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Keywords = somatic marker hypothesis

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19 pages, 1086 KB  
Article
Biomimetic Synthetic Somatic Markers in the Pixelverse: A Bio-Inspired Framework for Intuitive Artificial Intelligence
by Vitor Lima and Domingos Martinho
Biomimetics 2026, 11(1), 63; https://doi.org/10.3390/biomimetics11010063 - 12 Jan 2026
Viewed by 257
Abstract
Biological decision-making under uncertainty relies on somatic markers, which are affective signals that bias choices without exhaustive computation. This study biomimetically translates the Somatic Marker Hypothesis (SMH) into synthetic somatic markers (SSMs), a minimal and interpretable evaluative mechanism that assigns a scalar valence [...] Read more.
Biological decision-making under uncertainty relies on somatic markers, which are affective signals that bias choices without exhaustive computation. This study biomimetically translates the Somatic Marker Hypothesis (SMH) into synthetic somatic markers (SSMs), a minimal and interpretable evaluative mechanism that assigns a scalar valence to compressed environmental states in the high-dimensional discrete grid-world Pixelverse, without modelling subjective feelings. SSMs are implemented as a lightweight Python routine in which agents accumulate valence from experience and use a simple threshold rule (θ = −0.5) to decide whether to keep the current trajectory or reset the environment. In repeated simulations, agents perform few resets on average and spend a higher proportion of time in stable “good” configurations, indicating that non-trivial adaptive behaviour can emerge from a single evaluative dimension rather than explicit planning in this small stochastic grid-world. The main conclusion is that, in this minimalist 3 × 3 Pixelverse testbed, SMH-inspired SSMs provide an economical and transparent heuristic that can bias decision-making despite combinatorial state growth. Within this toy setting, they offer a conceptually grounded alternative and potential complement to more complex affective and optimisation model. However, their applicability to richer environments remains an open question for future research. The ethical implications of deploying such bio-inspired evaluative systems, including transparency, bias mitigation, and human oversight, are briefly outlined. Full article
(This article belongs to the Section Bioinspired Sensorics, Information Processing and Control)
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25 pages, 2127 KB  
Perspective
Making AI Tutors Empathetic and Conscious: A Needs-Driven Pathway to Synthetic Machine Consciousness
by Earl Woodruff
AI 2025, 6(8), 193; https://doi.org/10.3390/ai6080193 - 19 Aug 2025
Cited by 2 | Viewed by 3551
Abstract
As large language model (LLM) tutors evolve from scripted helpers into adaptive educational partners, their capacity for self-regulation, ethical decision-making, and internal monitoring will become increasingly critical. This paper introduces the Needs-Driven Consciousness Framework (NDCF) as a novel, integrative architecture that combines Dennett’s [...] Read more.
