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1.
PLoS Comput Biol ; 20(6): e1012207, 2024 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-38900828

RESUMO

OCD has been conceptualized as a disorder arising from dysfunctional beliefs, such as overestimating threats or pathological doubts. Yet, how these beliefs lead to compulsions and obsessions remains unclear. Here, we develop a computational model to examine the specific beliefs that trigger and sustain compulsive behavior in a simple symptom-provoking scenario. Our results demonstrate that a single belief disturbance-a lack of confidence in the effectiveness of one's preventive (harm-avoiding) actions-can trigger and maintain compulsions and is directly linked to compulsion severity. This distrust can further explain a number of seemingly unrelated phenomena in OCD, including the role of not-just-right feelings, the link to intolerance to uncertainty, perfectionism, and overestimation of threat, and deficits in reversal and state learning. Our simulations shed new light on which underlying beliefs drive compulsive behavior and highlight the important role of perceived ability to exert control for OCD.

2.
BMC Psychiatry ; 23(1): 25, 2023 01 11.
Artigo em Inglês | MEDLINE | ID: mdl-36627607

RESUMO

BACKGROUND: Evidence-based treatments for depression exist but not all patients benefit from them. Efforts to develop predictive models that can assist clinicians in allocating treatments are ongoing, but there are major issues with acquiring the volume and breadth of data needed to train these models. We examined the feasibility, tolerability, patient characteristics, and data quality of a novel protocol for internet-based treatment research in psychiatry that may help advance this field. METHODS: A fully internet-based protocol was used to gather repeated observational data from patient cohorts receiving internet-based cognitive behavioural therapy (iCBT) (N = 600) or antidepressant medication treatment (N = 110). At baseline, participants provided > 600 data points of self-report data, spanning socio-demographics, lifestyle, physical health, clinical and other psychological variables and completed 4 cognitive tests. They were followed weekly and completed another detailed clinical and cognitive assessment at week 4. In this paper, we describe our study design, the demographic and clinical characteristics of participants, their treatment adherence, study retention and compliance, the quality of the data gathered, and qualitative feedback from patients on study design and implementation. RESULTS: Participant retention was 92% at week 3 and 84% for the final assessment. The relatively short study duration of 4 weeks was sufficient to reveal early treatment effects; there were significant reductions in 11 transdiagnostic psychiatric symptoms assessed, with the largest improvement seen for depression. Most participants (66%) reported being distracted at some point during the study, 11% failed 1 or more attention checks and 3% consumed an intoxicating substance. Data quality was nonetheless high, with near perfect 4-week test retest reliability for self-reported height (ICC = 0.97). CONCLUSIONS: An internet-based methodology can be used efficiently to gather large amounts of detailed patient data during iCBT and antidepressant treatment. Recruitment was rapid, retention was relatively high and data quality was good. This paper provides a template methodology for future internet-based treatment studies, showing that such an approach facilitates data collection at a scale required for machine learning and other data-intensive methods that hope to deliver algorithmic tools that can aid clinical decision-making in psychiatry.


Assuntos
Terapia Cognitivo-Comportamental , Psiquiatria , Humanos , Reprodutibilidade dos Testes , Terapia Cognitivo-Comportamental/métodos , Autorrelato , Projetos de Pesquisa , Internet , Resultado do Tratamento , Depressão/terapia
3.
J Neurosci ; 40(29): 5658-5668, 2020 07 15.
Artigo em Inglês | MEDLINE | ID: mdl-32561673

RESUMO

The auditory mismatch negativity (MMN) is significantly reduced in schizophrenia. Notably, a similar MMN reduction can be achieved with NMDA receptor (NMDAR) antagonists. Both phenomena have been interpreted as reflecting an impairment of predictive coding or, more generally, the "Bayesian brain" notion that the brain continuously updates a hierarchical model to infer the causes of its sensory inputs. Specifically, neurobiological interpretations of predictive coding view perceptual inference as an NMDAR-dependent process of minimizing hierarchical precision-weighted prediction errors (PEs), and disturbances of this putative process play a key role in hierarchical Bayesian theories of schizophrenia. Here, we provide empirical evidence for this theory, demonstrating the existence of multiple, hierarchically related PEs in a "roving MMN" paradigm. We applied a hierarchical Bayesian model to single-trial EEG data from healthy human volunteers of either sex who received the NMDAR antagonist S-ketamine in a placebo-controlled, double-blind, within-subject fashion. Using an unrestricted analysis of the entire time-sensor space, our trial-by-trial analysis indicated that low-level PEs (about stimulus transitions) are expressed early (102-207 ms poststimulus), while high-level PEs (about transition probability) are reflected by later components (152-199 and 215-277 ms) of single-trial responses. Furthermore, we find that ketamine significantly diminished the expression of high-level PE responses, implying that NMDAR antagonism disrupts the inference on abstract statistical regularities. Our findings suggest that NMDAR dysfunction impairs hierarchical Bayesian inference about the world's statistical structure. Beyond the relevance of this finding for schizophrenia, our results illustrate the potential of computational single-trial analyses for assessing potential pathophysiological mechanisms.


