Sedentary behaviors, such as leisure time computer use and sedentary video games, are significant barriers to regular physical activity and contribute to high rates of overweight and obesity among adolescents. Sedentary screen time can adversely affect food intake and food selection. Active video games may be a promising way of increasing daily physical activity levels among adolescents. Active video games may help modulate response inhibition and food intake. PURPOSE: Compare the effects of an acute bout of active and sedentary video gaming on N2 amplitudes (while viewing high calorie and low calorie images), Stroop Color Word Test (Stroop test) performance and ad libitum eating. METHODS: We used a within-subjects randomized crossover design with counterbalanced treatment conditions was used among 65 participants (31 girls, 34 boys; age = 13.5 ± 1.1 year; height = 161.4 ± 10.2 cm; weight = 52.5 ± 12.3 kg; BMI = 19.9 ± 3.3 kg·m2). Participants completed 2 separate video gaming sessions, 7 days apart, while energy expenditure during sedentary and active video game play was measured using the K4b2 portable metabolic system. The K4b2 system provided metabolic equivalents (METs) which are used as a measure of energy cost of physical activity. After either 60 minutes of active or sedentary video game play, participants completed a go/no-go task while viewing high calorie and low calorie images while electroencephalogram (EEG) data were collected. N2 event related potential (ERP) amplitudes were measured during the viewing task. Participants also completed a Stroop task to measure response inhibition. Finally, participants were given high calorie and low calorie snacks to consume ad libitum. We used a repeated measures ANOVA was used to measure main and interaction effects for N2 ERP amplitudes within subjects. RESULTS: Active video game play relative to sedentary video games significantly increased METs (F = 543.1, p ≤ 0.0001) from 1.7 ± 0.35 to 5.0 ± 1.2 METs. A significant gender-by-condition interaction (F = 7.03, p ≤ 0.009) was observed for energy expenditure with boys (5.4 ± 1.1 METs) expending more energy during the active video game than girls (4.5 ± 1.1 METs). No significant differences were observed for the N2 component (F = 0.50, p = 0.48) between video game conditions nor between genders (F = 1.85, p = 0.17). There were no significant differences (F = 3.10, p = 0.08) in the total number of calories consumed between the 2 video gaming conditions. Results from the Stroop task showed no significant differences for word naming (F = 0.45, p = 0.49), congruent condition (F = 0.43, p = 0.52) and incongruent condition (F = 0.14, p = 0.71) between the active and sedentary video games. CONCLUSION: Sixty minutes of active video gaming increases energy expenditure to a moderate intensity level but does not alter behavioral response or response inhibition to high calorie or low calorie foods.

PURPOSE: To compare the effects of after-school sedentary versus active play on activation in the reward and cognitive control regions of the brain to pictures of high- and low-calorie foods. METHODS: 32 children (12 girls, 20 boys; age 8.7 ± 0.5 years; height 137.9 ± 6.9 cm; weight 32.4 ± 6.2 kg) participated in a randomized crossover study with counterbalanced treatment conditions. Conditions took place on separate days after school and included three hours of active or sedentary play. After each condition, neural activation in reward and cognitive control regions of the brain were assessed using functional magnetic resonance imaging (fMRI) while participants completed a go/no-go task involving pictures of high- and low-calorie foods. General response inhibition was measured by the Stroop task. Hunger was measured upon arrival to the testing facility and just prior to fMRI scans. Mixed effects models were used to evaluate main and interaction effects. RESULTS: Significant stimulus by condition interactions were found in the right superior parietal cortex, right postcentral gyrus and accumbens area (p <<> 0.05). High- versus low-calorie pictures of food elicited significantly different activation bilaterally in the orbitofrontal cortex (p <<> 0.01). Stroop task performance diminished significantly following the sedentary condition compared to the active condition (F = 6.79, p <<> 0.01). Subjective feelings of hunger were not different between conditions at any point. CONCLUSION: Sedentary behavior significantly decreased response inhibition and brain activation to pictures of high-calorie foods in areas of the brain important to the modulation of food intake. Decreased attention, reward, and response inhibition, following sedentary behavior, may contribute to disinhibited eating that can lead to overweight and obesity.

Background: Individuals with binge eating disorder (BED) experience a loss of control (i.e., poor inhibitory control) during binge eating, where stress is a common antecedent for binge episodes. However, few studies examine acute stress in BED and, to date, psychosocial stress relationships with inhibitory control are unexamined. Purpose: The current study investigated acute psychosocial stress effects on inhibitory control in BED. Additionally, inhibitory control relationships with BED treatment outcome were explored. Methods: Thirty-three individuals with BED were randomized to a stress (n = 17) or no stress condition (n = 16). All completed self-report measures including the Profile of Mood States and the Binge Urge Scale. Following the stressor, individuals completed the Stop-Signal Task (SST), a well-validated measure of inhibitory control. Relationships between post-stress anxiety with inhibitory control and eating pathology were explored. Furthermore, treatment outcome relationships with levels of inhibitory control, and negative urgency (an impulsive personality trait) were explored. Results: In the stress condition, individuals reported increased state anxiety immediately following stress, but experienced a decrease back to baseline levels of anxiety by the end of the SST. Stress resulted in impaired inhibitory control performance on the SST. Binge urges increased across both conditions over time. Measures of inhibitory control and negative urgency did not relate to treatment outcome. Conclusion: This study is novel in directly examining psychosocial stress effects on inhibitory control, which has not been studied in BED. These results show subjective stress effects in BED are short-lived; however, behaviourally, stress has a lingering effect on inhibitory control. Increasing binge urges across the experimental session in the no stress condition suggests a role for generalized anxiety on this impulse. These findings have clinical implications for binge urges as a therapeutic target, and for informing individuals with BED about the implications of stress on their binge eating. / Thesis / Master of Science (MSc)

