By: Dr. Nicole Cain, ND, MA
Recent neuroscience advances reveal that intriguing differences in brain network dynamics between cisgender men and women, significantly impact cognitive performance and emotional regulation. This article explores three key neural networks that shape focus, attention, and mood in men, offering practical optimization strategies for clinical practice and daily life.
Default Mode Network (DMN): The Internal Compass
The DMN, often described as the brain’s “resting” state, is crucial in cognitive and emotional processes. The DMN is responsible for several critical cognitive processes, including self-referential thought, mind-wandering, introspection, autobiographical memory processing, and awareness of internal stimuli. These functions form the foundation of our self-awareness and ability to reflect on our experiences.
Recent research suggests notable sex differences in DMN activity, providing insights into how men process information and manage internal states.
A 2024 study by Stanford University researchers employed artificial intelligence to analyze brain scans from over 1,600 individuals. This research revealed distinct patterns of brain organization across genders, with the DMN emerging as a key area of differentiation.1
Dr. Vinod Menon, the study’s senior author, emphasized the significance of these findings.
“This is a very strong piece of evidence that sex is a robust determinant of human brain organization,” he said. “The model’s success suggests that detectable sex differences do exist in the brain but just haven’t been picked up reliably before.”
The study uncovered two significant characteristics of men’s DMN:
- Stronger functional connectivity within the DMN, particularly in areas associated with self-referential processing.
- Enhanced ability for DMN deactivation during goal-directed tasks, potentially indicating more efficient task-switching when engaging in problem-solving, decision-making, and attention-shifting tasks.
These findings have substantial clinical implications.
“Overlooking sex differences in brain organization could lead us to miss key factors underlying neuropsychiatric disorders,” Dr. Menon said.
Heightened DMN activity in men may increase the risk of rumination and worsen prognosis in acute and chronic pain syndromes.2 DMN functioning also influences susceptibility to mood disorders like anxiety and depression. Additionally, it affects how men balance internal reflection with external task demands, impacting their multitasking abilities and transitions between cognitive states.3
Based on these insights, several targeted interventions could be developed or refined:
- Mindfulness-based interventions to improve present-moment awareness and reduce mind-wandering4
- Cognitive-behavioral therapy techniques to enhance cognitive flexibility during goal-directed tasks5
- Neurofeedback training to improve efficiency in task-switching6
- Ongoing research into psychedelic compounds like psilocybin for potentially decreasing DMN connectivity
Executive Control Network (ECN): The Cognitive Commander
The ECN serves as the brain’s command center for cognitive control and attention regulation. Recent research indicates that men may experience greater activation in ECN-associated regions during certain tasks, potentially influencing their focus and distraction management.8
A study in Cognitive, Affective, & Behavioral Neuroscience revealed gender differences in ECN engagement during cognitive tasks with emotional distractions. Men showed increased sensitivity in areas associated with “cold” executive processing, suggesting they may rely more heavily on logical, executive control processes when faced with emotional distractions.8 This contrasts with women’s responses, highlighting a key difference in how men and women handle cognitive tasks under emotional stress.
To enhance ECN efficiency in men, consider:
- Cognitive training programs targeting working memory and attentional control
- Mindfulness-based interventions to enhance emotional regulation and cognitive flexibility
- Neurofeedback techniques focusing on ECN activation patterns
Men showed increased sensitivity in areas associated with “cold” executive processing, suggesting they may rely more heavily on logical, executive control processes when faced with emotional distractions.8 This contrasts with women’s responses, highlighting a key difference in how men and women handle cognitive tasks under emotional stress.
Sensory Neural Network
The sensory neural network processes environmental stimuli and coordinates motor responses. Recent research indicates gender-related differences in sensory processing, with men exhibiting higher gray matter density in the precentral gyrus, a region crucial for motor control and sensory processing.9
These variations may explain men’s heightened sensitivity to certain auditory, tactile, and visual stimuli, influencing their responses to environmental cues and ability to manage focus and attention across various settings.
To enhance sensory processing in men, consider:
- Self-awareness: Psychoeducation regarding differences in speech perception and sensorimotor processing during different states (calm, stressed, anxious, etc)
- Environmental modifications: Auditing sources of sensory stimuli and reducing potential overload triggers
- Mindfulness techniques: Skills for recognizing and managing sensory sensitivities
Integrating Network Dynamics: Holistic Implications for Men’s Cognitive and Emotional Wellbeing
The interplay between the Default Mode Network (DMN), Executive Control Network (ECN), and Sensory Neural Network shapes men’s cognitive and emotional experiences.
