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Transcranial direct current stimulation (tDCS) has been widely used to modulate cognition and behavior. However, only a few studies have been probing the brain mechanism underlying the effects of tDCS on cognitive processing, especially throughout electrophysiological markers, such as the P3. This meta-analysis assessed the effects of tDCS in P3 amplitude and latency during an oddball, n-back, and Go/No-Go tasks, as well as during emotional processing. A total of 36 studies were identified, but only 23 were included in the quantitative analysis. The results show that the parietal P3 amplitude increased during oddball and n-back tasks, mostly after anodal stimulation over the left dorsolateral prefrontal cortex (p = 0.018, SMD = 0.4) and right inferior frontal gyrus (p

Objetivo: Evidenciar os fatores de riscos associados a neoplasia de sistema nervoso central, a fim de melhor realizar rastreamentos. Método: É caracterizada por uma revisão integrativa, com métodos qualitativos e propriedades de aplicação, que visa determinar os fatores de risco relacionados aos tumores do sistema nervoso central. Executou-se a pesquisa acessando o banco de dados do PubMed. Para isso, utilizou-se de descritores, contidos no MeSH (Medical Subject Headings), condizentes à temática da pesquisa e referentes aos termos: “ risk factor”, “association” , “astrocytoma” , “glioma”, “oligodendroglioma” e “meningioma”. Resultados: Foram analisados 20 estudos, dentre eles houve uma fração significativa de Caso-Controle, 75% (n=15). Do total de estudos explorados, 30% (n=6) foram sobre distúrbios metabólicos, 5% (n=1) abordaram hormonioterapias, 15% (n=3) analisaram fatores individuais e 25% (n=5) observaram relações com exposição ocupacional. Os demais 25% (n=5) foram estudos do tipo Coorte, nos quais 15% (n=3) abordaram síndromes metabólicas, e os outros 10% (n=2) tiveram a temática centrada em hormonioterapias e fatores individuais. Além disso, nota-se que a data de publicação desses artigos está entre os anos de 2015 e 2020. Conclusão: Os estudos avaliados, evidenciaram pontos como fatores individuais, exposição ocupacional, hormonioterapias e sinais de síndrome metabólicas como variáveis, que podem influenciar no risco para neoplasia do sistema nervoso central. Constatou se que, ferro, amianto, formaldeído demonstraram estar relacionados ao desenvolvimento de meningioma ou glioma. Já em relação a capacidade de resposta do organismo, mesmo de forma controversa entre alguns autores, indivíduos que apresentam mais condições alérgicas, parecem estar protegidos dessa afecção, assim como pacientes com diabetes e que tomam medicação para o controle da mesma, foram associados a uma diminuição do risco de gioblastoma. As síndromes metabólicas e seus fatores de risco apresentaram-se como elementos relevantes no desenvolvimento dos tumores, enquanto o IMC e a hipertensão arterial são fatores que sofrem divergências para o risco de meningiomas. Via de regra, é fundamental investir no acompanhamento de pacientes acometidos por essas neoplasia, a fim de investigar fontes preveníveis.

Attention is a complex cognitive process that selects specific stimuli for further processing. Previous research suggested the existence of three attentional networks: alerting, orienting and executive. However, one important topic is how to enhance the efficiency of attentional networks. In this context, understanding how this system behaves under two different modulatory conditions, namely transcranial direct current stimulation (tDCS) and transcranial Random Noise Stimulation (tRNS), will provide important insights towards the understanding of the attention network system. Twenty-seven healthy students took part on a randomized single-blinded crossover study, testing the effects that involved three modalities of unilateral stimulation (tRNS, anodal tDCS, and sham) over the DLPFC, during the performance of the attention network test (ANT) in three different conditions: standard, speed and accuracy. Results showed that tRNS was able to increase attention during more complex situations, namely by increasing alerting and decreasing conflict effect in the executive network. Under the Speed condition, tRNS increased efficiency of the alerting network, as well as under the more demanding conflict network, tRNS overall increased the performance when comparing to sham. No statistical significant effects of tDCS were observed. These results are compatible with the attention requiring the synchronization of pre-existing networks, rather the reinforcement or creation of new pathways. AL is supported by the Portuguese Foundation for Science and Technology and the Portuguese Ministry of Science, Technology and Higher Education through national funds, and co-financed by FEDER through COMPETE2020 under the PT2020 Partnership Agreement (POCI-01-0145-FEDER-007653). OFG and SC were supported by the Portuguese Foundation for Science and Technology and the Portuguese Ministry of Science, through national funds and co-financed by FEDER through COMPETE2020 under the PT2020 Partnership Agreement (POCI-01-0145-FEDER-007653) and along with JL were also funded through the grants: PTDC/PSI-ESP/30280/2017 and PTDC/PSI-ESP/29701/2017, SC was also funded by the individual Grant IF/00091/2015. FF is supported by a NIH grant (1R01AT009491-01A1). This work was partially supported by National Funds through the Portuguese Foundation for Science and Technology (FCT) and co-funded through COMPETE 2020 – PO Competitividade e Internacionalização/Portugal 2020/União Europeia, FEDER (Fundos Europeus Estruturais e de Investimento – FEEI) under the number:PTDC/PSI-ESP/30280/2017. published

Background: Major Depressive Disorder (MDD) affects more than 264 million people worldwide. Current treatments include the use of psychotherapy and/or drugs, however similar to 30% of patients either do not respond to these treatments, or do not tolerate the side effects associated to the use of pharmacological interventions. Thus, it is important to study non-pharmacological interventions targeting mechanisms not directly involved with the regulation of neurotransmitters. Several studies demonstrated that transcranial Direct Current Stimulation (tDCS) can be effective for symptoms relief in MDD. However, tDCS seems to have a better effect when used as an add-on treatment to other interventions.Methods/Design: This is a study protocol for a parallel, randomized, triple-blind, sham-controlled clinical trial in which a total of 90 drug-naive, first-episode MDD patients (45 per arm) will be randomized to one of two groups to receive a 6-weeks of CBT combined with either active or sham tDCS to the dorsolateral prefrontal cortex (DLPFC). The primary outcome will depressive symptoms improvement as assessed by the Montgomery-Asberg Depression Rating Scale (MADRS) at 6-weeks. The secondary aim is to test whether CBT combined with tDCS can engage the proposed mechanistic target of restoring the prefrontal imbalance and connectivity through the bilateral modulation of the DLPFC, as assessed by changes over resting-state and emotional task eliciting EEG.Discussion: This study evaluates the synergetic clinical effects of CBT and tDCS in the first episode, drug-naive, patients with MDD. First episode MDD patients provide an interesting opportunity, as their brains were not changed by the pharmacological treatments, by the time course, or by the recurrence of MDD episodes (and other comorbidities)., This work was partially supported by FEDER funds through the Programa Operacional Factores de Competitividade-COMPETE and by national funds through FCT-Fundacao para a Ciencia e a Tecnologia through the calls IF/00091/2015 and PTDC/PSI-ESP/29701/2017. The sponsors had no role in the study design, implementation, data analysis or publication.

Background Transcranial direct current stimulation has shown promising clinical results, leading to increased demand for an evidence-based review on its clinical effects. Objective We convened a team of transcranial direct current stimulation experts to conduct a systematic review of clinical trials with more than 1 session of stimulation testing: pain, Parkinson’s disease motor function and cognition, stroke motor function and language, epilepsy, major depressive disorder, obsessive compulsive disorder, Tourette syndrome, schizophrenia, and drug addiction. Methods Experts were asked to conduct this systematic review according to the search methodology from PRISMA guidelines. Recommendations on efficacy were categorized into Levels A (definitely effective), B (probably effective), C (possibly effective), or no recommendation. We assessed risk of bias for all included studies to confirm whether results were driven by potentially biased studies. Results Although most of the clinical trials have been designed as proof-of-concept trials, some of the indications analyzed in this review can be considered as definitely effective (Level A), such as depression, and probably effective (Level B), such as neuropathic pain, fibromyalgia, migraine, post-operative patient-controlled analgesia and pain, Parkinson’s disease (motor and cognition), stroke (motor), epilepsy, schizophrenia, and alcohol addiction. Assessment of bias showed that most of the studies had low risk of biases, and sensitivity analysis for bias did not change these results. Effect sizes vary from 0.01 to 0.70 and were significant in about 8 conditions, with the largest effect size being in postoperative acute pain and smaller in stroke motor recovery (nonsignificant when combined with robotic therapy). Conclusion All recommendations listed here are based on current published PubMed-indexed data. Despite high levels of evidence in some conditions, it must be underscored that effect sizes and duration of effects are often limited; thus, real clinical impact needs to be further determined with different study designs.

