La mémoire de travail et le contrôle cognitif sont des construits proches ; on suppose généralement qu'une forte capacité en mémoire de travail est associée à un contrôle cognitif efficace. Cette hypothèse a des implications importantes pour la cognition humaine et apporte une explication élégante à la corrélation fréquemment reportée entre mémoire de travail et intelligence fluide. En revanche, les difficultés d'opérationnalisation et de mesure du contrôle cognitif rendent l'hypothèse difficile à tester. Un modèle récent du contrôle cognitif, le modèle à Deux Mécanismes de Contrôle (DMC), offre une solution à ce problème : ce modèle propose l'existence de deux mécanismes de contrôle cognitif distincts et permet de les opérationnaliser de façon efficace. La littérature prédit que l'un de ces deux mécanismes, le contrôle proactif, devrait être lié à la mémoire de travail. L'objectif de cette thèse était de tester l'existence d'une relation entre les différences inter-individuelles en mémoire de travail et la tendance à mettre en place un mécanisme de contrôle proactif. Cette relation a été testée sous quatre axes de travail : 1) en utilisant de nouveaux paradigmes expérimentaux pour mesurer la tendance à utiliser le contrôle proactif, 2) grâce à des tâches classiques de contrôle cognitif choisies pour leur sensibilité au contrôle proactif, 3) à travers une approche par imagerie cérébrale incluant électro-encéphalographie et imagerie par résonance magnétique fonctionnelle, et 4) en tant que facteur explicatif de la relation entre mémoire de travail et intelligence fluide. Dans l'ensemble, nos résultats n'ont pas permis de soutenir l'idée que la capacité en mémoire de travail est directement liée à la tendance à utiliser un mécanisme de contrôle proactif ; les données suggèrent plutôt un avantage général en faveur des participants à forte capacité en mémoire de travail dans toutes les situations. / The constructs of working memory and cognitive control are conceptually close; a high working memory capacity is hypothesized to be associated with an efficient cognitive control. This hypothetical association has large implications for human cognition and provides an elegant explanation for the frequently reported relationship between working memory capacity and fluid intelligence. However, the difficulty in operationalizing and measuring cognitive control makes this hypothesis hard to test. One model of cognitive control, the Dual Mechanisms of Control (DMC) framework, constitutes a possible solution to this problem: the model proposes two distinct mechanisms of cognitive control which can be efficiently operationalized and studied. There is reason to believe that one of these two mechanisms, proactive control, is specifically related to working memory capacity. The objective of the present research work was to assess the relationship between individual differences in working memory capacity and the tendency to use proactive control. This relationship was tested in four steps: 1) by using innovative measures of the tendency to use proactive control, based on newly developed paradigms, 2) with classic cognitive control tasks sensitive to proactive control, 3) with a neuroimaging approach using electro-encephalography and functional magnetic resonance imaging, and 4) by testing whether the use of proactive control explains the relationship between working memory and fluid intelligence. Overall, our results did not support the idea that working memory capacity is uniquely related to the tendency to use proactive control; the data were more consistent with a general advantage of participants with a high working memory capacity in all situations.

