Stress Elevates Frontal Midline Theta in Feedback-based

Stress Elevates Frontal Midline Theta in Feedback-based
Category Learning of Exceptions

Marcus Paul1, Marie-Christin Fellner1, Gerd T. Waldhauser1, John Paul Minda2,
Nikolai Axmacher1, Boris Suchan1, and Oliver T. Wolf1

Astratto

■ Adapting behavior based on category knowledge is a funda-
mental cognitive function, which can be achieved via different
learning strategies relying on different systems in the brain.
Whereas the learning of typical category members has been
linked to implicit, prototype abstraction learning, which relies
predominantly on prefrontal areas, the learning of exceptions
is associated with explicit, exemplar-based learning, which has
been linked to the hippocampus. Stress is known to foster im-
plicit learning strategies at the expense of explicit learning. Pro-
cedural, prefrontal learning and cognitive control processes are
reflected in frontal midline theta (4–8 Hz) oscillations during
feedback processing. In the current study, we examined the
effect of acute stress on feedback-based category learning of
typical category members and exceptions and the oscillatory

correlates of feedback processing in the EEG. A computational
modeling procedure was applied to estimate the use of abstrac-
tion and exemplar strategies during category learning. Noi
tested healthy, male participants who underwent either the
socially evaluated cold pressor test or a nonstressful control
procedure before they learned to categorize typical members
and exceptions based on feedback. The groups did not differ
significantly in their categorization accuracy or use of categori-
zation strategies. In the EEG, Tuttavia, stressed participants re-
vealed elevated theta power specifically during the learning of
exceptions, whereas the theta power during the learning of typi-
cal members did not differ between the groups. Elevated frontal
theta power may reflect an increased involvement of medial pre-
frontal areas in the learning of exceptions under stress.

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INTRODUCTION

Learning to categorize objects, events, and people to dis-
crete classes is a fundamental cognitive ability, which en-
ables humans to make quick decisions in rewarding or
threatening situations. Physical and psychosocial threats
elicit stress responses, which are associated with endo-
crine changes in the body, such as the release of gluco-
corticoids. Stress has been shown to modulate feedback
processing and learning processes (Glienke, Wolf, &
Bellebaum, 2015; Lighthall, Gorlick, Schoeke, Frank, &
Mather, 2013; Cavanagh, Frank, & Allen, 2011; Ossewaarde
et al., 2011).

Different learning strategies have been identified in
feedback-based category learning, which are associated
with separate systems in the brain. Prototype-based pro-
cedural learning strategies (Reed, 1972; Posner & Keele,
1968), which rely on regions in PFC (Pan & Sakagami, 2012)
and the striatal learning system (Cincotta & Seger, 2007;
Ashby & Ennis, 2006), are distinguished from exemplar-
based declarative learning strategies (Schenk, Minda, Lech,
& Suchan, 2016; Nosofsky, 1986; Medin & Schaffer, 1978).
In prototype-based procedural learning, common
characteristics of all category members are abstracted

1Ruhr-University Bochum, 2University of Western Ontario

© 2018 Istituto di Tecnologia del Massachussetts

from the prototype of this category and are used to form
a category representation. In exemplar-based learning,
categories are learned on the basis of each stimulus.
Whereas abstraction-based strategies are employed to
learn typical members of a category, exceptions have to
be learned by means of an exemplar-based strategy
(Lech, Güntürkün, & Suchan, 2016; Cook & Smith, 2006).
The striatum is crucial for associative stimulus–response
learning based on reward prediction errors, which are
defined as violations to outcome predictions (Diederen,
Spencer, Vestergaard, Fletcher, & Schultz, 2016; Rolls,
McCabe, & Redoute, 2008). In feedback-based category
apprendimento, stimulus-category associations are acquired
(Cincotta & Seger, 2007; Seger & Cincotta, 2005) by updat-
ing reward expectations after a reward prediction error was
experienced (Nasser, Calu, Schoenbaum, & Sharpe, 2017;
Seger, Peterson, Cincotta, Lopez-Paniagua, & Anderson,
2010; Sutton & Barto, 1981).

In electrophysiological studies with macaque monkeys,
it was found that the striatum acts jointly with PFC during
category learning, which was demonstrated by increases
in the functional connectivity between the striatum and
PFC during learning (Antzoulatos & Mugnaio, 2011, 2014).
Medial PFC regions, such as the dorsal ACC (dACC) E
the dorsomedial PFC, represent the value of response op-
tions and reward expectancies and code reward prediction

Journal of Cognitive Neuroscience 30:6, pag. 799–813
doi:10.1162/jocn_a_01241

errors. The dACC receives reinforcement learning signals
(Alexander & Brown, 2011; Holroyd & Coles, 2002,
2008), and theta oscillations (4–8 Hz) are employed by
medial frontal regions in the communication with lateral
prefrontal and premotor regions to realize the adaptation
of behavior (Smith et al., 2015; Oehrn et al., 2014; van de
Vijver, Ridderinkhof, & Cohen, 2011).

In the scalp EEG, these frontal midline theta (FMT)
oscillations have been linked with cognitive control pro-
cesses (Cavanagh & Frank, 2014) and are involved in
the evaluation of feedback and errors based on reinforce-
ment learning signals. A larger FMT power is detected
after negative feedback compared with positive feedback
and after an error was made compared with a correct re-
sponse (Cavanagh & Frank, 2014; Cohen, 2014; Cohen,
Wilmes, & van de Vijver, 2011). The power of the FMT cor-
relates with size of the reward prediction errors and the
adaptation of behavior in subsequent trials (Mas-Herrero
& Marco-Pallarés, 2014, 2016; van de Vijver et al., 2011;
Cavanagh, Frank, Klein, & Allen, 2010). Inducing inphase
theta oscillations synchronously in the medial and lat-
eral PFC by means of transcranial alternating current
stimulation has been shown to increase the feedback-
based adaptation of behavior, whereas the induction
of antiphase theta oscillations impairs the adaptation
of behavior (Reinhart, 2017). Intracranial recordings in
humans demonstrated directionality in this connectivity
between medial and lateral prefrontal areas, such that
theta oscillations propagate from medial prefrontal
areas to the lateral PFC during feedback processing to
adapt behavior (Smith et al., 2015). These studies sug-
gest a causal role of the FMT in adaptive behavior. Theta
oscillations are therefore a promising target to investi-
gate the stress-related modulation of medial frontal pro-
cesses in associative learning, such as abstraction-based
categorization, with a high temporal resolution.

