id paper:paper_10976256_v12_n10_p1343_Bekinschtein
record_format dspace
spelling paper:paper_10976256_v12_n10_p1343_Bekinschtein2023-06-08T16:07:09Z Classical conditioning in the vegetative and minimally conscious state adult article auditory stimulation aversive behavior brain atrophy brain region clinical article conditioned reflex consciousness disorder controlled study electromyography event related potential human learning priority journal Acoustic Stimulation Adult Analysis of Variance Attention Avoidance Learning Awareness Blinking Conditioning, Classical Consciousness Disorders Contingent Negative Variation Electromyography Evoked Potentials Female Humans Male Middle Aged Psychoacoustics Reaction Time Young Adult Pavlovian trace conditioning depends on the temporal gap between the conditioned and unconditioned stimuli. It requires, in mammals, functional medial temporal lobe structures and, in humans, explicit knowledge of the temporal contingency. It is therefore considered to be a plausible objective test to assess awareness without relying on explicit reports. We found that individuals with disorders of consciousness (DOCs), despite being unable to report awareness explicitly, were able to learn this procedure. Learning was specific and showed an anticipatory electromyographic response to the aversive conditioning stimulus, which was substantially stronger than to the control stimulus and was augmented as the aversive stimulus approached. The amount of learning correlated with the degree of cortical atrophy and was a good indicator of recovery. None of these effects were observed in control subjects under the effect of anesthesia (propofol). Our results suggest that individuals with DOCs might have partially preserved conscious processing, which cannot be mediated by explicit reports and is not detected by behavioral assessment. 2009 https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_10976256_v12_n10_p1343_Bekinschtein http://hdl.handle.net/20.500.12110/paper_10976256_v12_n10_p1343_Bekinschtein
institution Universidad de Buenos Aires
institution_str I-28
repository_str R-134
collection Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic adult
article
auditory stimulation
aversive behavior
brain atrophy
brain region
clinical article
conditioned reflex
consciousness disorder
controlled study
electromyography
event related potential
human
learning
priority journal
Acoustic Stimulation
Adult
Analysis of Variance
Attention
Avoidance Learning
Awareness
Blinking
Conditioning, Classical
Consciousness Disorders
Contingent Negative Variation
Electromyography
Evoked Potentials
Female
Humans
Male
Middle Aged
Psychoacoustics
Reaction Time
Young Adult
spellingShingle adult
article
auditory stimulation
aversive behavior
brain atrophy
brain region
clinical article
conditioned reflex
consciousness disorder
controlled study
electromyography
event related potential
human
learning
priority journal
Acoustic Stimulation
Adult
Analysis of Variance
Attention
Avoidance Learning
Awareness
Blinking
Conditioning, Classical
Consciousness Disorders
Contingent Negative Variation
Electromyography
Evoked Potentials
Female
Humans
Male
Middle Aged
Psychoacoustics
Reaction Time
Young Adult
Classical conditioning in the vegetative and minimally conscious state
topic_facet adult
article
auditory stimulation
aversive behavior
brain atrophy
brain region
clinical article
conditioned reflex
consciousness disorder
controlled study
electromyography
event related potential
human
learning
priority journal
Acoustic Stimulation
Adult
Analysis of Variance
Attention
Avoidance Learning
Awareness
Blinking
Conditioning, Classical
Consciousness Disorders
Contingent Negative Variation
Electromyography
Evoked Potentials
Female
Humans
Male
Middle Aged
Psychoacoustics
Reaction Time
Young Adult
description Pavlovian trace conditioning depends on the temporal gap between the conditioned and unconditioned stimuli. It requires, in mammals, functional medial temporal lobe structures and, in humans, explicit knowledge of the temporal contingency. It is therefore considered to be a plausible objective test to assess awareness without relying on explicit reports. We found that individuals with disorders of consciousness (DOCs), despite being unable to report awareness explicitly, were able to learn this procedure. Learning was specific and showed an anticipatory electromyographic response to the aversive conditioning stimulus, which was substantially stronger than to the control stimulus and was augmented as the aversive stimulus approached. The amount of learning correlated with the degree of cortical atrophy and was a good indicator of recovery. None of these effects were observed in control subjects under the effect of anesthesia (propofol). Our results suggest that individuals with DOCs might have partially preserved conscious processing, which cannot be mediated by explicit reports and is not detected by behavioral assessment.
title Classical conditioning in the vegetative and minimally conscious state
title_short Classical conditioning in the vegetative and minimally conscious state
title_full Classical conditioning in the vegetative and minimally conscious state
title_fullStr Classical conditioning in the vegetative and minimally conscious state
title_full_unstemmed Classical conditioning in the vegetative and minimally conscious state
title_sort classical conditioning in the vegetative and minimally conscious state
publishDate 2009
url https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_10976256_v12_n10_p1343_Bekinschtein
http://hdl.handle.net/20.500.12110/paper_10976256_v12_n10_p1343_Bekinschtein
_version_ 1768545987655106560