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YCSC Postdoctoral Fellowship in Childhood Neuropsychiatric Disorders (T32) Trainee Talks

June 07, 2023
  • 00:00Good afternoon, everyone.
  • 00:04Thank you for coming today
  • 00:05to our T32 Grand rounds.
  • 00:07We're on a tight schedule.
  • 00:08We have three talks,
  • 00:10so I'll be brief and concise.
  • 00:12I direct the T32 Codirect
  • 00:15T32 with Michael Block.
  • 00:17We're in, I think our 38th or 39th year.
  • 00:21It's really one of the joys of
  • 00:23my professional career to be a
  • 00:25part of this following in the
  • 00:27big shoes of Doctor Lechman.
  • 00:29Not physically big, but big.
  • 00:31Metaphorically,
  • 00:35we are up for a newal next year,
  • 00:37so we're going to be doing a mad
  • 00:39rush and reaching out to all of
  • 00:41you for materials to support us.
  • 00:42And we really couldn't do it and
  • 00:44succeed without you all and that the
  • 00:46atmosphere that you bring to the center.
  • 00:51Okay. They told me I need to hit
  • 00:52click first here. There we go.
  • 00:54So our T32 is growing.
  • 00:56We only have six slots,
  • 00:57Not only but that's what we have,
  • 00:58but we have many others
  • 01:00who participate with us.
  • 01:01And here's a picture.
  • 01:02I'm not a a Photoshop ace,
  • 01:03so I was able to bring everyone in here.
  • 01:06I'm going to ask for some help
  • 01:08down the road from you all.
  • 01:11And what we're going to hear about
  • 01:14today are three talks from trainees
  • 01:18Francesca Penner. Dr. Penner.
  • 01:20Doctor Gerber and Doctor Kistagna.
  • 01:22Dr. Penner will be telling us
  • 01:24about her work on understanding
  • 01:26emotional regulation and pregnancy.
  • 01:28Doctor Gerber will be telling
  • 01:30us about emotion disruption and
  • 01:32loneliness and autistic and autistic
  • 01:33youth during the COVID pandemic.
  • 01:35And lastly, Dr.
  • 01:36Kistagna will be talking about modeling
  • 01:38gaze behavior and starting point bias,
  • 01:41drift rate and frontal midline
  • 01:43beta EEG oscillations.
  • 01:45Before we get on to the three talks,
  • 01:46I just want to say a few words
  • 01:48about these three trainees.
  • 01:50We would love to be able to have
  • 01:51everyone speak and we did make a
  • 01:53call to everyone and then these are
  • 01:54three individuals who reached out,
  • 01:56but we'll be catching other
  • 01:58people next year to present again.
  • 02:00Doctor Penner has really done an
  • 02:03exceptional job as a T32 trainee.
  • 02:06She got her own funding, F32.
  • 02:09She published 38 papers up to this point.
  • 02:12Not all in the T32,
  • 02:13but you know that's what she's
  • 02:15been doing across her career.
  • 02:17And she landed a academic position
  • 02:19at Baylor University of Department
  • 02:21of Psychology and Neuroscience,
  • 02:23so she'll be heading there.
  • 02:24Doctor Gerber is in his first
  • 02:26year in the T32 and he's rocked
  • 02:28it already with two grants.
  • 02:30He's got a autism grant and also
  • 02:35from the Organization for Autism
  • 02:37Research and also a Child Study
  • 02:39Center Pilot Research Award.
  • 02:40So Congrats to Doctor Gerber.
  • 02:42And lastly Dr.
  • 02:43Stagna.
  • 02:46Also was quite prolific with 33
  • 02:50papers and and F32 also that's an
  • 02:54independent training grant that he
  • 02:56received and he's landed a tenure track
  • 02:59position at University of Alabama.
  • 03:02So before I hand over the
  • 03:06the mic to Doctor Penner,
  • 03:09I just want to make a plug
  • 03:11for these these F32 grants.
  • 03:13We really only have a small number of.
  • 03:16Spots on the T32 compared to the need.
  • 03:19And so I encourage everyone here to
  • 03:22try to to pursue these F32 grants.
  • 03:24We have lots of support for you.
  • 03:26We read them.
  • 03:27Michael and I both sat on the study second
  • 03:29committee for the review of the grants.
  • 03:31We have examples so we can scaffold you to
  • 03:33pursue these grants if you're interested.
  • 03:35Anyway, thank you.
  • 03:36Here's a treat for you.
  • 03:39So Doctor Penner.
  • 03:48Hi everyone.
  • 03:49Thank you so much, Doctor Crowley.
  • 03:50I'm really thrilled to be
  • 03:52presenting at Greyhounds.
  • 03:53It's very exciting.
  • 03:54I like Doctor Crowley said.
  • 03:56My name is Francesca Penner.
  • 03:58I'm a postdoc working with Helena
  • 04:00Rutherford in the before and after baby lab,
  • 04:02and today I'm presenting some work focused
  • 04:05on emotion regulation during pregnancy.
  • 04:07I was excited to present this
  • 04:09work in particular because it's
  • 04:11something that I started on right
  • 04:13at the beginning of postdoc,
  • 04:14so I thought it would be interesting
  • 04:16to kind of share the progression
  • 04:18of work over the past two years.
  • 04:20So to start,
  • 04:21I wanted to begin with talking about
  • 04:23why it's interesting and important to
  • 04:26study emotion regulation in pregnancy,
  • 04:28beginning more broadly with the importance
  • 04:30of emotion regulation in general.
  • 04:31So we know emotion regulation is
  • 04:34a transdiagnostic factor relevant
  • 04:36to many mental health disorders
  • 04:38and symptoms of psychopathology.
  • 04:40We also know it's a it's targeted in
  • 04:42multiple evidence based treatment.
  • 04:43So we have evidence that it can it's
  • 04:46modifiable that we can improve emotion
  • 04:48regulation and that by improving it.
  • 04:50Or by decreasing emotion to circulation,
  • 04:53we can prevent and reduce
  • 04:55symptoms of psychopathology.
  • 04:57And we also know that emotion
  • 04:58regulation is important in caregiving.
  • 05:00So it helps us be more sensitive caregivers.
  • 05:03And it's also important in terms of
  • 05:05modeling for children as they develop
  • 05:08and learn emotion regulation as well.
  • 05:10When you think about emotion
  • 05:12regulation during pregnancy,
  • 05:13you can think about some of the unique
  • 05:15factors during this period that
  • 05:16might affect our emotion regulation.
  • 05:18So.
  • 05:18Certainly there are lots of physical
  • 05:20changes for the pregnant persons
  • 05:22and physiological and brain changes
  • 05:23that might affect the physiological
  • 05:26experience of emotions during pregnancy.
  • 05:28There are also psychosocial
  • 05:29stressors that might come up,
  • 05:31whether it's financial relationship
  • 05:33or medical stressors that might
  • 05:36challenge or require emotion
  • 05:38regulation strategies during this time.
  • 05:40And then we also know that pregnancy
  • 05:41is a time of increased vulnerability
  • 05:43for mental health disorders,
  • 05:45especially depression and anxiety,
  • 05:47which also makes emotion regulation
  • 05:50really relevant during this time.
  • 05:52And then finally,
  • 05:53when we think about for new parents
  • 05:56of the transition to parenthood,
  • 05:57whether there might be changes
  • 05:59in emotion regulation as sort of
  • 06:01as new skills come online as we
  • 06:03become parents for the first time.
  • 06:05So thinking about all those ways
  • 06:07that emotion regulation might
  • 06:08change during pregnancy,
  • 06:10but also its relevance for stress and mental
  • 06:13health and caregiving during this time,
  • 06:16we were interested in kind of
  • 06:18looking at what's already known
  • 06:19about emotion regulation during
  • 06:20pregnancy in terms of the correlates,
  • 06:23both during pregnancy and
  • 06:25in the postpartum period.
  • 06:27So early in 2022,
  • 06:28Helena and I posted a paper and
  • 06:30Archives of Women's Mental Health.
  • 06:32That summarizes this research area
  • 06:34and it's a pretty small research
  • 06:36area so far in terms of studies
  • 06:38that have actually measured emotion
  • 06:41regulation during pregnancy and
  • 06:43association with other variables
  • 06:45either in pregnancy or postpartum.
  • 06:47So this figure from our paper
  • 06:50kind of summarizes this
  • 06:52area so far. It's definitely
  • 06:53a growing area of research.
  • 06:55So I expect that things have may have
  • 06:56changed in the last year and a half,
  • 06:58but in terms of what this
  • 07:01figure represents, so the.