L’objectif de ce travail de thèse a été d’avancer dans les connaissances des mécanismes de contrôle cognitif sous-tendant les détériorations et fluctuations d’attention soutenue chez les patients souffrant de schizophrénie et les sujets sains. Dans ce but, nous avons combiné mesures comportementales, électrophysiologiques et subjectives. Nos résultats montrent une préservation des capacités d’attention soutenue chez les patients ainsi qu’une origine distincte des variations d’attention soutenue chez les patients. Les détériorations sont sous-tendues par une diminution du mode de contrôle réactif chez les patients et du mode proactif chez les témoins. De plus, différents précurseurs des lapses attentionnels ont été mis en évidence chez les patients selon l’état attentionnel. Les variations d’attention soutenue sont principalement liées à une diminution des ressources attentionnelles chez les patients, alors que chez les témoins, en fonction de l’état attentionnel, elles pourraient également être liées à un désengagement, une défaillance du contrôle cognitif. / The purpose of this project was to gain more knowledge about cognitive control mechanisms underlying deteriorations and fluctuation of sustained attention in schizophrenia and healthy participants. To that end, we combined the use of behavioral, electrophysiological (event-related potentials and functional connectivity) and subjective measures. Our results revealed spared sustained attention in schizophrenia and a distinct patterns of sustained attention changes in schizophrenia. Deteriorations are underlined by a decrease of reactive mode of cognitive control in patients and by a decrease of proactive mode in controls. Our results also highlighted slightly distinct patterns of precursors of lapses in sustained attention in schizophrenia according to the attentional state. Sustained attention changes are associated with resource depletion in patients, whereas in healthy participants, according to attentional state, they could also be caused by disengagement of cognitive control.

In this study the impact of a board game as parent guidance strategy to reinforce Cognitive Control Therapy (CCT) in the home environment of a child with ADHD was explored. The influence of such a board game, based on the principles of CCT, on multiple contexts of the child’s existence - therapeutic and family contexts - was also investigated. There were two reasons for involving the parents in therapy. Firstly, children with an attention problem are situated within contexts and the effect of ADHD can permeate to the home and school environments. Secondly, for Cognitive Control Therapy (CCT) to be successful, it needs to be sustained by frequent repetition. It was hypothesized that sustainability of the effect of CCT should rise substantially after introduction of the board game, as the child and the parent can reinforce the principles of CCT by using it, even without being able to attend a session. The board game was designed by using the principles for game development as articulated by Dodge. A case study was then conducted by using a mixed methods approach, where quantitative and qualitative data were obtained. Data collection strategies consisted of quantitative methods in the form of the Cognitive Control battery (pre and post test), and the Copeland Symptoms checklist. Qualitative strategies included parental feedback, qualitative data during therapy sessions (observations and therapeutic notes) and a semi-structured interview with the mother. Data was collected before, after and during the intervention. The intervention consisted of individual therapy with the participant, parent guidance and parallel implementation of the designed board game by the parents with the child-participant. The quantitative data (from the CCB and the Copeland Symptoms Checklist) from the post test indicated that sensitivity towards distractions remains a concern, and that parental implementation of a board game (incorporating elements of CCT) with a child can possibly have a slightly negative effect on cognitive control functioning. However, the scope of this case study does not allow direct correlations to be drawn between the parental input and the child’s cognitive control functioning. It does point to the possibility of heeding caution when implementing a board game to reinforce CCT principles by a parent. Conversely, the findings from the study also indicated that family relations improved. Five qualitative insights emerged: i) increased ability to distinguish between relevant versus irrelevant information in the participant; ii) increase in organizational thought in the therapeutic situation and at home; iii) improved communication between parent and child, resulting in improved skills to maintain discipline; iv) improved interaction among family members; and v) transfer of skills to the mother. The study found that the greatest contribution of the board game appears to be the improvement experienced in the family context – probably as a result of increased interaction among family members and attention focused on the problem. / Dissertation (MEd (Educational Psychology))--University of Pretoria, 2007. / Educational Psychology / MEd / unrestricted

There are large overlaps in cognitive deficits occurring in attention deficit disorder (ADD) and neurodevelopmental disorders like neurofibromatosis type 1 (NF1). This overlap is mostly based on clinical measures and not on in-depth analyses of neuronal mechanisms. However, the consideration of such neuronal underpinnings is crucial when aiming to integrate measures that can lead to a better understanding of the underlying mechanisms. Inhibitory control deficits, for example, are a hallmark in ADD, but it is unclear how far there are similar deficits in NF1. We thus compared adolescent ADD and NF1 patients to healthy controls in a Go/Nogo task using behavioural and neurophysiological measures. Clinical measures of ADD-symptoms were not different between ADD and NF1. Only patients with ADD showed increased Nogo errors and reductions in components reflecting response inhibition (i.e. Nogo-P3). Early perceptual processes (P1) were changed in ADD and NF1. Clinically, patients with ADD and NF1 thus show strong similarities. This is not the case in regard to underlying cognitive control processes. This shows that in-depth analyses of neurophysiological processes are needed to determine whether the overlap between ADD and NF1 is as strong as assumed and to develop appropriate treatment strategies.

