Jason W. Krompinger

Mindfulness training modifies subsystems of attention.

Mindfulness is defined as paying attention in the present moment. We investigate the hypothesis that mindfulness training may alter or enhance specific aspects of attention. We examined three functionally and neuroanatomically distinct but overlapping attentional subsystems: alerting, orienting, and conflict monitoring. Functioning of each subsystem was indexed by performance on the Attention Network Test (ANT; Fan, McCandliss, Sommer, Raz, & Posner, 2002). Two types of mindfulness training (MT) programs were examined, and behavioral testing was conducted on participants before (Time 1) and after (Time 2) training. One training group consisted of individuals naive to mindfulness techniques who participated in an 8-week mindfulness-based stress reduction (MBSR) course that emphasized the development of concentrative meditation skills. The other training group consisted of individuals experienced in concentrative meditation techniques who participated in a 1-month intensive mindfulness retreat. Performance of these groups was compared with that of control participants who were meditation naive and received no MT. At Time 1, the participants in the retreat group demonstrated improved conflict monitoring performance relative to those in the MBSR and control groups. At Time 2, the participants in the MBSR course demonstrated significantly improved orienting in comparison with the control and retreat participants. In contrast, the participants in the retreat group demonstrated altered performance on the alerting component, with improvements in exogenous stimulus detection in comparison with the control and MBSR participants. The groups did not differ in conflict monitoring performance at Time 2. These results suggest that mindfulness training may improve attention-related behavioral responses by enhancing functioning of specific subcomponents of attention. Whereas participation in the MBSR course improved the ability to endogenously orient attention, retreat participation appeared to allow for the development and emergence of receptive attentional skills, which improved exogenous alerting-related process.

Modulations of the Electrophysiological Response to Pleasant Stimuli by Cognitive Reappraisal

Research indicates that individuals successfully regulate their emotions to negatively valenced stimuli using cognitive, antecedent-focused techniques (cf. Gross, 1998). Event-related potential studies have elucidated candidate neural correlates, particularly modulations of the late positive potential (LPP) to index emotion regulation processes. The present study attempted to extend prior demonstrations of emotion regulation effects on the LPP to the domain of positively valenced stimuli. Twenty participants completed a blocked emotion regulation task: The first block consisted of passively viewing pleasant and neutral pictures, whereas the last two blocks consisted of either decreasing or increasing emotions to pleasant pictures. Results replicated our previous findings with negatively valenced stimuli, demonstrating an attenuated LPP during decrease instructions and no effect of increase instructions. Modulation of the ERP as a function of instruction was most prominent during the positive-going slow-wave time window of the LPP, indicating that attentional resources allocated to the perceptual processing of pleasant stimuli may be manipulated using emotion regulation strategies.

Electrophysiological correlates of decreasing and increasing emotional responses to unpleasant pictures.

We examined event-related brain potential (ERP) modulations during the anticipation and processing of unpleasant pictures under instructions to cognitively decrease and increase negative emotion. Instructions to decrease and increase negative emotion modulated the ERP response to unpleasant pictures in the direction of emotional intensity beginning around 400 ms and lasting several seconds. Decrease, but not increase, instructions also elicited enhanced frontal negativity associated with orienting and preparation prior to unpleasant picture onset. Last, ERP modulation by unpleasant pictures began around 300 ms, just prior to regulation effects, suggesting that appraisal of emotion occurs before emotion regulation. Together, the current findings underscore the utility of ERPs in illuminating the time course of emotion modulation and regulation that may help to refine extant theoretical models.

Disruptions of preparatory attention contribute to failures of prospective memory

In two experiments, we examine the efficacy of preparatory attentional processes and intention superiority as explanations of the finding that response time (RT) for prospective memory (PM) cue misses is often faster than that for ongoing activity trials or PM cue hits. RT was faster for prospective misses than for ongoing activity trials, demonstrating an intention superiority effect. RT was also faster for ongoing activity trials preceding prospective misses than for those preceding prospective hits. We interpret this finding as reflecting variation in the efficiency of preparatory attentional processes during task performance, leading to failures of PM when preparatory attentional processes are suboptimal.

