Abstract
In this chapter we discuss psychological perspectives on BCI use and specifically focus on quality of life and motivation. While it is often assumed that quality of life would be low in patients with severe motor disability, we, based on research findings, present why this assumption is false and present positive influencing factors leading to high quality of life in this population. We furthermore point out the importance of communication for satisfactory quality of life. Motivation as a possible psychological variable influencing communication while using a BCI system is elucidated and experimental studies which indicate a moderate but consistent influence of motivation are reviewed.
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References
Averill, A.J., E.J. Kasarskis, and S.C. Segerstrom. 2007. Psychological health in patients with amyotrophic lateral sclerosis. Amyotrophic Lateral Sclerosis 8(4): 243–254. doi:10.1080/17482960701374643.
Bach, J.R. 2003. Threats to [ldquo ]informed[rdquo ] advance directives for the severely physically challenged? Archives of Physical Medicine and Rehabilitation 84, Supplement 2(0):S23–S28. doi:http://dx.doi.org/10.1053/apmr.2003.50243.
Birbaumer, N., N. Ghanayim, T. Hinterberger, I. Iversen, B. Kotchoubey, A. Kübler, et al. 1999. A spelling device for the paralysed. Nature 398(6725): 297–298.
Bruno, M.A., F. Pellas, and S. Laureys. 2008. Quality of life in locked-in syndrome survivors. In Intensive care medicine, ed. J.-L. Vincent, 881–890. New York: Springer.
Deci, E.L., and R.M. Ryan. 1985. Intrinsic motivation and self-determination in human behavior. New York: Plenum.
Doble, J.E., A.J. Haig, C. Anderson, and R. Katz. 2003. Impairment, activity, participation, life satisfaction, and survival in persons with locked-in syndrome for over a decade: Follow-up on a previously reported cohort. The Journal of Head Trauma Rehabilitation 18(5): 435–444.
Fazel-Rezai, R., B.Z. Allison, C. Guger, E.W. Sellers, S.C. Kleih, and A. Kübler. 2012. P300 brain computer interface: Current challenges and emerging trends. Frontiers in Neuroengineering 5: 14. doi:10.3389/fneng.2012.00014.
Ganzini, L., W.S. Johnston, and W.F. Hoffman. 1999. Correlates of suffering in amyotrophic lateral sclerosis. Neurology 52(7): 1434. doi:10.1212/wnl.52.7.1434.
Grübler, G., A. Al-Khodairy, R. Leeb, I. Pisotta, A. Riccio, M. Rohm, and E. Hildt. 2013. Psychosocial and ethical aspects in non-invasive BCI research - A survey among BCI users and BCI professionals. Neuroethics. doi:10.1007/s12152-013-9179-7.
Hammer, E.M., S. Häcker, M. Hautzinger, T.D. Meyer, and A. Kübler. 2008. Validity of the ALS-Depression-Inventory (ADI-12). A new screening instrument for depressive disorders in patients with amyotrophic lateral sclerosis. Journal of Affective Disorders 109(1–2): 213–219.
Hoffmann, U., J.M. Vesin, T. Ebrahimi, and K. Diserens. 2008. An efficient P300-based brain-computer interface for disabled subjects. Journal of Neuroscience Methods 167(1): 115–125. doi:10.1016/j.jneumeth.2007.03.005.
Käthner, I., C.A. Ruf, E. Pasqualotto, C. Braun, N. Birbaumer, and S. Halder. 2013. A portable auditory P300 brain–computer interface with directional cues. Clinical Neurophysiology 124(2): 327–338. doi:http://dx.doi.org/10.1016/j.clinph.2012.08.006.
Kaufmann, T., S.M. Schulz, A. Köblitz, G. Renner, C. Wessig, and A. Kübler. 2013. Face stimuli effectively prevent brain–computer interface inefficiency in patients with neurodegenerative disease. Clinical Neurophysiology 124(5): 893–900. doi:http://dx.doi.org/10.1016/j.clinph.2012.11.006.