Stress and the stress-induced release of glucocorticoids
are associated with changes in the feedback processing
and learning (Lighthall et al., 2013; Cavanagh et al.,
2011; Ossewaarde et al., 2011). The influence of stress
on electrophysiological correlates of the feedback pro-
cessing has been tested by recent studies using probabi-
listic reinforcement learning tasks. It was demonstrated
that stress increases the amplitude of the feedback-related
negativity (FRN; Wirz, Wacker, Felten, Reuter, & Schwabe,
2017; Glienke et al., 2015), a negative potential, che è
more pronounced after negative feedback compared with
positive feedback and which is the time domain representa-
tion of the FMT (Cohen et al., 2011).

Stress-related changes have also been found to influ-
ence categorization. In category learning, stress causes
a switch between the relative use of learning strategies
from declarative to nondeclarative strategies (Schwabe
& Wolf, 2013). In a deterministic categorization task, dis-
sociating striatal, procedural from prefrontal, rule-based
apprendimento, stress was found to enhance striatum-dependent
procedural learning (Ell, Cosley, & McCoy, 2011). So far, Esso

is unknown whether stress influences the learning of
categories comprising typical, rule-following members
and exceptions to the rule, which often occur in natural-
istic categories.

The current study therefore tested the influence of
stress on category learning of typical category members
and exceptions. The analysis of frontal theta oscillations
in the EEG during the feedback processing allows us to
investigate the modulatory effects of stress on cortical
oscillations that are involved in learning and feedback
processing. Inoltre, a computational modeling pro-
cedure was applied to assess the use of prototype abstrac-
tion and exemplar-based strategies during learning. A
investigate these questions, we exposed participants to
either a stressful situation or a nonstressful control situa-
tion before they conducted a feedback-based category
learning task composed of typical category members and
exceptions (Cook & Smith, 2006). It was expected that
stress might impair the exemplar-based learning of excep-
zioni, whereas implicit, abstraction-based learning of typi-
cal stimuli should be unaffected. On the basis of previous
studies (Schwabe & Wolf, 2012), it was expected that stress
would foster the use of the abstraction-based strategies
instead. Inoltre, stress was hypothesized to increase
the FMT power reflecting changes in the frontal feedback
processing. The FMT power increase may compensates for
reduced hippocampal contribution or an increased need
for cognitive control in the learning of exceptions.

METHODS

Participants

Forty-seven men participated in the study after a short
screening for their general health status, with exclusion
criteria such as smoking, current or history of psychiatric
or neurological disorders, the intake of medication, UN
body mass index below 18 or above 29 kg/m2, substance
abuse, and color blindness. Inoltre, participants had
to be naive to the socially evaluated cold pressor test
(SECPT; Schwabe, Haddad, & Schachinger, 2008). Twenty-
four participants were randomly assigned to the stress group
(mean age = 24.8 years, SEM = 0.8 years), E 23 were
assigned to the control group (mean age = 25.6 years,
SEM = 0.9 years). Participants were excluded if their EEG
data consisted of fewer than 10 artifact-free EEG trials in any
of the experimental conditions (n = 11; see below for a
detailed description). Inoltre, cortisol nonresponders
(cioè., those not showing an increase in cortisol from
baseline to peak in response to the stress of larger than
1.5 nmol/L; n = 5; Mugnaio, Plessow, Kirschbaum, & Stalder,
2013) were excluded (Glienke et al., 2015; McCullough,
Ritchey, Ranganath, & Yonelinas, 2015), because pharma-
cological work has repeatedly shown that glucocorticoids
are crucial mediators in the impact of stress on different
aspects of cognition (Vogel et al., 2017; Vogel, Fernández,
Joëls, & Schwabe, 2016; Schwabe, Tegenthoff, Höffken, &

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Wolf, 2013). The final sample consisted of 16 participants
in the stress group and 16 in the control group.

The study was approved by the local ethics committee of
the Faculty of Psychology at the Ruhr-University Bochum
and is according to the Declaration of Helsinki. All partici-
pants gave written informed consent before participation
and were reimbursed with A20.

Procedure

The experimental procedure was conducted between 2
E 6 p.m. to control for the diurnal cycle of endogenous
cortisol concentrations (Kalsbeek et al., 2012). Partici-
pants refrained from alcohol and excessive exercise the
day before the testing and refrained from eating and
drinking anything except for water 2 hr before the testing.
After giving written informed consent, electrodes were
prepared for the EEG recordings. Subsequently, the first
saliva sample was collected (−1 min) before the stress
group underwent the stressful SECPT, whereas the control
group was assigned to a nonstressful control procedure
(both procedures are described in detail in the following
section). Afterward, the second saliva sample (+1 min)
was collected, and subjective stress ratings were obtained
from the participants. Twenty minutes after the treatment,
a saliva sample was collected (+20 min) and participants
conducted the category learning task (see below). Dopo-
ward, a final saliva sample was collected (+55 min), E
participants were shortly debriefed and reimbursed.

Stress Induction

Stress was induced by means of the SECPT, and the con-
trol group was assigned to a nonstressful control proce-
dure. The stress group immersed their right hand in ice
water (0–2°C) for up to 3 min. During the SECPT, Essi
were filmed with a video camera and received instruc-
tions from a reserved female experimenter to keep their
gaze fixated at the camera and to refrain from movement.
The control group immersed their hands in warm water
(35–37°C). They were neither filmed nor observed by a
demure experimenter. Subjective ratings of the difficulty
to keep the hand immersed, the discomfort, the pain,
and the stress felt during the treatment were given on
11-point Likert scales from 0 (not at all ) A 100 (very
much). Systolic and diastolic blood pressure and heart
rate were measured before, during, and after the treat-
ment with the Dinamap system (Critikon, Tampa, FL).
At each time point, three measurements of blood pres-
sure and heart rate were obtained, which were used to
calculate an average for each time point. Saliva was col-
lected using Salivettes (Sarstedt, Nümbrecht, Germany).
Samples were kept at −18°C until analysis. Cortisol concen-
trations were determined in duplicates using a cortisol
enzyme-linked immunosorbent assay (Demeditec, Kiel,
Germany). Interassay and intra-assay coefficients of vari-
ance were below 10%.

