Hemodynamic responses to active and passive coping tasks and the prediction of future blood pressure in Thai participants: A preliminary prospective cohort study

Journal article


Yuenyongchaiwat, K., Sheffield, D., Baker, I. and Maratos, F. 2015. Hemodynamic responses to active and passive coping tasks and the prediction of future blood pressure in Thai participants: A preliminary prospective cohort study. Japanese Psychological Research. 57 (4), pp. 288-299. https://doi.org/10.1111/jpr.12089
AuthorsYuenyongchaiwat, K., Sheffield, D., Baker, I. and Maratos, F.
Abstract

Cardiovascular responses to mental stress tests have been related to future blood pressure (BP) levels. However, most studies have been completed in North America and Europe; only one study has been conducted in Asia. Therefore, the study explored whether cardiovascular responses to mental stress predict future resting BP in Thailand. Hemodynamic measures were obtained from 101 healthy adults before, during and after mental arithmetic, a speech task, and a cold pressor task. A follow-up assessment of resting BP was undertaken 1 year later. Results showed that Thais responded to standardized mental stress tasks with large and significant cardiovascular reactivity. Regression analyses indicated that, after adjustment for baseline BP and traditional risk factors, heightened systolic blood pressure (SBP) responses to mental arithmetic were associated with increased future SBP (ΔR2 = .045). These findings suggest that BP reactivity predicts future BP and may play a role in the development of hypertension. In addition, Thais displayed large cardiovascular responses to standardized mental stress tasks, of a similar magnitude to previous studies of North Americans and Europeans.

Keywordscardiovascular responses; stress; blood pressure
Year2015
JournalJapanese Psychological Research
Journal citation57 (4), pp. 288-299
PublisherWiley
ISSN0021-5368
1468-5884
Digital Object Identifier (DOI)https://doi.org/10.1111/jpr.12089
Web address (URL)https://onlinelibrary.wiley.com/doi/10.1111/jpr.12089
Output statusPublished
Publication dates13 Aug 2015
Publication process dates
Deposited21 Jun 2022
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Kotera, Y., Sheffield, David and Van Gordon, William 2018. The applications of neuro-linguistic programming in organizational settings: A systematic review of psychological outcomes. Human Resource Development Quarterly. https://doi.org/10.1002/hrdq.21334
Self-criticism and self-reassurance as mediators between mental health attitudes and symptoms: Attitudes towards mental health problems in Japanese workers.
Kotera, Y., Gilbert, Paul, Asano, Kenichi, Ishimura, Ikuo and Sheffield, David 2018. Self-criticism and self-reassurance as mediators between mental health attitudes and symptoms: Attitudes towards mental health problems in Japanese workers. Asian Journal of Social Psychology. https://doi.org/10.1111/ajsp.12355
Exploring emptiness and its effects on non-attachment, mystical experiences, and psycho-spiritual wellbeing: a quantitative and qualitative study of advanced meditators.
Van Gordon, William, Shonin, Edo, Dunn, Thomas J., Sapthiang, Supakyada, Kotera, Y., Garcia-Campayo, Javier and Sheffield, David 2018. Exploring emptiness and its effects on non-attachment, mystical experiences, and psycho-spiritual wellbeing: a quantitative and qualitative study of advanced meditators. Explore: The Journal of Science and Healing. https://doi.org/10.1016/j.explore.2018.12.003
The integration of the workable range model into a mindfulness-based stress reduction course: a practice-based case study
Rose, Sally A., Sheffield, David and Harling, Martyn 2017. The integration of the workable range model into a mindfulness-based stress reduction course: a practice-based case study. Mindfulness. https://doi.org/10.1007/s12671-017-0787-x
Forget cancer, let's MOVE: a behaviour change support model for physical activity for young people during and after cancer
Cross, Ainslea, Sheffield, David and Elander, James 2017. Forget cancer, let's MOVE: a behaviour change support model for physical activity for young people during and after cancer. Health Psychology Update.
