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  1. Article: The ethical, moral, and pragmatic rationale for brain augmentation.

    Clark, Vincent P

    Frontiers in systems neuroscience

    2014  Volume 8, Page(s) 130

    Language English
    Publishing date 2014-07-22
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2453005-0
    ISSN 1662-5137
    ISSN 1662-5137
    DOI 10.3389/fnsys.2014.00130
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Revisiting Hemispheric Asymmetry in Mood Regulation: Implications for rTMS for Major Depressive Disorder.

    Gibson, Benjamin C / Vakhtin, Andrei / Clark, Vincent P / Abbott, Christopher C / Quinn, Davin K

    Brain sciences

    2022  Volume 12, Issue 1

    Abstract: Hemispheric differences in emotional processing have been observed for over half a century, leading to multiple theories classifying differing roles for the right and left hemisphere in emotional processing. Conventional acceptance of these theories has ... ...

    Abstract Hemispheric differences in emotional processing have been observed for over half a century, leading to multiple theories classifying differing roles for the right and left hemisphere in emotional processing. Conventional acceptance of these theories has had lasting clinical implications for the treatment of mood disorders. The theory that the left hemisphere is broadly associated with positively valenced emotions, while the right hemisphere is broadly associated with negatively valenced emotions, drove the initial application of repetitive transcranial magnetic stimulation (rTMS) for the treatment of major depressive disorder (MDD). Subsequent rTMS research has led to improved response rates while adhering to the same initial paradigm of administering excitatory rTMS to the left prefrontal cortex (PFC) and inhibitory rTMS to the right PFC. However, accumulating evidence points to greater similarities in emotional regulation between the hemispheres than previously theorized, with potential implications for how rTMS for MDD may be delivered and optimized in the near future. This review will catalog the range of measurement modalities that have been used to explore and describe hemispheric differences, and highlight evidence that updates and advances knowledge of TMS targeting and parameter selection. Future directions for research are proposed that may advance precision medicine and improve efficacy of TMS for MDD.
    Language English
    Publishing date 2022-01-14
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2651993-8
    ISSN 2076-3425
    ISSN 2076-3425
    DOI 10.3390/brainsci12010112
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  3. Article ; Online: A review of functional brain differences predicting relapse in substance use disorder: Actionable targets for new methods of noninvasive brain stimulation.

    Gibson, Benjamin C / Claus, Eric D / Sanguinetti, Jay / Witkiewitz, Katie / Clark, Vincent P

    Neuroscience and biobehavioral reviews

    2022  Volume 141, Page(s) 104821

    Abstract: Neuroimaging studies have identified a variety of brain regions whose activity predicts substance use (i.e., relapse) in patients with substance use disorder (SUD), suggesting that malfunctioning brain networks may exacerbate relapse. However, this ... ...

    Abstract Neuroimaging studies have identified a variety of brain regions whose activity predicts substance use (i.e., relapse) in patients with substance use disorder (SUD), suggesting that malfunctioning brain networks may exacerbate relapse. However, this knowledge has not yet led to a marked improvement in treatment outcomes. Noninvasive brain stimulation (NIBS) has shown some potential for treating SUDs, and a new generation of NIBS technologies offers the possibility of selectively altering activity in both superficial and deep brain structures implicated in SUDs. The goal of the current review was to identify deeper brain structures involved in relapse to SUD and give an account of innovative methods of NIBS that might be used to target them. Included studies measured fMRI in currently abstinent SUD patients and tracked treatment outcomes, and fMRI results were organized with the framework of the Addictions Neuroclinical Assessment (ANA). Four brain structures were consistently implicated: the anterior and posterior cingulate cortices, ventral striatum and insula. These four deeper brain structures may be appropriate future targets for the treatment of SUD using these innovative NIBS technologies.
    MeSH term(s) Behavior, Addictive/therapy ; Brain/diagnostic imaging ; Humans ; Neuroimaging ; Recurrence ; Substance-Related Disorders/diagnostic imaging ; Substance-Related Disorders/therapy
    Language English
    Publishing date 2022-08-12
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 282464-4
    ISSN 1873-7528 ; 0149-7634
    ISSN (online) 1873-7528
    ISSN 0149-7634
    DOI 10.1016/j.neubiorev.2022.104821
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  4. Article ; Online: A history of randomized task designs in fMRI.