Category Learning Task

In the category learning task, participants learned, based
on feedback to their responses, to assign circular stimuli
(Figure 1A) to one of two categories (Schenk et al., 2016;
Cook & Smith, 2006). Stimuli were constructed by system-
atically changing the colors of the six sections of a circle.
Typical stimuli were derived from the prototype stimuli
by changing the color of one section. Consequently, Tutto
typical stimuli in one category shared four of six colors
(66.7%). One circle in each category was constructed as
an exception. This exception shared zero to two colors
(0%, 16.7%, O 33.3%) with the prototype and the typical
circles of its category but instead shared four to five colors
with the typical circles of the opposite category. In each
trial, participants had to categorize one circle by a left or
right button press and received a feedback about their
accuracy.

The circles were presented for 800 msec, before the
response options (Categories 1 E 2) were displayed
concurrently with the stimulus for up to 1000 msec, until
a response was made (Figure 1B). The chosen category
was highlighted on the screen for 200 msec, followed by
a blank screen for 500 msec, and feedback was presented
for 1000 msec. As feedback, either “correct” or “wrong”
was presented, depending on whether the prior stimulus
was categorized correctly. If the response was too slow,
a reminder for fast responses was presented. Intertrial
intervals were jittered between 1000 E 2000 msec. Par-
ticipants had to choose categories by button presses on
the left (Category 1) or the right (Category 2) Ctrl keys
on a standard keyboard. The learning task was composed
Di 420 trials in five blocks of 84 trials each, which were
intermitted by self-paced breaks. Each block encom-
passed 72 typical trials and 12 exceptions. Prototypes
and typical circles were pooled in the typical condition
for all analyses (Lech et al., 2016; Schenk et al., 2016).

To analyze behavioral performance, the accuracy for both
groups and for typical circles and exceptions was averaged
over each block. Inoltre, we applied a computational
modeling procedure (described in detail in the following
section) to assess the use of abstraction- and exemplar-
based learning strategies in the categorization task.

Computational Modeling Procedures

To gain insight into how participants in each condition
learned these category sets, we fit two well-known com-
putational models to the data of stressed and control par-
ticipants. The first model was based on the prototype
model originally described by Minda and Smith (Minda
& Smith, 2001, 2011; Smith & Minda, 1998). This model
is ideally suited to model the current data as it was for-
mulated and tested with the same categories used in the
current study (Smith & Minda, 1998).

In the prototype model, each category is represented by
a single prototype. Participants are assumed to abstract this

Paul et al.

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Figura 1. Schematic illustration of stimulus categories and the sequence of events in each trial. (UN) The paradigm consisted of two categories.
Typical circles were derived from the prototype of the respective category by changing one of the six colors. Exceptions were derived from the
prototype of the opposite category. (B) In each trial, participants had to categorize one circle by a button press. On the basis of feedback, which was
presented to the participants after their responses, they had to learn to categorize the circles correctly.

prototype from experience with individual exemplars, E
they base a classification decision on the similarity of the
to-be-classified item to each prototype. The item is then
classified in accord with the most similar prototype. IL
prototype model predicts strong performance on proto-
typical and typical instances but poor performance on
exception items.

The model is formulated as follows. Primo, the distance
(D ) between the item i and the prototype P is calculated
by comparing the two stimuli along each weighted dimen-
sion k, as shown in Equation 1.

diP ¼

XN

k¼1

#1

R

wk xik − Pk

j

jr

(1)

The value of r corresponds to the distance metric.
When r = 1, the model uses a city-block distance metric,
which is appropriate for separable-dimension stimuli (IL
present case). When r = 2, the model uses a Euclidean dis-
tance metric, which is appropriate for integral-dimension
stimuli. Attentional weights (w) vary between 0.0 (NO
Attenzione) E 1.0 (exclusive attention) and are con-

strained to sum to 1.0 across all the dimensions. The results
of these weighted comparisons are summed across the di-
mensions to get the distance between the item and the
prototype.

This distance (diP) between the item and the proto-
type is then converted into a measure of similarity
(ηiP), following Shepard (1987), by taking

η

iP ¼ e−cdiP

(2)

which gives a measure of similarity of an item i to proto-
type P. The exponent is distance (diP) multiplied by the
scaling or sensitivity parameter c, which is a freely esti-
mated parameter that reflects the steepness of the decay
of similarity around the prototype. Prototype A similarity
is then divided by the sum of Prototype A and Prototype
B similarity to generate the model’s predicted probability
of a Category A response P (RA) for stimulus (Si), COME
shown in the probabilistic choice rule in Equation 3.

P RAð

jSiÞ ¼

η

η
iPA
þ η

iPA

iPB

(3)

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Journal of Cognitive Neuroscience

Volume 30, Numero 6

We also fit an exemplar model to the data, which was
based on the Generalized Context Model of Nosofsky
(1986, 2011). In this model, the learner is assumed to
store representations of each category exemplar, E
classification is based on the similarity of the to-be-
categorized item to the entire collection of each exemplar
in the category. The model is similar to the prototype
modello, except that the comparisons are made between
exemplars. Primo, the distance between item i and exem-
plar j is calculated by comparing the two stimuli along
each weighted dimension k, as shown in Equation 4. IL
value of r again corresponds to 1 in this case.

dij ¼

XN

k¼1

(cid:2)
(cid:2)

wk xik − xjk

#1

R

(cid:2)
(cid:2)R

(4)

Attentional weights (w) vary between 0.0 (no attention)
E 1.0 (exclusive attention) and are constrained to sum
A 1.0 across all the dimensions. The results of these
weighted comparisons are summed across the dimensions
to get the distance between the item and the exemplar.

This distance (dij) between the item and the exemplar
is then converted into a measure of similarity (ηij) by
taking

η
ij

¼ e−cdij

(5)

which gives a measure of similarity of an item i to exem-
plar j. As with the prototype model, c is the freely esti-
mated scaling parameter that reflects the steepness of
the decay of similarity among exemplars.

The similarity of the item to the summed similarity to
all the Category A exemplars is divided by the summed
similarity of the item to exemplars in Categories A and
B, as shown in the probabilistic choice rule in Equation 6.