As large language model (LLM) tutors evolve from scripted helpers into adaptive educational partners, their capacity for self-regulation, ethical decision-making, and internal monitoring will become increasingly critical. This paper introduces the Needs-Driven Consciousness Framework (NDCF) as a novel, integrative architecture that combines Dennett’s multiple drafts model, Damasio’s somatic marker hypothesis, and Tulving’s tripartite memory system into a unified motivational design for synthetic consciousness. The NDCF defines three core regulators, specifically Survive (system stability and safety), Thrive (autonomy, competence, relatedness), and Excel (creativity, ethical reasoning, long-term purpose). In addition, there is a proposed supervisory Protect layer that detects value drift and overrides unsafe behaviours. The core regulators compute internal need satisfaction states and urgency gradients, feeding into a softmax-based control system for context-sensitive action selection. The framework proposes measurable internal signals (e.g., utility gradients, conflict intensity Ω), behavioural signatures (e.g., metacognitive prompts, pedagogical shifts), and three falsifiable predictions for educational AI testbeds. By embedding these layered needs directly into AI governance, the NDCF offers (i) a psychologically and biologically grounded model of emergent machine consciousness, (ii) a practical approach to building empathetic, self-regulating AI tutors, and (iii) a testable platform for comparing competing consciousness theories through implementation. Ultimately, the NDCF provides a path toward the development of AI tutors that are capable of transparent reasoning, dynamic adaptation, and meaningful human-like relationships, while maintaining safety, ethical coherence, and long-term alignment with human well-being. Full article
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12 pages, 1475 KB  
Article
The Prevalence and Clinical Significance of Toe Walking in Autism Spectrum Disorder: A Cross-Sectional Study in an Italian Pediatric Sample
by Carola Costanza, Beatrice Gallai, Michele Sorrentino, Martina Gnazzo, Giulia Pisanò, Lucia Parisi, Eva Germanò, Agata Maltese, Maria Esposito, Michele Roccella and Marco Carotenuto
Medicina 2025, 61(8), 1346; https://doi.org/10.3390/medicina61081346 - 25 Jul 2025
Viewed by 2474
Abstract
Background and Objectives: Toe walking (TW) is frequently observed in children with Autism Spectrum Disorder (ASD), yet its clinical significance and association with comorbid conditions remain poorly understood. This study aimed to examine the prevalence of TW in a large Italian cohort [...] Read more.
Background and Objectives: Toe walking (TW) is frequently observed in children with Autism Spectrum Disorder (ASD), yet its clinical significance and association with comorbid conditions remain poorly understood. This study aimed to examine the prevalence of TW in a large Italian cohort of children with ASD and to explore its association with ASD severity, sleep disturbances, feeding behaviors, and gastrointestinal symptoms. Materials and Methods: A total of 289 children with ASD and 289 typically developing controls (TDC), matched for age and sex, were evaluated in a multicentric observational study. TW was assessed during neurodevelopmental evaluations. Sleep quality was assessed using the Sleep Disturbance Scale for Children (SDSC), feeding behaviors via the Brief Autism Mealtime Behavior Inventory (BAMBI), and gastrointestinal symptoms through clinical reporting. Statistical analyses included Chi-square tests, Mann–Whitney U tests, Spearman correlations, and logistic regressions. Results: TW was significantly more prevalent in the ASD group (27.3%) than in TDC (5.5%, p < 0.0001). Within the ASD group, TW occurred in 50.5% of children with Level 3 severity but was absent in Levels 1 and 2 (p < 0.0001). Males exhibited TW more frequently than females. Children with TW had higher SDSC scores (ρ = 0.33, p < 0.0001), though no subscale independently predicted TW. Constipation was reported in 100% of children with Level 3 ASD and was strongly correlated with SDSC total scores (ρ = 0.58, p < 0.0001). The Disorders of Arousal (DA) subscale emerged as an independent predictor of constipation (β = 0.184, p = 0.019). Conclusions: TW in ASD appears to be a marker of greater neurodevelopmental severity and is associated with sleep disturbances and gastrointestinal dysfunction. These findings support the hypothesis that TW may reflect broader dysfunctions involving the gut–brain axis, sensory processing, and motor control. The routine clinical assessment of TW should include the evaluation of sleep and somatic symptoms to better understand the multisystemic nature of ASD phenotypes. Full article
(This article belongs to the Section Pediatrics)
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12 pages, 758 KB  
Study Protocol
Understanding COVID-19 Vaccine Hesitancy: A Neuroscientific Protocol
by Francesca Pisano, Simona Massimino, Giuseppe Craparo, Gabriella Martino, Francesco Tomaiuolo, Vanni Caruso, Alessio Avenanti and Carmelo Mario Vicario
Brain Sci. 2025, 15(6), 563; https://doi.org/10.3390/brainsci15060563 - 24 May 2025
Viewed by 1571
Abstract
Background: Vaccine hesitancy (VH) is a significant public health challenge, especially during the COVID-19 pandemic. Despite extensive research on the psychological and socio-political determinants of VH, its psychophysiological mechanisms remain unexplored. Grounded in the Somatic Marker Hypothesis, this study aims to investigate the [...] Read more.