Assuntos
Encéfalo/efeitos dos fármacos , Encéfalo/fisiologia , Ketamina/administração & dosagem , Modelos Neurológicos , Motivação/efeitos dos fármacos , Motivação/fisiologia , Receptores de N-Metil-D-Aspartato/antagonistas & inibidores , Estimulação Acústica , Adulto , Percepção Auditiva/fisiologia , Teorema de Bayes , Método Duplo-Cego , Eletroencefalografia , Potenciais Evocados Auditivos , Feminino , Humanos , Masculino , Adulto Jovem
4.
Neuroimage ; 245: 118662, 2021 12 15.
Artigo em Inglês | MEDLINE | ID: mdl-34687862

RESUMO

Dynamic Causal Modeling (DCM) is a Bayesian framework for inferring on hidden (latent) neuronal states, based on measurements of brain activity. Since its introduction in 2003 for functional magnetic resonance imaging data, DCM has been extended to electrophysiological data, and several variants have been developed. Their biophysically motivated formulations make these models promising candidates for providing a mechanistic understanding of human brain dynamics, both in health and disease. However, due to their complexity and reliance on concepts from several fields, fully understanding the mathematical and conceptual basis behind certain variants of DCM can be challenging. At the same time, a solid theoretical knowledge of the models is crucial to avoid pitfalls in the application of these models and interpretation of their results. In this paper, we focus on one of the most advanced formulations of DCM, i.e. conductance-based DCM for cross-spectral densities, whose components are described across multiple technical papers. The aim of the present article is to provide an accessible exposition of the mathematical background, together with an illustration of the model's behavior. To this end, we include step-by-step derivations of the model equations, point to important aspects in the software implementation of those models, and use simulations to provide an intuitive understanding of the type of responses that can be generated and the role that specific parameters play in the model. Furthermore, all code utilized for our simulations is made publicly available alongside the manuscript to allow readers an easy hands-on experience with conductance-based DCM.


Assuntos
Mapeamento Encefálico/métodos , Encéfalo/fisiologia , Simulação por Computador , Teorema de Bayes , Fenômenos Eletrofisiológicos , Humanos , Imageamento por Ressonância Magnética/métodos , Modelos Neurológicos , Rede Nervosa/fisiologia , Neurônios , Software
5.
Neuroimage ; 226: 117590, 2021 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-33285332

RESUMO

Navigating the physical world requires learning probabilistic associations between sensory events and their change in time (volatility). Bayesian accounts of this learning process rest on hierarchical prediction errors (PEs) that are weighted by estimates of uncertainty (or its inverse, precision). In a previous fMRI study we found that low-level precision-weighted PEs about visual outcomes (that update beliefs about associations) activated the putative dopaminergic midbrain; by contrast, precision-weighted PEs about cue-outcome associations (that update beliefs about volatility) activated the cholinergic basal forebrain. These findings suggested selective dopaminergic and cholinergic influences on precision-weighted PEs at different hierarchical levels. Here, we tested this hypothesis, repeating our fMRI study under pharmacological manipulations in healthy participants. Specifically, we performed two pharmacological fMRI studies with a between-subject double-blind placebo-controlled design: study 1 used antagonists of dopaminergic (amisulpride) and muscarinic (biperiden) receptors, study 2 used enhancing drugs of dopaminergic (levodopa) and cholinergic (galantamine) modulation. Pooled across all pharmacological conditions of study 1 and study 2, respectively, we found that low-level precision-weighted PEs activated the midbrain and high-level precision-weighted PEs the basal forebrain as in our previous study. However, we found pharmacological effects on brain activity associated with these computational quantities only when splitting the precision-weighted PEs into their PE and precision components: in a brainstem region putatively containing cholinergic (pedunculopontine and laterodorsal tegmental) nuclei, biperiden (compared to placebo) enhanced low-level PE responses and attenuated high-level PE activity, while amisulpride reduced high-level PE responses. Additionally, in the putative dopaminergic midbrain, galantamine compared to placebo enhanced low-level PE responses (in a body-weight dependent manner) and amisulpride enhanced high-level precision activity. Task behaviour was not affected by any of the drugs. These results do not support our hypothesis of a clear-cut dichotomy between different hierarchical inference levels and neurotransmitter systems, but suggest a more complex interaction between these neuromodulatory systems and hierarchical Bayesian quantities. However, our present results may have been affected by confounds inherent to pharmacological fMRI. We discuss these confounds and outline improved experimental tests for the future.


