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The experience of premenstrual syndrome (PMS) affects up to 90% of individuals with an active menstrual cycle and involves a spectrum of aversive physiological and psychological symptoms in the days leading up to menstruation (Tschudin et al., 2010). Despite its high prevalence, the precise origins of PMS remain elusive, with influences ranging from hormonal fluctuations to cognitive, social, and cultural factors (Hunter, 2007; Matsumoto et al., 2013).
Biologically, hormonal fluctuations, particularly in gonadal steroids, are commonly believed to be implicated in PMS, with the central factor being varying susceptibilities to the fluctuations between individuals and cycles (Rapkin & Akopians, 2012). Allopregnanolone (ALLO), a neuroactive steroid and progesterone metabolite, has emerged as a potential link to PMS symptoms (Hantsoo & Epperson, 2020). ALLO is a positive allosteric modulator of the GABAA receptor, influencing inhibitory communication (Rupprecht, 2003; Andréen et al., 2006). Different susceptibility to ALLO fluctuations throughout the cycle may lead to reduced GABAergic signal transmission during the luteal phase of the menstrual cycle.
The GABAergic system's broad influence leads to a number of affected physiological systems, including a consistent reduction in vagally mediated heart rate variability (vmHRV) during the luteal phase (Schmalenberger et al., 2019). This reduction in vmHRV is more pronounced in individuals with high PMS symptoms (Baker et al., 2008; Matsumoto et al., 2007). Fear conditioning studies have shown inconsistent associations with cycle phases, suggesting a complex interplay between physiological parameters and PMS-related symptoms (Carpenter et al., 2022; Epperson et al., 2007; Milad et al., 2006).
The neurovisceral integration model posits that vmHRV reflects the capacity of the central autonomous network (CAN), which is responsible for regulatory processes on behavioral, cognitive, and autonomous levels (Thayer & Lane, 2000, 2009). Fear learning, mediated within the CAN, is suggested to be indicative of vmHRV's capacity for successful
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regulation (Battaglia & Thayer, 2022). Given the GABAergic mediation of central inhibitory functional connectivity in the CAN, which may be affected by ALLO fluctuations, this thesis proposes that fluctuating CAN activity in the luteal phase contributes to diverse aversive symptoms in PMS.
A research program was designed to empirically test these propositions. Study 1 investigated fear discrimination during different menstrual cycle phases and its interaction with vmHRV, revealing nuanced effects on acoustic startle response and skin conductance response. While there was heightened fear discrimination in acoustic startle responses in participants in the luteal phase, there was an interaction between menstrual cycle phase and vmHRV in skin conductance responses. In this measure, heightened fear discrimination during the luteal phase was only visible in individuals with high resting vmHRV; those with low vmHRV showed reduced fear discrimination and higher overall responses.
Despite affecting the vast majority of menstruating people, there are very limited tools available to reliably assess these symptoms in the German speaking area. Study 2 aimed at closing this gap, by translating and validating a German version of the short version of the Premenstrual Assessment Form (Allen et al., 1991), providing a reliable tool for future investigations, which closes the gap in PMS questionnaires in the German-speaking research area.
Study 3 employed a diary study paradigm to explore daily associations between vmHRV and PMS symptoms. The results showed clear simultaneous fluctuations between the two constructs with a peak in PMS and a low point in vmHRV a few days before menstruation onset. The association between vmHRV and PMS was driven by psychological PMS symptoms.
Based on the theoretical considerations regarding the neurovisceral perspective on PMS, another interesting construct to consider is attentional control, as it is closely related to functions of the CAN. Study 4 delved into attentional control and vmHRV differences between menstrual cycle phases, demonstrating an interaction between cycle phase and PMS symptoms. In a pilot, we found reduced vmHRV and attentional control during the luteal phase only in participants who reported strong PMS.