    Clark, Vincent P

    NeuroImage

    2012  Volume 62, Issue 2, Page(s) 1190–1194

    Abstract: In the early days of fMRI, data were acquired using methods adapted mainly from PET imaging. Sets of similar stimuli were presented in extended blocks, with stimulus conditions changing from block to block. While this method provided optimum statistical ... ...

    Abstract In the early days of fMRI, data were acquired using methods adapted mainly from PET imaging. Sets of similar stimuli were presented in extended blocks, with stimulus conditions changing from block to block. While this method provided optimum statistical power, it also presented a variety of potential confounds, including changes in attention, alertness, expectancy, and practice effects within and between blocks. Event-related paradigms using unpredictable, randomized stimulus sequences had been used in EEG studies for over 50 years before the development of fMRI, and provided a means to overcome these issues. However, the temporal dispersion of BOLD fMRI activity resulted in responses to successive stimuli adding together, making it difficult to perform rapid event-related paradigms using fMRI. Here we describe the background and history of methods developed to overcome this limitation, allowing rapid, randomized stimulus sequences to be used with fMRI. The advantages and disadvantages of this technique and how these methods have been applied in a variety of experimental settings are discussed.
    MeSH term(s) Animals ; Brain/physiology ; Brain Mapping/history ; Brain Mapping/methods ; History, 20th Century ; History, 21st Century ; Humans ; Magnetic Resonance Imaging/history ; Magnetic Resonance Imaging/methods
    Language English
    Publishing date 2012-08-15
    Publishing country United States
    Document type Historical Article ; Journal Article ; Review
    ZDB-ID 1147767-2
    ISSN 1095-9572 ; 1053-8119
    ISSN (online) 1095-9572
    ISSN 1053-8119
    DOI 10.1016/j.neuroimage.2012.01.010
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  5. Article: Transcranial Direct Current Stimulation Provides no Additional Benefit to Improvements in Self-Reported Craving Following Mindfulness-Based Relapse Prevention.

    Gibson, Benjamin C / Votaw, Victoria R / Stein, Elena R / Clark, Vincent P / Claus, Eric / Witkiewitz, Katie

    Mindfulness

    2021  Volume 13, Issue 1, Page(s) 92–103

    Abstract: Objectives: Mindfulness-Based Relapse Prevention (MBRP) and transcranial direct current stimulation (tDCS) have each demonstrated efficacy in improving outcomes in those with alcohol use disorder (AUD), however a recent study that combined MBRP with ... ...

    Abstract Objectives: Mindfulness-Based Relapse Prevention (MBRP) and transcranial direct current stimulation (tDCS) have each demonstrated efficacy in improving outcomes in those with alcohol use disorder (AUD), however a recent study that combined MBRP with tDCS found tDCS provided no additional benefit to MBRP for AUD. Differences in treatment adherence between active versus sham tDCS groups may have contributed to this result. The current study examined whether treatment adherence interacted with tDCS condition in predicting post-treatment mindfulness and craving.
    Methods: This study was a secondary data analysis from a randomized sham-controlled trial comparing MBRP paired with tDCS. Linear regression analyses were conducted examining the interaction between tDCS condition and two measures of treatment adherence (i.e., number of groups attended, number of tDCS administrations) on post-treatment mindfulness and craving.
    Results: There was no effect of treatment adherence by tDCS condition in predicting mindfulness, however the interaction between treatment adherence and tDCS condition significantly predicted post-treatment craving. There was a significant negative association between treatment adherence and post-treatment craving in the sham group, but there was no association in the active tDCS group.
    Conclusions: MBRP coupled with sham stimulation led to significant reductions in self-reported craving when patients attended more sessions and received a greater number of sham tDCS administrations, while no relationship was observed between treatment adherence and craving among those who received active tDCS. This result provides tentative evidence that, rather than improve the effects of MBRP on craving, this active tDCS protocol provides no additional benefit to MBRP in reducing craving.
    Pre-registration: This study was registered with clinicaltrials.gov (NCT02861807).
    Language English
    Publishing date 2021-11-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2543424-X
    ISSN 1868-8535 ; 1868-8527
    ISSN (online) 1868-8535
    ISSN 1868-8527
    DOI 10.1007/s12671-021-01768-5
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  6. Article ; Online: Neuroenhancement: enhancing brain and mind in health and in disease.

