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Distinguishing expectation and attention effects in processing temporal patterns of visual input 在处理视觉输入的时间模式时区分期望效应和注意效应
IF 2.2 3区 心理学 Q3 NEUROSCIENCES Pub Date : 2024-10-25 DOI: 10.1016/j.bandc.2024.106228
Joann Huizhen Tang , Selina S. Solomon , Adam Kohn , Elyse S. Sussman
The current study investigated how the brain sets up expectations from stimulus regularities by evaluating the neural responses to expectations driven implicitly (by the stimuli themselves) and explicitly (by task demands). How the brain uses prior information to create expectations and what role attention plays in forming or holding predictions to efficiently respond to incoming sensory information is still debated. We presented temporal patterns of visual input while recording EEG under two different task conditions. When the patterns were task-relevant and pattern recognition was required to perform the button press task, three different event-related brain potentials (ERPs) were elicited, each reflecting a different aspect of pattern expectation. In contrast, when the patterns were task-irrelevant, none of the neural indicators of pattern recognition or pattern violation detection were observed to the same temporally structured sequences. Thus, results revealed a clear distinction between expectation and attention that was prompted by task requirements. These results provide complementary pieces of evidence that implicit exposure to a stimulus pattern may not be sufficient to drive neural effects of expectations that lead to predictive error responses. Task-driven attentional control can dissociate from stimulus-driven expectations, to effectively minimize distracting information and maximize attentional regulation.
目前的研究通过评估神经对隐性(由刺激本身)和显性(由任务需求)驱动的预期的反应,研究了大脑如何从刺激的规律性中建立预期。大脑如何利用先前的信息来建立预期,以及注意力在形成或保持预测以有效响应传入的感官信息中扮演什么角色,这些问题仍存在争议。在两种不同的任务条件下,我们一边记录脑电图,一边呈现视觉输入的时间模式。当图案与任务相关且需要识别图案才能完成按键任务时,会引发三种不同的事件相关脑电位(ERP),每种电位都反映了图案预期的不同方面。相反,当模式与任务无关时,在相同的时间结构序列中,没有观察到模式识别或模式违规检测的神经指标。因此,研究结果表明,在任务要求的推动下,预期和注意之间存在明显的区别。这些结果提供了互补的证据,表明内隐暴露于刺激模式可能不足以驱动预期的神经效应,从而导致预测性错误反应。任务驱动的注意控制可以从刺激驱动的预期中分离出来,从而有效地减少干扰信息,最大限度地提高注意调节能力。
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引用次数: 0
Exploring temporal congruence in motor imagery and movement execution in non-specific chronic low back pain 探索非特异性慢性腰痛患者运动想象和运动执行的时间一致性。
IF 2.2 3区 心理学 Q3 NEUROSCIENCES Pub Date : 2024-10-24 DOI: 10.1016/j.bandc.2024.106227
Manuel Estradera-Bel , Roy La Touche , Diego Pro-Marín , Ferran Cuenca-Martínez , Alba Paris-Alemany , Mónica Grande-Alonso
Chronic non-specific low back pain (NSCLBP) is linked to sensorimotor dysfunctions and altered motor planning, likely due to neuroplastic changes. Motor imagery (MI) and movement execution share neural pathways, but the relationship between imagined and executed movements in NSCLBP patients remains underexplored. This study aimed to assess the temporal congruence between imagined and executed movements in NSCLBP sufferers, with secondary goals of investigating group differences in movement chronometry, psychological well-being, and disability, as well as possible correlations among these factors. Fifty-six participants, including 28 NSCLBP patients and 28 asymptomatic subjects (AS), performed lumbar flexion and Timed Up and Go (TUG) tasks. NSCLBP patients showed significant temporal incongruence in both tasks, executing movements more slowly than imagined, whereas AS displayed incongruence only in the TUG task. NSCLBP patients also took longer to imagine and execute lumbar flexion movements compared to AS, with correlations observed between execution delays, higher disability, and greater fear of movement. The findings highlight a lack of temporal congruence in NSCLBP patients, especially in lumbar flexion, emphasizing the complex relationship between chronic pain, motor ability, and psychological factors. These results suggest that integrated treatment approaches addressing cognitive and emotional aspects are crucial for managing NSCLBP.
