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1.
Cell ; 161(6): 1243-4, 2015 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-26046432

RESUMO

Cost-benefit analysis in decision making takes place in everyday life for animals and humans alike. In this issue, a neural circuit specific for modulating these behaviors is identified in rats and reveals elusive functional distinctions between long-mysterious anatomical features of the brain.


Assuntos
Comportamento de Escolha , Conflito Psicológico , Tomada de Decisões , Córtex Pré-Frontal/fisiologia , Animais
2.
Cell ; 161(6): 1320-33, 2015 Jun 04.
Artigo em Inglês | MEDLINE | ID: mdl-26027737

RESUMO

A striking neurochemical form of compartmentalization has been found in the striatum of humans and other species, dividing it into striosomes and matrix. The function of this organization has been unclear, but the anatomical connections of striosomes indicate their relation to emotion-related brain regions, including the medial prefrontal cortex. We capitalized on this fact by combining pathway-specific optogenetics and electrophysiology in behaving rats to search for selective functions of striosomes. We demonstrate that a medial prefronto-striosomal circuit is selectively active in and causally necessary for cost-benefit decision-making under approach-avoidance conflict conditions known to evoke anxiety in humans. We show that this circuit has unique dynamic properties likely reflecting striatal interneuron function. These findings demonstrate that cognitive and emotion-related functions are, like sensory-motor processing, subject to encoding within compartmentally organized representations in the forebrain and suggest that striosome-targeting corticostriatal circuits can underlie neural processing of decisions fundamental for survival.


Assuntos
Comportamento de Escolha , Conflito Psicológico , Tomada de Decisões , Córtex Pré-Frontal/fisiologia , Animais , Núcleo Caudado/citologia , Núcleo Caudado/fisiologia , Meio Ambiente , Giro do Cíngulo/citologia , Giro do Cíngulo/fisiologia , Aprendizagem em Labirinto , Córtex Pré-Frontal/citologia , Ratos
3.
J Neurosci ; 44(41)2024 Oct 09.
Artigo em Inglês | MEDLINE | ID: mdl-39214705

RESUMO

As evidence mounts that the cardiac-sympathetic nervous system reacts to challenging cognitive settings, we ask if these responses are epiphenomenal companions or if there is evidence suggesting a more intertwined role of this system with cognitive function. Healthy male and female human participants performed an approach-avoidance paradigm, trading off monetary reward for painful electric shock, while we recorded simultaneous electroencephalographic and cardiac-sympathetic signals. Participants were reward sensitive but also experienced approach-avoidance "conflict" when the subjective appeal of the reward was near equivalent to the revulsion of the cost. Drift-diffusion model parameters suggested that participants managed conflict in part by integrating larger volumes of evidence into choices (wider decision boundaries). Late alpha-band (neural) dynamics were consistent with widening decision boundaries serving to combat reward sensitivity and spread attention more fairly to all dimensions of available information. Independently, wider boundaries were also associated with cardiac "contractility" (an index of sympathetically mediated positive inotropy). We also saw evidence of conflict-specific "collaboration" between the neural and cardiac-sympathetic signals. In states of high conflict, the alignment (i.e., product) of alpha dynamics and contractility were associated with a further widening of the boundary, independent of either signal's singular association. Cross-trial coherence analyses provided additional evidence that the autonomic systems controlling cardiac-sympathetics might influence the assessment of information streams during conflict by disrupting or overriding reward processing. We conclude that cardiac-sympathetic control might play a critical role, in collaboration with cognitive processes, during the approach-avoidance conflict in humans.


