Effects of Microencapsulated Sodium Butyrate, Probiotics and Short Chain Fructooligosaccharides in Patients with Irritable Bowel Syndrome: A Study Protocol of a Randomized Double-Blind Placebo-Controlled Trial.

Irritable bowel syndrome (IBS) is a functional gastrointestinal disease in the pathogenesis of which gut dysbiosis may play an important role. Thus, probiotics, prebiotics, or microbiota metabolites, such as butyric acid, are considered to be effective therapy for IBS. However, there are still no trials presenting the efficacy of these three biotic components administered simultaneously. This study aims to evaluate the effects of the product comprising sodium butyrate, probiotics, and short-chain fructooligosaccharides (scFOS) on the severity of clinical IBS symptoms and the quality of life (IBS-QOL). This is a randomized double-blind placebo-controlled trial conducted in 120 adults with IBS diagnosed according to Rome IV criteria. The intervention group (n = 60) will receive a mixture of the following components: 300 mg of colon-targeted microencapsulated sodium butyrate combined with probiotic Lactobacillus strains (L. rhamnosus and L. acidophilus) and Bifidobacterium strains (B. longum, B. bifidum, B. lactis), and 64 mg of prebiotic scFOS. The control group (n = 60) will receive a placebo (maltodextrin). The primary outcomes will be changes in IBS symptoms with the use of the IBS-Severity Scoring System (IBS-SSS), IBS-Global Improvement Scale (IBS-GIS), IBS-Adequate Relief (IBS-AR), and IBS-QOL after 12 weeks of intervention. The secondary outcomes will be the type of stools, patient-recorded symptoms, adverse events, anthropometric and nutritional parameters, and inflammatory cytokine levels. The findings will provide the first evidence of the use of a combination of three biotic compounds in IBS. The study was registered in the clinicaltrials.gov registry under the number NCT05013060.

Consensus Goals in the Field of Visual Metacognition.

Despite the tangible progress in psychological and cognitive sciences over the last several years, these disciplines still trail other more mature sciences in identifying the most important questions that need to be solved. Reaching such consensus could lead to greater synergy across different laboratories, faster progress, and increased focus on solving important problems rather than pursuing isolated, niche efforts. Here, 26 researchers from the field of visual metacognition reached consensus on four long-term and two medium-term common goals. We describe the process that we followed, the goals themselves, and our plans for accomplishing these goals. If this effort proves successful within the next few years, such consensus building around common goals could be adopted more widely in psychological science.

Confidence in action: Differences between perceived accuracy of decision and motor response.

Each of our decisions is associated with a degree of confidence. This confidence can change once we have acted because we might start doubting our choice or even become convinced that we have made a mistake. In this study, we explore the relations between action and our confidence that our decision was correct or erroneous. Fifty-four volunteers took part in a perceptual decision task in which their decisions could either lead to action or not. At the end of each trial, participants rated their confidence that their decision was correct, or they reported that they had made an error. The main results showed that when given after a response, confidence ratings were higher and more strongly related to decision accuracy, and post-response reports of errors more often indicated actual errors. The results support the view that error awareness and confidence might be partially based on postaction processing.

Visual awareness judgments are sensitive to accuracy feedback in stimulus discrimination tasks.

In this study we tested the hypothesis that perceptual awareness judgments are sensitive to accuracy feedback about the previous action. We used a perceptual discrimination task in which participants reported their stimulus awareness. We created two conditions: No-feedback and Feedback (discrimination accuracy feedback was provided at the end of each trial). The results showed that visual awareness judgments are related to the accuracy of current and previous responses. Participants reported lower stimulus awareness for incorrectly versus correctly discriminated stimuli in both conditions; they also reported lower stimulus awareness in trials preceded by incorrect discrimination responses, compared to trials preceded by correct discrimination responses. This difference was significantly stronger in the Feedback condition, in which we also observed post-error slowing for PAS ratings. We discuss the relation between visual awareness and the effects of performance monitoring and interpret the results in the context of current theories of consciousness.

Confounding in Studies on Metacognition: A Preliminary Causal Analysis Framework.

By definition, metacognitive processes may monitor or regulate various stages of first-order processing. By combining causal analysis with hypotheses expressed by other authors we derive the theoretical and methodological consequences of this special relation between metacognition and the underlying processes. In particular, we prove that because multiple processing stages may be monitored or regulated and because metacognition may form latent feedback loops, (1) without strong additional causal assumptions, typical measures of metacognitive monitoring or regulation are confounded; (2) without strong additional causal assumptions, typical methods of controlling for first-order task performance (i.e., calibration, staircase, including first-order task performance in a regression analysis, or analyzing correct and incorrect trials separately) not only do not deconfound measures of metacognition but may even introduce bias; (3) that the first two problems cannot be solved by using simple models of decision-making derived from Signal Detection Theory. We conclude the paper by advocating robust methods of discovering properties of latent mechanisms.

Motor response influences perceptual awareness judgements.

