Group Changes in Cortisol and Heart Rate Variability of Children with Down Syndrome and Children with Autism Spectrum Disorder during Dog-Assisted Therapy.

Dog-assisted therapy is hypothesized to lower stress in children with autism spectrum disorder (ASD) and children with Down syndrome (DS), which may be visible on a physiological level. In this study, we measured heart rate variability (HRV) and salivary cortisol of 20 children with DS or ASD at the beginning and end of six weekly sessions of dog-assisted therapy. We found a decrease of cortisol levels during single sessions, but no overall effect after six sessions (six weeks). The effect of dog-assisted therapy on the increase of HRV could not be confirmed. This study is one of the first to use physiological measurements to test the effects of DAT.

Behavioral effects of neurofeedback in adolescents with ADHD: a randomized controlled trial.

Neurofeedback has been proposed as a potentially effective intervention for reducing Attention Deficit Hyperactivity Disorder (ADHD) symptoms. However, it remains unclear whether neurofeedback is of additional value to treatment as usual (TAU) for adolescents with clinical ADHD symptoms. Using a multicenter parallel-randomized controlled trial design, adolescents with ADHD symptoms were randomized to receive either a combination of TAU and neurofeedback (NFB + TAU, n = 45) or TAU-only (n = 26). Randomization was computer generated and stratified for age group (ages 12 through 16, 16 through 20, 20 through 24). Neurofeedback treatment consisted of approximately 37 sessions of theta/sensorimotor rhythm (SMR)-training on the vertex (Cz). Primary behavioral outcome measures included the ADHD-rating scale, Youth Self Report, and Child Behavior Checklist all assessed pre- and post-intervention. Behavioral problems decreased equally for both groups with medium to large effect sizes, range of partial η2 = 0.08-0.31, p < 0.05. Hence, the combination of NFB + TAU was not more effective than TAU-only on the behavioral outcome measures. In addition, reported adverse effects were similar for both groups. On behavioral outcome measures, the combination of neurofeedback and TAU was as effective as TAU-only for adolescents with ADHD symptoms. Considering the absence of additional behavioral effects in the current study, in combination with the limited knowledge of specific treatment effects, it is questionable whether theta/SMR neurofeedback for adolescents with ADHD and comorbid disorders in clinical practice should be used. Further research is warranted to investigate possible working mechanisms and (long-term) specific treatment effects of neurofeedback.

The Body Action Coding System II: muscle activations during the perception and expression of emotion.

Research into the expression and perception of emotions has mostly focused on facial expressions. Recently, body postures have become increasingly important in research, but knowledge on muscle activity during the perception or expression of emotion is lacking. The current study continues the development of a Body Action Coding System (BACS), which was initiated in a previous study, and described the involvement of muscles in the neck, shoulders and arms during expression of fear and anger. The current study expands the BACS by assessing the activity patterns of three additional muscles. Surface electromyography of muscles in the neck (upper trapezius descendens), forearms (extensor carpi ulnaris), lower back (erector spinae longissimus) and calves (peroneus longus) were measured during active expression and passive viewing of fearful and angry body expressions. The muscles in the forearm were strongly active for anger expression and to a lesser extent for fear expression. In contrast, muscles in the calves were recruited slightly more for fearful expressions. It was also found that muscles automatically responded to the perception of emotion, without any overt movement. The observer's forearms responded to the perception of fear, while the muscles used for leaning backwards were activated when faced with an angry adversary. Lastly, the calf responded immediately when a fearful person was seen, but responded slower to anger. There is increasing interest in developing systems that are able to create or recognize emotional body language for the development of avatars, robots, and online environments. To that end, multiple coding systems have been developed that can either interpret or create bodily expressions based on static postures, motion capture data or videos. However, the BACS is the first coding system based on muscle activity.

Development of response activation and inhibition in a selective stop-signal task.

To gain more insight into the development of action control, the current brain potential study examined response selection, activation, and selective inhibition during choice- and stop-signal processing in three age groups (8-, 12-, and 21-year-olds). Results revealed that age groups differed in the implementation of proactive control; children slowed their go response and showed reduced cortical motor output compared to adults. On failed inhibition trials, children were less able than adults to suppress muscle output resulting in increased partial-inhibition rates. On invalid stop trials, all age groups initially activated, subsequently inhibited, and then reactivated the go response. Yet, children were less efficient in implementing this strategy. Then, older children recruit motor responses to a greater extent than younger children and adults, which reduced the efficiency of implementing response inhibition and proactive control. The results are discussed in relation to current notions of developmental change in proactive and reactive action control.