  • 07:03Boxes in solid lines with solid arrows
  • 07:06are correlates that we have evidence
  • 07:09for from at least one study where the
  • 07:12boxes that are grayed out with dashed
  • 07:14lines are hypothesized correlates of
  • 07:16emotion regulation during pregnancy.
  • 07:18So some of the things you have
  • 07:20evidence for so far are that emotion
  • 07:23regulation measured during pregnancy
  • 07:25are related to physical and mental
  • 07:27health of the pregnant person
  • 07:28both in pregnancy and postpartum.
  • 07:30It's shown association with caregiving
  • 07:33behavior measured during pregnancy as well.
  • 07:35And then it's Even so shown some
  • 07:39associations between motion regulation
  • 07:40during pregnancy in the pregnant
  • 07:43person and then with some infant
  • 07:46outcomes like feeding interactions
  • 07:48and infant attention and arousal.
  • 07:50So we have some emerging evidence for.
  • 07:54These significant links showing that
  • 07:56emotion regulation in pregnancy might
  • 07:58have implications for not only a mental
  • 08:01health in the pregnant person but also
  • 08:04caregiving and infant development.
  • 08:05Which suggests that this is an
  • 08:07important factor to study and also
  • 08:10the potentially important factor
  • 08:11for intervention because it could
  • 08:14have these multi prompt impacts
  • 08:16even into the postpartum period.
  • 08:20So wanting to kind of build on this
  • 08:22evidence base and study emotion
  • 08:24regulation during pregnancy more,
  • 08:25we conducted 2 studies with archival data
  • 08:28focused on emotion regulation and perceived
  • 08:31stress during the perinatal period.
  • 08:33And in both of these studies,
  • 08:35we were conceptualizing perceived stress
  • 08:37in terms of appraisals of one's life
  • 08:40as stressful versus objective measures
  • 08:42of life of stressful life events.
  • 08:45And we were thinking about emotion regulation
  • 08:46in terms of James Gross's definition.
  • 08:48So attempts to influence one's
  • 08:51emotions and how they're expressed.
  • 08:53In particular,
  • 08:54thinking about the emotion regulation
  • 08:56strategies of reappraisal and suppression
  • 08:58with reappraisal thoughts to be a more
  • 09:01adaptive emotion regulation strategy
  • 09:02and suppression thoughts to be a more
  • 09:05maladaptive emotion regulation strategy.
  • 09:07So in the first study,
  • 09:08we were focused on emotion regulation
  • 09:11strategies and perceived stress
  • 09:12and expectant mothers and fathers.
  • 09:14During the third trimester,
  • 09:17and this was a sample collected here at Yale.
  • 09:20Of 83 expectant parents,
  • 09:21about 50 of them were pregnant
  • 09:23mothers and then about half of the
  • 09:25sample were first time parents.
  • 09:27They completed the Perceived Stress Scale
  • 09:29and the Emotion Regulation Questionnaire.
  • 09:30During the third trimester
  • 09:33of pregnancy and 1st,
  • 09:34we looked at associations between each
  • 09:36of those emotion regulation strategies,
  • 09:38reappraisal and suppression
  • 09:40with perceived stress.
  • 09:42And we saw associations in expected
  • 09:44directions based on prior work
  • 09:45with the emotion regulation
  • 09:47questionnaire in other samples.
  • 09:48So we saw that as parents reported greater
  • 09:50levels of or greater use of suppression,
  • 09:52they also reported greater stress.
  • 09:55And as they reported
  • 09:56greater use of reappraisal,
  • 09:57they reported lower perceived stress.
  • 09:59So this is really underlining that
  • 10:01in a sample of expected parents,
  • 10:03we're seeing associations in expected
  • 10:06directions with these two emotion
  • 10:08regulation strategies and perceived stress.
  • 10:11We then were interested in whether
  • 10:13the mothers and fathers differed in
  • 10:15their levels of perceived stress
  • 10:17and emotion regulation strategies.
  • 10:19And we saw we were actually surprised
  • 10:21to see this finding was against our
  • 10:23hypothesis that perceived stress in
  • 10:25mothers and fathers was not different.
  • 10:28So during the third trimester,
  • 10:29they're reporting similar levels of
  • 10:32stress and they're also reporting
  • 10:34similar levels of each emotion
  • 10:35regulation strategies.
  • 10:36There were not any differences
  • 10:38between mothers and fathers.
  • 10:41So this study, one limitation of it
  • 10:43was that it was crosssectional data.
  • 10:45We were interested in also trying to
  • 10:48understand better the direction of effects
  • 10:50between emotion regulation and perceived
  • 10:52stress during the perinatal period.
  • 10:53So we had some archival data
  • 10:55from a collaborator at Texas
  • 10:57A and M Rebecca Brooker,
  • 10:58and that's what we examined and study too.
  • 11:00So this study also looks at perceived
  • 11:03stress and emotion regulation,
  • 11:04those same 2 variables and
  • 11:07measures across three time points
  • 11:09in in the perinatal period.
  • 11:12So because we had three time points,
  • 11:14here was the 2nd trimester,
  • 11:15third trimester and four months postpartum.
  • 11:18We were interested in testing a cross
  • 11:20like panel model to be able to look at
  • 11:23both the stability of each of these
  • 11:25constructs but also the cross lag and
  • 11:28cross-sectional relationships between them.
  • 11:31And this was a sample of 92 pregnant women.
  • 11:35This these data were collected
  • 11:36at Montana State University.
  • 11:38And as I said,
  • 11:39they completed the same 2 measures,
  • 11:41the Emotion Regulation Questionnaire
  • 11:42and the Perceived Stress Scale
  • 11:44in the second trimester,
  • 11:45third trimester and four months postpartum.
  • 11:49So we looked at associations between
  • 11:51suppression and perceived stress.
  • 11:53We really only saw evidence for
  • 11:54stability of each of these constructs.
  • 11:57So there were no cross,
  • 11:58lagged or cross-sectional associations
  • 12:00between suppression and perceived
  • 12:02stress in this sample.
  • 12:05We looked at associations between
  • 12:07reappraisal and perceived stress.
  • 12:08We again saw evidence for the
  • 12:10stability of each of these
  • 12:12across the three time points.
  • 12:14And then we saw cross-sectional
  • 12:15associations in the same
  • 12:17direction as study one. So as
  • 12:21reappraisal increased, perceived stress
  • 12:23decreased in the same time point.
  • 12:27We also saw evidence for one cross lag
  • 12:29effect, so giving us some potential
  • 12:31information about the direction of
  • 12:33effects where greater stress in the
  • 12:36second trimester predicted lower
  • 12:37reappraisal in the third trimester.
  • 12:39So potentially suggesting that
  • 12:41more stress in pregnancy could
  • 12:44sort of get in the way of adaptive
  • 12:48emotion regulation strategies.
  • 12:49To summarize these two studies,
  • 12:51so both studies together showed.
  • 12:53Significant links between reappraisal
  • 12:55and perceived stress cross sectionally in
  • 13:00both mothers and fathers during during
  • 13:02pregnancy Study two gave some evidence
  • 13:05for the stability of emotion regulation
  • 13:07strategies over the perinatal period.
  • 13:09Although it's really important to know that
  • 13:11this measurement of emotion regulations,
  • 13:12your questionnaire measure,
  • 13:13is thought to be more traitlike.
  • 13:15So that's one reason why we're
  • 13:18we're likely seeing stability here.
  • 13:21And study two,
  • 13:22we saw that higher stress or appraisals
  • 13:24of stress in the second trimester
  • 13:26sort of might get in the way of
  • 13:28adaptive emotion regulation later on.
  • 13:30So giving us information about the
  • 13:32direction of effects and then study
  • 13:33one suggests that there is a potential
  • 13:35need to include both expected parents,
  • 13:37so not just the pregnant parent in
  • 13:39prenatal mental health screening
  • 13:40and interventions because we saw
  • 13:42these similar levels of stress
  • 13:44reported by both parents.
  • 13:47So I wanted to briefly go through two
  • 13:50current studies that focus on emotion
  • 13:52regulation during pregnancy that I
  • 13:54got funding for as a postdoc and
  • 13:56these are collecting data right now.
  • 13:58So if we go back to our initial model,
  • 14:00what is known and unknown in
  • 14:02terms of correlates?
  • 14:03I was interested in better understanding
  • 14:06emotion regulation in during
  • 14:08pregnancy at a qualitative level,
  • 14:10so understanding women's subjective
  • 14:12experience of emotions and emotion
  • 14:14regulation during pregnancy.
  • 14:15So I received funding from Yale Women
  • 14:17Faculty Forum to conduct a qualitative study.
