How clinical decision tasks modulate emotional related EEG responses in nursing students.

Healthcare professionals play a vital role in conveying sensitive information as patients undergo stressful, demanding situations. However, the underlying neurocognitive dynamics in routine clinical tasks remain underexplored, creating gaps in healthcare research and social cognition models. Here, we examined whether the type of clinical task may differentially affect the emotional processing of nursing students in response to the emotional reactions of patients. In a within-subjects design, 40 nursing students read clinical cases prompting them to make procedural decisions or to respond to a patient with a proper communicative decision. Afterward, participants read sentences about patients' emotional states; some semantically consistent and others inconsistent along with filler sentences. EEG recordings toward critical words (emotional stimuli) were used to capture ERP indices of emotional salience (EPN), attentional engagement (LPP) and semantic integration (N400). Results showed that the procedural decision task elicited larger EPN amplitudes, reflecting pre-attentive categorization of emotional stimuli. The communicative decision task elicited larger LPP components associated with later elaborative processing. Additionally, the classical N400 effect elicited by semantically inconsistent sentences was found. The psychophysiological measures were tied by self-report measures indexing the difficulty of the task. These results suggest that the requirements of clinical tasks modulate emotional-related EEG responses.

Task-related modulation of motor response to emotional bodies: A TMS motor-evoked potential study.

Exposure to emotional body postures during perceptual decision-making tasks has been linked to transient suppression of motor reactivity, supporting the monitoring of emotionally relevant information. However, it remains unclear whether this effect occurs implicitly, i.e., when emotional information is irrelevant to the task. To investigate this issue, we used single-pulse transcranial magnetic stimulation (TMS) to assess motor excitability while healthy participants were asked to categorize pictures of body expressions as emotional or neutral (emotion recognition task) or as belonging to a male or a female actor (gender recognition task) while receiving TMS over the motor cortex at 100 and 125 ms after picture onset. Results demonstrated that motor-evoked potentials (MEPs) were reduced for emotional body postures relative to neutral postures during the emotion recognition task. Conversely, MEPs increased for emotional body postures relative to neutral postures during the gender recognition task. These findings indicate that motor inhibition, contingent upon observing emotional body postures, is selectively associated with actively monitoring emotional features. In contrast, observing emotional body postures prompts motor facilitation when task-relevant features are non-emotional. These findings contribute to embodied cognition models that link emotion perception and action tendencies.

The embodied typist: Bimanual actions are modulated by words' implied motility and number of evoked limbs.

The planning and execution of manual actions can be influenced by concomitant processing of manual action verbs. However, this phenomenon manifests in varied ways throughout the literature, ranging from facilitation to interference effects. Suggestively, stimuli across studies vary randomly in two potentially relevant variables: verb motility and effector quantity (i.e., the amount of movement and the number of hands implied by the word, respectively). Here we examine the role of these factors during keyboard typing, a strategic bimanual task validated in previous works. Forty-one participants read and typed high and low motility items from four categories: bimanual, unimanual, and non-manual action verbs, as well as minimally motoric verbs. Motor planning and execution were captured by first-letter lag (the lapse between word presentation and first keystroke) and whole-word lag (the lapse between the first and last keystroke). We found that verb motility modulated action planning and execution, both stages being delayed by high (relative to low) motility verbs. Effector quantity also influenced both stages, which were facilitated by bimanual verbs relative to unimanual verbs and non-manual verbs (this effect being confined to high motility items during action execution). Accordingly, motor-language coupling effects seem sensitive to words' implied motility and number of evoked limbs. These findings refine our understanding of how semantics influences bodily movement.

Disturbing the activity of the primary motor cortex by means of transcranial magnetic stimulation affects long term memory of sentences referred to manipulable objects.

Introduction: Previous studies on embodied meaning suggest that simulations in the motor cortex play a crucial role in the processing of action sentences. However, there is little evidence that embodied meaning have functional impact beyond working memory. This study examines how the neuromodulation of the motor cortex (M1) could affect the processing of action-related language, measuring participants' performance in a long-term memory task. Method: Participants were submitted to two sessions in separate days, one with low-frequency repetitive transcranial magnetic stimulation (rTMS) and the other with sham rTMS. The pulses were delivered for 15 minutes over M1 or over V1, used as a control area. After each stimulation or sham period, the participants were asked to memorize a list of simple sentences, with a manual action verb or an attentional verb, followed in both cases by a noun referred to a manipulable object (e.g., to hang a cane vs. to observe a cane). Finally, they received the verbs as cues with instructions to recall the nouns. Results: The results showed that low frequency rTMS on M1, compared to sham stimulation, significantly improved the performance in the memory task, for both types of sentences. No change in performance was found after the rTMS stimulation of V1. Discussion: These results confirm that the perturbation on the motor system, affect the memory of manipulable object names in the context of sentences, providing further evidence of the role played by the sensorimotor system in the encoding and recall of concrete sentences of action.

