Difficulties in Controlling Responses When Tasks Get Difficult Heather Shapiro Neuroscience PhD Candidate, UC Davis MIND Institute Advisor: Dr. Tony Simon, Ph.D. Chromosome 22q11.2 Deletion Syndrome Family Meeting March 10, 2013, MIND Institute, Sacramento, CA Cognitive Control • System for guiding behavior based on one’s goals • Associated with school readiness • Correlates with academic achievement • Important for independence Cognitive Control • System for guiding behavior based on one’s goals • Associated with school readiness • Correlates with academic achievement • Important for independence Cognitive Control • System for guiding behavior based on one’s goals • Associated with school readiness • Correlates with academic achievement • Important for independence Cognitive Control • System for guiding behavior based on one’s goals • Associated with school readiness • Correlates with academic achievement • Important for independence Cognitive Control • System for guiding behavior based on one’s goals • Associated with school readiness • Correlates with academic achievement • Important for independence Cognitive Control throughout development • Emerges early in life • Matures throughout child development and into adolescence • Changes are concurrent with brain development Paul Thompson, PhD, UCLA Lab of Neuroimaging Cognitive Control throughout development • Emerges early in life • Matures throughout child development and into adolescence • Changes are concurrent with brain development Paul Thompson, PhD, UCLA Lab of Neuroimaging Cognitive Control in 22q11.2DS Cognitive Control in 22q11.2DS • Cognitive control impairments are common in developmental and psychiatric disorders Cognitive Control in 22q11.2DS • Cognitive control impairments are common in developmental and psychiatric disorders • Impairments in cognitive control have been described in 22q Cognitive Control in 22q11.2DS • Cognitive control impairments are common in developmental and psychiatric disorders • Impairments in cognitive control have been described in 22q • the nature and extent of these impairments are unclear Cognitive Control in 22q11.2DS • Cognitive control impairments are common in developmental and psychiatric disorders • Impairments in cognitive control have been described in 22q • the nature and extent of these impairments are unclear • the developmental trajectory of cognitive control in 22q is unclear Cognitive Control in 22q11.2DS • Cognitive control impairments are common in developmental and psychiatric disorders • Impairments in cognitive control have been described in 22q • the nature and extent of these impairments are unclear • the developmental trajectory of cognitive control in 22q is unclear How might cognitive control impairments, and their development, in 22q relate to real-world challenges and risk for schizophrenia? Methods: Cognitive control across development in 22q 7 - 14yo Methods: Cognitive control across development in 22q 7 - 14yo Battery of computerized cognitive control tasks: Methods: Cognitive control across development in 22q 7 - 14yo Battery of computerized cognitive control tasks: Methods: Cognitive control across development in 22q 7 - 14yo Battery of computerized cognitive control tasks: Methods: Cognitive control across development in 22q 7 - 14yo Battery of computerized cognitive control tasks: Methods: Cognitive control across development in 22q Participants Age 22q (n=41, 18f/23m) TD (n=37, 22f/15m) Range (Mean+/-SD) Range (Mean+/-SD) 7-14 (11.7 +/- 2.5) 7-14 (10.7 +/- 2.3) Paradigm - battery of cognitive controls tasks Go/NoGo task Visually-Cued Card Sort (VCCS) Self-Ordered Pointing Test (SOPT) Methods: Cognitive control across development in 22q Participants Age 22q (n=41, 18f/23m) TD (n=37, 22f/15m) Range (Mean+/-SD) Range (Mean+/-SD) 7-14 (11.7 +/- 2.5) 7-14 (10.7 +/- 2.3) Paradigm - battery of cognitive controls tasks Go/NoGo task Visually-Cued Card Sort (VCCS) Self-Ordered Pointing Test (SOPT) Methods: Go/No-Go Task “Go” trials (75%): press a button as quickly as possible to “whack” the mole “No-Go” trials (25%): do NOT press button to not “squash” the vegetable Go/No-Go “Whack the mole as FAST as you can before it gets away!” Go/No-Go “Whack the mole as FAST as you can before it gets away!