Redirected Attention and Impaired Recognition Memory during Exhaustive Cycling Has Implications for Information Processing Models of Effort-Regulation.

Perception of internal and external cues is an important determinant of pacing behaviour, but little is known about the capacity to attend to such cues as exercise intensity increases. This study investigated whether changes in attentional focus and recognition memory correspond with selected psychophysiological and physiological parameters during exhaustive cycling. METHODS: Twenty male participants performed two laboratory ramped cycling tests beginning at 50 W and increasing by 0.25 W/s until volitional exhaustion. Ratings of perceived exertion, heart rate and respiratory gas exchange measures were recorded during the first test. During the second test, participants listened to a list of spoken words presented through headphones at a rate of one word every 4 s. Afterwards, their recognition memory for the word pool was measured. RESULTS: Recognition memory performance was found to have strong negative correlations with perceived exertion (p < 0.0001), percentage of peak power output (p < 0.0001), percentage of heart rate reserve (p < 0.0001), and percentage of peak oxygen uptake (p < 0.0001). CONCLUSIONS: The results show that, as the physiological and psychophysiological stress of cycling intensified, recognition memory performance deteriorated. This might be due to impairment of memory encoding of the spoken words as they were presented, or because of a diversion of attention away from the headphones, perhaps towards internal physiological sensations as interoceptive sources of attentional load increase with exercise intensity. Information processing models of pacing and performance need to recognise that an athlete's capacity to attend to and process external information is not constant, but changes with exercise intensity.

Evidence for altered configural body processing in women at risk of disorders characterized by body image disturbance.

Two studies were conducted to assess appearance-related visual processing mechanisms in populations at risk of disorders characterized by body image disturbance. Using inverted stimuli, Experiment 1 assessed visual processing mechanisms associated with body, face, and house viewing in adolescents. Experiment 2 applied the same protocol to assess appearance-related configural processing in high- and low-risk adolescent women, and women recovering from disorders characterized by body image disturbance. Experiment 1 found evidence for typical configural face and body processing, although adolescent women reported higher levels of body image concern (BIC) and self-objectified to a greater extent than adolescent men. In Experiment 2, typical body inversion effects were seen in the low-risk group, whilst there was some evidence to suggest a disruption to the configural processing of body stimuli in high-risk adolescents and in women recovering from body image disorders. Women in recovery were also quicker to respond to all stimuli, whilst high-risk adolescents took longer to respond to bodies than to other stimuli. Configural face processing was intact in all groups, and effects did not directly relate to BIC or self-objectification. These findings have implications for future research looking to inform early interventions and treatment, suggesting that there could be a tendency to visually process individual body parts at the expense of the whole-body form in women at risk of developing body image disorders, as well as those in recovery.

The Short-Term Effect of Video Editing Pace on Children's Inhibition and N2 and P3 ERP Components during Visual Go/No-Go Task.

We investigated the immediate consequences of differently paced videos on behaviour and neural activity during response inhibition. Forty 7-year-olds watched a fast- or slow-paced video and completed a go/no-go task. Compared to the slow-paced-video group, children in the fast-paced-video group made more no-go errors. There was also an interaction between pace and no-go response type (correct, wrong) for the N2 and P3 peak latencies. In the slow-paced group, both components peaked earlier for correct response withholds. This usual pattern of activation was absent in the fast-paced group. Video pace appears to affect behaviour and the neural responses involved in inhibition.

Stress-related deficits of older adults' spatial working memory: an EEG investigation of occipital alpha and frontal-midline theta activities.

Studies highlight cumulative life stress as a significant predictor of accelerated cognitive aging. This study paired electrophysiological with behavioral measures to explore how cumulative stress affects attentional and maintenance processes underpinning working memory retention. We collected electroencephalographic recordings from 60 individuals (30 older, 30 younger) reporting high or low levels of cumulative stress during the performance of a spatial Sternberg task. We measured mid-occipital alpha (8-12 Hz) and frontal-midline theta (4-6 Hz) as indicators of attentional and maintenance processes. Older, high-stress participants' behavioral performance lay significantly below than that of younger adults and low-stress older individuals. Impaired task performance coincided with reduced event-related synchronization in alpha and theta frequency ranges during memory maintenance. Electrophysiological findings suggest that older adults' reduced performance results from a stress-related impact on their ability to retain a stimulus in working memory and inhibit extraneous information from interfering with maintenance. Our results demonstrate the wide-ranging impact of cumulative stress on cognitive health and provide insight into the functional mechanisms disrupted by its influence.

