Megan T. deBettencourt

Neurocognitive therapeutics: from concept to application in the treatment of negative attention bias

There is growing interest in the use of neuroimaging for the direct treatment of mental illness. Here, we present a new framework for such treatment, neurocognitive therapeutics. What distinguishes neurocognitive therapeutics from prior approaches is the use of precise brain-decoding techniques within a real-time feedback system, in order to adapt treatment online and tailor feedback to individuals’ needs. We report an initial feasibility study that uses this framework to alter negative attention bias in a small number of patients experiencing significant mood symptoms. The results are consistent with the promise of neurocognitive therapeutics to improve mood symptoms and alter brain networks mediating attentional control. Future work should focus on optimizing the approach, validating its effectiveness, and expanding the scope of targeted disorders.

Adaptive Thresholding for Improving Sensitivity in Single-Trial Simultaneous EEG/fMRI.

A common approach used to fuse simultaneously recorded EEG and fMRI is to correlate trial-by-trial variability in the EEG, or variability of components derived therefrom, with the blood oxygenation level dependent response. When this correlation is done using the conventional univariate approach, for example with the general linear model, there is the usual problem of correcting the statistics for multiple comparisons. Cluster thresholding is often used as the correction of choice, though in many cases it is utilized in an ad hoc way, for example by employing the same cluster thresholds for both traditional regressors (stimulus or behaviorally derived) and EEG-derived regressors. In this paper we describe a resampling procedure that takes into account the a priori statistics of the trial-to-trial variability of the EEG-derived regressors in a way that trades off cluster size and maximum voxel Z-score to properly correct for multiple comparisons. We show that this data adaptive procedure improves sensitivity for smaller clusters of activation, without sacrificing the specificity of the results. Our results suggest that extra care is needed in correcting statistics when the regressor model is derived from noisy and/or uncertain measurements, as is the case for regressors constructed from single-trial variations in the EEG.

Environmental influences on neural systems of relational complexity.

Constructivist learning theory contends that we construct knowledge by experience and that environmental context influences learning. To explore this principle, we examined the cognitive process relational complexity (RC), defined as the number of visual dimensions considered during problem solving on a matrix reasoning task and a well-documented measure of mature reasoning capacity. We sought to determine how the visual environment influences RC by examining the influence of color and visual contrast on RC in a neuroimaging task. To specify the contributions of sensory demand and relational integration to reasoning, our participants performed a non-verbal matrix task comprised of color, no-color line, or black-white visual contrast conditions parametrically varied by complexity (relations 0, 1, 2). The use of matrix reasoning is ecologically valid for its psychometric relevance and for its potential to link the processing of psychophysically specific visual properties with various levels of RC during reasoning. The role of these elements is important because matrix tests assess intellectual aptitude based on these seemingly context-less exercises. This experiment is a first step toward examining the psychophysical underpinnings of performance on these types of problems. The importance of this is increased in light of recent evidence that intelligence can be linked to visual discrimination. We submit three main findings. First, color and black-white visual contrast (BWVC) add demand at a basic sensory level, but contributions from color and from BWVC are dissociable in cortex such that color engages a “reasoning heuristic” and BWVC engages a “sensory heuristic.” Second, color supports contextual sense-making by boosting salience resulting in faster problem solving. Lastly, when visual complexity reaches 2-relations, color and visual contrast relinquish salience to other dimensions of problem solving.

Forgetting from lapses of sustained attention

When performing any task for an extended period of time, attention fluctuates between good and bad states. These fluctuations affect performance in the moment, but may also have lasting consequences for what gets encoded into memory. Experiment 1 establishes this relationship between attentional states and memory, by showing that subsequent memory for an item was predicted by a response time index of sustained attention (average response time during the three trials prior to stimulus onset). Experiment 2 strengthens the causal interpretation of this predictive relationship by treating the sustained attention index as an independent variable to trigger the appearance of an encoding trial. Subsequent memory was better when items were triggered from good versus bad attentional states. Together, these findings suggest that sustained attention can have downstream consequences for what we remember, and they highlight the inferential utility of adaptive experimental designs. By continuously monitoring attention, we can influence what will later be remembered.

