P01-216-Frontopolar cortical inefficiency underpins both “hot” and “cold” cognitive dysfunction in bipolar disorder

2011 ◽  
Vol 26 (S2) ◽  
pp. 217-217
Author(s):  
J. Jogia ◽  
D. Dima ◽  
V. Kumari ◽  
S. Frangou

IntroductionEmotional dysregulation in Bipolar Disorder (BD) is thought to be linked with prefrontal cortex (PFC) dysfunction associated with cognitive control coupled with increased or aberrant activation within regions associated with emotional processing.ObjectivesTo determine the common and distinct patterns of functional brain abnormalities during affective and emotionally neutral cognitive processing in BD.AimsCurrent models of BD emphasise the relationship between mood dysregulation and fronto-limbic dysfunction during affective or “hot” processing. However, they do not account for deficits in emotionally neutral or “cold” tasks of memory and executive function which are also present in BD. Therefore the purpose of this study was to examine the neural correlates of affective decision making and working memory in BD.MethodsParticipants were 36 euthymic BD patients and 37 healthy controls matched for age, gender and IQ. FMRI was conducted during the Iowa Gambling Task (IGT) and the n-back working memory task as respective exemplars of “hot” and “cold” processing.ResultsThere were no group differences in performance on either task. BD patients demonstrated a pattern of inefficient engagement within the ventral frontopolar PFC in both the IGT and n-back. These abnormalities showed task-related segregation along the medial-lateral dimension for “hot” and “cold” processing respectively. Patients also showed greater activation in the anterior cingulate cortex during the IGT and in the insula during the n-back. These regions are thought to respond to markers of autonomic arousal.ConclusionsThese data demonstrate ventral frontopolar PFC inefficiency as a shared abnormality underpinning both “hot” and “cold” processing deficits in BD.

2001 ◽  
Vol 178 (S41) ◽  
pp. s120-s127 ◽  
Author(s):  
F. C. Murphy ◽  
B. J. Sahakian

BackgroundAlthough the presence of wide-ranging neuropsychological deficits in individuals with major depression is well established, few studies have investigated the nature of cognitive impairment in patients with bipolar disorder.AimsTo review research of the neuropsychology of bipolar disorder, with special attention to the relationship between mood and cognitive functioning.MethodLiterature review.ResultsFindings generally demonstrate mania-related impairments on conventional neuropsychological tests, with direct comparisons of patients with mania and patients with depression failing to find group differences. More recent work has sought to differentiate these disorders by employing tasks with affective components. This research has demonstrated biases for processing positive and negative stimuli in patients with mania and depression, respectively.ConclusionsFuture studies, employing tasks that require cognitive and emotional processing, should improve our understanding of the deficits observed in depression and mania. Neuroimaging studies of the neural regions that underlie cognitive processing of affective meaning suggest that the medial and orbitofrontal prefrontal cortex may be particularly involved.


2009 ◽  
Vol 21 (1) ◽  
pp. 141-154 ◽  
Author(s):  
Olivia Longe ◽  
Carl Senior ◽  
Gina Rippon

Recent functional magnetic resonance imaging (fMRI) investigations of the interaction between cognition and reward processing have found that the lateral prefrontal cortex (PFC) areas are preferentially activated to both increasing cognitive demand and reward level. Conversely, ventromedial PFC (VMPFC) areas show decreased activation to the same conditions, indicating a possible reciprocal relationship between cognitive and emotional processing regions. We report an fMRI study of a rewarded working memory task, in which we further explore how the relationship between reward and cognitive processing is mediated. We not only assess the integrity of reciprocal neural connections between the lateral PFC and VMPFC brain regions in different experimental contexts but also test whether additional cortical and subcortical regions influence this relationship. Psychophysiological interaction analyses were used as a measure of functional connectivity in order to characterize the influence of both cognitive and motivational variables on connectivity between the lateral PFC and the VMPFC. Psychophysiological interactions revealed negative functional connectivity between the lateral PFC and the VMPFC in the context of high memory load, and high memory load in tandem with a highly motivating context, but not in the context of reward alone. Physiophysiological interactions further indicated that the dorsal anterior cingulate and the caudate nucleus modulate this pathway. These findings provide evidence for a dynamic interplay between lateral PFC and VMPFC regions and are consistent with an emotional gating role for the VMPFC during cognitively demanding tasks. Our findings also support neuropsychological theories of mood disorders, which have long emphasized a dysfunctional relationship between emotion/motivational and cognitive processes in depression.


