1. The dynamic role of the left dlPFC in neurovisceral integration: Differential effects of theta burst stimulation on vagally mediated heart rate variability and cognitive‐affective processing.
- Author
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Schmaußer, Maximilian, Raab, Markus, and Laborde, Sylvain
- Subjects
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HEART beat , *AUTONOMIC nervous system , *PREFRONTAL cortex , *CONTROL (Psychology) , *COGNITIVE ability - Abstract
Adapting to the ever‐changing demands of the environment requires a complex interplay between cognitive‐affective, neuronal, and autonomic processes. Vagally mediated heart rate variability (vmHRV) is positively associated with both cognitive‐affective functioning and prefrontal cortex (PFC) activity. Accordingly, the Neurovisceral Integration Model has posited a shared role of the PFC in the regulation of cognitive‐affective processes and autonomic nervous system (ANS) activity. While there are numerous correlational findings in this regard, no study so far has investigated whether the manipulation of PFC activity induces changes in vmHRV and cognitive‐affective processing in an inter‐dependent manner. In a sample of 64 participants, we examined the effects of continuous (cTBS; n = 21) and intermittent theta‐burst stimulation (iTBS; n = 20) compared to sham stimulation (n = 23) over the left dorsolateral PFC (dlPFC) on vmHRV and cognitive‐affective processing within an emotional stop‐signal task (ESST). Our results revealed that both resting vmHRV and vmHRV reactivity predicted cognitive‐affective processing. Furthermore, we found a dampening effect of cTBS on resting and on‐task vmHRV, as well as an enhancing effect of iTBS on ESST performance. Our results show no direct association between vmHRV changes and ESST performance alterations following stimulation. We interpret our results in the light of a hierarchical model of neurovisceral integration, suggesting a dynamical situation‐dependent recruitment of higher‐order cortical areas like the dlPFC in the regulation of the ANS. In conclusion, our results highlight the complex interplay between PFC activity, autonomic regulation, and cognitive‐affective processing, emphasizing the need for further research to understand the causal dynamics of the underlying neural mechanisms. Our study represents the first attempt to use repetitive transcranial magnet stimulation (rTMS) to test the relationship between prefrontal activity, vagally mediated heart rate variability (vmHRV) and cognitive‐affective processing, suggested by the Neurovisceral Integration Model. While we did not find hypothesized links between changes in vmHRV and cognitive‐affective processing induced by rTMS over the left dorsolateral prefrontal cortex (dlPFC), our results indicate flexible recruitment of higher‐order cortical areas, such as the left dlPFC in autonomic regulation. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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