Assuntos
Acetilcolina/metabolismo , Aprendizagem por Associação/fisiologia , Encéfalo/fisiologia , Dopamina/metabolismo , Aprendizagem por Associação/efeitos dos fármacos , Encéfalo/efeitos dos fármacos , Mapeamento Encefálico/métodos , Colinérgicos/farmacologia , Dopaminérgicos/farmacologia , Método Duplo-Cego , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Incerteza , Adulto Jovem
6.
Neuroimage ; 225: 117491, 2021 01 15.
Artigo em Inglês | MEDLINE | ID: mdl-33115664

RESUMO

Connectomics is essential for understanding large-scale brain networks but requires that individual connection estimates are neurobiologically interpretable. In particular, a principle of brain organization is that reciprocal connections between cortical areas are functionally asymmetric. This is a challenge for fMRI-based connectomics in humans where only undirected functional connectivity estimates are routinely available. By contrast, whole-brain estimates of effective (directed) connectivity are computationally challenging, and emerging methods require empirical validation. Here, using a motor task at 7T, we demonstrate that a novel generative model can infer known connectivity features in a whole-brain network (>200 regions, >40,000 connections) highly efficiently. Furthermore, graph-theoretical analyses of directed connectivity estimates identify functional roles of motor areas more accurately than undirected functional connectivity estimates. These results, which can be achieved in an entirely unsupervised manner, demonstrate the feasibility of inferring directed connections in whole-brain networks and open new avenues for human connectomics.


Assuntos
Encéfalo/diagnóstico por imagem , Conectoma/métodos , Córtex Motor/diagnóstico por imagem , Adulto , Idoso , Encéfalo/fisiologia , Feminino , Neuroimagem Funcional/métodos , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Modelos Neurológicos , Modelos Estatísticos , Córtex Motor/fisiologia , Vias Neurais/diagnóstico por imagem , Vias Neurais/fisiologia , Análise de Regressão
7.
Hum Brain Mapp ; 42(10): 2973-2989, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33826194

RESUMO

In this article, we address technical difficulties that arise when applying Markov chain Monte Carlo (MCMC) to hierarchical models designed to perform clustering in the space of latent parameters of subject-wise generative models. Specifically, we focus on the case where the subject-wise generative model is a dynamic causal model (DCM) for functional magnetic resonance imaging (fMRI) and clusters are defined in terms of effective brain connectivity. While an attractive approach for detecting mechanistically interpretable subgroups in heterogeneous populations, inverting such a hierarchical model represents a particularly challenging case, since DCM is often characterized by high posterior correlations between its parameters. In this context, standard MCMC schemes exhibit poor performance and extremely slow convergence. In this article, we investigate the properties of hierarchical clustering which lead to the observed failure of standard MCMC schemes and propose a solution designed to improve convergence but preserve computational complexity. Specifically, we introduce a class of proposal distributions which aims to capture the interdependencies between the parameters of the clustering and subject-wise generative models and helps to reduce random walk behaviour of the MCMC scheme. Critically, these proposal distributions only introduce a single hyperparameter that needs to be tuned to achieve good performance. For validation, we apply our proposed solution to synthetic and real-world datasets and also compare it, in terms of computational complexity and performance, to Hamiltonian Monte Carlo (HMC), a state-of-the-art Monte Carlo technique. Our results indicate that, for the specific application domain considered here, our proposed solution shows good convergence performance and superior runtime compared to HMC.


Assuntos
Encéfalo , Neuroimagem Funcional/métodos , Modelos Estatísticos , Encéfalo/diagnóstico por imagem , Causalidade , Análise por Conglomerados , Humanos , Cadeias de Markov , Método de Monte Carlo , Percepção da Fala/fisiologia , Acidente Vascular Cerebral/diagnóstico por imagem , Acidente Vascular Cerebral/fisiopatologia
8.
Hum Brain Mapp ; 42(7): 2159-2180, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33539625

RESUMO

"Resting-state" functional magnetic resonance imaging (rs-fMRI) is widely used to study brain connectivity. So far, researchers have been restricted to measures of functional connectivity that are computationally efficient but undirected, or to effective connectivity estimates that are directed but limited to small networks. Here, we show that a method recently developed for task-fMRI-regression dynamic causal modeling (rDCM)-extends to rs-fMRI and offers both directional estimates and scalability to whole-brain networks. First, simulations demonstrate that rDCM faithfully recovers parameter values over a wide range of signal-to-noise ratios and repetition times. Second, we test construct validity of rDCM in relation to an established model of effective connectivity, spectral DCM. Using rs-fMRI data from nearly 200 healthy participants, rDCM produces biologically plausible results consistent with estimates by spectral DCM. Importantly, rDCM is computationally highly efficient, reconstructing whole-brain networks (>200 areas) within minutes on standard hardware. This opens promising new avenues for connectomics.