You are fired! Exclusion words induce corticospinal modulations associated with vicarious pain.

Self- and vicarious experience of physical pain induces inhibition of the motor cortex (M1). Experience of social rejections recruits the same neural network as physical pain; however, whether social pain modulates M1 corticospinal excitability remains unclear. This study examines for the first time whether social exclusion words, rather than simulated social exclusion tasks, modulate embodied sensorimotor networks during the vicarious experience of others' pain. Participants observed visual sequences of painful and functional events ending with a superimposed word with social exclusion, social inclusion or non-social meaning. Motor-evoked potentials (MEPs) to single-pulse transcranial magnetic stimulation of the left M1 were recorded at 400 or 550 ms from word onset. MEPs tended to inhibit during the observation of pain, relative to functional events. Moreover, MEPs recorded at 400 ms from word onset, during pain movies, decreased following the presentation of exclusion, relative to inclusion/neutral words. The magnitude of these two modulations marginally correlated with participants' interindividual differences in personal distress and self-esteem. These findings provide evidence of vicarious responses to others' pain in the M1 corticospinal system and enhancement of such vicarious response in the earlier phases of semantic processing of exclusion words-supporting activation of social pain-embodied representations.

ERP evidence for emotion-specific congruency effects between sentences and new words with disgust and sadness connotations.

Introduction: The present study investigated how new words with acquired connotations of disgust and sadness, both negatively valenced but distinctive emotions, modulate the brain dynamics in the context of emotional sentences. Methods: Participants completed a learning session in which pseudowords were repeatedly paired with faces expressing disgust and sadness. An event-related potential (ERP) session followed the next day, in which participants received the learned pseudowords (herein, new words) combined with sentences and were asked to make emotional congruency judgment. Results: Sad new words elicited larger negative waveform than disgusting new words in the 146-228 ms time window, and emotionally congruent trials showed larger positive waveform than emotionally incongruent trials in the 304-462 ms time window. Moreover, the source localization in the latter suggested that congruent trials elicited larger current densities than incongruent trials in a number of emotion-related brain structures (e.g., the orbitofrontal cortex and cingulate gyrus) and language-related brain structures (e.g., the temporal lobe and the lingual gyrus). Discussion: These results suggested that faces are an effective source for the acquisition of words' emotional connotations, and such acquired connotations can generate semantic and emotional congruency effects in sentential contexts.

The negation-induced forgetting effect remains even after reducing associative interference.

Recent research has provided evidence that negation processing recruits the neural network of response inhibition (de Vega et al., 2016). Furthermore, inhibition mechanisms also play a role in human memory. In two experiments, we aimed to assess how producing a negation in a verification task may impact long-term memory. Experiment 1 used the same memory paradigm as Mayo et al. (2014), consisting of several phases: first, reading a story describing the activity of a protagonist, immediately followed by a "yes-no" verification task, then a distractive task, and finally an incidental free recall test. Consistent with the previous results, negated sentences were recalled worse than affirmed sentences. Yet, there is a possible confounding between the effect of negation itself and the associative interference of two conflicting predicates - the original and the modified one - in negative trials. To avoid this, Experiment 2 modified the paradigm by including a story describing the activities of two protagonists in such a way that the affirmed and denied verification sentences had the same content, and only differed in the attribution of a specific event to the correct or wrong protagonist. The negation-induced forgetting effect was still powerful, while controlling for potential contaminating variables. Our finding would support that the impaired long-term memory could be ascribed to reusing the inhibitory mechanism of negation.

Applying Deep Learning on a Few EEG Electrodes during Resting State Reveals Depressive States. A Data Driven Study.