Background: Vaccine hesitancy (VH) is a significant public health challenge, especially during the COVID-19 pandemic. Despite extensive research on the psychological and socio-political determinants of VH, its psychophysiological mechanisms remain unexplored. Grounded in the Somatic Marker Hypothesis, this study aims to investigate the neurophysiological and affective processes underlying VH. Methods: Two experiments will assess sensorimotor resonance and affective processes in VH. In the first experiment, motor-evoked potentials (MEPs) will be recorded from the deltoid and extensor carpi radialis muscles while participants view images of people receiving COVID-19 and influenza vaccines, as well as blood injections (Block 1), and images of vial containing the same substances (Block 2). Facial electromyographic (EMG) activity will measure disgust and fear responses. In the second experiment, skin conductance response (SCR) will be recorded during a virtual reality-based fear conditioning and extinction paradigm. Expected Outcomes: We hypothesize that vaccine-hesitant individuals will exhibit altered sensorimotor resonance, higher affective responses to vaccination stimuli, and impaired fear extinction learning. Psychological traits such as disgust sensitivity, paranoia, anxiety, and dogmatism are expected to be associated with VH. Conclusions: By identifying the psychophysiological mechanisms of VH, this study will contribute to developing effective vaccine promotion strategies to address future public health emergencies. Full article
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22 pages, 1123 KB  
Article
DNA Methylation Changes Reflect Aluminum Stress in Triticale and Epigenetic Control of the Trait
by Agnieszka Niedziela, Renata Orłowska and Piotr Tomasz Bednarek
Int. J. Mol. Sci. 2025, 26(11), 4995; https://doi.org/10.3390/ijms26114995 - 22 May 2025
Cited by 1 | Viewed by 930
Abstract
Aluminum (Al) stress is typical for acidic soils and may affect cereals’ yield. Al tolerance in triticale is mostly affected by the aluminum-activated malate transporter (ALMT) gene (7R) and some other QTLs (3R, 5R, and 6R). The trait is heritable in about 36% [...] Read more.
Aluminum (Al) stress is typical for acidic soils and may affect cereals’ yield. Al tolerance in triticale is mostly affected by the aluminum-activated malate transporter (ALMT) gene (7R) and some other QTLs (3R, 5R, and 6R). The trait is heritable in about 36% of cases, indicating that epigenetic factors may impact the phenomenon. This study demonstrates that utilizing different methods to quantify DNA methylation changes induced by Al stress results in detail differences, and the results evaluated should be compared critically. The Common and the basic General approaches are sufficient if general information is needed. The General (extended variant) approach may deliver data on methylation changes affecting symmetric sequence contexts. The markers assigned to DN-CG, DM-CG, and DN-CHG were suggested as the most important in explaining Al tolerance in triticale. Analysis of the maps constructed based on root tips and leaf tissues showed different densities of the epigenetic markers but reflected the comparable patterns of their distribution, supporting the hypothesis that Al stress could be transmitted to other plant tissues due to somatic memory. Methylation changes occur throughout the genome and are not associated with specific genes related to aluminum stress. Full article
(This article belongs to the Special Issue Plant Responses to Abiotic and Biotic Stresses)
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23 pages, 2508 KB  
Article
Anabolic Steroids-Driven Regulation of Porcine Ovarian Putative Stem Cells Favors the Onset of Their Neoplastic Transformation
by Gabriela Gorczyca, Kamil Wartalski, Jerzy Wiater, Marcin Samiec, Zbigniew Tabarowski and Małgorzata Duda
Int. J. Mol. Sci. 2021, 22(21), 11800; https://doi.org/10.3390/ijms222111800 - 30 Oct 2021
Cited by 34 | Viewed by 4413
Abstract
Nandrolone (Ndn) and boldenone (Bdn), the synthetic testosterone analogues with strong anabolic effects, despite being recognized as potentially carcinogenic compounds, are commonly abused by athletes and bodybuilders, which includes women, worldwide. This study tested the hypothesis that different doses of Ndn and Bdn [...] Read more.
