Scott J. Moeller , Sameera Abeykoon , Pari Dhayagude , Benjamin Varnas , Jodi J. Weinstein , Greg Perlman , Roberto Gil , Stephen M. Fleming , Anissa Abi-Dargham
{"title":"Neural Correlates of Metacognition Impairment in Opioid Addiction","authors":"Scott J. Moeller , Sameera Abeykoon , Pari Dhayagude , Benjamin Varnas , Jodi J. Weinstein , Greg Perlman , Roberto Gil , Stephen M. Fleming , Anissa Abi-Dargham","doi":"10.1016/j.bpsc.2024.07.014","DOIUrl":"10.1016/j.bpsc.2024.07.014","url":null,"abstract":"<div><h3>Background</h3><div>Individuals with substance use disorder show impaired self-awareness of ongoing behavior. This deficit suggests problems with metacognition, which has been operationalized in the cognitive neuroscience literature as the ability to monitor and evaluate the success of one’s own cognition and behavior. However, the neural mechanisms of metacognition have not been characterized in a population with drug addiction.</div></div><div><h3>Methods</h3><div>Community samples of participants with opioid use disorder (OUD) (<em>n</em> = 27) and healthy control participants (<em>n</em> = 29) performed a previously validated functional magnetic resonance imaging metacognition task (perceptual decision-making task along with confidence ratings of performance). Measures of recent drug use and addiction severity were also acquired.</div></div><div><h3>Results</h3><div>Individuals with OUD had lower metacognitive sensitivity (i.e., disconnection between task performance and task-related confidence) than control individuals. Trial-by-trial analyses showed that this overall group difference was driven by (suboptimally) low confidence in participants with OUD during correct trials. In functional magnetic resonance imaging analyses, the task engaged an expected network of brain regions (e.g., rostrolateral prefrontal cortex and dorsal anterior cingulate/supplementary motor area, both previously linked to metacognition); group differences emerged in a large ventral anterior cluster that included the medial and lateral orbitofrontal cortex and striatum (higher activation in OUD). Trial-by-trial functional magnetic resonance imaging analyses showed group differences in rostrolateral prefrontal cortex activation, which further correlated with metacognitive behavior across all participants. Exploratory analyses suggested that the behavioral and neural group differences were exacerbated by recent illicit opioid use and unexplained by general cognition.</div></div><div><h3>Conclusions</h3><div>With confirmation and extension of these findings, metacognition and its associated neural circuits could become new, promising therapeutic targets in addiction.</div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"9 11","pages":"Pages 1211-1221"},"PeriodicalIF":5.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141768229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amrita Lamba , Michael J. Frank , Oriel FeldmanHall
{"title":"Keeping an Eye Out for Change: Anxiety Disrupts Adaptive Resolution of Policy Uncertainty","authors":"Amrita Lamba , Michael J. Frank , Oriel FeldmanHall","doi":"10.1016/j.bpsc.2024.07.015","DOIUrl":"10.1016/j.bpsc.2024.07.015","url":null,"abstract":"<div><h3>Background</h3><div>Human learning unfolds under uncertainty. Uncertainty is heterogeneous with different forms exerting distinct influences on learning. While one can be uncertain about what to do to maximize rewarding outcomes, known as policy uncertainty, one can also be uncertain about general world knowledge, known as epistemic uncertainty (EU). In complex and naturalistic environments such as the social world, adaptive learning may hinge on striking a balance between attending to and resolving each type of uncertainty. Prior work illustrates that people with anxiety—those with increased threat and uncertainty sensitivity—learn less from aversive outcomes, particularly as outcomes become more uncertain. How does a learner adaptively trade-off between attending to these distinct sources of uncertainty to successfully learn about their social environment?</div></div><div><h3>Methods</h3><div>We developed a novel eye-tracking method to capture highly granular estimates of policy uncertainty and EU based on gaze patterns and pupil diameter (a physiological estimate of arousal).</div></div><div><h3>Results</h3><div>These empirically derived uncertainty measures revealed that humans (<em>N</em> = 94) flexibly switched between resolving policy uncertainty and EU to adaptively learn about which individuals can be trusted and which should be avoided. However, those with increased anxiety (<em>n</em> = 49) did not flexibly switch between resolving policy uncertainty and EU and instead expressed less uncertainty overall.</div></div><div><h3>Conclusions</h3><div>Combining modeling and eye-tracking techniques, we show that altered learning in people with anxiety emerged from an insensitivity to policy uncertainty and rigid choice policies, leading to maladaptive behaviors with untrustworthy people.</div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"9 11","pages":"Pages 1188-1198"},"PeriodicalIF":5.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Metacognition and Addiction: A New Look Inside","authors":"Charles W. Bradberry","doi":"10.1016/j.bpsc.2024.09.004","DOIUrl":"10.1016/j.bpsc.2024.09.004","url":null,"abstract":"","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"9 11","pages":"Pages 1081-1082"},"PeriodicalIF":5.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142577907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bridgette E. Speranza , Aron T. Hill , Michael Do , Andris Cerins , Peter H. Donaldson , Pushpal Desarker , Lindsay M. Oberman , Sushmit Das , Peter G. Enticott , Melissa Kirkovski