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “The mole tries to be tricky and put on different disguises.” “You still need to whack the mole as quickly as you can!” Go/No-Go “Sometimes a vegetable will pop up in your garden.” “Don’t squash the vegetable!” Go/No-Go “Sometimes a vegetable will pop up in your garden.” “Don’t squash the vegetable!” Go/No-Go “Sometimes a vegetable will pop up in your garden.” “Don’t squash the vegetable!” Let’s Practice... Methods: Go/No-Go Task • “Go” trials (75%): press a button as quickly as possible to “whack” the mole • “No-Go” trials (25%): do NOT press button to not “squash” the vegetable • Preceded by 1, 3, or 5 “Go” trials 5 3 1 Results: Go/No-Go Task 90 correct hit correct withholding 5 3 80 60 70 60 50 60 1 40 40 50 20 30 40 20 0 30 10 20 0 10 100 No-Go Accuracy (%) Accuracy Accuracy (%)(%) Go Accuracy (%) 80 100 90 70 80 TD 22q TD 22q 0 80 60 40 20 0 Overall Younger Older Overall Younger Older correct withholding 80 60 70 60 50 60 40 40 50 20 30 40 20 0 30 10 20 0 10 100 0 80 60 40 20 0 100 500 90 80 70 60 1 1 450 400 2 3 4 350 Go Trial 5 Overall post− post− Younger correct Older error Overall Younger Older 5 120 3 80 40 0 RT Difference (ms) (post-error minus post-correct) correct hit No-Go Accuracy (%) Accuracy Accuracy (%)(%) Go Accuracy (%) 80 100 90 70 80 22q TD Response Time (ms) 90 TD 22q TD 22q RT Difference (ms) (post-error minus post-correct) Go/No-Go Task Go Accuracy (%) Results: 350 250 150 50 −50 −150 8 correct withholding 60 70 60 50 60 40 40 50 20 30 40 20 0 30 10 20 0 80 60 40 20 0 500 90 80 70 60 1 1 450 400 2 3 4 5 350 Go Trial post− 22q11.2DS post− correct error TD Overall Younger Older Overall Younger Older 90 80 * 70 60 1 3 5 No-Go Trial Type (# Preceding Go Trials) 5 120 3 80 40 0 RT Difference (ms) (post-error minus post-correct) 80 0 10 100 100 Response Time (ms) correct hit No-Go Accuracy (%) Accuracy Accuracy (%)(%) Go Accuracy (%) 80 100 90 70 80 22q TD Go Accuracy (%) 90 TD 22q TD 22q RT Difference (ms) (post-error minus post-correct) Go/No-Go Task No-Go Accuracy (%) Results: 350 250 150 50 −50 −150 8 correct withholding 60 70 60 50 60 40 40 50 20 30 40 20 0 30 10 20 0 80 60 40 20 0 500 90 80 70 60 1 1 450 400 2 3 4 5 350 Go Trial post− 22q11.2DS post− correct error TD Overall Younger Older Overall Younger Older 90 80 * 120 3 80 40 0 350 250 150 50 −50 −150 No group difference in Go accuracy. Children with 22q had difficulty withholding a response after 5 Go trials. 70 60 5 RT Difference (ms) (post-error minus post-correct) 80 0 10 100 100 Response Time (ms) correct hit No-Go Accuracy (%) Accuracy Accuracy (%)(%) Go Accuracy (%) 80 100 90 70 80 22q TD Go Accuracy (%) 90 TD 22q TD 22q RT Difference (ms) (post-error minus post-correct) Go/No-Go Task No-Go Accuracy (%) Results: 1 3 5 No-Go Trial Type (# Preceding Go Trials) 8 No-Go Accuracy (%) 80 70 60 Response Time (ms) 90 TD 500 * 450 400 1350 3 5 post− post− No-Go Trial Type correct Goerror (# Preceding Trials) RT Difference (ms) (post-error minus post-correct) 22q11.2DS 22q TD 120 80 40 0 RT Difference (ms) (post-error minus post-correct) 350 250 150 50 −50 −150 8 10 12 Age 14 RT Difference (ms) (post-error minus post-correct) Results: Go/No-Go Task 350 250 150 50 −50 −150 40 No Go/No-Go Task 70 60 450 400 1350 3 5 post− post− No-Go Trial Type correct Goerror (# Preceding Trials) 80 40 0 460 440 420 400 1 350 