Even though deficits in inhibitory control and conflict monitoring are well-known in ADHD, factors that further modulate these functions remain to be elucidated. One factor that may be of considerable importance is how inhibitory control is modulated by multisensory information processing. We examined the influence of concurrent auditory conflicting or redundant information on visually triggered response inhibition processes in adolescent ADHD patients and healthy controls. We combined high-density event-related potential (ERP) recordings with source localization to delineate the functional neuroanatomical basis of the involved neurophysiological processes. In comparison to controls, response inhibition (RI) processes in ADHD were compromised in conflicting conditions, but showed no differences to controls when redundant or no concurrent auditory information was presented. These effects were reflected by modulations at the response selection stage (P3 ERP) in the medial frontal gyrus (BA32), but not at the attentional selection (P1, N1 ERPs) or resource allocation level (P2 ERP). Conflicting information during RI exerts its influences in adolescent ADHD via response selection mechanisms, but not via attentional selection. It is not the mere presence of concurrent information, but the presence of conflicting information during RI that may destabilize goal shielding processes in medial frontal cortical regions, by means of increasing the automaticity of response tendencies. The occurring RI deficits might relate to the increased impulsivity in adolescent ADHD and a corresponding vulnerability to react to an increased automaticity of pre-potent response tendencies. ADHD patients show a bias to a specific content of information which can modulate inhibitory control.

Even though deficits in inhibitory control and conflict monitoring are well-known in ADHD, factors that further modulate these functions remain to be elucidated. One factor that may be of considerable importance is how inhibitory control is modulated by multisensory information processing. We examined the influence of concurrent auditory conflicting or redundant information on visually triggered response inhibition processes in adolescent ADHD patients and healthy controls. We combined high-density event-related potential (ERP) recordings with source localization to delineate the functional neuroanatomical basis of the involved neurophysiological processes. In comparison to controls, response inhibition (RI) processes in ADHD were compromised in conflicting conditions, but showed no differences to controls when redundant or no concurrent auditory information was presented. These effects were reflected by modulations at the response selection stage (P3 ERP) in the medial frontal gyrus (BA32), but not at the attentional selection (P1, N1 ERPs) or resource allocation level (P2 ERP). Conflicting information during RI exerts its influences in adolescent ADHD via response selection mechanisms, but not via attentional selection. It is not the mere presence of concurrent information, but the presence of conflicting information during RI that may destabilize goal shielding processes in medial frontal cortical regions, by means of increasing the automaticity of response tendencies. The occurring RI deficits might relate to the increased impulsivity in adolescent ADHD and a corresponding vulnerability to react to an increased automaticity of pre-potent response tendencies. ADHD patients show a bias to a specific content of information which can modulate inhibitory control.

My objectives are twofold: 1/ investigating the cognitive and electrophysiological mechanisms of response inhibition in healthy or ADHD adults, 2/ providing a training program to reduce impulsivity. According to Braver (2012), action regulation permits to control impulsivity in two ways: proactive inhibition, effected before motive commands and reflected in an event related potential (ERP) in the N2 wave, and reactive inhibition, a rapid correction mechanism interrupting a motor process already well underway, reflected by the P3 wave. / My objectives are twofold: 1/ investigating the cognitive and electrophysiological mechanisms of response inhibition in healthy or ADHD adults, 2/ providing a training program to reduce impulsivity. According to Braver (2012), action regulation permits to control impulsivity in two ways: proactive inhibition, effected before motive commands and reflected in an event related potential (ERP) in the N2 wave, and reactive inhibition, a rapid correction mechanism interrupting a motor process already well underway, reflected by the P3 wave.

