Brain atrophy and cognitive decline in bipolar disorder: Influence of medication use, symptomatology and illness duration.

Bipolar disorder (BPD) is a chronic condition characterized by recurrent episodes of mania and depression. To date, the association of biological and psychopathological processes in BPD has not been extensively studied on a cognitive and cortical basis at the same time. We investigated whether brain atrophy (in prefrontal, temporal and occipital cortices) was associated with cognitive, biological and clinical processes in patients with BPD and healthy controls (HCs). A total of 104 participants (56 with BPD) completed tasks that measured attention, memory, information processing speed, inhibitory control, visuospatial working memory and cognitive flexibility. In addition, structural brain scans were obtained using high-resolution MRI. Outcomes of the measurements were examined using robust multiple mediation analyses. BPD patients showed greater cortical atrophy across all regions of interest when compared to HCs, linked to cognitive decline. BPD patients had slower reaction times and markedly increased errors of commission on the tasks. The outcomes were significantly influenced by medication use, symptomatology and illness duration. The findings showcase the complexity of brain structures and networks as well as the physiological mechanisms underlying diverse BPD symptomatology and endophenotypes. These differences were pronounced in patients with BPD, motivating further investigations of pathophysiological mechanisms involved in brain atrophy and cognitive decline.

Facial processing in bipolar disorder is mediated by clinical and biological aspects

Objective: The process of detecting faces can be considered one of the initial steps in face recognition, which is essential for human interaction. We sought to investigate whether a face perception task reliably detects subtle perceptual disturbances between patients with bipolar disorder (BD) and healthy controls. Methods: In this multisite study, we examined differences between BD patients and matched healthy controls. Participants were instructed to detect the orientation (either left or right) of a face when it was presented as a face/non-face pair on a computer screen using Bayesian entropy estimation. Data analyses compared performance between the groups. Results: Overall, BD patients exhibited more perceptual disturbances compared with controls. BD patients who took olanzapine had better performance and faster reaction times (RTs) than patients who took lithium or were medication-naive. BD patients who took lithium had better performance and faster RTs than medication-naive patients. The medication-naive BD group exhibited greater disturbances than all other groups. Conclusion: These findings highlight the reliability of the face perception task used herein and may be important for public health initiatives and follow-up studies that seek to understand the diverse effects of other variables that can affect sensory processing in this population.

Combined influence of medication and symptom severity on visual processing in bipolar disorder.

Previous studies have reported visual impairments in patients with bipolar disorder (BPD), but unclear were whether clinical variables would be associated with those disturbances. Here, we investigate the relationship between visual functioning, in terms of color discrimination, and the impact of BPD duration, mood state, and the patients' medication. Forty-five participants (25-45 years old) were recruited for this study. Color discrimination was performed using the Cambridge Colour Test. Serial multiple mediations were run to investigate the assumption of association between color discrimination and the clinical variables. Our findings showed that, compared with healthy controls, BPD patients' performance was worse for the Protan, Deutan, and Tritan vectors, revealing deterioration of color discrimination. In addition, the mediation analyses revealed a strong direct (p < .001) and moderate-to-high indirect effects (p < .01) of medication and symptom severity on color discrimination. Overall, both longer the duration of the disease and greater the symptom severity of BPD patients resulted in worse performance. It highlights the importance of examining the wider clinical context of an affective disorder to understand how it affects visual processing in this population.

Heavy and light smokers have slight differences in chromatic discrimination.

Objectives: The effects of smoking on color vision have been scarcely studied. To bridge such gap, this study examined if there were differences in chromatic discrimination between heavy and light smokers. Methods: The psychophysical Trivector test was used to evaluate chromatic discrimination in healthy controls (n = 36), heavy smokers (n = 29), and light smokers (n = 32). The subject's task was to identify the orientation of the Landolt C ring gap - presented and randomized in one of the four positions (e.g., up, down, right, and left). Results: The thresholds for Protan (red), Deutan (green) and Tritan (blue) were higher in heavy smokers compared to nonsmokers but not to light smokers. Conclusions: The results confirm that heavy smoking and chronic exposure to its harmful compounds affect color discrimination when compared to light smoking; and this is more pronounced in heavy smokers than light smokers. This is particularly important to understand the differences among smokers on visual and multisensory processing.

