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He X, Li Y, Xiao X, Li Y, Fang J, Zhou R. Multi-level cognitive state classification of learners using complex brain networks and interpretable machine learning. Cogn Neurodyn 2025; 19:5. [PMID: 39758356 PMCID: PMC11699182 DOI: 10.1007/s11571-024-10203-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2024] [Revised: 10/06/2024] [Accepted: 10/13/2024] [Indexed: 01/07/2025] Open
Abstract
Identifying the cognitive state can help educators understand the evolving thought processes of learners, and it is important in promoting the development of higher-order thinking skills (HOTS). Cognitive neuroscience research identifies cognitive states by designing experimental tasks and recording electroencephalography (EEG) signals during task performance. However, most of the previous studies primarily concentrated on extracting features from individual channels in single-type tasks, ignoring the interconnection across channels. In this study, three learning activities (i.e., video watching activity, keyword extracting activity, and essay creating activity) were designed based on a revised Bloom's taxonomy and the Interactive-Constructive-Active-Passive framework and used with 31 college students. The EEG signals were recorded when they were engaged in these activities. First, whole-brain network temporal dynamics were characterized by EEG microstate sequence analysis. Such dynamic changes rely on learning activity and corresponding functional brain systems. Subsequently, phase locking value was used to construct synchrony-based functional brain networks. The network characteristics were extracted to be inputted into different machine learning classifiers: Support Vector Machine, K-Nearest Neighbour, Random Forest, and eXtreme Gradient Boosting (XGBoost). XGBoost showed superior performance in the classification of cognitive states, with an accuracy of 88.07%. Furthermore, SHapley Additive exPlanations (SHAP) was adopted to reveal the connections between different brain regions that contributed to the classification of cognitive state. SHAP analysis reveals that the connections in the frontal, temporal, and central regions are most important for the high cognitive state. Collectively, this study may provide further evidence for educators to design cognitive-guided instructional activities to enhance learners' HOTS.
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Affiliation(s)
- Xiuling He
- National Engineering Research Center of Educational Big Data, Central China Normal University, Luoyu Road, Wuhan, 430079 Hubei China
- National Engineering Research Center for E-Learning, Central China Normal University, Luoyu Road, Wuhan, 430079 Hubei China
| | - Yue Li
- National Engineering Research Center of Educational Big Data, Central China Normal University, Luoyu Road, Wuhan, 430079 Hubei China
- National Engineering Research Center for E-Learning, Central China Normal University, Luoyu Road, Wuhan, 430079 Hubei China
| | - Xiong Xiao
- National Engineering Research Center of Educational Big Data, Central China Normal University, Luoyu Road, Wuhan, 430079 Hubei China
- National Engineering Research Center for E-Learning, Central China Normal University, Luoyu Road, Wuhan, 430079 Hubei China
| | - Yingting Li
- National Engineering Research Center of Educational Big Data, Central China Normal University, Luoyu Road, Wuhan, 430079 Hubei China
- National Engineering Research Center for E-Learning, Central China Normal University, Luoyu Road, Wuhan, 430079 Hubei China
| | - Jing Fang
- National Engineering Research Center of Educational Big Data, Central China Normal University, Luoyu Road, Wuhan, 430079 Hubei China
- National Engineering Research Center for E-Learning, Central China Normal University, Luoyu Road, Wuhan, 430079 Hubei China
| | - Ruijie Zhou
- National Engineering Research Center of Educational Big Data, Central China Normal University, Luoyu Road, Wuhan, 430079 Hubei China
- National Engineering Research Center for E-Learning, Central China Normal University, Luoyu Road, Wuhan, 430079 Hubei China
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Yang Z, Li P. Decoding the altruistic brain: An ALE meta-analysis of the functional localization of giving behaviors. Neurosci Biobehav Rev 2025; 174:106205. [PMID: 40354956 DOI: 10.1016/j.neubiorev.2025.106205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2024] [Revised: 04/04/2025] [Accepted: 05/06/2025] [Indexed: 05/14/2025]
Abstract
Neuroimaging studies on prosocial decision-making frequently employ a costly giving paradigm, whereas there is a lack of consensus on the broader differences underlying various altruistic giving tasks. This study explores the neural substrates of altruistic giving through an ALE meta-analysis of 65 fMRI studies with 2803 participants. Altruistic giving tasks were categorized into Dictator Game (DG), Charitable Donation (CD), and Pain versus Gain (PvsG). The meta-analysis identified consistent activation in core brain regions, including the ventromedial prefrontal cortex (vmPFC), anterior cingulate cortex (ACC), and insula, which are involved in value computation, conflict monitoring, and emotional processing. Task-specific analyses revealed that the DG task activated the right dorsomedial prefrontal cortex (dmPFC) and presupplementary motor area (pre-SMA), indicating cognitive control of fairness. The CD task showed significant activation in the nucleus accumbens (NAcc) and the second visual cortex, reflecting socio-cognitive evaluation based on context and stimuli. The PvsG task uniquely activated the vmPFC and orbitofrontal cortex (OFC), suggesting rapid moral-emotional trade-offs under urgency. These findings indicate that altruistic giving is context-dependent, shaped by specific task demands. Future research should integrate computational modeling with neuroscientific data and explore individual differences and real-world applications.
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Affiliation(s)
- Zhibo Yang
- School of Psychology, Shenzhen University, Shenzhen 518060, China
| | - Peng Li
- School of Psychology, Shenzhen University, Shenzhen 518060, China.
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Brunswick CA, Carpenter CM, Dennis NA, Kwapis JL. Not the same as it ever was: A review of memory modification, updating, and distortion in humans and rodents. Neurosci Biobehav Rev 2025; 174:106195. [PMID: 40324709 PMCID: PMC12125627 DOI: 10.1016/j.neubiorev.2025.106195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2025] [Revised: 04/16/2025] [Accepted: 05/01/2025] [Indexed: 05/07/2025]
Abstract
Memory is a reconstructive and continuous process that enables existing information to be modified in response to a changing environment. Being able to dynamically update outdated memories is critical to an organism's survival. Memory modifications have been extensively studied in both rodents and humans, and prior work has revealed many regional, cellular, neurotransmitter, and subcellular molecular mechanisms underlying this process. However, these diverse bodies of literature have not yet been fully integrated into a comprehensive cross-species review. Integrating the finding across rodent and human work is important for furthering our understanding of memory modifications and the underlying neural mechanisms that support memory modification in both species. Here, we discuss advances in our understanding of adaptive and maladaptive memory modifications in terms of both underlying mechanisms (regional, cellular, and molecular) and behavioral outcomes. By emphasizing findings from both humans and rodents, the two major model systems in which memory modifications have been studied, we are able to highlight converging mechanisms and point to open questions in the field. Specifically, we discuss the major findings from several memory paradigms including declarative, aversive and procedural memory designs and highlight paradigms and models that have been readily translated between rodent and human models. Ultimately, this review identifies key parallels underlying memory updating across species, paradigms, tasks, and models.
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Affiliation(s)
- Chad A Brunswick
- Department of Biology, The Pennsylvania State University, 208 Life Sciences Building, 432 Science Drive, University Park, PA 16802, USA
| | - Catherine M Carpenter
- Department of Psychology, The Pennsylvania State University, 441 Moore Building, 138 Fischer Road, University Park, PA 16802, USA
| | - Nancy A Dennis
- Department of Psychology, The Pennsylvania State University, 441 Moore Building, 138 Fischer Road, University Park, PA 16802, USA
| | - Janine L Kwapis
- Department of Biology, The Pennsylvania State University, 208 Life Sciences Building, 432 Science Drive, University Park, PA 16802, USA.
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4
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Li KN, Tang SX, Tao YF, He HR, Ma MH, Zhang QQ, Huang M, Chen WT, Liang H, Deng AQ, Gao SR, Meng FY, Peng YL, Ju YM, Ou WW, Shu S, Zhang Y. Neural correlates of rumination in remitted depressive episodes: Brain network connectivity and topology analyses. World J Psychiatry 2025; 15:105555. [DOI: 10.5498/wjp.v15.i6.105555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/05/2025] [Revised: 03/11/2025] [Accepted: 04/21/2025] [Indexed: 05/29/2025] Open
Abstract
BACKGROUND Rumination is a critical psychological factor contributing to the relapse of major depressive episodes (MDEs) and a core residual symptom in remitted MDEs. Investigating its neural correlations is essential for developing strategies to prevent MDE relapse. Despite its clinical importance, the brain network mechanisms underlying rumination in remitted MDE patients have yet to be fully elucidated.
AIM To investigate the brain network mechanism underlying rumination in patients with remitted MDEs using functional magnetic resonance imaging (fMRI).
METHODS We conducted an fMRI-based rumination-distraction task to induce rumination and distraction states in 51 patients with remitted MDEs. Functional connectivity (FC) was analyzed using the network-based statistic (NBS) approach, and eight topological metrics were calculated to compare the network topological properties between the two states. Correlation analyses were further performed to identify the relationships between individual rumination levels and the significantly altered brain network metrics.
RESULTS The NBS analysis revealed that the altered FCs between the rumination and distraction states were located primarily in the frontoparietal, default mode, and cerebellar networks. No significant correlation was detected between these altered FCs and individual rumination levels. Among the eight topological metrics, the clustering coefficient, shortest path length, and local efficiency were significantly lower during rumination and positively correlated with individual rumination levels. In contrast, global efficiency was greater in the rumination state than in the distraction state and was negatively correlated with individual rumination levels.
CONCLUSION Our work revealed the altered FC and topological properties during rumination in remitted MDE patients, offering valuable insights into the neural mechanisms of rumination from a brain network perspective.
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Affiliation(s)
- Kang-Ning Li
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan Province, China
| | - Shi-Xiong Tang
- Department of Radiology, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China
| | - You-Fu Tao
- Xiangya Medical School, The Second Xiangya Hospital, Central South University, Changsha 410011, Hunan Province, China
| | - Hai-Ruo He
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan Province, China
| | - Mo-Han Ma
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan Province, China
| | - Qian-Qian Zhang
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan Province, China
| | - Mei Huang
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan Province, China
| | - Wen-Tao Chen
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan Province, China
| | - Hui Liang
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan Province, China
| | - Ao-Qian Deng
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan Province, China
| | - Si-Rui Gao
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan Province, China
| | - Fan-Yu Meng
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan Province, China
| | - Yi-Lin Peng
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan Province, China
| | - Yu-Meng Ju
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan Province, China
| | - Wen-Wen Ou
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan Province, China
| | - Su Shu
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan Province, China
| | - Yan Zhang
- Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan Province, China
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Saviola F, Zigiotto L, Jovicich J, Sarubbo S. Predicting attention deficits and functional recovery after glioma resection through functional executive networks: insights from dynamic properties. J Neurooncol 2025:10.1007/s11060-025-05079-w. [PMID: 40493292 DOI: 10.1007/s11060-025-05079-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2025] [Accepted: 05/08/2025] [Indexed: 06/12/2025]
Abstract
BACKGROUND Postoperative short-term attentional and executive dysfunctions are common after brain tumor resection, significantly impacting patients' quality of life and functional recovery. This longitudinal cross-sectional study investigated whether presurgical functional dynamics of key brain networks supporting executive functioning could predict postoperative neuropsychological outcomes, providing insights into temporary deficits and recovery trajectories. METHODS Twenty-two patients with gliomas underwent resting-state fMRI scans before and three-months after surgery, along with neuropsychological assessments conducted before, one week and three months after surgery. Co-activation pattern analysis (CAPs) characterized functional dynamic properties of executive networks, including the Fronto-parietal (FPN). Temporal network properties - stability, integration, and centrality- were examined longitudinally. Descriptive and predictive multivariate analysis explored associations between network dynamics and cognitive functioning. RESULTS Immediate post-surgical attentional deficits were associated with pre-surgical FPN properties, revealing dynamic activation patterns predictive of short-term deficits. These temporal properties not only predicted the severity and persistence of early deficits, but also offered valuable insights in the longitudinal progression of attentional performance otherwise neglected. Importantly, by three months post-surgery, neuropsychological profiles and network dynamics returned to pre-surgical baseline, highlighting the transient nature of the deficits beyond treatment strategies. CONCLUSIONS Our study demonstrates that presurgical dynamic properties of intrinsic executive networks alone can predict short-term postoperative neuropsychological outcomes. This predictive ability offers critical value for patients, families and clinical teams by emphasizing the temporary nature of the deficits and enabling early, personalized interventions. These findings emphasize the potential for using intrinsic brain activity dynamics as a tool for guiding postoperative recovery planning and alleviating concerns about temporary postoperative cognitive impairments.
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Affiliation(s)
- Francesca Saviola
- Center for Mind/Brain Sciences, University of Trento, Rovereto, Trento, Italy.
- Neuro-X Institute, Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.
| | - Luca Zigiotto
- Department of Neurosurgery "S. Chiara" University Hospital, Azienda Provinciale per i Servizi Sanitari (APSS), Trento, Italy
| | - Jorge Jovicich
- Center for Mind/Brain Sciences, University of Trento, Rovereto, Trento, Italy
| | - Silvio Sarubbo
- Department of Neurosurgery "S. Chiara" University Hospital, Azienda Provinciale per i Servizi Sanitari (APSS), Trento, Italy
- Center for Medical Sciences (CISMed), Department of Cellular, Integrative and Computational Biologi (CIBio), University of Trento, Trento, Italy
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Wang J, Liu C, Li X, Gao Y, Jin W, Wang P, Chen X, Wang Q. Neural and computational mechanisms of loss aversion in smartphone addiction. Cereb Cortex 2025; 35:bhaf150. [PMID: 40515411 DOI: 10.1093/cercor/bhaf150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2025] [Revised: 04/09/2025] [Accepted: 05/24/2025] [Indexed: 06/16/2025] Open
Abstract
Smartphones have become integral to daily life, and their overuse can lead to various maladaptive behaviors and decision-making patterns. This study investigated the neural and computational mechanisms underlying smartphone addiction, focusing on its impact on loss-aversion decision-making. We combined computational models, such as the Drift Diffusion Model, with a novel analytic approach, intersubject representational similarity analysis (IS-RSA). Behavioral results showed that higher smartphone addiction symptom (SAS) scores were correlated with reduced loss-aversion (lnλ), while the drift rate was positively associated with SAS. Furthermore, the drift rate mediated the relationship between SAS and lnλ. Neuroimaging analyses revealed that SAS was associated with increased gain-related activity in the occipital pole (OP) but decreased activity in the precuneus and middle frontal gyrus. Additionally, reduced activity was observed in the angular gyrus and superior temporal gyrus during loss processing. IS-RSA further identified brain activation patterns in the default mode network, frontoparietal network, visual network, and sensorimotor network, which corresponded to intersubject variations in SAS, particularly during gain processing but not during loss processing. These patterns were also observed when gains and losses were processed simultaneously. Mediation analyses indicated that brain activation strengths in the OP, precuneus, and MFG during gain processing mediated the relationship between SAS and lnλ and drift rate. Similar mediation effects were observed for intersubject variations in SAS and computational process patterns (eg decision threshold, drift rate, and nondecision time) within these networks. These findings provide novel insights into the neural and computational mechanisms of loss aversion in smartphone addiction, with implications for understanding cognitive biases and informing interventions for addictive behaviors.
