Lecture 8 - Domain-general processes & ADHD Flashcards

1
Q

the approximate number system

A

○ Rapid and intuitive sense for numbers and their relations
○ Evolutionary ancient and primitive system
Children with dyscalculia have lower ANS accuracy than typical children (Mazzocco et al., 2001)

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2
Q

hohol et al 2017 3 d-g processes in maths cognition

A

visual grouping
attention and conflict monitoring
inhibition

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3
Q

visual grouping

A

□ Calculate (A) 2+ 2x2 vs (B) 2+2 x2
□ Calculation for congruent trials (A) found to be faster than for incongruent trials (B) (Landy and Goldstone, 2010)
□ Calculation performance an be modulated by d-g perceptual factors

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4
Q

attention and conflict monitoring

A

□ Which is bigger, 53 or 68?
□ Need to focus on the tens first then move to the ones if ten is equal
□ Response time longer and error rates higher when tens and ones are giving contrasting information (Nuerk et al., 2001)
□ Effect disappears when the tens always differ and hence is indecisive (Huber et al., 2014)

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5
Q

inhibition

A

□ Presence of incongruent info slows down response time
□ Size of images interferes judgement of numericities
□ Like in Stroop task, irrelevant visual properties need to be inhibited
□ ANS accuracy and math achievement correlated only in incongruent trials (Gilmore et al., 2013) suggesting ANS effect is an artefact of inhibitory control demand of the task

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6
Q

domain-specific processes in language

A
  • Left hemisphere language system crucial role in processing syntax
    • Argued that syntactic processing is the only domain specific aspect of language processing - other systems that language processing recruits are d-g e.g. visual/auditory processing, memory, executive functions etc. (Campbell and Tyler, 2018)
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7
Q

domain-general processes in language

role of cognitive control

A

○ The multiple demand (cognitive control, or task-positive) network involving parts of the DLPFC, insular cortex, anterior cingulate, and intraparietal sulcus etc is linked to language comprehension (Fedorenko, 2014)
○ Cognitive science evidence inconsistent: weak effect of cognitive control abilities on processing sentential conflicts was found (Patra et al., 2023) and conflict adjustments failed to demonstrate d-g properties (simi et al., 2023)
○ On theory is that it sends top-down biasing signals that strengthen a particular interpretation (Ness et al., 2023)
○ Several brain regions (vLPFC and pMTG) found to support top-down selection of semantic representations from competing alternatives - functions typically subsumed under cognitive control (Bourguignon et al., 2018)
○ Meta-analysis on functional imaging studies (Bourguignon and Gracco, 2019) supports dual-network integration model that this semantic control network works closely together with the multiple demand network (for attention control and maintenance of information in WM)

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8
Q

processing a second language

A

○ Expected that using a second language (L2) requires more cognitive control given it is more effortful
○ Consistent with this view, neuroimaging studies found that processing L@ is linked to increased brain activities in d-g executive network (Sulpizio et al., 2020)
○ Recent fMRI, speech production in L2 linked to increased activities in d-g MD network and in the language-specific portion of the left-inferior frontal gyrus (IFG). The authors link the latter to difficulty in phonological encoding and articulatory processing (Wolna et al., 2024). This shows d-g and language specific systems work together.

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9
Q

what is ADHD

A
  • Attention deficit hyperactivity disorder
    • Neurodevelopmental disorder
    • Attention deficit, hyperactivity and impulsivity
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10
Q

ADHD in learning context

A

○ Be restless and can hardly sit still
○ Be easily distracted and cannot stay on task
○ Have problems following instructions
○ Struggle to organised, prioritise and time-manage
○ Often make careless mistakes and lose things
○ Energetic
○ Creative and have lots of new ideas
○ Productive (esp. as grown-ups)