Relating sustained attention to visual long-term memory

Attention naturally fluctuates when it needs to be sustained for long periods of time. These fluctuations have immediate consequences for performance on current tasks, but their consequences for the encoding of current information into visual long-term memory (VLTM) are less well understood. In particular, although the effects of selective attention and divided attention on memory have been explored, the relationship between sustained attention and memory is less clear. We hypothesized that, in a sustained attention task, being in an attentive state just prior to the presentation of an image would lead to better subsequent VLTM for that image. Based on previous studies of sustained attention, we operationalized attentiveness as slower and less variable response times (RTs). In a first incidental encoding phase of the experiment, observers categorized trial-unique pictures of scenes as indoor or outdoor by pressing one of two buttons. Critically, the scenes were selected to be 90% from one subcategory and 10% from the other, which encouraged observers to lapse into making the more frequent response habitually, thereby inducing fluctuations in sustained attention. In the second phase of the experiment, observers performed a surprise recognition memory test in which they were shown old images (that had appeared in the first phase) and new images. They were asked to decide whether they had seen each image before, as well as to report their confidence. Using these memory responses, we returned to the sustained attention task data and found that stimuli that were subsequently remembered vs. forgotten were indeed preceded by trials with slower and less variable RTs. These results suggest that the dangers of attentional failures may not only be realized in the moment, but also in the future when we need to access memories from those episodes. Meeting abstract presented at VSS 2015.

Optimizing Real Time fMRI for Neurotherapeutic Discovery and Development

While reducing the burden of brain disorders remains a top priority of organizations like the World Health Organization and National Institutes of Health (BRAIN, 2013), the development of novel, safe and effective treatments for brain disorders has been slow. In this paper, we describe the state of the science for an emerging technology, real time functional magnetic resonance imaging (rtfMRI) neurofeedback, in clinical neurotherapeutics. We review the scientific potential of rtfMRI and outline research strategies to optimize the development and application of rtfMRI neurofeedback as a next generation therapeutic tool. We propose that rtfMRI can be used to address a broad range of clinical problems by improving our understanding of brain-behavior relationships in order to develop more specific and effective interventions for individuals with brain disorders. We focus on the use of rtfMRI neurofeedback as a clinical neurotherapeutic tool to drive plasticity in brain function, cognition, and behavior. Our overall goal is for rtfMRI to advance personalized assessment and intervention approaches to enhance resilience and reduce morbidity by correcting maladaptive patterns of brain function in those with brain disorders.

Neurofeedback helps to reveal a relationship between context reinstatement and memory retrieval

Theories of mental context and memory posit that successful mental context reinstatement enables better retrieval of memories from the same context, at the expense of memories from other contexts. To test this hypothesis, we had participants study lists of words, interleaved with task-irrelevant images from one category (e.g., scenes). Following encoding, participants were cued to mentally reinstate the context associated with a particular list, by thinking about the images that had appeared between the words. We measured context reinstatement with fMRI, and related this to performance on a free recall test that followed immediately afterwards. To increase sensitivity, we used a closed-loop neurofeedback procedure, whereby higher levels of context reinstatement (measured neurally) elicited increased visibility of the images from the studied context onscreen. Our goal was to create a positive feedback loop that amplified small fluctuations in mental context reinstatement, making it easier to experimentally detect a relationship between context reinstatement and recall. As predicted, we found that higher levels of neural context reinstatement were associated with better recall of words from the reinstated context, and worse recall of words from a different context. In a second experiment, we assessed the role of neurofeedback in identifying this brain-behavior relationship by presenting context images again but manipulating whether their visibility depended on neural context reinstatement. When neurofeedback was removed, the relationship between context reinstatement and memory retrieval disappeared. Together, these findings demonstrate a clear effect of context reinstatement on memory recall and suggest that neurofeedback can be a useful tool for characterizing brain-behavior relationships. Abbreviated title Neurofeedback context

Neuroscience: Incepting Associations

A recent study has used real-time fMRI neurofeedback to induce color-specific activity patterns in early visual cortex as participants viewed achromatic gratings. This procedure resulted in an association between the color and the displayed grating orientation, suggesting that early visual cortex can support associative learning of this type.