The growing number of depressive people and the overload in primary care services make it necessary to identify depressive states with easily accessible biomarkers such as mobile electroencephalography (EEG). Some studies have addressed this issue by collecting and analyzing EEG resting state in a search of appropriate features and classification methods. Traditionally, EEG resting state classification methods for depression were mainly based on linear or a combination of linear and non-linear features. We hypothesize that participants with ongoing depressive states differ from controls in complex patterns of brain dynamics that can be captured in EEG resting state data, using only nonlinear measures on a few electrodes, making it possible to develop cheap and wearable devices that could be even monitored through smartphones. To validate such a perspective, a resting-state EEG study was conducted with 50 participants, half with depressive state (DEP) and half controls (CTL). A data-driven approach was applied to select the most appropriate time window and electrodes for the EEG analyses, as suggested by Giacometti⁠, as well as the most efficient nonlinear features and classifiers, to distinguish between CTL and DEP participants. Nonlinear features showing temporo-spatial and spectral complexity were selected. The results confirmed that computing nonlinear features from a few selected electrodes in a 15 s time window are sufficient to classify DEP and CTL participants accurately. Finally, after training and testing internally the classifier, the trained machine was applied to EEG resting state data (CTL and DEP) from a publicly available database, validating the capacity of generalization of the classifier with data from different equipment, population, and environment obtaining an accuracy near 100%.

Language switching may facilitate the processing of negative responses.

It has been proposed that processing sentential negation recruits the neural network of inhibitory control (de Vega et al., 2016; Beltrán et al., 2021). In addition, inhibition mechanisms also play a role in switching languages for bilinguals (Kroll et al., 2015). Since both processes may share inhibitory resources, the current study explored for the first time whether and how language-switching influences the processing of negation. To this end, two groups of Spanish-English bilinguals participated in an encoding-verification memory task. They read short stories involving the same two protagonists (Montse and Jordi), referring to their activities in four different scenarios in Spanish or English. Following each story, the participants received verification questions requiring "yes" or "no" responses depending on whether a given fact was correctly referred to one of the protagonists. Some of the verification questions were in the story's original language (non-switch condition) and others in the alternate language (switch condition). Results revealed that language-switching facilitated negative responses compared to affirmative responses, exclusively for questions switching from dominant language (L1) to non-dominant language (L2). This effect might reflect that the domain-general mechanisms of inhibitory control are recruited at least partially for both language switch and negation process simultaneously, although this phenomenon is modulated by language dominance.

The Brain Dynamics of Syllable Duration and Semantic Predictability in Spanish.

This study examines the neural dynamics underlying the prosodic (duration) and the semantic dimensions in Spanish sentence perception. Specifically, we investigated whether adult listeners are aware of changes in the duration of a pretonic syllable of words that were either semantically predictable or unpredictable from the preceding sentential context. Participants listened to the sentences with instructions to make prosodic or semantic judgments, while their EEG was recorded. For both accuracy and RTs, the results revealed an interaction between duration and semantics. ERP analysis exposed an interactive effect between task, duration and semantic, showing that both processes share neural resources. There was an enhanced negativity on semantic process (N400) and an extended positivity associated with anomalous duration. Source estimation for the N400 component revealed activations in the frontal gyrus for the semantic contrast and in the parietal postcentral gyrus for duration contrast in the metric task, while activation in the sub-lobar insula was observed for the semantic task. The source of the late positive components was located on posterior cingulate. Hence, the ERP data support the idea that semantic and prosodic levels are processed by similar neural networks, and the two linguistic dimensions influence each other during the decision-making stage in the metric and semantic judgment tasks.

Multidimensional inhibitory signatures of sentential negation in behavioral variant frontotemporal dementia.

BACKGROUND: Processing of linguistic negation has been associated to inhibitory brain mechanisms. However, no study has tapped this link via multimodal measures in patients with core inhibitory alterations, a critical approach to reveal direct neural correlates and potential disease markers. METHODS: Here we examined oscillatory, neuroanatomical, and functional connectivity signatures of a recently reported Go/No-go negation task in healthy controls and behavioral variant frontotemporal dementia (bvFTD) patients, typified by primary and generalized inhibitory disruptions. To test for specificity, we also recruited persons with Alzheimer's disease (AD), a disease involving frequent but nonprimary inhibitory deficits. RESULTS: In controls, negative sentences in the No-go condition distinctly involved frontocentral delta (2-3 Hz) suppression, a canonical inhibitory marker. In bvFTD patients, this modulation was selectively abolished and significantly correlated with the volume and functional connectivity of regions supporting inhibition (e.g. precentral gyrus, caudate nucleus, and cerebellum). Such canonical delta suppression was preserved in the AD group and associated with widespread anatomo-functional patterns across non-inhibitory regions. DISCUSSION: These findings suggest that negation hinges on the integrity and interaction of spatiotemporal inhibitory mechanisms. Moreover, our results reveal potential neurocognitive markers of bvFTD, opening a new agenda at the crossing of cognitive neuroscience and behavioral neurology.