Facial processing in bipolar disorder is mediated by clinical and biological aspects.

OBJECTIVE: The process of detecting faces can be considered one of the initial steps in face recognition, which is essential for human interaction. We sought to investigate whether a face perception task reliably detects subtle perceptual disturbances between patients with bipolar disorder (BD) and healthy controls. METHODS: In this multisite study, we examined differences between BD patients and matched healthy controls. Participants were instructed to detect the orientation (either left or right) of a face when it was presented as a face/non-face pair on a computer screen using Bayesian entropy estimation. Data analyses compared performance between the groups. RESULTS: Overall, BD patients exhibited more perceptual disturbances compared with controls. BD patients who took olanzapine had better performance and faster reaction times (RTs) than patients who took lithium or were medication-naive. BD patients who took lithium had better performance and faster RTs than medication-naive patients. The medication-naive BD group exhibited greater disturbances than all other groups. CONCLUSION: These findings highlight the reliability of the face perception task used herein and may be important for public health initiatives and follow-up studies that seek to understand the diverse effects of other variables that can affect sensory processing in this population.

Visual processing and BDNF levels in first-episode schizophrenia.

Previous studies have shown that patients diagnosed with schizophrenia (SCZ) have deficits in early visual processing, namely contrast processing. The brain-derived neurotropic factor (BDNF) is an important measure to investigate neuroplasticity in some visual functions like visual perception. In this study, we investigated the relationship between visual processing and BDNF levels in first-episode SCZ patients. Thirty-nine healthy controls and 43 first-episode SCZ patients were enrolled. Contrast sensitivity measurements were conducted using low, mid- and high spatial frequencies. First-episode SCZ patients had higher contrast sensitivity than healthy controls for all frequencies, except for the middle spatial frequency. Negative correlations were found between BDNF, contrast sensitivity and clinical variables, mostly for middle and high spatial frequencies among females. Our results provide support for (i) the association of SCZ with alterations of magno- and parvocellular pathway functioning and (ii) decreased BDNF levels in first-episode SCZ patients. This study highlights the importance of using biomarkers along with other measures to investigate visual processing in SCZ and other disorders.

Hedonic Preferences to Audio and Visual Stimulation in Seniors with Cognitive Impairments.

BACKGROUND: Hedonic (or aesthetic) preferences to repeated sensory stimulation can remain stable over time (Island of Stability Effect, ISE) or vary with prior exposures (Mere Exposure Effect, MEE). OBJECTIVE: Here we compared the liking ratings of seniors with cognitive impairments (mostly mild-to-moderate dementia, DPs) and neurotypical senior controls (CNs) to audio and visual stimuli and examined whether those ratings conformed to the ISE or the MEE predictions. METHOD: Participants (n = 212) rated sets of stimuli repeated three times at weekly intervals: images of Picasso's paintings, PANTONE color cards, and avant-garde music clips. RESULTS: The aggregated liking ratings of DPs and CNs were stable over time, in line with the ISE model. However, latent growth modeling indicated that those stable responses might have masked differences at the individual level, since seniors in both cohorts exhibited clusters of different responses over the time evaluated, supporting the predictions of the MEE. Notably, there was a dampening of hedonic experiences in DPs comparatively to CNs. CONCLUSION: The presence of hedonic responses (and individual variations) in DPs is relevant not only to their wellbeing and therapy interventions involving audio and visual stimulation, but also to the design of spaces that offset the downturn in hedonic experiences affecting seniors with cognitive impairments.

Impairments of facial detection in tobacco use disorder: baseline data and impact of smoking duration.

