current brain models of emotion processing link negative affect to the right hemisphere. In this study, the Velten Mood Induction Procedure was used to generate neutral or negative affect in 44 healthy subjects. The PANAS scales were used to assess self-reported mood. A consonant-vowel dichotic listening (DL) test was applied after the neutral and negative affect inductions, and levels of salivary cortisol were determined by radioimmunoassay. For the negative affect condition, and congruent with the hypothesis tested, PANAS positive scores diminished (p<0.001) and PANAS negative scores increased (p<0.001), yielding an inverse correlation between them. A significant increase in cortisol levels was also seen (p<0.04). When taking cortisol reactivity into account, PANAS negative scores were higher for high-than for low-cortisol responders (p<0.02). Regarding DL, an increase in left ear items (p<0.04) and a decrease in right ear items (p<0.03) reported for those subjects who obtained a right ear advantage in the neutral condition. An explanation in terms of Kinsbourne's model for attentional-activation influences on DL is postulated and implications for the issue of affective illness are also discussed.

Spectroscopic axonal damage of the right locus coeruleus relates to selective attention impairment in early stage relapsing-remitting multiple sclerosis.

Lower levels of N-acetylaspartate (NAA), a marker of axonal damage, have been found in the normal-appearing white matter (NAWM) of relapsing-remitting multiple sclerosis (RRMS) patients with low physical disability. However, its relation to the clinical status of these patients remains unclear. We explored the association between NAA levels [normalized to creatine (Cr), NAA/Cr] and a cognitive feature that is not measured by the standard scales that address functional disability [e.g. Expanded Disability Scale Score (EDSS)] in early RRMS. Given that a considerable number of RRMS patients present attentional dysfunction early in the disease and assuming a functional-anatomical oriented guide, it was hypothesized that patients with worse attentional performance would show lower NAWM NAA/Cr values in the locus coeruleus nuclei of the pontine ascendant reticular activating system. Proton magnetic resonance spectroscopy (1H-MRS) examinations with concurrent clinical evaluation were acquired for 19 RRMS patients with a mean evolution time of 24 months (range 10-60) and mild disability (EDSS 0-3.5, median = 1). 1H-MRS was obtained with spectroscopic imaging and measures were taken from the right and left hemipons. Attention was measured by means of the dichotic listening (DL) paradigm to increase the sensitivity of the testing to subtle attentional deficits. A consonant-vowel DL test was measured with and without attentional instructions. For the attentional condition, the test was digitally manipulated to cue automatically to the ear to be attended, thus allowing the obtention of both a linguistic lateralization index (LI) and an index of integrity of attentional shifts (ASI). Attentional impairment was demonstrated in 47.3% of the patients. Pontine NAA/Cr levels accounted for 39% of the ASI variability (beta = 0.65, P < 0.002) but did not relate to the LI. Moreover, when NAA/Cr levels were considered separately as left and right hemipons values in a multivariate stepwise linear regression model, the right NAA/Cr ratio alone explained 43% of the ASI variability (beta = 0.68, P < 0.001). Since the RRMS patients with greater attentional disturbances exhibited the lowest NAA/Cr levels, it is concluded that NAA provides a specific measure of pathological changes that are also relevant for cognitive functions. The use of both 1H-MRS and DL showed the connection between axonal damage at right locus coeruleus and auditive selective attention dysfunction in early-stage RRMS.