X

PðRA Sij Þ ¼

X

η

ij

j2CA

η
ij
X

j2CA
þ

j2CB

(6)

η
ij

Although the models differ in terms of their repre-
sentational assumptions (abstracted prototype vs. stored
exemplars), they are equivalent in terms of free param-
eters, attentional assumptions, and decision rules. Each
model has a set of attentional weight parameters that
correspond to the number of dimensions in a task (in this
case, six dimensions) along with a psychological scaling
parameter that corresponds to how close or distant the
prototypes or exemplars are in psychological space. Because
the attentional weights are constrained to sum to 1.0 (cioè.,
full attention), it leaves five free attentional parameters
and the single, unconstrained scaling parameter for a
total of six free parameters for each model.

Our analyses were based on fitting of each model to
classification probabilities produced by each individual
participant in each condition and at each block. IL
models were fit with a hill-climbing algorithm that adjusted
the model’s parameters to minimize the root mean square

deviation (RMSD) between the observed data and the
model’s predictions (Minda & Smith, 2001). To find the
best-fitting parameter settings of each model, a single
parameter configuration (six attention weights and one
scaling parameter) was chosen randomly and the pre-
dicted categorization probabilities for each of the 14 stim-
uli were calculated according to that configuration. IL
RMSD was calculated as shown in Equation 7.

S

ffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
X
Þ2
ð

N
i¼1

Oi − Pi
N

RMSD ¼

(7)

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The RMSD between the observed (Oi) and predicted
(Pi) probabilities was then minimized with an algorithm
that made a small adjustment to the provisional best-fitting
parameter settings and chose the new settings if they pro-
duced a better fit (cioè., a smaller RMSD between predicted
and observed performances). On each iteration of the algo-
rithm, a weight parameter was adjusted by 0.01 (bounded
by 0.00–1.00), or a scaling parameter was adjusted by 0.1
(bounded by 0.00–20.00). The algorithm continued to
adjust until the fit could not be minimized further. A
ensure that local minima were not a problem, the fitting
procedure was repeated five times by choosing different
random starting configurations of the model and hill-
climbing from there. We chose the best-fitting parameters
of the multiple fittings. The data for each block and each
participant were fit independently, and each model (proto-
type or exemplar) was fit separately. This method, origi-
nally devised by Smith and Minda (1998), provides a
static snapshot of performance, rather than an estimate of
apprendimento.

The resulting fit index (RMSD) from the model-fitting
procedure provides information about how well (or not)
each model fits the data of participants in each condition.
On the basis of earlier work by Smith and Minda (1998)
and more recent work by Minda and Smith (2011) E
Schenk et al. (2016), we assumed that both models
may fit moderately well early in learning but the exemplar
model should provide a better fit later in the learning
phase, because participants should have learned to clas-
sify all the exemplars, including the exception items.
Tuttavia, Smith and Minda (1998) also noted that the
prototype model often fits the data better than the exem-
plar model early on, because many participants find it
easy to learn to classify the prototype and typical items
and systematically misclassify the exception items. In
the present case, an advantage for the prototype model
over the exemplar model might indicate that the partici-
pants have not been able to commit sufficient cognitive
resources to learn the exceptions.

EEG Recording and Processing

Scalp EEG was recorded from 30 passive Ag/AgCl elec-
trodes, which were distributed according to the 10–20 sys-
tem (Pivik et al., 1993). Data were recorded at a sampling

Paul et al.

803

rate of 500 Hz by a 32-channel BrainAmp Standard AC
amplifier (Brain Products, Gilching, Germany), with a time
constant of 10 sec. An electrode at the midfrontal position
FPz was affixed to ground the participants, and data were
referenced to linked mastoids. Impedances were kept
below 10 .

Eye blinks were removed from continuous data using an
independent component analysis as implemented in Brain
Vision Analyzer 2 (Brain Products, Gilching, Germany; Lee,
Girolami, & Sejnowski, 1999). For each participant, one
independent component with a symmetrical frontal pos-
itive topography was removed, before the data were
back-transformed. The successful removal of eye blinks
was confirmed by visual inspection. Further analyses
were performed using the FieldTrip toolbox (Oostenveld,
Fries, Maris, & Schoffelen, 2011) and MATLAB 2016a
(The MathWorks, Inc., Natick, MA).

Data were filtered with a 0.5-Hz high-pass, zero-phase
Butterworth IIR filter and a band-stop filter from 48 A
52 Hz to eliminate line noise. Continuous data were
epoched from −1.5 to 3 sec around feedback presentation.
Epochs containing residual artifacts were removed during
careful visual inspection. Subsequently, time–frequency
decomposition was performed using 59 complex Morlet
wavelets from 1 A 30 Hz, each having a width of five
cycles. Power values were averaged across trials in each
of the four following conditions: typicals/negative feed-
back, typicals/positive feedback, exceptions/negative
feedback, and exceptions/positive feedback. Participants
with less than 10 trials in any condition were excluded
from further analyses. On average, typicals/negative feed-
back contains 63.44 (SEM = 5.29) trials, typicals/positive
feedback contains 244.34 (6.37) trials, exceptions/negative
feedback contains 26.75 (1.30) trials, and exceptions/
positive feedback contains 23.25 (1.16) trials. Afterward,
relative signal change to the condition-averaged base-
line period (500 A 100 msec before stimulus presenta-
zione) was calculated for each condition to quantify
feedback-related signal changes (Pfurtscheller & Aranibar,
1977). The baseline theta power did not differ between
groups. To analyze differences in theta power, we aver-
aged the power over the 200- to 600-msec postfeedback
time interval (Chen, Zheng, Han, Chang, & Luo, 2017;
Cunillera et al., 2012) and over the frequencies of 5–
5.5 Hz. The frequencies of interest were determined
using the difference between negative and positive
feedback in averages across all groups and all conditions
(Figura 2; Leicht et al., 2013). Group and condition
differences were then analyzed in these peak frequencies,
which were determined from group and condition
medie.