Nandrolone (Ndn) and boldenone (Bdn), the synthetic testosterone analogues with strong anabolic effects, despite being recognized as potentially carcinogenic compounds, are commonly abused by athletes and bodybuilders, which includes women, worldwide. This study tested the hypothesis that different doses of Ndn and Bdn can initiate neoplastic transformation of porcine ovarian putative stem cells (poPSCs). Immunomagnetically isolated poPSCs were expanded ex vivo in the presence of Ndn or Bdn, for 7 and 14 days. Results show that pharmacological doses of both Ndn and Bdn, already after 7 days of poPSCs culture, caused a significant increase of selected, stemness-related markers of cancer cells: CD44 and CD133. Notably, Ndn also negatively affected poPSCs growth not only by suppressing their proliferation and mitochondrial respiration but also by inducing apoptosis. This observation shows, for the first time, that chronic exposure to Ndn or Bdn represents a precondition that might enhance risk of poPSCs neoplastic transformation. These studies carried out to accomplish detailed molecular characterization of the ex vivo expanded poPSCs and their potentially cancerous derivatives (PCDs) might be helpful to determine their suitability as nuclear donor cells (NDCs) for further investigations focused on cloning by somatic cell nuclear transfer (SCNT). Such investigations might also be indispensable to estimate the capabilities of nuclear genomes inherited from poPSCs and their PCDs to be epigenetically reprogrammed (dedifferentiated) in cloned pig embryos generated by SCNT. This might open up new possibilities for biomedical research aimed at more comprehensively recognizing genetic and epigenetic mechanisms underlying not only tumorigenesis but also reversal/retardation of pro-tumorigenic intracellular events. Full article
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17 pages, 2587 KB  
Article
Normatively Irrelevant Affective Cues Affect Risk-Taking under Uncertainty: Insights from the Iowa Gambling Task (IGT), Skin Conductance Response, and Heart Rate Variability
by Giulia Priolo, Marco D’Alessandro, Andrea Bizzego and Nicolao Bonini
Brain Sci. 2021, 11(3), 336; https://doi.org/10.3390/brainsci11030336 - 6 Mar 2021
Cited by 6 | Viewed by 4369
Abstract
Being able to distinguish between safe and risky options is paramount in making functional choices. However, deliberate manipulation of decision-makers emotions can lead to risky behaviors. This study aims at understanding how affective reactions driven by normatively irrelevant affective cues can interfere with [...] Read more.
Being able to distinguish between safe and risky options is paramount in making functional choices. However, deliberate manipulation of decision-makers emotions can lead to risky behaviors. This study aims at understanding how affective reactions driven by normatively irrelevant affective cues can interfere with risk-taking. Good and Bad decks of the Iowa Gambling Task have been manipulated to make them unpleasant through a negative auditory manipulation. Anticipatory skin conductance response (SCR) and heart rate variability (HRV) have been investigated in line with the somatic marker hypothesis. Results showed fewer selections from Good decks when they were negatively manipulated (i.e., Incongruent condition). No effect of the manipulation was detected when Bad decks were negatively manipulated (i.e., Congruent condition). Higher anticipatory SCR was associated with Bad decks in Congruent condition. Slower heart rate was found before selections from Good decks in Control and Congruent condition and from Bad decks in Incongruent condition. Differences in heart rate between Bad and Good decks were also detected in Congruent condition. Results shed light on how normatively irrelevant affective cues can interfere with risk-taking. Full article
(This article belongs to the Special Issue How Emotions Guide Decision-Making: Behavioral and Brain Mechanisms)
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14 pages, 1956 KB  
Article
Systemic Catecholaminergic Deficiency in Depressed Patients with and without Coronary Artery Disease
by Uta Hoppmann, Harald Engler, Sabrina Krause, Edit Rottler, Julia Hoech, Franziska Szabo, Peter Radermacher and Christiane Waller
J. Clin. Med. 2021, 10(5), 986; https://doi.org/10.3390/jcm10050986 - 2 Mar 2021
Cited by 11 | Viewed by 3117
Abstract
Background: Stress and depression are known to contribute to coronary artery disease (CAD) with catecholamines (CA), altering the balance to a pro- and anti-inflammatory stetting and potentially playing a key role in the underlying pathophysiology. This study aimed to elucidate the impact of [...] Read more.