{"title":"The Neurophysiological Effects of Theta Burst Stimulation as Measured by Electroencephalography: A Systematic Review","authors":"Bridgette E. Speranza , Aron T. Hill , Michael Do , Andris Cerins , Peter H. Donaldson , Pushpal Desarker , Lindsay M. Oberman , Sushmit Das , Peter G. Enticott , Melissa Kirkovski","doi":"10.1016/j.bpsc.2024.07.018","DOIUrl":"10.1016/j.bpsc.2024.07.018","url":null,"abstract":"<div><div>Theta burst stimulation (TBS) is a noninvasive brain stimulation technique that can modulate neural activity. The effect of TBS on regions beyond the motor cortex remains unclear. With increased interest in applying TBS to nonmotor regions for research and clinical purposes, these effects must be understood and characterized. We synthesized the electrophysiological effects of a single session of TBS, as indexed by electroencephalography (EEG) and concurrent transcranial magnetic stimulation and EEG, in nonclinical participants. We reviewed 79 studies that administered either continuous TBS or intermittent TBS protocols. Broadly, continuous TBS suppressed and intermittent TBS facilitated evoked response component amplitudes. Response to TBS as measured by spectral power and connectivity was much more variable. Variability increased in the presence of task stimuli. There was a large degree of heterogeneity in the research methodology across studies. Additionally, the effect of individual differences on TBS response has been insufficiently investigated. Future research investigating the effects of TBS as measured by EEG must consider methodological and individual factors that may affect TBS outcomes.</div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"9 11","pages":"Pages 1083-1120"},"PeriodicalIF":5.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psilocybin and 2C-B at Encoding Distort Episodic Familiarity","authors":"","doi":"10.1016/j.bpsc.2024.06.008","DOIUrl":"10.1016/j.bpsc.2024.06.008","url":null,"abstract":"<div><h3>Background</h3><div>As research on psychedelics (hallucinogenic serotonin receptor 2A agonists) progresses, it is important to delineate the reliability of supposedly unique effects across this drug class. One such effect is how psychedelics impair the formation (i.e., encoding) of hippocampal-dependent recollections (retrieval of specific details) while potentially enhancing the encoding of cortical-dependent familiarity (a feeling of knowing that a stimulus has been previously experienced).</div></div><div><h3>Methods</h3><div>In a double-blind, placebo-controlled, within-participants study (<em>N</em> = 20), we tested the acute effects of 2 distinct psychedelics, psilocybin and 2C-B, on the encoding of emotional episodic memories. During acute drug effects, participants viewed negative, neutral, and positive pictures. The following day (while sober), participants completed 2 separate memory tests for these pictures.</div></div><div><h3>Results</h3><div>Using computational models of memory confidence, we found trends for psilocybin and 2C-B at encoding to impair estimates of recollection that were supported by other measures/analyses. Surprisingly, psilocybin and 2C-B at encoding impaired estimates of familiarity, but these impairments were likely due to a misattribution of heightened familiarity, because both drugs at encoding selectively increased familiarity-based false alarms, especially for negative and positive stimuli. Psilocybin and 2C-B at encoding also tended to impair estimates of metamemory (understanding one’s own memory) for negative and neutral memories but enhanced estimates of metamemory for positive memories, although these effects were less reliable in additional analyses.</div></div><div><h3>Conclusions</h3><div>Despite differences in their chemistry, pharmacology, and subjective effects, both psilocybin and 2C-B distorted episodic familiarity, suggesting a common neurocognitive mechanism across psychedelics that may drive other phenomena.</div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"9 10","pages":"Pages 1048-1057"},"PeriodicalIF":5.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intranasal Oxytocin Improves Interoceptive Accuracy and Heartbeat-Evoked Potentials During a Cardiac Interoceptive Task","authors":"","doi":"10.1016/j.bpsc.2024.05.004","DOIUrl":"10.1016/j.bpsc.2024.05.004","url":null,"abstract":"<div><h3>Background</h3><div>Interoception represents perception of the internal bodily state, which is closely associated with social/emotional processing and physical health in humans. Understanding the mechanism that underlies interoceptive processing, particularly its modulation, is therefore of great importance. Given the overlap between oxytocinergic pathways and interoceptive signaling substrates in both peripheral visceral organs and the brain, intranasal oxytocin administration is a promising approach for modulating interoceptive processing.</div></div><div><h3>Methods</h3><div><span>Using a double-blind, placebo-controlled, between-participant design, we recruited 72 healthy male participants who performed a cardiac interoceptive task during electroencephalograph and electrocardiograph recording to examine whether intranasal administration of the </span>neuropeptide oxytocin could modulate interoceptive processing. We also collected data in a resting state to examine whether we could replicate previous findings.</div></div><div><h3>Results</h3><div>The results showed that in the interoceptive task, oxytocin increased interoceptive accuracy at the behavioral level, which was paralleled by larger heartbeat-evoked potential amplitudes in frontocentral and central regions on the neural level. However, there were no significant effects of oxytocin on electroencephalograph or electrocardiograph during resting state.