Statistical Analyses

For the statistical analyses of the salivary cortisol concen-
trations and the behavioral data, repeated-measures
ANOVAs were applied. All ANOVAs included the

Figura 2. Power spectrum of the difference in the relative increase
(200–600 msec postfeedback interval) to baseline between negative and
positive feedback at electrode FCz. The frequencies of interest were
defined as the frequencies with the maximal difference between
negative and positive feedback pooled across both groups and both
conditions.

between-participant factor Group (stress and control).
Group effects in salivary cortisol concentrations were an-
alyzed statistically using repeated-measures ANOVA with
the between-participant factor Group (stress and control)
and the within-participant factor Time (−1, +1, +20, E
+55). The analysis of the behavioral data included the
within-participant factors Stimulus type (typical and
exceptional items) and Block (1–5). The Greenhouse–
Geisser correction was applied in cases of violations to
the assumption of sphericity, and ε are reported. Sig-
nificant interactions were resolved with Bonferroni-
corrected post hoc pairwise t tests.

Differences in the subjective stress ratings and the
cardiovascular measures of the stress response between
the groups were tested by means of a multivariate
ANOVA. Bonferroni-corrected post hoc pairwise compar-
isons were performed to test group differences on single
subjective scales. The alpha level of .05 was applied to all
parametric tests.

For the statistical analysis of the time–frequency data,
nonparametric cluster-based permutation tests were ap-
plied to account for alpha error accumulations in the con-
text of multiple comparison testing (Maris, 2012; Maris &
Oostenveld, 2007). This cluster-based permutation test
involves two steps: In the first step, spatially coherent
clusters of electrodes exceeding a first level t threshold
(α = .05) are identified, and summed t values in each
cluster are returned as test statistic. In the second step,
this cluster-based test statistic is compared with a null dis-
tribution of the test statistic obtained by repeating Step 1
on data with randomly permuted condition affiliations for
1,000 iterations. For clusters, which reached the cluster α
threshold, summed t values of the electrodes included in
the cluster (tsum) and cluster p values are reported. Addi-
tional to the whole electrode space covering cluster sta-
tistics, single-electrode t and p values of the frontocentral

804

Journal of Cognitive Neuroscience

Volume 30, Numero 6

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electrode FCz are reported based on prior studies (per esempio.,
Cavanagh, Figueroa, Cohen, & Frank, 2012; van de Vijver
et al., 2011). Significant interactions in the cluster-based
permutation tests were resolved using Wilcoxon signed-
rank tests.

