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Comparative Event-related Potential Study of Performance in Visual Oddball Task in Children with Autism Spectrum Disorder, ADHD, comorbid Autism and ADHD, and Neurotypical Children 自闭症谱系障碍、ADHD、自闭症合并ADHD和神经正常儿童视觉怪球任务表现的事件相关电位比较研究
Q3 Medicine Pub Date : 2019-06-13 DOI: 10.15540/nr.6.3.134
E. Sokhadze, L. Sears, A. Tasman, Emily L. Casanova, M. Casanova
Autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) are the most commonly diagnosed neurodevelopmental disorders. Although the comorbidity was excluded in DSM-IV (APA, 2000), DSM-5 (APA, 2013) does not preclude the concurrent diagnosis of ASD and ADHD (ASD+ADHD). This study aimed to understand distinctions in executive deficits among these conditions. We used analysis of reaction time (RT) and event-related potentials (ERP) during performance on oddball task with illusory figures. Participants were children (N = 18 per group) with ASD, ADHD, ASD+ADHD, and neurotypical controls (CNT). Analysis revealed that ASD and ASD+ADHD groups committed more errors and had higher omission error rates. Post-error RT in ASD and ASD+ADHD manifested as a post-error response speeding rather than normative RT slowing. The ASD and ASD+ADHD demonstrated an attenuated error-related negativity (ERN) as compared to ADHD and controls. The frontal N100 was enhanced to both target and nontarget figures in ASD and ASD+ADHD groups. Frontal ERPs had prolonged latencies in the ADHD as compared to other groups. The study confirmed the utility of using ERP to elucidate differences between ASD and ADHD and their impact in dual diagnosis. This information helps define the extent of overlap among these conditions both in terms of symptom expression and underlying neuropathology.
自闭症谱系障碍(ASD)和注意力缺陷/多动障碍(ADHD)是最常见的神经发育障碍。尽管DSM-IV(APA,2000)排除了合并症,但DSM-5(APA(2013))并不排除ASD和ADHD(ASD+ADHD)的同时诊断。这项研究旨在了解这些情况下行政赤字的区别。我们使用了反应时间(RT)和事件相关电位(ERP)的分析,在执行具有虚幻数字的古怪任务时。参与者是患有ASD、ADHD、ASD+ADHD和神经正常对照组(CNT)的儿童(每组N=18)。分析显示,ASD和ASD+ADHD组犯下的错误更多,遗漏错误率更高。ASD和ASD+ADHD的错误后RT表现为错误后反应加速,而不是标准的RT减慢。与ADHD和对照组相比,ASD和ASD+ADHD表现出减弱的错误相关消极性(ERN)。在ASD和ASD+ADHD组中,额叶N100增强到目标和非目标数字。与其他组相比,ADHD患者的额叶ERPs潜伏期延长。该研究证实了使用ERP来阐明ASD和ADHD之间的差异及其在双重诊断中的影响的实用性。这些信息有助于确定这些疾病在症状表达和潜在神经病理学方面的重叠程度。
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引用次数: 2
Which Quiets the Mind More Quickly and Increases HRV: Toning or Mindfulness? 哪一个能更快地使头脑安静下来并增加心率波动:调节还是正念?
Q3 Medicine Pub Date : 2019-06-13 DOI: 10.15540/nr.6.3.128
E. Peper, Weston Pollock, Richard Harvey, Aiko Yoshino, J. Daubenmier, Madhu Anziani
Disruptive thoughts interfere with concentration and performances. This report compares mindfulness practice (MP) with toning practice (TP) to reduce mind wandering and intrusive thoughts. Ninety-one undergraduate students (average age 22.4 years) began with either an MP or TP for 3 min. Respiration, blood volume pulse, and heart rate were monitored for 11 participants. The participants reported less mind wandering during TP ( M = 3.7) than during MP ( M = 6.5; p < .001), fewer intrusive thoughts during TP ( M = 3.2) than during MP ( M = 4.7; p < .001), and more body vibrations during TP ( M = 6.2) than during MP ( M = 2.3; p < .001) on a scale from 0 ( not at all ) to 10 ( all the time ). For participants with the highest self-reported rating of depression, TP was more effective in reducing mind wandering and intrusive thoughts than the MP ( p < .001). There was no difference in self-reports in peacefulness, warmth, relaxation, anxiety, and depression between TP and MP. There was a decrease in respiration rate during TP (4.6 br/min) as compared to MP (11.6 br/min; p < .001) and an increase in heart rate variability during TP (SDNN = 103.7 ms; SD = 11.6) as compared to MP (SDNN = 61.9 ms; SD = 6.4). The findings suggest that TP is a powerful strategy to reduce mind wandering and intrusive thoughts.