慢性非特异性腰背痛(NSCLBP)与感觉运动功能障碍和运动规划改变有关,这可能是神经可塑性变化所致。运动想象(MI)和动作执行共享神经通路,但对 NSCLBP 患者想象和执行动作之间的关系仍未进行深入探讨。本研究旨在评估 NSCLBP 患者的想象动作和执行动作之间的时间一致性,其次是调查运动时序、心理健康和残疾方面的群体差异,以及这些因素之间可能存在的相关性。56 名参与者(包括 28 名 NSCLBP 患者和 28 名无症状受试者 (AS))完成了腰部屈曲和定时起床(TUG)任务。NSCLBP 患者在这两项任务中都表现出明显的时间不协调,执行动作的速度比想象的慢,而 AS 仅在 TUG 任务中表现出不协调。与强直性脊柱炎患者相比,NSCLBP 患者想象和执行腰部屈曲动作所需的时间也更长,同时还观察到执行延迟、更高的残疾程度和对运动的更大恐惧之间存在相关性。研究结果表明,NSCLBP 患者缺乏时间一致性,尤其是在腰部屈曲方面,这强调了慢性疼痛、运动能力和心理因素之间的复杂关系。这些结果表明,针对认知和情绪方面的综合治疗方法对于控制 NSCLBP 至关重要。
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引用次数: 0
Separating the FN400 and N400 event-related potential components in masked word priming 分离掩蔽词引物中的 FN400 和 N400 事件相关电位成分
IF 2.2 3区 心理学 Q3 NEUROSCIENCES Pub Date : 2024-10-22 DOI: 10.1016/j.bandc.2024.106226
P. Andrew Leynes, Yashvi Verma, Alexandra Santos
Masked word repetition (priming) increases “old” responses on an episodic recognition test, which has been attributed to more fluent target processing. Such results hinge on comparisons to a control prime that is “fluency-neutral”. A common practice is to use unrelated word primes for this purpose when some evidence suggests that they actually decrease target word processing fluency (disfluency). ERP and behavioral measures were collected in three experiments that used non-letter symbols as a fluency-neutral control and match primes to increase processing fluency. Experiment 1 compared unrelated word primes and orthographically dissimilar nonword primes to determine whether these primes cause disfluency. Experiment 2 contrasted orthographically dissimilar and similar nonword primes. Experiment 3 examined semantically related primes to test theoretical predictions derived from Experiments 1 and 2. All three experiments provide evidence that the FN400 and N400 are distinct ERP components because many primes altered only one of the components. Relative to the control condition, match (Exps 1 & 2) and semantic primes selectively affected N400 amplitudes, whereas unrelated word primes and orthographically dissimilar nonword primes selectively affected FN400 amplitudes. The Unexpected Fluency Attribution model (Mecklinger & Bader, 2020) provides a framework for understanding the cognitive processes associated with each ERP component.
遮蔽的单词重复(引物)会增加外显识别测试中的 "旧 "反应,这被归因于更流畅的目标处理。这种结果取决于与 "流畅性中性 "的对照质点的比较。通常的做法是为此目的使用不相关的词素,但有证据表明这些词素实际上会降低目标词处理的流畅性(不流畅性)。我们在三项实验中收集了 ERP 和行为测量结果,这些实验使用非字母符号作为流畅性中性对照,并使用匹配预设来提高处理流畅性。实验 1 比较了不相关的单词预设和正字法不同的非单词预设,以确定这些预设是否会导致语言不流畅。实验 2 对比了正字法上不同的非词引物和相似的非词引物。实验 3 检验了语义相关的词素,以验证实验 1 和 2 的理论预测。所有三个实验都证明了 FN400 和 N400 是不同的 ERP 成分,因为许多预示只改变其中一个成分。相对于对照条件,匹配(实验 1 和 2)和语义引物选择性地影响 N400 波幅,而不相关的单词引物和正字法不同的非单词引物选择性地影响 FN400 波幅。意外流畅性归因模型(Mecklinger 和 Bader,2020 年)为理解与每个 ERP 成分相关的认知过程提供了一个框架。
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引用次数: 0
Exploring spontaneous brain activity changes in high-altitude smokers: Insights from ALFF/fALFF analysis 探索高海拔吸烟者的自发大脑活动变化:从 ALFF/fALFF 分析中获得启示。
IF 2.2 3区 心理学 Q3 NEUROSCIENCES Pub Date : 2024-10-08 DOI: 10.1016/j.bandc.2024.106223
Qingqing Lv , Chunxiao Bu , Hui Xu , Xijuan Liang , Longyao Ma , Weijian Wang , Zhen Ma , Meiying Cheng , Shifang Tan , Ning Zheng , Xin Zhao , Lin Lu , Yong Zhang