Author(s):  
Alberto Quílez-Robres ◽  
Nieves Moyano ◽  
Alejandra Cortés-Pascual

Academic achievement has been linked to executive functions. However, it is necessary to clarify the different predictive role that executive functions have on general and specific academic achievement and to determine the most predictive executive factor of this academic achievement. The relationship and predictive role between executive functions and their components (initiative, working memory, task monitoring, organization of materials, flexibility, emotional control, inhibition, self-monitoring) with academic achievement are analyzed in this study, both globally and specifically in the areas of Language Arts and Mathematics, in 133 students from 6 to 9 years of age. The relationship obtained in Pearson’s correlation analysis does not differ substantially between overall achievement (r = 0.392) and specific achievement (r = 0.361, r = 0.361), but task monitoring (r = 0.531, r = 0.455, r = 0.446) and working memory (r = 0.512, r = 0.475, r = 0.505) had a greater relationship with general and specific achievement. Finally, regression analyses based on correlation results indicate that executive functions predict general academic performance (14.7%) and specific performance (12.3%, 12.2%) for Language Arts and Mathematics, respectively. Furthermore, working memory and task supervision represent 32.5% of general academic performance, 25.5% of performance in Language Arts, and 27.1% of performance in Mathematics. In conclusion, this study yielded exploratory data on the possible executive functions (task supervision and working memory) responsible for good general academic achievements and specific academic achievements in Mathematics and Language Arts.


2021 ◽  
pp. 019394592110216
Author(s):  
Audrey Rosenblatt ◽  
Michael Kremer ◽  
Olimpia Paun ◽  
Barbara Swanson ◽  
Rebekah Hamilton ◽  
...  

Millions of young children undergo surgery and anesthesia each year, yet there is a lack of scientific consensus about the safety of anesthesia exposure for the developing brain. Also poorly understood is parental anesthesia-related decision-making and how neurotoxicity information influences their choices. The theoretical model of parental decision-making generated in this research explicates this process. Interviews with 24 mothers yielded a theoretical framework based on their narratives developed using a qualitative grounded theory analysis. Five major themes emerged from these interviews: emotional processing, cognitive processing, relationships as resources, the mother/child dyad, and the health care context. Mothers described a non-linear, iterative process; they moved fluidly through emotional and cognitive processing supported by relationships as resources and influenced by the health care context. A key element was the subtheme of the medical translator, an individual who provided context and information. The mother/child dyad grounded the model in the relationship with the child.


2001 ◽  
Vol 31 (5) ◽  
pp. 915-922 ◽  
Author(s):  
S. KÉRI ◽  
O. KELEMEN ◽  
G. BENEDEK ◽  
Z. JANKA