Assuntos
Ritmo alfa , Conflito Psicológico , Humanos , Masculino , Feminino , Ritmo alfa/fisiologia , Adulto , Adulto Jovem , Aprendizagem da Esquiva/fisiologia , Recompensa , Eletroencefalografia , Contração Miocárdica/fisiologia , Sistema Nervoso Simpático/fisiologia , Coração/fisiologia , Frequência Cardíaca/fisiologia
4.
J Neurosci ; 44(33)2024 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-38955488

RESUMO

Adaptive behaviors require the ability to resolve conflicting information caused by the processing of incompatible sensory inputs. Prominent theories of attention have posited that early selective attention helps mitigate cognitive interference caused by conflicting sensory information by facilitating the processing of task-relevant sensory inputs and filtering out behaviorally irrelevant information. Surprisingly, many recent studies that investigated the role of early selective attention on conflict mitigation have failed to provide positive evidence. Here, we examined changes in the selectivity of early visuospatial attention in male and female human subjects performing an attention-cueing Eriksen flanker task, where they discriminated the shape of a visual target surrounded by congruent or incongruent distractors. We used the inverted encoding model to reconstruct spatial representations of visual selective attention from the topographical patterns of amplitude modulations in alpha band oscillations in scalp EEG (∼8-12 Hz). We found that the fidelity of the alpha-based spatial reconstruction was significantly higher in the incongruent compared with the congruent condition. Importantly, these conflict-related modulations in the reconstruction fidelity occurred at a much earlier time window than those of the lateralized posterior event-related potentials associated with target selection and distractor suppression processes, as well as conflict-related modulations in the frontocentral negative-going wave and midline-frontal theta oscillations (∼3-7 Hz), thought to track executive control functions. Taken together, our data suggest that conflict resolution is supported by the cascade of neural processes underlying early selective visuospatial attention and frontal executive functions that unfold over time.


Assuntos
Atenção , Percepção Espacial , Percepção Visual , Humanos , Masculino , Feminino , Atenção/fisiologia , Adulto Jovem , Adulto , Percepção Espacial/fisiologia , Percepção Visual/fisiologia , Eletroencefalografia , Estimulação Luminosa/métodos , Conflito Psicológico , Sinais (Psicologia) , Potenciais Evocados/fisiologia
5.
J Neurosci ; 44(23)2024 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-38631914

RESUMO

Foraging decisions involve assessing potential risks and prioritizing food sources, which can be challenging when confronted with changing and conflicting circumstances. A crucial aspect of this decision-making process is the ability to actively overcome defensive reactions to threats and focus on achieving specific goals. The ventral pallidum (VP) and basolateral amygdala (BLA) are two brain regions that play key roles in regulating behavior motivated by either rewards or threats. However, it is unclear whether these regions are necessary in decision-making processes involving competing motivational drives during conflict. Our aim was to investigate the requirements of the VP and BLA for foraging choices in conflicts involving overcoming defensive responses. Here, we used a novel foraging task and pharmacological techniques to inactivate either the VP or BLA or to disconnect these brain regions before conducting a conflict test in male rats. Our findings showed that BLA is necessary for making risky choices during conflicts, whereas VP is necessary for invigorating the drive to obtain food, regardless of the presence of conflict. Importantly, our research revealed that the connection between VP and BLA is critical in controlling risky food-seeking choices during conflict situations. This study provides a new perspective on the collaborative function of VP and BLA in driving behavior, aimed at achieving goals in the face of dangers.


Assuntos
Tonsila do Cerebelo , Prosencéfalo Basal , Recompensa , Animais , Masculino , Ratos , Prosencéfalo Basal/fisiologia , Tonsila do Cerebelo/fisiologia , Conflito Psicológico , Complexo Nuclear Basolateral da Amígdala/fisiologia , Assunção de Riscos , Ratos Long-Evans , Comportamento Alimentar/fisiologia , Medo/fisiologia
6.
J Neurosci ; 44(19)2024 May 08.
Artigo em Inglês | MEDLINE | ID: mdl-38508711

