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The control of attention and actions: current research and future developments.

In this introductory article of the special issue of Brain Research, we first present an overview of some general questions relating to cognitive control. For instance, one of the questions that remain to be answered is what control mechanisms and their neural underpinnings really 'do', beyond what is done by more basic 'computational' or data processing systems in the brain. We then briefly describe the four major issues addressed in the separate articles of this issue, namely attentional orienting, task set switching, performance and error monitoring, and response inhibition. In conclusion, we focus on some new methodological directions and illustrate how the study of cognitive control may be augmented by relatively newly emerging theoretical and empirical perspectives.

Animals↗

Computational and neurobiological mechanisms underlying cognitive flexibility.

The ability to switch between multiple tasks is central to flexible behavior. Although switching between tasks is readily accomplished, a well established consequence of task switching (TS) is behavioral slowing. The source of this switch cost and the contribution of cognitive control to its resolution remain highly controversial. Here, we tested whether proactive interference arising from memory places fundamental constraints on flexible performance, and whether prefrontal control processes contribute to overcoming these constraints. Event-related functional MRI indexed neural responses during TS. The contributions of cognitive control and interference were made theoretically explicit in a computational model of task performance. Model estimates of two levels of proactive interference, "conceptual conflict" and "response conflict," produced distinct preparation-related profiles. Left ventrolateral prefrontal cortical activation paralleled model estimates of conceptual conflict, dissociating from that in left inferior parietal cortex, which paralleled model estimates of response conflict. These computationally informed neural measures specify retrieved conceptual representations as a source of conflict during TS and suggest that left ventrolateral prefrontal cortex resolves this conflict to facilitate flexible performance.

Adolescent↗

Obesity in adult females: the relationship among personality characteristics, dieting, and weight.

1. The author studied 225 employed women in the New York Metropolitan area between the ages of 25 and 55 years. The Disinhibited Dieters in this study were overweight, depressed, anxious, and had a low self esteem. The Cognitive Controlled Dieters were not depressed or anxious, had a positive self esteem, and were not overweight. 2. The only significant variable between successful Cognitive Controlled Dieters and Disinhibited Dieters was exercise. 3. Nurses must examine their own beliefs and feelings concerning weight and eating and the connection with depression, anxiety, and self esteem before they can successfully relate to clients. 4. Attitude, cognitive changes, involvement in sports and exercise, and healthy eating are primary prevention interventions to be utilized by the nurse.

Adult↗

Neuroendocrine reactivity, internalizing behavior problems, and control-related cognitions in clinic-referred children and adolescents.

Literature on neuroendocrine-behavior relations suggests that cortisol reactivity to social challenge may be associated with children's internalizing problem behavior. To explore this possibility, and the role of control-related beliefs, we studied 102 7-17-year-old clinic-referred children. Measures of problem behavior, depression and anxiety, and control-related beliefs were collected, and Ss' saliva was sampled before and after a parent-child conflict task. Neuroendocrine activation (i.e., cortisol increase) in response to the interaction task was associated with Ss' (a) social withdrawal, social anxiety, and social problems; (b) socially inhibited behavior during the task; and (c) low levels of perceived social contingency and high levels of external attributions for personal successes and failures. Our findings are among the first to link children's behavioral response to social challenge, neuroendocrine activation, cognitions, and psychopathology.

Adolescent↗

Dopamine controls fundamental cognitive operations of multi-target spatial working memory.

This study addresses computationally how the prefrontal cortical circuit performs operations of multiple items in spatial working memory. The basic idea is that dopamine controls the circuit dynamics for the operations by changing the ratio of the NMDA-channel transmission to the AMPA-channel transmission. There is evidence that this ratio is a function of dopamine D1 receptor activation. The simulation shows that the model circuit performs several different operations of multi-target spatial working memory depending on this ratio. When the ratio is low, 'replacement' occurs from the previously loaded target to a new one. In intermediate levels of the ratio, a new target is 'added' to the previously loaded target, resulting in the coexistence of more than one target. For higher ratios, the circuit 'rejects' other succeedingly received target stimuli. This study suggests four important issues: First, the cortical circuit can perform operations of multi-target spatial working memory. Second, the circuit can switch the modes of the operations by changing the NMDA-to-AMPA ratio. Third, dopamine would have major roles in the operations of multi-target spatial working memory. Fourth, the intracortical inhibition (especially of the cross-directional) plays an important role in regulating the competition between targets.

