2021
DOI: 10.1038/s41583-021-00428-w
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Cognitive and behavioural flexibility: neural mechanisms and clinical considerations

Abstract: Cognitive and behavioural flexibility permit the appropriate adjustment of thoughts and behaviours in response to changing environmental demands. Brain mechanisms enabling flexibility have been examined using non-invasive neuroimaging and behavioural approaches in humans alongside pharmacological and lesion studies in animals. This work has identified large-scale functional brain networks encompassing lateral and orbital frontoparietal, midcingulo-insular and frontostriatal regions that support flexibility acr… Show more

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Cited by 359 publications
(326 citation statements)
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References 144 publications
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“…We hope this discussion will help to generate enthusiasm for adopting a more dynamic perspective in attempting to understand the emergence of mental phenomena from biophysical processes. It may be difficult to overstate the importance of network flexibility for not just basic, but also applied sciences, since psychological flexibility constitutes a general factor for resilience across clinical and non-clinical contexts (Davis et al, 2020;Hayes, 2019;Hinton & Kirmayer, 2017;Uddin, 2021). Perhaps more fundamentally, there may be few things more impactful than obtaining a better understanding of factors contributing to the abilities of systems to adapt in a complex, uncertain, and constantly changing world.…”
Section: Discussionmentioning
confidence: 99%
“…We hope this discussion will help to generate enthusiasm for adopting a more dynamic perspective in attempting to understand the emergence of mental phenomena from biophysical processes. It may be difficult to overstate the importance of network flexibility for not just basic, but also applied sciences, since psychological flexibility constitutes a general factor for resilience across clinical and non-clinical contexts (Davis et al, 2020;Hayes, 2019;Hinton & Kirmayer, 2017;Uddin, 2021). Perhaps more fundamentally, there may be few things more impactful than obtaining a better understanding of factors contributing to the abilities of systems to adapt in a complex, uncertain, and constantly changing world.…”
Section: Discussionmentioning
confidence: 99%
“…During the extradimensional shift, rats are rewarded for using a previously unrewarded exemplar to guide decision-making. Although cognitive flexibility refers to an organisms’ ability to switch between stimuli dimensions or strategies in order to respond adaptively, this phenomenon necessitates the ability to inhibit a more automatic response in favor of a less automatic response, and this how often made it difficult to parse differences in the neurobiological mechanisms underlying flexibility and those underlying inhibitory control [ 114 ].…”
Section: Functional Dissection Of Inhibitory Controlmentioning
confidence: 99%
“…The cerebellum in particular, which has direct connections with RN and seems more than likely to be involved in facilitating control, need further investigation and incorporation into existing frameworks. Moreover, understanding whether and how the circuitry underlying inhibitory control changes across the lifespan is important, as deficits in control generally, as well as specific deficits in proactive and reactive forms of inhibitory control, are common symptoms of numerous neurological and neuropsychiatric illnesses [ 36 , 114 , 163 ].…”
Section: Summary and Future Directionsmentioning
confidence: 99%
“…Behavioural adjustment to novel situations is necessary in order to adaptively modify behaviour in dynamic environments, and requires information updating and monitoring necessary for effective cue processing and strategy definition (Seu et al, 2009; Dajani and Uddin, 2015; Uddin, 2021). Consequently, deficits in these processes considerably impact individuals’ ability to learn from the outcomes of their actions and might decrease the quality of their decisions.…”
Section: Introductionmentioning
confidence: 99%