The world population is rapidly aging, bringing together the necessity to better understand the advancing age. This characterization may be used to aid early diagnosis and to guide individually-tailored interventions. While some event-related potential (ERP) components, such as the P300 and late positive complex (LPC), have been associated with fluid intelligence (Gf) in young population; little is known whether these associations hold for older people. Therefore, the main goal of this study was to assess whether these ERP components are associated with Gf in the elderly. Fifty-seven older adults performed a continuous performance task (CPT) and a visual oddball paradigm while EEG was recorded. Participants were divided into two groups, according to their performance in the Raven's Advanced Progressive Matrices test: high-performance (HP) and low-performance (LP). Results showed that the HP group, compared to the LP group, had higher LPC amplitudes in the CPT and shorter P300 latencies in the oddball task, highlighting the role of ERP components as a potential electrophysiological proxy of Gf abilities in the elderly., We thank Camara Municipal de Vila Nova de Famalicao (Dr. Rui Baptista and Bruno Gomes), Associacao Geracoes (Dr. Cristiana Oliveira, Clara and Daniela Silva), Santa Casa da Misericordia de Barcelos (Dr. Ricardo Vieira and Dr. Helder Longras), and Fundacao Bomfim (Dr. Raquel Polonia) for hosting the study; all the volunteers for their participation, as well as, Silvia Alves, Carla Barros, Anabela Fernandes and our colleagues from the Psychological Neuroscience Laboratory for all the help during data collection and recruitment. This work was supported by the Portuguese Foundation for Science and Technology (FCT) [Doctoral Grants No. SFRH/BD/80965/2011 (awarded to ACT) and No. PD/BD/105964/2014 (awarded to DRP)] and by the Bial Foundation (Grant Number #286/16). It was conducted at the Psychology Research Centre (PSI/01662), School of Psychology, University of Minho, and supported by the Portuguese Foundation for Science and Technology and the Portuguese Ministry of Science, Technology and Higher Education (Grant Number UID/PSI/01662/2019), through the national funds (PIDDAC). DP was supported by FCT (Grant Number SFRH/BPD/120111/2016). SC was funded by the FCT (Grant Number IF/00091/2015) and COMPETE 2020 (Grant Number PTDC/PSI-ESP/29701/2017).

Background: Mind wandering is a prevalent phenomenon. However, the concept of mind wandering is associated with distinct and often orthogonal concepts, and researchers are still debating the best strategies to gain access to mind-wandering processes. Nonetheless, there is a progressive acknowledgment that mind wandering is a multidimensional and heterogeneous construct. We argue that to fully understand mind wandering, we need to look at dimensions assessing the process (i.e., perceptual decoupling), dynamics (i.e., mental improvisation), and content (i.e., mental navigation). Objective: The objective of this study was to develop a self-report measure of mind wandering—the Mind Wandering Inventory (MWI)—to capture the heterogeneity of mind wandering in terms of process, dynamic, and content components. Method: Five language versions of the MWI were administered to an international sample of 1,162 individuals. Results: Results showed that the MWI had good levels of internal consistency. In terms of internal structure, we found a first factor to index perceptual decoupling, a second to index mental improvisation, and a third to index mental navigation. Additionally, a study of concurrent validity with Spontaneous and Deliberate Mind Wandering scales suggested that MWI has significant correlations with previous mind-wandering scales and that factors 1 (perceptual decoupling) and 2 (mental improvisation) seemed to be more closely associated with spontaneous than deliberate mind wandering. Finally, individuals coming from sciences major background reported increased levels of mind wandering when compared with participants from both health, social and human sciences background., (undefined)

Attention and mind wandering are often seen as anticorrelated. However, both attention and mind wandering are multi-component processes, and their relationship may be more complex than previously thought. In this study, we tested the interference of different types of thoughts as measured by a Thought Identification Task TIT (on task thoughts, task related interference thoughts, external distractions, stimulus independent and task unrelated thoughts) on different components of the attention network system - ANT (alerting, orienting, executive). Results show that, during the ANT, individuals were predominantly involved in task related interference thoughts which, along with external distractors, significantly impaired their performance accuracy. However, mind wandering (i.e., stimulus independent and task unrelated thoughts) did not significantly interfere with accuracy in the ANT. No significant relationship was found between type of thoughts and alerting, orienting, or executive effects in the ANT. While task related interference thoughts and external distractions seemed to impair performance on the attention task, mind wandering was still compatible with satisfactory performance in the ANT. The present results confirmed the importance of differentiating type of "out of task" thoughts in studying the relationship between though distractors and attention., Oscar F. Goncalves was funded by the Brazilian National Counsel for Scientific and Technological Development (CNPq) as a Special Visiting Researcher of the Science Without Borders program (grant number: 401143/2014-7). This study was partially conducted at the Neuropsychophysiology Lab from the Psychology Research Centre (UID/PSI/01662/2013), University of Minho, and supported by the Portuguese Foundation for Science and Technology and the Portuguese Ministry of Science, Technology and Higher Education through national funds and co-financed by FEDER through COMPETE2020 under the PT2020 Partnership Agreement (POCI-01-0145-FEDER-007653). Paulo S Boggio is a CNPq researcher fellow (311641/2015-6) Gabriel Gaudencio Rego was supported by a PhD grant from Fundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP - 2015/18713-9). This work was also supported by the Portuguese Foundation for Science and Technology (FCT) and European Union (FSE-POPH) with two individual grants (SFRH/BPD/86041/2012 and SFRH/BPD/86027/2012)., info:eu-repo/semantics/publishedVersion

Objective: To explore the duration of tPCS after effects given different durations of stimulation on power and interhemispheric coherence of the EEG frequency bands. Our hypothesis was that longer tPCS duration would induce a differential effect on the EEG analysis and a longer duration of after effects on the EEG frequency bands.Materials and Methods: We conducted a double blind, sham controlled study in which forty healthy subjects were randomized to receive a single session of either 10, 20, 30 min of active (2 mA, random frequency between 6 and 10 Hz, ear clip montage) or sham tPCS. EEG was recorded before and after the intervention to assess tPCS induced after effects.Results: We found that 10 and 20 min of active tPCS induced a significant increase in alpha (p = 0.004) and theta (p = 0.006) coherence in the frontal region as compared with the sham stimulation. No significant changes were found with 30 min of stimulation (p < 0.05). The Kaplan Meier analysis showed that 10 and 20 min of tPCS induced after effects that lasted 50 min.Conclusions: These results evidence the nonlinear relationship between the stimulation duration and the tPCS after effects, suggesting the presence of homeostatic mechanisms., This study was supported in part by a grant from BrainGear Inc. Dr. LMQ received funding support from an Institutional National Research Service Award from the National Center for Complementary and Integrative Health grant T32AT000051, the Ryoichi Sasakawa Fellowship Fund, and by the Program in Placebo Studies at Beth Israel Deaconess Medical Center.

Long-term trials are key to understanding chronic symptoms such as pain and itch. However, challenges such as high attrition rates and poor recruitment are common when conducting research. The aim of this work was to explore these issues within a long-term randomized control trial using transcranial direct current stimulation to treat pain and itch. This parallel double blinded, placebo-controlled randomized trial was comprised of 15 transcranial direct current stimulation visits and 7 follow-up visits. Participants were over the age of 18, had a burn injury that occurred at least 3 weeks before enrollment, and reported having pain and/or itch that was moderate to severe in intensity. A total of 31 subjects were randomized into either an active or sham transcranial direct current stimulation groups. There were no significant differences between the groups in terms of age, race, education, baseline depression, or anxiety. The median dropout time was at visit 19 (visit 16 [SE = 1.98] for the sham group and visit 19 [SE = 1.98] for the active group). Analysis showed no differences in the dropout rate between groups [χ2(1) = 0.003, P = .954]. The dropout rate was 46.7% for the sham group and 43.8% for the active group. Overall, 45.2% of the subjects dropped out of the trial. Long-term clinical trials are an essential part of evaluating interventions for symptoms such as chronic pain and itch. However, as seen in this trial, long-term studies in the burn population often face recruitment and adherence challenges.