干扰性思维干扰注意力和表现。本报告比较了正念练习(MP)和爽肤练习(TP),以减少走神和侵入性思维。91名本科生(平均年龄22.4岁)开始服用MP或TP,持续3分钟。对11名参与者的呼吸、血容量脉搏和心率进行了监测。参与者报告称,在TP期间(M=3.7)比MP期间(M=6.5;p<.001)更少的走神,在TP(M=3.2)比MP(M=4.7;p<.001)更少的侵入性思维,在TP过程中(M=6.2)比在MP(M=2.3;p<.0001)更多的身体振动,范围从0(根本没有)到10(所有时间)。对于自我报告抑郁评分最高的参与者,TP在减少走神和侵入性思维方面比MP更有效(p<.001)。TP和MP在平静、温暖、放松、焦虑和抑郁方面的自我报告没有差异。TP期间的呼吸频率(4.6 br/min)与MP(11.6 br/min;p<.001)相比有所下降,TP期间的心率变异性(SDNN=103.7 ms;SD=11.6)与MP相比(SDNN=61.9 ms;SD=6.4)有所增加。研究结果表明,TP是减少走神和侵入性思维的强大策略。
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引用次数: 0
Transforming Thoughts with Postural Awareness to Increase Therapeutic and Teaching Efficacy 以体位意识转变思维提高治疗教学效果
Q3 Medicine Pub Date : 2019-06-13 DOI: 10.15540/nr.6.3.153
E. Peper, Richard Harvey, D. Hamiel
This article suggests that clinicians as well as educators should employ simple and quick posture comparison techniques to shift awareness, elevate mood, and support cognitive function. The report examines the impact of a short somatic involvement technique that involved changing one’s body posture to reduce the effect of self-evoked memory of stress. Group observations of 90 men and 55 women, mean age 22.5 years, suggest that people were able to reframe stressful memories much more easily when in an upright posture compared to a slouched posture. They reported a significant reduction in negative thoughts as determined by a single factor ANOVA, F (1, 285) = 42.92, p = .001; and anxiety and tension as determined by a single factor ANOVA, F (1, 287) = 62.38, p = .001. We suggest that therapists and clients get up out of their chairs and incorporate body movements when either the therapist or the client feels stuck, in order to reduce rigidity and increase openness of thoughts and emotions facilitated, which may increase educational and therapeutic goals with sustained benefits outside of the classroom or clinic.
这篇文章建议临床医生和教育工作者应该使用简单快速的姿势比较技术来转移意识、提升情绪和支持认知功能。该报告研究了一种短暂的身体参与技术的影响,该技术涉及改变一个人的身体姿势,以减少自我唤起的压力记忆的影响。对90名男性和55名女性(平均年龄22.5岁)的小组观察表明,与懒散的姿势相比,人们在直立姿势下更容易重塑压力记忆。他们报告说,通过单因素方差分析确定,消极想法显著减少,F(1285)=42.92,p=0.001;以及通过单因素方差分析确定的焦虑和紧张,F(1287)=62.38,p=.001。我们建议治疗师和客户在治疗师或客户感到被卡住时,从椅子上站起来,结合身体运动,以减少僵硬,增加思想和情绪的开放性,这可能会增加教育和治疗目标,并在课堂或诊所外带来持续的好处。
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引用次数: 3
Editorial - Volume 6, Number 3 编辑-第6卷,第3号
Q3 Medicine Pub Date : 2019-06-13 DOI: 10.15540/nr.6.3.127
Rex L. Cannon
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引用次数: 0
Neurocognitive Enhancement: Applications and Ethical Issues 神经认知增强:应用和伦理问题
Q3 Medicine Pub Date : 2019-06-13 DOI: 10.15540/nr.6.3.161
Giulia Fronda, D. Crivelli, M. Balconi
In recent years, the interest in neurocognitive empowerment has increased, thus making it a hot topic, especially because of possible ethical implications. Specifically, the term neurocognitive empowerment refers to the use of different neuroscientific techniques and tools that increase the cognitive functioning of the individual beyond the normal threshold—on the one hand, improving functions such as attention, perception, and memory—and, on the other hand, physical and motor functions. Neuroethics is peculiarly interested in monitoring and discussing ethical implications and possible consequences or undesirable effects of neurocognitive strengthening techniques. In particular, the use of different tools for neurocognitive enhancement requires an in-depth analysis of the ethical and legal principles in terms of security and social justice that allow the improvement of mental and physical functions of an individual. The present work aims at introducing the use of specific techniques—such as neurofeedback devices for the enhancement of attention regulation skill—in specific application contexts; that is, sports in which athletes are continuously subjected to external pressures for performance and constant improvement. Furthermore, this document explores possible ethical critical issues raised by such use of neurocognitive enhancement techniques.