Assuntos
Encéfalo/fisiologia , Conectoma/métodos , Imageamento por Ressonância Magnética/métodos , Rede Nervosa/fisiologia , Adolescente , Adulto , Encéfalo/diagnóstico por imagem , Conectoma/normas , Humanos , Imageamento por Ressonância Magnética/normas , Pessoa de Meia-Idade , Modelos Teóricos , Rede Nervosa/diagnóstico por imagem , Análise de Regressão , Adulto Jovem
9.
Brain ; 143(7): 2235-2254, 2020 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-32568370

RESUMO

Subthalamic deep brain stimulation (STN-DBS) for Parkinson's disease treats motor symptoms and improves quality of life, but can be complicated by adverse neuropsychiatric side-effects, including impulsivity. Several clinically important questions remain unclear: can 'at-risk' patients be identified prior to DBS; do neuropsychiatric symptoms relate to the distribution of the stimulation field; and which brain networks are responsible for the evolution of these symptoms? Using a comprehensive neuropsychiatric battery and a virtual casino to assess impulsive behaviour in a naturalistic fashion, 55 patients with Parkinson's disease (19 females, mean age 62, mean Hoehn and Yahr stage 2.6) were assessed prior to STN-DBS and 3 months postoperatively. Reward evaluation and response inhibition networks were reconstructed with probabilistic tractography using the participant-specific subthalamic volume of activated tissue as a seed. We found that greater connectivity of the stimulation site with these frontostriatal networks was related to greater postoperative impulsiveness and disinhibition as assessed by the neuropsychiatric instruments. Larger bet sizes in the virtual casino postoperatively were associated with greater connectivity of the stimulation site with right and left orbitofrontal cortex, right ventromedial prefrontal cortex and left ventral striatum. For all assessments, the baseline connectivity of reward evaluation and response inhibition networks prior to STN-DBS was not associated with postoperative impulsivity; rather, these relationships were only observed when the stimulation field was incorporated. This suggests that the site and distribution of stimulation is a more important determinant of postoperative neuropsychiatric outcomes than preoperative brain structure and that stimulation acts to mediate impulsivity through differential recruitment of frontostriatal networks. Notably, a distinction could be made amongst participants with clinically-significant, harmful changes in mood and behaviour attributable to DBS, based upon an analysis of connectivity and its relationship with gambling behaviour. Additional analyses suggested that this distinction may be mediated by the differential involvement of fibres connecting ventromedial subthalamic nucleus and orbitofrontal cortex. These findings identify a mechanistic substrate of neuropsychiatric impairment after STN-DBS and suggest that tractography could be used to predict the incidence of adverse neuropsychiatric effects. Clinically, these results highlight the importance of accurate electrode placement and careful stimulation titration in the prevention of neuropsychiatric side-effects after STN-DBS.


Assuntos
Estimulação Encefálica Profunda/efeitos adversos , Transtornos Disruptivos, de Controle do Impulso e da Conduta/etiologia , Transtornos Disruptivos, de Controle do Impulso e da Conduta/fisiopatologia , Doença de Parkinson/terapia , Núcleo Subtalâmico/fisiopatologia , Adulto , Idoso , Imagem de Tensor de Difusão , Feminino , Humanos , Interpretação de Imagem Assistida por Computador , Comportamento Impulsivo/fisiologia , Masculino , Pessoa de Meia-Idade , Rede Nervosa
10.
Neuroimage ; 217: 116931, 2020 08 15.
Artigo em Inglês | MEDLINE | ID: mdl-32417450