RESUMO

In the study of bodily awareness, the predictive coding theory has revealed that our brain continuously modulates sensory experiences to integrate them into a unitary body representation. Indeed, during multisensory illusions (e.g., the rubber hand illusion, RHI), the synchronous stroking of the participant's concealed hand and a fake visible one creates a visuotactile conflict, generating a prediction error. Within the predictive coding framework, through sensory processing modulation, prediction errors are solved, inducing participants to feel as if touches originated from the fake hand, thus ascribing the fake hand to their own body. Here, we aimed to address sensory processing modulation under multisensory conflict, by disentangling somatosensory and visual stimuli processing that are intrinsically associated during the illusion induction. To this aim, we designed two EEG experiments, in which somatosensory- (SEPs; Experiment 1; N = 18; F = 10) and visual-evoked potentials (VEPs; Experiment 2; N = 18; F = 9) were recorded in human males and females following the RHI. Our results show that, in both experiments, ERP amplitude is significantly modulated in the illusion as compared with both control and baseline conditions, with a modality-dependent diametrical pattern showing decreased SEP amplitude and increased VEP amplitude. Importantly, both somatosensory and visual modulations occur in long-latency time windows previously associated with tactile and visual awareness, thus explaining the illusion of perceiving touch at the sight location. In conclusion, we describe a diametrical modulation of somatosensory and visual processing as the neural mechanism that allows maintaining a stable body representation, by restoring visuotactile congruency under the occurrence of multisensory conflicts.


Assuntos
Eletroencefalografia , Potenciais Somatossensoriais Evocados , Potenciais Evocados Visuais , Ilusões , Percepção Visual , Humanos , Masculino , Feminino , Adulto , Percepção Visual/fisiologia , Potenciais Somatossensoriais Evocados/fisiologia , Adulto Jovem , Ilusões/fisiologia , Potenciais Evocados Visuais/fisiologia , Percepção do Tato/fisiologia , Estimulação Luminosa/métodos , Conflito Psicológico , Córtex Somatossensorial/fisiologia , Imagem Corporal
7.
Cereb Cortex ; 34(1)2024 01 14.
Artigo em Inglês | MEDLINE | ID: mdl-38102971

RESUMO

Individuals inherently seek social consensus when making decisions or judgments. Previous studies have consistently indicated that dissenting group opinions are perceived as social conflict that demands attitude adjustment. However, the neurocognitive processes of attitude adjustment are unclear. In this electrophysiological study, participants were recruited to perform a face attractiveness judgment task. After forming their own judgment of a face, participants were informed of a purported group judgment (either consistent or inconsistent with their judgment), and then, critically, the same face was presented again. The neural responses to the second presented faces were measured. The second presented faces evoked a larger late positive potential after conflict with group opinions than those that did not conflict, suggesting that more motivated attention was allocated to stimulus. Moreover, faces elicited greater midfrontal theta (4-7 Hz) power after conflict with group opinions than after consistency with group opinions, suggesting that cognitive control was initiated to support attitude adjustment. Furthermore, the mixed-effects model revealed that single-trial theta power predicted behavioral change in the Conflict condition, but not in the No-Conflict condition. These findings provide novel insights into the neurocognitive processes underlying attitude adjustment, which is crucial to behavioral change during conformity.


Assuntos
Tomada de Decisões , Conformidade Social , Humanos , Conflito Psicológico , Comportamento Social , Julgamento/fisiologia , Eletrofisiologia , Eletroencefalografia
8.
Cereb Cortex ; 34(5)2024 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-38771238

RESUMO

Cognitive-control theories assume that the experience of response conflict can trigger control adjustments. However, while some approaches focus on adjustments that impact the selection of the present response (in trial N), other approaches focus on adjustments in the next upcoming trial (N + 1). We aimed to trace control adjustments over time by quantifying cortical noise by means of the fitting oscillations and one over f algorithm, a measure of aperiodic activity. As predicted, conflict trials increased the aperiodic exponent in a large sample of 171 healthy adults, thus indicating noise reduction. While this adjustment was visible in trial N already, it did not affect response selection before the next trial. This suggests that control adjustments do not affect ongoing response-selection processes but prepare the system for tighter control in the next trial. We interpret the findings in terms of a conflict-induced switch from metacontrol flexibility to metacontrol persistence, accompanied or even implemented by a reduction of cortical noise.