  • 14:20This is data collections going on right now,
  • 14:22so I've done about half of the interviews,
  • 14:25and the goal is to hear directly
  • 14:27from pregnant women about their
  • 14:29experience of emotions, stressors,
  • 14:30and emotion regulation during pregnancy.
  • 14:33It's specifically first time pregnant women,
  • 14:36and the plan is to code these
  • 14:38interviews once they're all complete
  • 14:40using thematic analysis.
  • 14:42The second study that's ongoing right
  • 14:43now is focused on this association
  • 14:45between emotion regulation measured
  • 14:47in pregnancy and whether it can tell
  • 14:49us anything about future caregiving
  • 14:51behavior after the baby is born.
  • 14:54So this study is funded by the
  • 14:56Colleen Dobbins Foundation and the
  • 14:57American Psychological Foundation,
  • 14:58and it is recruiting 61st time parents,
  • 15:01both mothers and fathers,
  • 15:03to evaluate whether emotion regulation
  • 15:05measured during the third trimester.
  • 15:07Can predict caregiving 2 to four
  • 15:10months postpartum.
  • 15:10And in terms of caregiving,
  • 15:12we're specifically interested
  • 15:14in responses to infant crying.
  • 15:16We're measuring that in multiple ways
  • 15:18that so through questionnaire measures,
  • 15:20through behavior during the still
  • 15:22face paradigm through behavior
  • 15:23during a baby simulator task that
  • 15:25Helena has used before in her studies
  • 15:27that is programmed to cry for a
  • 15:29certain amount of time.
  • 15:31And then also through measuring EE,
  • 15:33G and event related potentials during
  • 15:35audio of infant crying as well.
  • 15:40So as I transition to faculty, I'm excited
  • 15:42to continue building this line of research.
  • 15:44So some initial thoughts are to expand the
  • 15:46UP study which is that last study I shared to
  • 15:48have a group of parents of psychopathology.
  • 15:51I'm also really interested in physiological
  • 15:53measures of emotion regulation, including EE,
  • 15:56G&ERP at multiple time points to understand
  • 16:00other methods with other methods,
  • 16:02whether there's stability or change in
  • 16:04the motion regulation over this period.
  • 16:05And then I'm very interested in,
  • 16:08in this in the context of intervention,
  • 16:11to really thinking about interventions
  • 16:13that improve emotion regulation,
  • 16:14whether they can really have this,
  • 16:17these multipronged impacts in terms of.
  • 16:20Both parental and child health and
  • 16:23caregiving after the child is born.
  • 16:26So I just wanted to end by thanking Helena.
  • 16:29She's been the best postdoctoral mentor
  • 16:31I could have imagined and as well
  • 16:34as Doctor Crowley and Doctor Block,
  • 16:36the T32 directors.
  • 16:37It's been really great to be in the
  • 16:40T32 and especially in terms of grant
  • 16:43writing training and also wanted to thank
  • 16:45funders and everyone in the Babel lab,
  • 16:47coauthors and other post docs
  • 16:49in the T32 seminar.
  • 16:50Thank you.
  • 17:01So we do have time for questions.
  • 17:03We have 5 minutes. Make sure
  • 17:06this is done. Any questions?
  • 17:13That was very impressive and interesting.
  • 17:15Thank you. Since you're interested
  • 17:17in qualitative studies, I was just
  • 17:19wondering what your thoughts are
  • 17:20about measures of stress in the
  • 17:22pregnant moms, if it's self-reports
  • 17:25are better or some objective measures.
  • 17:27What's your experience now being in there
  • 17:29I think really that.
  • 17:33Neither one is better.
  • 17:34Like I really think it's
  • 17:35important to do both.
  • 17:36I mean these these studies, you know,
  • 17:38were perceived stress and I do think
  • 17:40there is a place for that because, you know,
  • 17:43our perceptions of stress are important.
  • 17:45And there's some evidence that it might
  • 17:47overlap more with like mental health,
  • 17:48like depression and anxiety.
  • 17:50But I do think that it,
  • 17:52I think it's also interesting in
  • 17:54doing these interviews and kind of
  • 17:56talking with women about the stressors
  • 17:58they are experienced how sometimes.
  • 18:01Like objective stressors are minimized
  • 18:04in terms of like our reporting of
  • 18:05them and so then being able to
  • 18:08measure those because they might,
  • 18:09they might be having some kind of
  • 18:12biological effect that we're not,
  • 18:14you know like acknowledging or or reporting.
  • 18:18I do think there's some minimizing and.
  • 18:21And I think also like I've learned
  • 18:23from these interviews as well,
  • 18:24I think also like pregnant women
  • 18:25really get the message that they
  • 18:27shouldn't be stressed during pregnancy.
  • 18:29And so then they're like trying
  • 18:31to minimize the stressors that
  • 18:33they are experiencing.
  • 18:37You have 3 minutes. Another question,
  • 18:41Doctor Mcpartland.
  • 18:48Having never been pregnant,
  • 18:49I am surprised that the message
  • 18:51received that you shouldn't be stressed
  • 18:52during pregnancy As the husband
  • 18:54of a woman who's been pregnant,
  • 18:55we had a different experience,
  • 18:56but I'm related
  • 18:58to that. I'm curious when you I was surprised
  • 19:00to see similar levels of stress
  • 19:02between the between both partners and
  • 19:04do you have a sense,
  • 19:05how do you interpret that?
  • 19:06And do you have a sense of
  • 19:08the quality and the nature
  • 19:08of the stress and whether they're
  • 19:10stressed about the same things?
  • 19:12Yeah, I think that's such a good question
  • 19:14and I was wondering about that myself,
  • 19:16like as I was doing this.
  • 19:18Presentation again,
  • 19:19just kind of re wondering about that result.
  • 19:22I yeah, I'm not sure and some of them
  • 19:24were couples and some of them were not.
  • 19:26So I think there's also you know when
  • 19:29we looked at whether we need to control
  • 19:32for the fact that some of them were in
  • 19:34couples that perceived stress like did
  • 19:36have an effect at the couple level.
  • 19:39So there were.
  • 19:40So I think you know some of that
  • 19:42is like whatever stressors are
  • 19:43affecting both of them do seem
  • 19:45to be a factor and then I think.
  • 19:47And I think I'm definitely interested
  • 19:49in kind of looking at that more.
  • 19:51I'd like the partner effects in
  • 19:53terms of like objective stressors
  • 19:55and how stress on the mom might be
  • 19:58affecting stress on the dad and
  • 20:00we're on the nonpregnant parent.
  • 20:02But then also understanding,
  • 20:03I think,
  • 20:04how the relationship can also be protective,
  • 20:08like help to reduce stress or not.
  • 20:15Thank you Doctor Penner. Okay,
  • 20:17we'll have Dr. Gerber come up.
  • 20:21All
  • 20:28right.
  • 20:33So that was a great talk,
  • 20:35hard to follow. I am really,
  • 20:38really excited to be here today and perhaps
  • 20:40a little bit nervous to be speaking to
  • 20:42such really great minds and people.
  • 20:45Here that you know have
  • 20:47inspired my work over the years,
  • 20:49so I'm really excited to talk to you about
  • 20:51some work that came out of my dissertation,
  • 20:53which is done at Stony Brook University.
  • 20:56I'm currently finishing up my first year of
  • 20:59postdoc in Doctor Mcpartland's lab right now,
  • 21:03and so I'll be talking about
  • 21:05social disruption and loneliness
  • 21:07in autistic and non autistic youth
  • 21:10during the COVID-19 pandemic.
  • 21:12So first of all what what do we
  • 21:13mean when we talk about loneliness?
  • 21:15So something we all a concept
  • 21:17we're all familiar with,
  • 21:18but really we're defining it as
  • 21:21this mismatch between your desired
  • 21:23and your actual social activity.
  • 21:27So it's a really important and
  • 21:29a major public health concern.
  • 21:31There's a lot of data that we have
  • 21:33pre pandemic even that shows that
  • 21:35loneliness is associated with worse
  • 21:38mental as well as physical health.
  • 21:41So it's really great concern,
  • 21:42but of course, as we all know,
  • 21:44we all live through,
  • 21:45during the pandemic this became
  • 21:47almost one of the, you know,
  • 21:49key or probably the key psychosocial concern.
  • 21:52And even into today we're still
  • 21:55experiencing a rise in social
  • 21:57isolation and loneliness,
  • 21:59especially in our youth or for our youth.
  • 22:05So how is this affecting autistic
  • 22:07individuals and autistic youth?
  • 22:09Well, there were already some of
  • 22:12these preexisting disparities,
  • 22:13and the pandemic really exacerbated those.