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11
Q

ADHD prevalence

A
  • Meta-analyses of 61 studies (Salari et al., 2023)
    ○ 7.6% in aged 3-12
    ○ 5.6% in aged 12-18
    • For the 3 subtypes (or presentations):
      ○ Predominantly hyperactive-impulsive (30.3%, 23.1%)
      ○ Predominantly inattentive (33.2%, 37.3%)
      ○ Combined presentation (31.4%, 31.1%)
      ○ (U12, 12-18y/o)
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12
Q

ADHD brain

A
  • Lin et al., 2023
    ○ Lowered microstructural integrity and neural density (indicator of neural health) in frontal and parietal white matter
    ○ Reduced cortical volumes and surface areas in frontal lobe, cingulate, and temporal lobe (associated with complex cognitive behaviours)
    ○ Reduced intra-connectivity in the dorsal attention network, the default-mode network, with increased interconnectivity between DAN and DMN
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13
Q

3 attentional systems

A
  • More than 1 attentional system
    • Posner and Peterson 1990
      ○ Attention system can be broken down into 3 networks
      § Visual orienting - controls the selection of info from sensory inputs (parietal cortex)
      § Executive control - top-down task control and conflict resolution
      § Alerting - maintains a vigilant or alert state
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14
Q
  • Mirsky et al., 1999
    ○ Model divides attention into 5 factors or elements:
A

§ Encoding - capacity to hold and manipulate info briefly
§ Focusing/executing - capacity to concentrate attentional resources on a specific task and be able to screen out distracting stimuli
§ Sustaining attention - capacity to maintain focus or vigilance over time
§ Shifting attention - capacity to move one’s attention from one aspect of a complex stimulus to another
§ Response stability - consistency of response to target stimuli

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15
Q

attention in ADHD

A
  • Deficits in selective attention responsible for distractibility and inattention symptoms of ADHD (inconsistent evidence).
    • EEG study found children with ADHD performed less accurately on auditory selective attention task but showed the same EEG markers of selective attention (Laffere et al., 2021)
    • Difference in task performance not due to attentional selection but may come from later processing stages such as attentional engagement
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16
Q

role of inhibition

A
  • More widely accepted assumption that deficits in inhibitory control is the core problem of ADHD
    • Early proposed theory by Barkley (1997) posits that the primary cause of ADHD is deficit in behavioural inhibition, which hinders the proficient performance of 4 executive abilities - WM, self-regulation, internalisation of speech and reconstruction; these 5 influence the motor system in the service of goal-directed behaviours
17
Q

brain imaging evidence on inhibition

A

○ When children with ADHD were carrying out inhibition tasks (go/no-go), their left PFC (left DLPFC) showed reduced activation compared with control subjects (Miao et al., 2017)
○ Study using resting-state functional near-infrared spectroscopy (rs-fNIRS), children with ADHD showed diminished functional brain connectivity in OFC, left DLPFC, premotor areas and supplementary motor areas - corresponding to the executive control networks and sensorimotor networks respectively.
○ Whole-brain functional connectivity negatively correlated with inhibition ability (measured with Stroop task) among children with ADHD (but not in control group) (Liao et al., 2023)
○ Inhibition and other executive functions like WN are not easily dissociable - both conceptually and methodologically
○ Inhibition plays important role in etiology of ADHD but does not mean other executive functions are less important
○ Direct comparison needed to test their relative importance

18
Q

role of WM

A
  • Longitudinal study
    ○ Better WM (but not inhibition) predicts lower ADHD symptom severity after 6 years (van Lieshout et al., 2017)
    • Path analysis
      ○ Better WM (but not inhibitory control or set shifting) predicts fewer ADHD symptoms and better emotion regulation skill (Groves et al., 2022)
    • Need to be cautious that these studies are based on cognitive tasks and the sensitivity and specificity of the measurement surely affects the findings
19
Q