Background: Stress and depression are known to contribute to coronary artery disease (CAD) with catecholamines (CA), altering the balance to a pro- and anti-inflammatory stetting and potentially playing a key role in the underlying pathophysiology. This study aimed to elucidate the impact of social stress on the CA system and inflammation markers in patients suffering from CAD and depression. Methods: 93 subjects were exposed to the Trier Social Stress Test (TSST). Based on the results of the depression subscale of the Hospital Anxiety and Depression Scale (HADS, German Version) and the presence/absence of CAD, they were divided into four groups. A total of 21 patients suffered from CAD and depression (+D+CAD), 26 suffered from CAD alone (−D+CAD), and 23 suffered from depression only (+D−CAD); another 23 subjects served as healthy controls (−D−CAD). Subjects were registered at 09:00 AM at the laboratory. A peripheral venous catheter was inserted, and after a 60-min-resting period, the TSST was applied. Prior to and 5, 15, 30, and 60 min after the stress test, plasma epinephrine, norepinephrine, and dopamine concentrations (High Performance Liquid Chromatography (HPLC)) were measured together with the inflammation markers interleukin-6 (IL-6) and monocyte chemotactic protein-1 (MCP-1). High-sensitive C-reactive protein (hs-CRP, Enzyme-linked Immunosorbent Assay (ELISA)) was measured prior to TSST. Results: (+D−CAD) and (+D+CAD) patients showed significantly lower epinephrine and dopamine levels compared to the (−D+CAD) and (−D−CAD) participants at baseline (prior to TSST). Over the whole measurement period after the TSST, no inter-group difference was detected. Partial correlation (controlling for age, gender and Body Mass Index (BMI)) revealed a significant direct relation between MCP-1 and norepinephrine (r = 0.47, p = 0.03) and MCP-1 and epinephrine (r = 0.46, p = 0.04) in patients with −D+CAD at rest. Conclusions: The stress response of the CA system was not affected by depression or CAD, whereas at baseline we detected a depression-related reduction of epinephrine and dopamine release independent of CAD comorbidity. Reduced norepinephrine and dopamine secretion in the central nervous system in depression, known as ‘CA-deficit hypothesis’, are targets of antidepressant drugs. Our results point towards a CA-deficit in the peripheral nervous system in line with CA-deficit of the central nervous system and CA exhaustion in depression. This might explain somatic symptoms such as constipation, stomach pain, diarrhoea, sweating, tremor, and the influence of depression on the outcome of somatic illness such as CAD. Full article
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22 pages, 3436 KB  
Article
Framework for Incorporating Artificial Somatic Markers in the Decision-Making of Autonomous Agents
by Daniel Cabrera, Claudio Cubillos, Enrique Urra and Rafael Mellado
Appl. Sci. 2020, 10(20), 7361; https://doi.org/10.3390/app10207361 - 21 Oct 2020
Cited by 8 | Viewed by 5631
Abstract
The somatic marker hypothesis proposes that when a person faces a decision scenario, many thoughts arise and different “physical consequences” are fleetingly observable. It is generally accepted that affective dimension influences cognitive capacities. Several proposals for including affectivity within artificial systems have been [...] Read more.