近年来,对神经认知授权的兴趣有所增加,从而使其成为一个热门话题,特别是因为可能涉及伦理问题。具体来说,神经认知授权指的是使用不同的神经科学技术和工具,使个人的认知功能超出正常阈值,一方面,提高注意力、感知和记忆等功能,另一方面,提高身体和运动功能。神经伦理学对监测和讨论神经认知强化技术的伦理含义和可能的后果或不良影响特别感兴趣。特别是,使用不同的工具来增强神经认知需要对安全和社会正义方面的伦理和法律原则进行深入分析,这些原则允许改善个人的精神和身体功能。目前的工作旨在介绍在特定应用环境中使用特定技术-例如用于增强注意力调节技能的神经反馈设备;即运动员不断受到外界压力以取得成绩和不断进步的运动。此外,本文还探讨了使用神经认知增强技术可能引起的伦理问题。
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引用次数: 3
HRV Regulation by Calligraphic Finger-writing and Guqin Music: A Pilot Case Study 书法手指书写与古琴音乐对HRV调节的初步个案研究
Q3 Medicine Pub Date : 2019-03-25 DOI: 10.15540/nr.6.1.42
S. Lam, H. Kao, Xiaoyang Kao, Miranda Fung, T. Kao
Introduction. Previous research shows that brush Chinese calligraphy handwriting (CCH) improves one’s cognitive functions as well as emotional and mental health. Similarly, Guqin, the popular Chinese musical instrument, induces positive emotions and emotional stability. The present study tested the efficacy of using the index finger to achieve similar mind–body changes. Methods. We employed a heart rate variability (HRV) Calligraphy–Guqin biofeedback intervention that was implemented with a Zephyr HxM Bluetooth chest heart rate monitoring device and an Android smartphone. A web-based HRV big database app stored the data from three consecutive sessions: (1) 5 min of Guqin music listening; (2) 5 min of CCH finger writing of calligraphy; and (3) again 5 min of Guqin music listening. The second session was designed to explore additive effects of the fingerwriting task. One subject participated with the index finger employed for the writing task. Results. The results showed that the first and third Guqin sessions elicited 55% and 68% HRV coherences, respectively, while the CCH finger writing in the second session elicited 31% of high HRV coherence. The increase in HRV coherence between the two Guqin sessions was attributed to the calligraphy finger writing training effect. The practice of finger writing contributed to increased HRV regulation through heightened attention and concentration.