Introduction

This study aims to explore the impact of smoking on intrinsic brain activity among high-altitude (HA) populations. Smoking is associated with various neural alterations, but it remains unclear whether smokers in HA environments exhibit specific neural characteristics.

Methods

We employed ALFF and fALFF methods across different frequency bands to investigate differences in brain functional activity between high-altitude smokers and non-smokers. 31 smokers and 31 non-smokers from HA regions participated, undergoing resting-state functional magnetic resonance imaging (rs-fMRI) scans. ALFF/fALFF values were compared between the two groups. Correlation analyses explored relationships between brain activity and clinical data.

Results

Smokers showed increased ALFF values in the right superior frontal gyrus (R-SFG), right middle frontal gyrus (R-MFG), right anterior cingulate cortex (R-ACC), right inferior frontal gyrus (R-IFG), right superior/medial frontal gyrus (R-MSFG), and left SFG compared to non-smokers in HA. In sub-frequency bands (0.01–0.027 Hz and 0.027–0.073 Hz), smokers showed increased ALFF values in R-SFG, R-MFG, right middle cingulate cortex (R-MCC), R-MSFG, Right precentral gyrus and L-SFG while decreased fALFF values were noted in the right postcentral and precentral gyrus in the 0.01–0.027 Hz band. Negative correlations were found between ALFF values in the R-SFG and smoking years.

Conclusion

Our study reveals the neural characteristics of smokers in high-altitude environments, highlighting the potential impact of smoking on brain function. These results provide new insights into the neural mechanisms of high-altitude smoking addiction and may inform the development of relevant intervention measures.
简介本研究旨在探讨吸烟对高海拔(HA)人群大脑内在活动的影响。吸烟与各种神经改变有关,但目前仍不清楚高海拔环境中的吸烟者是否表现出特定的神经特征:方法:我们采用了不同频段的 ALFF 和 fALFF 方法来研究高海拔吸烟者和非吸烟者大脑功能活动的差异。来自高海拔地区的 31 名吸烟者和 31 名非吸烟者接受了静息态功能磁共振成像(rs-fMRI)扫描。对两组的 ALFF/fALFF 值进行了比较。相关分析探讨了大脑活动与临床数据之间的关系:结果:与HA中的非吸烟者相比,吸烟者右额叶上回(R-SFG)、右额叶中回(R-MFG)、右扣带回前皮层(R-ACC)、右额叶下回(R-IFG)、右额叶上/中回(R-MSFG)和左SFG的ALFF值均有所增加。在亚频段(0.01-0.027 Hz 和 0.027-0.073 Hz),吸烟者在 R-SFG、R-MFG、右扣带回中层(R-MCC)、R-MSFG、右侧中央前回和 L-SFG 中的 ALFF 值增加,而在 0.01-0.027 Hz 频段,右侧中央后回和中央前回的 fALFF 值减少。R-SFG的ALFF值与吸烟年限呈负相关:我们的研究揭示了高海拔环境中吸烟者的神经特征,突出了吸烟对大脑功能的潜在影响。这些结果为研究高海拔地区吸烟成瘾的神经机制提供了新的视角,可为制定相关干预措施提供参考。
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引用次数: 0
Relationship between punishment sensitivity and risk-taking propensity 惩罚敏感性与冒险倾向之间的关系
IF 2.2 3区 心理学 Q3 NEUROSCIENCES Pub Date : 2024-09-20 DOI: 10.1016/j.bandc.2024.106222
Jie Zhao , Rong Zhang , Tingyong Feng