  • 22:16So, for example, mental health concerns,
  • 22:19increases in stress, anxiety,
  • 22:21depression for autistic youth who are
  • 22:24already kind of at risk and importantly
  • 22:26as well for their caregivers.
  • 22:32So one thing we know is somebody who
  • 22:35studies social isolation and loneliness is
  • 22:37pre pandemic autistic youth were already
  • 22:40experiencing some challenges with this.
  • 22:42They were already at elevated risk
  • 22:45for loneliness and social isolation.
  • 22:47And so one thing to consider is that
  • 22:51the pandemic could really put them
  • 22:53at even greater risk for you know,
  • 22:56based on its impact on social life.
  • 23:00So despite the fact that you know,
  • 23:02there's a clear interest in this
  • 23:04and there are qualitative reports
  • 23:06on this that will tell you,
  • 23:07you know, autistic people will
  • 23:09report missing of social contact,
  • 23:11but there's actually, to my knowledge,
  • 23:14has not been any qualitative or sorry
  • 23:16quantitative examination of loneliness
  • 23:18and autistic use during the pandemic.
  • 23:23So we set out to do is really
  • 23:25understand what were the trajectories
  • 23:27of social disruption and loneliness
  • 23:29for autistic youth during this
  • 23:31early period of the pandemic.
  • 23:32What was it like for them?
  • 23:36I want to take you through a little bit
  • 23:38of what the study recruitment looked like.
  • 23:40So we began the study early June,
  • 23:44so June 1st, 2020, if you can think back
  • 23:46to a couple years ago what that was like.
  • 23:49And we follow families and and
  • 23:51youth for about six months.
  • 23:53So that went from basically June until mid.
  • 23:57Should I talking to the mic more?
  • 23:58Can you can you guys hear me?
  • 24:00Is it better with the mic?
  • 24:02OK, hold on,
  • 24:05it was meant for somebody taller I think.
  • 24:09So in so basically the study ran
  • 24:12from June until early December,
  • 24:14early to mid-december 2020.
  • 24:16So that over the period of six
  • 24:18months we had participants in there
  • 24:21and one caregiver fill out some
  • 24:23questionnaires every two weeks.
  • 24:24And so that total 12 total
  • 24:27questionnaires over that period of time.
  • 24:33All the families that came in
  • 24:35and participated had already come
  • 24:37into the lab and when they did.
  • 24:39They completed standardized a gold
  • 24:42standard diagnostic evaluation for autism.
  • 24:45They also completed a
  • 24:46cognitive assessment as well.
  • 24:48So during this study,
  • 24:50we asked participants to complete the a
  • 24:54Standardized Self Report of loneliness,
  • 24:56and that's the UCLA Loneliness Scale.
  • 24:57So they they did that every
  • 24:59other week for six months.
  • 25:01We asked our caregiver to tell
  • 25:02us a little bit about how the
  • 25:04pandemic was impacting the family.
  • 25:06And in particular,
  • 25:07we're really interested in understanding
  • 25:09social disruption in the family.
  • 25:11And when I say that,
  • 25:12what I mean is we were focused on the
  • 25:14items that were related to family,
  • 25:16anything that's limited or restricted
  • 25:19family and social activities.
  • 25:25So 76 youth participated in this study,
  • 25:2851 were autistic, 25 were not.
  • 25:32They range in age from 8 to 17 and what
  • 25:36you can see here is as we would expect,
  • 25:39there were differences.
  • 25:40The autistic youth were had
  • 25:43higher autism symptoms, severity.
  • 25:45They also were more males,
  • 25:47but other than that they were pretty
  • 25:49evenly matched across the board.
  • 25:50So there were no differences in
  • 25:52loneliness or social disruption
  • 25:53at that first time point.
  • 25:59So what do we think?
  • 26:00What's going to happen?
  • 26:01Well, we hypothesize that social
  • 26:03disruption would decrease over
  • 26:05time for non autistic youth,
  • 26:08but remain about the same for autistic youth,
  • 26:11perhaps due to some of the stress
  • 26:13and mental health challenges going
  • 26:15on with parents and in youth.
  • 26:18We also hypothesize that loneliness would
  • 26:21decrease over time for non autistic youth,
  • 26:24but remain about the same for autistic youth.
  • 26:27And perhaps due to challenges
  • 26:29in the change in routine that we
  • 26:31all experienced in the pandemic.
  • 26:33And finally,
  • 26:34we hypothesize that greater social
  • 26:36disruption would be associated
  • 26:38with greater loneliness.
  • 26:42So what did we
  • 26:43find? Well, I want to walk
  • 26:45you through this chart.
  • 26:46So on the X axis, what you see basically
  • 26:49is time since the study starts,
  • 26:51so time over six months.
  • 26:53And on the Y axis you can
  • 26:55see their social disruption.
  • 26:57So higher scores here,
  • 26:59higher numbers means greater
  • 27:02social disruption.
  • 27:03And what you can see is
  • 27:05that over time both groups,
  • 27:07both the non autistic and the
  • 27:09autistic groups decreased in their
  • 27:12experience of social disruption.
  • 27:14However, there was an interaction effect,
  • 27:15so we did find that non autistic
  • 27:17youth had a greater decline
  • 27:19in social disruption over time
  • 27:21compared to autistic youth.
  • 27:26So what about loneliness?
  • 27:27What happened with loneliness?
  • 27:29Well, and I'll get into this later,
  • 27:31this was a bit of surprise,
  • 27:32but what you can see here is on the
  • 27:35X axis you can see time again on the
  • 27:38why you're now seeing loneliness.
  • 27:39So higher scores here means
  • 27:42higher self reported loneliness.
  • 27:44And actually what we found here was that
  • 27:46loneliness did in fact decrease over time,
  • 27:48but only for the autistic youth in the study.
  • 27:51So you can see in the blue.
  • 27:54That's a statistically
  • 27:56significant decline in the red.
  • 27:59You're seeing non autistic youth
  • 28:00and there's no statistically
  • 28:01different change over time.
  • 28:06So finally I want to show you the results
  • 28:08for loneliness and social disruption.
  • 28:11So you can see on the X axis now
  • 28:13you're seeing social disruption.
  • 28:14So again, higher numbers means
  • 28:17greater social disruption.
  • 28:19On the why, you're now seeing loneliness.
  • 28:21So higher numbers means greater
  • 28:23self reported loneliness.
  • 28:25The colors are the same and what you
  • 28:28can see is this interesting interaction
  • 28:31effect where for autistic youth we did
  • 28:33find the relationship we expected so
  • 28:35we did find greater social disruption
  • 28:38was associated with greater loneliness.
  • 28:40But for the non autistic youth
  • 28:41we did not see that,
  • 28:42we didn't see that relationship.
  • 28:48So what do we make of all this?
  • 28:50So let's start with the
  • 28:52findings on social disruption.
  • 28:54But what we found was that
  • 28:56social disruption declined
  • 28:57over time for both groups,
  • 28:59but it was a greater decline
  • 29:01in the non autistic youth.
  • 29:06So perhaps one way to look at this
  • 29:08is that non autistic youth made a
  • 29:11quicker return to social activities.
  • 29:16So in thinking again.
  • 29:17Into what this period
  • 29:19was like for caregivers.
  • 29:20There's quite a bit of research
  • 29:22that suggests that, you know,
  • 29:24caregivers of autistic individuals and
  • 29:25autistic youth were already stressed.
  • 29:27And the pandemic with challenges and
  • 29:29getting services and all sorts of changes
  • 29:32in routine were really quite stressful.
  • 29:34And if you think about it or if
  • 29:35there any parents in the room,
  • 29:37parents tend to be the gatekeepers,
  • 29:39the facilitators of social activity.
  • 29:42And so perhaps one way to think about
  • 29:44this is that it might have been hard.
  • 29:46For those parents to reengage in social
  • 29:49activity and to bring their kids to
  • 29:52activities and things of that nature.
  • 29:54And so I think it's really important
  • 29:56to think about and the implications
  • 29:58here for parents health particular
  • 30:00or parent mental health,
  • 30:01thinking about caregivers of autistic youth,
  • 30:05both during the pandemic but also
  • 30:07now that it can be have a really sort
  • 30:10of profound impact on their kids.
  • 30:16So what happened with loneliness?
  • 30:18Loneliness declined over time,
  • 30:20so we did find that, but actually
  • 30:22it was only for the autistic youth.
  • 30:24And if you think about that graph
  • 30:26what it what seems to be happening
  • 30:29is sort of they're coming close
  • 30:31to their non autistic peers.