An investigation into problematic smartphone use: The role of narcissism, anxiety, and personality factors
Hussain, Zaheer, Griffiths, Mark D. and Sheffield, David 2017. An investigation into problematic smartphone use: The role of narcissism, anxiety, and personality factors. Journal of Behavioral Addictions. https://doi.org/10.1556/2006.6.2017.052
Examining the effects of rational emotive behavior therapy on performance outcomes in elite paralympic athletes
Wood, Andrew G., Barker, Jamie B., Turner, Martin J. and Sheffield, David 2017. Examining the effects of rational emotive behavior therapy on performance outcomes in elite paralympic athletes. Scandinavian Journal of Medicine & Science in Sports. https://doi.org/10.1111/sms.12926
Beyond knowing nature: Contact, emotion, compassion, meaning, and beauty are pathways to nature connection
Lumber, Ryan, Richardson, Miles and Sheffield, David 2017. Beyond knowing nature: Contact, emotion, compassion, meaning, and beauty are pathways to nature connection. PLos ONE. https://doi.org/10.1371/journal.pone.0177186
Blunted cardiovascular reactions are a predictor of negative health outcomes: A prospective cohort study
Yuenyongchaiwat, Kornanong and Sheffield, David 2017. Blunted cardiovascular reactions are a predictor of negative health outcomes: A prospective cohort study. Journal of Applied Biobehavioral Research. https://doi.org/10.1111/jabr.12091
A longitudinal exploration of pain tolerance and participation in contact sports
Thornton, Claire, Sheffield, David and Baird, Andrew 2017. A longitudinal exploration of pain tolerance and participation in contact sports. Scandinavian Journal of Pain. https://doi.org/10.1016/j.sjpain.2017.02.007
Paradoxical performance: Predictors and mechanisms associated with the yips and choking
Clarke, Philip, Akehurst, Sally and Sheffield, David 2017. Paradoxical performance: Predictors and mechanisms associated with the yips and choking. Thesis
Mental arithmetic performance, physiological reactivity and mathematics anxiety amongst U.K. primary school children
Hunt, Thomas E., Bhardwa, Janki and Sheffield, David 2017. Mental arithmetic performance, physiological reactivity and mathematics anxiety amongst U.K. primary school children. Learning and Individual Differences. https://doi.org/10.1016/j.lindif.2017.03.016
The value of art therapy in antenatal and postnatal care: A brief literature review with recommendations for future research
Hogan, Susan, Sheffield, David and Woodward, Amelia 2017. The value of art therapy in antenatal and postnatal care: A brief literature review with recommendations for future research. International Journal of Art Therapy.
Mental contrasting as a behaviour change technique: a systematic review protocol paper of effects, mediators and moderators on health
Cross, Ainslea and Sheffield, David 2016. Mental contrasting as a behaviour change technique: a systematic review protocol paper of effects, mediators and moderators on health. Biomed Central. https://doi.org/10.1186/s13643-016-0382-6
The effects of anxiety on temporal attention for emotive and neutral faces in children
Kelly, Lauren, Maratos, Frances A. and Lipka, Sigrid 2014. The effects of anxiety on temporal attention for emotive and neutral faces in children. Stress and Anxiety Research Society (STAR).
Disney strategy for Japanese university students' career guidance: a mixed methods pilot study
Kotera, Y. and Sheffield, David 2017. Disney strategy for Japanese university students' career guidance: a mixed methods pilot study. Journal of the National Institute for Career Education and Counselling. https://doi.org/10.20856/jnicec.3808
The physiological and emotional effects of touch: Assessing a hand-massage intervention with high self-critics
Maratos, Frances A., Duarte, Joana, Barnes, Christopher, McEwan, Kirsten, Sheffield, David and Gilbert, Paul 2017. The physiological and emotional effects of touch: Assessing a hand-massage intervention with high self-critics. Psychiatry Research. 250, pp. 221-227. https://doi.org/10.1016/j.psychres.2017.01.066
Pupil dilation and cognitive reflection as predictors of performance on the Iowa Gambling Task
Simonovic, B., Stupple, Edward J. N., Gale, Maggie and Sheffield, David 2017. Pupil dilation and cognitive reflection as predictors of performance on the Iowa Gambling Task. Cognitive Science Society.
Development and validation of a short-form Pain Medication Attitudes Questionnaire (PMAQ-14)
Elander, James, Said, Omimah, Maratos, Frances A., Dys, Ada, Collins, Hannah and Schofield, M. 2017. Development and validation of a short-form Pain Medication Attitudes Questionnaire (PMAQ-14). Pain. 158 (3), pp. 400-407. https://doi.org/10.1097/j.pain.0000000000000773
Children’s well-being and nature connectedness: Exploring the impact of a ‘3-good-things’ writing task on nature connectedness and well-being.