Neurocognitive effects of neurofeedback in adolescents with ADHD: a randomized controlled trial.

OBJECTIVE: Neurofeedback aims to reduce symptoms of attention-deficit/hyperactivity disorder (ADHD), mainly attention problems. However, the additional influence of neurofeedback over treatment as usual (TAU) on neurocognitive functioning for adolescents with ADHD remains unclear. METHOD: By using a multicenter parallel randomized controlled trial (RCT) design, male adolescents with a DSM-IV-TR diagnosis of ADHD (mean age = 16.1 years; range, 12-24) were randomized to receive either a combination of TAU and neurofeedback (n = 45) or TAU (n = 26). Randomization was computer generated and stratified by age group (ages 12 through 15, 16 through 20, and 21 through 24 years). The neurofeedback intervention consisted of approximately 37 sessions over a period of 25 weeks of theta/sensorimotor rhythm training on the vertex (Cz). Primary neurocognitive outcomes included performance parameters derived from the D2 Test of Attention, the Digit Span backward, the Stroop Color-Word Test and the Tower of London, all assessed preintervention and postintervention. Data were collected between December 2009 and July 2012. RESULTS: At postintervention, outcomes of attention and/or motor speed were improved, with faster processing times for both intervention conditions and with medium to large effect sizes (range, ηp2 = .08-.54; P values < .023). In both groups, no improvements for higher executive functions were observed. Results might partly resemble practice effects. CONCLUSIONS: Although neurocognitive outcomes improved in all adolescents receiving treatment for ADHD, no additional value for neurofeedback over TAU was observed. Hence, this study does not provide evidence for using theta/sensorimotor rhythm neurofeedback to enhance neurocognitive performance as additional intervention to TAU for adolescents with ADHD symptoms. TRIAL REGISTRATION: Trialregister.nl identifier: 1759.

Feasibility of eyes open alpha power training for mental enhancement in elite gymnasts.

This study focuses on a novel, easy to use and instruction-less method for mental training in athletes. Previous findings suggest that particular mental capacities are needed for achieving peak performance; including attentional control, focus, relaxation and positive affect. Electroencephalography (EEG) alpha brain activity has been associated with neural inhibition during processes of selective attention, for improving efficiency in information processing. Here we hypothesised that eyes open alpha power training by music teaches athletes to (1) learn to self-regulate their brain activity, and (2) learn to increase their baseline alpha power, herewith improving mental capacities such as focusing the allocation of attention. The study was double-blind and placebo-controlled. Twelve elite gymnasts were either given eyes open alpha power training or random beta power training (controls). Results indicate small improvements in sleep quality, mental and physical shape. In our first attempt at getting a grip on mental capacities in athletes, we think this novel training method can be promising. Because gymnastics is one of the most mentally demanding sports, we value even small benefits for the athlete and consider them indicative for future research.

The Body Action Coding System I: muscle activations during the perception and expression of emotion.

Body postures provide clear signals about emotional expressions, but so far it is not clear what muscle patterns are associated with specific emotions. This study lays the groundwork for a Body Action Coding System by investigating what combinations of muscles are used for emotional bodily expressions and assessing whether these muscles also automatically respond to the perception of emotional behavior. Surface electromyography of muscles in the arms (biceps and triceps) and shoulders (upper trapezius and deltoids) were measured during both active expression and passive viewing of fearful and angry bodily expressions. The biceps, deltoids, and triceps are recruited strongly for the expression of anger and fear expression predominantly depends on the biceps and the deltoids. During passive viewing, all muscles automatically activate during the passive viewing of anger. During fear perception, a clear activation can be seen in the trapezius, deltoid, and triceps muscles, whereas the biceps shows inhibition. In conclusion, this study provides more insight into the perception and expression of emotions in the body.

Repeated measurements of the auditory oddball paradigm is related to recovery from the vegetative state.

The auditory oddball response has been found to be of predictive value for neurologic outcome at the early stages of coma. In the present study, the auditory oddball response was examined longitudinally during the recovery from the vegetative state to consciousness. This response was repeatedly examined every 2 weeks for an average period of 3.5 months in severely brain-injured patients. Results showed that amplitude of the auditory oddball response was unrelated to the behavioral changes during the patients' recovery from the vegetative state to consciousness. However, the presence and size of a negative potential at about 350 milliseconds predicted behavioral outcome, both for the short and long term (2 to 3 years after injury). Practical and theoretical implications of these findings are discussed.