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Affiliation(s)
- Jinlian Wang
- Faculty of Psychology, Tianjin Normal University, Tianjin 300387, China
| | - Chang Liu
- Faculty of Psychology, Tianjin Normal University, Tianjin 300387, China
| | - Xiang Li
- Faculty of Psychology, Tianjin Normal University, Tianjin 300387, China
| | - Yuanyuan Gao
- Faculty of Psychology, Tianjin Normal University, Tianjin 300387, China
| | - Weipeng Jin
- Department of Neurosurgery, Huanhu Hospital Affiliated to Tianjin Medical University, Tianjin 300060, China
| | - Pinchun Wang
- School of Preschool Education, Tianjin Normal University, Tianjin 300387, China
| | - Xuyi Chen
- Characteristic Medical Center of People's Armed Police Forces, Tianjin 300162, China
| | - Qiang Wang
- Faculty of Psychology, Tianjin Normal University, Tianjin 300387, China
- State Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing 100875, China
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7
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Lu J, Jiang P, Wang Y, Li M, Zhu Y, Hu K, Zhou X, Wang X. The relationship between neuromagnetic networks and cognitive impairment in self-limited epilepsy with centrotemporal spikes. Epilepsia Open 2025; 10:842-854. [PMID: 40231835 PMCID: PMC12163534 DOI: 10.1002/epi4.70044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2024] [Revised: 03/22/2025] [Accepted: 04/04/2025] [Indexed: 04/16/2025] Open
Abstract
OBJECTIVE This was an exploratory study designed to examine the alterations in neuromagnetic networks within brain regions involved in cognitive functions in children with self-limited epilepsy with centrotemporal spikes (SeLECTS). Additionally, it sought to explore the relationship between these neural network differences and cognitive impairment. METHODS Magnetoencephalography (MEG) data were collected from 63 drug-naïve children diagnosed with SeLECTS and 30 healthy controls (HC). Functional connectivity (FC) across 26 cognitive-related brain regions, as defined by Desikan-Killiany, was assessed using corrected amplitude envelope correlation (AEC-c) analysis. The cognitive function of the children was evaluated using the fourth edition of the Wechsler Intelligence Scale for Children (WISC-IV). Spearman's correlation analysis was then performed to assess the relationship between AEC-c values and WISC-IV indices. RESULTS Children with SeLECTS showed reduced FC in the delta band between the left rostral middle frontal (rMFG.L) and the left rostral anterior cingulate (rACC.L), as well as in the gamma2 band between the left superior frontal (SFG.L) and the rACC on both sides, compared to HC (p < 0.05). On the other hand, several FC networks were enhanced, including those between the left rMFG and the right rACC, the left rMFG and the left caudal middle frontal (CMF.L), and between the right caudal middle frontal (CMF.R) and the right supramarginal (SMG.R), specifically in the gamma1 band (p < 0.05). A correlation analysis revealed a positive association between the AEC-c values between the left rMFG and the right rACC and the Verbal Comprehension Index (VCI) scores (R = 0.4228, p < 0.05). SIGNIFICANCE The findings of this study revealed that children with SeLECTS exhibited significant differences in the FC networks in brain regions associated with cognition, especially within the delta and gamma frequency bands, when compared to HC. We also found that these differences in FC networks are significantly correlated with verbal comprehension ability, which may contribute to the understanding of the mechanisms underlying the weaknesses in cognitive function in children with SeLECTS. Furthermore, our findings may provide hypotheses for future work dedicated to further exploring the mechanisms associated with brain network alterations in cognitive impairment in children with SeLECTS. PLAIN LANGUAGE SUMMARY Based on magnetoencephalography technology (MEG), this study found that there were significant differences in cognitive-related neuromagnetic networks in children with SeLECTS compared with HC, which were significantly correlated with relevant indicators in the Wechsler Scale. This finding suggested that differences in the neuromagnetic network may serve as imaging markers to predict changes in cognitive function in children with SeLECTS.
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Affiliation(s)
- Jing Lu
- Department of Neurology, The Affiliated Brain Hospital of Nanjing Medical UniversityNanjing Medical UniversityNanjingChina
| | - Peilin Jiang
- Department of Neurology, The Affiliated Brain Hospital of Nanjing Medical UniversityNanjing Medical UniversityNanjingChina
| | - Yingfan Wang
- Department of Neurology, The Affiliated Brain Hospital of Nanjing Medical UniversityNanjing Medical UniversityNanjingChina
| | - Minghao Li
- Department of Neurology, The Affiliated Brain Hospital of Nanjing Medical UniversityNanjing Medical UniversityNanjingChina
| | - Yinjie Zhu
- Department of Neurology, The Affiliated Brain Hospital of Nanjing Medical UniversityNanjing Medical UniversityNanjingChina
| | - Ke Hu
- Department of Neurology, The Affiliated Brain Hospital of Nanjing Medical UniversityNanjing Medical UniversityNanjingChina
| | - Xinyi Zhou
- Department of Neurology, The Affiliated Brain Hospital of Nanjing Medical UniversityNanjing Medical UniversityNanjingChina
| | - Xiaoshan Wang
- Department of Neurology, The Affiliated Brain Hospital of Nanjing Medical UniversityNanjing Medical UniversityNanjingChina
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Chen L, Fukuda AM, Jiang S, Leuchter MK, van Rooij SJH, Widge AS, McDonald WM, Carpenter LL. Treating Depression With Repetitive Transcranial Magnetic Stimulation: A Clinician's Guide. Am J Psychiatry 2025; 182:525-541. [PMID: 40302403 DOI: 10.1176/appi.ajp.20240859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/02/2025]
Abstract
Transcranial magnetic stimulation (TMS) applies electromagnetic pulses to stimulate cortical neurons. The antidepressant effect of the repetitive application of TMS (rTMS) was first shown nearly three decades ago. The therapeutic potential of TMS has been extensively investigated, mostly in treatment-resistant depression (TRD). Studies have extensively evaluated stimulation parameters, treatment schedules, methods to localize the stimulation target, and different magnetic coil designs engineered for desired stimulation breadth and depth. Several of these stimulation protocols and coils/devices have received U.S. Food and Drug Administration (FDA) clearance for application in TRD and other neuropsychiatric disorders, such as obsessive-compulsive disorder. Some stimulation protocols, while not FDA-cleared, have substantial clinical trial-derived evidence to support their safety and antidepressant efficacy. The proliferation of rTMS translational and clinical research has resulted in the field's advancement. This clinician-oriented review contains an overview of fundamental TMS principles, physiological effects, and studies of rTMS in TRD. Also discussed are two innovations that are increasingly applied in the clinic: theta burst stimulation and accelerated scheduling. A synthesis of the key clinical considerations given to patient assessment and safety, treatment setup, and the minimization and management of adverse effects is provided.
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Affiliation(s)
- Leo Chen
- Department of Psychiatry, School of Translational Medicine, Monash University and Alfred Mental and Addiction Health, Alfred Health, Melbourne, Victoria, Australia (Chen); Psychiatric Neurotherapeutics Program, Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA and Department of Psychiatry, Harvard Medical School, Boston (Fukuda); Department of Psychiatry, University of Florida, Gainesville (Jiang); TMS Clinical and Research Program, Neuromodulation Division, UCLA Semel Institute for Neuroscience and Human Behavior and Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles (Leuchter); Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta (van Rooij, McDonald); Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis (Widge); Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School at Brown University, Providence, Rhode Island (Carpenter)
| | - Andrew M Fukuda
- Department of Psychiatry, School of Translational Medicine, Monash University and Alfred Mental and Addiction Health, Alfred Health, Melbourne, Victoria, Australia (Chen); Psychiatric Neurotherapeutics Program, Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA and Department of Psychiatry, Harvard Medical School, Boston (Fukuda); Department of Psychiatry, University of Florida, Gainesville (Jiang); TMS Clinical and Research Program, Neuromodulation Division, UCLA Semel Institute for Neuroscience and Human Behavior and Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles (Leuchter); Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta (van Rooij, McDonald); Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis (Widge); Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School at Brown University, Providence, Rhode Island (Carpenter)
| | - Shixie Jiang
- Department of Psychiatry, School of Translational Medicine, Monash University and Alfred Mental and Addiction Health, Alfred Health, Melbourne, Victoria, Australia (Chen); Psychiatric Neurotherapeutics Program, Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA and Department of Psychiatry, Harvard Medical School, Boston (Fukuda); Department of Psychiatry, University of Florida, Gainesville (Jiang); TMS Clinical and Research Program, Neuromodulation Division, UCLA Semel Institute for Neuroscience and Human Behavior and Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles (Leuchter); Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta (van Rooij, McDonald); Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis (Widge); Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School at Brown University, Providence, Rhode Island (Carpenter)
| | - Michael K Leuchter
- Department of Psychiatry, School of Translational Medicine, Monash University and Alfred Mental and Addiction Health, Alfred Health, Melbourne, Victoria, Australia (Chen); Psychiatric Neurotherapeutics Program, Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA and Department of Psychiatry, Harvard Medical School, Boston (Fukuda); Department of Psychiatry, University of Florida, Gainesville (Jiang); TMS Clinical and Research Program, Neuromodulation Division, UCLA Semel Institute for Neuroscience and Human Behavior and Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles (Leuchter); Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta (van Rooij, McDonald); Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis (Widge); Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School at Brown University, Providence, Rhode Island (Carpenter)
| | - Sanne J H van Rooij
- Department of Psychiatry, School of Translational Medicine, Monash University and Alfred Mental and Addiction Health, Alfred Health, Melbourne, Victoria, Australia (Chen); Psychiatric Neurotherapeutics Program, Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA and Department of Psychiatry, Harvard Medical School, Boston (Fukuda); Department of Psychiatry, University of Florida, Gainesville (Jiang); TMS Clinical and Research Program, Neuromodulation Division, UCLA Semel Institute for Neuroscience and Human Behavior and Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles (Leuchter); Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta (van Rooij, McDonald); Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis (Widge); Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School at Brown University, Providence, Rhode Island (Carpenter)
| | - Alik S Widge
- Department of Psychiatry, School of Translational Medicine, Monash University and Alfred Mental and Addiction Health, Alfred Health, Melbourne, Victoria, Australia (Chen); Psychiatric Neurotherapeutics Program, Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA and Department of Psychiatry, Harvard Medical School, Boston (Fukuda); Department of Psychiatry, University of Florida, Gainesville (Jiang); TMS Clinical and Research Program, Neuromodulation Division, UCLA Semel Institute for Neuroscience and Human Behavior and Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles (Leuchter); Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta (van Rooij, McDonald); Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis (Widge); Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School at Brown University, Providence, Rhode Island (Carpenter)
| | - William M McDonald
- Department of Psychiatry, School of Translational Medicine, Monash University and Alfred Mental and Addiction Health, Alfred Health, Melbourne, Victoria, Australia (Chen); Psychiatric Neurotherapeutics Program, Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA and Department of Psychiatry, Harvard Medical School, Boston (Fukuda); Department of Psychiatry, University of Florida, Gainesville (Jiang); TMS Clinical and Research Program, Neuromodulation Division, UCLA Semel Institute for Neuroscience and Human Behavior and Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles (Leuchter); Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta (van Rooij, McDonald); Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis (Widge); Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School at Brown University, Providence, Rhode Island (Carpenter)
| | - Linda L Carpenter
- Department of Psychiatry, School of Translational Medicine, Monash University and Alfred Mental and Addiction Health, Alfred Health, Melbourne, Victoria, Australia (Chen); Psychiatric Neurotherapeutics Program, Division of Depression and Anxiety Disorders, McLean Hospital, Belmont, MA and Department of Psychiatry, Harvard Medical School, Boston (Fukuda); Department of Psychiatry, University of Florida, Gainesville (Jiang); TMS Clinical and Research Program, Neuromodulation Division, UCLA Semel Institute for Neuroscience and Human Behavior and Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles (Leuchter); Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta (van Rooij, McDonald); Department of Psychiatry and Behavioral Sciences, University of Minnesota, Minneapolis (Widge); Butler Hospital, Department of Psychiatry and Human Behavior, Alpert Medical School at Brown University, Providence, Rhode Island (Carpenter)
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9
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Eng CM, Vargas RJ, Fung HL, Niemi SR, Pocsai M, Fisher AV, Thiessen ED. Prefrontal cortex intrinsic functional connectivity and executive function in early childhood and early adulthood using fNIRS. Dev Cogn Neurosci 2025; 74:101570. [PMID: 40451067 PMCID: PMC12162044 DOI: 10.1016/j.dcn.2025.101570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2024] [Revised: 04/24/2025] [Accepted: 05/12/2025] [Indexed: 06/16/2025] Open
Abstract
Executive function (EF) is crucial for goal-directed behavior and predicts overall wellbeing, academic and interpersonal success. Intrinsic (i.e., non-evoked) resting state functional connectivity (rsFC) during naturalistic paradigms offers insight into neural mechanisms underlying EF. However, few studies have explored EF-rsFC associations using functional near-infrared spectroscopy (fNIRS) across age groups. This cross-sectional study validates a naturalistic viewing paradigm (Inscapes) using fNIRS and examines the link between rsFC in the prefrontal cortex (PFC) and EF in children ages 4-5 and in young adults ages 18-22. Adults were presented with two rsFC paradigms in a counterbalanced within-subjects design: a traditional static crosshair and Inscapes. Representational similarity analysis revealed robustly similar rsFC patterns between the crosshair and Inscapes conditions, and both were associated with EF (Stroop performance). Children were presented with Inscapes to assess rsFC, and exhibited high compliance using fNIRS. Importantly, rsFC assessed with Inscapes in children was associated with EF (Stroop-like Day-Night Task performance). Age-related differences showed intrinsic functional connections within the PFC strengthening over development. This study uses child-friendly, noninvasive optical neuroimaging and a publicly available rsFC paradigm to elucidate the role of the PFC in EF development, illuminating practical methodological approaches to study the developmental trajectory and neural underpinnings of EF.
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Affiliation(s)
- Cassondra M Eng
- Department of Psychiatry & Behavioral Sciences, Stanford University, Center for Interdisciplinary Brain Sciences Research, 1520 Page Mill Road, Stanford, CA 94304, USA; Department of Psychology, Carnegie Mellon University, 5000 Forbes Ave, Pittsburgh, PA 15213, USA.
| | - Roberto J Vargas
- Department of Psychology, Carnegie Mellon University, 5000 Forbes Ave, Pittsburgh, PA 15213, USA
| | - Howard L Fung
- Department of Psychiatry & Behavioral Sciences, Stanford University, Center for Interdisciplinary Brain Sciences Research, 1520 Page Mill Road, Stanford, CA 94304, USA; Department of Psychology, Trinity College, 300 Summit Street, Hartford, CT 06106, USA
| | - Selena R Niemi
- Department of Psychiatry & Behavioral Sciences, Stanford University, Center for Interdisciplinary Brain Sciences Research, 1520 Page Mill Road, Stanford, CA 94304, USA; Department of Human Biology, Stanford University, 450 Jane Stanford Way, Building 20, Stanford, CA 94305, USA
| | - Melissa Pocsai
- Department of Psychology, The Graduate Center & Queens College, City University of New York, 365 5th Ave, New York, NY 10016, USA
| | - Anna V Fisher
- Department of Psychology, Carnegie Mellon University, 5000 Forbes Ave, Pittsburgh, PA 15213, USA
| | - Erik D Thiessen
- Department of Psychology, Carnegie Mellon University, 5000 Forbes Ave, Pittsburgh, PA 15213, USA.
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10
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Ferreira DA, Osório FL. Are there associations between Executive Functions and Theory of Mind in attention deficit hyperactivity disorder? Results from a systematic review with meta-analysis. J Int Neuropsychol Soc 2025:1-17. [PMID: 40401708 DOI: 10.1017/s1355617725000190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/23/2025]
Abstract
BACKGROUND Deficits in Executive Function (EF) and Theory of Mind (ToM) are common and significant in attention deficit hyperactivity disorder (ADHD), impacting self-regulation and social interaction. The nature of ToM deficits is believed to be partially associated with preexisting deficits in other core cognitive domains of ADHD, such as EF, which are essential for making mental inferences, especially complex ones. Evaluating these associations at a meta-analytic level is relevant. OBJECTIVE To conduct a systematic literature review followed by a meta-analysis to identify potential associations between EF and ToM among individuals with ADHD and their healthy counterparts, considering different developmental stages. METHOD A systematic review was conducted in seven different databases. The methodological quality of the studies was assessed using the Newcastle-Ottawa Scale. The meta-analytic measurement was estimated with the correlation coefficient as the outcome. Due to the presence of heterogeneity, a random-effects model was adopted. Independent meta-analyses were conducted for different EF subdomains and ADHD and healthy control groups. Subgroup analyses were performed to examine the influence of age on the outcome of interest. RESULTS Fifteen studies were analyzed. Moderate associations were found when comparing EF and ToM between individuals with ADHD (0.20-0.38) and healthy subjects (0.02-0.40). No significant differences were found between child and adult samples (p > 0.20). CONCLUSION The association between EF and ToM was significant, with a moderate effect size, although no significant differences were found according to age, the presence of ADHD, or EF subdomains. Future research is suggested to expand the age groups and overcome the methodological limitations indicated in this review.
