Jacqueline A. Rushby

Caffeine effects on resting-state arousal.

OBJECTIVE This study examined the use of caffeine to manipulate arousal level without the confounds associated with task-related activation. From previous work in our laboratory, an increase in skin conductance level (SCL) and EEG alpha frequency, together with a global decrease in alpha power, were used as markers of arousal increase, and we sought to identify these effects with caffeine ingestion. METHODS We examined the effect of a single oral dose of caffeine (250 mg) in a randomised double-blind placebo-controlled repeated-measures cross-over study. Eighteen healthy university students (mean age 21 years; 13/18 females) participated in two sessions 1 week apart. EEG and autonomic data (SCL, heart rate, systolic and diastolic blood pressure, and respiration rate) from a 2 min eyes-closed epoch, commencing approximately 30 min after ingestion of caffeine or placebo, were examined. RESULTS Caffeine was associated with increased SCL, a global reduction in EEG power in the alpha band, and a global increase in alpha frequency. There were no cardiovascular effects. CONCLUSIONS The positive results are consistent with recent electrodermal and EEG studies of arousal and suggest that caffeine may be utilised as a task-free means of manipulating arousal in future investigations. Further work is necessary to clarify the absence of cardiovascular effects, and to integrate those data with emerging conceptualisations of arousal and activation. SIGNIFICANCE The present data support the use of caffeine as a simple tool to explore the role of arousal in both normal and atypical functioning, and this may be useful in determining the validity and importance of supposed hyper- or hypo-arousal in such syndromes as attention-deficit/hyperactivity disorder (AD/HD).

EEG differences in children as a function of resting-state arousal level.

OBJECTIVE This study aimed to explore the basis of a theoretical position which has major impact in the current literature on attention-deficit/hyperactivity disorder (AD/HD) - that the ratio of theta to beta power in the EEG (the theta/beta ratio) represents central nervous system (CNS) arousal. METHODS Resting state topographic EEG activity was investigated as a function of CNS arousal in normal right-handed boys. Arousal was defined in terms of electrodermal activity, which has a long history in Psychology as a measure of CNS arousal. RESULTS Relative delta, theta, and beta power, and the theta/beta ratio, failed to differ significantly between age-matched groups which differed markedly in skin conductance level and non-specific electrodermal fluctuations. The high-arousal group showed significantly lower levels of relative alpha power, particularly in posterior and hemispheric regions, with higher alpha frequencies in these areas. CONCLUSIONS These data fail to support the theoretical linkage between the theta/beta ratio and CNS arousal. Further work is needed to disentangle the different correlates of arousal and task-related activation, particularly in cognitive and attentional-processing terms. SIGNIFICANCE The outcomes of this study, in addition to clarifying the nature of EEG markers of CNS arousal, have important implications for our understanding of AD/HD, as they require re-evaluation of current models of the disorder.

An orienting reflex perspective on anteriorisation of the P3 of the event-related potential

In the Go/NoGo task, the P3 component of the event-related potential elicited by NoGo stimuli is topographically anterior to that from Go stimuli. This anteriorisation has been linked to the response inhibition thought to be required when NoGo stimuli are presented, and suggested as an index of inhibition. We report a preliminary investigation of this question from an orienting reflex (OR) perspective, in which the autonomic skin conductance response (SCR) was used as an OR “yardstick”. We presented subjects with a random mix of 15 target and 15 non-target auditory stimuli with a short inter-stimulus interval, and explored the sources of the resultant P3s using low-resolution electromagnetic tomography (LORETA). Across-subject mean SCRs showed exponential decrement over trials and a larger response to targets, as expected from the OR perspective. LORETA analysis of the across-subject mean initial P3s showed exponential response decrement of their common sources, suggestive of the Novelty P3. Grand mean P3s to targets and non-targets appeared to correspond to the P3b and P3a, respectively. These results suggest that anteriorisation of the P3 to NoGo stimuli may reflect processing related to the basic involuntary OR to indifferent (non-significant) stimuli rather than an active inhibitory process.