Background. The aim of this study was to assess visual information processing and cognitive functions in unaffected siblings of patients with schizophrenia, bipolar disorder and control subjects with a negative family history.Methods. The siblings of patients with schizophrenia (N = 25), bipolar disorder (N = 20) and the controls subjects (N = 20) were matched for age, education, IQ, and psychosocial functioning, as indexed by the Global Assessment of Functioning scale. Visual information processing was measured using two visual backward masking (VBM) tests (target location and target identification). The evaluation of higher cognitive functions included spatial and verbal working memory, Wisconsin Card Sorting Test, letter fluency, short/long delay verbal recall and recognition.Results. The relatives of schizophrenia patients were impaired in the VBM procedure, more pronouncedly at short interstimulus intervals (14, 28, 42 ms) and in the target location task. Marked dysfunctions were also found in the spatial working memory task and in the long delay verbal recall test. In contrast, the siblings of patients with bipolar disorder exhibited spared performances with the exception of a deficit in the long delay recall task.Conclusions. Dysfunctions of sensory-perceptual analysis (VBM) and working memory for spatial information distinguished the siblings of schizophrenia patients from the siblings of individuals with bipolar disorder. Verbal recall deficit was present in both groups, suggesting a common impairment of the fronto-hippocampal system.


2021 ◽  
Author(s):  
Jefferson Ortega ◽  
Chelsea Reichert Plaska ◽  
Bernard A Gomes ◽  
Timothy M Ellmore

Spontaneous eye blink rate (sEBR) has been found to be a non-invasive indirect measure of striatal dopamine activity. Dopamine (DA) neurons project to the prefrontal cortex (PFC) through the mesocortical dopamine pathway and their activity is implicated in a range of cognitive functions, including attention and working memory (WM). The goal of the present study was to understand how fluctuations in sEBR during different phases of a working memory task relate to task performance. Across two experiments, with recordings of sEBR inside and outside of a magnetic resonance imaging bore, we observed sEBR to be positively correlated with WM performance during the WM delay period. Additionally we investigated the non-linear relationship between sEBR and WM performance, and modeled a proposed Inverted-U-shape relationship between DA and WM performance. We also investigated blink duration, which is proposed to be related to sustained attention, and found blink duration to be significantly shorter during the encoding and probe periods of the task. Taken together, these results provide support towards sEBR as an important correlate of working memory task performance. The relationship of sEBR to DA activity and the influence of DA on the PFC during WM maintenance is discussed.


2019 ◽  
Vol 10 (4) ◽  
pp. 204380871987614
Author(s):  
Nisha Yao ◽  
Marcus A. Rodriguez ◽  
Mengyao He ◽  
Mingyi Qian

Experimental studies have yielded discrepant results regarding the relationship between anxiety and attention bias to threat. Cognitive factors modulating the presence of threat-related attention bias in anxiety have drawn growing attention. Previous research demonstrated that visual working memory (WM) representations can guide attention allocation in a top-down manner. Whether threat-related WM representations affected the presence of attention bias in anxiety awaits examination. Combining a memory task and a dot-probe task, this study investigated how WM representations of faces with neutral or negative expressions modulated the attention bias to threat among highly anxious individuals versus controls. Results showed that highly anxious individuals developed more pronounced attention bias to threat when maintaining WM representations of negative faces as compared to the control group. There were no significant between-group effects when the WM representations were neutral. These results suggested that highly anxious individuals were more susceptible to the influence of mental representations with negative valence on attention deployment.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 98-98
Author(s):  
Corinne Cannavale ◽  
Caitlyn Edwards ◽  
Ruyu Liu ◽  
Samantha Iwinski ◽  
Anne Walk ◽  
...  

