Late Event-related Potentials Research Articles

Investigation of brain electrophysiological properties among heroin addicts: Quantitative EEG and event-related potentials.

This study aims to introduce a new approach of a comprehensive paradigm to evaluate brain electrophysiological properties among addicts. Electroencephalographic spectral power as well as amplitudes and latencies of mismatch negativity (MMN), P300, and P600 components were evaluated among 19 male heroin addicts and 19 healthy nonsmoker subjects using a paradigm consisting of three subparadigms, namely (1) digit span Wechsler test, (2) auditory oddball, and (3) visual cue-reactivity oddball paradigms. Task 1 provided auditory P300 and P600 in association with working memory. Task 2 provided auditory P300 as well as small and large deviant MMN event-related potential (ERPs). Finally, task 3 provided visual cue-reactivity P300. Results show that beta power was higher among heroin addicts while delta, theta, and alpha powers were decreased compared with healthy subjects. ERP analysis confirmed the decline of brain-evoked potential amplitudes when compared with healthy subjects, thus indicating a broad neurobiological vulnerability of preattentive and attentional processing including attentional deficits and compromise of discrimination abilities. The prolonged latency of ERPs reflects poor cognitive capacity in the engagement of attention and memory resources. On the other hand, an increase of attention towards the heroin-related stimuli could be concluded from the increase of P300 in the cue-reactivity condition among heroin addicts. Findings suggest that applying this paradigm in addiction studies benefits comprehensive evaluation of neuroelectrophysiological activity among addicts, which can promote a better understanding of drugs' effects on the brain as well as define new neuroelectrophysiological characteristics of addiction properties. © 2016 Wiley Periodicals, Inc.

Cognitive impairments in patients with first episode psychosis: The relationship between neurophysiological and neuropsychological assessments

Cognitive deficits in schizophrenia have been widely reported. Neurophysiological and neuropsychological assessments have been conducted to study these impairments. Event-related potentials (ERPs) are relevant markers of cognitive deficits in schizophrenia, and reductions in specific ERP components have been found. The MATRICS Consensus Cognitive Battery (MCCB) was developed to obtain a consensus battery for the assessment of cognitive deficits in schizophrenia. Here, we aimed to study modulations of several ERP components in first episode psychosis (FEP). We also examined neuropsychological deficits using the MCCB, and correlations between ERP and MCCB impairments. Thirty-eight FEP patients were compared to thirty-eight healthy controls. The following ERP components were examined: P1, N1, MMN, P2, early-P3 and late-P3. We used an auditory three-stimulus oddball paradigm, with standard (60%), target (20%) and distractor (20%) stimuli. FEP patients showed significantly lower amplitudes of P2, early-P3 and late-P3 components. FEP patients also showed significant deficits in all the MCCB cognitive domains. Finally, correlational analyses found strong associations between amplitudes of P2, early-P3 and late-P3 components and MCCB tests for attention and speed of processing. These findings indicate that deficits in late auditory ERP components are present in FEP, whereas early components are preserved. These reductions in late ERP components were related to attentional deficits in FEP as assessed by MCCB. These findings indicate that MCCB is a valid battery for studying cognitive impairments in the initial stages of schizophrenia, and highlight the utility of converging neurophysiological and neuropsychological measures to examine attentional impairments in schizophrenia.

Neural Correlates of Selective Attention With Hearing Aid Use Followed by ReadMyQuips Auditory Training Program.