介绍先前的研究表明,毛笔书法可以改善一个人的认知功能以及情绪和心理健康。同样,中国流行乐器古琴也能引发积极的情绪和稳定的情绪。本研究测试了使用食指实现类似身心变化的功效。方法。我们采用了心率变异性(HRV)书法-古琴生物反馈干预,该干预通过Zephyr HxM蓝牙胸部心率监测设备和安卓智能手机实现。一个基于网络的HRV大数据库应用程序存储了连续三次会话的数据:(1)5分钟的古琴音乐聆听;(2) CCH手指书写书法5分钟;和(3)再次5分钟的古琴音乐聆听。第二节课旨在探究指法任务的附加效应。一名受试者用食指参与了写作任务。后果结果表明,古琴第一和第三段的HRV连贯性分别为55%和68%,而第二段的CCH手指书写则引发了31%的高HRV连贯。两次古琴训练之间HRV连贯性的提高归因于书法手指书写训练的效果。手指书写的练习通过提高注意力和集中度来提高HRV的调节。
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引用次数: 2
Editorial – Volume 6, Number 1 社论-第6卷第1期
Q3 Medicine Pub Date : 2019-03-25 DOI: 10.15540/nr.6.1.2
Rex L. Cannon
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引用次数: 0
Improving Short-Term Memory Performance of Healthy Young Males Using Alpha Band Neurofeedback 利用α带神经反馈改善健康年轻男性的短期记忆表现
Q3 Medicine Pub Date : 2019-03-25 DOI: 10.15540/nr.6.1.15
Barış Gökşin, Bülent Yilmaz, Kutay Içöz
To examine whether it was possible to improve short-term memory performance of healthy participants by increasing relative alpha band power (7–11.5 Hz) using neurofeedback, we first converted a commercial EEG device (EmotivEpoc) to a neurofeedback tool and collected data from 11 healthy Turkish male graduate students in five neurofeedback sessions. Before and after neurofeedback training, a memorization task using 10 English words and their Turkish meanings was applied to all participants. The results indicated that 6 out of 11 participants were able to enhance their relative alpha band power with respect to other bands in the frequency spectrum during neurofeedback sessions. Although there was no obvious improvement in their short-term memory performance, we may conclude that neurofeedback training was beneficial for the participants to focus their minds consciously. However, it is not easy to mention that neurofeedback training certainly improved or was irrelevant with short-term memory performance. This study is important in the sense that for such a focused group the use of a commercial, customized low-cost EEG device was shown to be feasible for neurofeedback training sessions.
为了研究是否有可能通过使用神经反馈增加相对α波段功率(7-11.5 Hz)来改善健康参与者的短期记忆表现,我们首先将商用EEG设备(EmotivEpoc)转换为神经反馈工具,并在5次神经反馈会议中收集了11名健康的土耳其男性研究生的数据。在神经反馈训练前后,所有参与者都进行了一个使用10个英语单词及其土耳其语含义的记忆任务。结果表明,在神经反馈过程中,11名参与者中有6名能够提高他们相对于频谱中其他频段的α波段功率。虽然他们的短期记忆表现没有明显的改善,但我们可以得出结论,神经反馈训练对参与者有意识地集中注意力是有益的。然而,不容易提到神经反馈训练肯定会改善或与短期记忆表现无关。这项研究很重要,因为对于这样一个焦点群体来说,使用商业的、定制的低成本脑电图设备进行神经反馈训练是可行的。
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引用次数: 1
The Compensatory Role of the Frontal Cortex in Mild Cognitive Impairment: Identifying the Target for Neuromodulation 额叶皮质在轻度认知障碍中的代偿作用:确定神经调节的目标
Q3 Medicine Pub Date : 2019-03-25 DOI: 10.15540/nr.6.1.3
O. Dobrushina, Z. Gadzhieva, S. Morozova, E. Kremneva, M. Krotenkova, L. Dobrynina
Introduction: Development of individualized neuromodulation techniques for mild cognitive impairment (MCI) is a feasible practical goal. Preliminary research exploring the brain-level compensatory reserves on the base of neuroimaging is necessary. Methods: Twenty-one older adults, representing a continuum from healthy norm to MCI, underwent functional MRI while performing two executive tasks—a modified Stroop task and selective counting. A functional activation and connectivity analysis were conducted with the inclusion of a BRIEF–MoCA covariate. This variable represented the difference between the real-life performance measured by Behavior Rating Inventory of Executive Function (BRIEF) and the level of cognitive deficit measured by Montreal Cognitive Assessment (MoCA) Scale, an ability to compensate for impairment. Results: Both tasks were associated with activation of areas within the frontoparietal control network, along with the supplementary motor area (SMA) and the pre-SMA, the lateral premotor cortex, and the cerebellum. A widespread increase in the connectivity of the pre-SMA was observed during the tasks. The BRIEF–MoCA value correlated, first, with connectivity of the left dorsolateral prefrontal cortex (LDLPFC) and, second, with enrollment of the occipital cortex during the counting task. Conclusion: The developed neuroimaging technique allows identification of the functionally salient target within the LDLPFC in patients with MCI.