Early visual ERPs show stable body-sensitive patterns over a 4-week test period.

Event-related potential (ERP) studies feature among the most cited papers in the field of body representation, with recent research highlighting the potential of ERPs as neuropsychiatric biomarkers. Despite this, investigation into how reliable early visual ERPs and body-sensitive effects are over time has been overlooked. This study therefore aimed to assess the stability of early body-sensitive effects and visual P1, N1 and VPP responses. Participants were asked to identify pictures of their own bodies, other bodies and houses during an EEG test session that was completed at the same time, once a week, for four consecutive weeks. Results showed that amplitude and latency of early visual components and their associated body-sensitive effects were stable over the 4-week period. Furthermore, correlational analyses revealed that VPP component amplitude might be more reliable than VPP latency and specific electrode sites might be more robust indicators of body-sensitive cortical activity than others. These findings suggest that visual P1, N1 and VPP responses, alongside body-sensitive N1/VPP effects, are robust indications of neuronal activity. We conclude that these components are eligible to be considered as electrophysiological biomarkers relevant to body representation.

Breast screening: What can the interval cancer review teach us? Are we perhaps being a bit too hard on ourselves?

PURPOSE: The aim of this study was to determine the features that make interval cancers apparent on the preceding screening mammogram and determine whether changes in the ways of performing the interval cancer review will affect the true interval cancer rate. MATERIALS AND METHODS: This study was approved by the clinical governance committee. Mammograms of women diagnosed with an interval cancer were included in the study if they had been allocated to either the "suspicious signs" group or "subtle signs" group, during the historic interval cancer review. Three radiologists, individually and blinded to the site of interval cancer, reviewed the mammograms and documented the presence, site, characteristics and classification of any abnormality. Findings were compared with the appearances of the abnormality at the site of subsequent cancer development by a different breast radiologist. The chi-squared test was used in the analysis of the results, seeking associations between recall concordance and cancer mammographic or histological characteristics. RESULTS: 111/590 interval cancers fulfilled the study inclusion criteria. In 17% of the cases none of the readers identified the relevant abnormality on the screening mammogram. 1/3 readers identified the relevant lesion in 22% of the cases, 2/3 readers in 28% of cases and all 3 readers in 33% of cases. The commonest unanimously recalled abnormality was microcalcification and the most challenging mammographic abnormality to detect was asymmetric density. We did not find any statistically significant association between recall concordance and time to interval cancer, position of lesion in the breast, breast density or cancer grade. CONCLUSION: Even the simple step of performing an independent blinded review of interval cancers reduces the rate of interval cancers classified as missed by up to 39%.

Evidence for ERP biomarkers of eating disorder symptoms in women.

Growing evidence suggests that the brain processes bodies distinctively from other stimuli, but little research has addressed whether visual body perception is modulated by the observer's thoughts and feelings about their own body. The present study thus investigated the relationship between body image and electrophysiological signatures of body perception, with the aim of identifying potential biomarkers of body image disturbances. Occipito-parietal (P1 and N1) and fronto-central (VPP) processing of body and non-body stimuli were assessed in 29 weight-restored eating disordered (ED) women and compared to 27 healthy controls. Rapid early visual processing was seen in the ED group, as the entire P1-N1 complex unfolded significantly earlier compared to controls. ED women also showed a gender-sensitive response to other women's bodies over N1 and VPP components. Such gender-sensitivity was not evident in controls. Moreover, ERP effects correlated with scores on the Eating Disorder Inventory-II (EDI-2), indicating a close link between the observers' ED symptomatology, including body image, and the visual analysis of human bodies during very early stages of cortical processing. The temporal dynamics of visual body perception may therefore serve as potential neural markers for the identification of ED symptomatology in 'at risk' populations.