The objectives of this study were to investigate the effects of hearing aid use and the effectiveness of ReadMyQuips (RMQ), an auditory training program, on speech perception performance and auditory selective attention using electrophysiological measures. RMQ is an audiovisual training program designed to improve speech perception in everyday noisy listening environments. Participants were adults with mild to moderate hearing loss who were first-time hearing aid users. After 4 weeks of hearing aid use, the experimental group completed RMQ training in 4 weeks, and the control group received listening practice on audiobooks during the same period. Cortical late event-related potentials (ERPs) and the Hearing in Noise Test (HINT) were administered at prefitting, pretraining, and post-training to assess effects of hearing aid use and RMQ training. An oddball paradigm allowed tracking of changes in P3a and P3b ERPs to distractors and targets, respectively. Behavioral measures were also obtained while ERPs were recorded from participants. After 4 weeks of hearing aid use but before auditory training, HINT results did not show a statistically significant change, but there was a significant P3a reduction. This reduction in P3a was correlated with improvement in d prime (d') in the selective attention task. Increased P3b amplitudes were also correlated with improvement in d' in the selective attention task. After training, this correlation between P3b and d' remained in the experimental group, but not in the control group. Similarly, HINT testing showed improved speech perception post training only in the experimental group. The criterion calculated in the auditory selective attention task showed a reduction only in the experimental group after training. ERP measures in the auditory selective attention task did not show any changes related to training. Hearing aid use was associated with a decrement in involuntary attention switch to distractors in the auditory selective attention task. RMQ training led to gains in speech perception in noise and improved listener confidence in the auditory selective attention task.

Enactment supports unitisation of action components and enhances the contribution of familiarity to associative recognition

ABSTRACTMemory for actions is usually better following subject-performed tasks (SPT) than verbal tasks (VT). We hypothesised that enactment unitises the components of actions such that familiarity can support associative recognition following SPT. To examine this hypothesis, participants studied verb–object pairs in a SPT or VT condition. During testing, they discriminated between intact, recombined and new items and made Remember/Know judgments; additionally, their EEGs were recorded. Associative recognition was better following SPT than VT. Early frontal event-related potentials (ERPs) were graded according to the item status following SPT, but no such effects were found after VT. Similarly, the late parietal ERPs were graded following SPT, whereas these effects were smaller and did not differ between intact and recombined items following VT. We conclude that enactment unitised the action and object so that familiarity could contribute to associative recognition and that recollection became sensitive to the amount of the matching associative information.

Sex hormones modulate neurophysiological correlates of visual temporal attention

The functional cerebral asymmetry (FCA) in processing targets within rapid serial visual presentation (RSVP) streams has been reported to fluctuate across the menstrual cycle, with identification of the second of two closely spaced targets being impaired when both targets occur in the left or the right hemifield stream during the luteal phase, while during the menstrual phase identification of the second target is only impaired for target pairs presented in the right hemifield stream. This fluctuation has been proposed to result from variations in estradiol levels. The current study used EEG to investigated whether the cycle-related fluctuation in RSVP target identification FCA relates to changes in early, stimulus-driven, bottom-up or in later, top down-driven aspects of FCA. While the former would be expected to become evident in the early visual evoked potentials (VEPs) P1 or N1, the latter would be evident in later event-related potentials (ERPs) such as N2pc or P3. Women performed a dual-stream RSVP task once during the menstrual phase and once during the follicular phase. Estradiol levels were determined from saliva samples. In contrast to previous findings, FCA in RSVP target identification was not affected by cycle phase. However, the impairment in second-target identification when targets where closely spaced was generally smaller during the menstrual phase than during the follicular phase. This effect was matched by shorter peak latencies of P1 VEPs for the menstrual phase, and by a reduction in the latency of the second-target P3 ERP for closely spaced relative to widely spaced target pairs, again for the menstrual phase. Results suggest that in a dual-stream RSVP setup, target identification, early stage stimulus processing, and target consolidation are affected by cycle phase, but that the asymmetry of these effects does not differ between menstrual and follicular phase. The observed cycle-related modulations in neurophysiology and behavior could relate to the effects of estradiol on the locus ceruleus norepinephrine (LC-NE) system, which is known to play a major role in arousal, attention and stress response.

Event-Related Potentials for Early Detection of Alzheimer ’s disease

The present meta-analysis investigated the clinical utility of the auditory P300 latency event-related potential in differentiating patients with Alzheimer’s disease (AD), patients with mild cognitive impairment (MCI), and unaffected controls. Effect size estimates were computed from mean P300 latency measurements at midline electrodes between patients and unaffected controls using the random effects restricted maximum likelihood model. The effects of clinical and ERP/EEG methological variables were assessed in a moderator analysis. P300 latency was found to be significantly prolonged in patients with AD (and MCI) compared to unaffected controls. Shortened P300 latencies were observed when comparing patients with MCI to patients with AD. Clinically relevant differences in P300 latency effect sizes were associated with mean age, interstimulus interval, stimulus difference, target frequency, reference electrode, and sampling rate. The meta-analytic findings provide robust statistical evidence for the use of the auditory P300 latency subcomponent as a biological marker of prodromal AD.