Harvey, Caroline, Sheffield, David and Richardson, Miles 2016. Children’s well-being and nature connectedness: Exploring the impact of a ‘3-good-things’ writing task on nature connectedness and well-being.
The impact of a school-based gardening intervention on intentions and behaviour related to fruit and vegetable consumption in children
Duncan, Michael J., Eyre, Emma, Bryant, Elizabeth, Clarke, Neil, Birch, Samantha, Staples, Vicki and Sheffield, David 2015. The impact of a school-based gardening intervention on intentions and behaviour related to fruit and vegetable consumption in children. Journal of Health Psychology. https://doi.org/10.1177/1359105315573445
The effect of creative psychological interventions on psychological outcomes for adult cancer patients: a systematic review of randomised controlled trials
Archer, Stephanie, Buxton, Sarah and Sheffield, David 2014. The effect of creative psychological interventions on psychological outcomes for adult cancer patients: a systematic review of randomised controlled trials. Psycho-Oncology. https://doi.org/10.1002/pon.3607
Symptoms of anxiety and depression are related to cardiovascular responses to active, but not passive, coping tasks
Yuenyongchaiwat, Kornanong, Baker, Ian S. and Sheffield, David 2016. Symptoms of anxiety and depression are related to cardiovascular responses to active, but not passive, coping tasks. Revista Brasileira de Psiquiatria. https://doi.org/10.1590/1516-4446-2016-1935
Perceptions of the paranormal.
Baker, Ian S. 2012. Perceptions of the paranormal. Pan European Networks: Science & Technology.
Assessing the roles of the sender and experimenter in dream ESP research.
Roe, Chris A., Sherwood, Simon J., Farrell, Louise, Savva, Louie and Baker, Ian S. 2007. Assessing the roles of the sender and experimenter in dream ESP research. European Journal of Parapsychology.
The yips in sport: A systematic review
Clarke, Philip, Sheffield, David and Akehurst, Sally 2015. The yips in sport: A systematic review. International Review of Sport and Exercise Psychology. https://doi.org/10.1080/1750984X.2015.1052088
The relationship between pain beliefs and physical and mental health outcome measures in chronic low back pain: direct and indirect effects
Baird, Andrew and Sheffield, David 2016. The relationship between pain beliefs and physical and mental health outcome measures in chronic low back pain: direct and indirect effects. Healthcare. https://doi.org/10.3390/healthcare4030058
Three good things in nature: Noticing nearby nature brings sustained increases in connection with nature.
Richardson, Miles and Sheffield, David 2017. Three good things in nature: Noticing nearby nature brings sustained increases in connection with nature. PsyEcology. https://doi.org/10.1080/21711976.2016.1267136
Joy and calm: how an evolutionary functional model of affect regulation informs positive emotions in nature
Richardson, Miles, McEwan, Kirsten, Maratos, Frances A. and Sheffield, David 2016. Joy and calm: how an evolutionary functional model of affect regulation informs positive emotions in nature. Evolutionary Psychological Science. https://doi.org/10.1007/s40806-016-0065-5
The Development of the Numeracy Apprehension Scale for Children Aged 4-7 Years: Qualitative Exploration of Associated Factors and Quantitative Testing
Petronzi, Dominic, Staples, Paul, Sheffield, David, Hunt, Thomas E. and Fitton-Wilde, Sandra 2018. The Development of the Numeracy Apprehension Scale for Children Aged 4-7 Years: Qualitative Exploration of Associated Factors and Quantitative Testing. Thesis
Exploring the Relationship Between Mathematics Anxiety and Performance: An Eye-Tracking Approach
Hunt, Thomas E., Clark-Carter, David and Sheffield, David 2014. Exploring the Relationship Between Mathematics Anxiety and Performance: An Eye-Tracking Approach. Applied Cognitive Psychology. https://doi.org/10.1002/acp.3099
Math anxiety, intrusive thoughts and performance: Exploring the relationship between mathematics anxiety and performance: The role of intrusive thoughts
Hunt, Thomas E., Clark-Carter, David and Sheffield, David 2014. Math anxiety, intrusive thoughts and performance: Exploring the relationship between mathematics anxiety and performance: The role of intrusive thoughts. Journal of Education, Psychology and Social Sciences.
