Cognitive Function and Hormone Therapy
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Questions and Answers

What type of hormone is often studied in relation to cognitive function in postmenopausal women?

  • Insulin
  • Cortisol
  • Estrogen (correct)
  • Testosterone

Studies on hormone therapy consistently show a performance enhancing effect on all cognitive tasks.

False (B)

According to some studies, which part of the brain is thought to be particularly influenced by estrogen regarding cognitive function?

prefrontal cortex

The dichotic listening paradigm investigates language ________ in the auditory domain.

<p>lateralization</p> Signup and view all the answers

Which of the following is a methodological factor that can cause variability in the results when studying hormone effects on cognition?

<p>The type of diagnostic fluid (e.g. blood or saliva) used to assay hormones (D)</p> Signup and view all the answers

Match the instructions given in the dichotic listening paradigm with their description:

<p>Non-forced (NF) = Report the sound heard most clearly Forced right (FR) = Attend to and report sound from the right ear Forced left (FL) = Attend to and report sound from the left ear</p> Signup and view all the answers

The Bergen version of the dichotic listening paradigm uses meaningful sentences as stimuli.

<p>False (B)</p> Signup and view all the answers

What cognitive function, besides verbal and working memory, has been shown to be influenced by hormone therapy?

<p>cognitive inhibition</p> Signup and view all the answers

What does a right-ear advantage typically indicate?

<p>Dominance of the left hemisphere for speech perception. (D)</p> Signup and view all the answers

Testosterone is the only hormone that influences lateralization.

<p>False (B)</p> Signup and view all the answers

Which cycle phase is associated with the least pronounced lateralization?

<p>follicular and luteal phase</p> Signup and view all the answers

The majority of neuronal fibers from the right ear terminate in the left ________ lobe.

<p>temporal</p> Signup and view all the answers

What does the term 'NF' refer to in the context of the dichotic listening paradigm?

<p>A condition reflecting left hemispheric dominance for speech perception (C)</p> Signup and view all the answers

The FR condition typically demonstrates a reduced right-ear advantage.

<p>False (B)</p> Signup and view all the answers

Match the cycle phases with their associated levels of lateralization:

<p>Menstrual Phase = Most pronounced lateralization Follicular Phase = Reduced lateralization Luteal Phase = Reduced lateralization</p> Signup and view all the answers

What are the three auditory conditions in the dichotic listening paradigm?

<p>NF, FR, and FL</p> Signup and view all the answers

In the context of dichotic listening, what does a positive value on the y-axis indicate?

<p>An increase in lateralization toward the right ear (B)</p> Signup and view all the answers

The FR condition in dichotic listening primarily reflects cognitive control.

<p>False (B)</p> Signup and view all the answers

What specific part of the brain is considered a key target of estrogen?

<p>PFC</p> Signup and view all the answers

The FL condition requires cognitive control when reporting from the ______ ear.

<p>non-dominant</p> Signup and view all the answers

Match the following conditions with their primary cognitive process involved:

<p>FR condition = Selective Attention FL condition = Cognitive Control Anterior cingulate cortex activation = Cognitive control related function</p> Signup and view all the answers

What does the x-axis represent in the context of estradiol levels?

<p>Changes in estradiol levels from the menstrual to the follicular phase. (D)</p> Signup and view all the answers

Research suggests that Frontal lobe (FL), and Frontal right (FR) conditions are identical in their underlying cognitive processes.

<p>False (B)</p> Signup and view all the answers

What does the evidence suggest is the impact of estradiol on the PFC in previous studies?

<p>increase of spine density</p> Signup and view all the answers

Which of the following is a factor that can potentially influence the results of studies examining the relationship between hormones and cognition?

<p>All of the above (D)</p> Signup and view all the answers

Estrogen has been shown to consistently improve cognitive performance in all tasks, regardless of the level of estrogen.

<p>False (B)</p> Signup and view all the answers

What neuroimaging technique has been used to study the functional connectivity of spatial cognition during the menstrual cycle?

<p>fMRI</p> Signup and view all the answers

The dichotic listening paradigm is a task used to investigate auditory ______ in the brain.

<p>laterality</p> Signup and view all the answers

Match the following brain regions with their associated cognitive function:

<p>Prefrontal cortex = Cognitive control and auditory laterality Hippocampus = Memory formation Amygdala = Emotional processing Cerebellum = Motor coordination</p> Signup and view all the answers

What effect was observed from the menstrual phase to the follicular phase regarding estradiol levels?