The objective of this meta-analytic review was to systematically assess the effects of working memory training on healthy older adults. We identified 552 entries, of which 27 experiments met our inclusion criteria. The final database included 1130 participants. Near- and far-transfer effects were analysed with measures of short-term memory, working memory, and reasoning. Small significant and long-lasting transfer gains were observed in working memory tasks. Effects on reasoning was very small and only marginally significant. The effects of working memory training on both near and far transfer in older adults were moderated by the type of training tasks; the adopted outcome measures; the training duration; and the total number of training hours. In this review, we provide an updated review of the literature in the field by carrying out a robust multi-level metaanalysis focused exclusively on working memory training in healthy older adults. Recommendations for future research are suggested., Supported by the Portuguese Foundation for Science and Technology (FCT) Doctoral Grants no. SFRH/BD/80965/2011 (awarded to ACT) and no. PD/BD/105964/2014 (awarded to DRP). This study was supported by the Bial Foundation, under the fellowship number #286/16. This study was conducted at the Psychology Research Centre (UID/PSI/01662/2013), University of Minho, which is supported by the Portuguese Ministry of Science, Technology and Higher Education through the PT2020 Partnership Agreement (POCI-01-0145-FEDER-007653). AS was supported by FCT with the grants NORTE-01-0145-FEDER-032152 and POCI-01-0145-FEDER-028682. CSM was supported by CMUP (UID/MAT/00144/2013), which is partially funded by FCT with national (MEC) and European structural funds (FEDER), under the partnership agreement PT2020. JL is supported by National Funds through the FCT and co-funded through COMPETE 2020 -PO Competitividade e Internacionalizacao/Portugal 2020/Uniao Europeia, FEDER (Fundos Europeus Estruturais e de Investimento -FEEI) under the number PTDC/PSI-ESP/30280/2017. SC was funded by the FCT with the Grant IF/00091/2015 and under FCT and COMPETE 2020 (PTDC/PSI-ESP/29701/2017).

Our minds are continuously alternating between external attention (EA) and mind wandering (MW). An appropriate balance between EA and MW is important for promoting efficient perceptual processing, executive functioning, decision-making, auto-biographical memory, and creativity. There is evidence that EA processes are associated with increased activity in high-frequency EEG bands (e.g., SMR), contrasting with the dominance of low-frequency bands during MW (e.g., Theta). The aim of the present study was to test the effects of two distinct single session real-time EEG (rtEEG) protocols (SMR up-training/Theta down-training-SMR⇑Theta⇓; Theta up-training/SMR down-training-Theta⇑SMR⇓) on EA and MW processes. Thirty healthy volunteers were randomly assigned to one of two rtEEG training protocols (SMR⇑Theta⇓; Theta⇑SMR⇓). Before and after the rtEEG training, participants completed the attention network task (ANT) along with several MW measures. Both training protocols were effective in increasing SMR (SMR⇑Theta⇓) and theta (Theta⇑SMR⇓) amplitudes but not in decreasing the amplitude of down-trained bands. There were no significant effects of the rtEEG training in either EA or MW measures. However, there was a significant positive correlation between post-training SMR increases and the use of deliberate MW (rather than spontaneous) strategies. Additionally, for the Theta⇑SMR⇓ protocol, increase in post-training Theta amplitude was significantly associated with a decreased efficiency in the orientation network., Óscar F. Gonçalves was funded by the Brazilian National Counsel for Scientific and Technological Development (CNPq) as a special visiting researcher (Grant 401143/2014-7). This study was partially conducted at the Psychology Research Centre (UID/ PSI/01662/2013), University of Minho, and supported by the Portuguese Foundation for Science and Technology and co-financed by FEDER through COMPETE2020 under the PT2020 (Grant POCI-01- 0145-FEDER-007653). Paulo S. Boggio is a CNPq researcher fellow (Grant 311641/2015-6). SC is funded through the Portuguese Foundation for Science and Technology (IF/00091/2015). JL is funded through the Portuguese Foundation for Science and Technology (PTDC/ MHC-PCN/3950/2014)., info:eu-repo/semantics/publishedVersion

[Excerpt] Nearly 40% of people with spinal cord injury (SCI) report neuropathic pain that is often refractory to medications.1,2 Substantial research has shown that anodal transcranial direct current stimulation (tDCS) over the motor cortex can induce clinically significant pain relief in chronic pain.3–6 However, these clinical trials often require multiple study visits per trial and are associated to poor adherence to the study protocol. For instance, in our recent tDCS study in SCI, only 7 participants from the initial 46 that were enrolled completed the study.7 In fact, despite all attempts to improve adherence, such as flexibility to schedule sessions, free parking and follow-ups by the phone, most participants ended up dropping out from the study. Since many people with SCI have limited mobility, alternatives for home-based care are needed. Here we report the feasibility of supervised home-based tDCS application in a 57-year old woman with tetraplegia and sublesional neuropathic pain secondary to SCI since 2012. At time of enrollment, she self-reported pain as being 9 out of 10 in a visual analogue scale. [...], This project was supported by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant numbers 90DP0035 and H133N110010).

More than 30 years have already passed since the seminal article of Baker et al., in which a transcranial magnetic stimulation (TMS) pulse over the motor cortex (MC) was successfully used to painlessly elicit a recordable electromyography response. Since then, multiple studies have been conducted exploring the underlying physiology of TMS effects, its potential uses in clinical settings, as well as safety. In this chapter, we provide an overview regarding the basic mechanisms of TMS, how it can be used as a tool to investigate human brain cortex physiology, how it can be used to alter cortical excitability, its safety concerns, and its use in clinical settings.

Previous studies showed the efficacy of a single session real-time electroencephalogram (rtEEG) protocols in sensorimotor rhythm (SMR) or Theta up-training. However, the impact of this training on sustained or mind-wandering attention was only modest. This could be explained by the lack of specificity in distinct rtEEG training protocols given their limitation in inhibiting or decreasing the amplitude of down-trained bands. Additionally, multiple sessions of rtEEG in up-training/down-training SMR (sensorimotor rhythm) and Theta along with better ways of tracking sustained and mind-wandering attention protocols may be required to achieve consistent effects. Here we describe the effects of a 10-session trial of up-training/down-training SMR or Theta (SMR⇑Theta⇓; Theta⇑SMR⇓), looking at the effects of 2 rtEEG training protocols in 2 n of 1 subject designs. We also tested to impact of this training in sustained and mind-wandering attention during the course of a Sustained Attention Response Task (SART). The present trial confirmed the potentiality of a multi-session protocol in up-training Theta or SMR and, as consequence, increasing sustained attention (Theta up-training) and mind-wandering attention (SMR up-training). However, the simultaneous increase of the Theta amplitude in the SMR⇑Theta⇓ (and the more modest increase of the SMR amplitude in Theta⇑SMR⇓) reduced the specificity of the rtEEG training. Future studies should build on the potentiality of extended rtEEG protocols on this attention paradigm but increasing the specificity of the trained EEG bands choosing less tedious/more motivating feedback instruments (SMR⇑Theta⇓) and conducting the Theta⇑SMR⇓ training eyes closed.

This study examined the effects of bihemispheric and unihemispheric transcranial Direct Current Stimulation (tDCS) over the inferior frontal gyrus (IFG) on proactive control. Sixteen participants were randomized to receive (i) bihemispheric tDCS, with a 35cm2 anodal electrode of the right IFG and a 35cm2 cathode electrode of left IFG or (ii) unihemispheric tDCS, with a 35cm2 anodal electrode of the right IFG and a 100cm2 electrode of the left IFG or (iii) sham tDCS, while performing a prepotent inhibition task. There were significant speed-accuracy tradeoff effects in terms of switch costs: unihemispheric tDCS significantly decreased the accuracy when compared to bihemispheric, and sham tDCS, while increased response time when comparing to bihemispheric and sham tDCS. The computational model showed a symmetrical field intensity for the bihemispheric tDCS montage, and an asymmetrical for the unihemispheric tDCS montage. This study confirms that unihemispheric tDCS over the rIFG has a significant impact on response inhibition. The lack of results of bihemispheric tDCS brings two important findings for this study: (i) left IFG seems to be also critically associated with inhibitory response control, and (ii) these results highlight the importance of considering the dual effects of tDCS when choosing the electrode montage., JL, SC, OFG are members of CIPSi, supported by the Portuguese Foundation for Science and Technology and the Portuguese Ministry of Science, Technology and Higher Education through national funds and co-financed by FEDER through COMPETE2020 under the PT2020 Partnership Agreement (POCI-01-0145-FEDER-007653); and also through the Portuguese Foundation for Science and Technology PTDC/MHC-PCN/3950/2014. FF is funded by the following NIH grants: R21HD079048, R01HD082302, 1R44NS080632-01, 1R44AT008637, HD069776. SC is funded by the following Portuguese Fondation for Science and Technology (FCT) grant IF/00091/2015., info:eu-repo/semantics/publishedVersion