Consider an executive transitioning from strategic planning to crisis management. As they shift from reflective thinking to active problem-solving, the brain seamlessly moves from DMN-dominated introspection to ECN-driven analysis. This neural agility is fundamental to adaptive performance in dynamic work environments.
This neural interplay extends beyond individual tasks:
- In team settings, it balances self-reflection and active engagement, enhancing interpersonal effectiveness
- During stress, it facilitates the shift from rumination to proactive emotional regulation
- In learning activities, it enables efficient oscillation between information absorption and application
Understanding these neural dynamics offers a roadmap for enhancing men’s cognitive performance and emotional resilience. It provides a basis for developing targeted interventions in professional development and mental health support, with personal as well as interpersonal promise.
Neural Network Integration Assessment (NNIA): Brief Cognitive-Emotional Balance Checklist
Rate each statement on a scale of 0-10, where: 0 = Never 10 = Always
Score | Neural Network Integration Assessment (NNIA): Brief Cognitive-Emotional Balance Checklist |
---|---|
_____ | Easily distracted in heightened stimulatory situations or environments |
_____ | Frequently “zoning out” and difficulty re-engaging with goal-directed activities |
_____ | Relies on “cold” executive processing (logic) and struggles with emotional attunement during stressful situations |
_____ | Needs structured environments that minimize sensory overload to focus |
_____ | Needs clear, goal-oriented tasks to maintain focus |
_____ | Tendency to ruminate on negative thought patterns |
_____ | When stressed, struggles to deactivate DMN and use logical skills |
_____ | Difficulty with emotionally-focused redirection during stress activation |
_____ | When emotionally activated difficulty shifting away from self and to tasks |
_____ | Tends to be excessively introspective |
Total _____ /10 | A higher score indicates greater challenges in neural network integration, suggesting a need for targeted interventions to enhance cognitive-emotional balance. |
The Trail Making Test: Assessing Executive Function
The Trail Making Test (TMT) is a widely available, brief neuropsychological assessment tool measuring executive function, visual attention, and task-switching abilities.10 It consists of two parts:
- TMT-A: Connect 25 numbered circles in ascending order.
- Assesses visual scanning and processing speed.
- Average completion time: 29 seconds
- Most complete within 90 seconds
- TMT-B: Connect 25 circles alternating between numbers and letters (1-A-2-B-3-C…).
- Evaluates cognitive flexibility and executive control.
- Average completion time: 75 seconds
- Most complete within 180 seconds (3 minutes)
Takes 5-10 minutes to administer, requires minimal training, and provides insights into cognitive functions related to the Executive Control Network. Longer completion times may indicate potential cognitive impairment, though interpretation should consider individual factors and be done by qualified professionals
John’s Results
- DMNQ score of 31, suggesting high DMN activity and potential difficulty in deactivating the DMN during task-focused activities
- Neural Network Integration Assessment (NNIA): 8/10, suggesting challenges in neural network integration.
- TMT Part A: Completion time of 50 seconds, slightly below average visual scanning and processing speed
- TMT Part B completion time of 120 seconds, indicating below-average performance in task-switching and cognitive flexibility
Treatment Plan
Optimize Default Mode Network (DMN) functioning:
- Introduce daily mindfulness meditation practice (Calm App), starting with 10 minutes per day and gradually increasing to 20 minutes
- Implement a journaling routine to channel self-referential thoughts productively
- Encourage regular physical exercise, particularly activities requiring focused attention like rock climbing, qi gong, or martial arts for 20 minutes each day
Enhance Executive Control Network (ECN) efficiency:
- Initiate a cognitive training program targeting working memory and attentional control, such as the N-back task,11 for 15 minutes daily
- Introduce the Pomodoro Technique12 for time management and task focus
- Continue neurofeedback sessions, focusing on enhancing ECN activation patterns
Address Sensory Neural Network sensitivities:
- Conduct a sensory profile assessment to identify specific sensitivities
- Create a sensory-friendly home office environment with noise-canceling headphones, adjustable lighting, and ergonomic furniture.
- Teach grounding techniques to manage sensory overload, such as the SN Hack13.
