A core eating network and its modulations underlie diverse eating phenomena

We propose that a core eating network and its modulations account for much of what is currently known about the neural activity underlying a wide range of eating phenomena in humans (excluding homeostasis and related phenomena). The core eating network is closely adapted from a network that Kaye, Fudge, and Paulus (2009) proposed to explain the neurocircuitry of eating, including a ventral reward pathway and a dorsal control pathway. In a review across multiple literatures that focuses on experiments using functional Magnetic Resonance Imaging (fMRI), we first show that neural responses to food cues, such as food pictures, utilize the same core eating network as eating. Consistent with the theoretical perspective of grounded cognition, food cues activate eating simulations that produce reward predictions about a perceived food and potentially motivate its consumption. Reviewing additional literatures, we then illustrate how various factors modulate the core eating network, increasing and/or decreasing activity in subsets of its neural areas. These modulating factors include food significance (palatability, hunger), body mass index (BMI, overweight/obesity), eating disorders (anorexia nervosa, bulimia nervosa, binge eating), and various eating goals (losing weight, hedonic pleasure, healthy living). By viewing all these phenomena as modulating a core eating network, it becomes possible to understand how they are related to one another within this common theoretical framework. Finally, we discuss future directions for better establishing the core eating network, its modulations, and their implications for behavior

How developmental neuroscience can help address the problem of child poverty

Nearly 1 in 5 children in the United States lives in a household whose income is below the official federal poverty line, and more than 40% of children live in poor or near-poor households. Research on the effects of poverty on children’s development has been a focus of study for many decades and is now increasing as we accumulate more evidence about the implications of poverty. The American Academy of Pediatrics recently added “Poverty and Child Health” to its Agenda for Children to recognize what has now been established as broad and enduring effects of poverty on child development. A recent addition to the field has been the application of neuroscience-based methods. Various techniques including neuroimaging, neuroendocrinology, cognitive psychophysiology, and epigenetics are beginning to document ways in which early experiences of living in poverty affect infant brain development. We discuss whether there are truly worthwhile reasons for adding neuroscience and related biological methods to study child poverty, and how might these perspectives help guide developmentally-based and targeted interventions and policies for these children and their families

Plasticity in the sensorimotor system and innovative sensorimotor training in frailty

This dissertation presents two studies, in which the relationship of impairment in sensory and motor systems with frailty was investigated from a conceptual point of view (Study 1) and as a potential target for innovative treatment to reduce frailty (Study 2). The aim of Study 1 was to identify sensory and motor determinants of frailty as assessed by two common frailty instruments, the frailty phenotype (FP) and the frailty index (FI). Performance measures of sensory and motor function were assessed in 44 pre-frail and frail subjects. Separate multiple logistic regression analyses revealed that frailty as defined by the FP was associated with reduced upper extremity function, while frailty as defined by the FI was independently associated with higher hearing thresholds, reduced lower extremity performance and higher depression scores. This suggests that reduced sensory and motor function contributes to the syndrome of frailty, thereby offering a potential target for treatment, and that different frailty instruments may be differentially sensitive to capture functional impairment in frail populations. In Study 2, the effectiveness of a 90-day tablet-based sensorimotor training (n=24) targeting the reversal of age-related maladaptive neuroplasticity in the sensorimotor system to counteract frailty was evaluated, compared to a tablet-based relaxation control training (n=24). After 60 days of training, a reduction in frailty as determined by the FP was found for both groups, while the effect tended to be stronger for the sensorimotor training condition. A non-significant reduction in the FI was found irrespective of the group. No training effects were found for sensorimotor brain activity assessed by functional magnetic resonance imaging and corticomotor excitability assessed by transcranial magnetic stimulation. The results suggest that a neuroplasticity-based training may alter frailty, yet the significance of the postulated neuroplastic mechanisms and the specific training characteristics underlying the effect remain to be determined. Together, the two studies provide evidence that impairment in sensory and motor systems may represent a target mechanism to better understand pathophysiology of frailty and to develop novel, innovative treatment approaches. Longitudinal studies are needed to determine the influence of sensory and motor decline in the development of frailty. The present work may also inspire future large-scale interventional studies to validate the present preliminary, yet promising results and to examine the efficacy and mechanistic principles that approaches targeting the reversal of age-related maladaptive neuroplasticity may have in the treatment of frailty

Neurocognitive Mechanisms Associated with Real-world Financial Savings among Individuals from Lower Income Households

Lower financial savings among individuals experiencing adverse social determinants of health (SDoH) such as low socioeconomic status (low-SES) increases health inequities during times of crisis. Despite evidence suggesting that economic stability established by better money-saving behavior may minimize socioeconomic disparities, neurocognitive mechanisms that regulate money-saving behavior remains to be understood. In the current studies, we utilized neuroimaging, behavioral, self-report, and real-world behavior data to examine neurocognitive mechanisms associated with money-saving behavior among low-SES population. In study 1, we utilized Balloon Analogue Risk task (BART) to probe decision-making (DM) related brain activity and further examined the relationship between brain activity, BART-performance, and real-world money-saving behavior. In study 2, we utilized n-back task to probe working memory (WM) mechanism and characterized the relationship between WM-related brain activity, WM-performance, and money-saving behavior. In study 3, we utilized resting-state fMRI data to characterize the resting-state functional connectivity (rsFC) of the brain regions associated with WM and their relationship with money-saving behavior. Regarding DM related brain-behavior relationship, elevated risk-related amygdala activity was associated with improved strategic-DM (i.e., BART task-performance measure) and improved strategic-DM, in turn, predicted better savings. Additionally, in an exploratory analysis, personality trait (i.e., alexithymia) moderated this mediation such that for individuals with low alexithymia (versus higher alexithymia), elevated risk-related amygdala activity was associated with better savings. Regarding WM related brain activity and associated behavior, laboratory WM performance (dprime) mediated the association between WM related DMN deactivation and real-world savings behavior such that increased DMN deactivation improves dprime which, in turn, results in better savings. Further, considering the rsFC of brain regions related to WM and associated behavior, dprime mediated the effect of fronto-limbic and fronto-frontal connectivity on real-world saving behavior such that higher frontal-limbic connectivity predicted worsened WM performance, which in turn, predicted reduced savings. Similarly, higher fronto-frontal connectivity predicted better WM performance, and, in turn, better WM performance predicted improved savings. This present study provides evidence that interventions targeting brain activity related to higher order executive function (DM and WM) and associated cognitive performance can augment success in terms of real-world money-saving behavior