The time-course of alpha neurofeedback training effects in healthy participants.

The time-course of alpha neurofeedback training (NFT) was investigated in 18 healthy participants who received 15 sessions of training (eyes open), each consisting of three training periods (data are from Van Boxtel et al., 2012). Here we report on the within- and between-session training effects using multilevel analyses. Over sessions, total alpha power (8-12 Hz) increased up to the tenth session, after which low alpha power (8-10 Hz) remained at the same level, while high alpha power (10-12 Hz) decreased. Within each training session, total alpha power increased from the first to the second period, and then decreased again. This decrease, however, was caused by a decrease in high alpha power only; low alpha power remained up to the end of training. These effects are discussed in terms of attention and motivation, and suggest different trainability for low and high alpha power.

Temporal dynamics of interference in Simon and Eriksen tasks considered within the context of a dual-process model.

Behavioral and brain potential measures were employed to compare interference in Eriksen and Simon tasks. Assuming a dual-process model of interference elicited in speeded response tasks, we hypothesized that only lateralized stimuli in the Simon task induce fast S-R priming via direct unconditional processes, while Eriksen interference effects are induced later via indirect conditional processes. Delays to responses for incongruent trials were indeed larger in the Eriksen than in the Simon task. Only lateralized stimuli in the Simon task elicited early S-R priming, maximal at parietal areas. Incongruent flankers in the Eriksen task elicited interference later, visible as a lateralized N2. Eriksen interference also elicited an additional component (N350), which accounted for the larger behavioral interference effects in the Eriksen task. The findings suggest that interference and its resolution involve different processes for Simon and Eriksen tasks.

Mindfulness-based stress reduction and physiological activity during acute stress: a randomized controlled trial.

OBJECTIVE: The aim was to examine the effects of a Mindfulness-Based Stress Reduction (MBSR) intervention on cardiovascular and cortisol activity during acute stress. METHOD: Eighty-eight healthy community-dwelling individuals reporting elevated stress levels were randomly assigned to the MBSR protocol or a waitlist control group. Before and after the intervention period they participated in a laboratory stress protocol consisting of mental arithmetic and speech tasks. Laboratory measurements included continuous cardiovascular parameters (heart period, heart rate variability, and systolic and diastolic blood pressure [SBP and DBP]), and salivary cortisol. RESULTS: Compared to the control group and controlling for age, sex, body mass index, and beta-blockers, the MBSR group showed larger pre- to postintervention decreases in overall SBP (F(1, 58) = 4.99, p = .029, partial η² = .08) and DBP (F(1, 58) = 11.09, p = .002, partial η² = .16). In addition, the MBSR group exhibited smaller SBP and DBP stress-related changes from pre- to postintervention (F(2, 116) = 4.89, p = .012, partial η² = .08; F(2, 116) = 6.07, p = .007, partial η² = .10, respectively). No effects were obtained on other physiological measures. CONCLUSION: MBSR may help reducing blood pressure levels and blood pressure reactivity to stress.

Proactive and reactive control in S-R compatibility: a brain potential analysis.

We investigated how proactive and reactive control facilitates performance in mixed stimulus-response compatibility (SRC) tasks. SRC effects were eliminated in mixed tasks and reversed following incompatible trials. In mixed tasks, early preferential response activation was present in stimulus-locked lateralized readiness potentials (LRPs) but reduced following incompatible trials. In event-related potentials (ERPs), stimulus-locked N2 was enhanced in all mixed trials but was not significantly influenced by the preceding trial. A response-locked fronto-central negative component (N-120), peaking just before the response, was largest for mixed compatible trials preceded by incompatible trials. This N-120 was paired with an enhancement to the peak of the response-locked LRP. Proactive control is involved in selection of an S-R mapping via the indirect route of a dual-route model. Reactive control corrects the S-R mapping, particularly when alternating between S-R mappings.

Lifespan changes in motor activation and inhibition during choice reactions: a Laplacian ERP study.