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Affiliation(s)
- D A Ferreira
- Department of Neurosciences and Behavior Sciences, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - F L Osório
- Department of Neurosciences and Behavior Sciences, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
- National Institute of Science and Technology (INCT-TM, CNPq), Brasília, Distrito Federal, Brazil
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11
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Lee LY, Ziminski JJ, Frangou P, Karlaftis VM, Wang Y, Bernhardt B, Warrier V, Bethlehem RAI, Kourtzi Z. Neurogenetic phenotypes of learning-dependent plasticity for improved perceptual decisions. Commun Biol 2025; 8:779. [PMID: 40399642 PMCID: PMC12095785 DOI: 10.1038/s42003-025-08212-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2024] [Accepted: 05/12/2025] [Indexed: 05/23/2025] Open
Abstract
Genetics and experience are known to mold our cognitive development. Yet, the interactions between genetics and brain mechanisms that support learning and flexible behavior in the adult human brain remain largely unknown. Here, we test the link between brain-wide gene expression and macroscopic neuroimaging phenotypes of brain plasticity that support our ability to improve perceptual decisions with training. We demonstrate that gene expression links to learning-dependent changes in spatial variations of cortical microstructure and functional connectivity in visual and fronto-parietal networks that are known to be involved in perceptual decisions. Further, we show that brain stimulation in visual cortex during training boosts learning and alters functional connections, rather than microstructure organization, within and between these networks. Our results reveal neurogenetic phenotypes of plasticity in perceptual decision networks, providing insights into the interplay of genetic expression and macroscopic mechanisms of structural and functional plasticity for learning and flexible behavior.
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Affiliation(s)
- Liz Yuanxi Lee
- Department of Psychology, University of Cambridge, Cambridge, UK
| | - Joseph J Ziminski
- Department of Psychology, University of Cambridge, Cambridge, UK
- Sainsbury Wellcome Centre, University College London, London, UK
| | - Polytimi Frangou
- Department of Psychology, University of Cambridge, Cambridge, UK
- Centre for Integrative Neuroimaging, FMRIB, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK
- MRC Brain Network Dynamics Unit, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK
| | | | - Yezhou Wang
- McConnell Brain Imaging Centre, Montreal Neurological Institute and Hospital, McGill University, Montreal, QC, Canada
| | - Boris Bernhardt
- McConnell Brain Imaging Centre, Montreal Neurological Institute and Hospital, McGill University, Montreal, QC, Canada
| | - Varun Warrier
- Department of Psychology, University of Cambridge, Cambridge, UK
- Department of Psychiatry, University of Cambridge, Cambridge, UK
| | | | - Zoe Kourtzi
- Department of Psychology, University of Cambridge, Cambridge, UK.
- Dept of Psychology, Justus-Liebig University, Giessen, Germany.
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12
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Gao S, Nash R, Burns S, Leong YC. Predicting whole-brain neural dynamics from prefrontal cortex functional near-infrared spectroscopy signal during movie-watching. Soc Cogn Affect Neurosci 2025; 20:nsaf043. [PMID: 40314118 PMCID: PMC12094161 DOI: 10.1093/scan/nsaf043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2024] [Revised: 04/04/2025] [Accepted: 04/29/2025] [Indexed: 05/03/2025] Open
Abstract
Functional near-infrared spectroscopy (fNIRS) offers a portable, cost-effective alternative to functional magnetic resonance imaging (fMRI) for noninvasively measuring neural activity. However, fNIRS measurements are limited to cortical regions near the scalp, missing important medial and deeper brain areas. We introduce a predictive model that maps prefrontal fNIRS signals to whole-brain fMRI activity during movie-watching. By aligning neural responses to a common audiovisual stimulus, our approach leverages shared dynamics across imaging modalities to map fNIRS signals to broader neural activity patterns. We scanned participants with fNIRS and utilized a publicly available fMRI dataset of participants watching the same TV episode. The model was trained on the first half of the episode and tested on a held-out participant watching the second half to assess cross-individual and cross-stimulus generalizability. The model significantly predicted fMRI time courses in 66 out of 122 brain regions, including areas otherwise inaccessible to fNIRS. It also replicated intersubject functional connectivity patterns and retained semantic information about the movie content. The model generalized to an independent dataset from a different TV series, suggesting it captures robust cross-modal mappings across stimuli. Our publicly available models enable researchers to infer broader neural dynamics from localized fNIRS data during naturalistic tasks.
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Affiliation(s)
- Shan Gao
- Department of Psychology, University of Chicago, Chicago, IL 60637, United States
| | - Ryleigh Nash
- Department of Psychology, University of Chicago, Chicago, IL 60637, United States
| | - Shannon Burns
- Department of Psychological Science, Pomona College, Claremont, CA 91711, United States
| | - Yuan Chang Leong
- Department of Psychology, University of Chicago, Chicago, IL 60637, United States
- Neuroscience Institute, University of Chicago, Chicago, IL 60637, United States
- Institute of Mind and Biology, University of Chicago, Chicago, IL 60637, United States
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13
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Anderson MC, Crespo-Garcia M, Subbulakshmi S. Brain mechanisms underlying the inhibitory control of thought. Nat Rev Neurosci 2025:10.1038/s41583-025-00929-y. [PMID: 40379896 DOI: 10.1038/s41583-025-00929-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/25/2025] [Indexed: 05/19/2025]
Abstract
Controlling action and thought requires the capacity to stop mental processes. Over the past two decades, evidence has grown that a domain-general inhibitory control mechanism supported by the right lateral prefrontal cortex achieves these functions. However, current views of the neural mechanisms of inhibitory control derive largely from research into the stopping of action. Whereas action stopping is a convenient empirical model, it does not invoke thought inhibition and cannot be used to identify the unique features of this process. Here, we review research that addresses how organisms stop a key process that drives thoughts: memory retrieval. This work has shown that retrieval stopping shares right dorsolateral and ventrolateral prefrontal mechanisms with action stopping, consistent with a domain-general inhibitory control mechanism, but also recruits a distinct fronto-temporal pathway that determines the success of mental control. As part of this pathway, GABAergic inhibition within the hippocampus influences the efficacy of prefrontal control over thought. These unique elements of mental control suggest that hippocampal disinhibition is a transdiagnostic factor underlying intrusive thinking, linking the fronto-temporal control pathway to preclinical models of psychiatric disorders and fear extinction. We suggest that retrieval-stopping deficits may underlie the intrusive thinking that is common across many psychiatric disorders.
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Affiliation(s)
- Michael C Anderson
- MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK.
- Behavioural and Clinical Neurosciences Unit, University of Cambridge, Cambridge, UK.
| | - Maite Crespo-Garcia
- MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, UK
| | - S Subbulakshmi
- Department of Psychology, Stanford University, Stanford, CA, USA
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14
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Aldeeva IA, Glebova EV, Sarkisyan RA, Romanova EN, Karpova NM, Shapovalova VG, Karelin AF. Long-term neurocognitive sequelae in pediatric medulloblastoma survivors treated according to the HIT protocol. J Neurooncol 2025:10.1007/s11060-025-05070-5. [PMID: 40377898 DOI: 10.1007/s11060-025-05070-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2025] [Accepted: 05/02/2025] [Indexed: 05/18/2025]
Abstract
OBJECTIVE Medulloblastoma is the most prevalent malignant brain tumour in children. Although contemporary comprehensive anticancer therapy has been shown to result in favourable survival and relapse outcomes, the long-term toxic effects on cognitive and motor function remain a concern. This study aims to investigate the long-term neurotoxic effects on cognitive function in paediatric medulloblastoma survivors. METHOD Data from 70 patients (Mage = 12.7 ± 2.94 years, 40% female) in remission treated according to the HIT protocol who underwent comprehensive neuropsychological assessment were analyzed. General linear models (GLMs) were constructed to assess the contribution of remission duration, chemotherapy type, and radiation dose to variability in cognitive performance on the CANTAB and DTKI tests. RESULTS GLM revealed that remission > 4 years was associated with poorer processing speed, attention, and executive functions: cognitive flexibility, inhibitory control, planning, and working memory compared to participants with shorter remission. Induction therapy with methotrexate had more pronounced long-term negative effects on processing speed. However, no significant effects were observed across different radiation doses. CONCLUSIONS Remission duration emerged as a more significant predictor of a poor neurocognitive outcome than chemotherapy type or radiation dose, that is, the longer the remission, the more pronounced the neurocognitive impairment becomes. This highlights the need for continued monitoring and the development of targeted rehabilitation interventions for paediatric medulloblastoma survivors.
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Affiliation(s)
| | - Elena V Glebova
- RUDN University, Moscow, Russia
- Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Health of Russia, Moscow, Russia
| | | | | | | | | | - Alexander F Karelin
- Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Health of Russia, Moscow, Russia
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15
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Loya F, Binder D, Rodriguez N, Buchanan B, Novakovic-Agopian T, Chen AJW. Fostering experiential learning of neurocognitive skills in brain injury tele-rehabilitation: bridging gaps in remote training by integrating scenario-based digital experiences with coaching. Front Hum Neurosci 2025; 19:1593246. [PMID: 40420961 PMCID: PMC12104282 DOI: 10.3389/fnhum.2025.1593246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2025] [Accepted: 04/14/2025] [Indexed: 05/28/2025] Open
Abstract
Dysregulation of brain state is common following traumatic brain injury (TBI), contributing to long-term difficulties in important life pursuits, spanning school, work, and beyond. Brain state dysregulation makes it difficult to effectively organize and direct cognition and behavior to accomplish any number of goals, resulting instead in difficult-to-understand combinations of neurocognitive and emotional symptoms: distractibility, forgetfulness, poor follow-through, irritability, reduced frustration tolerance, and becoming easily overwhelmed. Given underlying heterogeneity with neurocognitive-emotional symptoms, it may be highly efficient to train use of state regulation skills (SRS) as a generalizable approach to facilitate processing of neurocognitive demands encountered along individual goal pathways. In this report, we present an innovative system of guided experiential skill learning of goal-directed SRS - one that rationally integrates experiential digital technology designed to practice applying and integrating SRS directly into goal-based functional challenges with therapist-led training to maximize skill learning, transfer, and generalization. Moreover, we designed this system specifically to bridge important gaps that interfere with skill learning when individuals are remote from therapists. To advance the integration of technology into rehabilitation neuroscience, we present this communication as a hybrid of intervention design (introducing principles and features), "user experiences" (sharing vignettes informative of the value of technology integration into the learning process), and a controlled, proof-of-principle pilot intervention study for a small cohort of individuals (n = 18) with chronic TBI (assessing the plausibility of strengthening goal-directed functioning, as indexed by performance on neurocognitive assessment tasks and complex functional tasks, as well as ratings of personal life functioning). Data suggest that a technology-augmented remote guided experiential learning approach may bridge important gaps in skill learning to help individuals improve goal-directed functioning. This line of work will inform further advances in remote neuro-cognitive rehabilitation.
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Affiliation(s)
- Fred Loya
- Department of Veterans Affairs, Veterans Affairs Northern California Health Care System, Veterans Health Administration, Mather, CA, United States
| | - Deborah Binder
- Department of Veterans Affairs, Veterans Affairs Northern California Health Care System, Veterans Health Administration, Mather, CA, United States
| | - Nicholas Rodriguez
- Department of Veterans Affairs, Veterans Affairs Northern California Health Care System, Veterans Health Administration, Mather, CA, United States
| | - Bruce Buchanan
- Northern California Institute for Research and Education (NCIRE), San Francisco, CA, United States
| | - Tatjana Novakovic-Agopian
- Department of Veterans Affairs, VA Palo Alto Health Care System, Veterans Health Administration, San Francisco, CA, United States
- Department of Psychiatry, University of California, San Francisco, San Francisco, CA, United States
| | - Anthony J.-W. Chen
- Department of Veterans Affairs, Veterans Affairs Northern California Health Care System, Veterans Health Administration, Mather, CA, United States
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16
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Stein J, Korb FM, Goschke T, Zwosta K. Salience network resting-state functional connectivity predicts self-controlled decision-making. Sci Rep 2025; 15:16332. [PMID: 40348817 PMCID: PMC12065794 DOI: 10.1038/s41598-025-98673-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2024] [Accepted: 04/14/2025] [Indexed: 05/14/2025] Open
Abstract
Salience network functional integration with the central executive network and the default mode network at rest has been shown to predict real-life self-control. It has been proposed that a network interaction index reflecting stronger functional integration of the salience network with the central executive network and reduced functional connectivity of the salience network with the default mode network represents a trait neural correlate of successful self-control exertion. Here, we attempted to replicate this result using data from our own study where 121 participants completed an fMRI self-control task comprising real-life scenarios and data from a second study (N = 79) retrieved from OpenNeuro (dataset ID: ds002643) where participants completed an fMRI food choice task. We could not replicate the proposed role of salience network resting-state functional connectivity in self-controlled decision-making in either of those data sets. Instead, we found evidence for the exact opposite effect, specifically a negative association between self-control performance and the network interaction index. The role of analysis pipelines, appropriate network ROIs, and the measurement of self-control are discussed in the context of our findings.
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Affiliation(s)
- Jasmin Stein
- Faculty of Psychology, TU Dresden, Dresden, D-01069, Germany.
| | | | - Thomas Goschke
- Faculty of Psychology, TU Dresden, Dresden, D-01069, Germany
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17
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Liu Z, Wu S, Wang S, Wu H, Gao H, Lu X. Can repetitive transcranial magnetic stimulation promote recovery of consciousness in patients with disorders of consciousness? A randomized controlled trial. Neuroimage Clin 2025; 46:103802. [PMID: 40367603 PMCID: PMC12142551 DOI: 10.1016/j.nicl.2025.103802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2024] [Revised: 05/08/2025] [Accepted: 05/08/2025] [Indexed: 05/16/2025]
Abstract
BACKGROUND Disorders of consciousness (DoC) are characterized by a broad decline in background excitatory synaptic activity and varying levels of cerebral network disruption. Repetitive transcranial magnetic stimulation (rTMS), a neuromodulatory technique, is anticipated to assist the recovery of consciousness. Nonetheless, ongoing debates persist regarding its effectiveness, in light of the inconsistent results of recent research. OBJECTIVE The purpose of this study is to investigate the efficacy of rTMS in promoting recovery of consciousness in patients with DoC and to probe its impact on activity of cerebral functional networks. METHODS Forty-eight patients with DoC were included in this randomized controlled trial (Chinese Clinical Trial Registry: ChiCTR2100044930). Twenty-four patients in the control group accepted conventional therapy. Another 24 patients in the rTMS group received extra rTMS over the dorsolateral prefrontal cortex (DLPFC) once per workday during a 4-week intervention phase. Primary outcome was the proportion of patients emerging improvement on level of consciousness (LOC) based on coma recovery scale- revised (CRS-R) at the end of intervention. Furthermore, other behavioral scales such as the clinical global impression-improvement (CGI-I) and resting state-electroencephalography (rs-EEG) microstate were employed as secondary outcomes. Different microstates served as tools to detect the activity of respective corresponding resting state cerebral functional networks. RESULTS In comparison to the control group, the rTMS group exhibited a higher proportion of patients emerging improvement on LOC at post-intervention, with a risk ratio of 3.06 (95 % CI 1.54 to 6.09, P = 0.001). The distribution of patients with each grade of CGI-I across the groups also implied a trend that favored the rTMS group (common odds ratio:0.20, 95 % CI 0.065 to 0.63, P = 0.006). With respect to microstate E, the rTMS group had a significantly reduced global explained variance (GEV) was observed in the rTMS group (Z = -2.61, Pbonf = 0.027). CONCLUSION High-frequency rTMS over the DLPFC could promote recovery of consciousness in patients with DoC. It might get involved in modulating the balance among cerebral functional networks and facilitating consciousness recovery.
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Affiliation(s)
- Zhenyu Liu
- Department of Rehabilitation Medicine, the First Affiliated Hospital of Nanjing Medical University, Jiangsu, China; Key Laboratory of Ultra-Weak Magnetic Field Measurement Technology, Ministry of Education, School of Instrumentation and Optoelectronic Engineering, Beihang University, Beijing, China
| | - Shanshan Wu
- Department of Critical Care Medicine, Nanjing Zijin Hospital, Nanjing, China
| | - Shuwei Wang
- Department of Critical Care Medicine, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, China
| | - Huijuan Wu
- Department of Critical Care Medicine, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, China.
| | | | - Xiao Lu
- Department of Rehabilitation Medicine, the First Affiliated Hospital of Nanjing Medical University, Jiangsu, China.