Assuntos
Cognição , Conflito Psicológico , Eletroencefalografia , Humanos , Masculino , Feminino , Adulto , Adulto Jovem , Cognição/fisiologia , Encéfalo/fisiologia , Adolescente
9.
Cereb Cortex ; 34(9)2024 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-39344195

RESUMO

Mental perspectives can sometimes be changed by psychological interventions. For instance, when applied in the context of intergroup conflicts, interventions, such as the paradoxical thinking intervention, may unfreeze ingrained negative outgroup attitudes and thereby promote progress toward peacemaking. Yet, at present, the evaluation of interventions' impact relies almost exclusively on self-reported and behavioral measures that are informative, but are also prone to social desirability and self-presentational biases. In the present study, magnetoencephalography tracked neural alignment, before and after the paradoxical thinking intervention, during the processing of auditory narratives over the Israeli-Palestinian conflict and thereby evaluated the intervention's potential to change individuals' (n = 80) mental perspectives over the conflict. Compared to baseline, the conflict-targeted intervention yielded a specific significant increased neural alignment in the posterior superior temporal sulcus while processing incongruent as well as congruent political narratives of the conflict. This may be interpreted as a possible change in perspective over the conflict. The results and their interpretations are discussed in view of the critical added value of neuroimaging when assessing interventions to potentially reveal changes in mental perspectives or the way in which they are processed, even in contexts of entrenched resistance to reconsider one's ideological stance.


Assuntos
Encéfalo , Conflito Psicológico , Magnetoencefalografia , Adulto , Feminino , Humanos , Masculino , Adulto Jovem , Encéfalo/fisiologia , Encéfalo/diagnóstico por imagem , Mapeamento Encefálico , Pensamento/fisiologia
10.
Cereb Cortex ; 34(8)2024 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-39110414

RESUMO

Adaptive behavior is fundamental to cognitive control and executive functioning. This study investigates how cognitive control mechanisms and episodic feature retrieval interact to influence adaptiveness, focusing particularly on theta (4 to 8 Hz) oscillatory dynamics. We conducted two variations of the Simon task, incorporating response-incompatible, response-compatible, and neutral trials. Experiment 1 demonstrated that cognitive adjustments-specifically, cognitive shielding following incompatible trials and cognitive relaxation following compatible ones-are reflected in midfrontal theta power modulations associated with the Simon effect. Experiment 2 showed that reducing feature overlap between trials leads to less pronounced sequential modulations in behavior and midfrontal theta activity, supporting the hypothesis that cognitive control and feature integration share a common neural mechanism. These findings highlight the interaction of cognitive control processes and episodic feature integration in modulating behavior. The results advocate for hybrid models that combine top-down and bottom-up processes as a comprehensive framework to understand cognitive control dynamics and adaptive behavior.


Assuntos
Cognição , Conflito Psicológico , Função Executiva , Ritmo Teta , Humanos , Ritmo Teta/fisiologia , Masculino , Feminino , Adulto Jovem , Cognição/fisiologia , Adulto , Função Executiva/fisiologia , Tempo de Reação/fisiologia , Eletroencefalografia , Desempenho Psicomotor/fisiologia , Adaptação Psicológica/fisiologia , Encéfalo/fisiologia
11.
J Cogn Neurosci ; 36(6): 1172-1183, 2024 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-38579250

RESUMO

Humans can flexibly adjust their executive control to resolve conflicts. Conflict adaptation and conflict resolution are crucial aspects of conflict processing. Functional neuroimaging studies have associated the dorsolateral prefrontal cortex (DLPFC) with conflict processing, but its causal role remains somewhat controversial. Moreover, the neuroanatomical basis of conflict processing has not been thoroughly examined. In this study, the Stroop task, a well-established measure of conflict, was employed to investigate (1) the neuroanatomical basis of conflict resolution and conflict adaptation with the voxel-based morphometry analysis, (2) the causal role of DLPFC in conflict processing with the application of the continuous theta burst stimulation to DLPFC. The results revealed that the Stroop effect was correlated to the gray matter volume of the precuneus, postcentral gyrus, and cerebellum, and the congruency sequence effect was correlated to the gray matter volume of superior frontal gyrus, postcentral gyrus, and lobule paracentral gyrus. These findings indicate the neuroanatomical basis of conflict resolution and adaptation. In addition, the continuous theta burst stimulation over the right DLPFC resulted in a significant reduction in the Stroop effect of RT after congruent trials compared with vertex stimulation and a significant increase in the Stroop effect of accuracy rate after incongruent trials than congruent trials, demonstrating the causal role of right DLPFC in conflict adaptation. Moreover, the DLPFC stimulation did not affect the Stroop effect of RT and accuracy rate. Overall, our study offers further insights into the neural mechanisms underlying conflict resolution and adaptation.


