Health Neuroscience & Confounds Flashcards

1
Q

HEALTH DEFINITION

A
  • absence of physical/mental illness & disease/pain/discomfort
  • absence of risk factors ie:
    1. PHYSIOLOGICAL (ie. insulin resistance)
    2. SOCIAL (ie. loneliness)
    3. COGNITIVE (ie. slow processing speed)
    4. EMOTIONAL (ie. anxiety)
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2
Q

HEALTH NEUROSCIENCE

A
  • focuses on understanding how brain affects our physical health & vice versa
  • brain = target (bottom-up pathways) & mediator (top-down pathways)
    CONTEXTUAL INFLUENCES
  • social; cultural; environmental
  • interventional; health policy
    INDIVIDUAL-LVL INFLUENCES
  • genetic; epigenetic; life history
  • well-being scale = resilience; clinical illness scale = risk
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3
Q

BRAIN HEALTH (WHO)

A
  • state of brain functioning across cognitive/sensory/socio-emotional/beh/motor domains
  • allows person to realise full potential over life course irrespective of presence/absence of disorders
  • structural/functional integrity of brain regions underlying cognitive processes implicated in adherence to health behs
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4
Q

BRAIN BASICS

A
  1. BRAINSTEM & CEREBELLUM
  2. LIMBIC SYSTEM & SUBCORTICAL REGIONS
  3. WHITE MATTER TRACTS
  4. CEREBRAL CORTEX
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5
Q

BRAIN ROTATIONS

A
  • (right) front -> back = anterior -> posterior
  • (left) front -> back = rostral -> caudal
  • width = lateral -> lateral (medial)
  • top -> bottom = dorsal -> ventral
  • diagonal -> rostral -> caudal
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6
Q

BRAIN APPROACHES

A

BRAIN PERTURBATION APPROACH
- manipulation
- alteration -> measure (task performance)
NEUROMONITORING APPROACH
- measurement
- manipulate cognition -> measure (neural activity)

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7
Q

EXECUTIVE FUNCTIONS

A
  • predict physical/mental health across lifespan
  • higher order cognitive functions implicated in “top-down” control of human beh/thought/action
  • aka: executive processes/control; controlled attention; central executive system; supervisory attentional system
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8
Q

EXECUTIVE FUNCTIONING SKILLS

A

EMOTIONAL CONTROL
- ability to manage feelings
TIME MANAGEMENT
- ability to manage time to complete tasks
FLEXIBILITY
- ability to modify/adapt to changing situations
ORGANISATION
- ability to develop systems to manage
TASK INITIATION
- ability to start/stop tasks
WORKING MEMORY
- ability to use memory to complete tasks

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9
Q

HOW TO DEFINE EXECUTIVE FUNCTIONS

A
  • conscious control of what we think/do
  • enables self-regulation of one’s own social actions/display emotions
  • coordinates goal-setting w/planning required to accomplish goal/task (ie. organising/sequence/self-monitoring/evaluating)
  • control of attention/focus skills
  • ability to think/act in flexible manner w/tolerance for frustration
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10
Q

EMOTIONAL ASPECTS OF EXECUTIVE FUNCTIONS: SELF-REGULATION

A
  • impulse control
  • use of social filter
  • self-monitoring social behs
  • tolerance
  • delay of immediate gratification
  • establishing/filtering attention
  • engaging in health protective behs
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11
Q

COGNITIVE ASPECTS OF EXECUTIVE FUNCTIONS: META-COGNITION

A
  • organising time/materials/projects
  • prioritising
  • attention shifting
  • risk-assessment
  • informed decision making
  • verbal/non-verbal WM
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12
Q

STRUCTURE OF EXECUTIVE FUNCTIONS IN ADULTS

A

updating (specific) ->
shifting (specific) ->
inhibition ->
common executive function

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13
Q

EXECUTIVE FUNCTIONS & COGNITIVE MECHANISMS

A
  • executive function & self-regulation skills depend on 3 cognitive mechanisms:
    1. WORKING MEMORY
  • governs our ability to retain/manipulate distinct info over short periods of time
    2. COGNITIVE FLEXIBILITY
  • helps us to sustain/shift attention in response to dif demands & apply dif rules in dif settings
    3. INHIBITORY CONTROL
  • enables us to resist impulsive actions/responses
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14
Q