250 150 50 −50 2 −150 3 48 5 10 12 Go Trial Age 14 RT Difference (ms) (post-error minus post-correct) 80 * 120 480 22q11.2DS TD RT Difference (ms) (post-error minus post-correct) 500 Response Time (ms) TD 90 RT Difference (ms) (post-error minus post-correct) 22q11.2DS 22q TD Response Time (ms) No-Go Accuracy (%) Results: 350 250 150 50 −50 −150 40 No Go/No-Go Task 70 60 450 400 1350 3 5 post− post− No-Go Trial Type correct Goerror (# Preceding Trials) 80 40 0 460 440 420 400 1 350 250 150 50 −50 2 −150 3 48 5 10 12 Go Trial Age Response time slowing in both groups suggests typical monitoring of context leading up to a No-Go trial. 14 RT Difference (ms) (post-error minus post-correct) 80 * 120 480 22q11.2DS TD RT Difference (ms) (post-error minus post-correct) 500 Response Time (ms) TD 90 RT Difference (ms) (post-error minus post-correct) 22q11.2DS 22q TD Response Time (ms) No-Go Accuracy (%) Results: 350 250 150 50 −50 −150 40 No Go/No-Go Task 60 40 20 0 450 400 7 350 8 9 10 11 12 13 14 15 post−Age post− correct error 120 100 * * 80 80 40 90 250 150 7050 40 20 0 350 22q11.2DS−you 22q11.2DS−olde TD−younger TD−older 80 60 0 c RT Difference (ms) No-Gominus Accuracy (%) (post-error post-correct) 80 500 22q11.2DS-younger 22q11.2DS-older TD-younger TD-older { 100 Response Time (ms) TD b No-Go Accuracy (%) 22q 22q11.2DS TD RT Difference (ms) (post-error minus post-correct) a No-Go Accuracy (%) Results: TD 22q −50 60 −150 1 3 8 10 Typ No-Go Trial Age (# Preceding Go Tr Go/No-Go Task No-Go Accuracy (%) 80 60 40 20 0 500 450 400 7 350 8 9 10 11 12 13 14 15 post−Age post− correct error 22q11.2DS-younger 22q11.2DS-older TD-younger TD-older 120 100 * * { 100 Response Time (ms) TD b 80 80 40 90 250 150 7050 40 20 0 350 22q11.2DS−you 22q11.2DS−olde TD−younger TD−older 80 60 0 c RT Difference (ms) No-Gominus Accuracy (%) (post-error post-correct) 22q 22q11.2DS TD No-Go Accuracy (%) a RT Difference (ms) (post-error minus post-correct) Results: TD 22q −50 60 −150 1 3 8 10 Typ No-Go Trial Age (# Preceding Go Tr TD children had significant age-related associations with No-Go accuracy. There was significant variance in No-Go performance for older children with 22q. Summary: • • • Go/No-Go Task Response inhibition was impaired in children with 22q. Performance was better in older TD children relative to younger. Performance was not associated with age in 22q. Summary: Go/No-Go Task • • • Response inhibition was impaired in children with 22q. • Increased performance variance in older children with 22q suggests a a development of response b inhibition. c 22q11.2DS-younger subgroup with atypical 22q11.2DS-older Performance was better in older TD children relative to younger. Performance was not associated with age in 22q. 22q11.2DS TD 40 20 7 8 9 10 11 12 13 14 15 Age 80 60 40 20 0 TD 22q No-Go Accuracy (%) 60 No-Go Accuracy (%) No-Go Accuracy (%) 80 * * { 100 100 0 TD-younger TD-older 90 22q11.2DS−younger 22q11.2DS−older TD−younger TD−older 80 70 60 1 3 5 No-Go Trial Type (# Preceding Go Trials) Methods: Cognitive control across development in 22q Participants Age 22q (n=41, 18f/23m) TD (n=37, 22f/15m) Range (Mean+/-SD) Range (Mean+/-SD) 7-14 (11.7 +/- 2.5) 7-14 (10.7 +/- 2.3) Paradigm - battery of cognitive controls tasks Go/NoGo task Visually-Cued Card Sort (VCCS) Self-Ordered Pointing Test (SOPT) Methods: Visually-Cued Card Sort (VCCS) Methods: Visually-Cued Card Sort (VCCS) Methods: Visually-Cued Card Sort (VCCS) Great Job!!! Methods: Visually-Cued Card Sort (VCCS) Great Job!!! Methods: • • Visually-Cued Card Sort (VCCS) Sort by color (80%), predominant dimension (D1) Sort by shape (20%), dimension 2 (D2) D1 (80%) D2 (20%) 90 * 60 70 80 50 60 40 60 50 30 40 40 20 30 10 20 20 0 10 0 0 • TD 22q TD 22q 100 Accuracy (%) Accuracy Accuracy (%) Accuracy (%)(%) 80 90 70 100 80 Visually-Cued Card Sort (VCCS) 80 * 60 40 20 Overall Younger 0 Overall Younger Total * Older D1 D2 Performacne Ratio Dim2/Dim1 Results: 1 * 0.8 0.6 0.4 0.2 0 Older Children with 22q were more greatly impaired when sorting by the 2nd dimension relative to the predominant dimension when compared to TD children. 