RESULTS

Subjective Stress Response

The subjective ratings revealed a successful stress induction
by the SECPT (F(4, 27) = 31.34, P < .001, Wilk’s Λ = 0.177, ηp 2 = .82). Stressed participants experienced more dis- comfort ( p < .001, d = 2.55), more pain ( p < .001, d = 3.54), and more stress ( p < .001, d = 2.15) and reported more difficulty to keep the hand immersed ( p < .001, d = 3.38) during the treatment (Table 1). Cardiovascular Stress Responses Increases in the blood pressure and heart rate of stressed participants during the stress induction revealed an acti- vation of the sympathetic nervous system (F(6, 116) = 15.33, p < .001, Wilk’s Λ = 0.311, ηp 2 = .44). Elevations of the systolic (F(2, 60) = 30.92, p < .001, ηp 2 = .508) and diastolic (F(2, 60) = 39.06, p < .001, ηp 2 = .566) blood pressure and of the heart rate (F(2, 60) = 14.75, p < .001, ηp 2 = .330) were confirmed by Time × Group inter- actions (Table 1). Salivary Cortisol Concentrations The stress group shows an elevation of salivary cortisol concentrations 20 min after the SECPT, whereas cortisol concentrations decrease over the course of the experiment in the control group (Figure 3A). The successful stress induction was confirmed by a significant Group × Time interaction (F(3, 90) = 26.3, p < .001, ηp 2 = .467) and a main effect of Time (F(3, 90) = 19.86, p < .001, ηp 2 = .398). The cortisol concentrations of the stress group were higher compared with those of the control group 20 min (t(30) = −4.45, p < .001, d = 1.57) and 55 min (t(30) = −3.38, p = .002, d = 1.20) after the treatment. Learning Performance The learning performance was assessed by calculating the percentage of correct responses of five blocks consisting of 72 typical trials or 12 trials with exceptions. Both stim- ulus classes, typical circles and exceptions, were success- fully learned by the participants (Figure 3B), which was confirmed by a main effect of Block (F(2.20, 66.01) = 2 = .596, ε = .550). The performance 44.21, p < .001, ηp was better for typical circles throughout the whole task (main effect Stimulus type: F(1, 30) = 192.15, p < .001, ηp 2 = .865), but the increase in the performance was larger for the exceptions (last block − first block = Table 1. Differences in the Subjective and Cardiovascular Stress Responses between the Stress and Control Groups Subjective stress response Discomfort Pain Stress Control Stress 4.38 (2.03) 48.13 (5.72)** 0.00 (0.00) 60.00 (5.99)** 5.00 (2.24) 45.00 (6.19)** Difficulty to keep hand immersed 1.88 (1.88) 57.50 (5.52)** Systolic blood pressure (mm Hg) Pretreatment 123.27 (2.74) 125.92 (4.44) During treatment 124.63 (2.58) 148.48 (4.05)** Posttreatment 120.06 (2.65) 128.67 (3.73) Diastolic blood pressure (mm Hg) Pretreatment 71.20 (2.82) 66.04 (2.88) During treatment 73.98 (2.62) 87.48 (2.24)** Posttreatment 66.44 (2.71) 69.27 (2.97) Heart rate (BPM) Pretreatment 70.38 (2.65) 67.27 (3.30) During treatment 69.46 (3.24) 75.19 (3.61)* Posttreatment 68.48 (2.49) 65.46 (3.30) Differences in subjective ratings were tested in planned t tests; differ- ences in the cardiovascular responses were tested with Bonferroni- corrected post hoc t tests. Values represent mean (±SEM ). *p < .1. ** p < .001. 33.6%) compared with typical circles (24.44%; Stimulus type × Block interaction: F(2.89, 86.80) = 3.960, p = .012, ηp 2 = .117, ε = .723). Stress, however, did not influence the learning perfor- mance, and neither the main effect of Group (F(1, 30) = 0.20, p = .659, ηp 2 = .007) nor any interaction including the factor Group revealed an influence of stress on the performance (Stimulus type × Group: F(1, 30) = 2.58, p = .119, ηp 2 = .079; Block × Group: F(2.20, 66.01) = 2 = .032, ε = .550; Stimulus type × 1.00, p = .381, ηp Block × Group: F(2.89, 86.80) = 0.36, p = .775, ηp 2 = .012, ε = .723). A post hoc power analysis using G*Power ( Version 3.1.9.2; Faul, Erdfelder, Lang, & Buchner, 2007) revealed that a medium-sized Stimulus type × Group interaction effect (ηp 2 = .10), which was expected based on stress- induced changes in category learning in previous studies (Schwabe & Wolf, 2012), would have been detectable with a power of 1 − β = .81 (α = .05; the average Paul et al. 805 l D o w n o a d e d f r o m h t t p : / / d i r e c t . m i t . e d u / j / o c n a r t i c e - p d l f / / / / 3 0 6 7 9 9 1 7 8 7 4 3 7 / j o c n _ a _ 0 1 2 4 1 p d . f b y g u e s t t o n 0 7 S e p e m b e r 2 0 2 3 Figure 3. (A) Mean salivary cortisol concentrations at baseline (BL) as well as +1, +20, and +55 min after the SECPT/ control procedure. Cortisol concentrations were elevated in the stress group compared with the control group 20 and 55 min after the SECPT. *p < .01. Error bars represent SEM. (B) Mean percent correct responses over the course of 30 blocks. The performance improved over the course of the experiments in typical category members and in exceptions as well as in both groups. Learning performance did not differ between the groups. Error bars represent SEM. correlation between repeated measures in our sample was r = .18). Computational Modeling To examine the relative differences in model fit, we ob- tained the best fit (the RMSD) for each model fitting the data of each participant at each block, and we averaged across participants to obtain the average fit of each model. These average fits are plotted in Figure 4. Figure 4A shows the relative fits of the prototype model and the exemplar model for the participants in the stress condition, and Figure 4B shows the relative fit of the models when fitting data from the control condition. In both cases, the exemplar model fits better (has a lower RMSD) than the prototype model at the end of the learn- ing phase. However, Figure 4A shows that the prototype model had an early advantage over the exemplar model at the second block for participants in the stress condi- tion. This pattern was not observed in the data of the participants in the control condition, suggesting no early difficulty with exception items. To examine these effects more directly, we conducted a 2 (Model) × 5 (Block) repeated-measures ANOVA on the RMSD values for each learning condition. For the Stress condition, we found find a main effect for Model (F(1, 15) = 6.90, p = .019, η2 = .315), but not for Block (F(4, 60) = 1.95, p = .115, η2 = .115). We also observed a significant interaction between Block and Model (F(4, 60) = 6.16, p < .001, η2 = .291). To explore this inter- action, we conducted five paired t tests (prototype fit vs. exemplar fit) at each block, using a Bonferroni correction to adjust the alpha level to .01 for the five comparisons. The models were not significantly different at the first to fourth blocks (t(15) = −0.03, −1.78, 0.70, and 2.25; p = .973, .095, .494, and .040, respectively), but the exemplar Figure 4. A shows the average fit (RMSD) across participants for the prototype and exemplar model fitting the data of participants in the stress condition. A lower RMSD indicates lower prediction error and a better fit for the model. B shows the average RMSD across participants for the prototype and exemplar model fitting the data of participants in the control condition. Error bars denote SEM for the calculated means. 