<p>Increase in estradiol levels (B)</p> Signup and view all the answers

The luteal phase is associated with a lower cognitive control performance compared to the follicular phase.

<p>True (A)</p> Signup and view all the answers

What could an increase in estradiol levels potentially enhance?

<p>Cognitive control performance</p> Signup and view all the answers

The hormone _____ is speculated to have an inverse inhibiting role during the menstrual cycle phases.

<p>progesterone</p> Signup and view all the answers

Which cognitive task did not show a cycle effect during the menstrual cycle?

<p>Line orientation task (D)</p> Signup and view all the answers

Match the following menstrual cycle phases with their associated cognitive performance:

<p>Menstrual Phase = Lower cognitive control Follicular Phase = Higher cognitive control Luteal Phase = Moderate to low cognitive control High Estradiol Levels = Possible performance decline</p> Signup and view all the answers

All cognitively demanding tasks are equally affected by menstrual cycle variations.

<p>False (B)</p> Signup and view all the answers

The vast majority of lateralization studies suggest that tasks requiring more cognitive control are more sensitive to menstrual cycle-related effects, particularly during elevated levels of _____ .

<p>estradiol</p> Signup and view all the answers

Which hormone is mentioned as having an influence on functional brain organization during the menstrual cycle?

<p>Estradiol (D)</p> Signup and view all the answers

Cellular and molecular effects of steroid hormones do not affect CNS excitability.

<p>False (B)</p> Signup and view all the answers

What does STCI stand for?

<p>State-Trait Cheerfulness-Inventory</p> Signup and view all the answers

Dichotic listening tasks reveal variations in functional cerebral asymmetry across the menstrual cycle that are phase and _____ dependent.

<p>task</p> Signup and view all the answers

Match the following authors with their areas of research:

<p>Hugdahl, K. = Dichotic listening performance Ruch, W. = State-Trait Cheerfulness-Inventory Smith, S.S. = Steroid hormones and CNS excitability Stephan, K.E. = Lateralized cognitive processes</p> Signup and view all the answers

What type of dysfunctions are evidenced by dichotic listening performance in schizophrenia?

<p>Attentional and executive dysfunctions (D)</p> Signup and view all the answers

The forced-attention paradigm is applied to compare functional cerebral asymmetries in children and adults.

<p>True (A)</p> Signup and view all the answers

What cognitive control is studied in relation to the menstrual cycle?

<p>Language lateralization</p> Signup and view all the answers

Flashcards

Lateralization

The tendency for one side of the brain to be more dominant in controlling certain cognitive functions.

Executive Function

A type of brain activity involved in planning, decision-making, and working memory.

Menstrual Cycle

The natural cyclical changes in hormone levels experienced by women.

Dichotic Listening

A specific test used to study how the brain processes language and sound.

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Working Memory

The process of holding information in mind while actively manipulating it.

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Cognitive Inhibition

The ability to suppress irrelevant thoughts and actions.

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Verbal Memory

A type of memory responsible for storing and retrieving past experiences and knowledge.

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Prefrontal Cortex (PFC)

The part of the brain involved in higher-order cognitive functions.

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Right-Ear Advantage

The right ear is typically better at processing speech sounds, indicating left hemisphere dominance for language.

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Menstrual Phase

The state of a participant's menstrual cycle where estrogen and progesterone levels are low.

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Follicular & Luteal Phases

The state of a participant's menstrual cycle where estrogen and progesterone levels are high.

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Hormonal Influence on Lateralization

The study of how hormones, like estrogen and progesterone, influence brain function and behavior.

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NF Condition (Normal Filtering)

The type of dichotic listening task where the sound is presented to only one ear at a time.

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FR & FL Conditions (Focused & Filtered Listening)

The type of dichotic listening task where the sound is presented to both ears simultaneously, but with a slight delay, to test attention and filtering.

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What is dichotic listening?

Dichotic Listening: A task where two different stimuli are presented simultaneously to each ear. The participant is asked to report what they heard.

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Ear Advantage

The tendency for a person to report hearing a sound more accurately from one ear, compared to the other.

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Right Ear Advantage (REA)

The finding that the right ear is typically better at processing language sounds than the left ear.

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Forced-Right (FR)

A condition in dichotic listening where the participant reports what they heard from the ear that is contralateral (opposite side) to the dominant hemisphere for language processing.