Attentional bias towards threatening and neutral facial expressions in high trait anxious children.
Kelly, Lauren, Maratos, Frances A., Lipka, Sigrid and Croker, Steve 2016. Attentional bias towards threatening and neutral facial expressions in high trait anxious children. Journal of Experimental Psychopathology. https://doi.org/10.5127/jep.052915
A summary of parapsychological research into apparitional experiences
Baker, Ian S. 2002. A summary of parapsychological research into apparitional experiences. in: Centre for Seventeenth Century Studies, University of Durham..
Brief report: self-compassion, physical health and the mediating role of health-promoting behaviours
Dunne, Sara, Sheffield, David and Chilcot, Joseph 2016. Brief report: self-compassion, physical health and the mediating role of health-promoting behaviours. Journal of Health Psychology. https://doi.org/10.1177/1359105316643377
Remote facilitation of attention focusing with psi-supportive versus psi-unsupportive experimenter suggestions.
Watt, C. and Baker, Ian S. 2002. Remote facilitation of attention focusing with psi-supportive versus psi-unsupportive experimenter suggestions. Journal of Parapsychology.
Nature: a new paradigm for well-being and ergonomics
Richardson, Miles, Maspero, Marta, Golightly, David, Sheffield, David, Staples, Vicki and Lumber, Ryan 2016. Nature: a new paradigm for well-being and ergonomics. Ergonomics. https://doi.org/10.1080/00140139.2016.1157213
Nomenclature and methodology [Special issue on 'the sense of being stared at']
Baker, Ian S. 2005. Nomenclature and methodology [Special issue on 'the sense of being stared at']. Journal of Consciousness Studies.
Visual processing speeds in children
Maratos, Frances A. and Croker, Steve 2011. Visual processing speeds in children. Child Development Research. https://doi.org/10.1155/2011/450178
Manipulating cardiovascular indices of challenge and threat using resource appraisals.
Turner, Martin J., Jones, Marc V., Sheffield, David, Barker, Jamie B. and Coffee, Peter 2014. Manipulating cardiovascular indices of challenge and threat using resource appraisals. International Journal of Psychophysiology. https://doi.org/10.1016/j.ijpsycho.2014.07.004
The Impact of Children’s Connection to Nature: A Report for the Royal Society for the Protection of Birds (RSPB)
Richardson, Miles, Sheffield, David, Harvey, Caroline and Petronzi, D. 2016. The Impact of Children’s Connection to Nature: A Report for the Royal Society for the Protection of Birds (RSPB). RSPB.
Stress and risky decision making: Cognitive reflection, emotional learning or both.
Simonovic, B., Stupple, Edward J. N., Gale, Maggie and Sheffield, David 2016. Stress and risky decision making: Cognitive reflection, emotional learning or both. Journal of Behavioral Decision Making. https://doi.org/10.1002/bdm.1980
Mental representations of the supernatural: A cluster analysis of religiosity, spirituality and paranormal belief
Schofield, M., Baker, Ian S., Staples, Paul and Sheffield, David 2016. Mental representations of the supernatural: A cluster analysis of religiosity, spirituality and paranormal belief. Personality and Individual Differences. https://doi.org/10.1016/j.paid.2016.06.020
Recognition of subtle and universal facial expressions in a community-based sample of adults classified with intellectual disability
Owen, S. and Maratos, Frances A. 2016. Recognition of subtle and universal facial expressions in a community-based sample of adults classified with intellectual disability. Journal of Intellectual Disability Research. 60 (4), pp. 344-354. https://doi.org/10.1111/jir.12253
Investigating the relationship between consultation length and patient experience: A cross-sectional study in primary care
Elmore, N., Burt, J., Abel, G., Maratos, F.A., Montague, J., Campbell, J. and Roland, M. 2016. Investigating the relationship between consultation length and patient experience: A cross-sectional study in primary care. British Journal of General Practice. 66 (653), pp. 896-903. https://doi.org/10.3399/bjgp16x687733
Do Cardiovascular Responses to Active and Passive Coping Tasks predict Future Blood Pressure over a 10-Month Later?
