Stress Clinical Trial
Official title:
EEG Markers of Training-Induced Improvements in Cognitive Functioning
Some of the most common, persistent, and disabling consequences of traumatic brain injury affect an individual's ability to achieve personal goals. Interventions that strengthen abilities such as being able to concentrate, remember, stay calm and overcome challenges, could have far reaching benefits for Veterans. One challenge in rehabilitation is that response to training can be highly variable, and a better understanding of the neural bases for this variability could inform care. This pilot project will test the clinical behavioral effects of a cognitive skill training intervention and explore to what extent changes in markers of the brain's electrical activity (using the non-invasive technique of electroencephalograms, EEG) can explain differences in responses to skill training.
Detailed Description: Traumatic brain injuries (TBI) can impair cognitive functioning long
after the initial trauma. Some of the most common, persistent, and disabling consequences of
traumatic brain injury are deficits in higher order cognitive functions that direct more
basic processes based on an individual's goals. Symptoms such as distractibility and
difficulty holding goal-relevant information in memory can affect achievement of personal and
professional goals. These cognitive problems can be exacerbated by post-traumatic stress
(PTS) symptoms, commonly observed in the Veteran population. Interventions that strengthen
goal-directed regulation of cognitive-emotion states could have far reaching benefits for
Veterans.
One challenge in rehabilitation is that response to training can be highly variable, and a
better understanding of the neural bases for this variability could inform patient care.
Investigators have developed a system for training neurocognitive skills that can be used in
rehabilitation neuroscience studies to elucidate the neural bases of improvements in
cognitive functioning. The training system is designed to help patients improve goal-directed
brain state regulation, and preliminary work has investigated brain network parameters that
may predict response to training. Electroencephalography (EEG) potentially provides easily
accessible markers for the neural bases of improvements with training.
Objectives in this pilot study are to investigate the potential of EEG markers to: (1)
explain differential responses to attention regulation training; and (2) predict responses to
training.
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