Response speed improves from childhood to early adulthood and declines steadily with advancing age. The present event-related brain potential (ERP) study explored the contribution of the primary motor cortex (M1) to lifespan changes in response speed and accuracy using a choice reaction time (RT) task. Two groups of children (8 and 12 years) and two groups of adults (21 and 76 years) responded to left- or right-pointing arrows. RTs showed a typical U-shaped lifespan pattern. RT was segmented into pre-selection time, pre-motor time, and motor time by using the onset of the central motor command (i.e., LRP, and the negative Laplacian potential) and the onset of response-related EMG. Pre-motor time was most sensitive to age-related change. In addition, the positive Laplacian potential, assumed to be associated with inhibition of the incorrect response alternative, was absent in children. In adults, the onset of the ipsilateral positivity started before the onset of the contralateral negativity but in elderly the onsets occurred approximately at the same time. This pattern of findings is consistent with the observed differences in choice error rates between age groups. Taken together, the lifespan changes in motor potentials point to suboptimal motor response control in children and the elderly compared to young adults.

A novel self-guided approach to alpha activity training.

Fifty healthy participants took part in a double-blind placebo-controlled study in which they were either given auditory alpha activity (8-12Hz) training (N=18), random beta training (N=12), or no training at all (N=20). A novel wireless electrode system was used for training without instructions, involving water-based electrodes mounted in an audio headset. Training was applied approximately at central electrodes. Post-training measurement using a conventional full-cap EEG system revealed a 10% increase in alpha activity at posterior sites compared to pre-training levels, when using the conventional index of alpha activity and a non-linear regression fit intended to model individual alpha frequency. This statistically significant increase was present only in the group that received the alpha training, and remained evident at a 3 month follow-up session, especially under eyes open conditions where an additional 10% increase was found. In an exit interview, approximately twice as many participants in the alpha training group (53%) mentioned that the training was relaxing, compared to those in either the beta (20%) or no training (21%) control groups. Behavioural measures of stress and relaxation were indicative of effects of alpha activity training but failed to reach statistical significance. These results are discussed in terms of a lack of statistical power. Overall, results suggest that self-guided alpha activity training using this novel system is feasible and represents a step forward in the ease of instrumental conditioning of brain rhythms.

Lifespan changes in global and selective stopping and performance adjustments.

This study examined stopping and performance adjustments in four age groups (M ages: 8, 12, 21, and 76 years). All participants performed on three tasks, a standard two-choice task and the same task in which stop-signal trials were inserted requiring either the suppression of the response activated by the choice stimulus (global stop task) or the suppression of the response when one stop-signal was presented but not when the other stop-signal occurred (selective stop task). The results showed that global stopping was faster than selective stopping in all age groups. Global stopping matured more rapidly than selective stopping. The developmental gain in stopping was considerably more pronounced compared to the loss observed during senescence. All age groups slowed the response on trials without a stop-signal in the stop task compared to trials in the choice task, the elderly in particular. In addition, all age groups slowed on trials following stop-signal trials, except the elderly who did not slow following successful inhibits. By contrast, the slowing following failed inhibits was disproportionally larger in the elderly compared to young adults. Finally, sequential effects did not alter the pattern of performance adjustments. The results were interpreted in terms of developmental change in the balance between proactive and reactive control.

Waiting to perceive: reward or punishment?

Neurobiological accounts of the dopaminergic reward system and psychophysiological explanations of the error-related negativity (ERN) both emphasize the comparison of expected versus actual outcome for voluntary actions. The stimulus-preceding negativity (SPN) constitutes a valuable index of that expectation, in that it has high temporal resolution and its anatomical, cognitive and affective correlates have been reasonably well characterized. This review links established findings regarding the SPN to current research on the dorsal and ventral attention systems, somatic marker hypothesis, ERN, the reward system and relevant neurological and psychiatric findings. Special emphasis is given to the pre-feedback SPN and its origin within anterior insular cortex.

Processing of global and selective stop signals: application of Donders' subtraction method to stop-signal task performance.

This paper applied Donders' subtraction method to examine the processing of global and selective stop signals in the stop-signal paradigm. Participants performed on three different versions of the stop task: a global task and two selective tasks. A global task required participants to inhibit their response to a go signal whenever a stop signal was presented (Stop-a task). A selective stop task required participants to inhibit to one stop signal but not to the other (Stop-c task). Another selective stop task required them to inhibit when the response indicated by go and stop signals was the same but not when they were different (Stop-b task). Stop-signal reaction time (SSRT) was shortest for Stop-a and longest for Stop-b, with intermediate values for the Stop-c task. Additional control experiments that manipulated stop probability confirmed the robustness of global and selective stopping latencies even when the stop-signal probability varied. The current findings contribute to the conclusion that Donders' subtraction method provides a useful tool for estimating the durations of subprocesses that together comprise SSRT.