No abstract

The attention system functionally modulates brain activity to exert control over thoughts, feelings and actions. Three distinct but mutually interacting components of attention have been hypothesized: alerting, which mediates the maintenance of a state of vigilance toward an upcoming stimulus; orienting, which supports the selection of sensory information, and executive control that is involved in detecting and resolving cognitive conflicts. The performance of tasks probing these components engages fronto-parietal and thalamic regions. Also, general attention has been associated with the activity of resting-state networks (RSNs), which are sets of brain regions with synchronous temporal fluctuations. Importantly, the association between the intrinsic brain activity of RSNs and the efficiency and integration of the specific attentional components remains largely unexplored. For this aim, we recruited twenty healthy volunteers who performed the Attention Network Test-Revised (ANT-R), assessing the alerting, orienting and executive control components as well as their interactions, and underwent resting-state functional magnetic resonance imaging. For each participant RSNs were estimated using double regression. The RSNs spanning across areas previously implicated in attentional processing were correlated with ANT-R scores using multiple regressions. Significant brain behavior correlations emerged between ANT-R scores and RSNs comprising the regions relevant for attentional processing, i.e., left and right prefronto-parietal (PFC-PC), dorsal attentional (DAN), salience (SN), and default mode (DMN) networks. The activity of PFC-PC networks was correlated with alerting in parietal and frontal regions, and with location conflict in the frontal regions. The DAN connectivity was correlated with flanker, location conflict, and their interaction in parietal regions. SN was associated with flanker by location and flanker by orienting interactions in the inferior frontal regions. Finally, the activity of the DMN was associated with flanker conflict in midline structures such as precuneus and anterior cingulate cortex and also in right angular gyrus. These results suggest that the brain is endowed with an intrinsic functional organization to support attention, not only in its global function, but also in its distinct components.

This observational cohort study investigated the relationship between alexithymia, coping strategies, anxiety, depression, pulmonary function, and disease control in bronchial asthma (BA) patients who attended a tertiary care center between December 2010 and November 2011. Participants (N = 117) were administered self-report scales measuring anxiety, depression, alexithymia, and coping strategies. Pulmonary function expressed as forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), forced expiratory flow rate over the middle 50% of the FVC (FEF25-75) as% predicted and FEV1/FVC as%, fractional exhaled nitric oxide (FeNO) in ppb and the Asthma Control Test (ACT) were recorded. A hierarchical cluster analysis revealed two clusters of patients with different FEV1 values (p < .001) and alexithymia scores (p < .001). The cluster with lower FEV1 and higher alexithymia used more maladaptive coping strategies (p < .05), and had lower ACT scores (p < .05). Alexithymia was significantly associated with the severity of depression and anxiety symptoms (p < .001 for each comparison). In BA patients, alexithymia was associated with worse pulmonary function and disease control and a more frequent use of maladaptive coping strategies. These results support a multidimensional approach to asthmatic patients, including psychoeducational and behavioral interventions aimed at reducing maladaptive coping strategies.

Narcissistic personality disorder (NPD) is associated with both seeming indifference and hypersensitivity to social feedback. This study evaluated whether rejection sensitivity and empathic difficulties in NPD are accounted for by altered facial emotion recognition (FER). Two-hundred non-clinical individuals self-reported NPD features, rejection sensitivity, and empathy and performed an FER task assessing the ability to determine the presence or absence of an emotion when viewing neutral and negative facial stimuli presented at varying emotional intensities (25%, 50%, 75%). Those with higher NPD features were faster at accurately recognizing neutral and low, 25%-intensity emotional stimuli. This response pattern mediated the association between NPD features and increased anger about rejection. Thus, individuals with high NPD traits are hypervigilant toward subtle negative emotions and neutral expressions; this may explain their tendency to experience intense angry feelings when facing the possibility that the others would not meet their need for acceptance.

Introduction Effortful control (EC) is the self‐regulatory aspect of temperament that is thought to reflect the efficiency of executive attention (EA). Findings on relationship between EC and performance on EA tasks among adults are still contradictory. This study used a computational approach to clarify whether greater self‐reported EC reflects better EA. Methods Four hundred twenty‐seven healthy subjects completed the Adult Temperament Questionnaires and the Attention Network Task‐revised, a conflict resolution task that gauges EA as the flanker effect (FE), that is, the difference in performances between incongruent and congruent trials. Here we also employed a drift‐diffusion model in which parameters reflecting the actual decisional process (drift rate) and the extra‐decisional time are extracted for congruent and incongruent trials. Results EC was not correlated with the FE computed with the classic approach, but correlated positively with drift rate for the incongruent trials, even when controlling for the drift rate in the congruent condition and the extra‐decisional time in the incongruent condition. Conclusion This study demonstrates an association between self‐reported EC and EA among adults. Specifically, EC is not associated with overall response facilitation but specifically with a greater ability to make goal‐oriented decisions when facing conflicting information.