The Computational and Neural Mechanisms Linking Decision-making and Memory in Humans

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorRutgers, The State University of New Jersey

About this trial

Learning to make good decisions in the present, and accurately recalling events and information from the past, are critical aspects of human cognition that are often impaired in many psychiatric disorders. This project aims to identify the how the choices individuals make influence what, and how, people remember by combining disparate techniques in computational modeling and direct brain recordings in human subjects. The researcher developed a dual-task paradigm, probing how decisions in one task affect immediate recognition memory. To examine the neural mechanisms underlying model-free RL's influence on memory, the researcher will record local field potential (LFP) and single neuron activity in various brain regions as epilepsy patients perform the proposed task. The results of this project will identify specific neurocomputational mechanisms unifying decision-making and memory processes.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Has seizure activity which is deemed non-responsive to standard pharmacological intervention(s), as determined by treating Neurologist and established clinical practices

Has elected to receive clinically indicated intracranial EEG (electrocorticography (ECoG), stereoelectroencephalography (SEEG)) and/or temporal responsive neurostimulation (RNS) for medication-refractory epilepsy outside of this research study, as determined by treating clinician(s) and per current clinical practice

Capacity to provide written informed consent

Language proficiency in English or Spanish

Disqualifiers

History of psychosis, such as in the context of depressive or manic episode.

Active suicidal ideation with intent, suicide attempt within the last six months, or other serious suicide risk

Inability to provide informed consent or reliably participate in study assessments, as per the Montreal Cognitive Assessment (MOCA; score < 26) or in the opinion of the evaluating neuropsychologist.

Individuals unwilling or unable to undergo electrode implantation procedures

Trial design

Design model

Single group

Treatments tested in this trial

  • Value-manipulation

    Behavioral

    During the decision-making task, different choices are assigned different values probabilistically.

Treatment groups

50 Participants
are divided into 1 treatment group
Group A: Value-manipulationExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Local-field potentials changes

Detection of local-field potentials (LFPs) in the various regions (hippocampus, amygdala, and frontal cortex). Local field potentials are the biological voltages recorded by macroelectrodes implanted in participant's subcortical regions as part of their treatment for epilepsy. LFP changes (measured as increases or decreases in voltage) as a function of participant behavior will be recorded, and in response to the task manipulation of the value of choices during the decision-making task

Time frame
During task participation, approx. 30-45 min in the first 2 weeks of hospital stay
2

Firing rate changes

Single-neuron activity recorded from the hippocampus, amygdala, and frontal cortex. Single-neuron activity refers the micro-scale changes in single-neuron action potentials recorded by microelectrodes implanted in subcortical regions. Firing rate changes (measured as difference in spikes/seconds \[Hz\]) will be reported for neurons as a function of how behavior changes when the value of choices is altered.

Time frame
During task participation, approx. 30-45 min in the first 2 weeks of hospital stay

Secondary outcomes

1

Reaction time

Reaction times involve measuring how quickly the participant makes each choice during the decision-making and memory tasks, in milliseconds. This will be recorded by logging keypresses and mouse inputs to the behavioral computers. Slow reaction times indicate increased cognitive processing.

Time frame
During task participation, approx. 30-45 min in the first 2 weeks of hospital stay
2

Number of hit rates for decision-making

Choices in decision-making task involved logging the decision-making selections that participants make. This will be recorded by logging keypresses and mouse inputs (left or right) to the behavioral computers. This will be used to track whether participants decisions change when value manipulations occur.

Time frame
During task participation, approx. 30-45 min in the first 2 weeks of hospital stay
3

Number of hit rates for Memory performance

Memory performance involved logging the memory-recognition selections that participants make. This will be recorded by logging keypresses and mouse inputs (old or new) to the behavioral computers. This will be used to track whether participants memory performance changes when value manipulations occur.

Time frame
During task participation, approx. 30-45 min in the first 2 weeks of hospital stay

Other outcomes

Sponsors and contacts

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Rutgers, The State University of New Jersey

Lead sponsor

National Institute of Mental Health (NIMH)

Collaborator