Editorial: "Neuromodulation of Language, Cognition and Emotion".

Neuromodulation can be defined as the alteration of brain activity by delivering physical stimuli to a specific neural region [...].

The neural inhibition network is causally involved in the disembodiment effect of linguistic negation.

Negation applied to action contexts reduces the activation of the motor system. According to the Reusing Inhibition for Negation (RIN) hypothesis, such "disembodiment" effect occurs because understanding negations engages the reuse of inhibitory control mechanisms. Here, we investigated whether the right inferior frontal gyrus (rIFG) - a key area of the inhibitory control system - contributes to primary motor cortex (M1) processing of negated action-sentences. Using a perturb-and-measure paradigm, we applied off-line low-frequency repetitive TMS (rTMS) over the rIFG, before performing a reading task involving action and attentional sentences presented in both affirmative or negative form. During the reading task, motor excitability was assessed by recording motor-evoked potentials (MEPs) induced by single-pulse TMS (spTMS) over the left M1, at two loci in the sentence: the verb or the object. Results show that after sham stimulation (baseline), motor excitability measured on the verb, was reduced for negative, compared to affirmative action sentences. Crucially, neuromodulation of rIFG suppressed this inhibitory effect of negation, since motor excitability was equaled for negative and affirmative action sentences. As expected, no effect of negation was observed for attentional sentences or when the pulse was delivered over the object. Our study confirms that understanding negative action sentences inhibits M1. This effect took place at an early stage of semantic processing (i.e., while processing the verb in our task), and faded at a later time-point. Critically, by highlighting a causal role of rIFG in this motor inhibition, we provide direct neurophysiological support to the RIN hypothesis.

Regional accents modulate perspective in geographical space.

In this study, participants listened to first-person statements that mentioned a character who was approaching a geographical location close to (Tenerife, Canary Islands) or distant from the participant (Madrid, Spanish peninsula), pronounced with either the participants' local or a distal regional accent. Participants more often judged approaching statements as coherent when they refer to a close place pronounced with local accent or refer to a distant place with distal accent, rather than when they refer to a close place with distal accent or to a distant place with local accent. These results strongly suggest that the local accent induces listeners to keep their own geographical perspective, whereas the distal accent determines shifting to another's perspective. In sum, a subtle paralinguistic cue, the speaker's regional accent, modulates the participants' geographic perspective when they listen to identical first-person sentences with approaching deictic verbs.

Inhibitory Mechanisms in the Processing of Negations: A Neural Reuse Hypothesis.

Negation is known to have inhibitory consequences for the information under its scope. However, how it produces such effects remains poorly understood. Recently, it has been proposed that negation processing might be implemented at the neural level by the recruitment of inhibitory and cognitive control mechanisms. On this line, this manuscript offers the hypothesis that negation reuses general-domain mechanisms that subserve inhibition in other non-linguistic cognitive functions. The first two sections describe the inhibitory effects of negation on conceptual representations and its embodied effects, as well as the theoretical foundations for the reuse hypothesis. The next section describes the neurophysiological evidence that linguistic negation interacts with response inhibition, along with the suggestion that both functions share inhibitory mechanisms. Finally, the manuscript concludes that the functional relation between negation and inhibition observed at the mechanistic level could be easily integrated with predominant cognitive models of negation processing.

Crossing hands behind your back reduces recall of manual action sentences and alters brain dynamics.