0 0 0 D2 (22q) D1 (22q) TD (p=0.003)* D2 ;(TD) TD (p=0.02)* D1;(TD) 1.5 Performacne Ratio Accuracy (%) Accuracy (%) Dim2/Dim1 0 Accuracy (%) 0 Visually-Cued Card Sort (VCCS) 22q (p=0.08) D2 ;(22q) 22q (p=0.02)* D1;(22q) D2 (TD) 100 D1 (TD) 100 80 D2 (22q) D1(p=0.4) (22q) 22q D2 (22q) TD (p=0.009)* D2 (TD) D1 (22q) D1 (TD) (TD) D2 D1 (TD) 100 60 1 60 100 40 80 40 0.5 20 80 20 60 0 0 0 60 15 7 9 11 9 11 13 15 13 7 9 11 713 15 Age 40 Age Age 15 7 9 11 13 40 Age 20 Children with 22q significantly improved with age on the primary dimension but not the secondary. 20 TD children significantly improved with age on both dimensions. 0 0 7 9 11 Accuracy (%) 0 Methods: 80 Summary: • • Visually-Cued Card Sort (VCCS) Rule switching was impaired in 22q compared to TD children. TD children improved with age on rule switching while children with 22q did not. Summary: Rule switching was impaired in 22q compared to TD children. TD children improved with age on rule switching while children with 22q did not. 1.5 Performacne Ratio Dim2/Dim1 • • Visually-Cued Card Sort (VCCS) 1 0.5 0 7 9 11 Age 13 15 Methods: Cognitive control across development in 22q Participants Age 22q (n=41, 18f/23m) TD (n=37, 22f/15m) Range (Mean+/-SD) Range (Mean+/-SD) 7-14 (11.7 +/- 2.5) 7-14 (10.7 +/- 2.3) Paradigm - battery of cognitive controls tasks Go/NoGo task Visually-Cued Card Sort (VCCS) Self-Ordered Pointing Test (SOPT) Methods: Self-Ordered Pointing Test (SOPT) Methods: Self-Ordered Pointing Test (SOPT) Methods: Self-Ordered Pointing Test (SOPT) Methods: Self-Ordered Pointing Test (SOPT) Methods: Self-Ordered Pointing Test (SOPT) Methods: Self-Ordered Pointing Test (SOPT) Methods: Self-Ordered Pointing Test (SOPT) Great Job!!! Methods: Self-Ordered Pointing Test (SOPT) • • Trials with 3, 4, or 6 objects, respectively • Span = the # of correct responses prior to the first error Verbal + Nonverbal versions Methods: • • Self-Ordered Pointing Test (SOPT) Trials with 3, 4, or 6 objects, respectively Verbal + Nonverbal versions Verbal • Nonverbal Span = the # of correct responses prior to the first error Results: Self-Ordered Pointing Test (SOPT) Verbal 2 22q TD 6 Verbal 1.6 4 450 0.4 3 400 0 2 Span 1.2 0.8 3 4 # items 6 Response Time (ms) 5 500 * * * 3350 post−4 post−6 # itemserror correct RT Difference (ms) (post-error minus post-correct) Self-Ordered Pointing Test (SOPT) # errors Results: 120 80 40 0 2 22q TD 6 Verbal 1.6 4 450 0.4 3 400 0 2 Span 1.2 0.8 3 4 # items 6 Response Time (ms) 5 500 * * * 3350 post−4 post−6 # itemserror correct Children with 22q had a lower span compared to TD children. RT Difference (ms) (post-error minus post-correct) Self-Ordered Pointing Test (SOPT) # errors Results: 120 80 40 0 Self-Ordered Pointing Test (SOPT) Verbal 2 6 0.8 Response Time (ms) 1.2 4 3 0.4 3 4 # items Span on 3 items 2 6 Span on 4 items * 450 * 400 3 4 350 # items post− correct 4 3 6 6 120 80 40 0 post−Span on 6 items error 2 Span 5 Span Span * 5 500 Span # errors 1.6 0 22q TD RT Difference (ms) (post-error minus post-correct) Results: 3 4 3 2 2 1 7 9 11 Age 13 15 1 7 9 11 Age * 13 15 1 7 9 11 Age * 13 15 2 6 5 1.2 Span # errors Nonverbal 1.6 0.8 4 0.4 3 0 2 3 4 # items 22q TD 6 500 * 450 * 400 * 3 350 post− 4 6 post− # items error correct RT Difference (ms) (post-error minus post-correct) Self-Ordered Pointing Test (SOPT) Response Time (ms) Results: 120 80 40 0 2 6 5 1.2 Span # errors Nonverbal 1.6 0.8 4 0.4 3 0 2 3 4 # items 22q TD 6 500 * 450 * 400 * 3 350 post− 4 6 post− # items error correct RT Difference (ms) (post-error minus post-correct) Self-Ordered Pointing Test (SOPT) Response Time (ms) Results: Children with 22q had a lower span compared to TD children. 