Previous research has shown that, in both laboratory and real-world contexts, punishment sensitivity is associated with lower risk-taking propensity. The neural underpinnings of the association between punishment sensitivity and risk-taking, however, remain largely unknown. To address this issue, we implemented resting-state functional connectivity (RSFC) and voxel-based morphometry (VBM) methodologies to investigate the neural basis of their relationship in the current study (N=594). The behavioral results confirmed a negative association between punishment sensitivity and risk-taking propensity, which supports the hypothesis. The VBM results demonstrated a positive correlation between punishment sensitivity and gray matter volume in the right orbitofrontal cortex (ROFC). Furthermore, the results of the RSFC analysis revealed that the functional connectivity between ROFC and the right medial temporal gyrus (RMTG) was positively associated with punishment sensitivity. Notably, mediation analysis demonstrated that punishment sensitivity acted as a complete mediator in the influence of ROFC-RMTG functional connectivity on risk-taking. These findings suggest that ROFC-RMTG functional connectivity may be the neural basis underlying the effect of punishment sensitivity on risk-taking propensity, which provides a new perspective for understanding the relationship between punishment sensitivity and risk-taking propensity.

以往的研究表明,在实验室和现实世界中,惩罚敏感性都与较低的冒险倾向有关。然而,惩罚敏感性与冒险倾向之间关联的神经基础在很大程度上仍是未知的。为了解决这个问题,我们在本研究中采用了静息态功能连接(RSFC)和体素形态测量(VBM)方法来研究它们之间关系的神经基础(N=594)。行为学结果证实,惩罚敏感性与冒险倾向之间存在负相关,这支持了假设。VBM 结果表明,惩罚敏感性与右侧眶额皮层(ROFC)的灰质体积呈正相关。此外,RSFC 分析结果显示,右侧眶额叶皮层和右侧颞内侧回(RMTG)之间的功能连接与惩罚敏感性呈正相关。值得注意的是,中介分析表明,惩罚敏感性在ROFC-RMTG功能连接对冒险行为的影响中起着完全中介的作用。这些发现表明,ROFC-RMTG功能连接可能是惩罚敏感性影响冒险倾向的神经基础,这为理解惩罚敏感性与冒险倾向之间的关系提供了一个新的视角。
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引用次数: 0
Connectome-based prediction modeling of cognitive control using functional and structural connectivity 利用功能和结构连接性建立基于连接组的认知控制预测模型
IF 2.2 3区 心理学 Q3 NEUROSCIENCES Pub Date : 2024-09-08 DOI: 10.1016/j.bandc.2024.106221
Qiuyu Lv , Xuanyi Wang , Xiang Wang , Sheng Ge , Pan Lin

Background

Cognitive control involves flexibly configuring mental resources and adjusting behavior to achieve goal-directed actions. It is associated with the coordinated activity of brain networks, although it remains unclear how both structural and functional brain networks can predict cognitive control. Connectome-based predictive modeling (CPM) is a powerful tool for predicting cognitive control based on brain networks.

Methods

The study used CPM to predict cognitive control in 102 healthy adults from the UCLA Consortium for Neuropsychiatric Phenomics dataset and further compared structural and functional connectome characteristics that support cognitive control.

Results

Our results showed that both structural (r values 0.263–0.375) and functional (r values 0.336–0.503) connectomes can significantly predict individuals’ cognitive control subcomponents. There is overlap between the functional and structural networks of all three cognitive control subcomponents, particularly in the frontoparietal (FP) and motor (Mot) networks, while each subcomponent also has its own unique weight prediction network. Overall, the functional and structural connectivity that supports different cognitive control subcomponents manifests overlapping and distinct spatial patterns.