While Studies 1-4 provided evidence for the mechanisms underlying PMS, Studies 5 and 6 investigated short- and long-term intervention protocols to ameliorate PMS symptomatology. Study 5 explored the potential of heart rate variability biofeedback (HRVB) in alleviating PMS symptoms and a number of other outcome measures. In a waitlist-control design, participants underwent a 4-week smartphone-based HRVB intervention. The results revealed positive effects on PMS, with larger effect sizes on psychological symptoms, as well as on depressive symptoms, anxiety/stress and attentional control.
Finally, Study 6 examined the acute effects of HRVB on attentional control. The study found positive impact but only in highly stressed individuals.
The thesis, based on this comprehensive research program, expands our understanding of PMS as an outcome of CAN fluctuations mediated by GABAA receptor reactivity. The results largely support the model. These findings not only deepen our understanding of PMS but also offer potential avenues for therapeutic interventions. The promising results of smartphone-based HRVB training suggest a non-pharmacological approach to managing PMS symptoms, although further research is needed to confirm its efficacy.
In conclusion, this thesis illuminates the complex web of factors contributing to PMS, providing valuable insights into its etiological underpinnings and potential interventions. By elucidating the relationships between hormonal fluctuations, CAN activity, and psychological responses, this research contributes to more effective treatments for individuals grappling with the challenges of PMS. The findings hold promise for improving the quality of life for those affected by this prevalent and often debilitating condition.
Due to their ability to capture attention, emotional stimuli tend to benefit from enhanced perceptual processing, which can be helpful when such stimuli are task-relevant but hindering when they are task-irrelevant. Altered emotion-attention interactions have been associated with symptoms of affective disturbances, and emerging research focuses on improving emotion-attention interactions to prevent or treat affective disorders. In line with the Human Affectome Project's emphasis on linguistic components, we also analyzed the language used to describe attention-related aspects of emotion, and highlighted terms related to domains such as conscious awareness, motivational effects of attention, social attention, and emotion regulation. These terms were discussed within a broader review of available evidence regarding the neural correlates of (1) Emotion-Attention Interactions in Perception, (2) Emotion-Attention Interactions in Learning and Memory, (3) Individual Differences in Emotion-Attention Interactions, and (4) Training and Interventions to Optimize Emotion-Attention Interactions. This comprehensive approach enabled an integrative overview of the current knowledge regarding the mechanisms of emotion-attention interactions at multiple levels of analysis, and identification of emerging directions for future investigations.
Visual perception is a complex and dynamic process that plays a crucial role in how we perceive and interact with the world. The eyes move in a sequence of saccades and fixations, actively modulating perception by moving different parts of the visual world into focus. Eye movement behavior can therefore offer rich insights into the underlying cognitive mechanisms and decision processes. Computational models in combination with a rigorous statistical framework are critical for advancing our understanding in this field, facilitating the testing of theory-driven predictions and accounting for observed data. In this thesis, I investigate eye movement behavior through the development of two mechanistic, generative, and theory-driven models. The first model is based on experimental research regarding the distribution of attention, particularly around the time of a saccade, and explains statistical characteristics of scan paths. The second model implements a self-avoiding random walk within a confining potential to represent the microscopic fixational drift, which is present even while the eye is at rest, and investigates the relationship to microsaccades. Both models are implemented in a likelihood-based framework, which supports the use of data assimilation methods to perform Bayesian parameter inference at the level of individual participants, analyses of the marginal posteriors of the interpretable parameters, model comparisons, and posterior predictive checks. The application of these methods enables a thorough investigation of individual variability in the space of parameters. Results show that dynamical modeling and the data assimilation framework are highly suitable for eye movement research and, more generally, for cognitive modeling.