</div></div><div><h3>Conclusions</h3><div>These findings suggest that oxytocin may only have a facilitatory effect on interoceptive processing under task-based conditions. Our findings not only provide new insights into the modulation of interoceptive processing via targeting the oxytocinergic system but also provide proof-of-concept evidence for the therapeutic potential of intranasal oxytocin in mental disorders with dysfunctional interoception.</div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"9 10","pages":"Pages 1019-1027"},"PeriodicalIF":5.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oral Oxytocin Blurs Sex Differences in Amygdala Responses to Emotional Scenes","authors":"","doi":"10.1016/j.bpsc.2024.05.010","DOIUrl":"10.1016/j.bpsc.2024.05.010","url":null,"abstract":"<div><h3>Background</h3><div>Sex differences are shaped both by innate biological differences and the social environment and are frequently observed in human emotional neural responses. Oral administration of oxytocin (OXT), as an alternative and noninvasive intake method, has been shown to produce sex-dependent effects on emotional face processing. However, it is unclear whether oral OXT produces similar sex-dependent effects on processing continuous emotional scenes.</div></div><div><h3>Methods</h3><div>The current randomized, double-blind, placebo-controlled neuropsychopharmacological functional magnetic resonance imaging experiment was conducted in 147 healthy participants (OXT = 74, men/women = 37/37; placebo = 73, men/women = 36/37) to examine the oral OXT effect on plasma OXT concentrations and neural response to emotional scenes in both sexes.</div></div><div><h3>Results</h3><div>At the neuroendocrine level, women showed lower endogenous OXT concentrations than men, but oral OXT increased OXT concentrations equally in both sexes. Regarding neural activity, emotional scenes evoked opposite valence-independent effects on right amygdala activation (women > men) and its functional connectivity with the insula (men > women) in men and women in the placebo group. This sex difference was either attenuated (amygdala response) or even completely eliminated (amygdala-insula functional connectivity) in the OXT group. Multivariate pattern analysis confirmed these findings by developing an accurate sex-predictive neural pattern that included the amygdala and the insula under the placebo but not the OXT condition.</div></div><div><h3>Conclusions</h3><div>The results of the current study suggest a pronounced sex difference in neural responses to emotional scenes that was eliminated by oral OXT, with OXT having opposite modulatory effects in men and women. This may reflect oral OXT enhancing emotional regulation to continuous emotional stimuli in both sexes by facilitating appropriate changes in sex-specific amygdala-insula circuitry.</div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"9 10","pages":"Pages 1028-1038"},"PeriodicalIF":5.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexander Ehlert , Josua Zimmermann , David Johann , Denis Ribeaud , Manuel Eisner , Markus R. Baumgartner , Lilly Shanahan , Heiko Rauhut , Boris B. Quednow
{"title":"Substance Use–Related Alterations of Social Decision Making in a Longitudinal Cohort of Young Adults","authors":"Alexander Ehlert , Josua Zimmermann , David Johann , Denis Ribeaud , Manuel Eisner , Markus R. Baumgartner , Lilly Shanahan , Heiko Rauhut , Boris B. Quednow","doi":"10.1016/j.bpsc.2024.06.014","DOIUrl":"10.1016/j.bpsc.2024.06.014","url":null,"abstract":"<div><h3>Background</h3><div>Substance use disorders are associated with severe negative social and health-related outcomes. Evidence has accumulated that long-term substance use is associated with alterations in social interaction behavior, which likely contributes to the vicious cycle of substance use disorder. However, little is known about whether these social problems originate from contextual factors only or also from the substance use itself—in other words, if they are predisposed or substance induced.</div></div><div><h3>Methods</h3><div>We studied the causation behind behavioral alterations of substance users over a 9-year period (ages 11–20 years) in an urban age cohort (<em>N</em> = 1002) with a high prevalence of substance use at age 20. We identified common substance use patterns using toxicological hair analysis, examined behavioral alterations with incentivized games, and used teacher assessments across different ages to determine the causes and effects that underlie substance use–related impairments in social interaction.</div></div><div><h3>Results</h3><div>We found that opioid and stimulant users showed reduced prosocial behavior compared with nonusers, particularly in interpersonal trust and perspective taking (e.g., they were approximately 50% less likely to trust others). Our longitudinal analyses suggest a causal relationship between the nonmedical use of prescription opioids and impaired social behavior, whereas impairments among stimulant users seem to be partially predisposed. Moreover, women tended to be more severely affected by opioid use than men. However, no behavioral alterations were found among young adult cannabis or ecstasy users.</div></div><div><h3>Conclusions</h3><div>Highly addictive substances such as opioids can impair users’ social behavior by undermining fundamental human interaction, thereby fueling a vicious cycle of substance use and social isolation.</div></div>","PeriodicalId":54231,"journal":{"name":"Biological Psychiatry-Cognitive Neuroscience and Neuroimaging","volume":"9 10","pages":"Pages 1058-1065"},"PeriodicalIF":5.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}