Conclusions

The structural and functional connectomes provide complementary information for predicting cognitive control ability. Integrating information from both connectomes offers a more comprehensive understanding of the neural underpinnings of cognitive control.

背景认知控制涉及灵活配置心理资源和调整行为,以实现目标导向的行动。它与大脑网络的协调活动有关,但目前仍不清楚大脑结构和功能网络如何预测认知控制。结果我们的研究结果表明,结构性(r值为0.263-0.375)和功能性(r值为0.336-0.503)连通组都能显著预测个体的认知控制子组件。所有三个认知控制子成分的功能和结构网络之间存在重叠,尤其是在顶叶前部(FP)和运动(Mot)网络中,同时每个子成分也有自己独特的权重预测网络。总体而言,支持不同认知控制子组件的功能和结构连接表现出重叠和独特的空间模式。综合这两个连接组的信息,可以更全面地了解认知控制的神经基础。
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引用次数: 0
Unlike overt movement, motor imagery cannot update internal models 与公开运动不同,运动图像无法更新内部模型。
IF 2.2 3区 心理学 Q3 NEUROSCIENCES Pub Date : 2024-09-05 DOI: 10.1016/j.bandc.2024.106219
Juliet M. Rowe , Shaun G. Boe

In overt movement, internal models make predictions about the sensory consequences of a desired movement, generating the appropriate motor commands to achieve that movement. Using available sensory feedback, internal models are updated to allow for movement adaptation and in-turn better performance. Whether internal models are updated during motor imagery, the mental rehearsal of movement, is not well established. To investigate internal modelling during motor imagery, 66 participants were exposed to a leftwards prism shift while performing actual pointing movements (physical practice; PP), imagined pointing movements (motor imagery; MI), or no pointing movements (control). If motor imagery updates internal models, we hypothesized that aftereffects (pointing in the direction opposite the prism shift) would be observed in MI, like that of PP, and unlike that of control. After prism exposure, the magnitude of aftereffects was significant in PP (4.73° ± 1.56°), but not in MI (0.34° ± 0.96°) and control (0.34° ± 1.04°). Accordingly, PP differed significantly from MI and control. Our results show that motor imagery does not update internal models, suggesting that it is not a direct simulation of overt movement. Furthering our understanding of the mechanisms that underlie learning through motor imagery will lead to more effective applications of motor imagery.

在公开运动中,内部模型会对所需运动的感官后果进行预测,并生成适当的运动指令以实现该运动。利用现有的感官反馈,内部模型得到更新,以适应运动,进而取得更好的成绩。运动想象是对运动的心理预演,在运动想象过程中内部模型是否会更新尚未得到充分证实。为了研究运动想象过程中的内部模型,66 名参与者在进行实际指向动作(身体练习;PP)、想象指向动作(运动想象;MI)或不进行指向动作(对照组)时,受到了向左棱镜移动的影响。如果运动想象能更新内部模型,我们假设在运动想象中会观察到后效(指向与棱镜移动相反的方向),这与物理练习的后效相同,而与对照组的后效不同。三棱镜照射后,后视效应的幅度在多巴(4.73° ± 1.56°)中显著,而在密歇根(0.34° ± 0.96°)和对照(0.34° ± 1.04°)中则不显著。因此,PP 与 MI 和对照组有显著差异。我们的研究结果表明,运动想象不会更新内部模型,这表明运动想象并不是对公开运动的直接模拟。进一步了解通过运动想象进行学习的机制将有助于更有效地应用运动想象。
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引用次数: 0
The relationship between structural properties of frontal cortical regions and response inhibition in 6–14-year-old children 6-14 岁儿童额叶皮层区域的结构特性与反应抑制之间的关系。
IF 2.2 3区 心理学 Q3 NEUROSCIENCES Pub Date : 2024-09-05 DOI: 10.1016/j.bandc.2024.106220
Jan Kujala , Sannamari Matveinen , Sam van Bijnen , Tiina Parviainen