Dementia as one of the most prevalent diseases urges for a better understanding of the central mechanisms responsible for clinical symptoms, and necessitates improvement of actual diagnostic capabilities. The brainstem nucleus locus coeruleus (LC) is a promising target for early diagnosis because of its early structural alterations and its relationship to the functional disturbances in the patients. In this study, we applied our improved method of localisation-based LC resting-state fMRI to investigate the differences in central sensory signal processing when comparing functional connectivity (fc) of a patient group with mild cognitive impairment (MCI, n = 28) and an age-matched healthy control group (n = 29). MCI and control participants could be differentiated in their Mini-Mental-State-Examination (MMSE) scores (p < .001) and LC intensity ratio (p = .010). In the fMRI, LC fc to anterior cingulate cortex (FDR p < .001) and left anterior insula (FDR p = .012) was elevated, and LC fc to right temporoparietal junction (rTPJ, FDR p = .012) and posterior cingulate cortex (PCC, FDR p = .021) was decreased in the patient group. Importantly, LC to rTPJ connectivity was also positively correlated to MMSE scores in MCI patients (p = .017). Furthermore, we found a hyperactivation of the left-insula salience network in the MCI patients. Our results and our proposed disease model shed new light on the functional pathogenesis of MCI by directing to attentional network disturbances, which could aid new therapeutic strategies and provide a marker for diagnosis and prediction of disease progression.
Intelligence, as well as working memory and attention, affect the acquisition of mathematical competencies. This paper aimed to examine the influence of working memory and attention when taking different mathematical skills into account as a function of children’s intellectual ability. Overall, intelligence, working memory, attention and numerical skills were assessed twice in 1868 German pre-school children (t1, t2) and again at 2nd grade (t3). We defined three intellectual ability groups based on the results of intellectual assessment at t1 and t2. Group comparisons revealed significant differences between the three intellectual ability groups. Over time, children with low intellectual ability showed the lowest achievement in domain-general and numerical and mathematical skills compared to children of average intellectual ability. The highest achievement on the aforementioned variables was found for children of high intellectual ability. Additionally, path modelling revealed that, depending on the intellectual ability, different models of varying complexity could be generated. These models differed with regard to the relevance of the predictors (t2) and the future mathematical skills (t3). Causes and conclusions of these findings are discussed.
The interplay between cognitive and oculomotor processes during reading can be explored when the spatial layout of text deviates from the typical display. In this study, we investigate various eye-movement measures during reading of text with experimentally manipulated layout (word-wise and letter-wise mirrored-reversed text as well as inverted and scrambled text). While typical findings (e.g., longer mean fixation times, shorter mean saccades lengths) in reading manipulated texts compared to normal texts were reported in earlier work, little is known about changes of oculomotor targeting observed in within-word landing positions under the above text layouts. Here we carry out precise analyses of landing positions and find substantial changes in the so-called launch-site effect in addition to the expected overall slow-down of reading performance. Specifically, during reading of our manipulated text conditions with reversed letter order (against overall reading direction), we find a reduced launch-site effect, while in all other manipulated text conditions, we observe an increased launch-site effect. Our results clearly indicate that the oculomotor system is highly adaptive when confronted with unusual reading conditions.
Are individual differences in reading speed related to extrafoveal visual acuity and crowding?
(2015)
Readers differ considerably in their speed of self-paced reading. One factor known to influence fixation durations in reading is the preprocessing of words in parafoveal vision. Here we investigated whether individual differences in reading speed or the amount of information extracted from upcoming words (the preview benefit) can be explained by basic differences in extrafoveal vision-i.e., the ability to recognize peripheral letters with or without the presence of flanking letters. Forty participants were given an adaptive test to determine their eccentricity thresholds for the identification of letters presented either in isolation (extrafoveal acuity) or flanked by other letters (crowded letter recognition). In a separate eye-tracking experiment, the same participants read lists of words from left to right, while the preview of the upcoming words was manipulated with the gaze-contingent moving window technique. Relationships between dependent measures were analyzed on the observational level and with linear mixed models. We obtained highly reliable estimates both for extrafoveal letter identification (acuity and crowding) and measures of reading speed (overall reading speed, size of preview benefit). Reading speed was higher in participants with larger uncrowded windows. However, the strength of this relationship was moderate and it was only observed if other sources of variance in reading speed (e.g., the occurrence of regressive saccades) were eliminated. Moreover, the size of the preview benefit-an important factor in normal reading-was larger in participants with better extrafoveal acuity. Together, these results indicate a significant albeit moderate contribution of extrafoveal vision to individual differences in reading speed.