The somatic marker hypothesis proposes that when a person faces a decision scenario, many thoughts arise and different “physical consequences” are fleetingly observable. It is generally accepted that affective dimension influences cognitive capacities. Several proposals for including affectivity within artificial systems have been presented. However, to the best of our knowledge, a proposal that considers the incorporation of artificial somatic markers in a disaggregated and specialized way for the different phases that make up a decision-making process has not been observed yet. Thus, this research work proposes a framework that considers the incorporation of artificial somatic markers in different phases of the decision-making of autonomous agents: recognition of decision point; determination of the courses of action; analysis of decision options; decision selection and performing; memory management. Additionally, a unified decision-making process and a general architecture for autonomous agents are presented. This proposal offers a qualitative perspective following an approach of grounded theory, which is suggested when existing theories or models cannot fully explain or understand a phenomenon or circumstance under study. This research work represents a novel contribution to the body of knowledge in guiding the incorporation of this biological concept in artificial terms within autonomous agents. Full article
(This article belongs to the Special Issue Multi-Agent Systems 2020)
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16 pages, 902 KB  
Article
Somatic Marker Production Deficits Do Not Explain the Relationship between Psychopathic Traits and Utilitarian Moral Decision Making
by Shawn E. Fagan, Liat Kofler, Sarah Riccio and Yu Gao
Brain Sci. 2020, 10(5), 303; https://doi.org/10.3390/brainsci10050303 - 15 May 2020
Cited by 1 | Viewed by 4788
Abstract
In moral dilemma tasks, high levels of psychopathic traits often predict increased utilitarian responding—specifically, endorsing sacrificing one person to save many. Research suggests that increased arousal (i.e., somatic marker production) underlies lower rates of utilitarian responding during moral dilemmas. Though deficient somatic marker [...] Read more.
In moral dilemma tasks, high levels of psychopathic traits often predict increased utilitarian responding—specifically, endorsing sacrificing one person to save many. Research suggests that increased arousal (i.e., somatic marker production) underlies lower rates of utilitarian responding during moral dilemmas. Though deficient somatic marker production is characteristic of psychopathy, how this deficit affects the psychopathy–utilitarian connection remains unknown. We assessed psychopathic traits in undergraduates, as well as behavioral performance and skin conductance level reactivity (SCL-R; a measure of somatic marker production) during a moral dilemma task. High psychopathic traits and low SCL-R were associated with increased utilitarian decisions in dilemmas involving direct personal harm. Psychopathic traits were unrelated to SCL-R, nor did SCL-R mediate the relationship between psychopathy and utilitarianism. The present study did not find evidence that somatic marker production explains the connection between utilitarianism and psychopathy in a college population. Further research is necessary to identify the neural mechanisms relating psychopathy and moral decision-making in nonclinical samples. Full article
(This article belongs to the Special Issue CNS-Arousal—Transdiagnostic Relevance and Therapeutic Implications)
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16 pages, 3931 KB  
Article
Integrating Germline and Somatic Mutation Information for the Discovery of Biomarkers in Triple-Negative Breast Cancer
by Jiande Wu, Tarun Karthik Kumar Mamidi, Lu Zhang and Chindo Hicks
Int. J. Environ. Res. Public Health 2019, 16(6), 1055; https://doi.org/10.3390/ijerph16061055 - 23 Mar 2019
Cited by 15 | Viewed by 6377
Abstract
Recent advances in high-throughput genotyping and the recent surge of next generation sequencing of the cancer genomes have enabled discovery of germline mutations associated with an increased risk of developing breast cancer and acquired somatic mutations driving the disease. Emerging evidence indicates that [...] Read more.