RESUMO

The hypothalamus and insular cortex play an essential role in the integration of endocrine and homeostatic signals and their impact on food intake. Resting-state functional connectivity alterations of the hypothalamus, posterior insula (PINS) and anterior insula (AINS) are modulated by metabolic states and caloric intake. Nevertheless, a deeper understanding of how these factors affect the strength of connectivity between hypothalamus, PINS and AINS is missing. This study investigated whether effective (directed) connectivity within this network varies as a function of prandial states (hunger vs. satiety) and energy availability (glucose levels and/or hormonal modulation). To address this question, we measured twenty healthy male participants of normal weight twice: once after 36 â€‹h of fasting (except water consumption) and once under satiated conditions. During each session, resting-state functional MRI (rs-fMRI) and hormone concentrations were recorded before and after glucose administration. Spectral dynamic causal modeling (spDCM) was used to assess the effective connectivity between the hypothalamus and anterior and posterior insula. Using Bayesian model selection, we observed that the same model was identified as the most likely model for each rs-fMRI recording. Compared to satiety, the hunger condition enhanced the strength of the forward connections from PINS to AINS and reduced the strength of backward connections from AINS to PINS. Furthermore, the strength of connectivity from PINS to AINS was positively related to plasma cortisol levels in the hunger condition, mainly before glucose administration. However, there was no direct relationship between glucose treatment and effective connectivity. Our findings suggest that prandial states modulate connectivity between PINS and AINS and relate to theories of interoception and homeostatic regulation that invoke hierarchical relations between posterior and anterior insula.


Assuntos
Córtex Cerebral/diagnóstico por imagem , Córtex Cerebral/fisiologia , Glucose/farmacologia , Fome/fisiologia , Hipotálamo/diagnóstico por imagem , Hipotálamo/fisiologia , Vias Neurais/diagnóstico por imagem , Vias Neurais/fisiologia , Resposta de Saciedade/fisiologia , Administração Oral , Adulto , Teorema de Bayes , Glicemia/metabolismo , Mapeamento Encefálico , Jejum/fisiologia , Glucose/administração & dosagem , Humanos , Interocepção/fisiologia , Imageamento por Ressonância Magnética , Masculino , Rede Nervosa/diagnóstico por imagem , Rede Nervosa/fisiologia , Adulto Jovem
11.
Eur J Neurosci ; 52(11): 4432-4441, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-29802671

RESUMO

Current theories of object perception emphasize the automatic nature of perceptual inference. Repetition suppression (RS), the successive decrease of brain responses to repeated stimuli, is thought to reflect the optimization of perceptual inference through neural plasticity. While functional imaging studies revealed brain regions that show suppressed responses to the repeated presentation of an object, little is known about the intra-trial time course of repetition effects to everyday objects. Here, we used event-related potentials (ERPs) to task-irrelevant line-drawn objects, while participants engaged in a distractor task. We quantified changes in ERPs over repetitions using three general linear models that modeled RS by an exponential, linear, or categorical "change detection" function in each subject. Our aim was to select the model with highest evidence and determine the within-trial time-course and scalp distribution of repetition effects using that model. Model comparison revealed the superiority of the exponential model indicating that repetition effects are observable for trials beyond the first repetition. Model parameter estimates revealed a sequence of RS effects in three time windows (86-140, 322-360, and 400-446 ms) and with occipital, temporoparietal, and frontotemporal distribution, respectively. An interval of repetition enhancement (RE) was also observed (320-340 ms) over occipitotemporal sensors. Our results show that automatic processing of task-irrelevant objects involves multiple intervals of RS with distinct scalp topographies. These sequential intervals of RS and RE might reflect the short-term plasticity required for optimization of perceptual inference and the associated changes in prediction errors and predictions, respectively, over stimulus repetitions during automatic object processing.


Assuntos
Potenciais Evocados , Percepção do Tempo , Encéfalo , Mapeamento Encefálico , Humanos , Plasticidade Neuronal
12.
Brain ; 142(12): 3917-3935, 2019 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-31665241

RESUMO

Impulsivity in Parkinson's disease may be mediated by faulty evaluation of rewards or the failure to inhibit inappropriate choices. Despite prior work suggesting that distinct neural networks underlie these cognitive operations, there has been little study of these networks in Parkinson's disease, and their relationship to inter-individual differences in impulsivity. High-resolution diffusion MRI data were acquired from 57 individuals with Parkinson's disease (19 females, mean age 62, mean Hoehn and Yahr stage 2.6) prior to surgery for deep brain stimulation. Reward evaluation and response inhibition networks were reconstructed with seed-based probabilistic tractography. Impulsivity was evaluated using two approaches: (i) neuropsychiatric instruments were used to assess latent constructs of impulsivity, including trait impulsiveness and compulsivity, disinhibition, and also impatience; and (ii) participants gambled in an ecologically-valid virtual casino to obtain a behavioural read-out of explorative, risk-taking, impulsive behaviour. Multivariate analyses revealed that different components of impulsivity were associated with distinct variations in structural connectivity, implicating both reward evaluation and response inhibition networks. Larger bet sizes in the virtual casino were associated with greater connectivity of the reward evaluation network, particularly bilateral fibre tracts between the ventral striatum and ventromedial prefrontal cortex. In contrast, weaker connectivity of the response inhibition network was associated with increased exploration of alternative slot machines in the virtual casino, with right-hemispheric tracts between the subthalamic nucleus and the pre-supplementary motor area contributing most strongly. Further, reduced connectivity of the reward evaluation network was associated with more 'double or nothing' gambles, weighted by connections between the subthalamic nucleus and ventromedial prefrontal cortex. Notably, the variance explained by structural connectivity was higher for behavioural indices of impulsivity, derived from clinician-administered tasks and the gambling paradigm, as compared to questionnaire data. Lastly, a clinically-meaningful distinction could be made amongst participants with a history of impulse control behaviours based on the interaction of their network connectivity with medication dosage and gambling behaviour. In summary, we report structural brain-behaviour covariation in Parkinson's disease with distinct reward evaluation and response inhibition networks that underlie dissociable aspects of impulsivity (cf. choosing and stopping). More broadly, our findings demonstrate the potential of using naturalistic paradigms and neuroimaging techniques in clinical settings to assist in the identification of those susceptible to harmful behaviours.