Yuenyongchaiwat, Kornanong, Baker, Ian S., Maratos, Frances A. and Sheffield, David 2016. Do Cardiovascular Responses to Active and Passive Coping Tasks predict Future Blood Pressure over a 10-Month Later? The Spanish Journal of Psychology. 19. https://doi.org/10.1017/sjp.2016.5
Development of the critical thinking toolkit (CriTT): A measure of student attitudes and beliefs about critical thinking
Stupple, Edward J. N., Maratos, Frances A., Elander, James, Hunt, Thomas E., Cheung, Kevin Yet Fong and Aubeeluck, Aimee 2016. Development of the critical thinking toolkit (CriTT): A measure of student attitudes and beliefs about critical thinking. Thinking Skills and Creativity. 23, pp. 91-100. https://doi.org/10.1016/j.tsc.2016.11.007
'Everything's from the inside out with PCOS': Exploring women's experiences of living with polycystic ovary syndrome and co-morbidities through Skype interviews
Williams, Sophie, Sheffield, David and Knibb, Rebecca C. 2015. 'Everything's from the inside out with PCOS': Exploring women's experiences of living with polycystic ovary syndrome and co-morbidities through Skype interviews. Health Psychology Open. https://doi.org/10.1177/2055102915603051
A snapshot of the lives of women with polycystic ovary syndrome: A photovoice investigation.
Williams, Sophie, Sheffield, David and Knibb, Rebecca C. 2014. A snapshot of the lives of women with polycystic ovary syndrome: A photovoice investigation. Journal of Health Psychology. https://doi.org/10.1177/1359105314547941
The development and part validation of a U.K. scale for mathematics anxiety
Hunt, Thomas E., Clark-Carter, David and Sheffield, David 2011. The development and part validation of a U.K. scale for mathematics anxiety. Journal of Psychoeducational Assessment. https://doi.org/10.1177/0734282910392892
Reflective self-attention: A more stable predictor of connection to nature than mindful attention.
Richardson, Miles and Sheffield, David 2015. Reflective self-attention: A more stable predictor of connection to nature than mindful attention. Ecopsychology. https://doi.org/10.1089/eco.2015.0010
Cognitive and affective components of challenge and threat states
Meijen, Carla, Jones, Marc V., McCarthy, Paul J., Sheffield, David and Allen, Mark S. 2013. Cognitive and affective components of challenge and threat states. Journal of Sports Sciences. https://doi.org/10.1080/02640414.2012.753157
When is a face a face? Schematic faces, emotion, attention and the N170
Maratos, F.A., Garner, M., Hogan, A.M. and Karl, A. 2015. When is a face a face? Schematic faces, emotion, attention and the N170. AIMS Neuroscience. 2 (3), pp. 172-182. https://doi.org/10.3934/neuroscience.2015.3.172
Do therapeutic imagery practices affect physiological and emotional indicators of threat in high self-critics?
Duarte, Joana, McEwan, Kirsten, Barnes, Christopher, Gilbert, Paul and Maratos, Frances A. 2015. Do therapeutic imagery practices affect physiological and emotional indicators of threat in high self-critics? Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12043
Attentional biases towards familiar and unfamiliar foods in children. The role of food neophobia
Maratos, Frances A. and Staples, Paul 2015. Attentional biases towards familiar and unfamiliar foods in children. The role of food neophobia. Appetite. 91, pp. 220-225. https://doi.org/10.1016/j.appet.2015.04.003
Dissociative tendencies, sensory processing sensitivity and aberrant salience as predictors of anomalous experiences and paranormal attributions.
Irwin, Harvey. J., Schofield, M. and Baker, Ian S. 2014. Dissociative tendencies, sensory processing sensitivity and aberrant salience as predictors of anomalous experiences and paranormal attributions. Journal for the Society of Psychical Research.