shared mechanisms in cognitive tasks

A
  • Functional imaging studies report involvement of common brain regions (insular PFC, parietal cortex and cingulate cortex) across diverse cognitive tasks (Wager et al., 2005)
    • Activation of common brain areas does not imply shared underlying mechanisms by which brain systems operates jointly
    • To examine the presence of shared mechanisms, a recent study used computation modelling on fMRI data on a range of commonly used cognitive tasks, e.g. n-back, Stroop, Go/no-go task (Cai et al., 2024)
    • Results revealed
      ○ Shared dynamic latent brain state engaged across tasks
      ○ Degree of engagement of the shared brain state is linked to cog control demands and predicts cog performance across tasks
      ○ Weaker engagement of shared brain state related to weaker inhibitory control and lower occurrence of the shared state was related to the clinical symptoms of inattention in children 9Cai et al., 2024)
20
Q

ADHD and executive functions deficits

A
  • NS evidence. supports role of EFD in ADHD aetiology
    • 2012 meta-analysis found ADHD children showed hypoactivation in frontoparietal executive control network (goal-directed executive processes) and ventral attention network (attentional reorientation)
    • Substantial hyperactivation in default mode network (DMN) in ADHD children compared with control, suggesting faulty interregulation between the default network and task-positive circuits (Cortese et al., 2012)
      ○ Confirmed by Kim et al., 2023
      § DMN has decreased regulation and stability in ADHD individuals, which could result in inappropriately switching on/off the DMN that is essential to fulfilling goal-directed task demands
      § Since DMN (task-negative network) is responsible for task-irrelevant mental processes, autobiographical memory, spontaneous thought etc. DMN under-regulation may reflect a tendency to regress toward the resting mode and DMN intrusion during active tasks, thereby manifesting as distractibility or failure to complete tasks
21
Q

default mode network

A
  • DMN often shows strong deactivation during task conditions.
    • DMN suppression correlates with task difficulty and is seen as a marker of task engagement
22
Q

evidence from fMRI for DMN

A

○ DMN stability over time, rather than the absolute level of DMN deactivation, predicts task engagement
○ DMN deactivation uncorrelated with the stability within those regions, suggesting that a highly-deactivated region can still show low stability in activation across the task
○ DMN deactivation may not be a universal phenomenon during task conditions, and that DMN deactivation failure does not necessarily impair task performance (McCormick and Telze 2018)

23
Q

educational implications

A
  • Establish routines
    • Break down tasks
    • Repeat instructions/remind rules repeatedly
    • Use visual illustrations
    • Increase the variety of learning means
    • Use activity based learning and allow movement
      Use standing desks
24
Q

neurotherapeutics for ADHD

A
  • Drug-free technologies
    • Non-invasive brain stimulation and neurofeedback
    • Brain stimulation aims to enhance neuroplasticity
    • With neurofeedback, ppts,
      ○ Learn to self-regulate
      ○ Carry out tasks with neurobiological markers being monitored and receive neurofeedback
      ○ Apply skills to self-modulate neurobiological markers
25
Q

Repetitive transcranial magnetic stimulation (rTMS)

A
  • Target DLPFC or right PFC
    • Clinical improvement were shown in both the sham and real rTMS groups (Rubia et al., 2021)
26
Q

Transcranial direct current stimulation (tDCS)

A
  • Cathodal tDCS (decreasing neuronal excitability) or left DLPFC or anodal tDCS (decreasing neuronal excitability) of right OFC improved inhibitory performance in go/np-go task
    • Some inconsistent results exist (Rubia et al., 2021)
27
Q

EEG neurofeedback

A
  • Low cost and handy devices
    • EEG-NF tested in ADHD for decades
    • MA of RCT show consistent small to medium effect sized for symptom improvements
    • Effects further reduced when only included studied with blinded raters (Rubia et al., 2021)
28
Q

Real-time fMRI and NIRS neurofeedback:

A
  • Much faster learning to self-regulate brain activation than EEG-NF
    ○ Better signal to noise ration and spatial resolution
    • Possible to modulate activation in deep cortical or subcortical regions
    • Effectiveness has been promising but more research needed (Rubia et al., 2021)