Assuntos
Encéfalo/diagnóstico por imagem , Jogo de Azar/diagnóstico por imagem , Comportamento Impulsivo/fisiologia , Rede Nervosa/diagnóstico por imagem , Doença de Parkinson/diagnóstico por imagem , Idoso , Encéfalo/fisiopatologia , Imagem de Difusão por Ressonância Magnética , Feminino , Jogo de Azar/fisiopatologia , Humanos , Inibição Psicológica , Masculino , Pessoa de Meia-Idade , Rede Nervosa/fisiopatologia , Doença de Parkinson/fisiopatologia , Recompensa
13.
Neuroimage ; 186: 595-606, 2019 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-30472370

RESUMO

Theoretical frameworks such as predictive coding suggest that the perception of the body and world - interoception and exteroception - involve intertwined processes of inference, learning, and prediction. In this framework, attention is thought to gate the influence of sensory information on perception. In contrast to exteroception, there is limited evidence for purely attentional effects on interoception. Here, we empirically tested if attentional focus modulates cortical processing of single heartbeats, using a newly-developed experimental paradigm to probe purely attentional differences between exteroceptive and interoceptive conditions in the heartbeat evoked potential (HEP) using EEG recordings. We found that the HEP is significantly higher during interoceptive compared to exteroceptive attention, in a time window of 524-620 ms after the R-peak. Furthermore, this effect predicted self-report measures of autonomic system reactivity. Our study thus provides direct evidence that the HEP is modulated by pure attention and suggests that this effect may provide a clinically relevant readout for assessing interoception.


Assuntos
Atenção/fisiologia , Córtex Cerebral/fisiologia , Eletroencefalografia/métodos , Potenciais Evocados/fisiologia , Frequência Cardíaca/fisiologia , Interocepção/fisiologia , Adulto , Eletrocardiografia , Humanos , Masculino , Adulto Jovem
14.
Neuroimage ; 194: 120-127, 2019 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-30914385

RESUMO

Insulin modulates dopamine neuron activity in midbrain and affects processes underlying food intake behaviour, including impulsivity and reward processing. Here, we used intranasal administration and task-free functional MRI in humans to assess time- and dose-dependent effects of insulin on functional connectivity of the dopaminergic midbrain - and how these effects varied depending on systemic insulin sensitivity as measured by HOMA-IR. Specifically, we used a repeated-measures design with factors dose (placebo, 40 IU, 100 IU, 160 IU), time (7 time points during a 90 min post-intervention interval), and group (low vs. high HOMA-IR). A factorial analysis identified a three-way interaction (with whole-brain significance) with regard to functional connectivity between midbrain and the ventromedial prefrontal cortex. This interaction demonstrates that systemic insulin sensitivity modulates the temporal course and dose-dependent effects of intranasal insulin on midbrain functional connectivity. It suggests that altered insulin sensitivity may impact on dopaminergic projections of the midbrain and might underlie the dysregulation of reward-related and motivational behaviour in obesity and diabetes. Perhaps most importantly, the time courses of midbrain functional connectivity we present may provide useful guidance for the design of future human studies that utilize intranasal insulin administration.