120 80 40 0 Self-Ordered Pointing Test (SOPT) Nonverbal 2 0.8 4 3 0.4 3 4 # items Span on 3 items 2 6 Span on 4 items * * 450 * 400 3 350 4 6 # items post− correct 4 3 6 120 80 40 0 post− Span on 6 items error 5 2 3 Span Span Span 5 500 Response Time (ms) 1.2 Span # errors 1.6 0 22q TD 6 RT Difference (ms) (post-error minus post-correct) Results: 2 4 3 2 1 7 9 11 Age 13 15 1 7 9 11 Age * 13 15 1 7 9 11 Age * 13 15 Summary: • • Self-Ordered Pointing Test (SOPT) Verbal and nonverbal working memory was impaired in children with 22q. Age-related associations with performance were the same between groups. Summary: Cognitive control across development in 22q response inhibition cognitive flexibility working memory Summary: Cognitive control across development in 22q response inhibition cognitive flexibility working memory • Reactive response inhibition was impaired in a subpopulation of older children with 22q. Summary: Cognitive control across development in 22q response inhibition cognitive flexibility working memory • Reactive response inhibition was impaired in a subpopulation of older children with 22q. • Rule switching was impaired in a sub-population of older children with 22q. Summary: Cognitive control across development in 22q response inhibition cognitive flexibility • Reactive response inhibition was impaired in a subpopulation of older children with 22q. • Rule switching was impaired in a sub-population of older children with 22q. • Age-related working memory improvements were typical in the children with 22q. working memory Summary: Cognitive control across development in 22q response inhibition cognitive flexibility • Reactive response inhibition was impaired in a subpopulation of older children with 22q. • Rule switching was impaired in a sub-population of older children with 22q. • Age-related working memory improvements were typical in the children with 22q. working memory The impaired performance of a sub-group of older children with 22q on specific cognitive control processes suggests an interesting group to follow. Conclusions • Neurocognitive experiments such as these might help us to better understand the nature of cognitive control challenges in children with 22q. • Individual performance patterns might identify those with more, and less, typical cognitive control abilities. • As part of a larger study, this investigation might help identify risk factors leading to early diagnosis and targeted therapeutic intervention. Future Directions • Test larger sample of participants in order to identify subgroups that might be separable based on other intervening variables. • • Conduct longitudinal analyses to directly measure developmental trajectories. Examine the relationship of cognitive control variables to clinical measures. Future Directions • Test larger sample of participants in order to identify subgroups that might be separable based on other intervening variables. • • Conduct longitudinal analyses to directly measure developmental trajectories. Examine the relationship of cognitive control variables to clinical measures. Early intervention is key! Cognitive control processes can be targeted for improvement. Future Directions • Test larger sample of participants in order to identify subgroups that might be separable based on other intervening variables. • • Conduct longitudinal analyses to directly measure developmental trajectories. Examine the relationship of cognitive control variables to clinical measures. Early intervention is key! Cognitive control processes can be targeted for improvement. Thank You Tony Simon Naomi Hunsaker Ling Wong Andrea Quintero Bella McLennan Josh Cruz Nina Cung **participants and families**