  • 30:34This is really striking to me,
  • 30:36really surprising because it runs
  • 30:39counter this widely accepted idea
  • 30:41that autistic youth are sort of
  • 30:43universally lonely or or isolated.
  • 30:46And so one one thing we thought
  • 30:48about maybe this is actually
  • 30:49related to the change in routine,
  • 30:51but it in a positive way.
  • 30:52So perhaps there was some
  • 30:55flexibility or choice in who,
  • 30:57how, when they were interacting,
  • 30:59how frequently that led to
  • 31:01reductions in loneliness.
  • 31:06Another thing we really thought
  • 31:07about though is if you guys remember.
  • 31:10When you were in the pandemic,
  • 31:11remember this appeared of of
  • 31:13June 2020 and and on right?
  • 31:15There was a big increase in who
  • 31:17you were spending time with.
  • 31:18It was whether it was your roommate,
  • 31:20your your family.
  • 31:21And so there was a big
  • 31:23increase in family time.
  • 31:24And perhaps one possibility is that
  • 31:25this was actually a big positive
  • 31:27for autistic youth that they enjoyed
  • 31:29spending time with their family.
  • 31:33So lastly, we found that increases
  • 31:35in social disruption did lead to
  • 31:37greater loneliness, but actually
  • 31:39it was only for autistic youth.
  • 31:43So this suggests to us that when they were
  • 31:46actually experiencing social disruption,
  • 31:48autistic youth were more vulnerable to
  • 31:51feelings of loneliness than their peers.
  • 31:54And so one thing we thought about was,
  • 31:56you know, if you're experiencing the
  • 31:58social disruption and you're sort of.
  • 32:00Forced into only this
  • 32:02digital social communication,
  • 32:03we all remember the zoom fatigue,
  • 32:05that zoom burnout of of 2020.
  • 32:08This is something that might be in
  • 32:10particular a challenge for autistic
  • 32:12youth as they are experiencing
  • 32:13more and more social disruption
  • 32:15and this is for their only option.
  • 32:17Although another possibility is that they
  • 32:20didn't have anyone else to reach out to.
  • 32:22Perhaps other teens were Facetiming all day,
  • 32:24but autistic youth who are experiencing
  • 32:26a lot of social disruption didn't really
  • 32:29have other options and deep connections.
  • 32:32So I'm thinking about what my next steps are.
  • 32:34I'm really interested in continuing
  • 32:36to examine loneliness and autistic
  • 32:38youth and thinking about its
  • 32:40relationship with suicidality.
  • 32:42So I'm really grateful for funding from
  • 32:44the Yale Child Study Center pilot grant,
  • 32:46as well as the Organization
  • 32:48for Autism Research.
  • 32:49And what we plan to do is we'll
  • 32:51have participants come in the lab,
  • 32:53complete a naturalistic
  • 32:54social reward paradigm,
  • 32:56and then we'll have them fill out
  • 32:58questionnaires through an app on their
  • 33:00smartphone telling us about loneliness as
  • 33:02they experience it outside of the lab.
  • 33:04And ultimately,
  • 33:05we hope to understand the
  • 33:07relationship between social reward,
  • 33:09loneliness,
  • 33:10and and suicidality in autistic youth.
  • 33:15So I just want to close
  • 33:16by acknowledging the mic.
  • 33:18Doctoral advisor Doctor Lerner as
  • 33:20well as Doctor Mcpartlin who's in
  • 33:22the room who've been really key in
  • 33:25in getting all of this work done
  • 33:27and for the great support of the
  • 33:29Stony Brook team that was essential
  • 33:31in in conducting this research.
  • 33:33I also want to thank everybody in my lab,
  • 33:35many of which are here and in particular.
  • 33:38I did want to thank Doctor Keifer and Dr.
  • 33:40Naples,
  • 33:41who I know is in the room for their
  • 33:43really essential and amazing work
  • 33:44on this naturalistic paradigm.
  • 33:46And finally,
  • 33:47I'll conclude by thanking the
  • 33:49funders which you can see there,
  • 33:51as well as really all of the
  • 33:53participating families who we really
  • 33:54could not do any of this work without.
  • 33:57So thank you very much for
  • 33:58listening and I can take questions,
  • 34:00questions
  • 34:08for Doctor Gerber.
  • 34:12Everything was so clear.
  • 34:20Hi. I'm curious if you're defining
  • 34:24loneliness as the mismatch between the
  • 34:27social motivation and the and what kids
  • 34:31are actually getting when when you're
  • 34:33looking at the loneliness scores.
  • 34:35When we know that social
  • 34:36motivation might not change,
  • 34:38but what they're getting might change.
  • 34:40If there was a difference in.
  • 34:44Initial social motivation in
  • 34:46autistic and non autistic use,
  • 34:48if that makes sense.
  • 34:49So the loneliness scores might
  • 34:51not be changing because they
  • 34:53might have been lower initially.
  • 34:55And the and
  • 34:57yeah, if that makes sense,
  • 34:59yeah. So I think this actually
  • 35:01brings up kind of two questions.
  • 35:02One is. The relationship between
  • 35:05social motivation and loneliness and
  • 35:07autism and this kind of gets to the
  • 35:09heart of what I'm interested in.
  • 35:11This idea that autistic people
  • 35:12may not be socially motivated,
  • 35:14they may not be interested in interaction,
  • 35:16so how could they feel lonely pre
  • 35:19pandemic though there's quite a
  • 35:20bit of data at this point that
  • 35:22suggests that that's not quite true,
  • 35:24that they actually do feel a
  • 35:26lot of loneliness.
  • 35:27Now the other thing they are bringing up,
  • 35:28which is kind of a challenge is and
  • 35:31everybody I imagine experienced this,
  • 35:32who did pre pandemic work.
  • 35:34Or during pandemic work,
  • 35:36right is we didn't have that
  • 35:38information before the pandemic.
  • 35:40So we do have some data on these kids,
  • 35:42but we don't have their social
  • 35:45motivation and loneliness prepandemic.
  • 35:46So it would be really interesting to see if,
  • 35:49you know,
  • 35:50kids who are not socially
  • 35:52motivated were totally fine,
  • 35:53but we just don't have that.
  • 35:54But it's a great question.
  • 35:55More
  • 35:58questions for Doctor Gerber.
  • 36:04Hopefully this is a softball,
  • 36:06it's going to be,
  • 36:08it's not a super softball,
  • 36:09but if you probably can
  • 36:10answer just with yes or no.
  • 36:12I was wondering if you'd done
  • 36:15anything looking at the date,
  • 36:17the data over time in a nonlinear fashion.
  • 36:19Because I guess when I'm
  • 36:21thinking about COVID,
  • 36:21I kind of think about it is
  • 36:23it was there was a lot of
  • 36:24abs and flows of things and
  • 36:26I'm wondering if you there's
  • 36:27any use to parsing out
  • 36:28the data looking at time or?
  • 36:31Chronologically in terms of months of
  • 36:33the year rather than time and and then
  • 36:36also looking at when the lockdowns
  • 36:38were and how that affected
  • 36:40autistic versus non autistic kids.
  • 36:42Yeah, this is this is a great
  • 36:45question and I'm grateful to.
  • 36:47I practice this in my lab and
  • 36:49this question came up so.
  • 36:51Always get to practice.
  • 36:53It's a great question.
  • 36:54We've thought about it.
  • 36:56We have looked at some of these
  • 36:57things in a long linear fashion,
  • 36:59and I figured I'd only had 13 minutes,
  • 37:01so I didn't get into it too much.
  • 37:03But there is a quadratic
  • 37:06relationship with social disruption.
  • 37:09Where kind of dips over the
  • 37:10summer and comes back up,
  • 37:11which is it was just interesting.
  • 37:14Loneliness didn't appear to change that much,
  • 37:17which I also thought was interesting
  • 37:19but wasn't shocking because
  • 37:20if you look at the general,
  • 37:23if you look at the data that's
  • 37:25coming out now on loneliness,
  • 37:26there was sort of this initial period
  • 37:28where people didn't know what to do and
  • 37:30people were feeling trapped and lonely,
  • 37:32but people adjusted pretty quickly.
  • 37:34And in the end,
  • 37:35loneliness remained relatively stable.
  • 37:37So we have data from June on.
  • 37:40I think it would tell a different
  • 37:42story if we had data in April
  • 37:45and May in terms of a break,
  • 37:48a breaking point when school starts.
  • 37:50Also an interesting thing that
  • 37:52we haven't quite looked at,
  • 37:53but it's a great point.
  • 37:54Sorry,
  • 37:55I saved time for that last question.
  • 37:57Do we have
  • 37:58one more question?
  • 38:04Hi, first of all great presentation.