WORKING MEMORY

A

ADULT
- remember multiple tasks/rules/strategies that may vary by situation
5-16Y
- ability to search varying locations; remember where something was found; explore other locations
4-5Y
- appearance = NOT always reality
3Y
- hold in mind 2 rules & act on their basis
9-10M
- execute simple tasks/plans
7-9M
- ability to remember unseen objects

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15
Q

INHIBITORY CONTROL

A

ADULT
- consistent self-control; situationally appropriate responses
10-18Y
- self-control (ie. flexibility switching between central focus) & peripheral stimuli
7Y
- learning to ignore irrelevant peripheral stimuli & focus on central
4-5Y
- reductions in perservation; delay eating treat; begin to hold/follow arbitrary rule
9-11M
- inhibit reaching for immediate reward
8-10M
- maintain focus despite distractions
6M
- rudimentary response inhibition

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16
Q

COGNITIVE FLEXIBILITY

A

ADULT
- revise actions/plans in response to changing circumstances
13-18Y
- accuracy when switching focus & adapting to changing rules
10-12Y
- adapts to changing rules even among multiple dimensions
2-5Y
- shifts actions according to changing rules
9-11M
- seek alternative methods to retrieve objects beyond directly reaching

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17
Q

EF x FOOD INTAKE

A
  • executive functions = associated w/calorie dense food intake in young adults
  • n = 5648; 11-12y
  • individuals w/higher executive functions:
    1. consume less calories in lab taste tests
    2. have lower body mass indexes (BMI)
    3. consume more fruit/vegetables & less calorie-dense foods
  • sugar sweetened beverage consumption
  • snack food consumption
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18
Q

EFFORTFUL CONTROL OVER DIETARY BEHS & CRAVINGS

A
  • high calorie > low calorie; n = 7
  • ultra-processed calorie dense foods = rewarding
  • requires effortful control over reward processes to manage intake in “obesogenic” environments
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19
Q

PREFRONTAL CORTEX

A
  • primary motor cortex (BA4)
  • premotor cortex (BA6)
  • anterior premotor cortex (BA8)
  • dorsolateral prefrontal cortex (BA9/46)
  • lateral frontopolar cortex (BA10)
  • ventolateral prefrontal cortex (BA47/45/44)
  • ventral anterior premotor cortex (BA44/6)
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20
Q

EXECUTIVE FUNCTION: SUMMARY

A
  • executive functions = cognitive processes that can be used as proxy of brain health
  • important for regulating beh; play key role in adherence to health beh
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21
Q

IMAGING TECHNIQUES

A

ANATOMICAL
FUNCTIONAL

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22
Q

ANATOMICAL STUDIES

A
  • structure evaluated w/dif groups/diagnoses (aka. keep other variables as similar as possible) or same group over time
  • measure structure
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23
Q

FUNCTIONAL STUDIES

A
  • task needed w/recordings taken during task
  • usually compared to baseline task
  • measure function (aka. needs to have task)
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24
Q

STRUCTURAL METRICS

A

GREY MATTER
- neuronal cell bodies (neurons)
WHITE MATTER
- myelinated axons

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25
Q

NEURON ANATOMY

A
  • dendrite
  • nucleus
  • cell body (soma)
  • Scwann cell
  • axon
  • myelin
  • axon terminal
26
Q

IMAGING TECHNIQUES: ANATOMICAL & STRUCTURE

A
  • X-Ray
  • X-Ray computed tomography (CT)
  • ultrasound
  • magnetic resonance imaging (MRI)
27
Q

IMAGING TECHNIQUES: FUNCTIONAL

A
  • nuclear medicine (SPECT/PET/PET-CT)
  • MEG/EEG
  • functional near-infrared spectoscopy (fNIRS)
  • magnetic resonance imaging (MRI)
28
Q

SEJNOWSKI (2014): SPATIOTEMPORAL DOMAIN OF NEUROSCIENCE METHODS

A
  • EEG/MEG = brain (milliseconds)
  • PET imaging = brain (hours)
  • fMRI imaging = brain (minutes)
  • TMS = brain (seconds)
  • VSD imaging = brain (milliseconds)
  • brain lesions = nucleus (days)
  • 2-DG imaging = nucleus (hours)
  • microstimulation = nucleus (seconds)
  • light microscopy = layer (minutes)
  • optogenetics = layer (seconds)
  • field potentials = layer (milliseconds)
  • single units = neuron (milliseconds)
  • electron microscopy = synapse (minutes)
  • calcium imaging = synapse (seconds)
  • patch clamp = synapse (milliseconds)
29
Q

FMRI: WHAT ARE WE MEASURING?