Assuntos
Conflito Psicológico , Córtex Pré-Frontal Dorsolateral , Imageamento por Ressonância Magnética , Teste de Stroop , Ritmo Teta , Estimulação Magnética Transcraniana , Humanos , Masculino , Adulto Jovem , Feminino , Adulto , Córtex Pré-Frontal Dorsolateral/fisiologia , Córtex Pré-Frontal Dorsolateral/diagnóstico por imagem , Ritmo Teta/fisiologia , Substância Cinzenta/fisiologia , Substância Cinzenta/diagnóstico por imagem , Substância Cinzenta/anatomia & histologia , Adaptação Psicológica/fisiologia , Lateralidade Funcional/fisiologia , Mapeamento Encefálico , Córtex Pré-Frontal/fisiologia , Córtex Pré-Frontal/diagnóstico por imagem , Tempo de Reação/fisiologia
12.
Neuroimage ; 295: 120667, 2024 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-38825216

RESUMO

Executive functions are essential for adaptive behavior. One executive function is the so-called 'interference control' or conflict monitoring another one is inhibitory control (i.e., action restraint and action cancelation). Recent evidence suggests an interplay of these processes, which is conceptually relevant given that newer conceptual frameworks imply that nominally different action/response control processes are explainable by a small set of cognitive and neurophysiological processes. The existence of such overarching neural principles has as yet not directly been examined. In the current study, we therefore use EEG tensor decomposition methods, to look into possible common neurophysiological signatures underlying conflict-modulated action restraint and action cancelation as mechanism underlying response inhibition. We show how conflicts differentially modulate action restraint and action cancelation processes and delineate common and distinct neural processes underlying this interplay. Concerning the spatial information modulations are similar in terms of an importance of processes reflected by parieto-occipital electrodes, suggesting that attentional selection processes play a role. Especially theta and alpha activity seem to play important roles. The data also show that tensor decomposition is sensitive to the manner of task implementation, thereby suggesting that switch probability/transitional probabilities should be taken into consideration when choosing tensor decomposition as analysis method. The study provides a blueprint of how to use tensor decomposition methods to delineate common and distinct neural mechanisms underlying action control functions using EEG data.


Assuntos
Conflito Psicológico , Eletroencefalografia , Função Executiva , Humanos , Eletroencefalografia/métodos , Masculino , Função Executiva/fisiologia , Feminino , Adulto , Adulto Jovem , Encéfalo/fisiologia , Inibição Psicológica , Desempenho Psicomotor/fisiologia
13.
Hum Brain Mapp ; 45(1): e26549, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38224538

RESUMO

The ability to identify and resolve conflicts between standard, well-trained behaviors and behaviors required by the current context is an essential feature of cognitive control. To date, no consensus has been reached on the brain mechanisms involved in exerting such control: while some studies identified diverse patterns of activity across different conflicts, other studies reported common resources across conflict tasks or even across simple tasks devoid of the conflict component. The latter reports attributed the entire activity observed in the presence of conflict to longer time spent on the task (i.e., to the so-called time-on-task effects). Here, we used an extended Multi-Source Interference Task (MSIT) which combines Simon and flanker types of interference to determine shared and conflict-specific mechanisms of conflict resolution in fMRI and their separability from the time-on-task effects. Large portions of the activity in the dorsal attention network and decreases of activity in the default mode network were shared across the tasks and scaled in parallel with increasing reaction times. Importantly, the activity in the sensory and sensorimotor cortices, as well as in the posterior medial frontal cortex (pMFC) - a key region implicated in conflict processing - could not be exhaustively explained by the time-on-task effects.