Animals↗

Impaired self-initiated task preparation during task switching in Parkinson's disease.

Patients with Parkinson's disease (PD) typically show reduced performance in clinical tests involving cognitive control processes, presumably due to reduced availability of dopamine in striatofrontal neuronal circuits. Although task switching paradigms are considered as an ideal experimental measure of cognitive control, previous studies on task switching in PD have yielded ambiguous results, indicating that performance deficits depend on the specific task requirements. Among these, the aspect of self-initiated as opposed to externally triggered task preparation seems to play an important role, as evidenced by recent research. To address this topic, the present study investigated PD patients and age-matched controls (n=16) with a sequential switching task in which the upcoming task was predicted by two different types of cues. Firstly, every task was predicted by an external visual cue of varying utility (long versus short precuing interval). Additionally, the tasks were predictable on the basis of a fixed task sequence (AABB), which placed relatively higher demands on self-initiated task preparation. After considerable practice, the sequence was changed to random. Increased reaction times following sequence removal indicated prior use of the sequence in both groups. However, in contrast to healthy age-matched controls, PD patients did not learn to use the predictable task sequence to a greater extent when the utility of the visual task cue was low due to a short precuing interval. This finding is interpreted as evidence for a specific impairment in self-initiated as opposed to externally triggered task preparation.

Aged↗

A study of behavioural responses to an industrial disaster.

Based upon 7 response variables we categorized the impact behaviour of 123 industrial employees who had been exposed to a disastrous factory explosion and had survived without suffering severe injuries. The subjects were personally examined and the data controlled by cross-interviews shortly after the disaster. In the analysis the subjects were divided into a high stress (n = 64) and a medium stress exposure group (n = 59) based upon their closeness to the explosion centre. The 7 variables were cognitive function, inadequate behaviour, help received, leadership, cooperative activity, absolute and relative rescue efforts. While about 50% of the total number reported some disturbance in their cognitive control, and 34% of the high stress exposure group experienced a near total loss of cognitive control, severe inadequate behaviour did not occur. Modelling and corrective social interactions may have played an important role in this. Still, 20% of the high stress exposure group had some behavioural response that increased the risk to their life or that of others. The 7 scores were added to an index and cut-off points established to separate 3 different groups of behavioural responses: 29% of the high stress group displayed Maladaptive Disaster Behaviour; inhibited behaviour and uncontrolled flight behaviour dominated in this group. Adaptive Disaster Behaviour was rated in 34% and Optimal Disaster Behaviour in 37%. The following background variables correlated strongly to Optimal Disaster Behaviour: high level of disaster training/experience, male sex, age above 40, maritime occupational background, above average intellectual ability, a life history without mental health problems. A discriminant analysis with 8 variables predicted correctly whether the response would be Optimal or less than that in 84% of the 121 subjects tested in the analysis. A high level of disaster training/experience yielded an overall correct prediction rate of 63.6%, and a sensitivity of 81%, specificity of 85.9% and positive predictive power of 70.7% in predicting Optimal Disaster Behaviour.

Accidents, Occupational↗

An integrative theory of prefrontal cortex function.

The prefrontal cortex has long been suspected to play an important role in cognitive control, in the ability to orchestrate thought and action in accordance with internal goals. Its neural basis, however, has remained a mystery. Here, we propose that cognitive control stems from the active maintenance of patterns of activity in the prefrontal cortex that represent goals and the means to achieve them. They provide bias signals to other brain structures whose net effect is to guide the flow of activity along neural pathways that establish the proper mappings between inputs, internal states, and outputs needed to perform a given task. We review neurophysiological, neurobiological, neuroimaging, and computational studies that support this theory and discuss its implications as well as further issues to be addressed

Animals↗

The effects of cognitive and behavioral control on coping with an aversive health examination.