Kiernan, M.C., S. Vucic, B.C. Cheah, M.R. Turner, A. Eisen, O. Hardiman, et al. 2011. Amyotrophic lateral sclerosis. The Lancet 377(9769): 942–955. doi:http://dx.doi.org/10.1016/S0140-6736(10)61156-7.
Kleih, S.C. 2013. The effect of motivation on brain-computer interface performance. Dissertation, University of Tuebingen, Germany.
Kleih, S.C., F. Nijboer, S. Halder, and A. Kübler. 2010a. Motivation modulates the P300 amplitude during brain-computer interface use. Clinical Neurophysiology 121(7): 1023–1031. doi:10.1016/j.clinph.2010.01.034.
Kleih, S.C., F. Nijboer, S. Halder, A. Furdea, B. Kotchoubey, C. Ruf, and A. Kübler. 2010b. The effect of motivation on brain-computer interface performance and P300 amplitude in healthy subjects and patients with ALS. Paper presented at the fourth International BCI Meeting, Asilomar Conference Grounds, CA, USA, 2010.
Kleih, S.C., T. Kaufmann, C. Zickler, S. Halder, F. Leotta, F. Cincotti, et al. 2011a. Out of the frying pan into the fire – the P300-based BCI faces real-world challenges. Progress in Brain Research 194: 27–46. doi:10.1016/B978-0-444-53815-4.00019-4.
Kleih, S.C., A. Riccio, D. Mattia, M. Schreuder, M. Tangermann, C. Zickler, C. Neuper, and A. Kübler. 2011b. Motivation affects performance in a P300 brain computer interface. International Journal of Bioelectromagnetism 13(1): 46–47.
Kleih, S.C., A. Riccio, D. Mattia, V. Kaiser, E.V.C. Friedrich, R. Scheerer, G.R. Müller-Putz, C. Neuper, and A. Kübler. 2011c. Motivation influences performance in SMR-BCI. In Abstracts of the fifth International Brain-Computer Interface Conference, Graz University of Technology, Graz, Austria, 2011.
Kleih, S.C., N. Grüneberg, and A. Kübler. 2013. Empathy and motivation in BCI performance. In: Abstracts of the fourth TOBI (Tools for Brain Computer Interaction) workshop, Sion, Switzerland, 2013.
Kübler, A., and K.R. Müller. 2007. An introduction to brain-computer interfacing. In Towards brain–computer interfacing, ed. G. Dornhege, J.D.R. Millan, T. Hinterberger, D. McFarland, and K.-R. Müller. Cambridge, MA: MIT Press.
Kübler, A., B. Kotchoubey, T. Hinterberger, N. Ghanayim, J. Perelmouter, M. Schauer, et al. 1999. The thought translation device: A neurophysiological approach to communication in total motor paralysis. Experimental Brain Research 124(2): 223–232. doi:10.1007/s002210050617.
Kübler, A., B. Kotchoubey, J. Kaiser, J.R. Wolpaw, and N. Birbaumer. 2001. Brain–computer communication: Unlocking the locked in. Psychological Bulletin 127(3): 358–375. doi:10.1037/0033-2909.127.3.358.
Kurt, A., F. Nijboer, T. Matuz, and A. Kübler. 2007. Depression and anxiety in individuals with amyotrophic lateral sclerosis: Epidemiology and management. CNS Drugs 21(4): 279–291.
León-Carrión, J., P. Eeckhout, and M.R. Domínguez-Morales. 2002. Review of subject: The locked-in syndrome: A syndrome looking for a therapy. Brain Injury 16(7): 555–569. doi:10.1080/02699050110119466.
Lulé, D., S. Häcker, A. Ludolph, N. Birbaumer, and A. Kübler. 2008. Depression and quality of life in patients with amyotrophic lateral sclerosis. Dtsch Arztebl International 105(23): 397–403. doi:10.3238/arztebl.2008.0397.