OBJECTIVE: Chronic tobacco consumption, classified as tobacco use disorder (TUD), has been associated with a variety of health problems. Investigations of face processing in TUD are hampered by lack of evidence. Here, we evaluated facial detection in TUD and assessed test-retest reliability for a facial detection task. METHODS: Participants were instructed to detect the orientation (either left or right) of a face when it was presented with a face/non-face pair on the monitor screen, using Bayesian entropy estimation. Bland-Altman analysis and intraclass correlation coefficients were used to test the reliability of the task. The general linear model and Bayesian statistics were then used to evaluate differences between TUD (n=48) and healthy controls (n=34). RESULTS: The reliability of the task was high for the 96 stimuli presentations. Slower reaction times (p < 0.001) and lower discrimination index (p < 0.001) were observed in the TUD group than for healthy controls. Mediation analysis indicated direct effects of smoking duration on reaction time (p < 0.001) and discrimination index (p < 0.001). CONCLUSIONS: Overall, we observed high reliability of this task and reduction of facial detection in tobacco use disorder. We conclude our findings are significant for public health initiatives and call for follow-up studies.

Asymmetries During Multiple Face Encoding: Increased Dwell Time and Number of Fixations in the Upper Visual Hemifield.

Visual field asymmetries in the encoding of groups of faces have rarely been investigated. Here, eye movements (percentage of dwell time [pDT] and number of fixations [nFix]) were recorded during the encoding of three groups of four faces tagged with cheating, cooperative, or neutral behaviours. Faces in each group were placed in the top left, top right, bottom left, or bottom right quadrants. Face recall was equally high in the three behavioural groups. Conversely, pDT and nFix were higher for faces in the upper hemifields. Most of the first saccades were made to the top left visual quadrant, which also commanded a higher pDT and nFix than the other quadrants. The findings are relevant to the understanding of visual field asymmetries in the processing of multiple faces, a common social scenario, and may be linked to reading habits in conjunction (or not) with cultural and environmental cues.

Long-lasting effects of family-related factors on adults' ability to recognise brief facial expressions of emotion.

This study investigated whether adults' ability to attribute emotions to brief facial expressions (microexpressions) is associated with family-related environmental factors (FrFs) such as one's number of siblings (Experiment 1), attachment style (Experiment 2), or perceived parental authority style (Experiment 3). Participants' accuracy and reaction time (RT) to the recognition of anger, contempt, disgust, fear, happiness, and sadness to facial microexpressions (exposure: 100 ms) were measured with a six-alternative forced choice computerised method (6AFC). The attachment style and the authority style of the participants' parents were accessed using questionnaires. The findings revealed that up to 13% of the variance in participants' responses could be explained by FrFs, with modest to moderate effect sizes. Microexpressions linked to signs of hostility or threat (i.e., contempt and fear) were decoded faster and/or more accurately by adults with few or no siblings or with a fearful attachment. Conversely, participants who recalled their fathers as authoritarian were worse at recognising contempt and fear than participants who perceived them as permissive or authoritative. The findings suggest that early FrFs may still be involved in the fine-tuning of responses to signs of contextual danger when the time for cognitive processing of facial expressions is severely restricted.

Measuring Mindreading: A Review of Behavioral Approaches to Testing Cognitive and Affective Mental State Attribution in Neurologically Typical Adults.

Mindreading refers to the ability to attribute mental states, including thoughts, intentions and emotions, to oneself and others, and is essential for navigating the social world. Empirical mindreading research has predominantly featured children, groups with autism spectrum disorder and clinical samples, and many standard tasks suffer ceiling effects with neurologically typical (NT) adults. We first outline a case for studying mindreading in NT adults and proceed to review tests of emotion perception, cognitive and affective mentalizing, and multidimensional tasks combining these facets. We focus on selected examples of core experimental paradigms including emotion recognition tests, social vignettes, narrative fiction (prose and film) and participative interaction (in real and virtual worlds), highlighting challenges for studies with NT adult cohorts. We conclude that naturalistic, multidimensional approaches may be productively applied alongside traditional tasks to facilitate a more nuanced picture of mindreading in adulthood, and to ensure construct validity whilst remaining sensitive to variation at the upper echelons of the ability.