Previous research on the interplay between static manual postures and visual attention revealed enhanced visual selection near the hands (near-hand effect). During active movements there is also superior visual performance when moving toward compared to away from the stimulus (direction effect). The "modulated visual pathways" hypothesis argues that differential involvement of magno- and parvocellular visual processing streams causes the near-hand effect. The key finding supporting this hypothesis is an increase in temporal and a reduction in spatial processing in near-hand space (Gozli et al., 2012). Since this hypothesis has, so far, only been tested with static hand postures, we provide a conceptual replication of Gozli et al.'s (2012) result with moving hands, thus also probing the generality of the direction effect. Participants performed temporal or spatial gap discriminations while their right hand was moving below the display. In contrast to Gozli et al (2012), temporal gap discrimination was superior at intermediate and not near hand proximity. In spatial gap discrimination, a direction effect without hand proximity effect suggests that pragmatic attentional maps overshadowed temporal/spatial processing biases for far/near-hand space.
Coupling of attention and saccades when viewing scenes with central and peripheral degradation
(2016)
Degrading real-world scenes in the central or the peripheral visual field yields a characteristic pattern: Mean saccade amplitudes increase with central and decrease with peripheral degradation. Does this pattern reflect corresponding modulations of selective attention? If so, the observed saccade amplitude pattern should reflect more focused attention in the central region with peripheral degradation and an attentional bias toward the periphery with central degradation. To investigate this hypothesis, we measured the detectability of peripheral (Experiment 1) or central targets (Experiment 2) during scene viewing when low or high spatial frequencies were gaze-contingently filtered in the central or the peripheral visual field. Relative to an unfiltered control condition, peripheral filtering induced a decrease of the detection probability for peripheral but not for central targets (tunnel vision). Central filtering decreased the detectability of central but not of peripheral targets. Additional post hoc analyses are compatible with the interpretation that saccade amplitudes and direction are computed in partial independence. Our experimental results indicate that task-induced modulations of saccade amplitudes reflect attentional modulations.
The interruption of learning processes by breaks filled with diverse activities is common in everyday life. We investigated the effects of active computer gaming and passive relaxation (rest and music) breaks on working memory performance. Young adults were exposed to breaks involving (i) eyes-open resting, (ii) listening to music and (iii) playing the video game “Angry Birds” before performing the n-back working memory task. Based on linear mixed-effects modeling, we found that playing the “Angry Birds” video game during a short learning break led to a decline in task performance over the course of the task as compared to eyes-open resting and listening to music, although overall task performance was not impaired. This effect was associated with high levels of daily mind wandering and low self-reported ability to concentrate. These findings indicate that video games can negatively affect working memory performance over time when played in between learning tasks. We suggest further investigation of these effects because of their relevance to everyday activity.
Cognitive psychology is traditionally interested in the interaction of perception, cognition, and behavioral control. Investigating eye movements in reading constitutes a field of research in which the processes and interactions of these subsystems can be studied in a well-defined environment. Thereby, the following questions are pursued: How much information is visually perceived during a fixation, how is processing achieved and temporally coordinated from visual letter encoding to final sentence comprehension, and how do such processes reflect on behavior such as the control of the eyes’ movements during reading. Various theoretical models have been proposed to account for the specific eye-movement behavior in reading (for a review see Reichle, Rayner, & Pollatsek, 2003). Some models are based on the idea of shifting attention serially from one word to the next within the sentence whereas others propose distributed attention allocating processing resources to more than one word at a time. As attention is assumed to drive word recognition processes one major difference between these models is that word processing must either occur in strict serial order, or that word processing is achieved in parallel. In spite of this crucial difference in the time course of word processing, both model classes perform well on explaining many of the benchmark effects in reading. In fact, there seems to be not much empirical evidence that challenges the models to a point at which their basic assumptions could be falsified. One issue often perceived as being decisive in the debate on serial and parallel word processing is how not-yet-fixated words to the right of fixation affect eye movements. Specifically, evidence is discussed as to what spatial extent such parafoveal words are previewed and how this influences current and subsequent word processing. Four experiments investigated parafoveal processing close to the spatial limits of the perceptual span. The present work aims to go beyond mere existence proofs of previewing words at such spatial distances. Introducing a manipulation that dissociates the sources of long-range preview effects, benefits and costs of parafoveal processing can be investigated in a single analysis and the differing impact is tracked across a three-word target region. In addition, the same manipulation evaluates the role of oculomotor error as the cause of non-local distributed effects. In this respect, the results contribute to a better understanding of the time course of word processing inside the perceptual span and attention allocation during reading.