806 Journal of Cognitive Neuroscience Volume 30, Number 6 l D o w n o a d e d f r o m h t t p : / / d i r e c t . m i t . e d u / j / o c n a r t i c e - p d l f / / / / 3 0 6 7 9 9 1 7 8 7 4 3 7 / j o c n _ a _ 0 1 2 4 1 p d . f b y g u e s t t o n 0 7 S e p e m b e r 2 0 2 3 Figure 5. Topographical maps of the relative theta power (5–5.5 Hz, 200–600 msec postfeedback interval) and time–frequency plots at the electrode FCz relative to the presentation of negative feedback. On the topographical maps, filled circles represent electrodes of the cluster that revealed the significant Group × Stimulus type interaction. In the time–frequency plots, the prestimulus baseline interval (left of the dotted line) and the postfeedback activity (right of the dotted line) are shown. (A) A larger difference in the theta power between exceptions and typical circles was found in the stress group compared with the control group. (B) In the stress group, larger theta power was found for exceptions than for typical circles. (C) The control group did not show a difference in the theta power between exceptions and typical circles. l D o w n o a d e d f r o m h t t p : / / d i r e c t . m i t . e d u / j / o c n a r t i c e - p d l f / / / / 3 0 6 7 9 9 1 7 8 7 4 3 7 / j o c n _ a _ 0 1 2 4 1 p d . f b y g u e s t t o n 0 7 S e p e m b e r 2 0 2 3 model fit significantly better than the prototype model in the fifth block, t(15) = 3.57, p = .003. Thus, although the prototype model appeared to have some advantage over the exemplar model in the second block, the advantage was not significant. The exemplar model did, however, significantly outperform the prototype model at the end of the study, and the main effect of model confirms that the exemplar model was fitting better overall. For the Control condition, we again found a main effect for Model (F(1, 15) = 12.51, p = .003, η2 = .455), but not for Block (F(4, 60) = 2.00, p = .106, η2 = .118). We also observed a significant interaction between Block and Model (F(4, 60) = 3.54, p = .012, η2 = .191). To explore this interaction, we conducted five paired t tests (proto- type fit vs. exemplar fit) at each block, using a Bonferroni correction to adjust the alpha level to .01 for the five com- parisons. The models were not significantly different at the first to third blocks (t(15) = −0.14, 0.34, and 0.62; p = .889, .738, and .543, respectively), but in the fourth block, the exemplar model fits significantly better than the prototype model (t(15) = 2.95, p < .010). In the fifth block, the t test revealed a trend toward the same direction (t(15) = 2.58, p = .021). FMT To assess whether the neural processes of feedback- based learning differ between the groups and between Paul et al. 807 l D o w n o a d e d f r o m h t t p : / / d i r e c t . m i t . e d u / j / o c n a r t i c e - p d l f / / / / 3 0 6 7 9 9 1 7 8 7 4 3 7 / j o c n _ a _ 0 1 2 4 1 p d . f b y g u e s t t o n 0 7 S e p e m b e r 2 0 2 3 Figure 6. Theta power values (5–5.5 Hz) at electrode cluster Fz, FCz, FC4, Cz, C4, and CPz. The postfeedback theta power is plotted relative to the condition-averaged prestimulus baseline. A shows theta power after the presentation of negative feedback, and B shows theta power after positive feedback. Stress elevated the theta in exceptions after negative feedback. After positive feedback, theta power differs descriptively, but nonsignificantly, between groups or between exceptions and typical circles. Shaded areas represent SEM. the learning of typical category members and exceptions, we analyzed the FMT power of feedback processing. First, the frequency window of the feedback-related theta power increase was determined by pooling the data of both groups and both conditions (Figure 2) for each fre- quency between 1 and 30 Hz and selecting the frequency showing the highest feedback-related change relative to baseline at electrode FCz. The highest feedback-related increase in theta power was found at 5–5.5 Hz. To inves- tigate whether learning of typical and exceptional stimuli is related to different processes depending on stress level, differences in theta power between typical and ex- ceptional trials were contrasted between groups. A clus- ter permutation test revealed that the Group × Stimulus type × Feedback valence interaction was not significant (all ts ≤ 1.6, all ps = 1). On the basis of previous studies, which showed that stress influences predominantly the use of negative feedback in reward learning and decision-making (Park, Lee, & Chey, 2017; Petzold, Plessow, Goschke, & Kirschbaum, 2010), we focused the analysis on negative feedback trials, where an effect of stress was expected. Indeed, a cluster permutation test revealed a significant Group × Stimulus type interaction (tsum(30) = 13.90, p = .042) of FMT power (5–5.5 Hz) 200–600 msec after negative feedback at a frontocentral cluster of electrodes (Figure 5A), including the fronto- central electrode FCz (t(30) = 2.25, p = .042). This result reveals a difference in theta power during feedback pro- cessing during learning of typical category members and exceptions between the stress and control groups. To characterize this effect in depth, Wilcoxon signed-rank tests were used to contrast the theta power of this fron- tocentral electrode cluster in typical and exceptional stimuli separately for the stress and control groups. These follow-up tests demonstrated that stressed partic- ipants show an elevated theta power for trials with excep- tions, compared with trials with typical circles (Z = 3.00, p = .003, r = .750; Figure 5B). This effect of stronger in- creases in theta power for exceptional compared with typical stimuli was missing in the control group (Z = 0.88, p = .379, r = .220; Figure 5C). These results indi- cate that the stress group shows an elevated FMT power after negative feedback, which is specific to the learning of exceptions (Figure 6A). We focused the EEG analysis on negative feedback and found differences between the groups and stimulus types in frontal theta oscillations only in negative feedback. After positive feedback, the Group × Stimulus type inter- action did not reach significance at any electrode site or cluster (all ts ≤ 1.88, all ps = 1; Figure 6B). Accordingly, neither in the stress group (Z = 0.62, p = .535, r = .155) nor in the control group (Z = −1.40, p = .163, r = −.349) did the typical circles and exceptions differ with respect to FMT oscillations after positive feedback. DISCUSSION In the current study, we examined the influence of acute stress on neural correlates of feedback processing during category learning of typical category members and excep- tions. Participants were exposed to either a socially eval- uative stress condition or a nonstressful control situation, 808 Journal of Cognitive Neuroscience Volume 30, Number 6 before conducting a feedback-based category learning task. The successful stress induction by the SECPT was demonstrated by increases in blood pressure, heart rate, and salivary cortisol concentrations. Both groups showed no substantial differences in behavioral performance. The stress and control groups successfully learned to assign typical stimuli and exceptions to the two categories and categorized typical category members more accurately than exceptions. Computational modeling revealed descriptively an increased use of the abstraction-based learning strategy in the early learning phase after stress. In the late learning phase, both groups made use of the exemplar learning strategy. Moreover, FMT power in- creases during negative feedback differed between the stress and control groups. During the learning of excep- tions, midfrontal theta power after negative feedback in- creased in the stress group compared with the control group. After positive feedback, there was a descriptive but nonsignificant difference in the same direction. Frontal theta oscillations are involved in the process- ing of feedback and are related to behavioral adapta- tion (Cohen et al., 2011; Cavanagh et al., 2010). Accordingly, an elevation of frontal theta power after stress suggests an increased involvement of frontal feedback processing in the learning of exceptions. This is in line with recent results of an increased FRN after stress ( Wirz et al., 2017; Glienke et al., 2015), which is the time-locked reflection of feedback processing (Cavanagh, Zambrano-Vazquez, & Allen, 2012; Holroyd & Coles, 2002). Other previous results, however, demonstrated an influence of anxiety on the FMT power (Mizuki et al., 1992; Mizuki, Hashimoto, Tanaka, Inanaga, & Tanaka, 1983) and illustrate a role of FMT oscillations in work- ing memory maintenance (Hsieh & Ranganath, 2014) and cognitive control processes (Cavanagh & Frank, 2014; Cohen, 2014). Pastötter, Dreisbach, and Bäuml (2013), for instance, reported the largest FMT power in control-demanding incongruent task conditions. The modeling analysis indicates that some participants in the stress condition may have relied more heavily on the abstracted prototypes early in the experiment relative to participants in the control condition, although this conclusion can only be tentative as the individual post hoc t tests were not significant. This may suggest that stressed participants had fewer cognitive resources avail- able to learn the exceptions to the prototype, although participants in the stress condition still showed a clear, late advantage