A
  • BOLD contrast; increase in local MR signal
  • increase coherent spin in H nuclei of diffusing H2O ->
  • displacement of deoxyhaemoglobin (glucose/blood flow/oxygen) ->
  • ATP consumption by neurons/astrocytes ->
  • integration/signalling in neuron groups ->
  • sensory/motor/cognitive processes
30
Q

BODY = TINY MAGNETS (WATER!)

A
  • hydrogen atoms = tiny magnets
  • put them in strong magnetic field; shift to align w/said field
31
Q

HEMODYNAMIC RESPONSE

A
  • neurons require energy to function
  • cellular respiration requires oxygen/glucose
  • local increasing blood flow
32
Q

NEUROVASCULAR COUPLING

A
  1. electrical activity in neurons
  2. astrocyte/interneuron response
  3. dilation of arterioles
  4. increase in blood flow (CBF) & volume (CBV)
33
Q

PHYSIOLOGY: BOLD CONTRAST

A
  • blood-oxygenation-lvl-dependent contrast
34
Q

SPATIAL RESOLUTION: VOXELS

A
  • voxel = small rectangular prism; basic sampling unit of fMRI
  • typical anatomical voxel = 1.5mm^3
  • typical functional voxel = 4mm^3
35
Q

ACTIVE BRAIN REGION = WHAT?

A
  • brain has constant supply of blood/oxygen; we’d die without it
  • aka. we cannot literally read thoughts via scanners as whole brain = active
  • SO we need a contrast (ie. active compared to… what?)
36
Q

FMRI: SUMMARY

A
  • maps whole-brain; non-invasive
  • validation against electrocortical stimulation/Wada performed for motor mapping/lateraisation of language
  • active = NOT always essential!
  • fmri = statistical; evaluating relative activation; requires intact neurovascular coupling
  • pathology can abolish BOLD activation; tumours reduce/remove BOLD signal
37
Q

FMRI SCANDALS

A
  • dead salmon
  • cluster failure
  • voodoo
  • analysis pipelines
  • reproducibility
38
Q

FMRI SCANDALS: DEAD SALMON

A

BENNETT ET AL.
- neural correlates of interspecies perspective taking in post-mortem Atlantic salmon; argument for multiple comparisons correction

39
Q

FMRI SCANDALS: CLUSTER FAILURE

A

EKLUND, NICHOLS & KNUTSSON
- why fMRI inferences for spatial extent have inflated false-positive rates
- rsfMRI from 396 controls w/task design split into smaller groups
- random group analysis to evaluate false positives
- SPM/FSL/AFNI & nonparametric permutation
- FWI rate 5%; parametric stats conservative for voxelwise inference & invalid for clusterwise inference
- up to 70% false positives
- nonparametric more robust

40
Q

FNIRS

A
  • functional near-infrared spectroscopy
  • haemodynamic approach (like fMRI)
  • uses properties of light
  • dif haemoglobin species can be detected due to difs in optical absorption
  • light travels through skull; refracts back to detectors; used to calculate temporal changes in cerebral blood flow
41
Q

PET: WHAT CAN WE MEASURE?

A
  • metabolism (ie. oxygen & glucose)
  • blood flow
  • neurotransmitter systems (ie. receptors, neurotransmitters & enzymes)
42
Q

VS: FMRI

A
  • blood oxygen concentration
  • no radioactivity
  • temporal resolution = 1-4sec
  • spatial resolution = 1mm
  • event-related/blocked design
  • some regions = difficult to image (near sinuses)
  • medium £
  • 65-130dB
  • no metal
  • minimal movement
43
Q

VS: PET

A
  • blood volume
  • radioactivity (radioactive tracer)
  • temporal resolution = 30sec
  • spatial resolution = 10mm
  • blocked design
  • whole brain
  • pharmacological tracers
  • high £
  • little movement
44
Q

VS: FNIRS

A
  • no radioactivity
  • temporal resolution = ms
  • spatial resolution = mms (BUT ltd to cortex)
  • low £
  • can move; portable
45
Q

EEG: EVENT RELATED POTENTIALS (ERP)

A
  • waveform from EEG reflects across brain activity (aka. current task & more); low signal-to-noise ratio; need lots of trials
  • amount of voltage change associated w/cognitive event
  • ERP like RT; time = important
  • important = timing/amplitude of peaks for cognition
46
Q