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Forced-Left (FL)

A condition in dichotic listening where the participant reports what they head from the ear that is ipsilateral (same side) to the dominant hemisphere for language processing.

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Cognitive Control

The ability to override automatic responses and control our actions.

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Prefrontal Cortex (PFC) and Estradiol

The brain region important for cognitive control, which suggests that estradiol may play a role in this ability.

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How does Estradiol Influence Cognitive Control?

Estradiol can increase spine density in the dorsolateral prefrontal cortex, potentially enhancing cognitive control abilities.

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Brain Lateralization

The tendency for one side of the brain to be more specialized for certain functions, such as language or spatial processing.

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Follicular Phase

The phase of the menstrual cycle when estrogen levels are at their peak, and the brain is thought to be more efficient in processing language.

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Luteal Phase

The phase of the menstrual cycle when progesterone levels are at their peak, and brain functions may be slightly affected.

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Left Ear Advantage (LEA)

The tendency for the left hemisphere of the brain to be more dominant in language processing, resulting in a better performance for sound perceived by the right ear.

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Selective Attention Test

A specific type of dichotic listening test where participants are presented with different sounds simultaneously in both ears, and they are asked to report what they heard.

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Hemispheric Dominance

The tendency for a specific brain hemisphere to be more dominant for a function.

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Prefrontal Cortex

The front part of the brain responsible for complex cognitive functions like planning, decision-making, working memory, and cognitive inhibition. It helps us think strategically.

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Study Notes

Language Lateralization and Cognitive Control Across the Menstrual Cycle

  • Study investigated how language lateralization and cognitive control change across the menstrual cycle.
  • 15 women and 15 men participated. Women were tested at three different phases: menstrual, follicular, and luteal, verified via hormone assays.
  • Dichotic listening paradigm used, with non-forced, forced-right, and forced-left conditions.
  • Non-forced condition results, and forced-right, remained consistent across the cycle.
  • Forced-left condition showed significant changes: women in the follicular phase had a stronger left ear advantage (likely better left hemispheric cognitive control) compared to menstrual and luteal phases.
  • Increased performance in the follicular phase showed a negative correlation with estradiol levels.
  • This suggests estradiol plays an active role in cognitive control.
  • The degree of cognitive control demanded by a task is important when considering lateralization across the menstrual cycle.

Hormone Assays

  • Two saliva samples collected before and after the dichotic listening task, separately analyzed for estradiol and progesterone.
  • All hormone levels fell within expected ranges.

Participant Demographics

  • 15 healthy women (mean age 23.47 ± 5.11 years, age range 20-36) and 15 healthy men (mean age 23.13 ± 2.42 years, age range 20-28).
  • All participants right-handed, native Norwegian speakers.
  • Inter-aural hearing differences were less than 10dB at specified frequencies.
  • Women had regular cycles (mean cycle length 26-32 days).
  • Women were not using hormonal contraceptives or other hormone-regulating medications, and were not pregnant.
  • Cycle phases were randomized for women.

Dichotic Listening Test

  • Standardized Bergen Dichotic Listening Test used.
  • 36 pairs of consonant-vowel (CV) syllables, including homonyms.
  • 3 conditions:
    • Non-forced (NF): Participants report clearest sound.
    • Forced-right (FR): Participants report sound from right ear.
    • Forced-left (FL): Participants report sound from left ear.
  • 3 blocks, each condition presented three times.
  • Laterality index calculated: (RE - LE) / (RE + LE) * 100, where RE is right ear correct responses and LE is left ear correct responses

Data Analysis

  • Repeated measures ANOVA with sex, phase (and phase equivalent for men), and dichotic listening condition as factors.
  • Laterality index as dependent variable.
  • Post-hoc analyses (Fisher's LSD) performed.
  • Power analysis conducted for non-forced and forced-right conditions, ruling out small/medium effects.

Statistical Analysis Summary

  • Significant Phase x Condition x Sex interaction, but not for non-forced or forced-right conditions.
  • A significant Sex x Phase interaction found for forced-left condition, with positive correlations between estradiol/progesterone and FL laterality.
  • Follicular phase associated with left-ear advantage (better cognitive control).

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Description

This quiz explores the relationship between hormone therapy and cognitive function, specifically in postmenopausal women. It examines the impact of hormones like estrogen and testosterone on brain functions and the methodologies used in cognitive studies. Test your knowledge on how these factors influence cognition and lateralization.

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