Integrate psychosocial factors:
- Work with the trauma-informed psychotherapist
- Encourage participation in a men’s support group
- Develop stress management strategies
Adjust current treatment regimen:
- Increase vitamin D supplementation
- Introduce a testosterone support supplement after consulting with the primary care physician
- Consider adding a magnesium supplement for muscle relaxation and potential cognitive benefits
Monitor progress:
- Repeat DMN and task-switching tests every three months
- Use weekly mood and attention-tracking apps
- Schedule regular check-ins with the treatment team to adjust the plan as needed
John’s Three-Month Follow-Up:
- DMNQ score: 15, suggesting less DMN activity and greater ease in deactivating the DMN during task-focused activities
- Neural Network Integration Assessment (NNIA): 3/10, indicating improvement
- TMT Part A: 90, suggesting less DMN activity and greater ease in deactivating the DMN during task-focused activities
- TMT Part B: 120 seconds, indicating improved performance in task-switching and cognitive flexibility
Conclusion: Integrating Brain Network Dynamics for Holistic Male Health
Research into brain network dynamics has revealed complex interactions between the Default Mode Network, Executive Control Network, and Sensory Neural Network, advancing our understanding of neural functioning in cisgender men. While gender differences are valuable to explore, it’s essential to consider both structural and functional dynamics, along with external factors like gender dynamics, family systems, and cultural expectations.
This comprehensive approach enhances our ability to address mental health issues and empowers men to harness their unique neural strengths, supporting improved focus, performance, and overall well-being. Moving forward, a balanced perspective considering both neurological insights and broader psychosocial factors will be key to providing effective, personalized care for men’s mental health, paving the way for more inclusive and nuanced approaches.
Nicole Cain, ND, MA, author of acclaimed book Panic Proof, is a leading expert in trauma-informed and integrative approaches for mental and emotional wellness. With a degree in clinical psychotherapy, training in EMDR, and a license as a Naturopathic Physician in Arizona, her approach to mental health is multidisciplinary: medical, psychological, and holistic.
References
- Stanford Medicine. Stanford Medicine study identifies distinct brain organization patterns in women and men. Stanford Medicine News Center. Published February 20, 2024. Accessed October 22, 2024.
- Johansson E, Xiong H-Y, Polli A, Coppieters I, Nijs J. Towards a Real-Life Understanding of the Altered Functional Behaviour of the Default Mode and Salience Network in Chronic Pain: Are People with Chronic Pain Overthinking the Meaning of Their Pain? Journal of Clinical Medicine. 2024; 13(6):1645. https://doi.org/10.3390/jcm13061645
- Bryant RA, Breukelaar IA, Williamson T, et al. The neural connectome of suicidality in adults with mood and anxiety disorders. Nat Mental Health. 2024. doi:10.1038/s44220-024-00325-y
- Cheung RYM, Djekou L. Self-compassion, and grit mediated the relation between mindfulness and mind wandering based on cross-sectional survey data. Sci Rep. 2024;14:9090. doi:10.1038/s41598-024-58395-y
- Hodson L, MacCallum F, Watson DG, Blagrove E. Dear diary: Evaluating a goal-oriented intervention linked with increased hope and cognitive flexibility. Pers Individ Dif. 2021;168:110383. doi:10.1016/j.paid.2020.110383
- Kerick SE, Asbee J, Spangler DP, et al. Neural and behavioral adaptations to frontal theta neurofeedback training: A proof of concept study. PLoS One. 2023;18(3):e0283418. doi:10.1371/journal.pone.0283418
- Siegel JS, Subramanian S, Perry D, et al. Psilocybin desynchronizes the human brain. Nature. 2024;632:131-138. doi:10.1038/s41586-024-07624-5
- Sex differences in the response to emotional distraction: an event-related fMRI investigation. Cogn Affect Behav Neurosci. 2013;13:116-134. doi:10.3758/s13415-012-0134-6
- Iordan AD, Dolcos S, Denkova E, Dolcos F. Sex differences in the response to emotional distraction: an event-related fMRI investigation. Cogn Affect Behav Neurosci. 2013;13:116-134. doi:10.3758/s13415-012-0134-6
- Varjacic A, Mantini D, Demeyere N, Gillebert CR. Neural signatures of Trail Making Test performance: Evidence from lesion-mapping and neuroimaging studies. Neuropsychologia. 2018;115:78-87. doi:10.1016/j.neuropsychologia.2018.03.031
- PsyToolkit. https://www.psytoolkit.org/experiment-library/experiment_touch_nback2.html. Accessed October 22, 2024.
- Pomodoro Technique. https://www.pomodorotechnique.com. Accessed October 22, 2024.
- Cain N. The SN Hack. In: Panic Proof: The New Holistic Solution to End Your Anxiety Forever. New York, NY: Penguin Random House; 2024:92.