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Publications | Computerized Neurotherapy lab

Publications

In Press
Mairon N, M, Nahum , A, Stolk , R.T, Knight , and A, Perry . In Press. Behavioral And Eeg Measures Show No Amplifying Effects Of Shared Attention On Attention Or Memory. Scientific Reports, 10.
Submitted
Rowlands A., Fisher M., , Nahum M., , Brandrett B., , Caldwell M., , Kiehl K., , and S., Vingoradov . Submitted. Cognitive Training For Violent Adolescent Males Incarcerated In A Juvenile Treatment Center. Child And Youth Care Forum.
2021
Itai Berger, Dakwar-Kawar, Ornella , Grossman, Ephraim S. , Nahum, Mor , and Kadosh, Roi Cohen . 1/8/2021. Scaffolding The Attention-Deficit/Hyperactivity Disorder Brain Usingtranscranial Direct Current And Random Noise Stimulation: A Randomizedcontrolled Trial. Clinical Neurophysiology, 132 , Pp. 699–707. doi.org/10.1016/j.clinph.1/8/2021. 01.005. Publisher's Version Abstract
Objective: Improving symptomology and cognitive deficits in neurodevelopmental disorders is a crucial
challenge. We examined whether neurostimulation protocols, which have been shown to yield long-term
effects when combined with cognitive training, could benefit children with Attention-deficit/hyperactiv
ity-disorder (ADHD), the most common neurodevelopmental disorder in childhood.
Methods: We used a randomized double-blind active-controlled crossover study of 19 unmedicated children
with ADHD, who received either anodal transcranial direct current stimulation (tDCS) over the left
dorsolateral prefrontal cortex (dlPFC) or random noise stimulation (tRNS) over the bilateral dlPFC, while
completing executive functions training.
Results: For our primary outcome, tRNS yielded a clinical improvement as indicated by the reduced
ADHD rating-scale score from baseline, and in comparison to the changes observed in tDCS. The effect
of brain stimulation one week after completion of treatment yielded further improvement, suggesting
a neuroplasticity-related effect. Finally, tRNS improved working memory compared to tDCS, and a larger
tRNS effect on ADHD rating-scale was predicted for those who showed the greatest improvement in
working memory.
Conclusions: We found that our intervention can have a lasting effect, rather than a merely immediate
effect as was shown for in previous medical interventions in ADHD.
Significance: Our results provide a promising direction toward a novel intervention in ADHD.
2020
Nahum M and D, Bavelier . 2020. Video Games As Rich Environments To Foster Brain Plasticity.. Handbook Of Clinical Neurology, 168.
Miley K, M, Fisher , ⁠M, Nahum , E, Howard , A, Rowlands , B, Brandrett , J, Woolley , CI, Hooker , B, Biagianti , I, Ramsay , and S, Vinogradov . 2020. Six Month Durability Of Targeted Cognitive Training Supplemented With Social Cognition Exercises In Schizophrenia. Schizophrenia Research: Cognition, 20.
2019
Thomas Van Vleet, Stark-Inbar, Alit , Michael M., Merzenich , Jordan, Joshua T. , Wallace, Deanna L. , Lee, Morgan B. , Dawes, Heather E. , Chang, Edward F. , and Nahum, Mor . 2/28/2019. Biases In Processing Of Mood-Congruent Facial Expressions In Depression. Psychiatry Research, 275, Pp. 143-148. https://doi.org/10.1016/j.psychres.2/28/2019. 02.076. Publisher's Version Abstract
Cognitive models of depression suggest that depressed individuals exhibit a tendency to attribute negative meaning to neutral stimuli, and enhanced processing of mood-congruent stimuli. However, evidence thus far has been inconsistent. In this study, we sought to identify both differential interpretation of neutral information as well as emotion processing biases associated with depression. Fifty adult participants completed standardized mood-related questionnaires, a novel immediate mood scale questionnaire (IMS-12), and a novel task, Emotion Matcher, in which they were required to indicate whether pairs of emotional faces show the same expression or not. We found that overall success rate and reaction time on the Emotion Matcher task did not differ as a function of severity of depression. However, more depressed participants had significantly worse performance when presented with sad-neutral face pairs, as well as increased reaction times to happy-happy pairs. In addition, accuracy of the sad-neutral pairs was found to be significantly associated with depression severity in a regression model. Our study provides partial support for the mood-congruent hypothesis, revealing only a potential bias in interpretation of sad and neutral expressions, but not a general deficit in processing of facial expressions. The potential of such bias in serving as a predictor for depression should be further examined in future studies.