Development of attentional skills and inhibitory control rely on maturational changes in the brain across childhood and youth. However, both brain anatomy and different components of attention and inhibition show notable individual variation. Research on ADHD and inhibitory training and control have shown that variations in the thickness and surface area of particularly inferior cortical structures are associated with attentional control. However, the intricacies of how the development of inhibitory control is associated with the anatomical variations beyond the general age- and gender-dependent differences have not been resolved. Here, we sought to address these questions by quantifying the cortical thickness and surface area in frontal cortical regions and inhibitory control using the stop signal task performance in 6–14-year-old children. Our results showed that the thickness of the left medial orbitofrontal cortex and the surface area of the left caudal anterior cingulate were associated with the inhibitory performance, beyond the variance that could be explained by the subjects’ age and gender. The results highlight the importance of factoring in anatomical variations when following attentional development and the importance of evaluating multiple anatomical measures when aiming to link the properties of cortical structures with variations in cognitive performance.

注意能力和抑制控制能力的发展依赖于整个童年和青年时期大脑的成熟变化。然而,大脑解剖结构以及注意力和抑制能力的不同组成部分都显示出明显的个体差异。有关多动症和抑制训练与控制的研究表明,特别是下皮层结构的厚度和表面积的变化与注意力控制有关。然而,除了一般的年龄和性别差异外,抑制控制能力的发展如何与解剖学变化相关联的复杂问题尚未得到解决。在此,我们试图通过量化额叶皮质区域的皮质厚度和表面积以及 6-14 岁儿童的停止信号任务表现来解决这些问题。我们的研究结果表明,左侧内侧眶额皮层的厚度和左侧尾状前扣带回的表面积与抑制表现有关,超出了受试者年龄和性别所能解释的差异。研究结果强调了在跟踪注意力发展时考虑解剖学变化的重要性,以及在将皮层结构的特性与认知表现的变化联系起来时评估多种解剖学测量的重要性。
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引用次数: 0
Suppressing contextually irrelevant meanings of homophonic versus heterophonic homographs: A tDCS study targeting LIFG 抑制同音异义同形词的上下文无关含义针对 LIFG 的 tDCS 研究
IF 2.2 3区 心理学 Q3 NEUROSCIENCES Pub Date : 2024-09-04 DOI: 10.1016/j.bandc.2024.106212
Haim Raviv , Nira Mashal , Orna Peleg

Readers frequently encounter homographs (e.g., bank) whose resolution requires selection-suppression processes: selecting the contextually relevant meaning, while suppressing the irrelevant one. In two experiments, we investigated how these processes are modulated by the phonological status of the homograph (homographs with one vs. two possible pronunciations); and what is the involvement of the left inferior frontal gyrus (LIFG, including Broca’s area) in these processes. To these ends, Experiment 1 utilized the context verification task with two types of Hebrew homographs: homophonic (e.g., bank) and heterophonic (e.g., tear). In the task, participants read sentences ending either with a homograph (e.g., bank) or an unambiguous word (e.g., shore). The sentences were biased towards the homograph’s subordinate meaning (e.g., The fisherman sat on the bank/shore), and were followed by a target word related to the homograph’s dominant meaning (e.g., MONEY). The participants were asked to judge whether the target was related to the overall meaning of the sentence. An ambiguity effect was observed for both types of homographs, reflecting interference from the irrelevant dominant meaning. However, this ambiguity effect was larger for heterophonic than for homophonic homographs, indicating that dominant meanings of heterophonic homographs are more difficult to suppress. Experiment 2 was identical, except that the procedure was coupled with transcranial direct current stimulation (tDCS) over the LIFG (including Broca’s area). We found that stimulating the LIFG abolished the ambiguity effect, but only in the case of heterophonic homographs. Together, these findings highlight the distinction between phonological and semantic levels of selection-suppression processes, and the involvement of the LIFG in the phonological level of these processes.