Assuntos
Hipoglicemiantes/administração & dosagem , Insulina/administração & dosagem , Mesencéfalo/efeitos dos fármacos , Administração Intranasal , Adulto , Relação Dose-Resposta a Droga , Humanos , Resistência à Insulina/fisiologia , Imageamento por Ressonância Magnética , Masculino , Sobrepeso
15.
Eur J Neurosci ; 50(7): 3205-3220, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31081574

RESUMO

An integral aspect of human cognition is the ability to inhibit stimulus-driven, habitual responses, in favour of complex, voluntary actions. In addition, humans can also alternate between different tasks. This comes at the cost of degraded performance when compared to repeating the same task, a phenomenon called the "task-switch cost." While task switching and inhibitory control have been studied extensively, the interaction between them has received relatively little attention. Here, we used the SERIA model, a computational model of antisaccade behaviour, to draw a bridge between them. We investigated task switching in two versions of the mixed antisaccade task, in which participants are cued to saccade either in the same or in the opposite direction to a peripheral stimulus. SERIA revealed that stopping a habitual action leads to increased inhibitory control that persists onto the next trial, independently of the upcoming trial type. Moreover, switching between tasks induces slower and less accurate voluntary responses compared to repeat trials. However, this only occurs when participants lack the time to prepare the correct response. Altogether, SERIA demonstrates that there is a reconfiguration cost associated with switching between voluntary actions. In addition, the enhanced inhibition that follows antisaccade but not prosaccade trials explains asymmetric switch costs. In conclusion, SERIA offers a novel model of task switching that unifies previous theoretical accounts by distinguishing between inhibitory control and voluntary action generation and could help explain similar phenomena in paradigms beyond the antisaccade task.


Assuntos
Inibição Psicológica , Modelos Neurológicos , Desempenho Psicomotor/fisiologia , Movimentos Sacádicos/fisiologia , Sinais (Psicologia) , Humanos , Masculino , Modelos Psicológicos , Tempo de Reação
16.
PLoS Biol ; 14(11): e1002575, 2016 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27846219

RESUMO

Successful interaction with the environment requires flexible updating of our beliefs about the world. By estimating the likelihood of future events, it is possible to prepare appropriate actions in advance and execute fast, accurate motor responses. According to theoretical proposals, agents track the variability arising from changing environments by computing various forms of uncertainty. Several neuromodulators have been linked to uncertainty signalling, but comprehensive empirical characterisation of their relative contributions to perceptual belief updating, and to the selection of motor responses, is lacking. Here we assess the roles of noradrenaline, acetylcholine, and dopamine within a single, unified computational framework of uncertainty. Using pharmacological interventions in a sample of 128 healthy human volunteers and a hierarchical Bayesian learning model, we characterise the influences of noradrenergic, cholinergic, and dopaminergic receptor antagonism on individual computations of uncertainty during a probabilistic serial reaction time task. We propose that noradrenaline influences learning of uncertain events arising from unexpected changes in the environment. In contrast, acetylcholine balances attribution of uncertainty to chance fluctuations within an environmental context, defined by a stable set of probabilistic associations, or to gross environmental violations following a contextual switch. Dopamine supports the use of uncertainty representations to engender fast, adaptive responses.


Assuntos
Incerteza , Adulto , Monoaminas Biogênicas/farmacologia , Encéfalo/fisiologia , Humanos , Funções Verossimilhança , Modelos Teóricos
17.
Neuroimage ; 179: 604-619, 2018 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-29964187

RESUMO

A recently introduced hierarchical generative model unified the inference of effective connectivity in individual subjects and the unsupervised identification of subgroups defined by connectivity patterns. This hierarchical unsupervised generative embedding (HUGE) approach combined a hierarchical formulation of dynamic causal modelling (DCM) for fMRI with Gaussian mixture models and relied on Markov chain Monte Carlo (MCMC) sampling for inference. While well suited for the inversion of complex hierarchical models, MCMC-based sampling suffers from a computational burden that is prohibitive for many applications. To address this problem, this paper derives an efficient variational Bayesian (VB) inversion scheme for HUGE that simultaneously provides approximations to the posterior distribution over model parameters and to the log model evidence. The face validity of the VB scheme was tested using two synthetic fMRI datasets with known ground truth. Additionally, an empirical fMRI dataset of stroke patients and healthy controls was used to evaluate the practical utility of the method in application to real-world problems. Our analyses demonstrate good performance of our VB scheme, with a marked speed-up of model inversion by two orders of magnitude compared to MCMC, while maintaining a similar level of accuracy. Notably, additional acceleration would be possible if parallel computing techniques were applied. Generally, our VB implementation of HUGE is fast enough to support multi-start procedures for whole-group analyses, a useful strategy to ameliorate problems with local extrema. HUGE thus represents a potentially useful practical solution for an important problem in clinical neuromodeling and computational psychiatry, i.e., the unsupervised detection of subgroups in heterogeneous populations that are defined by effective connectivity.