Ben Yehuda A, R, Rubinstein , V, Svetlitsky , L, Tse-Laor , M, Nahum , N, Berezin-Cohen , A, Davidov , and N, Gold . 2019. Addressing The Acute Stage Of Combat Response And Mobile Tracking Devices In Mental Health. Journal Of Israeli Military Medicine, 16, 42, Pp. 42-45.
Haut KM, D, Dodell-Feder , E, Guty , ⁠M, Nahum , and CI, Hooker . 2019. Change In Objective Measure Of Empathic Accuracy Following Social Cognitive Training. Front Psychiatry , 10, Pp. 894.
Biagianti B., Fisher M., , Brandrett B., , Schlosser D., , Loewy R., , Nahum M&., , S&, Vinogradov , and authors, Co-last . 2019. Development And Testing Of A Web-Based Battery To Remotely Assess Cognitive Health In Individuals With Schizophrenia.. Schizophrenia Research. . Publisher's Version
Kramer AF Vinogradov Ansorge Ball KK Bingel Chein JM Colzato LS Edwards JD Facoetti Gazza SUU Green CS, Bavelier D. 2019. Improving Methodological Standards In Behavioral Interventions For Cognitive Enhancement. Journal Of Cognitive Enhancement, 3, Pp. 2-29.
2018
C. Shawn Green, Bavelier, Daphne , Kramer, Arthur F. , Vinogradov, Sophia , Ansorge, Ulrich , Ball, Karlene K. , UlrikeBingel, , Chein, Jason M. , Colzato, Lorenza S. , Edwards, Jerri D. , Facoetti, Andrea , Gazzaley, Adam , Gathercole, Susan E. , Gori, Paolo Ghisletta Simone , Granic, Isabela , Hillman, Charles H. , Hommel, Bernhard , Jaeggi, Susanne M. , Kanske, Philipp , Karbach, Julia , Kingstone, Alan , Kliegel, Matthias , Klingberg, Torkel , Kühn, Simone , Levi, Dennis M. , Mayer, Richard E. , McLaughlin, Anne Collins , McNamara, Danielle S. , Morris, Martha Clare , Nahum, Mor , Newcombe, Nora S. , Panizzutti, Rogerio , Prakash, Ruchika Shaurya , Rizzo, Albert , Schubert, Torsten , Seitz, Aaron R. , Short, Sarah J. , Singh, Ilina , Slotta, James D. , Strobach, Tilo , Thomas, Michael S. C. , Tipton, Elizabeth , Tong, Xin , Vlach, Haley A. , Wetherell, Julie Loebach , Wexler, Anna , and Witt, Claudia M.. 11/19/2018. Improving Methodological Standards In Behavioral Interventions For Cognitive Enhancemen. Journal Of Cognitive Enhancement. 10.1007%2Fs41465-018-0115-y. Publisher's Version Abstract
There is substantial interest in the possibility that cognitive skills can be improved by dedicated behavioral training. Yet despite the large amount of work being conducted in this domain, there is not an explicit and widely agreed upon consensus around the best methodological practices. This document seeks to fill this gap. We start from the perspective that there are many types of studies that are important in this domain—e.g., feasibility, mechanistic, efficacy, and effectiveness. These studies have fundamentally different goals, and, as such,the best-practice methods to meet those goals will also differ. We thus make suggestions in topics ranging from the design and implementation of control groups, to reporting of results, to dissemination and communication, taking the perspective that the best practices are not necessarily uniform acrossall study types.We also explicitly recognize and discuss the fact that there are methodological issues around which we currently lack the theoretical and/or empirical foundation to determine best practices (e.g., as pertains to assessing participant expectations). For these, we suggest important routes forward, including greater interdisciplinary collaboration with individuals from domains that face related concerns. Our hope is that these recommendations will greatly increase the rate at which science in this domain advances.