EEG: FREQUENCY BANDS

A

DELTA
THETA
ALPHA
BETA
GAMMA

47
Q

EEG: DELTA FREQUENCY BAND

A

FREQUENCY
- .5-4Hz
AMPLITUDE
- 100-200uV
LOCATION
- frontal
ACTIVITY
- deep sleep

48
Q

EEG: THETA FREQUENCY BAND

A

FREQUENCY
- 4-8Hz
AMPLITUDE
- 5-10uV
LOCATION
- various
ACTIVITY
- drowsiness; light sleep

49
Q

EEG: ALPHA FREQUENCY BAND

A

FREQUENCY
- 8-13Hz
AMPLITUDE
- 20-80uV
LOCATION
- posterior region of head
ACTIVITY
- relaxed

50
Q

EEG: BETA FREQUENCY BAND

A

FREQUENCY
- 13-30Hz
AMPLITUDE
- 1-5uV
LOCATION
- left/right side; symmetrical distribution; more evident frontally
ACTIVITY
- active thinking; alert

51
Q

EEG: GAMMA FREQUENCY BAND

A

FREQUENCY
- >30Hz
AMPLITUDE
- .5-2uV
LOCATION
- somatosensory cortex
ACTIVITY
- hyperactivity

52
Q

PERTURBING NEURAL FUNCTION

A
  • pharmacology
  • genetics
  • invasive stimulation (ie. deep brain stimulation; optogenetics)
  • noninvasive stimulation (ie. trasncranial magnetic/direct & alternating current stimulation (TMS/tDCS/tACS)
  • lesion studies
53
Q

NEUROMODULATION METHODS

A

TRANSCRANIAL DIRECT CURRENT STIMULATION (tDCS)
- anodal (up)
- cathodal (down)
TRANSCRANIAL MAGNETIC STIMULATION (TMS)
- single pulse TMS (spTMS)
- repetitive TMS (rTMS) ->
- high/low frequency (rTMS)
- theta burst stimulation (TBS) ->
- intermittent TBS (up)
- continuous TBS (down)

54
Q

TRANSCRANIAL MAGNETIC STIMULATION (TMS)

A
  • wire coil connected to electrical capacitators; generate magnetic field in coil
  • coil placed on surface of skull; magnetic field passes safely to brain
  • induces electrical current in neurons to fire
55
Q

WAGNER ET AL. (2009)

A

ELECTROMAGNETIC STIMULATION/INDUCTION
- time varying current in coil; coil = electromagnet driven by current
- generates time varying magnetic field; magnetic field function of driving current/coil
- induces electric field in material; electric field function of magnetic field/properties of material
- drives current in material; induced current function of electric field/properties of material ->
- TMS drives currents in brain stimulating neurons

56
Q

THETA BURST STIMULATION (TBS)

A
  • rTMS variant; increases (iTBS)/decreases (cTBS) cortical excitability for up to 1h post-stimulation
  • after-effects attributable to early phase LTP/LTD like changes in cortical plasticity:
    1. triggers post-synaptic glutamate release
    2. NMDA receptors -> increases Ca^2+ lvls
    3. rate/absolute lvls of Ca^2+ change determines inhibitory VS excitatory effects
57
Q

NEUROMODULATION: PROS

A
  • causality = immediate effects
  • informative; cognitive processes’ timing/location
  • no connection to body/need for scanner
58
Q

NEUROMODULATION: CONS

A
  • transient effect
  • not good for long tasks
  • not all areas of cortex can be stimulated
  • rTMS seems more effective than tDCS
59
Q

METHODS SUMMARY

A
  • each method has pros/cons
  • consider methods carefully
  • combine techniques to optimise stengths
60
Q

BRAIN PERSPECTIVES

A

BRAIN-AS-OUTCOME
- PA -> moderators -> brain
BRAIN-AS-MEDIATOR
- PA -> moderators + brain -> cognitive functioning (ie. inhibitory control)
BRAIN-AS-PREDICTOR
- brain -> cognitive/psychological characteristics (ie. executive functioning) + moderators -> PA behaviours (ie. adherence)

61
Q

LOWE ET AL. (2018)

A
  • using cTBS to test causal link between PFC activity/overeating
  • within subject design in healthy young women
  • completed inhibitory control measures
  • measured changes in food-cravings
  • completed bogus taste test for 5 dif snack foods