眶额病变改变人类情绪-注意力及情绪-认知控制交互的脑动力学

Orbitofrontal Lesion Alters Brain Dynamics of Emotion-Attention and Emotion-Cognitive Control Interaction in Humans.

作者信息

Kuusinen Venla, Cesnaite Elena, Peräkylä Jari, Ogawa Keith H, Hartikainen Kaisa M

机构信息

Behavioral Neurology Research Unit, Tampere University Hospital, Tampere, Finland.

Faculty of Medicine and Life Sciences, University of Tampere, Tampere, Finland.

出版信息

Front Hum Neurosci. 2018 Nov 1;12:437. doi: 10.3389/fnhum.2018.00437. eCollection 2018.

Abstract

Patients with lesion to the orbitofrontal cortex (OFC) experience challenges in emotional control and emotion-guided behaviors. The OFC is known to participate in executive functions and attentional control of emotion and our previous research suggests OFC lesion alters the balance between voluntary and involuntary attention and cognitive control within the context of emotion. To better understand how OFC lesion affects the dynamics and interaction of these functions, we studied EEG and performance of 12 patients with lesion to the OFC and 11 control subjects with intact OFC in a Go/NoGo visual reaction time (RT) task with neutral targets and intervening threat-related emotional distractors (Executive RT Test). Event-related potentials (ERPs), specifically N2P3 peak-to-peak amplitude and the following late positive potential (LPP), were used to measure allocation of attention and cognitive control to emotional distractors. Task performance and Behavior Rating Inventory of Executive Functions-Adult version (BRIEF-A) scores were used to assess executive functions. As expected, the Control group showed increased N2P3 amplitude in the context of threat-related distractors, particularly over the right hemisphere, while LPP was not modulated by these distractors. In contrast, patients with OFC lesion showed no such impact of threat-related distractors on N2P3 amplitude but exhibited increased and prolonged left-lateralized impact of threat on LPP in the Go-condition. In NoGo-condition, the N2P3 amplitude was increased in both groups due to threat, but the impact was seen earlier, i.e., at the N2 peak in the OFC group and later at the P3 peak in Controls. The OFC group committed more errors in the Executive RT Test and reported more problems in BRIEF-A, thus both objective and subjective evidence for challenges in executive functions was obtained in patients with orbitofrontal lesion. Furthermore, the time-course of attention allocation and cognitive control towards task-irrelevant emotional stimuli was altered as evidenced by ERPs. We conclude that orbitofrontal lesion is associated with altered neural dynamics underlying the interaction of involuntary attention to emotion and cognitive control. These alterations in brain dynamics may underlie some of the challenges patients encounter in everyday life when emotional events interact with cognitive demands.

摘要

眶额皮质(OFC)受损的患者在情绪控制和情绪引导行为方面面临挑战。已知OFC参与执行功能以及情绪的注意力控制,并且我们之前的研究表明,OFC损伤会改变情绪背景下自愿和非自愿注意力以及认知控制之间的平衡。为了更好地理解OFC损伤如何影响这些功能的动态变化和相互作用,我们在一个Go/NoGo视觉反应时间(RT)任务中,研究了12名OFC受损患者和11名OFC完整的对照受试者的脑电图(EEG)和表现,该任务中有中性目标以及介入的与威胁相关的情绪干扰物(执行RT测试)。事件相关电位(ERP),特别是N2P3峰峰值幅度以及随后的晚期正电位(LPP),被用于测量对情绪干扰物的注意力分配和认知控制。任务表现和执行功能成人版行为评定量表(BRIEF-A)得分被用于评估执行功能。正如预期的那样,对照组在与威胁相关的干扰物情境下,N2P3幅度增加,特别是在右半球,而LPP不受这些干扰物的调节。相比之下,OFC受损患者没有表现出与威胁相关的干扰物对N2P3幅度的这种影响,但在Go条件下,威胁对LPP表现出增强且持续时间更长的左侧化影响。在NoGo条件下,由于威胁两组的N2P3幅度均增加,但这种影响在OFC组出现在N2峰更早的时候,而在对照组出现在P3峰更晚的时候。OFC组在执行RT测试中犯更多错误,并且在BRIEF-A中报告了更多问题(因此在眶额病变患者中获得了执行功能存在挑战的客观和主观证据)。此外,ERP表明,对与任务无关的情绪刺激的注意力分配和认知控制的时间进程发生了改变。我们得出结论,眶额病变与对情绪的非自愿注意力和认知控制相互作用背后的神经动力学改变有关(这些脑动力学改变可能是患者在日常生活中情绪事件与认知需求相互作用时遇到的一些挑战的基础)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05ad/6221981/0b4331db9522/fnhum-12-00437-g0001.jpg

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