La crise de boulimie est vécue comme une perte de contrôle par les patientes atteint de boulimie (BN), d’anorexie avec crise de boulimie (ANB) et d’hyperphagie boulimique. Si ces patientes présentent effectivement des performances dégradées aux tâches neuropsychologiques évaluant les mécanismes du contrôle cognitif modulant la tendance à s’engager dans des actions sans prendre en compte leurs conséquences, la méthodologie employée ne permet pas de séparer les mécanismes propres à la crise de boulimie de ceux plus généraux du trouble. La comparaison des performances à une batterie de tâches évaluant les différents mécanismes du contrôle cognitif, de patientes BN, ANB, anorexiques restrictives avec des sujets sains en conditions alimentaire et neutre révèle que les crises de boulimie seraient liées à un contrôle cognitif perturbé par un surplus attentionnel vers les stimuli alimentaires lors de la réalisation de tâches intuitives, déséquilibrant la modulation de ce contrôle sur la tendance générale à choisir des options risquées ou immédiates explicites. En modifiant la séquence d’ingestion des aliments au cours de la crise de boulimie pour augmenter leurs compétences de contrôle faisant défaut en situation alimentaire, des patientes répondant faiblement à la thérapie comportementale et cognitive ont diminué spontanément de 44% les quantités ingérées et la moitié d’entre elles a guéri. Si ces résultats nécessitent confirmation par une étude en imagerie fonctionnelle, ils montrent l’utilité de modéliser finement les mécanismes de traitement automatique de l’information pour améliorer les thérapies actuelles / Binge eating episodes are experienced by bulimic (BN), anorexic binging subtype (ANB) and binge eating disorder (BED) patients as periods of loss of control. This feeling is corroborated by the impaired behavioral performances to neuropsychological tasks assessing cognitive control but these results do not allow separating the mechanisms that are specific to the binge from those related to the whole psychopathology of the disorder. The goal of this thesis is to identify these mechanisms, to build a model explaining the occurrence of binges and to design and test a new behavioral intervention to treat directly binges. BN, ANB and anorexic restrictive subtype patients as well as matched controls underwent a battery of neuropsychological tasks performed in food and neutral conditions. Comparison of performances between the two conditions exhibited an impairment in food condition of intuitive mechanisms of cognitive control due to a higher attention paid to food stimuli. This results in an unbalanced modulation of the general trend to choose risky or immediate options when explicitly mentioned. Another group of ANB, BN and BED patients modified the sequence of ingestion of foods during the binge in order to train themselves to recruit the impaired mechanisms of cognitive control identified at the previous step. They experienced a spontaneous reduction of 44% of food intake during binges and half of them recovered from binges. While these results need to be confirmed by a functional neuroimaging study, they stress the importance of modeling precisely the instantaneous automated mechanisms that mediate behavior in order to improve current therapies