发展个体化的神经调节技术治疗轻度认知障碍(MCI)是一个可行的现实目标。有必要在神经影像学的基础上对脑代偿储备进行初步研究。方法:21名老年人在执行两项执行任务(改良Stroop任务和选择性计数)时接受了功能性MRI检查,这些老年人代表了从健康正常到轻度认知障碍的连续性。在包含BRIEF-MoCA协变量的情况下进行了功能激活和连通性分析。该变量代表了由执行功能行为评定量表(BRIEF)测量的现实表现与蒙特利尔认知评估量表(MoCA)测量的认知缺陷水平之间的差异,这是一种补偿损害的能力。结果:这两项任务都与额顶叶控制网络内的区域激活有关,以及辅助运动区(SMA)和SMA前区、外侧运动前皮层和小脑。在任务期间,观察到sma前的连通性普遍增加。BRIEF-MoCA值首先与左背外侧前额叶皮质(LDLPFC)的连通性相关,其次与计数任务中枕叶皮质的登记相关。结论:发达的神经影像学技术可以识别MCI患者LDLPFC内的功能显著靶点。
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引用次数: 2
EEG Source Localization and Attention Differences Between Children Exposed to Drugs in Utero and Those with Attention-Deficit/Hyperactivity Disorder: A Pilot Study 子宫内药物暴露儿童与注意缺陷/多动障碍儿童的脑电图源定位和注意差异:一项初步研究
Q3 Medicine Pub Date : 2019-03-25 DOI: 10.15540/nr.6.1.23
Lauren D. S. Kelley, W. Strunk, Rex L. Cannon, J. Leighton
Introduction : Intrauterine drug exposure (IUDE) including neonatal abstinence syndrome (NAS) is a group of problems that occur in a newborn exposed to drugs in the womb. Currently, there is no consensus on diagnostic criteria for addressing the cluster of problems present in children suffering from IUDE. The current data sought to examine differences between IUDE and attention-deficit/hyperactivity disorder (ADHD) clients to elucidate specific differences between these groups in the Conners Continuous Performance Test (CPT-3/K-CPT) and EEG source localization data using standardized low-resolution electromagnetic brain tomography (sLORETA). Methods : This study utilizes archived data from two groups 14 IUDE and 9 clients with standing diagnosis of ADHD between the ages of 4 and 13 without the presence of fetal alcohol syndrome (FAS). All clients completed a standard protocol to assess functional domains, including diagnostic interview, review of records, and tests of attention, executive functions, and psychological status. IUDE clients at time of initial assessment were taking one or more medications. ADHD clients consisted of medicated and unmedicated individuals. Results : Significant differences were found between resting-state baseline sLORETA parameters in temporal, limbic, and precuneus regions. Conclusions : IUDE presents a growing problem in the United States due to current opioid problems, and it is imperative to accurately classify these children according to this specific set of problems. sLORETA assessment may be useful as one marker of IUDE. Directions for future treatment paradigms are discussed as well as potential applications of neurofeedback and learning.
引言:宫内药物暴露(IUDE),包括新生儿禁欲综合征(NAS),是一组发生在子宫内暴露于药物的新生儿身上的问题。目前,对于解决患有宫内节育器的儿童中存在的一系列问题的诊断标准还没有达成共识。目前的数据试图检查IUDE和注意力缺陷/多动障碍(ADHD)患者之间的差异,以在Conners连续性能测试(CPT-3/K-CPT)和使用标准化低分辨率电磁脑断层扫描(sLORETA)的EEG源定位数据中阐明这些组之间的具体差异。方法:本研究利用了来自两组14名宫内节育器和9名年龄在4-13岁之间且未出现胎儿酒精综合征(FAS)的长期诊断为多动症的客户的存档数据。所有客户都完成了评估功能领域的标准方案,包括诊断性访谈、记录审查以及注意力、执行功能和心理状态测试。IUDE患者在初次评估时正在服用一种或多种药物。ADHD患者包括服用药物和未服用药物的个体。结果:静息状态基线sLORETA参数在颞叶、边缘和楔前叶区域之间存在显著差异。结论:由于目前的阿片类药物问题,宫内节育器在美国是一个日益严重的问题,必须根据这一特定问题对这些儿童进行准确分类。sLORETA评估可能作为IUDE的一个标志物是有用的。讨论了未来治疗模式的方向,以及神经反馈和学习的潜在应用。
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引用次数: 0
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NeuroRegulation
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