读者经常会遇到同形词(如 bank),解决这些同形词需要选择-抑制过程:选择与上下文相关的意思,同时抑制不相关的意思。在两个实验中,我们研究了这些过程如何受同形词的语音状态(同形词有一种发音和两种发音)的调节;以及左额下回(LIFG,包括布洛卡区)在这些过程中的参与情况。为此,实验 1 利用两类希伯来语同音词进行语境验证任务:同音词(如 bank)和异音词(如 tear)。在该任务中,受试者阅读的句子要么以同音词(如 bank)结尾,要么以无歧义词(如 shore)结尾。这些句子偏重于同形词的从属意义(如渔夫坐在岸边/岸上),并紧接着一个与同形词主要意义相关的目标词(如金钱)。被试被要求判断目标词是否与句子的整体意义相关。两类同形词都出现了模糊效应,这反映了无关主语意义的干扰。然而,这种模糊效应在异音同形词中比在同音同形词中更大,表明异音同形词的主导意义更难被抑制。实验 2 与上述实验相同,只是在实验过程中对 LIFG(包括布洛卡区)进行了经颅直流电刺激(tDCS)。我们发现,刺激 LIFG 可以消除歧义效应,但仅限于异音同形词。总之,这些发现突出了选择抑制过程在语音和语义水平上的区别,以及 LIFG 在这些过程的语音水平上的参与。
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引用次数: 0
Long-lasting pure topographical disorientation due to heading disorientation following left retrosplenial infarction: A report of two cases 左侧脾后部梗塞后因定向障碍导致的长期纯粹地形失调:两个病例的报告
IF 2.2 3区 心理学 Q3 NEUROSCIENCES Pub Date : 2024-09-02 DOI: 10.1016/j.bandc.2024.106211
Nobuko Kawakami , Yuri Okada , Keisuke Morihara , Kazuto Katsuse , Kazuo Kakinuma , Shiho Matsubara , Shigenori Kanno , Kyoko Suzuki

Topographical disorientation is linked to lesions in the right hemisphere and typically resolves within a few months post-stroke. Persistent topographical disorientation is uncommon and frequently accompanied by impairments in visual memory, complicating the analysis of the underlying mechanisms. Herein, we report two cases of sustained pure topographical disorientation following cerebral hemorrhages in the left retrosplenial region. The patients exhibited disorientation in both familiar and unfamiliar settings, attributable to heading disorientation, a deficit in determining the directional relationship between one’s current position and a target location or external frames. The patients struggled with reconstructing large-scale spatial frameworks and integrating new egocentric and allocentric perspectives upon changes in body orientation. There were no landmark agnosia, egocentric disorientation, or anterograde disorientation. Although mild verbal memory deficits were observed, no other cognitive impairments, including visual memory deficits, were detected. Our findings imply that lesions confined to the left retrosplenial region can induce enduring heading disorientation and suggest a significant role for this area in processing and integrating spatial information necessary for large-scale navigation. Clarifying the features of topographical disorientation will significantly impact the therapeutic approaches, enhancing the quality of life for affected patients by restoring their independence and mobility.

地形迷失与右半球的病变有关,通常在中风后几个月内缓解。持续性的地形迷失并不常见,而且经常伴有视觉记忆障碍,这使得对其潜在机制的分析变得更加复杂。在此,我们报告了两例左侧脾后区脑出血后出现的持续性单纯地形失认症。患者在熟悉和不熟悉的环境中都表现出迷失方向,这可归因于定向障碍,即无法确定当前位置与目标位置或外部框架之间的方向关系。患者难以重建大尺度空间框架,也难以在身体方位改变时整合新的自我中心和分配中心视角。患者没有地标识别障碍、自我中心定向障碍或前向定向障碍。虽然观察到轻微的言语记忆障碍,但没有发现其他认知障碍,包括视觉记忆障碍。我们的研究结果表明,局限于左侧后脾区的病变可诱发持久的定向障碍,并表明该区域在处理和整合大规模导航所需的空间信息方面发挥着重要作用。明确地形定向障碍的特征将对治疗方法产生重大影响,通过恢复患者的独立性和活动能力来提高他们的生活质量。
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引用次数: 0
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Brain and Cognition
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