    Clark, Vincent P / Parasuraman, Raja

    NeuroImage

    2014  Volume 85 Pt 3, Page(s) 889–894

    Abstract: Humans have long used cognitive enhancement methods to expand the proficiency and range of the various mental activities that they engage in, including writing to store and retrieve information, and computers that allow them to perform myriad activities ... ...

    Abstract Humans have long used cognitive enhancement methods to expand the proficiency and range of the various mental activities that they engage in, including writing to store and retrieve information, and computers that allow them to perform myriad activities that are now commonplace in the internet age. Neuroenhancement describes the use of neuroscience-based techniques for enhancing cognitive function by acting directly on the human brain and nervous system, altering its properties to increase performance. Cognitive neuroscience has now reached the point where it may begin to put theory derived from years of experimentation into practice. This special issue includes 16 articles that employ or examine a variety of neuroenhancement methods currently being developed to increase cognition in healthy people and in patients with neurological or psychiatric illness. This includes transcranial electromagnetic stimulation methods, such as transcranial direct current stimulation (tDCS) and transcranial magnetic stimulation (TMS), along with deep brain stimulation, neurofeedback, behavioral training techniques, and these and other techniques in conjunction with neuroimaging. These methods can be used to improve attention, perception, memory and other forms of cognition in healthy individuals, leading to better performance in many aspects of everyday life. They may also reduce the cost, duration and overall impact of brain and mental illness in patients with neurological and psychiatric illness. Potential disadvantages of these techniques are also discussed. Given that the benefits of neuroenhancement outweigh the potential costs, these methods could potentially reduce suffering and improve quality of life for everyone, while further increasing our knowledge about the mechanisms of human cognition.
    MeSH term(s) Biomedical Enhancement ; Brain ; Cognition ; Humans
    Language English
    Publishing date 2014-01-15
    Publishing country United States
    Document type Editorial ; Introductory Journal Article
    ZDB-ID 1147767-2
    ISSN 1095-9572 ; 1053-8119
    ISSN (online) 1095-9572
    ISSN 1053-8119
    DOI 10.1016/j.neuroimage.2013.08.071
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  7. Article: Closed-Loop tACS Delivered during Slow-Wave Sleep Reduces Retroactive Interference on a Paired-Associates Learning Task.

    Jones, Aaron P / Bryant, Natalie B / Robert, Bradley M / Mullins, Teagan S / Trumbo, Michael C S / Ketz, Nicholas A / Howard, Michael D / Pilly, Praveen K / Clark, Vincent P

    Brain sciences

    2023  Volume 13, Issue 3

    Abstract: Previous studies have found a benefit of closed-loop transcranial alternating current stimulation (CL-tACS) matched to ongoing slow-wave oscillations (SWO) during sleep on memory consolidation for words in a paired associates task (PAT). Here, we ... ...