for exemplar learning, perhaps reflecting a recovery later in the learning phase. The notion that stress could affect the learning of cer- tain kinds of categories is consistent with studies demon- strating that performing a concurrent task that reduced the available working memory (Miles & Minda, 2011) or resource-depleting tasks (Minda & Rabi, 2015) impaired learning categories that required hypothesis testing and a rule selection, but not for tasks that relied on purely as- sociative learning. The latter is assumed to be analogous to the prototype abstraction process (Minda & Miles, 2010). It is reasonable that stress might have reduced the availability of cognitive resources enough to allow interference with exception learning but not interference with prototype learning. Additional work is needed, how- ever, with other category sets, such as those used by re- searchers showing impaired performance by older adults as a function of reduced working memory resources (Rabi & Minda, 2016). Alternatively, future research could also examine deterministic versus probabilistic respond- ing and the possibility that the stress induction might have altered the choice strategy. Certain formulations of Nosofsky’s Generalized Context Model can model this difference with a single additional parameter, but this same change cannot be instantiated in the prototype model without affecting the operation of the scaling pa- rameter (Minda & Smith, 2001; Smith & Minda, 1998, 2000). Other possibilities for future work could examine alternative models, such as the drift diffusion class of models to make specific predictions about choice behav- ior and response time (Pedersen, Frank, & Biele, 2017). In the current study, stress did not influence learning success. This is in line with previous studies, in which stress did not influence category learning performance per se but modulated the use of learning strategies and their neuronal basis ( Wirz et al., 2017; Schwabe et al., 2013; Schwabe & Wolf, 2012). In light of the behavioral results, increases in theta power could reflect the in- creased recruitment of PFC regions, which have been linked with the abstraction of commonalities of category members (Mack, Preston, & Love, 2017; Pan & Sakagami, 2012). Medial prefrontal regions, such as the dACC and the dorsomedial PFC, have been shown to use theta os- cillations to recruit regions in the lateral PFC in the real- ization of learning (Smith et al., 2015; van de Vijver et al., 2011). An alternative explanation could be that the early advantage of abstraction learning after stress increases the need of cognitive control, which has also been linked to midfrontal theta oscillations (Cavanagh & Frank, 2014), to switch to the exemplar learning strategy. Previous studies demonstrated that successful learning of exceptions relies on hippocampus activations during learning (Lech et al., 2016; Davis, Love, & Preston, 2012). It is known that stress impairs hippocampus-dependent memory pro- cesses, such as long-term memory retrieval ( Wolf, 2017) as well as long-term memory encoding (Shields, Sazma, McCullough, & Yonelinas, 2017). We suggest that, after stress, an increased involvement of medial prefrontal regions might be responsible for adequate learning of exceptions in the current category learning task compensating a potential decline in hippocampal functionality. Increases in electrophysiological correlates of the feed- back processing after stress are thought to be related to an increased availability of dopamine in the striatum and PFC (Grace, 2016; Holly & Miczek, 2016), which is closely Paul et al. 809 l D o w n o a d e d f r o m h t t p : / / d i r e c t . m i t . e d u / j / o c n a r t i c e - p d l f / / / / 3 0 6 7 9 9 1 7 8 7 4 3 7 / j o c n _ a _ 0 1 2 4 1 p d . f b y g u e s t t o n 0 7 S e p e m b e r 2 0 2 3 linked to the processing of feedback (Frank, Seeberger, & O’Reilly, 2004; Holroyd & Coles, 2002; Schultz & Dickinson, 2000). Other studies, however, found an im- pairing effect of stress and glucocorticoids on the feedback-related activity of the reward system (Porcelli & Delgado, 2017; Montoya, Bos, Terburg, Rosenberger, & van Honk, 2014; Ossewaarde et al., 2011) and on the FRN and frontal theta power (Banis, Geerligs, & Lorist, 2014; Banis & Lorist, 2012). These inconsistent findings of stress effects on electrophysiological correlates of the feedback processing might depend on the timing of the stress, because enhancing effects of stress on the FRN ( Wirz et al., 2017; Glienke et al., 2015) and theta power were found in the aftermath of stress, when corti- sol levels are elevated (de Kloet, Joëls, & Holsboer, 2005), whereas attenuations were found when partici- pants were stressed during the task (Banis et al., 2014; Banis & Lorist, 2012). Future studies are needed, which explicitly address the issue of timing of the stressor, sim- ilar to previous experiments in the domain of decision- making (e.g., Pabst, Brand, & Wolf, 2013). We demonstrated an increase of the frontal theta power by stress after negative feedback. This is in line with the finding that FMT differentiates between positive and negative feedback, such that negative feedback elicits larger increases in theta power than positive feedback (Cohen, Elger, & Ranganath, 2007). Accordingly, theta oscillations are thought to reflect the processing of negative feedback and to be related to learning based on negative feedback (Andreou et al., 2017; Mas-Herrero, Ripollés, HajiHosseini, Rodríguez-Fornells, & Marco-Pallarés, 2015; van de Vijver et al., 2011). In the current study, we could show that stress ele- vates the feedback-related theta power. The findings have implications for future fMRI or simultaneous EEG/ fMRI studies (Hauser et al., 2015), which have to eluci- date the relationship and timing of the learning systems involved in category learning. Importantly, future studies have to investigate the neural source of the observed increase in frontal theta oscillations and whether this increase is accompanied by reduced hippocampal activations. Limitations There are some limitations to the current study that need to be addressed. First, 15 participants had to be excluded from the study sample because of missing cortisol re- sponses or too few trials for the EEG analysis. As a con- sequence, the absence of a significant stress effect on category learning performance and used learning strategy might be due to the somewhat reduced statistical power. Finally, the current study controlled for confounding gen- der differences by testing only male participants. Former studies reported sex differences in the responsiveness to acute stressors (Reschke-Hernández, Okerstrom, Bowles Edwards, & Tranel, 2017), in the effects of stress on emo- tional learning (Merz & Wolf, 2017), and in the effects of glucocorticoids on the reward system (Kinner, Wolf, & Merz, 2016). Future studies have to elucidate possible sex differences in the effects of stress on category learn- ing and frontal theta power. Conclusion In summary, the current study reveals that stress has an enhancing effect on frontal theta oscillations in the pro- cessing of negative feedback during the category learning of exceptions. These results illustrate that stress modu- lates the neural basis of the learning of exceptions. The enhanced frontal theta oscillations might reflect a com- pensatory mechanism allowing preserved categorization performance of exceptions in the immediate aftermath of stress. Acknowledgments This research was supported by the Deutsche Forschungsge- meinschaft Projects B4, B8, and B11 of the Collaborative Research Centre (SFB) 874 “Integration and Representation of Sensory Pro- cesses.” We thank Osman Akan, Alessa de Vries, Farina Helmke, Eve Hessas, Alexander Quent, and Theresa Wortmeier for assis- tance with data collection. Reprint requests should be sent to Oliver T. 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Stress Elevates Frontal Midline Theta in Feedback-based image
Stress Elevates Frontal Midline Theta in Feedback-based image
Stress Elevates Frontal Midline Theta in Feedback-based image
Stress Elevates Frontal Midline Theta in Feedback-based image
Stress Elevates Frontal Midline Theta in Feedback-based image

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