The embodied meaning approach posits that understanding action-related language recruits motor processes in the brain. However, the functional impact of these motor processes on cognition has been questioned. The present study aims to provide new electrophysiological (EEG) evidence concerning the role of motor processes in the comprehension and memory of action language. Participants read lists of sentences including manual-action or attentional verbs, while keeping their hands either in front of them or crossing them behind their back. Results showed that posture impacted selectively the processing of manual action sentence, and not of attentional sentences, in three different ways: 1) EEG fronto-central beta rhythms, a signature of motor processes, were desynchronized while reading action sentences in the hands-in-front posture compared to the hands-behind posture. The estimated source was the posterior cingulate cortex, involved in proprioceptive regulation. 2) Recall of nouns associated with manual sentences decreased when learning occurred in the hands-behind posture. 3) ERPs analysis revealed that the initial posture at learning modulates neural processes during subsequent recall of manual sentences in the left superior frontal gyrus, which is related to motor processes. These results provide decisive evidence for the functional involvement of embodied simulations in the encoding and retrieval of action-related language.

Multisession Anodal tDCS on the Right Temporo-Parietal Junction Improves Mentalizing Processes in Adults with Autistic Traits.

Persons with autism spectrum disorder (ASD) have impaired mentalizing skills. In this study, a group of persons with ASD traits (high-AQ scores) initially received sham tDCS before completing a pre-test in two mentalizing tasks: false belief and self-other judgments. Over the next week, on four consecutive days, they received sessions of anodal electrical stimulation (a-tDCS) over the right temporo-parietal junction (rTPJ), a region frequently associated with the theory of mind. On the last day, after the stimulation session, they completed a new set of mentalizing tasks. A control group (with low-AQ scores) matched in age, education and intelligence received just sham stimulation and completed the same pre-test and post-test. The results showed that the high-AQ group improved their performance (faster responses), after a-tDCS, in the false belief and in the self-other judgments of mental features, whereas they did not change performance in the false photographs or the self-other judgments of physical features. These selective improvements cannot be attributed to increased familiarity with the tasks, because the performance of the low-AQ control group remained stable about one week later. Therefore, our study provides initial proof that tDCS could be used to improve mentalizing skills in persons with ASD traits.

Mutual influence between emotional language and inhibitory control processes. Evidence from an event-related potential study.

There is abundant literature demonstrating that processing emotional stimuli modulates inhibitory control processes. However, the reverse effects, namely, how cognitive inhibition influences the processing of emotional stimuli, have been considerably neglected. This ERP study tries to fill this gap by studying the bidirectional interactions between emotional language and inhibitory processes. To this end, participants read emotional sentences, embedded in a cue-based Go-NoGo task. In Experiment 1, the critical emotional adjective preceded the Go-NoGo visual cue. The ERPs showed a significant reduction in the inhibition-related N2 component in NoGo trials when they were preceded by negative adjectives, compared to positive or neutral adjectives, indicating a priming-like effect on inhibitory control. Consistently, the estimated source of this interaction was the dorsomedial PFC, a region associated with inhibitory and control processes. In Experiment 2, the Go-NoGo cue preceded the emotional adjective, and the ERPs showed a sustained, broadly distributed LPP-like positivity for NoGo negative trials, relative to all the other conditions. In this case, the presetting of an inhibition state modulated the processing of negatively charged words. Together, the two experiments suggest a mutual facilitation between inhibitory control and negative valence, supporting thereby recent integrative theories of cognition-emotion interactions.

Enhancing Motor Brain Activity Improves Memory for Action Language: A tDCS Study.

The embodied cognition approach to linguistic meaning posits that action language understanding is grounded in sensory-motor systems. However, evidence that the human motor cortex is necessary for action language memory is meager. To address this issue, in two groups of healthy individuals, we perturbed the left primary motor cortex (M1) by means of either anodal or cathodal transcranial direct current stimulation (tDCS), before participants had to memorize lists of manual action and attentional sentences. In each group, participants received sham and active tDCS in two separate sessions. Following anodal tDCS (a-tDCS), participants improved the recall of action sentences compared with sham tDCS. No similar effects were detected following cathodal tDCS (c-tDCS). Both a-tDCS and c-tDCS induced variable changes in motor excitability, as measured by motor-evoked potentials induced by transcranial magnetic stimulation. Remarkably, across groups, action-specific memory improvements were positively predicted by changes in motor excitability. We provide evidence that excitatory modulation of the motor cortex selectively improves performance in a task requiring comprehension and memory of action sentences. These findings indicate that M1 is necessary for accurate processing of linguistic meanings and thus provide causal evidence that high-order cognitive functions are grounded in the human motor system.

Corrigendum: Exploring the Co-occurrence of Manual Verbs and Actions in Early Mother-Child Communication.

[This corrects the article DOI: 10.3389/fpsyg.2020.596080.].