    Abstract Previous studies have found a benefit of closed-loop transcranial alternating current stimulation (CL-tACS) matched to ongoing slow-wave oscillations (SWO) during sleep on memory consolidation for words in a paired associates task (PAT). Here, we examined the effects of CL-tACS in a retroactive interference PAT (ri-PAT) paradigm, where additional stimuli were presented to increase interference and reduce memory performance. Thirty-one participants were tested on a PAT before sleep, and CL-tACS was applied over the right and left DLPFC (F3 and F4) vs. mastoids for five cycles after detection of the onset of each discrete event of SWO during sleep. Participants were awoken the following morning, learned a new PAT list, and then were tested on the original list. There was a significant effect of stimulation condition (
    Language English
    Publishing date 2023-03-09
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2651993-8
    ISSN 2076-3425
    ISSN 2076-3425
    DOI 10.3390/brainsci13030468
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  8. Article ; Online: Brain connectivity alterations during sleep by closed-loop transcranial neurostimulation predict metamemory sensitivity.

    Hubbard, Ryan J / Zadeh, Iman / Jones, Aaron P / Robert, Bradley / Bryant, Natalie B / Clark, Vincent P / Pilly, Praveen K

    Network neuroscience (Cambridge, Mass.)

    2021  Volume 5, Issue 3, Page(s) 734–756

    Abstract: Metamemory involves the ability to correctly judge the accuracy of our memories. The retrieval of memories can be improved using transcranial electrical stimulation (tES) during sleep, but evidence for improvements to metamemory sensitivity is limited. ... ...

    Abstract Metamemory involves the ability to correctly judge the accuracy of our memories. The retrieval of memories can be improved using transcranial electrical stimulation (tES) during sleep, but evidence for improvements to metamemory sensitivity is limited. Applying tES can enhance sleep-dependent memory consolidation, which along with metamemory requires the coordination of activity across distributed neural systems, suggesting that examining functional connectivity is important for understanding these processes. Nevertheless, little research has examined how functional connectivity modulations relate to overnight changes in metamemory sensitivity. Here, we developed a closed-loop short-duration tES method, time-locked to up-states of ongoing slow-wave oscillations, to cue specific memory replays in humans. We measured electroencephalographic (EEG) coherence changes following stimulation pulses, and characterized network alterations with graph theoretic metrics. Using machine learning techniques, we show that pulsed tES elicited network changes in multiple frequency bands, including increased connectivity in the theta band and increased efficiency in the spindle band. Additionally, stimulation-induced changes in beta-band path length were predictive of overnight changes in metamemory sensitivity. These findings add new insights into the growing literature investigating increases in memory performance through brain stimulation during sleep, and highlight the importance of examining functional connectivity to explain its effects.
    Language English
    Publishing date 2021-08-30
    Publishing country United States
    Document type Journal Article
    ISSN 2472-1751
    ISSN (online) 2472-1751
    DOI 10.1162/netn_a_00201
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  9. Article: Baseline Differences in Anxiety Affect Attention and tDCS-Mediated Learning.

    Gibson, Benjamin C / Heinrich, Melissa / Mullins, Teagan S / Yu, Alfred B / Hansberger, Jeffrey T / Clark, Vincent P

    Frontiers in human neuroscience

    2021  Volume 15, Page(s) 541369

    Abstract: Variable responses to transcranial direct current stimulation (tDCS) protocols across individuals are widely reported, but the reasons behind this variation are unclear. This includes tDCS protocols meant to improve attention. Attentional control is ... ...