Abstract Objectives Carotenoids are plant pigments known to deposit in neural tissues including the hippocampus, a brain substrate that supports several memory forms. However, there is a dearth of knowledge regarding carotenoid status and working memory function in children. Accordingly, this study aimed to understand the relationship between macular and skin carotenoids to visual and auditory working memory (WM) function. Methods Seventy preadolescent children (7–12 years, 32 males) were recruited from the East-Central Illinois area. Auditory working memory was assessed using the story recall subtest of the Woodcock-Johnson IV Test of Cognitive Abilities. A subsample (N = 61, 27 males) completed a visual working memory task and reaction time was quantified to determine speed of memory processing at set sizes of 1 to 4 items. Macular pigment optical density (MPOD) was assessed using customized heterochromatic flicker photometry. Skin carotenoids were assessed using reflection spectroscopy (Veggie Meter). Hierarchical linear regressions were conducted to assess the relationship between carotenoid status and WM function, while controlling for age, sex, income, and whole-body % fat (DXA). Results Auditory WM was positively associated with skin carotenoids (b = 0.263, P = 0.039) but not MPOD (b = −0.044, P = 0.380). In contrast, MPOD was significantly associated with faster visual WM speed at set size 3 (b = −0.253, P = 0.039) and trending at set sizes of 1 (b = −0.225, P = 0.051), 2 (b = −0.171, P = 0.121), and 4 (b = −0.230, P = 0.055). Interestingly, skin carotenoids were not related to visual WM performance at either set size (all P’s > 0.300). Conclusions These results indicate that auditory and visual WM may be differentially related to carotenoids. While skin carotenoids encompass all carotenoids consumed in diet, lutein and zeaxanthin are the only carotenoids which deposit in the macula. Given that MPOD was only related to visual WM, this suggests lutein plays a larger role in these neural functions relative to auditory WM. Interestingly, MPOD's relationship with visual WM increased in strength with the more difficult trial type (i.e., increasing set size), indicating MPOD is related at higher levels of WM capacity. Funding Sources This study was funded by the Egg Nutrition Center.


2011 ◽  
Vol 17 (6) ◽  
pp. 1080-1093 ◽  
Author(s):  
C.B. Hartberg ◽  
K. Sundet ◽  
L.M. Rimol ◽  
U.K. Haukvik ◽  
E.H. Lange ◽  
...  

AbstractRelationships between cortical brain structure and neurocognitive functioning have been reported in schizophrenia, but findings are inconclusive, and only a few studies in bipolar disorder have addressed this issue. This is the first study to directly compare relationships between cortical thickness and surface area with neurocognitive functioning in patients with schizophrenia (n = 117) and bipolar disorder (n = 121) and healthy controls (n = 192). MRI scans were obtained, and regional cortical thickness and surface area measurements were analyzed for relationships with test scores from 6 neurocognitive domains. In the combined sample, cortical thickness in the right rostral anterior cingulate was inversely related to working memory, and cortical surface area in four frontal and temporal regions were positively related to neurocognitive functioning. A positive relationship between left transverse temporal thickness and processing speed was specific to schizophrenia. A negative relationship between right temporal pole thickness and working memory was specific to bipolar disorder. In conclusion, significant cortical structure/function relationships were found in a large sample of healthy controls and patients with schizophrenia or bipolar disorder. The differences that were found between schizophrenia and bipolar may indicate differential relationship patterns in the two disorders, which may be of relevance for understanding the underlying pathophysiology. (JINS, 2011, 17, 1080–1093)


2009 ◽  
Vol 194 (1) ◽  
pp. 25-33 ◽  
Author(s):  
Matthew R. Broome ◽  
Pall Matthiasson ◽  
Paolo Fusar-Poli ◽  
James B. Woolley ◽  
Louise C. Johns ◽  
...  

BackgroundPeople with prodromal symptoms have a very high risk of developing psychosis.AimsTo use functional magnetic resonance imaging to examine the neurocognitive basis of this vulnerability.MethodCross-sectional comparison of regional activation in individuals with an ‘at-risk mental state’ (at-risk group: n=17), patients with first-episode schizophreniform psychosis (psychosis group: n=10) and healthy volunteers (controls: n=15) during an overt verbal fluency task and an N-back working memory task.ResultsA similar pattern of between-group differences in activation was evident across both tasks. Activation in the at-risk group was intermediate relative to that in controls and the psychosis group in the inferior frontal and anterior cingulate cortex during the verbal fluency task and in the inferior frontal, dorsolateral prefrontal and parietal cortex during the N-back task.ConclusionsThe at-risk mental state is associated with abnormalities of regional brain function that are qualitatively similar to, but less severe than, those in patients who have recently presented with psychosis.


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