Understanding deficits in empathy after traumatic brain injury: The role of affective responsivity

People with traumatic brain injury (TBI) often find social situations challenging because they can no longer respond to the emotional state of the people they are with. Many also lack emotional empathy in their social interactions. But are these problems related? The present study addressed this question by examining psychophysiological indices of emotional responding, including facial electromyography (EMG) and skin conductance during exposure to happy and angry facial expressions, in addition to self-rated emotional empathy in 21 adults with severe TBI and 22 control participants. In comparison to control participants, those in the TBI group displayed a reduction in the ability to empathize emotionally, and showed reduced physiological responding to the emotional expression of anger. By contrast, the control group spontaneously mimicked the emotional expressions they were exposed to, regardless of affective valence, and also demonstrated higher skin conductance responsivity to angry faces. The data further suggested that a loss of emotional empathy plays a role in the emotional response deficits to angry facial expressions following TBI. The results have implications for understanding the impaired social functioning and poor quality of interpersonal relationships commonly seen as a consequence of TBI.

Transcranial direct current stimulation influences probabilistic association learning in schizophrenia.

Schizophrenia is associated with heterogeneity in symptoms, cognition and treatment response. Probabilistic association learning, involving a gradual learning of cue-outcome associations, activates a frontal-striatal network in healthy adults. Studies of probabilistic association learning in schizophrenia have shown frontal-striatal dysfunction although considerable heterogeneity in performance has also been reported. Anodal transcranial direct current stimulation (tDCS) to the dorsolateral prefrontal cortex has been shown to improve probabilistic association learning in healthy adults. The aim of the current study was to determine the extent to which anodal tDCS to the left dorsolateral prefrontal cortex would reverse probabilistic association learning deficits in schizophrenia. Prior to tDCS, 20 people with schizophrenia performed an initial baseline assessment without stimulation. Anodal tDCS was administered continuously for 20 min at an intensity of 2.0 mA to the left dorsolateral prefrontal cortex in a single-blind, counterbalanced, sham-controlled, cross-over design while participants performed 150 trials of a probabilistic association learning test. Although anodal tDCS failed to improve probabilistic association learning based on the whole sample performance, greater variance in the active relative to the sham conditions suggested a subset of people may respond to treatment. Further correlation, regression and cluster analyses revealed differential effects of baseline performance on active tDCS and sham treatment and that there was a subset of people with schizophrenia who displayed improvement with tDCS suggesting that anodal tDCS to the dorsolateral prefrontal cortex may facilitate access to existing prefrontal cortex neural reserves in people with schizophrenia who show adequate capacity to learn at baseline.

Age and gender effects in EEG coherence: I. Developmental trends in normal children

OBJECTIVE This study investigated intra-hemispheric and inter-hemispheric EEG coherences as a function of age and gender in normal children. METHODS Two groups of 40 boys and 40 girls, each containing 8 normal children in each 1-year band from 8 to 12 years, participated. EEG was recorded from 21 sites during an eyes-closed resting condition. Wave-shape coherence was calculated for 8 intra-hemispheric electrode pairs (4 in each hemisphere), and 8 inter-hemispheric electrode pairs, within each of the delta, theta, alpha and beta bands. RESULTS There was consistent evidence of coherences developing across this age range, particularly in long-range intra- and inter-hemispheric electrode pairs. Coherences were larger in the left hemisphere than the right. Coherences also appeared to develop further in males than females, across several regions and frequency bands, suggesting that females lag males in this aspect of brain development. CONCLUSIONS EEG coherences in normal children of this age range develop systematically with age. These developmental effects vary substantially with gender, brain region and frequency bands. SIGNIFICANCE The data reported here provide basic norms for coherence development in different brain regions in normal children.

Timing of caffeine's impact on autonomic and central nervous system measures: clarification of arousal effects.