When top sports performers fail or “choke” under pressure, everyone asks: why? Research has identified a number of conditions (e.g. an audience) that elicit choking and that moderate (e.g. trait-anxiety) pressure – performance relation. Furthermore, mediating processes have been investigated. For example, explicit monitoring theories link performance failure under psychological stress to an increase in attention paid to a skill and its step-by-step execution (Beilock & Carr, 2001). Many studies have provided support for these ideas. However, so far only overt performance measures have been investigated which do not allow more thorough analyses of processes or performance strategies. But also a theoretical framework has been missing, that could (a) explain the effects of explicit monitoring on skill execution and that (b) makes predictions as to what is being monitored during execution. Consequently in this study, the nodalpoint hypothesis of motor control (Hossner & Ehrlenspiel, 2006) was taken to predict movement changes on three levels of analysis at certain “nodalpoints” within the movement sequence. Performance in two different laboratory tasks was assessed with respect to overt performance (the observable result, for example accuracy in the target), covert performance (description of movement execution, for example the acceleration of body segements) and task exploitation (the utilization of task properties such as covariation). A fake competition (see Beilock & Carr, 2002) was used to invoke pressure. In study 1 a ball bouncing task in a virtual-reality set-up was chosen. Previous studies (de Rugy, Wei, Müller, & Sternad, 2003) have shown that learners are usually able to “passively” exploit the dynamical stability of the system. According to explicit monitoring theories, choking should be expected either if the task itself evokes an “active control” (Experiment 1) or if learners are provided with explicit instructions (Experiment 2). In both experiments, participants first went through a practice phase on day 1. On day 2, following the Baseline Test participants were divided into a High-Stress or No-Stress Group for the final Performance Test. The High-Stress Group entered a fake competition. Overt performance was measured by the Absolute Error (AE) of ball amplitudes from target height; covert performance was measured by Period Modulation between successive hits and task exploitation was measured by Acceleration (AC) at ball-racket impact and Covariation (COV) of impact parameters. To evoke active control in Exp. 1 (N=20), perturbations to the ball flight were introduced. In Exp. 2 (N=39) half of the participants received explicit skill-focused instructions during learning. For overt performance, results generally show an interaction between Stress Group and Test, with better performance (i. e. lower AE) for the High-Stress group in the final Performance Test. This effect is also independent of the Instructions that participants had received during learning (Exp. 2). Similar effects were found for COV but not for AC. In study 2 a visuomotor tracking task in which participants had to pursuit a target cross that was moving on an invisible curve. This curve consisted of 3 segments of 6 turning points sequentially ordered around the x-axis. Participants learned two short movement sequences which were then concatenated to form a single sequence. It was expected that under pressure, this sequence should “fall apart” at the point of concatenation. Overt Performance was assessed by the Root Mean Square Error between target and pursuit cross as well as the Absolute Error at the turning points, covert performance was measured by the Latency from target to pursuit turning and task exploitation was measured by the temporal covariation between successive intervals between turning points. Experiment 3 (intraindividual variation) as well as Experiment 4 (interindividual variation) show performance enhancement in the pressure situation on the overt level with matching results on covert and task exploitation level. Thus, contrary to previous studies, no choking under pressure was found in any of the experiments. This may be interpreted as a failure in the experimental manipulation. But certainly also important characteristics of the task are highlighted. Choking should occur in tasks where performers do not have the time to use action or thought control strategies, that are more relevant to their “self” and that are discrete in nature.