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18
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Wang HY, Liang Z, Yan Z, Liu Y. Neural mechanisms linking sleep disturbances to motor and cognitive impairments in Parkinson's disease: Evidence from resting-state and task-based fNIRS. Brain Res 2025; 1860:149681. [PMID: 40345364 DOI: 10.1016/j.brainres.2025.149681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2024] [Revised: 04/27/2025] [Accepted: 05/05/2025] [Indexed: 05/11/2025]
Abstract
BACKGROUND Sleep disturbances are common non-motor symptoms of Parkinson's disease (PD), negatively affecting daily functioning, exacerbating motor symptoms, and contributing to cognitive impairment. However, the underlying neurobiological mechanisms are not well understood. This study utilized resting-state and task-based functional near-infrared spectroscopy (fNIRS) to explore how sleep disturbances affect brain function in PD patients at the neural level. METHODS Sixty PD patients were recruited, including 30 with sleep disturbances and 30 without. Resting-state fNIRS and clinical assessments were used to analyze spontaneous brain activity and functional connectivity. We also examined the mediating role of brain activity in the relationship between sleep disturbances and motor symptoms. The verbal fluency test (VFT) was employed to investigate changes in brain mechanisms related to executive function in patients with sleep disturbances. RESULTS Resting-state analysis revealed significantly increased fractional amplitude of low-frequency fluctuations (fALFF) in the medial prefrontal cortex (mPFC) in PD patients with sleep disturbances. fALFF values were negatively correlated with sleep quality and positively with motor symptom severity. Mediation analysis indicated that spontaneous neural activity in the mPFC partially mediated the relationship between sleep disturbances and motor symptoms. Task-based analysis showed reduced activation in the mPFC and orbitofrontal cortex (OFC) during the VFT in patients with sleep disturbances, indicating impaired executive function. CONCLUSION Sleep disturbances in PD could be associated with exacerbated motor symptoms and may impair executive function by affecting spontaneous and task-related neural activity in the mPFC. These findings highlight mPFC dysfunction as a potential biomarker for targeted therapies.
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Affiliation(s)
- Hai-Yang Wang
- Department of Neurology, Jining No. 1 People's Hospital, Shandong First Medical University, Jining, China; Medical Integration and Practice Center, Cheeloo College of Medicine, Shandong University, Jinan, China; Department of Neurology, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
| | - Zhanhua Liang
- Department of Neurology, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China.
| | - Zhongrui Yan
- Department of Neurology, Jining No. 1 People's Hospital, Shandong First Medical University, Jining, China.
| | - Yiming Liu
- Medical Integration and Practice Center, Cheeloo College of Medicine, Shandong University, Jinan, China; Department of Neurology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China
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19
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Sabio J, Ballard T, Filmer HL, Dux PE. The influence of tDCS on the speed-accuracy tradeoff and metacognitive decision making. Neuropsychologia 2025; 211:109130. [PMID: 40112911 DOI: 10.1016/j.neuropsychologia.2025.109130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2024] [Revised: 02/14/2025] [Accepted: 03/17/2025] [Indexed: 03/22/2025]
Abstract
A fundamental tradeoff exists between speed and accuracy when performing a decision (speed-accuracy tradeoff, SAT). Metacognition allows for the adjustment, monitoring, and evaluation of one's own decisions and strategies. While these aspects of cognition are central to human behavioural performance, their respective causal neural underpinnings are not well understood. Here, we used transcranial direct current stimulation (tDCS) to investigate the causal roles of the prefrontal cortex (PFC), superior medial frontal cortex (SMFC), and posterior parietal cortex (PPC) in the SAT and metacognition. Subjects received active or sham tDCS before completing a perceptual task with explicit SAT cues and reported confidence in their decisions. We fit the linear ballistic accumulator model to behavioural data to extract latent decision variables and used confidence judgments to compute two common indices of metacognition: meta-d' and m-ratio. Stimulation influenced performance on the perceptual task but there was no meaningful evidence for an effect on metacognition. Specifically, PFC stimulation reduced subjects' response caution, especially when accuracy was emphasised; SMFC stimulation decreased response caution and increased the discriminability between choices; and PPC stimulation increased both response caution and discriminability. These results show that the impact of tDCS on the SAT critically depends on the frontoparietal region stimulated. In addition, there was little to no evidence of any effect of tDCS on metacognition, hinting at potential differences in the neural circuitry supporting aspects of object-level computation and meta-level processing. In sum, our findings provide further evidence that tDCS can alter decision making and strategic processes in the human brain.
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Affiliation(s)
- Joshua Sabio
- School of Psychology, The University of Queensland, St Lucia, QLD, 4072, Australia.
| | - Timothy Ballard
- School of Psychology, The University of Queensland, St Lucia, QLD, 4072, Australia.
| | - Hannah L Filmer
- School of Psychology, The University of Queensland, St Lucia, QLD, 4072, Australia.
| | - Paul E Dux
- School of Psychology, The University of Queensland, St Lucia, QLD, 4072, Australia.
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20
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Aghamoosa S, Nolin SA, Chen AA, Caulfield KA, Lopez J, Rbeiz K, Fleischmann HH, Horn O, Madden K, Antonucci M, Revuelta G, McTeague LM, Benitez A. Accelerated iTBS-Induced changes in resting-state functional connectivity correspond with cognitive improvement in amnestic MCI. Brain Stimul 2025; 18:957-964. [PMID: 40252967 DOI: 10.1016/j.brs.2025.04.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2024] [Revised: 03/28/2025] [Accepted: 04/09/2025] [Indexed: 04/21/2025] Open
Abstract
BACKGROUND Published results of our Phase I safety and feasibility trial of accelerated intermittent theta burst stimulation (a-iTBS) in mild cognitive impairment (MCI) due to Alzheimer's disease showed a large effect-size improvement in cognition. OBJECTIVE Further demonstrate target engagement by identifying whether changes in local and network-level functional connectivity relate to the observed cognitive improvement. METHODS Eighteen patients with MCI received 3-day a-iTBS (8 sessions/day) to the left dorsolateral prefrontal cortex at Beam F3 (14,400 total pulses) and completed MRI and cognitive testing at pre- and post-treatment. Based on electric field models, we selected 3 stimulated target regions of interest (ROIs) which belonged to the frontoparietal (FPN), default mode (DMN), and ventral attention (VAT) networks (3 target networks). Metrics of resting-state functional connectivity were computed at the ROI level (within-network degree: number of connections) and network level (segregation: strength of connectivity within-network relative to other networks). We correlated changes in cognition and connectivity of the target ROIs and networks; off-target ROI (primary visual) and networks served as negative controls. RESULTS Improvements in cognition were associated with connectivity changes in the target ROIs and networks, but not in off-target negative controls. Positive associations were observed for degree of the l-DMN and segregation of target networks overall, with significant effects for DMN and VAT. CONCLUSION Cognitive improvement following a-iTBS in MCI may be attributable to local and network-level reconfigurations in functional connectivity. These findings will inform larger trials designed to further evaluate the neural mechanisms of a-iTBS for cognition in MCI.
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Affiliation(s)
- Stephanie Aghamoosa
- Department of Health Sciences and Research, Medical University of South Carolina, Charleston, SC, USA; Center for Biomedical Imaging, Medical University of South Carolina, Charleston, SC, USA.
| | - Sara A Nolin
- Department of Neurology, Medical University of South Carolina, Charleston SC, USA
| | - Andrew A Chen
- Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA
| | - Kevin A Caulfield
- Center for Biomedical Imaging, Medical University of South Carolina, Charleston, SC, USA; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA
| | - James Lopez
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA
| | - Katrina Rbeiz
- Department of Neurology, Medical University of South Carolina, Charleston SC, USA
| | - Holly H Fleischmann
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA
| | - Olivia Horn
- Department of Neurology, Medical University of South Carolina, Charleston SC, USA
| | - Katrina Madden
- Department of Neurology, Medical University of South Carolina, Charleston SC, USA
| | - Michael Antonucci
- Department of Radiological Science, Medical University of South Carolina, Charleston, SC, USA
| | - Gonzalo Revuelta
- Center for Biomedical Imaging, Medical University of South Carolina, Charleston, SC, USA; Department of Neurology, Medical University of South Carolina, Charleston SC, USA
| | - Lisa M McTeague
- Center for Biomedical Imaging, Medical University of South Carolina, Charleston, SC, USA; Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA; Ralph H. Johnson VA Health Care System, Charleston, SC, USA
| | - Andreana Benitez
- Center for Biomedical Imaging, Medical University of South Carolina, Charleston, SC, USA; Department of Neurology, Medical University of South Carolina, Charleston SC, USA
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21
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Kurtin DL, Prabhu AM, Hassan Q, Groen A, Amer MJ, Lingford-Hughes A, Paterson LM. Differences in fMRI-based connectivity during abstinence or interventions between heroin-dependent individuals and healthy controls. Neurosci Biobehav Rev 2025; 172:106116. [PMID: 40122357 DOI: 10.1016/j.neubiorev.2025.106116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2024] [Revised: 03/06/2025] [Accepted: 03/16/2025] [Indexed: 03/25/2025]
Abstract
The substantial personal, societal, and economic impacts of opioid addiction drive research investigating how opioid addiction affects the brain, and whether therapies attenuate addiction-related metrics of brain function. Evaluating the connectivity between brain regions is a useful approach to characterise the effects of opioid addiction on the brain. This work is a systematic narrative review of studies investigating the effect of abstinence or interventions on connectivity in people who are dependent on heroin (HD) and healthy controls (HC). We found that HD typically showed weaker connectivity than HC between three functional networks: the Executive Control Network, Default Mode Network, and the Salience Network. Abstinence and Transcranial Magnetic Stimulation (TMS) both attenuated differences in connectivity between HD and HC, often by strengthening connectivity in HD. We observed that increased connectivity due to abstinence or TMS consistently related to decreased craving/risk of relapse. Using these findings, we present an "urge and action framework" relating therapeutic factors contributing to craving/relapse, connectivity results, and neurobiological models of HD. To inform future research, we critically assessed the impact of study design and analysis methods on study results. We conclude that the weaker between-network connectivity in HD and HC and its relationship to craving/relapse merits further exploration as a biomarker and target for therapeutic interventions.
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Affiliation(s)
- Danielle L Kurtin
- Division of Psychiatry, Imperial College London, London, UK; Division of Brain Sciences, Imperial College London, London, UK.
| | | | - Qasim Hassan
- Addictions Recovery Community Hillingdon, Uxbridge, London, UK
| | - Alissa Groen
- Division of Psychiatry, Imperial College London, London, UK
| | - Matthew J Amer
- Division of Psychiatry, Imperial College London, London, UK
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22
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Tomiyama H, Murayama K, Kato K, Matsuo A, Nishida N, Matsukuma K, Kawahito M, Kang M, Sashikata K, Yamashita K, Kikuchi K, Wada T, Togao O, Nakao T. Spontaneous activity and functional connectivity in patients with hoarding disorder comorbid with attention-deficit/hyperactive disorder. J Psychiatr Res 2025; 185:98-104. [PMID: 40174309 DOI: 10.1016/j.jpsychires.2025.03.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2024] [Revised: 03/16/2025] [Accepted: 03/26/2025] [Indexed: 04/04/2025]
Abstract
Despite recent studies suggesting an important association of hoarder disorder (HD) and attention-deficit/hyperactive disorder (ADHD), no neuroimaging study has investigated the differences between patients with HD comorbid with ADHD and those without ADHD. This study investigated the regional spontaneous activity and functional connectivity in HD, focusing on the comorbidity with ADHD. Resting-state functional magnetic resonance imaging (MRI) data were obtained from 24 patients with HD and 31 healthy individuals. We investigated the group differences using the fractional amplitude of low-frequency fluctuation (fALFF). The altered regions in the fALFF were used as seeds in a functional connectivity analysis where we conducted group comparisons among the three groups: healthy controls (HCs), HD with ADHD (HD +ADHD), and HD without ADHD (HD -ADHD). Compared to HCs, patients with HD had a reduced fALFF in the right inferior frontal gyrus (IFG). Functional connectivity analysis revealed that patients with HD + ADHD had reduced functional connectivity between the IFG and dorsolateral prefrontal cortex (DLPFC) compared to HCs, while the HD -ADHD group was intermediate level between HD +ADHD and HCs groups. In conclusion, patients with HD have altered spontaneous activity of the IFG. Additionally, patients with HD + ADHD had significantly reduced functional connectivity between the IFG and the DLPFC. Our findings suggest the potential need to distinguish between subgroups of HD+ADHD to identify novel neurobiological models of HD that could guide future therapeutic strategies.
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Affiliation(s)
- Hirofumi Tomiyama
- Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Japan
| | - Keitaro Murayama
- Department of Neuropsychiatry, Kyushu University Hospital, Japan.
| | - Kenta Kato
- Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Japan
| | - Akira Matsuo
- Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Japan
| | - Nami Nishida
- Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Japan
| | - Kou Matsukuma
- Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Japan
| | - Makoto Kawahito
- Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Japan
| | - Mingi Kang
- Department of Psychology, Kyushu University, Japan
| | | | - Koji Yamashita
- Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Japan
| | - Kazufumi Kikuchi
- Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Japan
| | - Tatsuhiro Wada
- Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Japan
| | - Osamu Togao
- Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Japan
| | - Tomohiro Nakao
- Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Japan
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23
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Lin Z, Molloy MF, Sripada C, Kang J, Si Y. Population-weighted Image-on-scalar Regression Analyses of Large Scale Neuroimaging Data. MEDRXIV : THE PREPRINT SERVER FOR HEALTH SCIENCES 2025:2025.04.21.25326171. [PMID: 40313311 PMCID: PMC12045411 DOI: 10.1101/2025.04.21.25326171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2025]
Abstract
Recent advances in neuroimaging modeling highlight the importance of accounting for subgroup heterogeneity in population-based neuroscience research through various investigations in large scale neuroimaging data collection. To integrate survey methodology with neuroscience research, we present an imaging data analysis and yield population generalizability with screened subsets of data. The Adolescent Brain Cognitive Development (ABCD) Study has enrolled a large cohort of participants to reflect the individual variation of the U.S. population in adolescent development. To ensure population representation, the ABCD Study has released the base weights. We estimated the associations between brain activities and cognitive performance using the functional Magnetic Resonance Imaging (fMRI) data from the ABCD Study's N-Back working memory task. Notably, the imaging subsample exhibits differences from the baseline cohort in key child characteristics and such discrepancies cannot be addressed simply by applying the ABCD base weights. We developed new population weights specific to the subsample and included the adjusted weights in the image-on-scalar regression model. We validated the approach through synthetic simulations and applications to fMRI data from the ABCD Study. Our findings demonstrate that population weighting adjustments effectively capture active brain areas associated with cognition, enhancing the validity and generalizability of population neuroscience research.
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24
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Shu S, Ou W, Ma M, He H, Zhang Q, Huang M, Chen W, Deng A, Li K, Xi Z, Meng F, Liang H, Gao S, Peng Y, Liao M, Zhang L, Wang M, Liu J, Liu B, Ju Y, Zhang Y. Altered brain network dynamics during rumination in remitted depression. Neuroimage 2025; 310:121176. [PMID: 40154648 DOI: 10.1016/j.neuroimage.2025.121176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2024] [Revised: 03/20/2025] [Accepted: 03/25/2025] [Indexed: 04/01/2025] Open
Abstract
Rumination is a known risk factor for depression relapse. Understanding its neurobiological mechanisms during depression remission can inform strategies to prevent relapse, yet the temporal dynamics of brain networks during rumination in remitted depression remain unclear. Here, we collected rumination induction fMRI data from 42 patients with remitted depression and 41 healthy controls (HCs). Using an energy landscape approach, we investigated the temporal dynamics of brain networks during rumination. The appearance frequency (AF) and transition frequency (TF) metrics were defined to quantify the dynamic properties of brain states. Patients during remission showed higher levels of rumination than HCs. Both groups exhibited four brain states during rumination, which consisted of complementary network group activation (states 1 and 2, states 3 and 4). In patients, the AFs of and reciprocal TFs between states 1 and 2 during rumination were significantly increased, while AFs of states 3 and 4 and reciprocal TFs involving states 1-3, 1-4, 2-3, and 2-4 were decreased, both when compared to HCs and relative to patients themselves during distraction. Moreover, we found that for patients, the AF of state 1 was negatively correlated with rumination levels and marginally positively associated with attention, while the AF of state 2 was negatively associated with performance on attention tasks. Our study revealed altered dynamic characteristics of brain states composed of network groups during rumination in remitted depression. Additionally, the findings suggest that heightened self-focus linked to rumination may impair the brain's ability to efficiently allocate attentional resources.