Self-face perception: Individual differences and discrepancies associated with mental self-face representation, attractiveness and self-esteem

Self-face perception plays an important role in self-consciousness and personal identity as well as in social exchanges and well-being. Despite its significance, little is known about how individuals represent their faces internally. This study explored mechanisms of self-face perception in three experiments. First, participants chose from two images (self-face image vs. self-image with manipulated facial features) which one was their veridical image and which one they liked most. Afterwards, participants could (digitally) manipulate their facial features to increase their attractiveness (either to themselves or to an imagined other/s). Results showed that self-face recognition was better when veridical faces were paired with 'clones' with larger facial features or when all facial features were enlarged concurrently. Moreover, up to half of the participants preferred smaller noses and larger eyes and manipulated their self-images accordingly. State (but not trait) self-esteem was inversely correlated with eye, mouth and nose size manipulations made to increase one's attractiveness. The results indicate that a certain tolerance for error in self-face recognition might be required to maintain a consistent facial identity during one's lifespan. The discovered preference for neotenous features and discrepancies between one's perceived and one's veridical face and their link to state self-esteem are discussed...

Self-face perception: Individual differences and discrepancies associated with mental self-face representation, attractiveness and self-esteem

Self-face perception plays an important role in self-consciousness and personal identity as well as in social exchanges and well-being. Despite its significance, little is known about how individuals represent their faces internally. This study explored mechanisms of self-face perception in three experiments. First, participants chose from two images (self-face image vs. self-image with manipulated facial features) which one was their veridical image and which one they liked most. Afterwards, participants could (digitally) manipulate their facial features to increase their attractiveness (either to themselves or to an imagined other/s). Results showed that self-face recognition was better when veridical faces were paired with 'clones' with larger facial features or when all facial features were enlarged concurrently. Moreover, up to half of the participants preferred smaller noses and larger eyes and manipulated their self-images accordingly. State (but not trait) self-esteem was inversely correlated with eye, mouth and nose size manipulations made to increase one's attractiveness. The results indicate that a certain tolerance for error in self-face recognition might be required to maintain a consistent facial identity during one's lifespan. The discovered preference for neotenous features and discrepancies between one's perceived and one's veridical face and their link to state self-esteem are discussed.(AU)

Postdoctoral researchers in the UK: a snapshot at factors affecting their research output.

Postdoctoral training is a typical step in the course of an academic career, but very little is known about postdoctoral researchers (PDRs) working in the UK. This study used an online survey to explore, for the first time, relevant environmental factors which may be linked to the research output of PDRs in terms of the number of peer-reviewed articles per year of PDR employment. The findings showed reliable links between the research output and research institutions, time spent as PDR, and parental education, whereas no clear links were observed between PDRs' output and research area, nationality, gender, number of siblings, or work environment. PDRs based in universities tended to publish, on average, more than the ones based in research centres. PDRs with children tended to stay longer in postdoctoral employment than PDRs without children. Moreover, research output tended to be higher in PDRs with fathers educated at secondary or higher level. The work environment did not affect output directly, but about 1/5 of PDRs were not satisfied with their job or institutional support and about 2/3 of them perceived their job prospects as "difficult". The results from this exploratory study raise important questions, which need to be addressed in large-scale studies in order to understand (and monitor) how PDRs' family and work environment interact with their research output-an essential step given the crucial role of PDRs in research and development in the country.

Spatial location in brief, free-viewing face encoding modulates contextual face recognition.