  • 38:06I wanted to ask if you saw any difference
  • 38:09in habituation to the routine between
  • 38:11a non autistic and autistic youth.
  • 38:15Yeah so the question is
  • 38:18about habituation between
  • 38:20between groups to their routine.
  • 38:23So the short answer here is we can only
  • 38:26measure so much and we debated heavily
  • 38:28what we should put in to this study.
  • 38:30And so we didn't really ask about
  • 38:33habituation to change in routine.
  • 38:35So in a sense, I think what we're
  • 38:37looking at when we look at loneliness
  • 38:38and we have some data that I didn't
  • 38:41present today on anxiety and
  • 38:42depression is kind of a proxy for that.
  • 38:45But it's a great question and that's a good
  • 38:48lesson learned for designing studies if.
  • 38:51The change in routine happened differently
  • 38:53and was quicker and perhaps mediate
  • 38:56some of of of these relationships,
  • 38:58but I'm out of time.
  • 39:00So thank you for that.
  • 39:02Thank you Dr. Gerber. Nice job.
  • 39:07Last but not least we have Doctor Kistagno.
  • 39:15Wait, Mike, is it just the next?
  • 39:27Perfect. All right, all set.
  • 39:31So thank you for this opportunity
  • 39:33to share my research Today I'll
  • 39:35present research recently published
  • 39:36in our image entitled Modeling
  • 39:38Brain dynamics and gaze Behavior.
  • 39:40Starting point bias and drift rate relate
  • 39:43to frontal midline Theta EEG oscillations.
  • 39:47In this study we applied.
  • 39:49Computational modeling to participants
  • 39:51performance on the anti saccade task
  • 39:53with eye tracking while collecting
  • 39:55high density EEG to investigate the
  • 39:57effects of trial by trial Theta dynamics
  • 40:00on contingent eye gaze behavior.
  • 40:01So I know that was a lot of words
  • 40:04and I promise that a lot of them
  • 40:06will make sense by the end.
  • 40:07Important to start is that a
  • 40:09saccade is just an eye movement.
  • 40:11So. If you're moving your eyes,
  • 40:13what you're looking at that is a saccade.
  • 40:15If I point to one side of the room,
  • 40:17everyone that looked to that side of the
  • 40:19room, that would have been a saccade.
  • 40:21Whereas if you didn't look,
  • 40:22that would have been an antisychade.
  • 40:24You inhibited your natural inclination
  • 40:26to look to where I pointed.
  • 40:28So that's a task we're dealing with,
  • 40:29which I'll get into more in depth,
  • 40:32just figured need to get that
  • 40:34out of the way early.
  • 40:35So why visual, visual attention?
  • 40:38I gaze plays a critical role
  • 40:40in many human behaviors.
  • 40:41What grabs our attention grabs our thoughts
  • 40:44from moral judgments to purchasing decisions.
  • 40:48Another is in regard to clinical
  • 40:50implications.
  • 40:51Tension bias is well known play
  • 40:52a role in the development and
  • 40:54maintenance of anxiety disorders
  • 40:56and depressed depressive disorders.
  • 40:58A a critical aspect of adaptive
  • 41:01goal directed behaviors,
  • 41:02appropriate response preparation.
  • 41:04This led to our motivating research question.
  • 41:08Can we model effortful eye gaze
  • 41:11behavior to improve precision
  • 41:13when studying intentional biases?
  • 41:15Fortunately for the field,
  • 41:17there's a decent grasp on a specific
  • 41:19neural marker of effortful control.
  • 41:22Frontal and central midline Theta
  • 41:24oscillations are robust domain general
  • 41:27neural marker of cognitive control
  • 41:29processes and therefore promising candidate.
  • 41:31So what are oscillations?
  • 41:33Just really quickly there are
  • 41:35two main types of eg analysis.
  • 41:37Typically people are familiar
  • 41:38with ERP event related potentials,
  • 41:40which are an average of a bunch
  • 41:43of different waves.
  • 41:44One of those waves is Theta,
  • 41:45which occurs between roughly 4 and 8 Hertz.
  • 41:49There are other frequencies here we're
  • 41:52interested in Theta oscillations,
  • 41:54and really what this is indicative
  • 41:56of is a population of neurons
  • 41:57that are firing together.
  • 41:59So this is a neural signature that
  • 42:02is thought to play important role.
  • 42:04It increases in the magnitude
  • 42:06in response errors,
  • 42:08negative feedback to unexpected
  • 42:12events during inhibitory control
  • 42:15when resolving different.
  • 42:16Competition between different
  • 42:18responses and adjusting response
  • 42:20strategies to our task demands,
  • 42:25as well as following events that are
  • 42:28novel or ambiguous after performance.
  • 42:30The signals thought to reflect
  • 42:31activity in the anterior,
  • 42:33at least partially in the anterior
  • 42:35singlet cortex and plays a central
  • 42:37role in detecting when our
  • 42:39expectations are being violated.
  • 42:40So what we thought was going to happen,
  • 42:42did not happen, is one way to think about it.
  • 42:46Depending on the circumstances
  • 42:47when this occurs,
  • 42:48it can work to recruit.
  • 42:57Oh,
  • 43:02excuse me.
  • 43:30We
  • 43:34got it worked that way.
  • 43:34You were here. No, wait.
  • 43:37Yeah, right there. Yeah, yeah,
  • 43:42sure. Is that working for
  • 43:46them though? On Zoom. I
  • 43:51have a spy. On Zoom
  • 43:57we see purpose enter for you.
  • 44:01They can okay,
  • 44:05so we went through that.
  • 44:07So some of the limitations of past
  • 44:09studies of visual attention behavior.
  • 44:11A button presses one step removed from
  • 44:14the true behavior of interest here,
  • 44:15which is simple attention
  • 44:17or eye gaze behavior.
  • 44:19Therefore we apply the drift diffusion
  • 44:21model to participants eye gaze behavior.
  • 44:24And I will get into what
  • 44:25drift diffusion model is.
  • 44:26But first we need to cover what the task is.
  • 44:28The anti saccade task,
  • 44:30which I briefly touched on in
  • 44:31the beginning in the sense of
  • 44:33that is the behavior of interest
  • 44:35during the anti saccade task.
  • 44:36It's a fastpaced inhibitory control
  • 44:38task strictly driven by participants
  • 44:40eye gaze behavior and that's a really
  • 44:42important thing to remember here.
  • 44:43There are no button presses,
  • 44:45it's strictly where the participant
  • 44:47is looking on the screen is driving
  • 44:50the task paradigm during pro saccade.
  • 44:52Participants receive a queue on
  • 44:54screen either a white or black
  • 44:56fixation cross during the pro
  • 44:58saccade is a white fixation cross
  • 45:00and that tells them I'll need to
  • 45:02look at the upcoming probe.
  • 45:07Next they'll see the probe and they will
  • 45:09look in that direction hopefully and
  • 45:12they'll receive feedback of correct.
  • 45:14Now during an anti saccade they
  • 45:16will receive a probe that is a black
  • 45:20fixation cross indicating to them.
  • 45:21I'll need to look away when
  • 45:24I see the upcoming queue.
  • 45:26When the queue comes,
  • 45:27if they are engaging in the task correctly,
  • 45:30they should inhibit their response
  • 45:31to look at the white box and look
  • 45:34away in the opposite direction of
  • 45:36the screen of the box and therefore
  • 45:39providing a anti saccade response.
  • 45:43Now the important thing also
  • 45:45to remember here.
  • 45:46Apart from it being strictly
  • 45:47driven by participants,
  • 45:48eye gaze behavior is that it
  • 45:50is acute anti saccade cast,
  • 45:52which some people would call
  • 45:54proactive cognitive control.
  • 45:55In this sense, they know what's coming.
  • 45:57They know that they're going to
  • 45:59have to either inhibit A prepotent
  • 46:01response or they're going to have
  • 46:03to just provide the response that
  • 46:05is their natural inclination,
  • 46:06which is which is to look at the
  • 46:09white screen in this very dark
  • 46:11room on this computer screen now.
  • 46:14Briefly,
  • 46:14Introduction to a Drift Diffusion model.
  • 46:17It's a broadly defined any model
  • 46:19as a dynamic system.
  • 46:21When presented with a time series,
  • 46:22inputs such as reaction time and
  • 46:26performance can produce simulation outputs.
  • 46:29And drift diffusion models were
  • 46:31specifically created in order to
  • 46:33relate response times to underlying
  • 46:35latent cognitive processes,
  • 46:36which is the really important
  • 46:38part to understand here is that we
  • 46:40feed in the behavior of interest,
  • 46:43in this case their sequential
  • 46:44behavior on the anti saccade task,
  • 46:46the reaction time, their performance.