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Affiliation(s)
- Su Shu
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Wenwen Ou
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Mohan Ma
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Hairuo He
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Qianqian Zhang
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Mei Huang
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Wentao Chen
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Aoqian Deng
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Kangning Li
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Zhenman Xi
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Fanyu Meng
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Hui Liang
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Sirui Gao
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Yilin Peng
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Mei Liao
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Li Zhang
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Mi Wang
- Department of Mental Health Center, Xiangya Hospital of Central South University, Changsha, Hunan 410011, China
| | - Jin Liu
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Bangshan Liu
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China
| | - Yumeng Ju
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China.
| | - Yan Zhang
- Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China.
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25
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Li J, Jiang D, Huang X, Wang X, Xia T, Zhang W. Intermittent theta burst stimulation for negative symptoms in schizophrenia patients with moderate to severe cognitive impairment: A randomized controlled trial. Psychiatry Clin Neurosci 2025; 79:147-157. [PMID: 39887864 DOI: 10.1111/pcn.13779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2024] [Revised: 11/20/2024] [Accepted: 12/08/2024] [Indexed: 02/01/2025]
Abstract
AIMS This study aims to assess the therapeutic effects of intermittent theta burst stimulation (iTBS) targeting the bilateral dorsomedial prefrontal cortex (DMPFC) on negative symptoms in patients with schizophrenia, utilizing functional near-infrared spectroscopy for evaluation. METHODS Thirty-five schizophrenia patients with negative symptoms and moderate to severe cognitive impairment were randomly assigned to a treatment group (n = 18) or a control group (n = 17). The treatment group received iTBS via bilateral DMPFC. Negative symptoms, cognitive function, emotional state, and social function were assessed using Positive and Negative Syndrome Scale (PANSS), Scale for the Assessment of Negative Symptoms (SANS), Montreal Cognitive Assessment (MoCA), Calgary Depression Scale for Schizophrenia (CDSS), and Social Dysfunction Screening Questionnaire (SDSS) scales at pretreatment, posttreatment, and follow-up at 4, 8, and 12 weeks. Brain activation in regions of interest (ROIs) was evaluated through verbal fluency tasks. RESULTS Prior to treatment there was no significant difference in the two groups. After 20 iTBS sessions, a significant difference was observed in SANS total score, its related subscales, PANSS total score, and PANSS-negative symptoms (all P < 0.05). The group-by-time interaction showed statistical significance, indicating improvements in negative symptoms and related dimensions over time, with therapeutic effects persisting for at least 8 weeks posttreatment. Prior to treatment, there were no significant differences in activation across all ROIs between the two groups. Posttreatment, the activation of right inferior frontal gyrus (t = 2.19, P = 0.036) and right frontal eye field (t = 2.14, P = 0.04) in the treatment group was significantly higher than in the control group. CONCLUSIONS iTBS stimulation of bilateral DMPFC demonstrates therapeutic effects in improving negative symptoms in schizophrenia patients, and this treatment approach has the potential to enhance activation within the prefrontal cortex.
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Affiliation(s)
- Jing Li
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
| | - Dan Jiang
- Psychiatry Department, Jinxin Mental Hospital, Chengdu, China
| | - Xingyu Huang
- Psychiatry Department, Jinxin Mental Hospital, Chengdu, China
| | - Xiao Wang
- Psychiatry Department, Jinxin Mental Hospital, Chengdu, China
| | - Tingting Xia
- Psychiatry Department, Jinxin Mental Hospital, Chengdu, China
| | - Wei Zhang
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, China
- West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China
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26
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Sachse EM, Widge AS. Neurostimulation to Improve Cognitive Flexibility. Curr Opin Behav Sci 2025; 62:101484. [PMID: 39925871 PMCID: PMC11804887 DOI: 10.1016/j.cobeha.2025.101484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2025]
Abstract
Cognitive flexibility, the capacity to adapt behaviors in response to changing environments, is impaired across mental illnesses, including depression, anxiety, addiction, and obsessive-compulsive disorder. Cortico-striatal-cortical circuits are integral to cognition and goal-directed behavior and disruptions in these circuits are linked to cognitive inflexibility in mental illnesses. We review evidence that neurostimulation of these circuits can improve cognitive flexibility and ameliorate symptoms, and that this may be a mechanism of action of current clinical therapies. Further, we discuss how animal models can offer insights into the mechanisms underlying cognitive flexibility and effects of neurostimulation. We review research from animal studies that may, if translated, yield better approaches to modulating flexibility. Future research should focus on refining definitions of cognitive flexibility, improving detection of impaired flexibility, and developing new methods for optimizing neurostimulation parameters. This could enhance neurostimulation therapies through more personalized treatments that leverage cognitive flexibility to improve patient outcomes.
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Affiliation(s)
- Elizabeth M Sachse
- University of Minnesota, Department of Psychiatry, 2312 6 Street South, Floor 2, Suite F-275, Minneapolis+, MN 55454
- University of Minnesota, Department of Neuroscience, 6-145 Jackson Hall, 321 Church Street SE, Minneapolis, MN 55455
| | - Alik S Widge
- University of Minnesota, Department of Psychiatry, 2312 6 Street South, Floor 2, Suite F-275, Minneapolis+, MN 55454
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27
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Blader JC, Garrett AS, Pliszka SR. Annual Research Review: What processes are dysregulated among emotionally dysregulated youth? - a systematic review. J Child Psychol Psychiatry 2025; 66:516-546. [PMID: 39969267 PMCID: PMC11920615 DOI: 10.1111/jcpp.14126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/13/2024] [Indexed: 02/20/2025]
Abstract
Proliferation of the term "emotion dysregulation" in child psychopathology parallels the growing interest in processes that influence negative emotional reactivity. While it commonly refers to a clinical phenotype where intense anger leads to behavioral dyscontrol, the term implies etiology because anything that is dysregulated requires an impaired regulatory mechanism. Many cognitive, affective, behavioral, neural, and social processes have been studied to improve understanding of emotion dysregulation. Nevertheless, the defective regulatory mechanism that might underlie it remains unclear. This systematic review of research on processes that affect emotion dysregulation endeavors to develop an integrative framework for the wide variety of factors investigated. It seeks to ascertain which, if any, constitutes an impaired regulatory mechanism. Based on this review, we propose a framework organizing emotion-relevant processes into categories pertaining to stimulus processing, response selection and control, emotion generation, closed- or open-loop feedback-based regulation, and experiential influences. Our review finds scant evidence for closed-loop (automatic) mechanisms to downregulate anger arousal rapidly. Open-loop (deliberate) regulatory strategies seem effective for low-to-moderate arousal. More extensive evidence supports roles for aspects of stimulus processing (sensory sensitivity, salience, appraisal, threat processing, and reward expectancy). Response control functions, such as inhibitory control, show robust associations with emotion dysregulation. Processes relating to emotion generation highlight aberrant features in autonomic, endocrine, reward functioning, and tonic mood states. A large literature on adverse childhood experiences and family interactions shows the unique and joint effects of interpersonal with child-level risks. We conclude that the defective closed-loop regulatory mechanisms that emotion dysregulation implies require further specification. Integrating research on emotion-relevant mechanisms along an axis from input factors through emotion generation to corrective feedback may promote research on (a) heterogeneity in pathogenesis, (b) interrelationships between these factors, and (c) the derivation of better-targeted treatments that address specific pathogenic processes of affected youth.
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Affiliation(s)
- Joseph C. Blader
- Department of Psychiatry and Behavioral SciencesUniversity of Texas Health Science Center at San AntonioSan AntonioTXUSA
| | - Amy S. Garrett
- Department of Psychiatry and Behavioral SciencesUniversity of Texas Health Science Center at San AntonioSan AntonioTXUSA
| | - Steven R. Pliszka
- Department of Psychiatry and Behavioral SciencesUniversity of Texas Health Science Center at San AntonioSan AntonioTXUSA
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Zhang X, Liu D, Li J, Zheng X, Zhou S, Elhai JD, Montag C, Yang H. Prefrontal cortex responses to game rewards and losses in individuals with Internet Gaming Disorder: Insights from fNIRS during mobile gameplay. J Behav Addict 2025; 14:347-360. [PMID: 39841152 PMCID: PMC11974425 DOI: 10.1556/2006.2024.00076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/21/2024] [Revised: 10/19/2024] [Accepted: 12/07/2024] [Indexed: 01/23/2025] Open
Abstract
Aims This study aimed to explore the brain activity characteristics of individuals with Internet Gaming Disorder (IGD) during mobile gameplay, focusing on neural responses to positive and negative game events. The findings may enhance our understanding of the neural mechanisms underlying IGD. Methods Functional near-infrared spectroscopy (fNIRS) was employed to measure hemodynamic responses (HbO/HbR) in the prefrontal cortex of both IGD participants and recreational gaming users (RGU), during solo and multiplayer mobile gameplay. Results In solo mode, IGD participants exhibited stronger activation in the dorsolateral prefrontal cortex (dLPFC), frontopolar area (FPA), orbitofrontal cortex (OFC) in response to positive events compared to RGU. Negative events led to reduced activation in the FPA among IGD participants. In multiplayer mode, IGD participants displayed lower activation in the dLPFC and ventrolateral prefrontal cortex (vLPFC), although overall brain response trends to positive and negative events were similar between IGD and RGU. Conclusions This study suggests that individuals with IGD exhibit heightened sensitivity to rewards and diminished sensitivity to losses, along with potential impairments in the executive control network. These results contribute to a better understanding of the neural mechanisms of IGD and offer insights for developing targeted interventions aimed at addressing abnormal reward and loss processing.
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Affiliation(s)
- Xinyu Zhang
- Faculty of Psychology, Tianjin Normal University, Tianjin 300387, China
| | - Dongyu Liu
- Faculty of Psychology, Tianjin Normal University, Tianjin 300387, China
| | - Jiaqi Li
- Faculty of Psychology, Tianjin Normal University, Tianjin 300387, China
| | - Xinyu Zheng
- Faculty of Psychology, Tianjin Normal University, Tianjin 300387, China
| | - Shutong Zhou
- Faculty of Psychology, Tianjin Normal University, Tianjin 300387, China
| | - Jon D. Elhai
- Department of Psychology, University of Toledo, Toledo, OH, 43606, USA
- Department of Psychiatry, University of Toledo, Toledo, OH, 43614, USA
| | - Christian Montag
- Department of Molecular Psychology, Institute of Psychology and Education, Ulm University, 89081 Ulm, Germany
| | - Haibo Yang
- Faculty of Psychology, Tianjin Normal University, Tianjin 300387, China
- Key Research Base of Humanities and Social Sciences of the Ministry of Education, Academy of Psychology and Behavior, Tianjin Normal University, Tianjin 300387, China
- Tianjin Social Science Laboratory of Students' Mental Development and Learning, Tianjin 300387, China
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Li J, Huang R, Liu M, Zhang D, Liang B. Beyond the uniform creative brain: Inter-individual variability in functional connectivity correlates with creativity. Neuroscience 2025; 570:38-47. [PMID: 39961390 DOI: 10.1016/j.neuroscience.2025.02.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2024] [Revised: 01/10/2025] [Accepted: 02/11/2025] [Indexed: 02/23/2025]
Abstract
Creativity, characterized by the pursuit of uniqueness and novelty, highlights the importance of individual variability, which have been a key focus in cognitive and behavioral research on creativity. However, most studies on the neural basis of creativity have primarily focused on consistent patterns of brain activity across individuals, with little attention to the variability in brain function. In this study, inter-subject representational similarity analysis was employed to investigate the relationship between inter-individual variability in resting-state functional connectivity and creative ability. The results revealed significant positive correlations between individual variability in functional connectivity maps of multiple brain regions, including the superior frontal gyrus, orbital gyrus, precuneus, cingulate gyrus, and lateral occipital cortex, and variability in creative ability. Notably, both intra-network variability within the default mode network (DMN) and visual network, as well as inter-network variability among the DMN, visual, sensorimotor, dorsal attention, and fronto-parietal networks, were linked to the variability in creative ability. The variations in functional connectivity patterns effectively distinguished individuals with high creative ability from those with lower ability. By examining creativity from the perspective of individual variability, this study provides new insights into the neural mechanisms underlying creativity.
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Affiliation(s)
- Junchao Li
- School of Education Science, Guangdong Polytechnic Normal University, Guangzhou, China
| | - Ruiwang Huang
- Key Laboratory of Brain, Cognition and Education Sciences (South China Normal University), Ministry of Education, Guangzhou 510631, China; School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou 510631, China
| | - Ming Liu
- Key Laboratory of Brain, Cognition and Education Sciences (South China Normal University), Ministry of Education, Guangzhou 510631, China
| | - Delong Zhang
- Key Laboratory of Brain, Cognition and Education Sciences (South China Normal University), Ministry of Education, Guangzhou 510631, China; School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou 510631, China.
| | - Bishan Liang
- School of Education Science, Guangdong Polytechnic Normal University, Guangzhou, China.
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Gao Z, Duberg K, Warren SL, Zheng L, Hinshaw SP, Menon V, Cai W. Reduced temporal and spatial stability of neural activity patterns predict cognitive control deficits in children with ADHD. Nat Commun 2025; 16:2346. [PMID: 40057478 PMCID: PMC11890578 DOI: 10.1038/s41467-025-57685-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2024] [Accepted: 02/26/2025] [Indexed: 05/13/2025] Open
Abstract
This study investigates the neural underpinnings of cognitive control deficits in attention-deficit/hyperactivity disorder (ADHD), focusing on trial-level variability of neural coding. Using fMRI, we apply a computational approach to single-trial neural decoding on a cued stop-signal task, probing proactive and reactive control within the dual control model. Reactive control involves suppressing an automatic response when interference is detected, and proactive control involves implementing preparatory strategies based on prior information. In contrast to typically developing children (TD), children with ADHD show disrupted neural coding during both proactive and reactive control, characterized by increased temporal variability and diminished spatial stability in neural responses in salience and frontal-parietal network regions. This variability correlates with fluctuating task performance and ADHD symptoms. Additionally, children with ADHD exhibit more heterogeneous neural response patterns across individuals compared to TD children. Our findings underscore the significance of modeling trial-wise neural variability in understanding cognitive control deficits in ADHD.
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Affiliation(s)
- Zhiyao Gao
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA.
| | - Katherine Duberg
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA
| | - Stacie L Warren
- Department of Psychology, University of Texas, Dallas, TX, USA
| | - Li Zheng
- Department of Psychology, University of Arizona, Tucson, AZ, USA
| | - Stephen P Hinshaw
- Department of Psychology, University of California, Berkeley, CA, USA
- Department of Psychiatry & Behavioral Sciences, University of California, San Francisco, CA, USA
| | - Vinod Menon
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA.
- Wu Tsai Neuroscience Institute, Stanford University, Stanford, CA, USA.
- Department of Neurology & Neurological Sciences, Stanford University School of Medicine, Stanford, CA, USA.
- Maternal & Child Health Research Institute, Stanford, CA, USA.
| | - Weidong Cai
- Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, USA.
- Wu Tsai Neuroscience Institute, Stanford University, Stanford, CA, USA.
- Maternal & Child Health Research Institute, Stanford, CA, USA.
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Sahin Ozarslan F, Duru AD. Differences in Anatomical Structures and Resting-State Brain Networks Between Elite Wrestlers and Handball Athletes. Brain Sci 2025; 15:285. [PMID: 40149806 PMCID: PMC11939878 DOI: 10.3390/brainsci15030285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2025] [Revised: 03/02/2025] [Accepted: 03/03/2025] [Indexed: 03/29/2025] Open
Abstract
BACKGROUND/OBJECTIVES Advancements in biomedical imaging technologies over the past few decades have made it increasingly possible to measure the long-term effects of exercise on the central nervous system. This study aims to compare the brain morphology and functional connectivity of wrestlers and handball players, exploring sport-specific neural adaptations. METHODS Here, we examined 26 elite male athletes (13 wrestlers and 13 handball players) using anatomical and resting-state functional magnetic resonance imaging (fMRI) measurements. Connectivity maps are derived using the seed-based correlation analysis of resting-state fMRI, while voxel-based morphometry (VBM) is employed to identify anatomical differences. Additionally, the cortical thickness and global volumetric values of the segmented images are examined to determine the distinctions between elite wrestlers and handball players using non-parametric statistical tests. RESULTS Wrestlers exhibited greater grey matter volume (GMV) in the right middle temporal gyrus, left middle frontal gyrus, and right posterior cingulate gyrus (uncorr., p < 0.001). On the other hand, wrestlers showed increased functional connectivity in the left superior temporal gyrus, left parahippocampal gyrus, the left anterior orbital gyrus, and right superior frontal gyrus-medial frontal region (P(FWE) < 0.05). In addition, wrestlers showed greater cortical thickness in several brain regions. CONCLUSIONS The increased GMV, cortical thickness, and functional connectivity observed in wrestlers highlight the presence of sport-specific neural adaptations. While this research provides valuable insights into the neuroplastic effects of various athletic disciplines, further studies involving additional sports and control groups are needed for a more comprehensive understanding.