The words of the body: psychophysiological patterns in dissociative narratives

Trauma has severe consequences on both psychological and somatic levels, even affecting the genetic expression and the cell\u2019s DNA repair ability. A key mechanism in the understanding of clinical disorders deriving from trauma is identified in dissociation, as a primitive defense against the fragmentation of the self originated by overwhelming experiences. The dysregulation of the interpersonal patterns due to the traumatic experience and its detrimental effects on the body are supported by influent neuroscientific models such as Damasio\u2019s somatic markers and Porges\u2019 polyvagal theory. On the basis of these premises, and supported by our previous empirical observations on 40 simulated clinical sessions, we will discuss the longitudinal process of a brief psychodynamic psychotherapy (16 sessions, weekly frequency) with a patient who suffered a relational trauma. The research design consists of the collection of self-report and projective tests, pre-post therapy and after each clinical session, in order to assess personality, empathy, clinical alliance and clinical progress, along with the verbatim analysis of the transcripts trough the Psychotherapy Process Q-Set and the Collaborative Interactions Scale. Furthermore, we collected simultaneous psychophysiological measures of the therapeutic dyad: skin conductance and hearth rate. Lastly, we employed a computerized analysis of non-verbal behaviors to assess synchrony in posture and gestures. These automated measures are able to highlight moments of affective concordance and discordance, allowing for a deep understanding of the mutual regulations between the patient and the therapist. Preliminary results showed that psychophysiological changes in dyadic synchrony, observed in body movements, skin conductance and hearth rate, occurred within sessions during the discussion of traumatic experiences, with levels of attunement that changed in both therapist and the patient depending on the quality of the emotional representation of the experience. These results go in the direction of understanding the relational process in trauma therapy, using an integrative language in which both clinical and neurophysiological knowledge may take advantage of each other

The Association of Aerobic Fitness with Resting State Functional Connectivity and Verbal Learning and Memory in Healthy Young Adults

The beneficial effects of exercise and cardiopulmonary fitness on general health, quality of life, and reduction of mortality are well known in older adults. There is evidence to support the positive effects of exercise and aerobic fitness on psychiatric and neurocognitive function in children, adults, and older adults. Indeed, many studies have explored the positive effects of aerobic fitness on slowing cognitive decline associated with normal and pathological aging. However, comparatively fewer empirical studies in the literature exist to support and understand the effects of aerobic fitness on the developing brain, particularly during adolescence and young adulthood, especially as it relates to resting state functional connectivity during this dynamic stage of development. The current study investigated the association of aerobic fitness on functional connectivity with the left hippocampus in healthy young adults and the degree to which differential resting state functional connectivity is associated with verbal learning and memory. The sample was comprised of healthy young adults with varying degrees of aerobic fitness as part of a larger study of the effects of cardiorespiratory health on neurocognitive performance, brain structure and function. Results of the study indicated that better aerobic fitness is associated with increased functional connectivity to the left parahippocampal gyrus, a region known for its role in working memory and encoding. Results from this study contribute to a better understanding of the factors that may underlie the beneficial effects of exercise on brain health and neurocognition and further offer insights into the value of early preventive health behaviors to reduce the risk of later of cognitive decline and impairment

Dissociation and interpersonal autonomic physiology in psychotherapy research: an integrative view encompassing psychodynamic and neuroscience theoretical frameworks

Interpersonal autonomic physiology is an interdisciplinary research field, assessing the relational interdependence of two (or more) interacting individual both at the behavioral and psychophysiological levels. Despite its quite long tradition, only eight studies since 1955 have focused on the interaction of psychotherapy dyads, and none of them have focused on the shared processual level, assessing dynamic phenomena such as dissociation. We longitudinally observed two brief psychodynamic psychotherapies, entirely audio and video-recorded (16 sessions, weekly frequency, 45 min.). Autonomic nervous system measures were continuously collected during each session. Personality, empathy, dissociative features and clinical progress measures were collected prior and post therapy, and after each clinical session. Two-independent judges, trained psychotherapist, codified the interactions\u2019 micro-processes. Time-series based analyses were performed to assess interpersonal synchronization and de-synchronization in patient\u2019s and therapist\u2019s physiological activity. Psychophysiological synchrony revealed a clear association with empathic attunement, while desynchronization phases (range of length 30-150 sec.) showed a linkage with dissociative processes, usually associated to the patient\u2019s narrative core relational trauma. Our findings are discussed under the perspective of psychodynamic models of Stern (\u201cpresent moment\u201d), Sander, Beebe and Lachmann (dyad system model of interaction), Lanius (Trauma model), and the neuroscientific frameworks proposed by Thayer (neurovisceral integration model), and Porges (polyvagal theory). The collected data allows to attempt an integration of these theoretical approaches under the light of Complex Dynamic Systems. The rich theoretical work and the encouraging clinical results might represents a new fascinating frontier of research in psychotherapy