    Abstract Variable responses to transcranial direct current stimulation (tDCS) protocols across individuals are widely reported, but the reasons behind this variation are unclear. This includes tDCS protocols meant to improve attention. Attentional control is impacted by top-down and bottom-up processes, and this relationship is affected by state characteristics such as anxiety. According to Attentional Control Theory, anxiety biases attention towards bottom-up and stimulus-driven processing. The goal of this study was to explore the extent to which differences in state anxiety and related measures affect visual attention and category learning, both with and without the influence of tDCS. Using discovery learning, participants were trained to classify pictures of European streets into two categories while receiving 30 min of 2.0 mA anodal, cathodal, or sham tDCS over the rVLPFC. The pictures were classifiable according to two separate rules, one stimulus and one hypothesis-driven. The Remote Associates Test (RAT), Profile of Mood States, and Attention Networks Task (ANT) were used to understand the effects of individual differences at baseline on subsequent tDCS-mediated learning. Multinomial logistic regression was fit to predict rule learning based on the baseline measures, with subjects classified according to whether they used the stimulus-driven or hypothesis-driven rule to classify the pictures. The overall model showed a classification accuracy of 74.1%. The type of tDCS stimulation applied, attentional orienting score, and self-reported mood were significant predictors of different categories of rule learning. These results indicate that anxiety can influence the quality of subjects' attention at the onset of the task and that these attentional differences can influence tDCS-mediated category learning during the rapid assessment of visual scenes. These findings have implications for understanding the complex interactions that give rise to the variability in response to tDCS.
    Language English
    Publishing date 2021-03-03
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2425477-0
    ISSN 1662-5161
    ISSN 1662-5161
    DOI 10.3389/fnhum.2021.541369
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  10. Article ; Online: A Randomized Trial of Combined tDCS Over Right Inferior Frontal Cortex and Cognitive Bias Modification: Null Effects on Drinking and Alcohol Approach Bias.

    Claus, Eric D / Klimaj, Stefan D / Chavez, Roberta / Martinez, Amber D / Clark, Vincent P

    Alcoholism, clinical and experimental research

    2019  Volume 43, Issue 7, Page(s) 1591–1599

    Abstract: Background: Deriving novel treatments for alcohol use disorders (AUDs) is of critical importance, as existing treatments are only modestly effective for reducing drinking. Two promising strategies for treating AUDs include cognitive bias modification ( ... ...

    Abstract Background: Deriving novel treatments for alcohol use disorders (AUDs) is of critical importance, as existing treatments are only modestly effective for reducing drinking. Two promising strategies for treating AUDs include cognitive bias modification (CBM) and transcranial direct current stimulation (tDCS). While each strategy has shown positive results in reducing drinking or alcohol-related constructs (e.g., craving), initial tests of the combination of CBM and tDCS have shown mixed results. The present study investigated the degree to which combining CBM and tDCS (2.0 mA anodal current over F10) could reduce alcohol approach biases and alcohol consumption.
    Methods: Seventy-nine at-risk drinkers were randomized to 1 of 4 conditions in a 2 × 2 factorial design: verum CBM/verum tDCS, verum CBM/sham tDCS, sham CBM/verum tDCS, or sham CBM/sham tDCS. Participants completed a baseline assessment of alcohol approach bias and drinking quantity/frequency (i.e., drinks per drinking day [DDD] and percent heavy drinking days [PHDD]), 4 sessions of combined CBM and tDCS, and follow-up assessments of approach bias and alcohol consumption.
    Results: Results indicated that while participants did demonstrate significant alcohol approach biases at baseline, neither CBM, tDCS, nor the interaction reduced the bias at the follow-up. In addition, there was evidence of a trend toward reducing DDD from baseline to the 1-week/1-month follow-ups, but there was no significant effect of the intervention on either DDD or PHDD.
    Conclusions: These results partially replicated null results presented in similar CBM/tDCS trials and suggest that this combination, at least with anodal stimulation over dorsolateral or inferior frontal sites, may have limited utility to reduce drinking.
    MeSH term(s) Adult ; Alcohol Drinking/psychology ; Alcoholism/psychology ; Alcoholism/rehabilitation ; Cognition/physiology ; Cognitive Behavioral Therapy/methods ; Craving ; Double-Blind Method ; Female ; Frontal Lobe/physiology ; Humans ; Male ; Motivation ; Negative Results ; Transcranial Direct Current Stimulation/adverse effects ; Young Adult
    Language English
    Publishing date 2019-05-31
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, N.I.H., Extramural
    ZDB-ID 428999-7
    ISSN 1530-0277 ; 0145-6008
    ISSN (online) 1530-0277
    ISSN 0145-6008
    DOI 10.1111/acer.14111
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