The effects of cognitive and behavioral control on coping with an aversive health examination were tested in a 2 x 2 factorial design. Cognitive control was represented by sensory or health-education information; instruction or no instruction in abdominal relaxation constituted the levels of behavioral control. The study was conducted in the natural setting of a family-planning clinic with 24 young women who were undergoing a routine pelvic examination. Subjects who received sensory information prior to the examination showed less distress, as indicated by overt distress behaviors and pulse rates, than did subjects who received health-education information. Cognitive control did not show a significant effect on self-report of fear. No significant effects were demonstrated for the factor of behavioral control. The results suggested that cognitive control information, which emphasizes the sensory experiences typically accompanying an aversive event, limits reactivity to aversive stimuli. The reduction in reactivity is thought to result in an increased ability to cope with aversive events.

Adaptation, Psychological↗

Differential patterns of striatal activation in young children with and without ADHD.

BACKGROUND: Cognitive control, defined as the ability to suppress inappropriate thoughts and actions, is compromised in attention-deficit/hyperactivity disorder (ADHD). This study examines the neural basis of this deficit. METHODS: We used a paradigm that incorporates a parametric manipulation within a go/nogo task, so that the number of go trials preceding a nogo trial is varied to tax the neural systems underlying cognitive control with increasing levels of interference. RESULTS: Using this paradigm in combination with event-related functional magnetic resonance imaging (fMRI), we show that children without ADHD have increased susceptibility to interference with increasing numbers of go trials preceding a nogo trial, but children with ADHD have difficulty even with a single go trial preceding a nogo trial. In addition, children with ADHD do not activate frontostriatal regions in the same manner as normally developing children, but rather rely on a more diffuse network of regions, including more posterior and dorsolateral prefrontal regions. CONCLUSIONS: Normal immature cognition may be characterized as being susceptible to interference and supported by the maturation of frontostriatal circuitry. ADHD children show a slightly different cognitive profile at 6 to 10 years of age that is paralleled by a relative lack of or delay in the maturation of ventral frontostriatal circuitry.

Attention Deficit Disorder with Hyperactivity↗

The effects of cognitive and behavioral control on post-stress performance.

A study was designed to investigate the effects of behavioral and cognitive control on post-stress performance. Half of the subjects exposed to loud unpredictable noise bursts were given "behavioral" control (a button which would terminate the noise), while the other half had no behavioral control. In addition, subjects were provided with one of three levels of feedback (success, failure, or no feedback) regarding their performance during the noise. It was expected that information about performance would provide subjects with an increased sense of "cognitive" control which would affect their appraisal of stressful events and their later performance. The results indicated that subjected that subjects given feedback performed better on subsequent tasks than those given no feedback. Perceived behavioral control had little effect on performance. The causal attributions made by subjects were used to interpret these effects. These findings were viewed as supportive of Averill's notion than various types of control are related to stress in a complex fashion. The data may also support Abramson, Seligman, and Teasdale's reformulation of learned helplessness theory.

Adult↗

An fMRI study of executive functioning after severe diffuse TBI.

PRIMARY OBJECTIVE: Preliminary study of whether severe diffuse traumatic brain injury (TBI) increases extent of frontal tissue recruited by cognitive control tasks. RESEARCH DESIGN: Functional magnetic resonance imaging (fMRI) on N-back working memory (WM)and arrows inhibition tasks in a 46 year old man who had severe diffuse TBI 1 year earlier, a 44 year old man (inhibition task) and three women (working memory task), age 20-26 years. Images were acquired by 1.5 T magnet with BOLD method and PRESTO pulse sequence and analysed using SPM. MAIN OUTCOMES AND RESULTS: Frontal activation increased under 2-back relative to 1-back condition of working memory in all participants with more extensive activation in the TBI patient relative to controls. Frontal activation increased with inhibition on the arrows task, but was greater in the TBI patient. CONCLUSION: Severe diffuse TBI results in recruitment of additional neural resources for cognitive control.

Adult↗

[The spatial organization of the EEG and individual psychological characteristics].

The influence of cognitive styles (analytic versus synthetic style, rigid versus flexible cognitive control, impulsivity versus reflexivity, field-dependence versus independence) on the information brain processes was estimated by means of analysis of spatial organization of cortical electrical activity (48 derivations) in 40 right-handed subjects (aged from 18 to 40) during their realization of verbal and non-verbal tasks using successive and simultaneous processing modes. Modulation of the "cognitive axis" (activity of the left anterior and right posterior cortical areas) was revealed connected with the factor of task subjective difficulty, especially in case of simultaneous processing mode. The combination of the synthetic cognitive style and flexibility of the cognitive control may be thought of as being the most favourable for the activation of the "cognitive axis" and utilization of the left- and right-hemispheric information processing, especially in non-standard situations.