  • 46:49And what is generated is individual
  • 46:51estimates of certain parameters.
  • 46:53These parameters are latent constructs.
  • 46:54They don't actually exist,
  • 46:56but they're thought to relate to
  • 46:59real world underlying cognitive
  • 47:01processes that are a closer step
  • 47:04towards what is going on in the
  • 47:06brain than simple reaction time,
  • 47:08which is an amalgamation of many,
  • 47:09many, many cognitive processes.
  • 47:12For the drift diffusion model,
  • 47:14it parses it between drift rate,
  • 47:16which is thought of as information
  • 47:19processing.
  • 47:19You can think of a drift rate as
  • 47:21being an individual's subjective
  • 47:23experience of task difficulty.
  • 47:25So every individual in this task,
  • 47:28once we feed in their behavior,
  • 47:30response time and performance,
  • 47:32we get an estimate of their
  • 47:34specific drift rate during the task.
  • 47:36And their drift rate estimate for
  • 47:38an individual would be how difficult
  • 47:40say they thought the pro saccade
  • 47:43or the anti saccade trials were.
  • 47:46How efficient they were at processing
  • 47:48that and engaging in that task.
  • 47:50There's also a threshold separation,
  • 47:53which is the boundaries shown on the
  • 47:56right there where the red lines are
  • 47:59going and meeting in the star forms.
  • 48:01That is the decision boundary.
  • 48:03So once that boundary is reached,
  • 48:04whatever boundary that is,
  • 48:06that boundary is a decision that is made.
  • 48:09And here the boundary,
  • 48:11the top boundary is indicative of.
  • 48:14Providing a pro saccade response,
  • 48:16where is the bottom boundary
  • 48:17is the anti saccade response,
  • 48:19so they also have a bias or a starting point.
  • 48:23So where in the middle of that?
  • 48:26The decision threshold or
  • 48:28the threshold separation?
  • 48:29Where are they starting?
  • 48:30Are they starting in the middle
  • 48:32or do they have a bias where
  • 48:33they need more information to
  • 48:34gather to make one decision,
  • 48:36much less to make the alternative decision?
  • 48:40And finally, there is also
  • 48:41a non decision time.
  • 48:43I'm not going to get too much of the
  • 48:45non decision time because of the
  • 48:46amalgamation of a lot of cognitive
  • 48:48processes that aren't related
  • 48:49to the decision making process
  • 48:51like early orientate orienting,
  • 48:54early perceptual encoding and
  • 48:55later processes that are non
  • 48:58decision related such as the
  • 49:00execution of a motor response.
  • 49:03But let's walk through what this actually
  • 49:05is so you have a better understanding
  • 49:08cuz me giving you definitions
  • 49:09is probably not going to do it.
  • 49:12You have the decision threshold
  • 49:14here for the anti saccade task that
  • 49:16if the drift rate reaches this top
  • 49:19boundary then they are going to
  • 49:20produce a pro saccade or decide
  • 49:22to produce a pro saccade response.
  • 49:24And then you have a bottom
  • 49:26decision threshold.
  • 49:27If the drift rate reaches this threshold,
  • 49:29they provide an anti saccade response.
  • 49:32And you have a bias parameter or the
  • 49:35starting point is what it's also known
  • 49:37as and you can have a drift rate.
  • 49:39So here's a blue drift rate
  • 49:40indicating a pro saccade response.
  • 49:42It's viewed as a noisy process
  • 49:44which is beyond the scope of this,
  • 49:46but that is why that is a jagged line.
  • 49:49You'll often see jagged lines.
  • 49:51They might also have a.
  • 49:53This is a hypothetical anti saccade
  • 49:56decision deciding to provide an
  • 49:58anti saccade response so you can
  • 50:00have a decision threshold.
  • 50:02Like I said, top is a pro psychotic response,
  • 50:04bottom is an anti psychotic response.
  • 50:07You can also,
  • 50:08so you can think about it as someone
  • 50:10who has large decision thresholds.
  • 50:13This would be an individual
  • 50:14where the parameter estimates is
  • 50:16larger than average for a group.
  • 50:18You could think of them as having a
  • 50:21conservative style of decision making,
  • 50:23at least on this task.
  • 50:24So they need much more evidence
  • 50:26to come to any decision.
  • 50:27They need a lot of information they
  • 50:31are favoring. Accuracy over speed.
  • 50:33There could be also people with
  • 50:35more of an impulsive style where
  • 50:38they favor speed over accuracy.
  • 50:40You can imagine now they need
  • 50:42much less evidence regardless of
  • 50:44what decision they're going to
  • 50:45come to to come to a decision.
  • 50:49And now the bias parameter as well.
  • 50:52It can do a little dance on the where
  • 50:55determining where that starting point is.
  • 50:57It can be high, it can be low.
  • 51:00And altogether, this is hypothetical,
  • 51:05several trials of the pro saccade or
  • 51:09the anti saccade task for both pro and
  • 51:12anti saccade conditions and just for
  • 51:14to show what a drift rate where bias
  • 51:18is shifted downward would look like.
  • 51:20And this might be something to remember
  • 51:23for when I talk about the results
  • 51:25very shortly you see there's much
  • 51:27more information that needs to be.
  • 51:29Garnered to come to a prosychod
  • 51:33response and alternatively much less
  • 51:35information needs to be acquired
  • 51:36to come to a antisychod response.
  • 51:39This would be an individual with a strong
  • 51:41bias towards the antisychod boundary,
  • 51:44and you can see how that's different
  • 51:46from the threshold separation where
  • 51:48they generally for either decision
  • 51:50are either conservative or impulsive
  • 51:52in their decision making style.
  • 51:58Now jumping into the results here,
  • 52:01interestingly we found larger
  • 52:02drift rate drift rates for
  • 52:04the anti psychotic condition,
  • 52:06which indicates that there was actually
  • 52:08more efficient processing occurring
  • 52:10during these high conflict trials,
  • 52:11potentially reflecting a burst
  • 52:13in frontal midline Theta that's
  • 52:15not as strong in the Prosecco
  • 52:19condition which I'll get into very shortly.
  • 52:23There's also meaningful differences in the.
  • 52:27Highest parameter as well.
  • 52:30So specifically when cued of an upcoming
  • 52:33challenge anti saccade condition,
  • 52:35there tended to be a shift downward
  • 52:38towards the anti saccade boundary.
  • 52:40Therefore less evidence was required
  • 52:44to provide that inhibitory response,
  • 52:46but much more evidence was needed to
  • 52:49incorrectly provide a pro saccade response.
  • 52:52I think of this potentially as
  • 52:55indicating A compensatory strategy to
  • 52:58facilitate fast performance but accurate
  • 53:00performance the more during the more
  • 53:03difficult anti saccade condition.
  • 53:05During the pro saccade condition,
  • 53:07on the other hand,
  • 53:08there was no there was a more
  • 53:09neutral approach shown with the
  • 53:11bias parameter estimate where equal
  • 53:14amounts of evidence was needed.
  • 53:16For either decision.
  • 53:17So when they were cued of
  • 53:19this upcoming challenge,
  • 53:20they tended to have a shift
  • 53:22downward in their bias,
  • 53:23which gave them a buffer such that
  • 53:25they could still respond accurately
  • 53:28and quickly is what we are thinking
  • 53:31might be underlying these group
  • 53:32differences during the task from
  • 53:34a drift diffusion framework.
  • 53:35Now what about those neural
  • 53:38oscillations we're talking about?
  • 53:40Here are the head plots.
  • 53:41I'm going to Orient you to the
  • 53:43grand average in the bottom here.
  • 53:45On the left in red is the anti
  • 53:47saccade and on the in blue on
  • 53:49the right is the pro saccade.
  • 53:51You can see there's a pretty routine
  • 53:54and reliable neural response to
  • 53:56both pro and anti saccade response,
  • 53:59but the difference can be shown much.
  • 54:03It becomes much more salient in the
  • 54:05time series output here where I'll
  • 54:07Orient you to the delay period.
  • 54:08So this is the period after they're
  • 54:10told they're going to need to either
  • 54:12provide a pro or anti saccade response
  • 54:14to Remember that white or black
  • 54:16fixation cross so they know what's
  • 54:18coming during that short delay period.
  • 54:20Before they see the white probe,
  • 54:22there is a stronger burst
  • 54:23of frontal midline Theta,
  • 54:25remember that is indicating that
  • 54:27expectations might be violated.
  • 54:29You might need to get the right,
  • 54:32get the cavalry to.