Recent advances in high-throughput genotyping and the recent surge of next generation sequencing of the cancer genomes have enabled discovery of germline mutations associated with an increased risk of developing breast cancer and acquired somatic mutations driving the disease. Emerging evidence indicates that germline mutations may interact with somatic mutations to drive carcinogenesis. However, the possible oncogenic interactions and cooperation between germline and somatic alterations in triple-negative breast cancer (TNBC) have not been characterized. The objective of this study was to investigate the possible oncogenic interactions and cooperation between genes containing germline and somatic mutations in TNBC. Our working hypothesis was that genes containing germline mutations associated with an increased risk developing breast cancer also harbor somatic mutations acquired during tumorigenesis, and that these genes are functionally related. We further hypothesized that TNBC originates from a complex interplay among and between genes containing germline and somatic mutations, and that these complex array of interacting genetic factors affect entire molecular networks and biological pathways which in turn drive the disease. We tested this hypothesis by integrating germline mutation information from genome-wide association studies (GWAS) with somatic mutation information on TNBC from The Cancer Genome Atlas (TCGA) using gene expression data from 110 patients with TNBC and 113 controls. We discovered a signature of 237 functionally related genes containing both germline and somatic mutations. We discovered molecular networks and biological pathways enriched for germline and somatic mutations. The top pathways included the hereditary breast cancer and role of BRCA1 in DNA damage response signaling pathways. In conclusion, this is the first large-scale and comprehensive analysis delineating possible oncogenic interactions and cooperation among and between genes containing germline and somatic mutations in TNBC. Genetic and somatic mutations, along with the genes discovered in this study, will require experimental functional validation in different ethnic populations. Functionally validated genetic and somatic variants will have important implications for the development of novel precision prevention strategies and discovery of prognostic markers in TNBC. Full article
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11 pages, 299 KB  
Article
Cognitive mechanisms of decision making in older women
by Jose R. Alameda, María P. Salguero and Ana Merchán
Eur. J. Investig. Health Psychol. Educ. 2015, 5(1), 133-143; https://doi.org/10.3390/ejihpe5010013 - 22 Jun 2014
Cited by 4 | Viewed by 1115
Abstract
The Damasio's somatic marker hypothesis focuses on the possible influence of the emotional states on the decision making processes. An assessment tool derived form this theory is the Iowa Gambling Task (IGT). The aim of this study was to detect decision-making alterations in [...] Read more.
The Damasio's somatic marker hypothesis focuses on the possible influence of the emotional states on the decision making processes. An assessment tool derived form this theory is the Iowa Gambling Task (IGT). The aim of this study was to detect decision-making alterations in relation to the cognitive impairment associated to age (GDS 2). The data analysis was conducted from two perspectives: quantitative, by computing the advantageous versus disadvantageous choices; and qualitative, according to the PVL model parameters. Two groups were analyzed: one consisting of elderly women with cognitive impairment, and another, with no impairment. Regarding the quantitative analysis, the results show significant differences between both groups, indicating that women with cognitive impairment have less advantageous choices than women without impairment; however, from a qualitative point of view, the results show no significant differences between groups in any of the four parameters of the PVL, indicating that execution of women with and without cognitive impairment are similar. In conclusion, it can be argued that the decision-making processes in women with and without cognitive impairment are quantitatively different but qualitatively similar. Full article
10 pages, 268 KB  
Article
Cognitive Mechanisms Underlying Risky Decision-Making. A Study of Patients with Alzheimer’s Dementia
by Aurora Moreno and José Ramón Alameda
Eur. J. Investig. Health Psychol. Educ. 2012, 2(2), 67-76; https://doi.org/10.3390/ejihpe2020006 - 15 Jun 2012
Cited by 2 | Viewed by 985
Abstract
Patients with mild dementia of Alzheimer’s type (DAT) use to present problems in decision making. Several studies have analyzed the cognitive functions in the process of decision making, especially in situations under ambiguity. One approach is the somatic marker hypothesis from the Iowa [...] Read more.