Lulé, D., B. Ehlich, D. Lang, S. Sorg, A. Kübler, N. Birbaumer, J. Heimrath, and A.C. Ludolph. 2013. Quality of life in fatal disease: the flawed judgment of the social environment. J Neurol. 260:2836–2543. doi:10.1007/s00415-013-7068-y.
Matuz, T., N. Birbaumer, M. Hautzinger, and A. Kübler. 2010. Coping with amyotrophic lateral sclerosis: An integrative view. Journal of Neurology, Neurosurgery and Psychiatry 81(8): 893–898. doi:10.1136/jnnp.2009.201285.
Meyer, T., J.S. Dullinger, C. Münch, J.P. Keil, E. Hempel, S. Rosseau, et al. 2008. Elective termination of respiratory therapy in amyotrophic lateral sclerosis. Der Nervenarzt 79(6): 684–690.
Mitchell, J.D., and G.D. Borasio. 2007. Amyotrophic lateral sclerosis. The Lancet 369(9578): 2031–2041. doi:10.1016/s0140-6736(07)60944-1.
Nijboer, F., A. Furdea, I. Gunst, J. Mellinger, D.J. McFarland, N. Birbaumer, and A. Kübler. 2008a. An auditory brain-computer interface (BCI). Journal of Neuroscience Methods 167(1): 43–50. doi:10.1016/j.jneumeth.2007.02.009.
Nijboer, F., E.W. Sellers, J. Mellinger, M.A. Jordan, T. Matuz, A. Furdea, et al. 2008b. A P300-based brain-computer interface for people with amyotrophic lateral sclerosis. Clinical Neurophysiology 119(8): 1909–1916. doi:10.1016/j.clinph.2008.03.034.
Nijboer, F., N. Birbaumer, and A. Kübler. 2010. The influence of psychological state and motivation on brain-computer interface performance in patients with amyotrophic lateral sclerosis – a longitudinal study. Frontiers in Neuroscience 4(55): 1–13. doi:10.3389/fnins.2010.00055.
Piccione, F., F. Giorgi, P. Tonin, K. Priftis, S. Giove, S. Silvoni, et al. 2006. P300-based brain computer interface: Reliability and performance in healthy and paralysed participants. Clinical Neurophysiology 117(3): 531–537. doi:10.1016/j.clinph.2005.07.024.
Rabkin, J.G., S.M. Albert, M.L. Del Bene, I. O'Sullivan, T. Tider, L.P. Rowland, and H. Mitsumoto. 2005. Prevalence of depressive disorders and change over time in late-stage ALS. Neurology 65(1): 62–67. doi:10.1212/01.wnl.0000167187.14501.0c.
Rheinberg, F., R. Vollmeyer, and B.D. Burns. 2001. FAM: Ein Fragebogen zur Erfassung aktueller Motivation in Lern- und Leistungssituationen. Diagnostica 47(2): 57–66.
Sellers, E.W., and E. Donchin. 2006. A P300-based brain-computer interface: Initial tests by ALS patients. Clinical Neurophysiology 117(3): 538–548. doi:10.1016/j.clinph.2005.06.027.
Smith, E., and M. Delargy. 2005. Locked-in syndrome. BMJ 330(7488): 406–409.
Wolpaw, J., and E. Wolpaw. 2012. Brain-computer interfaces: Principles and practice. Oxford: Oxford University Press.
Zickler, C., A. Riccio, F. Leotta, S. Hillian-Tress, S. Halder, E. Holz, et al. 2011. A brain-computer interface as input channel for a standard assistive technology software. Clinical EEG and Neuroscience 42(4): 236–244.
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Kleih, S.C., Kübler, A. (2014). Psychological Perspectives: Quality of Life and Motivation. In: Grübler, G., Hildt, E. (eds) Brain-Computer-Interfaces in their ethical, social and cultural contexts. The International Library of Ethics, Law and Technology, vol 12. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-8996-7_6
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