The timing of caffeine effects on arousal levels was examined. From previous work in our laboratory, an increase in skin conductance level (SCL) was used as the marker of arousal increase, and we sought to identify the timing of this and related effects following caffeine ingestion. A single oral dose of caffeine (250 mg) was used in a randomised double-blind placebo-controlled repeated-measures cross-over study. Eyes-closed resting electroencephalogram (EEG) and autonomic data (SCL, heart rate, respiration rate, and systolic and diastolic blood pressure) during 2 min epochs that commenced every 4 min after ingestion, were analysed. The SCL placebo data were used to identify potential arousal measures prior to examining caffeine effects. Caffeine was associated with increased SCL, increased respiratory rate and a global reduction in alpha power. There were no significant cardiovascular effects of caffeine-induced arousal. These caffeine results are consistent with our recent electrodermal and EEG studies of arousal, and confirm the potential use of caffeine as a simple means of experimentally modifying arousal levels without task-related confounds.

Arousal and activation in a continuous performance task: An exploration of state effects in normal children

Abstract: The concepts of arousal and activation have had a confused history in Psychophysiology, and there is no widely accepted consensus on their usefulness in the field. This study aimed to explore whether these concepts could be separated in terms of their effects on the phasic Orienting Response (OR) and behavioral performance. We defined arousal at a particular time to be the energetic state at that time, reflected in electrodermal activity and measured by skin conductance level. Task-related activation was defined as the change in arousal from a resting baseline to the task situation. A continuous performance task was used with normal children. The magnitude of the mean phasic OR elicited by target stimuli was dependent on arousal, but not on task-related activation. Two performance measures (mean reaction time and number of errors) improved with increasing activation, but not with arousal. These data suggest the value of conceptualizing arousal and activation as separable aspects of the energetic...

Understanding advanced theory of mind and empathy in high-functioning adults with autism spectrum disorder

It has been argued that higher functioning individuals with autism spectrum disorders (ASDs) have specific deficits in advanced but not simple theory of mind (ToM), yet the questionable ecological validity of some tasks reduces the strength of this assumption. The present study employed The Awareness of Social Inference Test (TASIT), which uses video vignettes to assess comprehension of subtle conversational inferences (sarcasm, lies/deception). Given the proposed relationships between advanced ToM and cognitive and affective empathy, these associations were also investigated. As expected, the high-functioning adults with ASDs demonstrated specific deficits in comprehending the beliefs, intentions, and meaning of nonliteral expressions. They also had significantly lower cognitive and affective empathy. Cognitive empathy was related to ToM and group membership whereas affective empathy was only related to group membership.

Why don't you feel how I feel? Insight into the absence of empathy after severe Traumatic Brain Injury

Although the existence of empathy deficits in people with traumatic brain injury (TBI) is generally well accepted, it has been a topic of limited investigation. The current study examined the relationship between self-reported emotional and cognitive empathy and psychophysiological responding to emotionally evocative pictures in 20 patients with severe TBI and 22 control participants. Eighteen pictures with alternating pleasant, unpleasant and neutral content selected from the International Affective Picture System (IAPS) were presented whilst facial muscle responses, skin conductance, and valence and arousal ratings were measured. Self-reported emotional and cognitive empathy questionnaires were also administered. In comparison to control participants, those in the TBI group displayed a reduction in the ability to empathize both emotionally and cognitively, and evidence that these two aspects of empathy may be interconnected was established. Further, TBI participants showed reduced facial responding to unpleasant pictures, while also rating them as less unpleasant and arousing than controls. In addition, they exhibited lowered autonomic arousal to all pictures, regardless of affective valence. Interestingly, hypoarousal to pleasant pictures in particular was found to be related to the absence of empathy observed after TBI, and is consistent with the view that impaired emotional responsivity is associated with impairment to the empathy network. The results represent a further step towards understanding what processes shape empathy.