Assuntos
Algoritmos , Mapeamento Encefálico/métodos , Processamento de Imagem Assistida por Computador/métodos , Modelos Neurológicos , Adulto , Idoso , Teorema de Bayes , Conjuntos de Dados como Assunto , Feminino , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Pessoa de Meia-Idade
18.
Neuroimage ; 168: 88-100, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-28774650

RESUMO

We report the deployment of spiral acquisition for high-resolution structural imaging at 7T. Long spiral readouts are rendered manageable by an expanded signal model including static off-resonance and B0 dynamics along with k-space trajectories and coil sensitivity maps. Image reconstruction is accomplished by inversion of the signal model using an extension of the iterative non-Cartesian SENSE algorithm. Spiral readouts up to 25 ms are shown to permit whole-brain 2D imaging at 0.5 mm in-plane resolution in less than a minute. A range of options is explored, including proton-density and T2* contrast, acceleration by parallel imaging, different readout orientations, and the extraction of phase images. Results are shown to exhibit competitive image quality along with high geometric consistency.


Assuntos
Encéfalo/diagnóstico por imagem , Processamento de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Adulto , Encéfalo/anatomia & histologia , Feminino , Humanos , Masculino , Adulto Jovem
19.
Neuroimage ; 179: 505-529, 2018 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-29807151

RESUMO

The development of whole-brain models that can infer effective (directed) connection strengths from fMRI data represents a central challenge for computational neuroimaging. A recently introduced generative model of fMRI data, regression dynamic causal modeling (rDCM), moves towards this goal as it scales gracefully to very large networks. However, large-scale networks with thousands of connections are difficult to interpret; additionally, one typically lacks information (data points per free parameter) for precise estimation of all model parameters. This paper introduces sparsity constraints to the variational Bayesian framework of rDCM as a solution to these problems in the domain of task-based fMRI. This sparse rDCM approach enables highly efficient effective connectivity analyses in whole-brain networks and does not require a priori assumptions about the network's connectivity structure but prunes fully (all-to-all) connected networks as part of model inversion. Following the derivation of the variational Bayesian update equations for sparse rDCM, we use both simulated and empirical data to assess the face validity of the model. In particular, we show that it is feasible to infer effective connection strengths from fMRI data using a network with more than 100 regions and 10,000 connections. This demonstrates the feasibility of whole-brain inference on effective connectivity from fMRI data - in single subjects and with a run-time below 1 min when using parallelized code. We anticipate that sparse rDCM may find useful application in connectomics and clinical neuromodeling - for example, for phenotyping individual patients in terms of whole-brain network structure.


Assuntos
Encéfalo/fisiologia , Conectoma/métodos , Modelos Neurológicos , Modelos Teóricos , Rede Nervosa/fisiologia , Teorema de Bayes , Humanos , Imageamento por Ressonância Magnética/métodos
20.
J Neurophysiol ; 120(6): 3001-3016, 2018 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-30110237

RESUMO

In the antisaccade task participants are required to saccade in the opposite direction of a peripheral visual cue (PVC). This paradigm is often used to investigate inhibition of reflexive responses as well as voluntary response generation. However, it is not clear to what extent different versions of this task probe the same underlying processes. Here, we explored with the Stochastic Early Reaction, Inhibition, and late Action (SERIA) model how the delay between task cue and PVC affects reaction time (RT) and error rate (ER) when pro- and antisaccade trials are randomly interleaved. Specifically, we contrasted a condition in which the task cue was presented before the PVC with a condition in which the PVC served also as task cue. Summary statistics indicate that ERs and RTs are reduced and contextual effects largely removed when the task is signaled before the PVC appears. The SERIA model accounts for RT and ER in both conditions and better so than other candidate models. Modeling demonstrates that voluntary pro- and antisaccades are frequent in both conditions. Moreover, early task cue presentation results in better control of reflexive saccades, leading to fewer fast antisaccade errors and more rapid correct prosaccades. Finally, high-latency errors are shown to be prevalent in both conditions. In summary, SERIA provides an explanation for the differences in the delayed and nondelayed antisaccade task. NEW & NOTEWORTHY In this article, we use a computational model to study the mixed antisaccade task. We contrast two conditions in which the task cue is presented either before or concurrently with the saccadic target. Modeling provides a highly accurate account of participants' behavior and demonstrates that a significant number of prosaccades are voluntary actions. Moreover, we provide a detailed quantitative analysis of the types of error that occur in pro- and antisaccade trials.


Assuntos
Modelos Neurológicos , Movimentos Sacádicos/fisiologia , Sinais (Psicologia) , Humanos , Masculino , Tempo de Reação , Reflexo , Percepção Visual , Adulto Jovem
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