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Individual differences in interoceptive accuracy and prediction error in motor functional neurological disorders: A DTI study.

ABSTRACT: In motor functional neurological disorders (mFND), relationships between interoception (a construct of high theoretical relevance to its pathophysiology) and neuroanatomy have not been previously investigated. This study characterized white matter in mFND patients compared to healthy controls (HCs), and investigated associations between fiber bundle integrity and cardiac interoception. Voxel-based analysis and tractography quantified fractional anisotropy (FA) in 38 mFND patients compared to 38 HCs. Secondary analyses compared functional seizures (FND-seiz; n = 21) or functional movement disorders (n = 17) to HCs. Network lesion mapping identified gray matter origins of implicated fiber bundles. Within-group mFND analyses investigated relationships between FA, heartbeat tracking accuracy and interoceptive trait prediction error (discrepancies between interoceptive accuracy and self-reported bodily awareness). Results were corrected for multiple comparisons, and all findings were adjusted for depression and trait anxiety. mFND and HCs did not show any between-group interoceptive accuracy or FA differences. However, the FND-seiz subgroup compared to HCs showed decreased integrity in right-lateralized tracts: extreme capsule/inferior fronto-occipital fasciculus, arcuate fasciculus, inferior longitudinal fasciculus, and thalamic/striatum to occipital cortex projections. These alterations originated predominantly from the right temporoparietal junction and inferior temporal gyrus. In mFND patients, individual differences in interoceptive accuracy and interoceptive trait prediction error correlated with fiber bundle integrity originating from the insula, temporoparietal junction, putamen and thalamus among other regions. In this first study investigating brain-interoception relationships in mFND, individual differences in interoceptive accuracy and trait prediction error mapped onto multimodal integration-related fiber bundles. Right-lateralized limbic and associative tract disruptions distinguished FND-seiz from HCs.

SUBMITTER: Sojka P

PROVIDER: S-EPMC7927304 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature

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Individual differences in interoceptive accuracy and prediction error in motor functional neurological disorders: A DTI study.

Sojka Petr P Diez Ibai I Bareš Martin M Perez David L DL

Human brain mapping 20201207 5

In motor functional neurological disorders (mFND), relationships between interoception (a construct of high theoretical relevance to its pathophysiology) and neuroanatomy have not been previously investigated. This study characterized white matter in mFND patients compared to healthy controls (HCs), and investigated associations between fiber bundle integrity and cardiac interoception. Voxel-based analysis and tractography quantified fractional anisotropy (FA) in 38 mFND patients compared to 38 ...[more]

PMID: 33615622

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Project description:BACKGROUND:Insecure attachment and maladaptive coping are important predisposing vulnerabilities for Functional Neurological Disorders (FND)/Conversion Disorder, yet no prior structural neuroimaging studies have investigated biomarkers associated with these risk factors in FND populations. This magnetic resonance imaging study examined cortical thickness and subcortical volumes associated with self-reported attachment and coping styles in patients with FND. We hypothesized that insecure attachment and maladaptive coping would relate to limbic-paralimbic structural alterations. METHODS:FreeSurfer cortical thickness and subcortical volumetric analyses were performed in 26 patients with motor FND (21 women; 5 men) and 27 healthy controls (22 women; 5 men). For between-group comparisons, patients with FND were stratified by Relationship Scales Questionnaire, Ways of Coping Scale-Revised, and Connor-Davidson Resilience Scale scores. Within-group analyses were also performed in patients with FND. All analyses were performed in the complete cohort and separately in women only to evaluate for gender-specific effects. Cortical thickness analyses were whole-brain corrected at the cluster-wise level; subcortical analyses were Bonferroni corrected. RESULTS:In women with FND, dismissing attachment correlated with reduced left parahippocampal cortical thickness. Confrontive coping was associated with reduced right hippocampal volume, while accepting responsibility positively correlated with right precentral gyrus cortical thickness. These findings held adjusting for anti-depressant use. All FND-related findings were within the normal range when compared to healthy women. CONCLUSION:These observations connect individual-differences in limbic-paralimbic and premotor structures to attachment and coping styles in FND. The relationship between parahippocampal thickness and dismissing attachment may indicate aberrant social-emotional and contextual appraisal in women with FND.

Project description:Detecting and evaluating errors in action execution is essential for learning. Through complex interactions of the inverse and the forward model, the human motor system can predict and subsequently adjust ongoing or subsequent actions. Inputs to such a prediction are efferent and afferent signals from various sources. The aim of the current study was to examine the impact of visual as well as a combination of efferent and proprioceptive input signals to error prediction in a complex motor task. Predicting motor errors has been shown to be correlated with a neural signal known as the error-related negativity (Ne/ERN). Here, we tested how the Ne/ERN amplitude was modulated by the availability of different sensory signals in a semi-virtual throwing task where the action outcome (hit or miss of the target) was temporally delayed relative to movement execution allowing participants to form predictions about the outcome prior to the availability of knowledge of results. 19 participants practiced the task and electroencephalogram was recorded in two test conditions. In the Visual condition, participants received only visual input by passively observing the throwing movement. In the EffProp condition, participants actively executed the task while visual information about the real and the virtual effector was occluded. Hence, only efferent and proprioceptive signals were available. Results show a significant modulation of the Ne/ERN in the Visual condition while no effect could be observed in the EffProp condition. In addition, amplitudes of the feedback-related negativity in response to the actual outcome feedback were found to be inversely related to the Ne/ERN amplitudes. Our findings indicate that error prediction is modulated by the availability of input signals to the forward model. The observed amplitudes were found to be attenuated in comparison to previous studies, in which all efferent and sensory inputs were present. Furthermore, we assume that visual signals are weighted higher than proprioceptive signals, at least in goal-oriented tasks with visual targets.

Project description:In the study of numeracy, some hypotheses have been based on response time (RT) as a dependent variable and some on accuracy, and considerable controversy has arisen about the presence or absence of correlations between RT and accuracy, between RT or accuracy and individual differences like IQ and math ability, and between various numeracy tasks. In this article, we show that an integration of the two dependent variables is required, which we accomplish with a theory-based model of decision making. We report data from four tasks: numerosity discrimination, number discrimination, memory for two-digit numbers, and memory for three-digit numbers. Accuracy correlated across tasks, as did RTs. However, the negative correlations that might be expected between RT and accuracy were not obtained; if a subject was accurate, it did not mean that they were fast (and vice versa). When the diffusion decision-making model was applied to the data (Ratcliff, 1978), we found significant correlations across the tasks between the quality of the numeracy information (drift rate) driving the decision process and between the speed/accuracy criterion settings, suggesting that similar numeracy skills and similar speed-accuracy settings are involved in the four tasks. In the model, accuracy is related to drift rate and RT is related to speed-accuracy criteria, but drift rate and criteria are not related to each other across subjects. This provides a theoretical basis for understanding why negative correlations were not obtained between accuracy and RT. We also manipulated criteria by instructing subjects to maximize either speed or accuracy, but still found correlations between the criteria settings between and within tasks, suggesting that the settings may represent an individual trait that can be modulated but not equated across subjects. Our results demonstrate that a decision-making model may provide a way to reconcile inconsistent and sometimes contradictory results in numeracy research.

Dataset Information

Individual differences in interoceptive accuracy and prediction error in motor functional neurological disorders: A DTI study.

Publications

Individual differences in interoceptive accuracy and prediction error in motor functional neurological disorders: A DTI study.

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