The effect of the spatial location of faces in the visual field during brief, free-viewing encoding in subsequent face recognition is not known. This study addressed this question by tagging three groups of faces with cheating, cooperating or neutral behaviours and presenting them for encoding in two visual hemifields (upper vs. lower or left vs. right). Participants then had to indicate if a centrally presented face had been seen before or not. Head and eye movements were free in all phases. Findings showed that the overall recognition of cooperators was significantly better than cheaters, and it was better for faces encoded in the upper hemifield than in the lower hemifield, both in terms of a higher d' and faster reaction time (RT). The d' for any given behaviour in the left and right hemifields was similar. The RT in the left hemifield did not vary with tagged behaviour, whereas the RT in the right hemifield was longer for cheaters than for cooperators. The results showed that memory biases in contextual face recognition were modulated by the spatial location of briefly encoded faces and are discussed in terms of scanning reading habits, top-left bias in lighting preference and peripersonal space.

Tied factor analysis for face recognition across large pose differences.

Face recognition algorithms perform very unreliably when the pose of the probe face is different from the gallery face: typical feature vectors vary more with pose than with identity. We propose a generative model that creates a one-to-many mapping from an idealized "identity" space to the observed data space. In identity space, the representation for each individual does not vary with pose. We model the measured feature vector as being generated by a pose-contingent linear transformation of the identity variable in the presence of Gaussian noise. We term this model "tied" factor analysis. The choice of linear transformation (factors) depends on the pose, but the loadings are constant (tied) for a given individual. We use the EM algorithm to estimate the linear transformations and the noise parameters from training data. We propose a probabilistic distance metric which allows a full posterior over possible matches to be established. We introduce a novel feature extraction process and investigate recognition performance using the FERET, XM2VTS and PIE databases. Recognition performance compares favourably to contemporary approaches.

Attention modulates perception of transparent motion.

Human observers can extract a given motion direction from sets of random dots moving simultaneously in two or more directions in the same region of the visual field, a phenomenon referred to as motion transparency. As a necessary condition for separating transparent motion directions, low level encoding of local motion signals must generate frequency distributions of local directions with separable peaks corresponding to these directions--this process would be constrained by local stimulus attributes and the properties of local motion detectors. Furthermore, a representation of multiple directions is needed for simultaneous retrieval of several directions in a psychophysical task--this operation would be limited by higher level processes, such as attention selecting a particular direction to rise into awareness. Preliminary observations suggest that the number of directions that can be seen simultaneously is rather limited and the question arises whether this could be related to limitations of low-level encoding or higher level representations. To study specifically the effect of attention on transparent motion perception, observers were presented with sets of dots moving coherently in a variable number of directions, and were asked after the presentation whether one particular direction was present in the set. When the direction of motion was not known before stimulus onset (uncued condition), observers detected a particular motion direction among no more than 3 other directions. When direction of motion was indicated prior to stimulus onset (precued condition), however, this limit increased up to 6 directions. This attentional effect showed some inter-individual variability and appeared to benefit from spatiotemporal integration of the motion signals. A corresponding effect became apparent when observers were tested in the same paradigm whether they could separate two motion directions with variable angular difference between them. In the precued condition a typical minimum direction difference was about 60 degrees, whereas in the uncued condition this was about 120 degrees, suggesting that the performance in detecting one direction in a multiple direction stimulus might be limited by the ability to separate adjacent motion directions. This pattern of results suggests that attention can reliably improve transparent motion processing by affecting the separability of directional signals in low level encoding mechanisms.

Crowding and the tilt illusion: toward a unified account.

Crowding, the difficult identification of peripherally viewed targets amidst similar distractors, has been explained as a compulsory pooling of target and distractor features. The tilt illusion, in which the difference between two adjacent gratings' orientations is exaggerated, has also been explained by pooling (of Mexican-hat-shaped population responses). In an attempt to establish both phenomena with the same stimuli--and account for them with the same model--we asked observers to identify (as clockwise or anticlockwise of vertical) slightly tilted targets surrounded by tilted distractors. Our results are inconsistent with the feature-pooling model: the ratio of assimilation (the tendency to perceive vertical targets as tilted in the same direction as slightly tilted distractors) to repulsion (the tendency to perceive vertical targets as tilted away from more oblique distractors) was too small. Instead, a general model of modulatory lateral interaction can better fit our results.