Previous studies looking at how Mind Wandering (MW) impacts performance in distinct Focused Attention (FA) systems, using the Attention Network Task (ANT), showed that the presence of pure MW thoughts did not impact the overall performance of ANT (alert, orienting and conflict) performance. However, it still remains unclear if the lack of interference of MW in the ANT, reported at the behavioral level, has a neurophysiological correspondence. We hypothesize that a distinct cortical processing may be required to meet attentional demands during MW. The objective of the present study was to test if, given similar levels of ANT performance, individuals predominantly focusing on MW or FA show distinct cortical processing. Thirty-three healthy participants underwent an EEG high-density acquisition while they were performing the ANT. MW was assessed following the ANT using an adapted version of the Resting State Questionnaire (ReSQ). The following ERP's were analyzed: pN1, pP1, P1, N1, pN, and P3. At the behavioral level, participants were slower and less accurate when responding to incongruent than to congruent targets (conflict effect), benefiting from the presentation of the double (alerting effect) and spatial (orienting effect) cues. Consistent with the behavioral data, ERP's waves were discriminative of distinct attentional effects. However, these results remained true irrespective of the MW condition, suggesting that MW imposed no additional cortical demand in alert, orienting, and conflict attention tasks., Acknowledgements Óscar F. Gonçalves was funded by the Brazilian National Counsel for Scientific and Technological Development (CNPq) as a Special Visiting Researcher of the Science Without Borders program (401143/2014-7). Paulo S Boggio was funded by a CNPq researcher fellowship (311641/2015-6). Olivia Morgan Lapenta and Tatiana Conde were supported by two postdoctoral grants from CNPq (150249/2017-9 and 152358/2016-1). Sandra Carvalho was funded by the Portuguese Foundation for Science and Technology (FCT) with the grant IF/00091/2015. Gabriel Rêgo was supported by a PhD grant from Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP-2015/18713-9). This work was partially supported by FEDER funds through the Programa Operacional Factores de Competitividade – COMPETE and by national funds through FCT – Fundação para a Ciência e a Tecnologia (P2020-PTDC/MHC-PCN/3950/2014)., info:eu-repo/semantics/publishedVersion

Transcranial alternating current stimulation (tACS) and transcranial random noise stimulation (tRNS) are two noninvasive brain stimulation techniques that use electrical currents to modulate brain activity and change behavior. tACS consists of the application of oscillating electrical current to modulate brain activity and tRNS uses random interstimulus-intervals and amplitudes. More precisely, in tRNS, instead of using a fixed frequency and amplitude, the pulses are delivered across several frequencies and amplitudes, distributed across a certain range of the spectrum. The rationale behind the use of this type of stimulations is that specific brain oscillations have been associated with cognitive and motor functions in healthy and clinical populations and that it is possible to restore disturbed oscillatory activity by applying alternating current externally to the brain. In this chapter, we will provide an overview regarding the basic mechanisms underlying these techniques and their usefulness for understanding cognition/behavior, as well as their potential impact for clinical rehabilitation.

Study design Secondary analysis of a clinical trial.Objectives To analyze adherence to 1-year transcranial Direct Current Stimulation (tDCS) clinical trial in people with chronic pain due to spinal cord injury (SCI). We also explore the association between dropout and several baseline variables such as age, depression levels, pain severity, number of days with pain in the last 7 days, walking ability, sleep, work, relationship with others, and enjoyment with life.Setting Boston, USA.Methods Forty-six participants were enrolled in this trial, and 33 participants were randomized to receive either active or sham tDCS.Results Using the full intention-to-treat (ITT) criteria, only 8 participants (24%) finished the study. The median time to dropout was seven (IQR:6,19) sessions (i.e., immediately after the first follow-up), regardless of the type of stimulation that participants received (active vs. sham tDCS) (chi(2) = 0.025, p = 0.875). An exploratory analysis suggested that only the number of days with pain in the last 7 days was moderately associated with dropout, with people experiencing less pain being more prone to dropout from the study.Conclusions Despite all the measures to improve study adherence (such as providing parking, flexibility to schedule sessions, follow-up with participants by phone), it seems that long follow-up periods may increase the likelihood of dropout. Given the need to understand long-term effects of interventions, longitudinal trials need to consider alternative designs or methods of treatment (for instance home treatment or home assessment) to decrease attrition rate., This project was supported by the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant numbers H133N110010 and 90SI5021-01-00). SC and JL are supported by the Portuguese Foundation for Science and Technology PTDC/MHC-PCN/3950/2014; SC is also funded by the following FCT grant IF/00091/2015.

Median nerve stimulation (MNS) has been shown to change brain metaplasticity over the somatosensory networks, based on a bottom-up mechanism and may improve motor learning. This exploratory study aimed to test the effects of MNS on implicit and explicit motor learning as measured by the serial reaction time task (SRTT) using a double-blind, sham-controlled, randomized trial, in which participants were allocated to one of three groups: (a) online active MNS during acquisition, (b) offline active MNS during early consolidation and (c) sham MNS. SRTT was performed at baseline, during the training phase (acquisition period), and 30min after training. We assessed the effects of MNS on explicit and implicit motor learning at the end of the training/acquisition period and at retest. The group receiving online MNS (during acquisition) showed a significantly higher learning index for the explicit sequences compared to the offline group (MNS during early consolidation) and the sham group. The offline group also showed a higher learning index as compared to sham. Additionally, participants receiving online MNS recalled the explicit sentence significantly more than the offline MNS and sham groups. MNS effects on motor learning have a specific effect on type of learning (explicit vs. implicit) and are dependent on timing of stimulation (during acquisition vs. early consolidation). More research is needed to understand and optimize the effects of peripheral electrical stimulation on motor learning. Taken together, our results show that MNS, especially when applied during the acquisition phase, is a promising tool to modulate motor leaning., This work has been supported by a grant from Labuschagne Foundation to Spaulding Rehabilitation Hospital.

Conventional transcranial direct current stimulation (tDCS) protocols rely on applying electrical current at a fixed intensity and duration without using surrogate markers to direct the interventions. This has led to some mixed results; especially because tDCS induced effects may vary depending on the ongoing level of brain activity. Therefore, the objective of this preliminary study was to assess the feasibility of an EEG-triggered tDCS system based on EEG online analysis of its frequency bands. Six healthy volunteers were randomized to participate in a double-blind sham-controlled crossover design to receive a single session of 10 min 2 mA cathodal and sham tDCS. tDCS trigger controller was based upon an algorithm designed to detect an increase in the relative beta power of more than 200%, accompanied by a decrease of 50% or more in the relative alpha power, based on baseline EEG recordings. EEG-tDCS closed-loop-system was able to detect the predefined EEG magnitude deviation and successfully triggered the stimulation in all participants. This preliminary study represents a proof-of-concept for the development of an EEG-tDCS closed-loop system in humans. We discuss and review here different methods of closed loop system that can be considered and potential clinical applications of such system., Authors are grateful to Paula Faria, Camila Cosmo and Letizzia Dall' agnol for their help in the previous versions of this manuscript. This study was supported by Center for Integration of Medicine and Innovative Technology (CIMIT). Felipe Fregni is supported by a research grant funded by NIH (5R01HD082302-02). Jorge Leite (SFRH/BPD/86027/2012) and Sandra Carvalho (IF/00091/2015) are supported by the Portuguese Foundation for Science and Technology (FCT) and European Union (FSE-POPH). Jorge Leite and Sandra Carvalho are members of CIPSi, supported by the Portuguese Foundation for Science and Technology and the Portuguese Ministry of Science, Technology and Higher Education through national funds and cofinanced by FEDER through COMPETE2020 under the PT2020 Partnership Agreement (POCI-01-0145-FEDER-007653 and P2020-PTDC/MHC-PCN/3950/2014). Leon Morales-Quezada received funding support from an Institutional National Research Service Award from the National Center for Complementary and Integrative Health grant T32AT000051, the Ryoichi Sasakawa Fellowship Fund, and by the Program in Placebo Studies at Beth Israel Deaconess Medical Center. Aurore Thibaut is supported by the Wallonie-Bruxelles International (WBI), the Leon Fredericq Foundation and the Belgian American Educational Foundation.

Transcranial pulsed current stimulation (tPCS) is a neuromodulatory technique that has been studied in the last decade. Several parameters have been assessed independently to optimize the effects. Our aim was to explore the effects of tPCS using different montages on cortical brain oscillations indexed by power spectrum and interhemispheric coherence in different electroencephalography frequency bands. Twenty healthy individuals were randomized to receive either active tPCS or sham intervention using the following bilateral montages: ear clip (conventional), ear hook, or mastoid placement. Electroencephalography was recorded before and after the electroencephalography intervention to assess tPCS-induced after effects. Our results showed that active tPCS with bimastoid montage increased significantly alpha absolute power (P =0.0166) and low alpha (P =0.0014) in the frontal region, as well as in the low alpha power spectrum in the central (P =0.0001) and parieto-occipital regions (P =0.0068) compared with the other montages. For interhemispheric coherence analysis, the Kruskal–Wallis test showed a significant main effect of group for theta (P =0.0012) in the frontal region, mainly for ear-clip montage. Our findings evidenced that tPCS delivered through different electrode montages exert different effects on cortical brain oscillations and thus have a different neural signature. We discuss the implications of these findings as well as potential clinical explorations of this technique.