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Zeng L, Gai L, Sun K, Yuan Y, Gao Y, Wang H, Wang X, Wen Z. The emergent property of inhibitory control: implications of intermittent network-based fNIRS neurofeedback training. Front Hum Neurosci 2025; 19:1513304. [PMID: 40104768 PMCID: PMC11913857 DOI: 10.3389/fnhum.2025.1513304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2024] [Accepted: 02/13/2025] [Indexed: 03/20/2025] Open
Abstract
Background Studies have shown that inhibitory control is supported by frontal cortex and small-world brain networks. However, it remains unclear how regulating the topology changes the inhibitory control. We investigated the effects of small-worldness upregulation training on resting-state networks via fNIRS neurofeedback training, which will contribute to a deeper insight of inhibitory control. Methods A five-day training session was used to regulate the small-worldness of the frontal cortex, and the color-word Stroop task was tested before and after training. Fifty healthy adults were recruited and randomly assigned to the sham feedback group (sham group), or intermittent fNIRS-based brain network feedback group (fNIRS-NF group). On the basis of the exclusion of incomplete data, 45 valid data sets were retained and analyzed (sham: 21, fNIRS-NF: 24). Results Training increased resting-state small-worldness and improved Stroop task performance, with a significant correlation between these changes (r = -0.32, p = 0.032). The fNIRS-NF group exhibited reduced hemodynamic activation (βvalue decreased, indicating lower cognitive load) during posttest and follow-up. Notably, the right dorsolateral prefrontal cortex (dlPFC) showed greater intra-regional connectivity increases than the left dlPFC, suggesting asymmetric plasticity. Conclusion Intermittent fNIRS neurofeedback effectively modulates resting-state small-world networks and enhances inhibitory control, with effects sustained for at least one week. These findings highlight small-worldness as a novel target for cognitive interventions.
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Affiliation(s)
- Lingwei Zeng
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
| | - Lidong Gai
- The First Regiment of the Basic Training Base of the Air Force Aviation University, Changchun, China
| | - Kewei Sun
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
| | - Yimeng Yuan
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
| | - Yuntao Gao
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
| | - Hui Wang
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
| | - Xiucao Wang
- Military Medical Psychology School, Fourth Military Medical University, Xi'an, China
| | - Zhihong Wen
- Department of Aerospace Medicine, Fourth Military Medical University, Xi'an, China
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Carminati M, Isel F, Houenou J, Wessa M, Henry C. Impaired Regulation of Emotion in Bipolar I Disorder: Behavioral and Neurophysiological Signatures. NEUROSCI 2025; 6:20. [PMID: 40137864 PMCID: PMC11944531 DOI: 10.3390/neurosci6010020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2025] [Revised: 02/22/2025] [Accepted: 02/25/2025] [Indexed: 03/29/2025] Open
Abstract
People with bipolar disorder (BD) present with mood instability resulting from more frequent and intense emotions in response to environmental conditions relative to healthy subjects. The aim of this study was to investigate the time course of emotion regulation strategies, distraction, and reappraisal in euthymic BD patients (i.e., normal mood range) using electroencephalography (EEG). Fourteen BD patients and 13 matched healthy controls took part in an experiment constituting three conditions, i.e., a passive viewing of positive, negative, and neutral pictures, and two regulation conditions, one with a reappraisal strategy and the other with a distraction strategy. Critically, the ERP results indicated that during passive viewing, the Late Positive Potential (LPP) was larger in BD patients compared with healthy controls, but only for neutral pictures. During emotion regulation, LPP amplitude was reduced in distraction conditions compared with viewing ones, especially for negative emotions in both patients and controls. Importantly, LPP was reduced in reappraisal conditions compared with passive viewing in an early time window for negative emotions and in a later time window for positive emotions in controls but not in patients. Our findings showed that the temporal dynamics of emotion regulation by reappraisal are faster for negative than for positive emotions in controls but not in BD patients.
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Affiliation(s)
- Mathilde Carminati
- Département de Psychiatrie et de Médecine Addictologique, Hôpital Lariboisière-Fernand Widal, 75010 Paris, France;
- Laboratoire Vision Action Cognition—EA 7326, Institut de Psychologie, Université Paris Cité, 92100 Boulogne-Billancourt, France
| | - Frédéric Isel
- Laboratoire de Phonétique et Phonologie—UMR UMR7018, CNRS, Institut de Linguistique et Phonétique Générales et Appliquées (ILPGA), Université Sorbonne Nouvelle, 75005 Paris, France
| | - Josselin Houenou
- NeuroSpin, CEA, Institut des Sciences du Vivant Frédéric Joliot, 91191 Gif-sur-Yvette, France;
- Pôle de Psychiatrie, AP-HP, Faculté de Médecine de Créteil, DHU PePsy, Hôpitaux Universitaires Mondor, 94000 Créteil, France
| | - Michèle Wessa
- Institut für Psychologie, Johannes Gutenberg-Universität Mainz, 55122 Mainz, Germany;
| | - Chantal Henry
- Département Santé, Université Paris Cité, 75006 Paris, France;
- Departement of Psychiatry, Service Hospitalo-Universitaire, GHU Paris Psychiatrie & Neurosciences, 75014 Paris, France
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Tu Z, Zhang Y, Lv X, Wang Y, Zhang T, Wang J, Yu X, Chen P, Pang S, Li S, Yu X, Zhao X. Accurate Machine Learning-based Monitoring of Anesthesia Depth with EEG Recording. Neurosci Bull 2025; 41:449-460. [PMID: 39289330 PMCID: PMC11876477 DOI: 10.1007/s12264-024-01297-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2024] [Accepted: 05/05/2024] [Indexed: 09/19/2024] Open
Abstract
General anesthesia, pivotal for surgical procedures, requires precise depth monitoring to mitigate risks ranging from intraoperative awareness to postoperative cognitive impairments. Traditional assessment methods, relying on physiological indicators or behavioral responses, fall short of accurately capturing the nuanced states of unconsciousness. This study introduces a machine learning-based approach to decode anesthesia depth, leveraging EEG data across different anesthesia states induced by propofol and esketamine in rats. Our findings demonstrate the model's robust predictive accuracy, underscored by a novel intra-subject dataset partitioning and a 5-fold cross-validation method. The research diverges from conventional monitoring by utilizing anesthetic infusion rates as objective indicators of anesthesia states, highlighting distinct EEG patterns and enhancing prediction accuracy. Moreover, the model's ability to generalize across individuals suggests its potential for broad clinical application, distinguishing between anesthetic agents and their depths. Despite relying on rat EEG data, which poses questions about real-world applicability, our approach marks a significant advance in anesthesia monitoring.
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Affiliation(s)
- Zhiyi Tu
- Department of Anesthesiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China
| | - Yuehan Zhang
- Department of Anesthesiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China
| | - Xueyang Lv
- Department of Anesthesiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China
| | - Yanyan Wang
- Department of Anesthesiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China
| | - Tingting Zhang
- Department of Anesthesiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China
| | - Juan Wang
- Department of Anesthesiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China
| | - Xinren Yu
- Department of Anesthesiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China
| | - Pei Chen
- Department of Anesthesiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China
| | - Suocheng Pang
- Department of Anesthesiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China
| | - Shengtian Li
- Bio-X Institutes, Key Laboratory for the Genetics of Development and Neuropsychiatric Disorders (Ministry of Education), Shanghai Jiao Tong University, Shanghai, 200240, China
| | - Xiongjie Yu
- Department of Anesthesia, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, 310006, China.
- Zhejiang Key Laboratory of Precision Diagnosis and Therapy for Major Gynecological Diseases, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, 310027, China.
| | - Xuan Zhao
- Department of Anesthesiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China.
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Alonso S, Cocchi L, Hearne LJ, Shine JM, Vidaurre D. Targeted Time-Varying Functional Connectivity. Hum Brain Mapp 2025; 46:e70157. [PMID: 40035167 PMCID: PMC11876989 DOI: 10.1002/hbm.70157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2024] [Accepted: 01/27/2025] [Indexed: 03/05/2025] Open
Abstract
To elucidate the neurobiological basis of cognition, which is dynamic and evolving, various methods have emerged to characterise time-varying functional connectivity (FC) and track the temporal evolution of functional networks. However, given a selection of regions, many of these methods are based on modelling all possible pairwise connections, diluting a potential focus of interest on individual connections. This is the case with the hidden Markov model (HMM), which relies on region-by-region covariance matrices across all pairs of selected regions, assuming that fluctuations in FC occur across all investigated connections; that is, that all connections are locked to the same temporal pattern. To address this limitation, we introduce Targeted Time-Varying FC (T-TVFC), a variant of the HMM that explicitly models the temporal fluctuations between two sets of regions in a targeted fashion, rather than across the entire connectivity matrix. In this study, we apply T-TVFC to both simulated and real-world data. Specifically, we investigate thalamocortical connectivity, hypothesising distinct temporal signatures compared to corticocortical networks. Given the thalamus's role as a critical hub, thalamocortical connections might contain unique information about cognitive processing that could be overlooked in a coarser representation. We tested these hypotheses on high-field functional magnetic resonance data from 60 participants engaged in a reasoning task with varying complexity levels. Our findings demonstrate that the time-varying interactions captured by T-TVFC contain task-related information not detected by more traditional decompositions.
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Affiliation(s)
- Sonsoles Alonso
- Center for Functionally Integrative Neuroscience, Department of Clinical MedicineAarhus UniversityDenmark
| | - Luca Cocchi
- QIMR Berghofer Medical Research InstituteBrisbaneQueenslandAustralia
| | - Luke J. Hearne
- Center for Molecular and Behavioral NeuroscienceRutgers UniversityNewarkNew JerseyUSA
| | - James M. Shine
- Brain and Mind CentreThe University of SydneySydneyNew South WalesAustralia
| | - Diego Vidaurre
- Center for Functionally Integrative Neuroscience, Department of Clinical MedicineAarhus UniversityDenmark
- Department of PsychiatryUniversity of OxfordOxfordUK
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Moza S, Scarmeas N, Yannakoulia M, Dardiotis E, Hadjigeorgiou GM, Sakka P, Kosmidis MH. Critical menarche age for late-life dementia and the role of education and socioeconomic status. NEUROPSYCHOLOGY, DEVELOPMENT, AND COGNITION. SECTION B, AGING, NEUROPSYCHOLOGY AND COGNITION 2025; 32:307-325. [PMID: 39115104 DOI: 10.1080/13825585.2024.2386314] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/25/2024] [Accepted: 07/25/2024] [Indexed: 02/25/2025]
Abstract
Estrogen exposure during menstrual years has been associated with late-life neuroprotection. We explored the presence of an age-sensitive menarche window for cognition in old age and the impact of socioeconomic status and education. We compared neuropsychological performance of 1082 older women [MeanAGE = 72.69 (5.48)] with menarche in childhood, early-, mid-, and late-adolescence and dementia prevalence, severity, and type, including the effects of education and socioeconomic status. Adjusting for covariates, menarche at 11-14 years of age was associated with better memory, executive and global cognitive functioning in old age, and stronger positive effects of education and socioeconomic status on cognition than those with menarche at 15-17 years. We found a critical age window for the neuroprotective effects of estrogens during early adolescence, putting women with later menarche at higher risk for cognitive decline. Effects of socioeconomic status and education in adulthood should be a focus of future research.
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Affiliation(s)
- Sotiria Moza
- Lab of Neuropsychology & Behavioral Neuroscience, School of Psychology, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Nikolaos Scarmeas
- 1st Department of Neurology, Aeginition Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
- Department of Neurology, Taub Institute for Research in Alzheimer's Disease and the Aging Brain, the Gertrude H. Sergievsky Center, Columbia University, New York, USA
| | - Mary Yannakoulia
- Department of Nutrition Science-Dietetics, Harokopio University, Athens, Greece
| | - Efthimios Dardiotis
- Department of Neurology, Faculty of Medicine, University of Thessaly, Thessaly, Greece
| | | | - Paraskevi Sakka
- Athens Alzheimer Association, Etaireia Alzheimer Athenon, Athens, Greece
| | - Mary H Kosmidis
- Lab of Neuropsychology & Behavioral Neuroscience, School of Psychology, Aristotle University of Thessaloniki, Thessaloniki, Greece
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Chen B, Ding L, Zhang S, Liu Z. Neural impact of anti-G suits on pilots: Analyzing microstates and functional connectivity. Brain Cogn 2025; 184:106269. [PMID: 39914186 DOI: 10.1016/j.bandc.2025.106269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2024] [Revised: 01/10/2025] [Accepted: 01/10/2025] [Indexed: 02/23/2025]
Abstract
Overload represents a significant challenge for pilots in flight, with a substantial impact on flight safety. Currently, the primary method of protection is the utilization of inflatable anti-G suit to address instances where blood is concentrated in the lower extremities. The inflatable air pressure of the anti-G suit varies in response to different overload conditions, which in turn affects the pilot's sensory and brain loads. However, this change has not yet been fully explored. To investigate the neural effects of pressure from the anti-G suit under different degrees of overload, this paper employs a pressurized simulation methodology. The subjects' brain state changes during the simulation are measured through electroencephalogram (EEG), and comparative calculations are performed using microstate and functional connectivity. The final results demonstrate that varying inflation levels of the bladder anti-G suit can influence the microstate and functional connectivity. The Duration, Coverage, Occurrence, and transition probability (TP) characteristics of microstate C demonstrated significant variance across three distinct levels of overload. The mean increase in Phase Locking Value (PLV) for overload 3 relative to the absence of overload was 13.8%, and the number of channel synchronizations underwent a transition from 7 to 62.
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Affiliation(s)
- Bo Chen
- Beijing Advanced Innovation Center for Biomedical Engineering, Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, Xueyuan Road, Haidian District, Beijing, 100191, China.
| | - Li Ding
- Beijing Advanced Innovation Center for Biomedical Engineering, Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, Xueyuan Road, Haidian District, Beijing, 100191, China
| | - Shouwen Zhang
- Neuroelectrophysiology Department, Beijing DawangLu Emergency Hospital, Beijing, 100122, China
| | - Zhongqi Liu
- Beijing Advanced Innovation Center for Biomedical Engineering, Key Laboratory for Biomechanics and Mechanobiology of Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, Xueyuan Road, Haidian District, Beijing, 100191, China.
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Shen C, Cui W, Xiong W, Mei L. Heterogeneity of Layer 1 Interneurons in the Mouse Medial Prefrontal Cortex. J Comp Neurol 2025; 533:e70030. [PMID: 40034091 PMCID: PMC11877257 DOI: 10.1002/cne.70030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2024] [Revised: 01/27/2025] [Accepted: 02/10/2025] [Indexed: 03/05/2025]
Abstract
Cortical Layer 1 (L1) acts as a critical relay for processing long-range inputs. GABAergic inhibitory interneurons (INs) in this layer (Layer 1 interneurons [L1INs]) function as inhibitory gates, regulating these inputs and modulating the activity of deeper cortical layers. However, their characteristics and circuits in the medial prefrontal cortex (mPFC) remain poorly understood. Using biocytin labeling, we identified three distinct morphological types of mPFC L1INs: neurogliaform cells (NGCs), elongated NGCs (eNGCs), and single-bouquet cell-like (SBC-like) cells. Whole-cell recordings revealed distinct firing patterns across these subtypes: NGCs and eNGCs predominantly exhibited late-spiking (LS) patterns, and SBC-like cells displayed a higher prevalence of non-LS (NLS) patterns. We observed both electrical and chemical connections among mPFC L1INs. Optogenetic activation of NDNF+ L1INs demonstrated broad inhibitory effects on deeper layer neurons. The strength of inhibition on pyramidal neurons (PyNs) and INs displayed layer-specific preference. These findings highlight the functional diversity of L1INs in modulating mPFC circuits and suggest their potential role in supporting higher order cognitive functions.