Patients with mild dementia of Alzheimer’s type (DAT) use to present problems in decision making. Several studies have analyzed the cognitive functions in the process of decision making, especially in situations under ambiguity. One approach is the somatic marker hypothesis from the Iowa Gambling Task (IGT) and the Gambling Index (IG). One problem is the lack of specificity from IGT indicators, for this reason some hypotheses have been proposed in order to solve these deficiencies, i.e. the Prospective Valence Learning (PVL). In this study, we apply the IGT to 10 patients and 10 control subjects. We analyze the PVL parameter: loss aversion parameter (λ), shape parameter (α), recency parameter (A), consistency (c) and task development in function of advantageous choices. Our results show that control subjects’ performance is better than DAT´, nevertheless, in the first stages there are not differences, these appear in the two last blocks. Whit the PVL parameters we obtain differences in α and c, and, to a lesser extent, in λ. According to PVL parameters, DAT patients can be described as sensible at loss subjects who are more influenced by immediate choice and a very low level of consistence, what implies the use of random choice strategies. Full article
13 pages, 228 KB  
Article
The Decision Making Process in Patients with Alzheimer Dementia Type
by José R. Alameda, María P. Salguero, Ana Merchán, Carmen Mª Domínguez and Eva Mª Rodríguez
Eur. J. Investig. Health Psychol. Educ. 2012, 2(1), 5-17; https://doi.org/10.3390/ejihpe2010001 - 29 Mar 2012
Cited by 3 | Viewed by 963
Abstract
Making decisions is common in our daily lives and contributes to the adaptation to our environment. That is why is relevant to know the decisions-making processes and the possible dysfunctions due to the deterioration of these processes. The patients with Alzheimer dementia (AD) [...] Read more.
Making decisions is common in our daily lives and contributes to the adaptation to our environment. That is why is relevant to know the decisions-making processes and the possible dysfunctions due to the deterioration of these processes. The patients with Alzheimer dementia (AD) can have alterations in decisions-making in early stages, particularly in situations of uncertainty. These processes have been analyzed from different theories, although the somatic marker hypothesis, as well as the related IGT, is one of the most used. The aim of this study is to analyze the process of making decisions in AD patients, and evaluate the types of choices made under situations of uncertainty using a modified IGT, as well as check if the AD group’s responses are risk trends or not, and the relation between the performance of this group and the cognitive status in each of the areas evaluated with the cognitive mini-exam, the clock drawing test (TRC-TRO), and the Isaacs' Set Test of Verbal Fluency. Our results show that the performance of the AD group is not optimal, nor in the overall score or in the analysis of each sets of the test, and suggest a random strategy in the process of choose cards, suggest a tendency to risk, although the performances show some ability to learn along the sets.
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13 pages, 332 KB  
Article
Alzheimer's dementia, cognitive impairment and decision making
by Aurora Moreno and José R. Alameda
Eur. J. Investig. Health Psychol. Educ. 2011, 1(1), 17-29; https://doi.org/10.3390/ejihpe1010002 - 1 Oct 2011
Cited by 3 | Viewed by 1020
Abstract
This study aims to know about how is the decision making in Alzheimer Type Dementia (ATD) the target is to see if the tendency at risk appears or not, and the relationship between performance and the cognitive status in each of the areas [...] Read more.
This study aims to know about how is the decision making in Alzheimer Type Dementia (ATD) the target is to see if the tendency at risk appears or not, and the relationship between performance and the cognitive status in each of the areas evaluated by the screening test for dementia cognitive. Ten ATD patients participated in this experiment, compared with ten control subjects. A Card Test (based on the Iowa Gambling Task) was used. Subjects had to choose among different options that implied more or less risk. Furthermore, a screening test was used. The results reflected the fact that subjects with ATD in an initial stage showed a tendency to risk in decision making and they did not develop any election strategy pattern. It seems that the way in which patients make their decisions is related to the cognitive damage and the degree in which Alzheimer affects the different brain areas. Full article
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