Women are twice as likely as men to suffer from depression and anxiety disorders and have an increased risk of onset during periods associated with hormonal changes, such as the postpartum period and the menopausal transition. Furthermore, some women seem more sensitive to normal hormone fluctuations across the menstrual cycle, since approximately 3-5% suffers from premenstrual dysphoric disorder (PMDD). Why these disorders are so common in women has not been established but there is a probable involvement of the ovarian hormones. The aim of this thesis was to investigate the effect of the ovarian hormones on the female brain during different reproductive states using psychological tests known to affect brain activity in different ways. Paper one examined the effect of the ovarian hormones on prepulse inhibition (PPI) on the acoustic startle response (ASR) and comprised cycling women and postmenopausal women. The cycling women had lower levels of PPI compared to postmenopausal women and postmenopausal women with moderate estradiol levels had lower PPI compared to postmenopausal women with low estradiol levels. Paper two examined the effect of anticipation and affective modulation on the ASR in women with PMDD and healthy controls. Women with PMDD have an increased modulation during anticipation of affective pictures compared to healthy controls during the luteal phase of the menstrual cycle. Paper three examined brain activity during response inhibition among women with PMDD and healthy controls by the use of a Go/NoGo task and fMRI. Women with PMDD displayed a decreased activity in the left insula during follicular phase and an increased activity during the luteal phase compared to controls. Paper four comprised women in the postpartum period and non-pregnant controls to examine brain activity during response inhibition. While this study revealed decreased activity at 4 weeks postpartum compared to 48 hours postpartum we cannot ascertain the role of the ovarian steroids, since none of the significant brain areas correlated with ovarian steroid or neurosteroid serum concentrations. The results of this thesis demonstrate that the ovarian hormones, or at least various hormonal states, have a probable impact on how the female brain works.

Deficits in executive functions, specifically in response inhibition (RI), have been reported in antisocial behavior, conduct disorder, attention-deficit/hyperactivity disorder (ADHD), etc. Individuals with deficits in RI have a high probability to show non-adapted social behavior that can lead to crime. Many studies have shown that transcranial direct current stimulation (tDCS), a noninvasive brain stimulation (NIBS) technique, modulate the activity of the prefrontal cortex and the functions involved in executive control and RI. This article aims to review the literature on the effect of tDCS on RI and executive control and to highlight research avenues to develop therapeutic alternatives to prevent onset and recidivism of crime. A systematic review of the literature was performed in the Libsearch database following PRISMA method. Ten studies were selected showing tDCS modulation of RI measured with the Stop Signal and the Go-NoGo task. Eight of the studies showed gains on RI with tDCS versus sham. The data led to consideration of tDCS as a new therapeutic alternative to improve RI and hence prevention of onset and recidivism on crime. Individual differences, targeted brain areas, the polarity of electrodes and long-term learning effects are further discussed as crucial considerations for future studies.

The ability to inhibit a prepotent response is a crucial prerequisite of goal-directed behavior. So far, research on response inhibition has mainly examined these processes when there is little to no cognitive control during the decision to respond. We manipulated the “context” in which response inhibition has to be exerted (i.e., a controlled or an automated context) by combining a Simon task with a go/no-go task and focused on theta band activity. To investigate the role of “context” in response inhibition, we also examined how far theta band activity in the pretrial period modulates context-dependent variations of theta band activity during response inhibition. This was done in an EEG study applying beamforming methods. Here, we examined n = 43 individuals. We show that an automated context, as opposed to a controlled context, compromises response inhibition performance and increases the need for cognitive control. This was also related to context-dependent modulations of theta band activity in superior frontal and middle frontal regions. Of note, results showed that theta band activity in the pretrial period, associated with the right inferior frontal cortex, was substantially correlated with context-dependent modulations of theta band activity during response inhibition. The direction of the obtained correlation provides insights into the functional relevance of a pretrial theta band activity. The data suggest that pretrial theta band activity reflects some form of attentional sampling to inform possible upcoming processes signaling the need for cognitive control.

Yes / Past studies have shown evidence of transfer of learning in action video games, less so in other types e.g. strategy games. Further, the transfer of learning from games to inhibitory control has yet to be examined from the perspectives of time constraint and logic contradiction. We examined the effect of strategy games (puzzle, turn-based strategy ‘TBS’, real-time strategy ‘RTS’) on inhibition (response inhibition and distractor inhibition) and cerebral hemispheric activation over four weeks. We predicted that compared to RTS, puzzle and TBS games would (1) improve response and distractor inhibition, and (2) increase cerebral hemispheric activation demonstrating increased inhibitory control. A total of 67 non-habitual video game players (Mage = 21.63 years old, SD = 2.12) played one of three games; puzzle (n = 19), TBS (n = 24) or RTS (n = 24) for four weeks on their smartphones. Participants completed three inhibition tasks, working memory (WM), and had their tympanic membrane temperature (TMT) taken from each ear before and after playing the games. Results showed that only the puzzle game group showed an improved response inhibition while controlling for WM. There were no significant changes in the distractor inhibition tasks. We also found that there was an increase in left TMT while playing RTS, suggesting the presence of increased impulsivity in RTS. Our findings suggest that puzzle games involving logical contradiction could improve response inhibition, showing potential as a tool for inhibition training. / Newton Fund Institutional Links grant ID: 331745333, under Newton-Ungku Omar Fund partnership. The grant is funded by the UK Department for Business, Energy and Industrial Strategy and Malaysian Industry-Government Group for High Technology (MIGHT) and delivered by the British Council / Research Development Fund Publication Prize Award winner, Dec 2021.