Facial expressions depicting compassionate and critical emotions: the development and validation of a new emotional face stimulus set
McEwan, Kirsten, Gilbert, Paul, Dandeneau, Stephane, Lipka, Sigrid, Maratos, Frances A., Paterson, Kevin B. and Baldwin, Mark 2014. Facial expressions depicting compassionate and critical emotions: the development and validation of a new emotional face stimulus set. PLos ONE. https://doi.org/10.1371/journal.pone.0088783
Emotion based attentional priority for storage in visual short-term memory
Simione, Luca, Calabrese, Lucia, Belardinelli, Marta Olivetti, Marucci, Francesco Saverio, Raffone, Antonino and Maratos, Frances A. 2014. Emotion based attentional priority for storage in visual short-term memory. PLos ONE. https://doi.org/10.1371/journal.pone.0095261
Who thrives under pressure? predicting the performance of elite academy cricketers using the cardiovascular indicators of challenge and threat states
Turner, Martin J., Jones, Marc V., Sheffield, David, Slater, Matthew J., Barker, Jamie B. and Bell, James J. 2013. Who thrives under pressure? predicting the performance of elite academy cricketers using the cardiovascular indicators of challenge and threat states.
Review of preventative behavioural interventions for dermal and respiratory hazards.
Lunt, J. A., Sheffield, David, Bell, N., Bennett, V. and Morris, L. A. 2011. Review of preventative behavioural interventions for dermal and respiratory hazards. Occupational medicine (Oxford, England). https://doi.org/10.1093/occmed/kqr099
In search of critical thinking in psychology: an exploration of student and lecturer understandings in higher education
Duro, Elaine, Elander, James, Maratos, Frances A., Stupple, Edward J. N. and Aubeeluck, Aimee 2013. In search of critical thinking in psychology: an exploration of student and lecturer understandings in higher education. Psychology Learning & Teaching. 12 (3). https://doi.org/10.2304/plat.2013.12.3.275
Predictors of painkiller dependence among people with pain in the general population
Elander, James, Duarte, Joana, Maratos, Frances A. and Gilbert, Paul 2013. Predictors of painkiller dependence among people with pain in the general population. Pain Medicine. 15 (4), p. 613–624. https://doi.org/10.1111/pme.12263
The efficacy of psychologically based interventions to improve anxiety, depression and quality of life in COPD: a systematic review and meta-analysis
Baraniak, Amy and Sheffield, David 2012. The efficacy of psychologically based interventions to improve anxiety, depression and quality of life in COPD: a systematic review and meta-analysis. Patient Education and Counseling. https://doi.org/10.1016/j.pec.2010.04.010
Early gamma-band activity as a function of threat processing in the extrastriate visual cortex
Maratos, Frances A., Senior, Carl, Mogg, Karin, Bradley, Brendan P. and Rippon, Gina 2012. Early gamma-band activity as a function of threat processing in the extrastriate visual cortex. Cognitive Neuroscience. 3 (1), pp. 62-68. https://doi.org/10.1080/17588928.2011.613989
Temporal processing of emotional stimuli: The capture and release of attention by angry faces
Maratos, Frances A. 2011. Temporal processing of emotional stimuli: The capture and release of attention by angry faces. Emotion. 11 (5), p. 1242–1247. https://doi.org/10.1037/a0024279
Having a word with yourself: Neural correlates of self-criticism and self-reassurance
Longe, O., Maratos, F.A., Gilbert, P., Evans, G., Volker, F., Rockliff, H. and Rippon, G. 2010. Having a word with yourself: Neural correlates of self-criticism and self-reassurance. NeuroImage. 49 (2), pp. 1849-1856. https://doi.org/10.1016/j.neuroimage.2009.09.019
Coarse threat images reveal theta oscillations in the amygdala: A magnetoencephalography study
Maratos, F.A., Mogg, K., Bradley, B.P., Rippon, G. and Senior, C. 2009. Coarse threat images reveal theta oscillations in the amygdala: A magnetoencephalography study. Cognitive, Affective and Behavioral Neuroscience. 9, p. 133–143. https://doi.org/10.3758/cabn.9.2.133
Identification of angry faces in the attentional blink
Maratos, Frances A., Mogg, Karin and Bradley, Brendan P. 2008. Identification of angry faces in the attentional blink. Cognition and Emotion. 22 (7), pp. 1340-1352. https://doi.org/10.1080/02699930701774218
The spatial distribution and temporal dynamics of brain regions activated during the perception of object and non-object patterns
Maratos, F.A., Anderson, S.J., Hillebrand, A., Singh, K.D. and Barnes, G.R. 2007. The spatial distribution and temporal dynamics of brain regions activated during the perception of object and non-object patterns. NeuroImage. 34 (1), pp. 371-383. https://doi.org/10.1016/j.neuroimage.2006.09.017