Le but de cette thèse est d’investiguer l’organisation fonctionnelle du contrôle cognitif au sein du cortex préfrontal latéral dans la schizophrénie. Chez le sujet sain, Koechlin et coll. (Science, 2003) ont montré que le cortex préfrontal latéral était structuré en une cascade de processus de contrôle allant des régions antérieures aux régions postérieures, intégrant respectivement les informations épisodiques (événements antérieurs) et contextuelles (le contexte immédiat de l’action) au choix de l’action en réponse à un stimulus externe. En utilisant le paradigme expérimental de Koechlin et coll. en IRM fonctionnelle, nous avons investigué l’architecture fonctionnelle du contrôle cognitif au sein du cortex latéral préfrontal chez 15 patients schizophrènes et 14 sujets contrôles appariés. Dans une première étude, nous avons trouvé que les patients schizophrènes présentaient un déficit sélectif du contrôle contextuel associé à une hypoactivation des régions postérieures préfrontales, expliquant la désorganisation du discours et du comportement observés chez ces patients. Par ailleurs, les patients schizophrènes hyperactivaient leurs régions rostrales du cortex préfrontal latéral pendant le contrôle des informations de nature épisodique, ce que nous avons interprété comme une tentative de compensation infructueuse des dysfonctions du contrôle contextuel. Dans une seconde étude, nous avons montré que les patients schizophrènes présentaient également une perturbation du traitement top-down des informations de nature épisodique, liée à une dysconnectivité des régions rostrales vers les régions caudales du cortex préfrontal latéral. / The goal of this thesis is to investigate the functional organization of cognitive control within the LPFC in schizophrenia. We used a model postulating that cognitive control is functionally organized within the lateral prefrontal cortex (LPFC) as a cascade of representations ranging from premotor to anterior LPFC regions according to stimuli, the present perceptual context, and the temporal episode in which stimuli occur. Using functional magnetic resonance imaging, we investigated the functional architecture of cognitive control within the LPFC in 15 schizophrenic patients and 14 matched healthy controls. In a first study, we found that immediate contextual signals insufficiently bias the caudal LPFC activity required to select the appropriate behavioral representation. This specific deficit could thus alter the internal consistency of schizophrenic patients’ behavior. To compensate for this weakening of contextual influence, schizophrenic patients may inefficiently use temporal episodic information through higher activation in rostral LPFC regions. In a second study, we showed that schizophrenic patients inappropriately process episodic information flow along a rostro-caudal axis within the LPFC. This top-down episodic control dysfunction could lead to a disruption of episodic memory that could account for the patients’ difficulties in organizing their behavior across time. All the results argue in favor of both dysfunctional specialization and integration within the LPFC in schizophrenia.

Dans de nombreuses activités physiques et sportives, la performance dépend de l’efficacité des processus physiologiques et cognitifs sollicités dans l’action. Plus précisément, il semblerait que celle-ci soit fréquemment influencée par l’efficacité des processus décisionnels qui s’effectuent sous pression temporelle. A ce titre, ce travail de thèse s’intéresse à l’effet de l’administration de trois supplémentations nutritionnelles classiquement consommées par les athlètes (hydrates de carbone, caféine et guarana) sur le fonctionnement cognitif au cours d’un exercice. Nos résultats indiquent que l’ingestion isolée de ces trois composés améliore la vitesse du traitement de l’information lors d'une tâche décisionnelle dès la fin d’un exercice. Par ailleurs, l’utilisation de la caféine en rinçage de bouche semble aussi pertinente, puisque nos résultats suggèrent une amélioration probable de l’efficacité des processus relatifs à la gestion d’un conflit au cours de l’exercice. Enfin, une diminution de la perception de l’effort est aussi rapportée lors de l’ingestion de caféine et de guarana, ou de l’utilisation d’hydrates de carbone en rinçage de bouche. L’ensemble de ces résultats indique une potentialisation de l’effet de l’exercice sur la performance cognitive. Il suggère aussi que la mise en place de supplémentations nutritionnelles lors d’un exercice améliore l’efficacité de processus cognitifs qui s’avèrent être essentiels à la performance sportive. / In sport and exercise activities, successful performances strongly depend on the ability to simultaneously carry out cognitive and physical demands. More precisely, it would seem that performance is frequently influenced by the efficacy of decision-making realized under strong temporal pressure. The aim of this thesis work is to assess the effect of nutritional supplements that is carbohydrate, caffeine and guarana on cognitive functions during an acute exercise. Overall, our results suggest that ingestion of these three supplements enhance speed of information processing during a decision-making task at the end of exercise. Additionally, caffeine mouth rinsing seems worthwhile since a likely enhancement of inhibition processes has been reported after use during exercise. Finally, a decrease of perceived exertion has been reported with caffeine and guarana ingestion along with carbohydrate mouth rinsing. In conclusion, our results indicate the potentiation of exercise effects on cognitive function. Furthermore, they suggest nutritional supplements could enhance cognitive processes during exercise in what may be a predictive factor of performance enhancement.