First things first: similar list length and output order effects for verbal and nonverbal stimuli.

When participants are presented with a short list of unrelated words and they are instructed that they may recall in any order, they nevertheless show a very strong tendency to recall in forward serial order. Thus, if asked to recall in any order: "hat, mouse, tea, stairs," participants often respond "hat, mouse, tea, stairs" even though there was no forward order requirement of the task. In 4 experiments, we examined whether this tendency is language-specific, reflecting mechanisms involved with speech perception, speech production, and/or verbal short-term memory. Specifically, we examined whether we would observe similar findings when participants were asked to recall, in any order, lists of between 1 and 15 nonverbal stimuli, such as visuospatial locations (Experiment 1, Experiment 3, Experiment 4), or touched facial locations (Experiment 2). Contrary to a language-specific explanation, we found corresponding tendencies (albeit somewhat reduced) in the immediate free recall of these nonverbal stimuli. We conclude that the tendency to initiate recall of a short sequence of items with the first item is a general property of memory, which may be augmented by verbal coding.

Within-hemifield posture changes affect tactile-visual exogenous spatial cueing without spatial precision, especially in the dark.

We investigated the effects of seen and unseen within-hemifield posture changes on crossmodal visual-tactile links in covert spatial attention. In all experiments, a spatially nonpredictive tactile cue was presented to the left or the right hand, with the two hands placed symmetrically across the midline. Shortly after a tactile cue, a visual target appeared at one of two eccentricities within either of the hemifields. For half of the trial blocks, the hands were aligned with the inner visual target locations, and for the remainder, the hands were aligned with the outer target locations. In Experiments 1 and 2, the inner and outer eccentricities were 17.5º and 52.5º, respectively. In Experiment 1, the arms were completely covered, and visual up-down judgments were better when on the same side as the preceding tactile cue. Cueing effects were not significantly affected by hand or target alignment. In Experiment 2, the arms were in view, and now some target responses were affected by cue alignment: Cueing for outer targets was only significant when the hands were aligned with them. In Experiment 3, we tested whether any unseen posture changes could alter the cueing effects, by widely separating the inner and outer target eccentricities (now 10º and 86º). In this case, hand alignment did affect some of the cueing effects: Cueing for outer targets was now only significant when the hands were in the outer position. Although these results confirm that proprioception can, in some cases, influence tactile-visual links in exogenous spatial attention, they also show that spatial precision is severely limited, especially when posture is unseen.

Attentional selection of location and modality in vision and touch modulates low-frequency activity in associated sensory cortices.

Selective attention allows us to focus on particular sensory modalities and locations. Relatively little is known about how attention to a sensory modality may relate to selection of other features, such as spatial location, in terms of brain oscillations, although it has been proposed that low-frequency modulation (α- and ß-bands) may be key. Here, we investigated how attention to space (left or right) and attention to modality (vision or touch) affect ongoing low-frequency oscillatory brain activity over human sensory cortex. Magnetoencephalography was recorded while participants performed a visual or tactile task. In different blocks, touch or vision was task-relevant, whereas spatial attention was cued to the left or right on each trial. Attending to one or other modality suppressed α-oscillations over the corresponding sensory cortex. Spatial attention led to reduced α-oscillations over both sensorimotor and occipital cortex contralateral to the attended location in the cue-target interval, when either modality was task-relevant. Even modality-selective sensors also showed spatial-attention effects for both modalities. The visual and sensorimotor results were generally highly convergent, yet, although attention effects in occipital cortex were dominant in the α-band, in sensorimotor cortex, these were also clearly present in the ß-band. These results extend previous findings that spatial attention can operate in a multimodal fashion and indicate that attention to space and modality both rely on similar mechanisms that modulate low-frequency oscillations.

Bridging a yawning chasm: EEG investigations into the debate concerning the role of the human mirror neuron system in contagious yawning.