Assuntos
Encéfalo , Conflito Psicológico , Humanos , Encéfalo/diagnóstico por imagem , Tempo de Reação , Lobo Frontal , Mapeamento Encefálico
14.
Hum Brain Mapp ; 45(6): e26643, 2024 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-38664992

RESUMO

Coping with distracting inputs during goal-directed behavior is a common challenge, especially when stopping ongoing responses. The neural basis for this remains debated. Our study explores this using a conflict-modulation Stop Signal task, integrating group independent component analysis (group-ICA), multivariate pattern analysis (MVPA), and EEG source localization analysis. Consistent with previous findings, we show that stopping performance is better in congruent (nonconflicting) trials than in incongruent (conflicting) trials. Conflict effects in incongruent trials compromise stopping more due to the need for the reconfiguration of stimulus-response (S-R) mappings. These cognitive dynamics are reflected by four independent neural activity patterns (ICA), each coding representational content (MVPA). It is shown that each component was equally important in predicting behavioral outcomes. The data support an emerging idea that perception-action integration in action-stopping involves multiple independent neural activity patterns. One pattern relates to the precuneus (BA 7) and is involved in attention and early S-R processes. Of note, three other independent neural activity patterns were associated with the insular cortex (BA13) in distinct time windows. These patterns reflect a role in early attentional selection but also show the reiterated processing of representational content relevant for stopping in different S-R mapping contexts. Moreover, the insular cortex's role in automatic versus complex response selection in relation to stopping processes is shown. Overall, the insular cortex is depicted as a brain hub, crucial for response selection and cancellation across both straightforward (automatic) and complex (conditional) S-R mappings, providing a neural basis for general cognitive accounts on action control.


Assuntos
Conflito Psicológico , Eletroencefalografia , Inibição Psicológica , Córtex Insular , Humanos , Masculino , Feminino , Adulto , Adulto Jovem , Córtex Insular/fisiologia , Córtex Insular/diagnóstico por imagem , Mapeamento Encefálico , Atenção/fisiologia , Desempenho Psicomotor/fisiologia , Córtex Cerebral/fisiologia , Córtex Cerebral/diagnóstico por imagem
15.
Cogn Affect Behav Neurosci ; 24(5): 816-838, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39085587

RESUMO

Previous studies examining conflict processing within the context of a color-word Stroop task have focused on both stimulus and response conflicts. However, it has been unclear whether conflict can emerge independently of stimulus conflict. In this study, a novel arrow-gaze mental-rotation Stroop task was introduced to explore the interplay between conflict processing and mental rotation. A modelling approach was utilized to provide a process-level account of the findings. The results of our Stroop task indicate that conflict can emerge from mental rotation in the absence of stimulus conflict. The strength of this imagery conflict effect decreases and even reverses as mental rotation angles increase. Additionally, it was observed that participants responded more quickly and with greater accuracy to small rather than large face orientations. A comparison of three conflict diffusion models-the diffusion model for conflict tasks (DMC), the dual-stage two-phase model (DSTP), and the shrinking spotlight model (SSP)-yielded consistent support for the DSTP over the DMC and SSP in the majority of instances. The DSTP account of the experimental results revealed an increased nondecision time with increasing mental rotation, a reduction in interference from incompatible stimuli, and an improved drift rate in response selection phase, which suggests enhanced cognitive control. The findings from the model-based analysis provide evidence for a novel interaction between cognitive control and mental rotation.