A multitude of sensory inputs needs to be processed during sensorimotor integration. A crucial factor for detecting relevant information is its complexity, since information content can be conflicting at a perceptual level. This may be central to executive control processes, such as response inhibition. This EEG study aims to investigate the system neurophysiological mechanisms behind effects of perceptual conflict on response inhibition. We systematically modulated perceptual conflict by integrating a Global-local task with a Go/Nogo paradigm. The results show that conflicting perceptual information, in comparison to non-conflicting perceptual information, impairs response inhibition performance. This effect was evident regardless of whether the relevant information for response inhibition is displayed on the global, or local perceptual level. The neurophysiological data suggests that early perceptual/ attentional processing stages do not underlie these modulations. Rather, processes at the response selection level (P3), play a role in changed response inhibition performance. This conflict-related impairment of inhibitory processes is associated with activation differences in (inferior) parietal areas (BA7 and BA40) and not as commonly found in the medial prefrontal areas. This suggests that various functional neuroanatomical structures may mediate response inhibition and that the functional neuroanatomical structures involved depend on the complexity of sensory integration processes.

There are large overlaps in cognitive deficits occurring in attention deficit disorder (ADD) and neurodevelopmental disorders like neurofibromatosis type 1 (NF1). This overlap is mostly based on clinical measures and not on in-depth analyses of neuronal mechanisms. However, the consideration of such neuronal underpinnings is crucial when aiming to integrate measures that can lead to a better understanding of the underlying mechanisms. Inhibitory control deficits, for example, are a hallmark in ADD, but it is unclear how far there are similar deficits in NF1. We thus compared adolescent ADD and NF1 patients to healthy controls in a Go/Nogo task using behavioural and neurophysiological measures. Clinical measures of ADD-symptoms were not different between ADD and NF1. Only patients with ADD showed increased Nogo errors and reductions in components reflecting response inhibition (i.e. Nogo-P3). Early perceptual processes (P1) were changed in ADD and NF1. Clinically, patients with ADD and NF1 thus show strong similarities. This is not the case in regard to underlying cognitive control processes. This shows that in-depth analyses of neurophysiological processes are needed to determine whether the overlap between ADD and NF1 is as strong as assumed and to develop appropriate treatment strategies.

There have recently been considerable advances in our understanding of the neuronal mechanisms underlying multitasking, but the role of multimodal integration for this faculty has remained rather unclear. We examined this issue by comparing different modality combinations in a multitasking (stop-change) paradigm. In-depth neurophysiological analyses of event-related potentials (ERPs) were conducted to complement the obtained behavioral data. Specifically, we applied signal decomposition using second order blind identification (SOBI) to the multi-subject ERP data and source localization. We found that both general multimodal information integration and modality-specific aspects (potentially related to task difficulty) modulate behavioral performance and associated neurophysiological correlates. Simultaneous multimodal input generally increased early attentional processing of visual stimuli (i.e. P1 and N1 amplitudes) as well as measures of cognitive effort and conflict (i.e. central P3 amplitudes). Yet, tactile-visual input caused larger impairments in multitasking than audio-visual input. General aspects of multimodal information integration modulated the activity in the premotor cortex (BA 6) as well as different visual association areas concerned with the integration of visual information with input from other modalities (BA 19, BA 21, BA 37). On top of this, differences in the specific combination of modalities also affected performance and measures of conflict/effort originating in prefrontal regions (BA 6).