Adolescent↗

Age-related changes of postural control: effect of cognitive tasks.

BACKGROUND: Postural control and falls in the elderly constitute a major health problem. The interest in balance deficits is growing, as concern about the rising costs of health care increases. This issue is particularly relevant to the elderly population in which falls occur most frequently. Postural control in the elderly was studied using a cognitive approach. OBJECTIVE: The purpose of this study was to study the characteristics of central processing of postural control while performing cognitive tasks. METHODS: A dual-task procedure was developed to estimate the level of automaticity of a quiet upright standing task. The effect of a concurrent attention-demanding task (modified Stroop test) on the efficiency of balance control in the elderly was determined using force platform and electromyography measurements. RESULTS: It was found that there is an increase in postural sway in old subjects compared with young subjects when performing single tasks and dual-task tests. The results of the study demonstrate that postural adjustments require cognitive processing; young and old subjects showed similar interference effects on postural steadiness (postural sway) caused by the concurrent attention-demanding task. The results are corroborated by the hypothesis that a dual task gives information on the restoration of automaticity of postural control in old age by a central reorganization process. When performing a dual task tested on a narrow base of support, the old subjects decreased their body sway, while the younger did not. According to electromyography measurements, the older subjects increased their muscle activity in the tibialis anterior and soleus muscles, using slow-twitch motor units compared with the younger subjects. CONCLUSIONS: Both alterations (cognitive and base of support) have a substantially greater effect on the elderly than on the young. The older subjects decreased their body sway by activating a cocontraction strategy of postural control around the ankle joint, probably because of the danger to their postural stability.

Adult↗

Noradrenergic control of cognition: global attenuation and an interrupt function.

It is hypothesized that tonic central noradrenergic activity provides global attenuation, and this system's phasic reactions support an interrupt function. Under normal conditions, these functions enhance vigilance and orienting. Their absence during REM sleep allow greater spontaneous and associative activity and the merging of separate experiences in dreams. An abnormal diminishing of these functions during waking may result in the lack of control and inattentiveness seen in attention-deficit hyperactivity disorder. On the other hand, excessive noradrenergic activity may facilitate the occurrence of panic attacks as these functions undermine processes which normally moderate anxiety.

Cognition↗

The control of memory retrieval: insights from event-related potentials.

Effective performance on episodic retrieval tasks requires the ability to flexibly adapt to changing retrieval demands ('retrieval orientations'; [M.D. Rugg, E.L. Wilding, Retrieval processing and episodic memory, Trends Cogn. Sci. 4 (2000) 108-115]). We used event-related potentials (ERP) to examine whether maintaining a specific retrieval orientation and changing flexibly between different retrieval demands are mediated by the same brain systems or whether dissociable aspects of cognitive control are involved. Sixteen participants performed two recognition memory tasks. One required mere old/new decisions for words (general task), whereas the other task required the additional retrieval of each word's study font typeface (specific task). Furthermore, the participants either were asked to perform the same task continuously or to switch between the two tasks after every second test word. ERPs elicited by correctly rejected new (unstudied) words were analyzed. This enabled us to examine the ERP correlates of having adapted and maintained a task instruction as required during continuous blocks and of flexibly changing between retrieval demands during alternating blocks. The ERP analysis revealed more positive-going ERP slow waves for alternating blocks than for continuous blocks over bilateral frontal recording sites. This effect started around 250 ms after the test word and extended for several hundred milliseconds. As it was present for trials requiring a switch to the other task or to stay on the same task between 500 and 750 ms and no differences between the latter two trial types were obtained, it can be assumed that it is more related to general coordination requirements in alternating blocks, rather than to the actual control required to switch the retrieval task set. In addition, contrasting ERPs for the two task types revealed more positive-going ERP slow waves in the specific task than in the general task in the continuous blocks at lateral frontal recording sites between 250 and 700 ms. Together, these findings suggest that there are electrophysiologically dissociable aspects of cognitive control, namely for adapting and maintaining a retrieval orientation and for flexibly changing between varying retrieval demands.

Adult↗