[Excerpt] In the 1940–50’s Wilder Penfield and colleagues applied cortical electrical stimulation to patients undergoing epilepsy surgery to define what has become one of the landmarks on neuroscience: a map of the anatomical divisions of the body, divided in two cortical homunculi: sensory and motor (Penfield and Boldrey, 1937). Ever since, the development of new tools to investigate brain function non-invasively increased knowledge about the structure and functions of the primary motor Cortex (M1) beyond motor control in both humans and animals. For instance, the role of M1 in visuomotor transformations, mental imagery, or mental rotation has been shown in studies dating more than 30 years ago (Georgopoulos and Pellizzer, 1995; Kosslyn et al., 1998). Also, M1 seems to be activated during memory retrieval of sensory information or finger tapping sequences after a short delay (Kaas et al., 2007), suggesting the M1 involvement with memory processes; as well as involved in language processing of action related words (de Lafuente and Romo, 2004; Hauk et al., 2004; Pulvermuller, 2005 for review). Furthermore, the involvement of the M1 region in higher cognitive functions has also been demonstrated in emotional processing. There seems to be a correlation between sensorimotor activation and empathy (Lamm et al., 2007), as well as relationship between sensorimotor activation and emotional processing in silent reading of emotionally laden words (Papeo et al., 2012). Moreover, M1 seems to be asymmetrically modulated by here emotionally laden sounds, with unpleasant sounds resulting in higher facilitation od motor evoked potentials in the left hemisphere, whereas pleasant sounds resulted in higher excitability in the right side (Komeilipoor et al., 2013). [...], JL and SC are supported by the Portuguese Foundation for Science and Technology (FCT) and European Union (FSE-POPH) with individual awards SFRH/BPD/86027/2012) and (IF/00091/2015). JL, SC are members of CIPSi, supported by the Portuguese Foundation for Science and Technology and the Portuguese Ministry of Science, Technology and Higher Education through national funds and co-financed by FEDER through COMPETE2020 under the PT2020 Partnership Agreement (POCI-01-0145-FEDER-007653); and also through the Portuguese Foundation for Science and Technology PTDC/MHC-PCN/3950/2014. FF is funded by the following NIH grants: R21HD079048, R01HD082302, 1R44NS080632-01, 1R44AT008637, HD069776.

Cognitive dysfunction in fibromyalgia patients has been reported, especially when increased attentional demands are required. Transcranial direct current stimulation (tDCS) over the dorsolateral prefrontal cortex (DLPFC) has been effective in modulating attention. We tested the effects of a single session of tDCS coupled with a Go/No-go task in modulating three distinct attentional networks: alertness, orienting and executive control. Secondarily, the effect on pain measures was evaluated. Forty females with fibromyalgia were randomized to receive active or sham tDCS. Anodal stimulation (1 mA, 20 min) was applied over the DLPFC. Attention indices were assessed using the Attention Network Test (ANT). Heat pain threshold (HPTh) and tolerance (HPTo) were measured. Active compared to sham tDCS led to increased performance in the orienting (mean difference [MD] = 14.63) and executive (MD = 21.00) attention networks. There was no effect on alertness. Active tDCS increased HPTh as compared to sham (MD = 1.93) and HPTo (MD = 1.52). Regression analysis showed the effect on executive attention is mostly independent of the effect on pain. DLPFC may be an important target for neurostimulation therapies in addition to the primary motor cortex for patients who do not respond adequately to neurostimulation therapies., This research was supported by grants and material support from the following Brazilian agencies: Committee for the Development of Higher Education Personnel - CAPES; International Cooperation Program - CAPES (023/11); Special Visitant Researcher Professor (No 71/2013) and material support (Prof Wolnei Caumo); National Council for Scientific and Technological Development - CNPq (grants to Dr. I.L.S. Torres, Dr. W. Caumo); Foundation for Support of Research at Rio Grande do Sul (FAPERGS). This research was supported by grants from the following Brazilian agencies: Brazilian Innovation Agency (FINEP) process number - 1245/13 (Caumo W).

The objective of the present study was to research the patterns of Default Mode Network (DMN) deactivation in Obsessive Compulsive Disorder (OCD) in the transition between a resting and a non-rest emotional condition. Twenty-seven participants, 15 diagnosed with OCD and 12 healthy controls (HC), underwent a functional neuroimaging paradigm in which DMN brain activation in a resting condition was contrasted with activity during a non-rest condition consisting in the presentation of emotionally pleasant and unpleasant images. Results showed that HC, when compared with OCD, had a significant deactivation in two anterior nodes of the DMN (medial frontal and superior frontal) in the non-rest pleasant stimuli condition. Additional analysis for the whole brain, contrasting the resting condition with all the non-rest conditions grouped together, showed that, compared with OCD, HC had a significantly deactivation of a widespread brain network (superior frontal, insula, middle and superior temporal, putamen, lingual, cuneus, and cerebellum). Concluding, the present study found that OCD patients had difficulties with the deactivation of DMN even when the non-rest condition includes the presentation of emotional provoking stimuli, particularly evident for images with pleasant content., The first author was funded by the Brazilian National Counsel for Scientific and Technological Development (CNPq) as a Special Visiting Researcher of the Science Without Borders program (grant number: 401143/20147). This study was partially conducted at the Neuropsychophysiology Lab from the Psychology Research Centre (UID/PSI/01662/2013), University of Minho, and supported by the Portuguese Foundation for Science and Technology and the Portuguese Ministry of Science, Technology and Higher Education through national funds and co-financed by FEDER through COMPETE2020 under the PT2020 Partnership Agreement (POCI-01-0145FEDER-007653)., info:eu-repo/semantics/publishedVersion

There is increasing evidence that both mind wandering (MW) and attention are influenced by culture. However, studies on the interference between MW and attention across cultures are virtually nonexistent. Here we researched how individuals from 2 cultures (Portuguese, Brazilian) differ in terms of type of thoughts and content of MW during the course of the attention network task (ANT). Additionally, we tested the existence of culture-specific associations between type of thoughts and content of mind wandering and each component of the attention network system (alert, orienting, executive). No statistically significant differences were found between Brazilian and Portuguese participants in terms of nature and content of mind-wandering thoughts. Both groups tended to be predominantly involved in task-related interference thoughts during the attention task. At the end of the task, both groups reported having been predominantly out of focus, dominated mostly by inner language thoughts. Despite the similarities, the type of thoughts and content of MW seemed to affect performance in the attention task differently in each group. First, and regarding ANT overall performance, only Portuguese had a significantly facilitating effect in response time associated with task-interfering thoughts. Second, regarding ANT network e ffects, Portuguese participants, when compared with Brazilians, seemed to be more sensitive to orientation cues in all thought conditions, benefited more from alerting cues when they reported on-task thoughts, and took better advantage of mind wandering to reduce attentional conflict., Uminho - Universidade do Minho(401143/2014-7), This study was partially conducted at the Psychology Research Centre (UID/PSI/01662/2013), University of Minho, and supported by the Portuguese Foundation for Science and Technology and cofinanced by FEDER through COMPETE2020 under the PT2020 (Grant POCI-01-0145-FEDER-007653). Paulo S. Boggio is a CNPq researcher fellow (Grant 311641/2015-6). Gabriel Rêgo was supported by Fundação de Amparo à Pesquisa do Estado de São Paulo (PhD Grant FAPESP2015/18713-9)., info:eu-repo/semantics/publishedVersion