  • 54:34Help with this upcoming challenge since
  • 54:36they were cued that this upcoming challenge,
  • 54:39the anti saccade shown in orange
  • 54:41there tended to be a larger
  • 54:43burst of frontal midline Theta.
  • 54:44So what about all that talk of trial by
  • 54:47trial changes in frontal midline Theta?
  • 54:50So when taking the behavioral neural
  • 54:53physiological findings together,
  • 54:54the drift drift diffusion model input
  • 54:57includes participants trial by trial,
  • 54:59reaction time, response,
  • 55:01empower or strength of their event,
  • 55:03locked Theta neural response
  • 55:05during each task queue.
  • 55:07So within the model is an estimate
  • 55:09of their the specific participants
  • 55:12Theta during that response queue.
  • 55:16They're in that queue where I
  • 55:18showed you between after the queue
  • 55:20and prior to receiving the probe.
  • 55:23Put differently,
  • 55:24we examined the within subject
  • 55:26effects of this trial by trial frontal
  • 55:28midline Theta on drift rate and bias
  • 55:30those two parameters that were found
  • 55:32to differ in their performance.
  • 55:34And allowing for different levels
  • 55:35of difficulty,
  • 55:36so pro and anti saccade to
  • 55:38exert influence via drift
  • 55:40diffusion regression model.
  • 55:41This allowed us to directly examine
  • 55:44eye gaze behavior and trial by trial
  • 55:47changes in frontal midline Theta
  • 55:49within an individual model together
  • 55:52within subject in a Bayesian space.
  • 55:54And this allowed us to to
  • 55:57directly examine where these
  • 55:59changes in frontal midline Theta.
  • 56:01Over the course of tasks has a significant
  • 56:04influence on the drift rate and bias.
  • 56:09And finally these were the
  • 56:11results of the trial by trial
  • 56:13effects of frontal midline Theta.
  • 56:14Here these are posterior distribution.
  • 56:16So I oriented you to zero
  • 56:18there with that line.
  • 56:20And the important part here is
  • 56:21if a posterior distribution in
  • 56:22this context passes through zero,
  • 56:24then is not a meaningful.
  • 56:27Effect here for both pro and anti
  • 56:29saccade shown in the blue and the red.
  • 56:31You can see there was a positive
  • 56:34effect of frontal midline Theta on
  • 56:36pro during pro and anti saccade
  • 56:38conditions with an individual which
  • 56:40shows that which is consistent with
  • 56:42those head plots you saw before
  • 56:44because there were first the frontal
  • 56:46midline Theta during both conditions.
  • 56:47Although the time series input did
  • 56:49show that they were stronger during
  • 56:51the anti saccade condition however.
  • 56:54Being probed that there was an upcoming task,
  • 56:58a challenge,
  • 56:58something to do look at the probe
  • 57:01or look away elicited frontal
  • 57:03midline Theta and both of those
  • 57:06increased individuals processing
  • 57:07efficiency during the upcoming demand.
  • 57:10Now interestingly the bias parameter here.
  • 57:14You can see the prosychot directly
  • 57:16passes through zero,
  • 57:17so there's no effect of frontal
  • 57:18midline Theta within an individual
  • 57:20on their prosychot response.
  • 57:22So during the prosychot trials,
  • 57:23there was no effect of frontal midline Theta.
  • 57:26Very interestingly though,
  • 57:27there was an effect, a negative effect,
  • 57:30on the antisychotic condition which
  • 57:32relates to that shift downward
  • 57:35in that bias parameter.
  • 57:37That shift downward,
  • 57:38which I showed in that schematic earlier,
  • 57:40is what's going on here.
  • 57:42Where?
  • 57:43These results indicate that that
  • 57:45burst of frontal midline Theta during
  • 57:47that anti psychotic condition not
  • 57:49only increased processing efficiency
  • 57:51via the drift rate but also shifted
  • 57:54that bias parameter downward on that.
  • 58:00Allowing their starting point
  • 58:02bias to be shifted downward.
  • 58:03Therefore, they need much more
  • 58:05evidence to accumulate to erroneously
  • 58:07provide a pro saccade response,
  • 58:09but much less information need to
  • 58:11accumulate to provide correctly
  • 58:13the anti saccade response,
  • 58:14if you remember,
  • 58:15is that bottom threshold.
  • 58:20Finally, we're also interested in
  • 58:23potentially showing the utility of using.
  • 58:26Computational modeling to
  • 58:27decompose task based behavior.
  • 58:29So we included reaction time in the
  • 58:31first block which was not significant.
  • 58:33In the second block we introduced
  • 58:35the drift diffusion parameters.
  • 58:36Bias was a significant predictor.
  • 58:40Drift rate was not in this case,
  • 58:41but in subsequent regressions where we
  • 58:44weren't interested in showing the utility,
  • 58:46but just examining whether drift
  • 58:48rate and bias predicted frontal
  • 58:49midline Theta during the task.
  • 58:51Both of those were predictors with
  • 58:54significant predictors without reaction time.
  • 58:57In the in the model and the
  • 59:00overall variance explained was
  • 59:04fairly robust. Finally the take
  • 59:08home here increased Theta power was
  • 59:11associated with increased processing
  • 59:12efficiency and a shift in starting
  • 59:15point bias which facilitated accurate
  • 59:16and fat but fast responding and finally
  • 59:20modeling proactive cognitive control.
  • 59:24At the level of eye gaze from a
  • 59:26drift eye gaze, behavior from a
  • 59:28drift diffusion framework improved
  • 59:29our measurement precision,
  • 59:32as shown through our regression analyses.
  • 59:40And oh, there it is.
  • 59:42And for acknowledgments,
  • 59:43I'd like to thank Courage Lab and
  • 59:45our members and Doctor Crowley,
  • 59:47my mentor, as well as my other cowork
  • 59:51coauthors on the on the paper,
  • 59:53Stefan and Purr, as well as my
  • 59:57funding the F32 as well as the T32.
  • 59:59And Doctor Block who Co
  • 01:00:02runs the T32 with Mike.
  • 01:00:03So thank you.
  • 01:00:10Thank you. Nice job, Peter.
  • 01:00:11Sorry for the technical snafu.
  • 01:00:12No worries. We have time
  • 01:00:14for one question for Peter.
  • 01:00:17Come
  • 01:00:23on, there's gotta be a computational model
  • 01:00:25and person in the crowd. There's Taylor.
  • 01:00:33I wanted to go back to
  • 01:00:34this one to show this is.
  • 01:00:36I made this slide to show kind of
  • 01:00:38what that effect was hypothesized
  • 01:00:40for that effect of frontal midline
  • 01:00:42Theta on anti sacod conditions,
  • 01:00:44what that look like and that is kind of
  • 01:00:47what that shift downward would look like.
  • 01:00:49If anyone's interested,
  • 01:00:50I wanted to go back to it.
  • 01:00:51But right now I have a question, Peter.
  • 01:00:54So where can we take this research
  • 01:00:56studying anxiety for instance?
  • 01:00:58Yeah, so I think I've thought a lot about
  • 01:01:02using attentional biases to threat.
  • 01:01:04And oftentimes we'll use a dot pro task or
  • 01:01:08pretty much any kind of task we use really.
  • 01:01:11We're inferring where their
  • 01:01:13attention is via button presses.
  • 01:01:15And I think it'd be it shows
  • 01:01:18that we can use the Drift Drift,
  • 01:01:19diffusion modeling framework to
  • 01:01:22decompose gaze behavior into these
  • 01:01:24late and underlying constructs which
  • 01:01:27may allow us to better relate to.
  • 01:01:31Neural dynamics, whether it be frontal,
  • 01:01:33midline, Theta, A joint model as
  • 01:01:36seen here can also be applied to FM,
  • 01:01:40RI through bold response.
  • 01:01:42It doesn't need to be necessarily EE,
  • 01:01:45G or Austory dynamics,
  • 01:01:47but what's really important with
  • 01:01:49this type of modeling is having
  • 01:01:52that trial by trial changes and.
  • 01:01:54Obviously,
  • 01:01:55the temporal specificity of veg
  • 01:01:56lends itself very nicely to a
  • 01:01:59computational modeling approach
  • 01:02:00to something like this because
  • 01:02:02of that temporal specificity as
  • 01:02:03opposed to a bold response.
  • 01:02:04But there are ways to kind of lag
  • 01:02:06that so that it matches up with the
  • 01:02:09behavior which is kind of interesting.
  • 01:02:11So I think using this to study
  • 01:02:13attention biases with with eye
  • 01:02:15tracking is is something that's
  • 01:02:17really cool and in the future.
  • 01:02:20Thank you very much.
  • 01:02:21Thank you for coming everyone.