The limited effect of neural stimulation on visual attention and social cognition in individuals with schizophrenia.

Neuropsychologia

School of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson, TX, USA; Department of Psychiatry, University of Texas Southwestern Medical School, Dallas, TX,, USA.

Published: July 2021

AI Article Synopsis

  • Research suggests that issues with visual attention in individuals with schizophrenia may lead to difficulties in social understanding due to abnormal brain activity.
  • * The study aimed to see if stimulating a specific brain area (rTPJ) could improve visual attention and social cognition, particularly for recognizing emotions and understanding others' thoughts.
  • * Results showed that stimulation didn't enhance visual attention or emotion recognition, but it did boost accuracy in understanding others' intentions when the dmPFC area was stimulated, suggesting other brain mechanisms may play a key role in social cognition.

Article Abstract

Background: Research demonstrates a relationship between faulty visual attention and poorer social cognition in schizophrenia. One potential explanatory model suggests abnormal neuromodulation in specific neural networks may result in reduced attention to socially important cues, leading to poorer understanding of another's emotional state or intentions.

Objective: The current study experimentally manipulated neural networks using tDCS to examine this potential causal mechanism. The primary aim was to determine whether stimulation to the right temporoparietal junction (rTPJ) improves visual attention, and secondary aims were to determine whether 1) stimulation improves social cognitive performance and 2) visual attention moderates this improved performance.

Method: Using a double-blind crossover design, 69 individuals with schizophrenia underwent both active and sham stimulation to either the rTPJ of the ventral attention network (n = 36) or the dorsomedial prefrontal cortex of the social brain network (dmPFC; n = 33). Following stimulation, participants completed tasks assessing emotion recognition and mentalizing. Concurrent eye tracking assessed visual attention, measuring proportion of time spent attending to areas of interest.

Results: For emotion recognition, stimulation failed to impact either visual attention or social cognitive task accuracy. Similarly, neurostimulation failed to affect visual attention on the mentalizing task. However, exploratory analyses demonstrated that mentalizing accuracy significantly improved after stimulation to the active comparator, dmPFC, with no improvement after stimulation to rTPJ.

Conclusion: Results demonstrate limited effect of a single stimulation session on visual attention and emotion recognition accuracy but provide initial support for an alternate neural mechanism for mentalizing, highlighting the importance of executive functions over visual attention.

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Source
http://dx.doi.org/10.1016/j.neuropsychologia.2021.107880DOI Listing

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