What is the relation between perceptual awareness and action? In this study we tested the hypothesis that motor response influences perceptual awareness judgements. We used a perceptual discrimination task in which presentation of the stimulus was immediately followed by a cue requiring a motor response that was irrelevant to the task but could be the same, opposite, or neutral to the correct response to the stimulus. After responding to the cue, participants rated their stimulus awareness using the Perceptual Awareness Scale, and then carried out their discrimination response. Participants reported a higher level of stimulus awareness after carrying out responses that were either congruent or incongruent with the response required by the stimulus, compared to the neutral condition. The results suggest that the motor response overlapping with a potential response to the stimulus provides information about the outcome of decision process and increases the reported awareness of stimuli.

Bringing action into the picture. How action influences visual awareness.

This article discusses how the analysis of interactions between action and awareness allows us to better understand the mechanisms of visual awareness. We argue that action is one of several factors that influence visual awareness and we provide a number of examples. We also discuss the possible mechanisms that underlie these influences on both the cognitive and the neural levels. We propose that action affects visual awareness for the following reasons: (1) it serves as additional information in the process of evidence accumulation; (2) it restricts the number of alternatives in the decisional process; (3) it enables error detection and performance monitoring; and (4) it triggers attentional mechanisms that modify stimulus perception. We also discuss the possible neuronal mechanisms of the aforementioned effects, including feedback-dependent prefrontal cortex modulation of the activity of visual areas, error-based modulation, interhemispheric inhibition of motor cortices, and attentional modulation of visual cortex activity triggered by motor processing.

Responses improve the accuracy of confidence judgements in memory tasks.

How do we assess what we remember? Previous work on metacognition suggests that confidence judgments are more accurate when given after than before a response to a perceptual task. Here we present two experiments that investigate the influence of decision and response on metacognitive accuracy in a memory task so as to establish what kind of information people use to assess their memory content. Participants were asked to remember lists of words and then to decide which of two target words had previously been presented. In both experiments, participants rated their confidence either after or before the response. However, the experiments differed in the amount of information provided for confidence rating. In Experiment 1, before confidence rating, participants were either presented with both target words and asked to decide between them, or they were only presented with a cue (first letter of the subsequent target words). In Experiment 2, participants were always presented with a target word before confidence rating. The results of both experiments showed that although task accuracy correlated with confidence ratings in both conditions, this relationship was weaker when confidence was assessed before response to a memory task. We argue that metacognitive judgments are influenced by processing information that is not available at the time of primary response. We discuss the implications for theories of confidence and metacognition. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Rubber Hand Illusion Increases Pain Caused by Electric Stimuli.

The rubber hand illusion (RHI) has been shown to alter the experience of pain, although studies have yielded inconsistent results. In this experiment we tested the influence of the RHI on the intensity of pain caused by electric stimuli. Electric stimuli were delivered to participants' experimental and control hands before RHI induction (control condition) and afterward (experimental condition), in a procedure that was double-blind with respect to location and strength of noxious stimulation. All hands were covered during the stimulation to avoid the analgesic effect of seeing one's own body part. The perceived location of the hand and of pain were measured after each trial in the experimental condition. The results showed that noxious stimuli were experienced as more painful on the hand under the illusion. In addition, in the experimental condition the perceived location of noxious stimulation applied to the experimental hand drifted toward the rubber hand. Our data suggest that the link between bodily illusions and pain could be modulated by uncertainty about location of pain and the affected body part. Future studies should aim to determine which aspects of altered body awareness lead to pain sensitization. PERSPECTIVE: We show that the RHI can change the perceived location of pain and increase pain ratings caused by electric stimuli. Our data suggest that the link between bodily illusions and pain could be modulated by uncertainty about location of pain and the affected body part.

But I Was So Sure! Metacognitive Judgments Are Less Accurate Given Prospectively than Retrospectively.

Prospective and retrospective metacognitive judgments have been studied extensively in the field of memory; however, their accuracy has not been systematically compared. Such a comparison is important for studying how metacognitive judgments are formed. Here, we present the results of an experiment aiming to investigate the relation between performance in an anagram task and the accuracy of prospective and retrospective confidence judgments. Participants worked on anagrams and were then asked to respond whether a presented word was the solution. They also rated their confidence, either before or after the response and either before or after seeing the suggested solution. The results showed that although response accuracy always correlated with confidence, this relationship was weaker when metacognitive judgements were given before the response. We discuss the theoretical and methodological implications of this finding for studies on metacognition and consciousness.

Rubber hand illusion reduces discomfort caused by cold stimulus.

There is a growing interest in body-ownership disruptions and their consequences for subjective experiences such as tactile sensations or pain. Here, we investigated the effect of the rubber hand illusion (RHI) on the perceived discomfort caused by cold stimulus applied to the real hand. The results showed reduced discomfort to cold reflected in behavioural and subjective measures. The stronger the illusion, the later the cold temperature became unpleasant and the less intense the experience was rated. We discuss the link between thermoception and body ownership as well as possible theoretical and methodological implications for studies on pain experience under RHI.