The central sensitization syndrome (CSS) encompasses disorders with overlapping symptoms in a structural pathology spectrum ranging from persistent nociception [e.g., osteoarthritis (OA)] to an absence of tissue injuries such as the one presented in fibromyalgia (FM) and myofascial pain syndrome (MPS). First, we hypothesized that these syndromes present differences in their cortical excitability parameters assessed by transcranial magnetic stimulation (TMS), namely motor evoked potential (MEP), cortical silent period (CSP), short intracortical inhibition (SICI) and short intracortical facilitation (SICF). Second, considering that the presence of tissue injury could be detected by serum neurotrophins, we hypothesized that the spectrum of structural pathology (i.e., from persistent nociception like in OA, to the absence of tissue injury like in FM and MPS), could be detected by differential efficiency of their descending pain inhibitory system, as assessed by the conditioned pain modulation (CPM) paradigm. Third, we explored whether brain-derived neurotrophic factor (BDNF) had an influence on the relationship between motor cortex excitability and structural pathology. This cross-sectional study pooled baseline data from three randomized clinical trials. We included females (n = 114), aged 19-65 years old with disability by chronic pain syndromes (CPS): FM (n = 19), MPS (n = 54), OA (n = 27) and healthy subjects (n = 14). We assessed the serum BDNF, the motor cortex excitability by parameters the TMS measures and the change on numerical pain scale [NPS (0-10)] during CPM-task. The adjusted mean (SD) on the SICI observed in the absence of tissue injury was 56.36% lower than with persistent nociceptive input [0.31(0.18) vs. 0.55 (0.32)], respectively. The BDNF was inversely correlated with the SICI and with the change on NPS (0-10) during CPM-task. These findings suggest greater disinhibition in the motor cortex and the descending pain inhibitory system in FM and MPS than in OA and healthy subjects. Likewise, the inte, This research was supported by grants and materials support from the following Brazilian agencies: (grants to; AD, JAD-S, FC) and material support. National Council for Scientific and Technological Development-CNPq (grants to ILdST, WC). Postgraduate Program in Medical Sciences at the School of Medicine of the Federal University of Rio Grande do Sul (material support). International Cooperation Program-CAPES-PGI-project (023-11). CAPES 129/2013 material support and grant for FP as visiting professor (AD, WC, PP). Postgraduate Research Group at the Hospital de Clinicas de Porto Alegre-PIPE HCPA (material support). Foundation for Support of Research at Rio Grande do Sul (FAPERGS) (material support). Brazilian Innovation Agency (FINEP) process number-1245/13 (ILdST, WC). Research grant: National Council for Scientific and Technological Development-CNPq (ILdS 302345/2011-6 and WC-301256/2013-6).

The present study analyses the modulatory effects of affective pictures in the early posterior negativity (EPN), the late positive potential (LPP) and the human startle response on both the peripheral (eye blink EMG) and central neurophysiological levels (Probe P3), during passive affective pictures viewing. The affective pictures categories were balanced in terms of valence (pleasant; unpleasant) and arousal (high; low). The data shows that EPN may be sensitive to specific stimulus characteristics (affective relevant pictures versus neutral pictures) associated with early stages of attentional processing. In later stages, the heightened attentional resource allocation aswell as themotivated significance of the affective stimuliwas found to elicit enhancedamplitudes of slow wave processes thought to be related to enhanced encoding, namely LPP,. Although pleasant low arousing pictureswere effective in engaging the resources involved in the slowwave processes, the highly arousing affective stimuli (pleasant and unpleasant) were found to produce the largest enhancement of the LPP, suggesting that high arousing stimulimay are associatedwith increasedmotivational significance. Additionally the response to high arousing stimulimay be suggestive of increasedmotivational attention, given the heightened attentional allocation, as expressed in the P3 probe, especially for the pleasant pictures. The hedonic valencemay then serve as amediator of the attentional inhibition to the affective priming, potentiating or inhibiting a shift towards defensive activation, as measured by the startle reflex., Portuguese Foundation for Science and Technology with individual grants (SFRH/BD/41484/2007 and SFRH/BD/64355/2009) and by the Spanish Xunta de Galicia – with FEDER funds – (DOG 233 — Resolution date: 2009 November 18th

Transcranial electrical stimulation (tES) is a safe, painless, and inexpensive noninvasive brain stimulation (NIBS) technique. tES has been shown to reduce symptoms in a variety of neuropsychiatric conditions such as depression, schizophrenia, anxiety, autism, and craving. There are many factors that can influence the effects of tES, such as current intensity, duration, baseline level of activity, gender, and age. Age is a critical variable, since the human brain undergoes several anatomical and functional changes across the lifespan. Therefore, tES-induced effects may not be the same across the lifespan. In this review we summarize the effects of tES, including tDCS, tACS, and tRNS, on clinical outcomes in several neuropsychiatric conditions, using a framework in which studies are organized according to the age of subjects. The use of tES in neuropsychiatric disorders has yielded promising results with mild, if any, adverse effects. Most of the published studies with tES have been conducted with tDCS in adult population. Future studies should focus on interventions guided by surrogate outcomes of neuroplasticity. A better understanding of neuroplasticity across the lifespan will help optimize current tES stimulation parameters, especially for use with children and elderly populations., Carolina Perez, Jorge Leite, and Sandra Carvalho share first coauthorship. Jorge Leite (SFRH/BPD/86027/2012) and Sandra Carvalho (SFRH/BPD/86041/2012) are supported by grants from the Portuguese Foundation for Science and Technology (FCT) and European Union (FSE-POPH). The authors wish to thank Melanie French for the editing and proofreading.

There is a common agreement on the existence of dysfunctional cortico-striatal–thalamus-cortical path-ways in OCD. Despite this consensus, recent studies showed that brain regions other than the CSTC loopsare needed to understand the complexity and diversity of cognitive and emotional deficits in OCD. Thisreview presents examples of research using functional neuroimaging, reporting abnormal brain pro-cesses in OCD that may underlie specific cognitive/executive (inhibitory control, cognitive flexibility,working memory), and emotional impairments (fear/defensive, disgust, guilt, shame). Studies duringresting state conditions show that OCD patients have alterations in connectivity not only within theCSTC pathways but also in more extended resting state networks, particularly the default mode networkand the fronto-parietal network. Additionally, abnormalities in brain functioning have been found inseveral cognitive and emotionally task conditions, namely: inhibitory control (e.g., CSTC loops, fronto-parietal networks, anterior cingulate); cognitive flexibility (e.g., CSTC loops, extended temporal, parietal,and occipital regions); working memory (e.g., CSTC loops, frontal parietal networks, dorsal anterior cin-gulate); fear/defensive (e.g., amygdala, additional brain regions associated with perceptual – parietal,occipital – and higher level cognitive processing – prefrontal, temporal); disgust (e.g., insula); shame(e.g., decrease activity in middle frontal gyrus and increase in frontal, limbic, temporal regions); and guilt(e.g., decrease activity anterior cingulate and increase in frontal, limbic, temporal regions). These find-ings may contribute to the understanding of OCD as both an emotional (i.e., anxiety) and cognitive (i.e.,executive control) disorder., The first author was funded by the Brazilian National Counselfor Scientific and Technological Development (CNPq) as a SpecialVisiting Researcher of the Science Without Borders program (grantnumber: 401143/2014-7). This study was partially conducted atthe Neuropsychophysiology Lab from the Psychology ResearchCentre (UID/PSI/01662/2013), University of Minho, and supportedby the Portuguese Foundation for Science and Technology andthe Portuguese Ministry of Science, Technology and HigherEducation through national funds and co-financed by FEDERthrough COMPETE2020 under the PT2020 Partnership Agreement(POCI-01-0145- FEDER-007653). This work was also supportedby the Portuguese Foundation for Science and Technology (FCT)and European Union (FSE-POPH) with two individual grants(SFRH/BPD/86041/2012 and SFRH/BPD/86027/2012)., info:eu-repo/semantics/publishedVersion

Transcranial pulsed current stimulation (tPCS) has been shown to increase inter-hemispheric coherence of brain oscillatory activity, mainly in fronto-temporal regions, leading to enhancement of functional connectivity across neural networks. The question is whether tPCS can modulate behavior significantly. Our aim was to identify the effects of tPCS on paired associative learning task (PALT) and attention switching task (AST), and to further categorize physiological autonomic responses by heart rate variability and electrodermal activity measurements before and after task performance. Thirty healthy volunteers were randomized to receive a single session of sham or active 2 mA tPCS stimulation with a random frequency between 1 and 5 Hz. We show that active tPCS significantly improved response time in the AST compared to sham stimulation, so that subjects who received active tPCS significantly exhibit decreased switching cost between repeat and switch trials. No differences were found in response accuracy on AST and PALT. No significant changes were observed in physiological parameters. Based on our results, we suggest that tPCS has a more pronounced effect on tasks that require the increase of functional connectivity across pre-existent neural circuitry, rather than on tasks that require the development of new learning circuits or the creation of new connections., This research was supported in part by a grant from BrainGear Inc.