Ongoing debate in the literature concerns whether there is a link between contagious yawning and the human mirror neuron system (hMNS). One way of examining this issue is with the use of the electroencephalogram (EEG) to measure changes in mu activation during the observation of yawns. Mu oscillations are seen in the alpha bandwidth of the EEG (8-12 Hz) over sensorimotor areas. Previous work has shown that mu suppression is a useful index of hMNS activation and is sensitive to individual differences in empathy. In two experiments, we presented participants with videos of either people yawning or control stimuli. We found greater mu suppression for yawns than for controls over right motor and premotor areas, particularly for those scoring higher on traits of empathy. In a third experiment, auditory recordings of yawns were compared against electronically scrambled versions of the same yawns. We observed greater mu suppression for yawns than for the controls over right lateral premotor areas. Again, these findings were driven by those scoring highly on empathy. The results from these experiments support the notion that the hMNS is involved in contagious yawning, emphasise the link between contagious yawning and empathy, and stress the importance of good control stimuli.

Crossmodal visual-tactile extinction: Modulation by posture implicates biased competition in proprioceptively reconstructed space.

Extinction is a common consequence of unilateral brain injury: contralesional events can be perceived in isolation, yet are missed when presented concurrently with competing events on the ipsilesional side. This can arise crossmodally, where a contralateral touch is extinguished by an ipsilateral visual event. Recent studies showed that repositioning the hands in visible space, or making visual events more distant, can modulate such crossmodal extinction. Here, in a detailed single-case study, we implemented a novel spatial manipulation when assessing crossmodal extinction. This was designed not only to hold somatosensory inputs and hand/arm-posture constant, but also to hold (retinotopic) visual inputs constant, yet while still changing the spatial relationship of tactile and visual events in the external world. Our right hemisphere patient extinguished left-hand touches due to visual stimulation of the right visual field (RVF) when tested in the usual default posture with eyes/head directed straight ahead. But when her eyes/head were turned to the far left (and any visual events shifted along with this), such that the identical RVF retinal stimulation now fell at the same external location as the left-hand touch, crossmodal extinction was eliminated. Since only proprioceptive postural cues could signal this changed spatial relationship for the critical condition, our results show for the first time that such postural cues alone are sufficient to modulate crossmodal extinction. Identical somatosensory and retinal inputs can lead to severe crossmodal extinction, or none, depending on current posture.

Disentangling gaze shifts from preparatory ERP effects during spatial attention.

After a cue directing attention to one side, anterior event-related potentials (ERPs) show contralateral negativity (anterior directing attention negativity, ADAN). It is unclear whether ADAN effects are contaminated by contralateral negativity arising from residual gaze shifts. Conversely, it is possible that ADAN-related potentials contaminate the horizontal electrooculogram (HEOG), via volume conduction. To evaluate these possibilities, we used high-resolution infrared eye tracking while recording EEG and HEOG in a cued spatial-attention task. We found that, after conventional ERP and HEOG preprocessing exclusions, small but systematic residual gaze shifts in the cued direction can remain, as revealed by the infrared measure. Nevertheless, by using this measure for more stringent exclusion of small gaze shifts, we confirmed that reliable ADAN components remain for preparatory spatial attention in the absence of any systematic gaze shifts toward the cued side.

Facilitated processing of visual stimuli associated with the body.

Recent work on tactile perception has revealed enhanced tactile acuity and speeded spatial-choice reaction times (RTs) when viewing the stimulated body site as opposed to viewing a neutral object. Here we examine whether this body-view enhancement effect extends to visual targets. Participants performed a speeded spatial discrimination between two lights attached either to their own left index finger or to a wooden finger-shaped object, making a simple distal--proximal decision. We filmed either the finger-mounted or the object-mounted lights in separate experimental blocks and the live scene was projected onto a screen in front of the participants. Thus, participants responded to identical visual targets varying only in their context: on the body or not. Results revealed a large performance advantage for the finger-mounted stimuli: reaction times were substantially reduced, while discrimination accuracy was unaffected. With this finding we address concerns associated with previous work on the processing of stimuli attributed to the self and extend the finding of a performance advantage for such stimuli to vision.

Persistence of visual-tactile enhancement in humans.