Assuntos
Conflito Psicológico , Imaginação , Tempo de Reação , Teste de Stroop , Humanos , Imaginação/fisiologia , Masculino , Feminino , Adulto Jovem , Adulto , Tempo de Reação/fisiologia , Modelos Psicológicos
16.
J Urol ; 212(2): 320-330, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38717916

RESUMO

PURPOSE: Because multiple management options exist for clinical T1 renal masses, patients may experience a state of uncertainty about the course of action to pursue (ie, decisional conflict). To better support patients, we examined patient, clinical, and decision-making factors associated with decisional conflict among patients newly diagnosed with clinical T1 renal masses suspicious for kidney cancer. MATERIALS AND METHODS: From a prospective clinical trial, participants completed the Decisional Conflict Scale (DCS), scored 0 to 100 with < 25 associated with implementing decisions, at 2 time points during the initial decision-making period. The trial further characterized patient demographics, health status, tumor burden, and patient-centered communication, while a subcohort completed additional questionnaires on decision-making. Associations of patient, clinical, and decision-making factors with DCS scores were evaluated using generalized estimating equations to account for repeated measures per patient. RESULTS: Of 274 enrollees, 250 completed a DCS survey; 74% had masses ≤ 4 cm in size, while 11% had high-complexity tumors. Model-based estimated mean DCS score across both time points was 17.6 (95% CI 16.0-19.3), though 50% reported a DCS score ≥ 25 at least once. On multivariable analysis, DCS scores increased with age (+2.64, 95% CI 1.04-4.23), high- vs low-complexity tumors (+6.50, 95% CI 0.35-12.65), and cystic vs solid masses (+9.78, 95% CI 5.27-14.28). Among decision-making factors, DCS scores decreased with higher self-efficacy (-3.31, 95% CI -5.77 to -0.86]) and information-seeking behavior (-4.44, 95% CI -7.32 to -1.56). DCS scores decreased with higher patient-centered communication scores (-8.89, 95% CI -11.85 to -5.94). CONCLUSIONS: In addition to patient and clinical factors, decision-making factors and patient-centered communication relate with decisional conflict, highlighting potential avenues to better support patient decision-making for clinical T1 renal masses.


Assuntos
Conflito Psicológico , Tomada de Decisões , Neoplasias Renais , Humanos , Estudos Prospectivos , Neoplasias Renais/psicologia , Neoplasias Renais/terapia , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Estadiamento de Neoplasias , Inquéritos e Questionários , Participação do Paciente , Adulto
17.
Psychophysiology ; 61(8): e14587, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38600626

RESUMO

Cognitive processes deal with contradictory demands in social contexts. On the one hand, social interactions imply a demand for cooperation, which requires processing social signals, and on the other, demands for selective attention require ignoring irrelevant signals, to avoid overload. We created a task with a humanoid robot displaying irrelevant social signals, imposing conflicting demands on selective attention. Participants interacted with the robot as a team (high social demand; n = 23) or a passive co-actor (low social demand; n = 19). We observed that theta oscillations indexed conflict processing of social signals. Subsequently, alpha oscillations were sensitive to the conflicting social signals and the mode of interaction. These findings suggest that brains have distinct mechanisms for dealing with the complexity of social interaction and that these mechanisms are activated differently depending on the mode of the interaction. Thus, how we process environmental stimuli depends on the beliefs held regarding our social context.


Assuntos
Atenção , Conflito Psicológico , Comportamento Cooperativo , Interação Social , Humanos , Atenção/fisiologia , Masculino , Feminino , Adulto Jovem , Adulto , Ritmo Teta/fisiologia , Ritmo alfa/fisiologia , Eletroencefalografia , Percepção Social , Relações Interpessoais , Robótica
18.
Psychophysiology ; 61(8): e14580, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38615338

RESUMO

This article presents an experiment (N = 127 university students) testing whether the previously found impact of conflict primes on effort-related cardiac response is moderated by objective task difficulty. Recently, it has been shown that primed cognitive conflict increases cardiac pre-ejection period (PEP) reactivity-an index of effort intensity-during the performance of relatively easy tasks. This effect could be attributed to conflict-related negative affect. Consequently, as it has been shown for other types of negative affect, we expected conflict primes' effect to be task-context dependent and thus to be moderated by objective task difficulty. In a between-persons design, we manipulated conflict via embedded pictures of conflict-related vs. non-conflict-related Stroop items in a memory task. We expected primed conflict to increase effort in a relatively easy version of the task but to lead to disengagement when task difficulty was objectively high. PEP reactivity corroborated our predictions. Rather than always increasing effort, cognitive conflict's effect on resource mobilization was context-dependent and resulted in weak responses in a difficult task.