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Affiliation(s)
- Chen Shen
- Department of Neurosciences, School of MedicineCase Western Reserve UniversityClevelandOhioUSA
| | - Wanpeng Cui
- Department of Neurosciences, School of MedicineCase Western Reserve UniversityClevelandOhioUSA
| | - Wen‐Cheng Xiong
- Department of Neurosciences, School of MedicineCase Western Reserve UniversityClevelandOhioUSA
- Louis Stokes Cleveland Veterans Affairs Medical CenterClevelandOhioUSA
| | - Lin Mei
- Department of Neurosciences, School of MedicineCase Western Reserve UniversityClevelandOhioUSA
- Louis Stokes Cleveland Veterans Affairs Medical CenterClevelandOhioUSA
- Chinese Institutes for Medical ResearchBeijingChina
- Chinese Institute for Brain ResearchBeijingChina
- Capital Medical UniversityBeijingChina
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Joss D, Datko M, Washington CI, Tresvalles MA, Mete M, Lazar SW, Schuman-Olivier Z, Hoge EA. Neural correlates of reduction in self-judgment after mindful self-compassion training: A pilot study with resting state fMRI. JOURNAL OF MOOD AND ANXIETY DISORDERS 2025; 9:100096. [PMID: 40162192 PMCID: PMC11952680 DOI: 10.1016/j.xjmad.2024.100096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 04/02/2025]
Abstract
Self-judgment is a trans-diagnostic symptom among various psychological disorders, therefore can be a therapeutic target for many common psychiatric conditions. Self-judgment often arises among those who experienced childhood maltreatment, which increases the risk for developing comorbid psychiatric disorders that are resistant to traditional pharmacological and psychological interventions. Understanding the neural correlates of the therapeutic effect of behavioral interventions for reducing self-judgment is key for developing and refining evidence-based intervention programs. This single arm pilot study (N = 24) explored the neural correlates of reduction in self-judgment after an eight-week mindful self-compassion (MSC) intervention program for a sample of adult patients with either anxiety or depressive disorders, with 83 % having more than one diagnoses. The results demonstrated significant reduction of self-judgment after the intervention (p < 0.001, d = -1.04) along with increased self-compassion (p < 0.001, d =1.20); in particular, participants with above median score on the Childhood Trauma Questionnaire had significantly more improvement than those with below median scores (p < 0.05). Resting state fMRI was used to study neural correlates and showed that reduced self-judgment was associated with increased posterior cingulate cortex functional connectivity with dorsal lateral prefrontal cortex, inferior frontal gyrus, and dorsal medial prefrontal cortex, accompanied by reduced posterior cingulate cortex functional connectivity with the amygdala-hippocampal complex. These findings suggest reduced self-judgment after MSC training was substantiated by reduced fear circuitry influences on self-referential processes along with enhanced frontal regulation from the executive network and language network.
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Affiliation(s)
- Diane Joss
- Department of Psychiatry, Cambridge Health Alliance, Harvard Medical School, Boston, USA
- Department of Psychiatry, Harvard Medical School, Boston, USA
| | - Michael Datko
- Department of Psychiatry, Cambridge Health Alliance, Harvard Medical School, Boston, USA
- Department of Psychiatry, Harvard Medical School, Boston, USA
| | | | | | - Mihriye Mete
- Medstar Health Research Institute, Hyattsville, MD, USA
| | - Sara W. Lazar
- Department of Psychiatry, Harvard Medical School, Boston, USA
- Department of Psychiatry, Massachusetts General Hospital, USA
| | - Zev Schuman-Olivier
- Department of Psychiatry, Cambridge Health Alliance, Harvard Medical School, Boston, USA
- Department of Psychiatry, Harvard Medical School, Boston, USA
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40
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Guseva M, Bogler C, Allefeld C, Ziya EB, Haynes JD. Neural Correlates of Different Randomization Tasks. J Cogn Neurosci 2025; 37:621-640. [PMID: 39620948 DOI: 10.1162/jocn_a_02280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/29/2025]
Abstract
In some cases, when we are making decisions, the available choices can appear to be equivalent. When this happens, our choices appear not to be constrained by external factors and, instead, we can believe to be selecting "randomly." Furthermore, randomness is sometimes even explicitly required by task conditions such as in random sequence generation tasks. This is a challenging task that involves the coordination of multiple cognitive processes, which can include the inhibition of habitual choice patterns and monitoring of the running choice sequence. It has been shown that random choices are strongly influenced by the way they are instructed. This raises the question whether the brain mechanisms underlying random selection also differ between different task instructions. To assess this, we measured brain activity while participants were engaging in three different variations of a sequence generation task: On the basis of previous work, participants were instructed to either (1) "generate a random sequence of choices," (2) "simulate a fair coin toss," or (3) "choose freely." Our results reveal a consistent frontoparietal activation pattern that is shared across all tasks. Specifically, increased activity was observed in bilateral inferior and right middle frontal gyrus, left pre-SMA, bilateral inferior parietal lobules, and portions of anterior insular cortex in both hemispheres. Activity in the mental coin toss condition was higher in right dorsolateral prefrontal cortex, left (pre-) SMA, a portion of right inferior frontal gyrus, bilateral superior parietal lobules, and bilateral anterior insula. In addition, our multivariate analysis revealed a distinct region in the right frontal pole to be predictive of the outcome of choices, but only when randomness was explicitly instructed. These results emphasize that different randomization tasks involve both shared and unique neural mechanisms. Thus, even seemingly similar randomization behavior can be produced by different neural pathways.
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Affiliation(s)
- Maja Guseva
- Charité - Universitätsmedizin Berlin
- Humboldt-Universität zu Berlin
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41
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Sabat M, de Dampierre C, Tallon-Baudry C. Evidence for domain-general arousal from semantic and neuroimaging meta-analyses reconciles opposing views on arousal. Proc Natl Acad Sci U S A 2025; 122:e2413808122. [PMID: 39899711 PMCID: PMC11831115 DOI: 10.1073/pnas.2413808122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2024] [Accepted: 12/13/2024] [Indexed: 02/05/2025] Open
Abstract
Arousal refers to changes in brain-body state underpinning motivated behavior but lacks a proper definition and taxonomy. Neuroscience and psychology textbooks offer surprisingly different views on what arousal is, from a global brain-wide modulation of neuronal activity to a multidimensional construct, with specific brain-body patterns tuned to a given situation. The huge number of scientific articles mentioning arousal (~50,000) highlights the importance of the concept but also explains why such a vast literature has never been systematically reviewed so far. Here, we leverage the tools of natural language processing to probe the nature of arousal in a data-driven, comprehensive manner. We show that arousal comes in seven varieties: cognitive, emotional, physiological, sexual, related to stress disorders, to sleep, or to sleep disorders. We then ask whether domain-general arousal exists at the cortical level, and run meta-analyses of the brain imaging literature to reveal that all varieties of arousal, except arousal in sleep disorders for lack of data, converge onto a cortical network composed of the presupplementary motor area and the left and right dorsal anterior insula. More precisely, we find that activity in dysgranular insular area 7 (Jülich atlas), the region with the highest convergence across varieties of arousal, is also specifically associated with arousal. The domain-general arousal network might trigger the reorganization of large-scale brain networks-a global mechanism-resulting in a context-specific configuration-in line with the multidimensional view. Future taxonomies of arousal refining the alignment between concepts and data should include domain-general arousal as a central component.
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Affiliation(s)
- Magdalena Sabat
- Laboratoire de Neurosciences Cognitives et Computationnelles, Département d’études cognitives, INSERM, Ecole Normale Supérieure, Paris Sciences Lettres University, Paris75005, France
- Laboratoire des systèmes perceptifs, Département d’études cognitives, École normale supérieure, Paris Sciences Lettres University, Paris75005, France
| | - Charles de Dampierre
- Institut Jean Nicod, CNRS, Ecole des Hautes Etudes en Sciences Sociales, Département d’études cognitives, École normale supérieure, Paris Sciences Lettres University, Paris75005, France
| | - Catherine Tallon-Baudry
- Laboratoire de Neurosciences Cognitives et Computationnelles, Département d’études cognitives, INSERM, Ecole Normale Supérieure, Paris Sciences Lettres University, Paris75005, France
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42
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Qu S, Qu YL, Yoo K, Chun MM. Connectome-based Predictive Models of General and Specific Executive Functions. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2025:2024.10.21.619468. [PMID: 39484561 PMCID: PMC11526990 DOI: 10.1101/2024.10.21.619468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/03/2024]
Abstract
Executive functions, the set of cognitive control processes that facilitate adaptive thoughts and actions, are composed primarily of three distinct yet interrelated cognitive components: Inhibition, Shifting, and Updating. While prior research has examined the nature of different components as well as their inter-relationships, fewer studies examined whole-brain connectivity to predict individual differences for the three cognitive components and associated tasks. Here, using the Connectome-based Predictive Modelling (CPM) approach and open-access data from the Human Connectome Project, we built brain network models to successfully predict individual performance differences on the Flanker task, the Dimensional Change Card Sort task, and the 2-back task, each putatively corresponding to Inhibition, Shifting, and Updating. We focused on grayordinate fMRI data collected during the 2-back tasks after confirming superior predictive performance over resting-state and volumetric data. High cross-task prediction accuracy as well as joint recruitment of canonical networks, such as the frontoparietal and default-mode networks, suggest the existence of a common executive function factor. To investigate the relationships among the three executive function components, we developed new measures to disentangle their shared and unique aspects. Our analysis confirmed that a shared executive function component can be predicted from functional connectivity patterns densely located around the frontoparietal, default-mode and dorsal attention networks. The Updating-specific component showed significant cross-prediction with the general executive function factor, suggesting a relatively stronger role than the other components. In contrast, the Shifting-specific and Inhibition-specific components exhibited lower cross-prediction performance, indicating more distinct and specialized roles. Given the limitation that individual behavioral measures do not purely reflect the intended cognitive constructs, our study demonstrates a novel approach to infer common and specific components of executive function.
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Affiliation(s)
- Shijie Qu
- Department of Psychology, Yale University, New Haven, CT, USA
- Wu Tsai Institute, Yale University, New Haven, CT, USA
| | - Yueyue Lydia Qu
- Department of Psychology, Yale University, New Haven, CT, USA
- Wu Tsai Institute, Yale University, New Haven, CT, USA
| | - Kwangsun Yoo
- Department of Digital Health, Samsung Advanced Institute for Health Sciences and Technology, Sungkyunkwan University, Seoul, South Korea
- AI Research Center, Data Science Research Institute, Samsung Medical Center, Seoul, South Korea
| | - Marvin M. Chun
- Department of Psychology, Yale University, New Haven, CT, USA
- Wu Tsai Institute, Yale University, New Haven, CT, USA
- Department of Neuroscience, Yale School of Medicine, New Haven, CT, USA
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43
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Florio TM. Emergent Aspects of the Integration of Sensory and Motor Functions. Brain Sci 2025; 15:162. [PMID: 40002495 PMCID: PMC11853489 DOI: 10.3390/brainsci15020162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2024] [Revised: 02/03/2025] [Accepted: 02/05/2025] [Indexed: 02/27/2025] Open
Abstract
This article delves into the intricate mechanisms underlying sensory integration in the executive control of movement, encompassing ideomotor activity, predictive capabilities, and motor control systems. It examines the interplay between motor and sensory functions, highlighting the role of the cortical and subcortical regions of the central nervous system in enhancing environmental interaction. The acquisition of motor skills, procedural memory, and the representation of actions in the brain are discussed emphasizing the significance of mental imagery and training in motor function. The development of this aspect of sensorimotor integration control can help to advance our understanding of the interactions between executive motor control, cortical mechanisms, and consciousness. Bridging theoretical insights with practical applications, it sets the stage for future innovations in clinical rehabilitation, assistive technology, and education. The ongoing exploration of these domains promises to uncover new pathways for enhancing human capability and well-being.
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Affiliation(s)
- Tiziana M Florio
- Department of Life, Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy
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44
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Xue R, Li J, Yang H. The hemispheric differences in prefrontal function of Internet game disorder and non-Internet game disorder: an activation likelihood estimation meta-analysis. Cereb Cortex 2025; 35:bhae493. [PMID: 39756429 DOI: 10.1093/cercor/bhae493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2024] [Revised: 12/05/2024] [Accepted: 12/12/2024] [Indexed: 01/07/2025] Open
Abstract
This study explored the differences in brain activation between individuals with and without Internet gaming disorder (IGD) through activation likelihood estimation analysis. In total, 39 studies were included based on the inclusion and exclusion criteria by searching the literature in the PubMed and Web of Science databases, as well as reading other reviews. The analysis revealed that the activated brain regions in IGD were the right inferior frontal gyrus, left cingulate gyrus, and left lentiform nucleus. In comparison, the activated brain regions in non-IGD were the left middle frontal, left inferior frontal, left anterior cingulate, left precentral, and right precentral gyri. The results of the present study on differences in activation further confirm existing theoretical hypotheses. Future studies should explore hemispheric differences in prefrontal brain function between IGD and non-IGD.
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Affiliation(s)
- Rui Xue
- Key Research Base of Humanities and Social Sciences of the Ministry of Education, Academy of Psychology and Behavior, Tianjin Normal University, No. 393 Binshuixi Road, Xiqing District, Tianjin 300387, China
- Faculty of Psychology, Tianjin Normal University, No. 393 Binshuixi Road, Xiqing District, Tianjin 300387, China
| | - Jiaqi Li
- Key Research Base of Humanities and Social Sciences of the Ministry of Education, Academy of Psychology and Behavior, Tianjin Normal University, No. 393 Binshuixi Road, Xiqing District, Tianjin 300387, China
- Faculty of Psychology, Tianjin Normal University, No. 393 Binshuixi Road, Xiqing District, Tianjin 300387, China
| | - Haibo Yang
- Key Research Base of Humanities and Social Sciences of the Ministry of Education, Academy of Psychology and Behavior, Tianjin Normal University, No. 393 Binshuixi Road, Xiqing District, Tianjin 300387, China
- Faculty of Psychology, Tianjin Normal University, No. 393 Binshuixi Road, Xiqing District, Tianjin 300387, China
- Tianjin Key Laboratory of Student Mental Health and Intelligence Assessment, No. 393 Binshuixi Road, Xiqing District, Tianjin 300387, China
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45
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Xin H, Yang B, Wang Y, Qi Q, Wang L, Jia Y, Zheng W, Chen X, Li F, Sun C, Chen Q, Du J, Lu J, Chen N. Altered Dynamic Brain Functional Network Connectivity Related to Visual Network in Spinal Cord Injury. J Neurotrauma 2025; 42:250-261. [PMID: 39558745 DOI: 10.1089/neu.2024.0318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2024] Open
Abstract
Visual feedback training (VFT) plays an important role in the motor rehabilitation of patients with spinal cord injury (SCI). However, the neural mechanisms are unclear. We aimed to investigate the changes in dynamic functional network connectivity (FNC) related to visual networks (VN) in patients with SCI and to reveal the neural mechanism of VFT promoting motor function rehabilitation. Dynamic FNC and the sliding window method were performed in 18 complete SCI (CSCI), 16 patients with incomplete SCI (ISCI), and 42 healthy controls (HCs). Then, k-mean clustering was implemented to identify discrete FNC states, and temporal properties were computed. The correlations between these dynamic features and neurological parameters in all patients with SCI were calculated. The majority of aberrant FNC was manifested between VN and executive control network (ECN). In addition, compared with HCs, temporal metrics derived from state transition vectors were decreased in patients with CSCI including the mean dwell time and the fraction of time spent in state 3. Furthermore, the disrupted FNC between salience network and ECN in state 2 and the number of transitions were all positively correlated with neurological scores in patients with SCI. Our findings indicated that SCI could result in VN-related FNC alterations, revealing the possible mechanism for VFT in rehabilitation of patients with SCI and increasing the training efficacy and promoting rehabilitation for SCI.