Two psychological mechanisms seem to be associated with the obsessive-compulsive cycle: (1) an emotional mechanism characterized by intense emotional arousal associated with intrusive thoughts of impending danger; (2) a cognitive mechanism exemplified by difficulties with inhibitory control. Several studies found more extensive cognitive deficits in Obsessive Compulsive Disorder (OCD) beyond problems of inhibitory control and emotional regulation, namely: visual-spatial processing and memory. Thus, there is now extensive research showing that alterations of these psychological mechanisms in OCD (i.e., inhibitory control, emotional regulation, working memory, and visual spatial processing) are associated with morphological gray matter alterations in widespread brain regions. More recently, researchers have started looking at white matter abnormalities in OCD. In this article we review the research looking at white matter morphometric and structural connectivity alterations in OCD. Altogether, while some contradictory findings are still present, there is now evidence for widespread white matter morphometric and connectivity abnormalities affecting major white matter tracts (superior longitudinal fasciculus, inferior fronto-occipital fasciculus, inferior longitudinal fasciculus, cingulum bundle, semioval center, internal capsule, different regions of the corpus callosum, thalamic radiation, uncinate fasciculus and optic radiation) as well as white matter in regions adjacent to gray matter structures (superior frontal gyrus, dorsolateral prefrontal medial frontal cortex; inferior frontal gyrus, caudate, insulate cortex, parietal cortex, supramarginal and lingual gyri, and thalamus). These white matter alterations may help explaining the diversity of OCD psychological impairments in inhibitory control, emotional regulation, memory and visual spatial processing., The authors have no financial or personal conflicts of interest. The first author was funded by the Brazilian National Counsel for Scientific and Technological Development (CNPq) as a Special Visiting Researcher of the Science Without Borders program (grant number: 401143/2014-7). This study was partially conducted at the Neuropsychophysiology Lab from the Psychology Research Centre (UID/PSI/01662/2013), University of Minho, and supported by the Portuguese Foundation for Science and Technology and the Portuguese Ministry of Science, Technology and Higher Education through national funds and co-financed by FEDER through COMPETE2020 under the PT2020 Partnership Agreement (POCI-01-0145- FEDER-007653)., info:eu-repo/semantics/publishedVersion

Addiction is a chronic relapsing brain disease with significant economical and medical burden on the societies but with limited effectiveness in the available treatment options. Better understanding of the chemical, neuronal, regional, and network alterations of the brain due to drug abuse can ultimately lead to tailoring individualized and more effective interventions. To this end, employing new assessment and intervention procedures seems crucial. Noninvasive brain stimulation (NIBS) techniques including transcranial electrical and magnetic stimulations (tES and TMS) have provided promising opportunities for the addiction medicine in two main domains: (1) providing new insights into neurochemical and neural circuit changes in the human brain cortex and (2) understanding the role of different brain regions by using NIBS and modulating cognitive functions, such as drug craving, risky decision making, inhibitory control and executive functions to obtain specific treatment outcomes. In spite of preliminary positive results, there are several open questions, which need to be addressed before routine clinical utilization of NIBS techniques in addiction to medicine, such as how to account for interindividual differences, define optimal cognitive and neural targets, optimize stimulation protocols, and integrate NIBS with other therapeutic methods. Therefore, in this chapter we revise the available literature on the use of NIBS (TMS and tES) in the diagnostic, prognostic, and therapeutic aspects of the addiction medicine.

The integration of obsessive compulsive disorders (OCD) in the Obsessive Compulsive and Related Disorders cluster, while emphasizing the centrality of inhibitory control and repetitive behaviors may fail to fully acknowledge the existence of significant affective and other cognitive impairments. The objective of this paper is to present examples on available gray matter imaging studies and meta-analyses that may help understanding cognitive and emotional related factors implicated in OCD. Building on these studies, OCD seems to be a disorder of both inhibitory control and emotional regulation. Volumetric and shape abnormalities in different brain territories of the prefrontal cortex, orbitofrontal cortex, thalamus, striate and cerebellum may contribute to impairments in inhibitory control. On the other side, gray matter shape and volume alterations in regions such as the anterior cingulate, insula, amygdala and supramarginal gyrus may contribute to difficulties in emotional regulation. Beyond this inhibitory control – emotional regulation dichotomy, there are other psychological impairments that may be associated with gray matter alterations. For example, difficulties in memory monitoring may be sustained by shape and volumetric alterations in the dorso-lateral prefrontal cortex and the hippocampus. Additionally, visual-spatial impairments may be explained by gray matter shape and volume alterations in the superior parietal and occipital lobes as well as the precuneus. Overall the research confirms changes in volume and shape in multiple cortical and subcortical regions that can help explaining the complexity of OCD symptomatology and the diversity of OCD endophenotypes. Additionally, the evidence from brain shape anomalies may suggest the additional possibility of neurodevelopmental changes associated with the pathogenesis of OCD., The first author was funded by the Brazilian National Counsel for Scientific and Technological Development (CNPq) as a Special Visiting Researcher of the Science Without Borders program (grant number: 401143/2014-7). This study was partially conducted at the Neuropsychophysiology Lab from the Psychology Research Centre (UID/PSI/01662/2013), University of Minho, and supported by the Portuguese Foundation for Science and Technology and the Portuguese Ministry of Science, Technology and Higher Education through national funds and co-financed by FEDER through COMPETE2020 under the PT2020 Partnership Agreement (POCI-01-0145- FEDER-007653). This work was also supported by the Portuguese Foundation for Science and Technology (FCT) and European Union (FSE-POPH) with two individual grants (SFRH/BPD/86041/2012 and SFRH/BPD/86027/2012)., info:eu-repo/semantics/publishedVersion

It has been already shown that delivering tDCS that are spaced by an interval alters its impact on motor plasticity. These effects can be explained, based on metaplasticity in which a previous modification of activity in a neuronal network can change the effects of subsequent interventions in the same network. But to date there is limited data assessing metaplasticity effects in cognitive functioning., This work was supported by the Portuguese Foundation for Science and Technology (FCT) with two individual grants (SFRH/BPD/86041/2012 and SFRH/BPD/86027/2012).

The aim of the present study is to explore obsessive-compulsive disorder (OCD)-related abnormalities in white matter connectivity in OCD for a core region associated with inhibitory control [i.e. inferior frontal gyrus (IFG)]. Fifteen patients with OCD (11 men) and 15 healthy controls (nine men) underwent diffusion tensor imaging scanning to study four diffusivity indexes of white matter integrity [fractional anisotropy, mean diffusivity (MD), axial diffusivity and radial diffusivity (RD)]. The results showed that persons with OCD manifested significantly lower fractional anisotropy levels in the bilateral IFG as well as its parcellations in the pars opercularis, pars triangularis, and pars orbitalis. Significantly higher levels of MD, RD were evident for the OCD group in the IFG as a whole as well as in the bilateral subregions of the pars triangularis and pars opercularis (for MD and RD), the right side of the pars orbitalis (for RD), and the left side of the pars triangularis and right side pars opercularis (for axial diffusivity). Overall, the results suggest significant alterations in structural connectivity, probably associated with myelination and axonal abnormalities in the IFG of OCD patients., This work was partially supported by a research award to the first author (O.F.G.) from the Brain Imaging Network Grid/FCT (Portugal). Jorge Leite (SFRH/BPD/86027/2012) and Sandra Carvalho (SFRH/BPD/86041/2012) are supported by grants from the Portuguese Foundation for Science and Technology (FCT) and European Union (FSE-POPH).

The field of transcranial electrical stimulation (tES) has experienced significant growth in the past 15 years. One of the tES techniques leading this increased interest is transcranial direct current stimulation (tDCS). Significant research efforts have been devoted to determining the clinical potential of tDCS in humans. Despite the promising results obtained with tDCS in basic and clinical neuroscience, further progress has been impeded by a lack of clarity on international regulatory pathways. Therefore, a group of research and clinician experts on tDCS were convened to review the research and clinical use of tDCS. This report reviews the regulatory status of tDCS and summarizes the results according to research, off-label, and compassionate use of tDCS in the following countries: Australia, Brazil, France, Germany, India, Iran, Italy, Portugal, South Korea, Taiwan, and the US. Research use, off label treatment, and compassionate use of tDCS are employed in most of the countries reviewed in this study. It is critical that a global or local effort is organized to pursue definite evidence to either approve and regulate or restrict the use of tDCS in clinical practice on the basis of adequate randomized controlled treatment trials., F.F. is supported by a grant from National Institutes of Health (NIH) (Grant number 1R44NS08063201). A.R.B. is supported by the following grants: 2013 NARSAD Young Investigator from the Brain & Behavior Research Foundation (Grant Number 20493), 2013 FAPESP Young Researcher from the São Paulo State Foundation (Grant Number 20911-5) and National Council for Scientific and Technological Development (CNPq, Grant Number 470904). J.B. is supported by the 2013 NARSAD Young Investigator from the Brain & Behavior Research Foundation (Grant Number 20988). H.E. is supported by grants from Tehran University of Medical Sciences. J.L. (SFRH/BPD/86027/2012) and S.C. (SFRH/BPD/86041/2012) are supported by grants from the Portuguese Foundation for Science and Technology (FCT). C.H.J. is supported by MOST (101-2811-H-008-014). G.V. is supported by as the Department of Science and Technology (Government of India) Research Grant (SR/CSI/158/2012) as well as Wellcome Trust / DBT India Alliance Senior Fellowship Research Award (500236/Z/11/Z). N.B. is supported by a F.A.R. grant from the University of Milano-Bicocca. M.B. is supported by NIH (NINDS, NIMH, NCI), Wallace H Coulter Foundation, Grove Foundation, DoD. W.C. is supported by National Council for Scientific and Technological Development-CNPq WC-301256/2013-6. The group is also grateful to the support from the Conselho Brasileiro de Neuromodulacao Clinica – Instituto Scala.