Cognitive inefficiency in depressive undergraduates: stroop processing and ERPs.

Evidence from neuroimaging studies indicates that depressive symptomatology is associated with inefficient recruitment of prefrontal brain regions while performing tasks that tax executive function. In the current study, we investigated the time-course and ERP signature of inefficient executive functioning using a verbal Stroop color-naming task. Twenty (20) undergraduates with moderate to severe BDI-II depression scores and 20 low-scoring controls completed the task. Performance measures did not differ between the two groups. Overt reaction and P300 latencies indicated that all participants showed prominent Stroop effects, such that incongruent responses were delayed compared to congruent. Effects of task condition on the frontal N450 indicated that depressive participants differentiated congruent and incongruent trials earlier than did controls, and that the size of the congruency effect on the N450 was related to self-reported trait rumination among depressive participants. Following this effect, depressive participants showed larger P300s, suggesting an over-commitment of cognitive control resources in the depressive participants. These data lend further evidence to the cortical inefficiency hypothesis and extend the literature by indicating possible improper timing of neural activations during an executive task in depressive undergraduates.

How willing are you? Willingness as a predictor of change during treatment of adults with obsessive-compulsive disorder

Exposure and response prevention (ERP) is an effective treatment for individuals with obsessive–compulsive disorder (OCD), yet a substantial number of individuals with OCD do not fully respond to this intervention. Based on emerging experimental and clinical research on acceptance, this study sought to explore whether willingness to experience unpleasant thoughts, emotions, and bodily sensations during ERP was associated with improved treatment response.

Use of an Individual-Level Approach to Identify Cortical Connectivity Biomarkers in Obsessive-Compulsive Disorder

BACKGROUND Existing functional connectivity studies of obsessive-compulsive disorder (OCD) support a model of circuit dysfunction. However, these group-level observations have failed to yield neuroimaging biomarkers sufficient to serve as a test for the OCD diagnosis, predict current or future symptoms, or predict treatment response, perhaps because these studies failed to account for the substantial intersubject variability in structural and functional brain organization. METHODS We used functional regions, localized in each of 41 individual OCD patients, to identify cortical connectivity biomarkers of both global and dimension-specific symptom severity and to detect functional connections that track changes in symptom severity following intensive residential treatment. RESULTS Global OCD symptom severity was directly linked to dysconnectivity between large-scale intrinsic brain networks-particularly among the dorsal attention, default, and frontoparietal networks. Changes within a subset of connections among these networks were associated with symptom resolution. Additionally, distinct and nonoverlapping cortical connectivity biomarkers were identified that were significantly associated with the severity of contamination/washing and responsibility for harm/checking symptoms, highlighting the contribution of dissociable neural networks to specific OCD symptom dimensions. By contrast, when we defined functional regions conventionally, using a population-level brain atlas, we could no longer identify connectivity biomarkers of severity or improvement for any of the symptom dimensions. CONCLUSIONS Our findings would seem to encourage the use of individual-level approaches to connectivity analyses to better delineate the cortical and subcortical networks underlying symptom severity and improvement at the dimensional level in OCD patients.

Electrophysiological indicators of inhibitory control deficits in depression

Ample evidence from behavioral and brain imaging studies suggests that inhibitory control is impaired in depression, though the precise nature of this impairment is unclear. The purpose of the present study was to examine potential deficits in three aspects of inhibitory control - conflict monitoring, conflict resolution, and overt behavioral inhibition - in the context of depressive symptoms. Depressed (n=15) and non-depressed (n=15) participants completed a stop-signal reaction time (SSRT) task while electroencephalography (EEG) data were recorded. EEG results indicate that depression impacts only the conflict resolution phase of inhibitory control, with higher levels of depressive and reflective pondering symptoms associated with poorer conflict resolution. Findings have clear implications for treatments of depression, many of which do not currently target the inhibitory control deficits present in this disorder.