We report two experiments in which non-informative vision of the finger enhanced tactile acuity on the fingertip. The right index finger was passively lifted to contact a grating. Twelve participants judged orientations of tactile gratings while viewing either the fingertip, or a neutral object presented via a mirror at the fingertip's location. In Expt. 1, tactile orientation discrimination for near-threshold gratings was improved when viewing the fingertip, compared to viewing the neutral object. Experiment 2 examined the temporal persistence of this effect, and found significant visual-tactile enhancement when a dark interval of up to 10 s intervened between viewing the finger and tactile stimulation. These results suggest that viewing the body modulates the neural circuitry of primary somatosensory cortex, outlasting visual inputs.

Visual enhancement of touch in spatial body representation.

Perception of our own bodies is based on integration of visual and tactile inputs, notably by neurons in the brain's parietal lobes. Here we report a behavioural consequence of this integration process. Simply viewing the arm can speed up reactions to an invisible tactile stimulus on the arm. We observed this visual enhancement effect only when a tactile task required spatial computation within a topographic map of the body surface and the judgements made were close to the limits of performance. This effect of viewing the body surface was absent or reversed in tasks that either did not require a spatial computation or in which judgements were well above performance limits. We consider possible mechanisms by which vision may influence tactile processing.

Visuo-tactile links in covert exogenous spatial attention remap across changes in unseen hand posture.

We investigated the effect of unseen hand posture on cross-modal, visuo-tactile links in covert spatial attention. In Experiment 1, a spatially nonpredictive visual cue was presented to the left or right hemifield shortly before a tactile target on either hand. To examine the spatial coordinates of any cross-modal cuing, the unseen hands were either uncrossed or crossed so that the left hand lay to the right and vice versa. Tactile up/down (i.e., index finger/thumb) judgments were better on the same side of external space as the visual cue, for both crossed and uncrossed postures. Thus, which hand was advantaged by a visual cue in a particular hemifield reversed across the different unseen postures. In Experiment 2, nonpredictive tactile cues now preceded visual targets. Up/down judgments for the latter were better on the same side of external space as the tactile cue, again for both postures. These results demonstrate cross-modal links between vision and touch in exogenous covert spatial attention that remap across changes in unseen hand posture, suggesting a modulatory role for proprioception.

Tool-use changes multimodal spatial interactions between vision and touch in normal humans.

In a visual-tactile interference paradigm, subjects judged whether tactile vibrations arose on a finger or thumb (upper vs. lower locations), while ignoring distant visual distractor lights that also appeared in upper or lower locations. Incongruent visual distractors (e.g. a lower light combined with upper touch) disrupt such tactile judgements, particularly when appearing near the tactile stimulus (e.g. on the same side of space as the stimulated hand). Here we show that actively wielding tools can change this pattern of crossmodal interference. When such tools were held in crossed positions (connecting the left hand to the right visual field, and vice-versa), the spatial constraints on crossmodal interference reversed, so that visual distractors in the other visual field now disrupted tactile judgements most for a particular hand. This phenomenon depended on active tool-use, developing with increased experience in using the tool. We relate these results to recent physiological and neuropsychological findings.

Vision modulates somatosensory cortical processing.

Over 150 years ago, E.H. Weber declared that experience showed that tactile acuity was not affected by viewing the stimulated body part. However, more recent investigations suggest that cross-modal links do exist between the senses. Viewing the stimulated body site improves performance on tactile discrimination and detection tasks and enhances tactile acuity. Here, we show that vision modulates somatosensory cortex activity, as measured by somatosensory event-related potentials (ERPs). This modulation is greatest when tactile stimulation is task relevant. Visual modulation is not present in the P50 component reflecting the primary afferent input to the cortex but appears in the subsequent N80 component, which has also been localized to SI, the primary somatosensory cortex. Furthermore, we replicate previous findings that noninformative vision improves spatial acuity. These results are consistent with a hypothesis that vision modulates cortical processing of tactile stimuli via back projections from multimodal cortical areas. Several neurophysiological studies suggest that primary and secondary somatosensory cortex (SI and SII, respectively) activity can be modulated by spatial and tactile attention and by visual cues. To our knowledge, this is the first demonstration of direct modulation of somatosensory cortex activity by a noninformative view of the stimulated body site with concomitant enhancement of tactile acuity in normal subjects.