Nikotin in den unterschiedlichsten Darreichungsformen verringert bei verschiedenen Spezies im räumlichen Hinweisreizparadigma die Kosten invalider Hinweisreize. Welcher Teilprozess genau durch Nikotin beeinflusst wird, ist bislang nicht untersucht worden. Die gängige Interpretation ist, daß Nikotin das Loslösen von Aufmerksamkeit von einem bisher beachteten Ort erleichtert. In fünf Studien, drei elektrophysiologischen und zwei behavioralen wurden drei mögliche Mechanismen der Nikotinwirkung an Nichtrauchern untersucht. Experiment 1 und 2 gingen der Frage nach, ob Nikotin eine Modulation sensorischer gain Kontrolle bewirkt. Dazu wurden ereigniskorrelierte Potentiale (EKP) im Posner-Paradigma erhoben und die Wirkung von Nikotin auf die aufmerksamkeitsassoziierten Komponenten P1 und N1 betrachtet. Nikotin verringerte die Kosten invalider Hinweisreize bei Aufmerksamkeitslenkung durch endogene Hinweisreize, nicht aber bei exogenen Hinweisreizen. Die P1 und N1 Komponenten zeigten sich unbeeinflusst von Nikotin, damit findet also die Annahme einer Wirkung auf sensorische Suppression keine Unterstützung. In Experiment 3 und 4 wurde untersucht, ob Nikotin einen Effekt auf kostenträchtige unwillkürliche Aufmerksamkeitsverschiebungen, Distraktionen, hat. In Experiment 3 wurden in einem räumlichen Daueraufmerksamkeitsparadigma Distraktionen durch deviante Stimulusmerkmale ausgelöst und die Wirkung von Nikotin auf eine distraktionsassoziierte Komponente des EKP, die P3a, betrachtet. In Experiment 4 wurde in einem Hinweisreizparadigma durch zusätzliche Stimuli eine Distraktion ausgelöst und die Nikotinwirkung auf die Reaktionszeitkosten untersucht. Nikotin zeigte keinen Einfluss auf Distraktionskosten in beiden Studien und auch keine Wirkung auf die P3a Komponente in Experiment 3. In Experiment 4 wurde zusätzlich die Wirkung von Nikotin auf das Loslösen von Aufmerksamkeit untersucht, indem die Schwierigkeit des Loslösens variiert wurde. Auch hier zeigte sich keine Nikotinwirkung. Allerdings konnte in beiden Studien weder die häufig berichtete generelle Reaktionszeitverkürzung noch die Verringerung der Kosten invalider Hinweisreize repliziert werden, so dass zum Einen keine Aussage über die Wirkung von Nikotin auf Distraktionen oder den Aufmerksamkeitsloslöseprozess gemacht werden können, zum Anderen sich die Frage stellte, unter welchen Bedingungen Nikotin einen differentiellen Effekt überhaupt zeigt. Im letzten Experiment wurde hierzu die Häufigkeit der Reaktionsanforderung einerseits und die zeitlichen Aspekte der Aufmerksamkeitslenkung andererseits variiert und der Effekt des Nikotins auf den Validitätseffekt, die Reaktionszeitdifferenz zwischen valide und invalide vorhergesagten Zielreizen, betrachtet. Nikotin verringerte bei Individuen, bei denen Aufmerksamkeitslenkung in allen Bedingungen evident war, in der Tendenz den Validitätseffekt in der ereignisärmsten Bedingung, wenn nur selten willentliche Aufmerksamkeitsausrichtung notwendig war. Dies könnte als Hinweis gedeutet werden, dass Nikotin unter Bedingungen, die große Anforderungen an die Vigilanz stellen, die top-down Zuweisung von Aufmerksamkeitsressourcen unterstützt.