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Postdoctoral Fellowship in Childhood Neuropsychiatric Disorders (T32) Trainee Talks

June 07, 2023

YCSC Grand Rounds June 6, 2023
Moderated by Michael Crowley, PhD, Assistant Professor, Yale Child Study Center

Improving Our Understanding of Emotion Regulation During Pregnancy
Francesca Penner, PhD

Social Disruption and Loneliness in Autistic and Non-Autistic Youth during the COVID-19 Pandemic
Alan H. Gerber, PhD

Modeling Brain Dynamics and Gaze Behavior: Starting Point Bias and Drift Rate Relate to Frontal Midline Theta Oscillations
Peter J. Castagna, PhD

ID
10039

Transcript

  • 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.