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Affiliation(s)
- Haotian Xin
- Department of Radiology and Nuclear medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
- Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China
| | - Beining Yang
- Department of Radiology and Nuclear medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
- Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China
| | - Yu Wang
- Department of Radiology and Nuclear medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
- Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China
| | - Qunya Qi
- Department of Radiology and Nuclear medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
- Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China
| | - Ling Wang
- Department of Radiology and Nuclear medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
- Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China
| | - Yulong Jia
- Department of Radiology and Nuclear medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
- Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China
| | - Weimin Zheng
- Department of Radiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China
| | - Xin Chen
- Department of Radiology and Nuclear medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
- Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China
| | - Fang Li
- Department of Rehabilitation Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Chuchu Sun
- Department of Radiology, Beijing Electric Power Hospital, Beijing, China
| | - Qian Chen
- Department of Radiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China
| | - Jubao Du
- Department of Rehabilitation Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Jie Lu
- Department of Radiology and Nuclear medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
- Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China
| | - Nan Chen
- Department of Radiology and Nuclear medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
- Beijing Key Laboratory of Magnetic Resonance Imaging and Brain Informatics, Beijing, China
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46
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Baranger DAA, Gorelik AJ, Paul SE, Hatoum AS, Dosenbach N, Bogdan R. Enhancing task fMRI individual difference research with neural signatures. MEDRXIV : THE PREPRINT SERVER FOR HEALTH SCIENCES 2025:2025.01.30.25321355. [PMID: 39974058 PMCID: PMC11838658 DOI: 10.1101/2025.01.30.25321355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 02/21/2025]
Abstract
Task-based functional magnetic resonance imaging (tb-fMRI) has advanced our understanding of brain-behavior relationships. Standard tb-fMRI analyses suffer from limited reliability and low effect sizes, and machine learning (ML) approaches often require thousands of subjects, restricting their ability to inform how brain function may arise from and contribute to individual differences. Using data from 9,024 early adolescents, we derived a classifier ('neural signature') distinguishing between high and low working memory loads in an emotional n-back fMRI task, which captures individual differences in the separability of activation to the two task conditions. Signature predictions were more reliable and had stronger associations with task performance, cognition, and psychopathology than standard estimates of regional brain activation. Further, the signature was more sensitive to psychopathology associations and required a smaller training sample (N=320) than standard ML approaches. Neural signatures hold tremendous promise for enhancing the informativeness of tb-fMRI individual differences research and revitalizing its use.
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Affiliation(s)
- David AA Baranger
- Department of Psychological and Brain Sciences, Washington University in St Louis, St Louis, Missouri, USA
| | - Aaron J Gorelik
- Department of Psychological and Brain Sciences, Washington University in St Louis, St Louis, Missouri, USA
| | - Sarah E Paul
- Department of Psychological and Brain Sciences, Washington University in St Louis, St Louis, Missouri, USA
| | - Alexander S Hatoum
- Department of Psychiatry, Washington University School of Medicine in St Louis, St Louis, Missouri, USA
| | - Nico Dosenbach
- Department of Neurology, Washington University School of Medicine in St Louis, St Louis, Missouri, USA
| | - Ryan Bogdan
- Department of Psychological and Brain Sciences, Washington University in St Louis, St Louis, Missouri, USA
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Guo SJ, Wang P, Cao LZ, Li HJ. The unity/diversity framework of executive functions: behavioral and neural evidence in older adults. GeroScience 2025:10.1007/s11357-025-01542-8. [PMID: 39890745 DOI: 10.1007/s11357-025-01542-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2024] [Accepted: 01/20/2025] [Indexed: 02/03/2025] Open
Abstract
Executive functions (EFs), encompassing inhibition, shifting, and updating as three fundamental subdomains, are typically characterized by a unity/diversity construct. However, given the dedifferentiation trend observed in aging, it remains controversial whether the construct of EFs in older adults becomes unidimensional or maintains unity/diversity. This study aims to explore and validate the construct of EFs in older adults. At the behavioral level, we conducted confirmatory factor analysis on data from 222 older adults who completed six tasks specifically targeting inhibition, shifting, and updating. One unidimensional model and six unity/diversity models of EFs were evaluated. Our results indicated that the EFs of older adults demonstrated greater congruence with the unity/diversity construct. At neural level, thirty older adults completed three thematically consistent fMRI tasks, targeting three subdomains of EFs respectively. Multivariate pattern analysis showed that rostromedial prefrontal cortex robustly showed similar neural representation across different tasks (unity). Meanwhile, the three EF domains were encoded by distinct global neural representation and the lateral prefrontal cortex play a crucial role in classification (diversity). These findings underscore the unity/diversity framework of EFs in older adults and offer important insights for designing interventions aimed at improving EFs in this population.
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Affiliation(s)
- Sheng-Ju Guo
- State Key Laboratory of Cognitive Science and Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, 100101, China
- Department of Psychology, University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Ping Wang
- State Key Laboratory of Cognitive Science and Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, 100101, China
- Department of Psychology, University of Chinese Academy of Sciences, Beijing, 100049, China
| | - Li-Zhi Cao
- School of Medical Technology, Beijing Institute of Technology, Beijing, 100081, China
| | - Hui-Jie Li
- State Key Laboratory of Cognitive Science and Mental Health, Institute of Psychology, Chinese Academy of Sciences, Beijing, 100101, China.
- Department of Psychology, University of Chinese Academy of Sciences, Beijing, 100049, China.
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48
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Liang Q, Zhou Z, Chen S, Lin S, Lin X, Li Y, Zhang Y, Peng B, Hou G, Qiu Y. Symptom-based depression subtypes: brain dynamic specificity and its association with gene expression profiles. Transl Psychiatry 2025; 15:33. [PMID: 39875399 PMCID: PMC11775246 DOI: 10.1038/s41398-025-03238-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2024] [Revised: 12/13/2024] [Accepted: 01/14/2025] [Indexed: 01/30/2025] Open
Abstract
At least 227 combinations of symptoms meet the criteria for Major Depressive Disorder (MDD). However, in clinical practice, patients consistently present symptoms in a regular rather than random manner, and the neural basis underlying the MDD subtypes remains unclear. To help clarify the neural basis, patients with MDD were clustered by symptom combinations to investigate the neural underpinning of each subtype using functional resonance imaging (fMRI). Four symptom-based subtypes of MDD were identified using latent profile analysis according to the clinical scales. Subsequently, brain dynamics were evaluated using fMRI, and the dysregulations in attention and limbic network were observed among the subtypes. Correlation between brain dynamics and symptom combinations was then assessed via canonical correlation analysis (CCA). The brain-symptom correlation was higher when evaluated in subtypes (r = 0.77 to 0.92) compared to the entire group (r = 0.5). The loading weight in CCA showed that dynamics in transmodal networks contributed the most to the correlation in the subtypes characterized by typical depression symptoms, whereas unimodal networks contributed the most to subtypes characterized by anxiety and insomnia. Finally, gene expression underlying the CCA model, along with its biological encoding process, performed using a postmortem gene expression atlas revealed distinct gene enrichments for different subtypes. These findings highlight that distinct symptom clusters in MDD have specific neural correlates, providing insights into depression's heterogeneous diagnosis and precision medicine opportunities.
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Affiliation(s)
- Qunjun Liang
- Guangdong Key Laboratory for Biomedical Measurements and Ultrasound Imaging, National-Regional Key Technology Engineering Laboratory for Medical Ultrasound, School of Biomedical Engineering, Shenzhen University Medical School, Shenzhen, 518060, People's Republic of China
- Department of Radiology, Shenzhen Nanshan People's Hospital, Taoyuan AVE 89, Nanshan district, Shenzhen, 518000, People's Republic of China
| | - Zhifeng Zhou
- Department of Radiology, Shenzhen Kangning Hospital, Shenzhen Mental Health Center, No.1080, Cuizhu Road, Luohu District, Shenzhen, 518020, People's Republic of China
| | - Shengli Chen
- Department of Radiology, Shenzhen Nanshan People's Hospital, Taoyuan AVE 89, Nanshan district, Shenzhen, 518000, People's Republic of China
| | - Shiwei Lin
- Department of Radiology, Shenzhen Nanshan People's Hospital, Taoyuan AVE 89, Nanshan district, Shenzhen, 518000, People's Republic of China
| | - Xiaoshan Lin
- Department of Radiology, Shenzhen Nanshan People's Hospital, Taoyuan AVE 89, Nanshan district, Shenzhen, 518000, People's Republic of China
| | - Ying Li
- Department of Radiology, Shenzhen Nanshan People's Hospital, Taoyuan AVE 89, Nanshan district, Shenzhen, 518000, People's Republic of China
| | - Yingli Zhang
- Department of Depressive Disorders, Shenzhen Mental Health Center, Shenzhen Kangning Hospital, No.1080, Cuizhu Road, Luohu District, Shenzhen, 518020, People's Republic of China
| | - Bo Peng
- Department of Depressive Disorders, Shenzhen Mental Health Center, Shenzhen Kangning Hospital, No.1080, Cuizhu Road, Luohu District, Shenzhen, 518020, People's Republic of China
| | - Gangqiang Hou
- Department of Radiology, Shenzhen Kangning Hospital, Shenzhen Mental Health Center, No.1080, Cuizhu Road, Luohu District, Shenzhen, 518020, People's Republic of China.
| | - Yingwei Qiu
- Department of Radiology, Shenzhen Nanshan People's Hospital, Taoyuan AVE 89, Nanshan district, Shenzhen, 518000, People's Republic of China.
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49
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Kazinczi C, Szepfalusi N, Nemeth VL, Holczer A, Jakab K, Vecsei L, Klivenyi P, Must A, Racsmany M. The effect of transcranial direct current stimulation and inhibitory control training on depression and anxiety among post-stroke individuals. BMC Neurol 2025; 25:38. [PMID: 39871152 PMCID: PMC11770995 DOI: 10.1186/s12883-025-04042-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2024] [Accepted: 01/16/2025] [Indexed: 01/29/2025] Open
Abstract
BACKGROUND Recent research has highlighted the role of fronto-parietal brain networks and cognitive control in mood disorders. Transcranial direct current stimulation (tDCS) and computer-based cognitive training are used in post-stroke rehabilitation. This study examined the combined effects ofof computer-based inhibitory control training (ICCT) and anodal tDCS on post-stroke depression and anxiety. METHODS Thirty-five participants were randomly assigned to one of three groups: active tDCS treatment (A), sham tDCS treatment with ICCT (T), or active tDCS with ICCT (AT), for a duration of ten days. Primary outcome measures included the Beck Depression Inventory (BDI), Hamilton Depression Rating Scale (HAM-D), and Spielberger's State-Trait Anxiety Inventory (STAI-S/T). Statistical analysis was performed using a Mixed-model Analysis of Variance, with supplementary Bayesian analysis. RESULTS The AT group showed a significant improvement in BDI scores (p < .001), whereas no significant effects were observed on the HAM-D, STAI-T, or STAI-S scales. CONCLUSIONS The combination of tDCS and ICCT reduced depressive symptoms as measured by the BDI; while no significant effects were found with either treatment alone. Further research is needed to explore the mechanisms behind the synergistic effects in the treatment of post-stroke mood disorders.
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Affiliation(s)
- Csaba Kazinczi
- Department of Neurology, University of Szeged, 6, Semmelweis Street, Szeged, 6725, Hungary.
- Department of Clinical Psychology, Semmelweis University, 25, Üllői Street, Budapest, 1091, Hungary.
| | - Noemi Szepfalusi
- Department of Neurology, University of Szeged, 6, Semmelweis Street, Szeged, 6725, Hungary
| | - Viola Luca Nemeth
- Department of Neurology, University of Szeged, 6, Semmelweis Street, Szeged, 6725, Hungary
| | - Adrienn Holczer
- Department of Neurology, University of Szeged, 6, Semmelweis Street, Szeged, 6725, Hungary
- Department of Education and Psychology, Faculty of Social Sciences, University of Atlántico Medio, Las Palmas de Gran Canaria, Spain
| | - Katalin Jakab
- Department of Neurology, University of Szeged, 6, Semmelweis Street, Szeged, 6725, Hungary
| | - Laszlo Vecsei
- Department of Neurology, University of Szeged, 6, Semmelweis Street, Szeged, 6725, Hungary
- HUN-REN-SZTE Neuroscience Research Group, Hungarian Research Network, University of Szeged (HUN-REN-SZTE), Danube Neuroscience Research Laboratory, Tisza Lajos krt. 113, Szeged, 6725, Hungary
- HUN-REN-SZTE Neuroscience Research Group, University of Szeged, Neuroscience Research Group; 6, Semmelweis Street, Szeged, 6725, Hungary
| | - Peter Klivenyi
- Department of Neurology, University of Szeged, 6, Semmelweis Street, Szeged, 6725, Hungary
- HUN-REN-SZTE Neuroscience Research Group, Hungarian Research Network, University of Szeged (HUN-REN-SZTE), Danube Neuroscience Research Laboratory, Tisza Lajos krt. 113, Szeged, 6725, Hungary
| | - Anita Must
- Department of Psychiatry, Whanganui District Health Board, 100 Heads Road, Whanganui, 4501, New Zealand
| | - Mihaly Racsmany
- University of Szeged, Institute of Psychology, 2, Egyetem Street, Szeged, 6722, Hungary
- Institute of Cognitive Neuroscience and Psychology, HUN-REN Research Centre for Natural Sciences, 2, Magyar Tudósok Boulevard, Budapest, 1117, Hungary
- Cognitive Medicine Research Group, Competence Centre for Neurocybernetics of the Life Sciences Cluster, Centre of Excellence for Interdisciplinary Research, Development and Innovation, University of Szeged, 13, Dugonics Square, Szeged, 6720, Hungary
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Liu D, Lin C, Liu B, Zhang Y, Jiang Y, Gu J, Jin O. Resting-state functional connectivity between the frontoparietal network and the default mode network is aberrantly increased in ankylosing spondylitis. BMC Musculoskelet Disord 2025; 26:80. [PMID: 39844161 PMCID: PMC11756163 DOI: 10.1186/s12891-025-08322-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2024] [Accepted: 01/10/2025] [Indexed: 01/24/2025] Open
Abstract
Lower back pain comprises the majority of the disease burden of patients with ankylosing spondylitis (AS), while the alterations of the large-scale brain networks could be implicated in the neuropathophysiology of pain. The frontoparietal network (FPN) is known as a pain modulation hub, with key nodes dorsolateral prefrontal cortex (dlPFC) and ventrolateral prefrontal cortex (vlPFC) participating in the pain modulation and reappraisal process. In this study, we adopted the analytical approaches of independent component analysis (ICA) and seed-based correlation analysis (SCA) to examine the resting-state functional connectivity (rsFC) of the large-scale brain networks, notably FPN, between 82 AS patients and 61 healthy controls (HCs). We also investigated the correlation between the rsFC and the clinical measures of AS patients. Both ICA and SCA consistently showed that the rsFC between FPN and mPFC, a key node of the default mode network (DMN), was significantly increased in AS. In addition, SCA also identified a cluster at the right posterior lobe of cerebellum which exhibited increased rsFC with the posterior cingulate cortex, and the right lateral prefrontal cortex also showed increased rsFC with the right dlPFC. Correlation analysis showed that the rsFC between mPFC and the left anterior prefrontal cortex was significantly correlated with C-reactive protein in AS. The increased FPN-DMN connectivity could contribute to the neuropathophysiology of lower back pain in AS, with potential association with faulty pain modulation and reappraisal mechanisms facilitated by the FPN.
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Affiliation(s)
- Dong Liu
- Department of Rheumatology, the Third Affiliated Hospital of Sun Yat-Sen University, 600 Tianhe Road, Tianhe District, Guangzhou, Guangdong Province, China
| | - Churong Lin
- Department of Radiology, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China
| | - Budian Liu
- Department of Rheumatology, the Third Affiliated Hospital of Sun Yat-Sen University, 600 Tianhe Road, Tianhe District, Guangzhou, Guangdong Province, China
| | - Yanli Zhang
- Department of Rheumatology, the Third Affiliated Hospital of Sun Yat-Sen University, 600 Tianhe Road, Tianhe District, Guangzhou, Guangdong Province, China
| | - Yutong Jiang
- Department of Rheumatology, the Third Affiliated Hospital of Sun Yat-Sen University, 600 Tianhe Road, Tianhe District, Guangzhou, Guangdong Province, China
| | - Jieruo Gu
- Department of Rheumatology, the Third Affiliated Hospital of Sun Yat-Sen University, 600 Tianhe Road, Tianhe District, Guangzhou, Guangdong Province, China.
| | - Ou Jin
- Department of Rheumatology, the Third Affiliated Hospital of Sun Yat-Sen University, 600 Tianhe Road, Tianhe District, Guangzhou, Guangdong Province, China.
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