Assuntos
Conflito Psicológico , Frequência Cardíaca , Humanos , Masculino , Feminino , Adulto Jovem , Frequência Cardíaca/fisiologia , Adulto , Cognição/fisiologia , Teste de Stroop , Adolescente , Eletrocardiografia , Desempenho Psicomotor/fisiologia
19.
Exp Brain Res ; 242(9): 2249-2261, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-39042277

RESUMO

It is unclear how explicit knowledge of an externally imposed mismatch between visual and proprioceptive cues of hand position affects perceptual recalibration. The Bayesian causal inference framework might suggest such knowledge should abolish the visual and proprioceptive recalibration that occurs when individuals perceive these cues as coming from the same source (their hand), while the visuomotor adaptation literature suggests explicit knowledge of a cue conflict does not eliminate implicit compensatory processes. Here we compared visual and proprioceptive recalibration in three groups with varying levels of knowledge about the visuo-proprioceptive cue conflict. All participants estimated the position of visual, proprioceptive, or combined targets related to their left index fingertip, with a 70 mm visuo-proprioceptive offset gradually imposed. Groups 1, 2, and 3 received no information, medium information, and high information, respectively, about the offset. Information was manipulated using instructional and visual cues. All groups performed the task similarly at baseline in terms of variance, weighting, and integration. Results suggest the three groups recalibrated vision and proprioception differently, but there was no difference in variance or weighting. Participants who received only instructional cues about the mismatch (Group 2) did not recalibrate less, on average, than participants provided no information about the mismatch (Group 1). However, participants provided instructional cues and extra visual cues of their hands during the perturbation (Group 3) demonstrated significantly less recalibration than other groups. These findings are consistent with the idea that instructional cues alone are insufficient to override participants' intrinsic belief in common cause and reduce recalibration.


Assuntos
Sinais (Psicologia) , Propriocepção , Desempenho Psicomotor , Percepção Visual , Humanos , Masculino , Feminino , Propriocepção/fisiologia , Adulto Jovem , Percepção Visual/fisiologia , Adulto , Desempenho Psicomotor/fisiologia , Conflito Psicológico , Adolescente
20.
Brain Topogr ; 37(5): 834-848, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38635017

RESUMO

The post-retrieval extinction paradigm, rooted in reconsolidation theory, holds promise for enhancing extinction learning and addressing anxiety and trauma-related disorders. This study investigates the impact of two reminder types, mild US-reminder (US-R) and CS-reminder (CS-R), along with a no-reminder extinction, on fear recovery prevention in a categorical fear conditioning paradigm. Scalp EEG recordings during reminder and extinction processes were conducted in a three-day design. Results show that the US-R group exhibits a distinctive extinction learning pattern, characterized by a slowed-down yet successful process and pronounced theta-alpha desynchronization (source-located in the prefrontal cortex) during CS processing, followed by enhanced synchronization (source-located in the anterior cingulate) after shock cancellation in extinction trials. These neural dynamics correlate with the subtle advantage of US-R in the Day 3 recovery test, presenting faster spontaneous recovery fading and generally lower fear reinstatement responses. Conversely, the CS reminder elicits CS-specific effects in later episodic tests. The unique neural features of the US-R group suggest a larger prediction error and subsequent effortful conflict learning processes, warranting further exploration.


Assuntos
Condicionamento Clássico , Eletroencefalografia , Extinção Psicológica , Medo , Resposta Galvânica da Pele , Humanos , Extinção Psicológica/fisiologia , Resposta Galvânica da Pele/fisiologia , Eletroencefalografia/métodos , Masculino , Feminino , Medo/fisiologia , Adulto Jovem , Condicionamento Clássico/fisiologia , Adulto , Encéfalo/fisiologia , Rememoração Mental/fisiologia , Conflito Psicológico
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