Gambacorta C., Nahum M., , Vedamurthy I., , Bayliss J., , Jordan JT., , Bavelier D., , and DM., Levi . 2018. An Action Video Game For The Treatment Of Amblyopia In Children: A Feasibility Study. Vision Research, 148, Pp. 1-14. . Publisher's Version Abstract
The gold-standard treatment for childhood amblyopia remains patching or penalizing the fellow eye, resulting in an average of about a one line (0.1 logMAR) improvement in visual acuity following ≈120 h of patching in children 3–8 years old. However, compliance with patching and other treatment options is often poor. In contrast, fast-paced action video games can be highly engaging, and have been shown to yield broad-based improvements in vision and attention in adult amblyopia. Here, we pilot-tested a custom-made action video game to treat children with amblyopia. Twenty-one (n = 21) children (mean age 9.95 ± 3.14 [se]) with unilateral amblyopia (n = 12 anisometropic and n = 9 strabismic) completed 20 h of game play either monocularly, with the fellow eye patched (n = 11), or dichoptically, with reduced contrast to the fellow eye (n = 10). Participants were assessed for visual acuity (VA), stereo acuity and reading speed at baseline, and following 10 and 20 h of play. Additional exploratory analyses examined improvements after 6–10 weeks of completion of training (follow-up). Following 20 h of training, VA improved, on average, by 0.14 logMAR (≈38%) for the dichoptic group and by 0.06 logMAR (≈15%) for the monocular group. Similarly, stereoacuity improved by 0.07 log arcsec (≈17%) following dichoptic training, and by 0.06 log arcsec (≈15%) following monocular training. Across both treatment groups, 7 of the 12 individuals with anisometropic amblyopia showed improvement in stereoacuity, whereas only 1 of the 9 strabismic individuals improved. Most improvements were largely retained at follow-up. Our feasibility study therefore suggests that the action video game approach may be used as an effective adjunct treatment for amblyopia in children, achieving results similar to those of the gold-standard treatment in shorter duration.
Nahum, M. and Bavelier D., . 2018. Video Games As Rich Environments To Foster Brain Plasticity.. Handbook Of Clinical Neurology, Brain-Computer Interfaces. .
Lowry A. Kirkby, Luongo, Francisco J. , Lee, Morgan B. , Nahum, Mor , Van Vleet, Thomas M. , Rao, Vikram R. , Dawes, Heather E. , Chang, Edward F. , and Sohal, Vikaas S. . 2018. An Amygdala-Hippocampus Subnetwork That Encodes Variation In Human Mood. Cell, 175, Pp. 1–13. Abstract
Human brain networks that encode variation in mood on naturalistic timescales remain largely unexplored. Here we combine multi-site, semi-chronic, intracra- nial electroencephalography recordings from the human limbic system with machine learning methods to discover a brain subnetwork that correlates with variation in individual subjects’ self-reported mood over days. First we defined the subnetworks that influence intrinsic brain dynamics by identifying regions that showed coordinated changes in spec- tral coherence. The most common subnetwork, found in 13 of 21 subjects, was characterized by b-frequency coherence (13-30 Hz) between the amygdala and hippocampus. Increased variability of this subnetwork correlated with worsening mood across these 13 subjects. Moreover, these subjects had significantly higher trait anxiety than the 8 of 21 for whom this amygdala-hippocampus subnetwork was absent. These results demonstrate an approach for extracting network-behavior relationships from complex datasets, and they reveal a conserved sub- network associated with a psychological trait that significantly influences intrinsic brain dynamics and encodes fluctuations in mood.