Parkinson’s disease (PD) is a progressive neurodegenerative disorder, primarily characterized by motor symptoms such as tremor, rigidity, bradykinesia, stiffness, slowness and impaired equilibrium. Although the motor symptoms have been the focus in PD, slight cognitive deficits are commonly found in non-demented and non-depressed PD patients, even in early stages of the disease, which have been linked to the subsequent development of pathological dementia. Thus, strongly reducing the quality of life (QoL). Both levodopa therapy and deep brain stimulation (DBS) have yield controversial results concerning the cognitive symptoms amelioration in PD patients. That does not seems to be the case with transcranial direct current stimulation (tDCS), although better stimulation parameters are needed. Therefore we hypothesize that simultaneously delivering cathodal tDCS (or ctDCS), over the right prefrontal cortex delivered with anodal tDCS (or atDCS) to left prefrontal cortex could be potentially beneficial for PD patients, either by mechanisms of homeostatic plasticity and by increases in the extracellular dopamine levels over the striatum., This work was supported by the Portuguese Foundation for Science and Technology with individual Grants (SFRH/BPD/86027/ 2012) and (SFRH/BPD/86041/2012). The sponsors had no role in the establishment of the present hypothesis

O presente artigo procura ilustrar o modo como os desenvolvimentos das neurociências cognitivas poderão ajudar a compreender alguns dos processos psicológicos básicos e, simultaneamente, ser traduzidos para importantes domínios da psicologia aplicada, particularmente no domínio clínico. Exemplificaremos a partir de algumas linhas de investigação programática em curso nas diferentes subsecções do Laboratório de Neuropsicofisiologia da Escola de Psicologia da Universidade do Minho. As potencialidades metodológicas proporcionadas pela neurofisiologia, neuroimagiologia, neuromodelação, psicofisiologia, neurobioquímica e neurogenética serão exemplificadas nas suas aplicações à linguagem (e suas implicações para a compreensão da esquizofrenia), funcionamento sócio-cognitivo (e implicações para a compreensão das perturbações do neurodesenvolvimento), funcionamento executivo (com implicações para a compreensão das perturbações do espectro obsessivo), empatia (e implicações para a compreensão da psicoterapia), mecanismos de stress (com implicações para a compreensão das perturbações de ansiedade), e, finalmente, comportamento animal (com implicações para o conhecimento dos sistemas sensoriais e perceptuais)., (undefined)

Background: Task switching, defined as the ability to flexibly switch between tasks in the face of goal shifting, is a central mechanism in cognitive control. Task switching is thought to involve both prefrontal cortex (PFC) and parietal regions. Our previous work has shown that it is possible to modulate set shifting tasks using 1 mA tDCS on both the left dorsolateral prefrontal cortex and the left primary motor area. However, it remains unclear whether the effects of PFC tDCS on task switching are hemisphere-dependent.Objectives: We aimed to test the effects of three types of cross-hemispheric tDCS over the PFC (left anode right cathode [LA-RC], left cathode right anode [LC-RA] and sham stimulation) on participants' performance (reaction time) and accuracy (correct responses) in two task-switching paradigms (i.e., letter/digit naming and vowel-consonant/parity tasks).Methods: Sixteen participants received cross-hemispheric tDCS over the PFC in two task-switching paradigms.Results: The results show that cross-hemispheric tDCS over the PFC modulates task-switching ability in both paradigms. Our results were task and hemisphere-specific, such that in the letter/digit naming task, LA-RC tDCS increased switching performance, whereas LC-RA tDCS improved accuracy. On the other hand, in the vowel-consonant/parity task, LA-RC improved accuracy, and decreased switching performance.Conclusions: Our findings confirm the notion that involvement of the PFC on task switching depends critically on laterality, implying the existence of different roles for the left hemisphere and the right hemisphere in task switching., This work was supported by the Portuguese Foundation for Science and Technology with individual grants (SFRH/BD/41484/2007 and SFRH/BD/64355/2009).

Film clips are an important tool for evoking emotional responses in the laboratory. When compared with other emotionally potent visual stimuli (e.g., pictures), film clips seem to be more effective in eliciting emotions for longer periods of time at both the subjective and physiological levels. The main objective of the present study was to develop a new database of affective film clips without auditory content, based on a dimensional approach to emotional stimuli (valence, arousal and dominance). The study had three different phases: (1) the pre-selection and editing of 52 film clips (2) the self-report rating of these film clips by a sample of 113 participants and (3) psychophysiological assessment [skin conductance level (SCL) and the heart rate (HR)] on 32 volunteers. Film clips from different categories were selected to elicit emotional states from different quadrants of affective space. The results also showed that sustained exposure to the affective film clips resulted in a pattern of a SCL increase and HR deceleration in high arousal conditions (i.e., horror and erotic conditions). The resulting emotional movie database can reliably be used in research requiring the presentation of non-auditory film clips with different ratings of valence, arousal and dominance., Portuguese Foundation for Science and Technology with individual grants (SFRH/BD/41484/2007 and SFRH/BD/64355/2009)

Obsessive Compulsive Disorder (OCD) involves failures in two main inhibitory processes, namely cognitive (obsessions) and behavioral (compulsions). Recent research has supported two cortical-subcortical pathways on OCD pathogenesis: (a) the frontostriatal loop (dorsolateral-caudate-striatum-thalamus) responsible for impairments of behavioral inhibition; (b) the orbitofrontal loop (orbitofrontal, medial prefrontal and cingulate) responsible for impairments with cognitive inhibitory processes. These failures in both cognitive and motor inhibitory systems may mediate several neuropsychological deficits in these patients, namely memory, attention, planning and decision making. But are those deficits related to specific hemispheric effects, namely functional imbalance between hemispheres? In this article we hypothesize that: (1) OCD patients have an inter-hemispheric functional imbalance, probably due to inadequate filtering at the thalamic level; (2) the restoration of inter-hemispheric balance, will be correlative to symptomatic improvement.

In this study, we tested the effects of transcranial Direct Current Stimulation (tDCS) on two set shifting tasks. Set shifting ability is defined as the capacity to switch between mental sets or actions and requires the activation of a distributed neural network. Thirty healthy subjects (fifteen per site) received anodal, cathodal and sham stimulation of the dorsolateral prefrontal cortex (DLPFC) or the primary motor cortex (M1). We measured set shifting in both cognitive and motor tasks. The results show that both anodal and cathodal single session tDCS can modulate cognitive and motor tasks. However, an interaction was found between task and type of stimulation as anodal tDCS of DLPFC and M1 was found to increase performance in the cognitive task, while cathodal tDCS of DLPFC and M1 had the opposite effect on the motor task. Additionally, tDCS effects seem to be most evident on the speed of changing sets, rather than on reducing the number of errors or increasing the efficacy of irrelevant set filtering., FCT SFRH/BD/41484/2007 and SFRH/BD/64355/ 2009

Some authors have speculated that the cognitive component (P3) of the Event-Related Potential (ERP) can function as a psychophysiological measure of sexual interest. The aim of this study was to determine if the P3 ERP component in a workload task can be used as a specific and objective measure of sexual motivation by comparing the neurophysiologic response to stimuli of motivational relevance with different levels of valence and arousal. A total of 30 healthy volunteers watched different films clips with erotic, horror, social-positive and social-negative content, while answering an auditory oddball paradigm. Erotic film clips resulted in larger interference when compared to both the social-positive and auditory alone conditions. Horror film clips resulted in the highest levels of interference with smaller P3 amplitudes than erotic and also than social-positive, social-negative and auditory alone condition. No gender differences were found. Both horror and erotic film clips significantly decreased heart rate (HR) when compared to both social-positive and social-negative films. The erotic film clips significantly increased the skin conductance level (SCL) compared to the social-negative films. The horror film clips significantly increased the SCL compared to both social-positive and social-negative films. Both the highly arousing erotic and non-erotic (horror) movies produced the largest decrease in the P3 amplitude, a decrease in the HR and an increase in the SCL. These data support the notion that this workload task is very sensitive to the attentional resources allocated to the film clip, although they do not act as a specific index of sexual interest. Therefore, the use of this methodology seems to be of questionable utility as a specific measure of sexual interest or as an objective measure of the severity of Hypoactive Sexual Desire Disorder., BIAL grant ‘‘The Neuropsychophysiological Basis of Empathy: The Role of Neuroendocrine; Autonomic and Central Nervous System Variables’’, Fundação para a Ciência e a Tecnologia (FCT) - SFRH/BD/64355/2009, SFRH/BD/41484/2007, Spanish Xunta de Galicia (DOG 233 –Resolution date: 2009 November 18)