2017
Melissa Fisher, Nahum, Mor , Howard, Elizabeth , Rowlands, Abby , Brandrett, Benjamin , Kermott, Amy , Woolley, Joshua , and Vinogradov, Sophia . 2017. Supplementing Intensive Targeted Computerized Cognitive Training With Social Cognitive Exercises For People With Schizophrenia: An Interim Report.. Psychiatric Rehabilitation Journal, 40, 1, Pp. 21 - 32. . Publisher's Version Abstract
Objective: Individuals with schizophrenia demonstrate cognitive, social cognitive, and motivational deficits that contribute to impairment in real-world functioning. In the current study, we investigated the effects of supplementing computerized neurocognitive training with social cognitive exercises, as compared with neurocognitive training alone. Method: In this ongoing, double-blind, randomized controlled trial of 111 participants with psychosis, we compare the effects of supplementing intensive targeted cognitive training with social cognitive training exercises (TCT + SCT) with the effects of targeted cognitive training alone (TCT-only). Participants were assessed on cognition, symptoms, functional capacity, and functional outcomes, as well as social cognition and measures related to reward processing. Results: Both treatment groups showed significant improvement in multiple cognitive domains and improvement in functional capacity. However, as predicted, TCT + SCT group participa
Mor Nahum, Van Vleet, Thomas M. , Stark-Inbar, Alit , Biagianti, Bruno , Merzenich, Michael , Sohal, Vikaas S. , Mirzabekov, Julie J. , Rao, Vikram R. , Wallace, Deanna L. , Lee, Morgan B. , Dawes, Heather , Chang, Edward F. , and Jordan, Joshua Thomas . 2017. Immediate Mood Scaler: Tracking Symptoms Of Depression And Anxiety Using A Novel Mobile Mood Scale.. Jmir Mhealth And Uhealth, 5, 4. . Publisher's Version Abstract
Background: Mood disorders are dynamic disorders characterized by multimodal symptoms. Clinical assessment of symptoms is currently limited to relatively sparse, routine clinic visits, requiring retrospective recollection of symptoms present in the weeks preceding the visit. Novel advances in mobile tools now support ecological momentary assessment of mood, conducted frequently using mobile devices, outside the clinical setting. Such mood assessment may help circumvent problems associated with infrequent reporting and better characterize the dynamic presentation of mood symptoms, informing the delivery of novel treatment options. Objectives: The aim of our study was to validate the Immediate Mood Scaler (IMS), a newly developed, iPad-deliverable 22-item self-report tool designed to capture current mood states. Methods: A total of 110 individuals completed standardized questionnaires (Patient Health Questionnaire, 9-item [PHQ-9]; generalized anxiety disorder, 7-Item [GAD-7]; and rumina
2016
Biagianti B., Schlosser D., , Nahum M., , Woolley J., , and S., Vinogradov . 2016. Climb: A Mobile Intervention To Improve Social Functioning In People With Chronic Psychotic Disorders; Results From A Pilot Feasibility Study.. Jmir Ment Health, 3, 4, Pp. 52.
Carrieri L., De Pisapia N., , Nahum M., , and P., Venuti . 2016. A Cognitive Training Intervention For Individuals With Autism Spectrum Disorders. Autismo E Disturbi Dello Sviluppo, 14, 3, Pp. 305-326.
2015
Indu Vedamurthy, Nahum, Mor , Huang, Samuel J. , Zheng, Frank , Bayliss, Jessica , Bavelier, Daphne , and Levi, Dennis M. . 2015. A Dichoptic Custom-Made Action Video Game As A Treatment For Adult Amblyopia.. Vision Research, Pp. 173. . Publisher's Version Abstract
* Dichoptic video game play improved acuity and stereopsis in amblyopic adults. * A control 'supervised patching' group showed no improvement. * Contrast sensitivity and reading speed also improved for the game group. * This approach may have promise for the treatment of adult amblyopia.
Amblyopia is a deficit in vision that arises from abnormal visual experience early in life. It was long thought to develop into a permanent deficit, unless properly treated before the end of the sensitive period for visual recovery. However, a number of studies now suggest that adults with long-standing amblyopia may at least partially recover visual acuity and stereopsis following perceptual training. Eliminating or reducing interocular suppression has been hypothesized to be at the root of these changes. Here we show that playing a novel dichoptic video game indeed results in reduced suppression, improved visual acuity and, in some cases, improved stereopsis. Our relatively large cohort of adults with amblyopia, allowed us, for the first time, to assess the link between visual function recovery and reduction in suppression. Surprisingly, no significant correlation was found between decreased suppression and improved visual function. This finding challenges the prevailing view and su