Electrophysiological correlates of word recognition memory process in patients with ischemic left ventricular dysfunction.

The relationship between left ventricular ejection fraction (LVEF) and cognitive performance in patients with coronary artery disease without overt heart failure is still under debate. In this study we combine behavioral measures and event-related potentials (ERPs) to verify whether electrophysiological correlates of recognition memory (old/new effect) are modulated differently as a function of LVEF. Twenty-three male patients (12 without [LVEF>55%] and 11 with [LVEF<40%] left ventricular dysfunction), and a Mini Mental State Examination score >25 were enrolled. ERPs were recorded while participants performed an old/new visual word recognition task. A late positive ERP component between 350 and 550ms was differentially modulated in the two groups: a clear old/new effect (enhanced mean amplitude for old respect to new items) was observed in patients without LVEF dysfunction; whereas patients with overt LVEF dysfunction did not show such effect. In contrast, no significant differences emerged for behavioral performance and neuropsychological evaluations. These data suggest that ERPs may reveal functional brain abnormalities that are not observed at behavioral level. Detecting sub-clinical measures of cognitive decline may contribute to set appropriate treatments and to monitor asymptomatic or mildly symptomatic patients with LVEF dysfunction.

Parental reflective functioning and the neural correlates of processing infant affective cues

ABSTRACTParental reflective functioning refers to the capacity for a parent to understand their own and their infant’s mental states, and how these mental states relate to behavior. Higher levels of parental reflective functioning may be associated with greater sensitivity to infant emotional signals in fostering adaptive and responsive caregiving. We investigated this hypothesis by examining associations between parental reflective functioning and neural correlates of infant face and cry perception using event-related potentials (ERPs) in a sample of recent mothers. We found both early and late ERPs were associated with different components of reflective functioning. These findings suggest that parental reflective functioning may be associated with the neural correlates of infant cue perception and further support the value of enhancing reflective functioning as a mechanism in parenting intervention programs.

A Study on the Relationship Between Event-Related Potentials and Image Quality Variation

The relationship between event-related potentials (ERPs) and image quality variation was studied in this paper. Two independent image attributes, white level (WL) and color saturation (CS), were used as two alterable parameters for changing image quality. The corresponding images were presented to subjects, and subjects were asked to indicate whether they had perceived a quality change. The results showed that the perceivable impairment of image quality elicited measurable ERPs (the so-called P300 component) at latency of about 300–550 ms for all subjects. The more degraded the image quality, the earlier and higher the P300 is rising. The latency and amplitude of ERPs changed with the image quality caused by different WL and CS logarithmically. In addition, the peak amplitudes and latency are highly correlated with the rating results obtained in rating experiment. The corresponding regression functions matched well, which proved the reasonability of utilizing ERPs in assessing image quality.

On the relationship between auditory cognition and speech intelligibility in cochlear implant users: An ERP study

There is a high degree of variability in speech intelligibility outcomes across cochlear-implant (CI) users. To better understand how auditory cognition affects speech intelligibility with the CI, we performed an electroencephalography study in which we examined the relationship between central auditory processing, cognitive abilities, and speech intelligibility. Postlingually deafened CI users (N=13) and matched normal-hearing (NH) listeners (N=13) performed an oddball task with words presented in different background conditions (quiet, stationary noise, modulated noise). Participants had to categorize words as living (targets) or non-living entities (standards). We also assessed participants' working memory (WM) capacity and verbal abilities. For the oddball task, we found lower hit rates and prolonged response times in CI users when compared with NH listeners. Noise-related prolongation of the N1 amplitude was found for all participants. Further, we observed group-specific modulation effects of event-related potentials (ERPs) as a function of background noise. While NH listeners showed stronger noise-related modulation of the N1 latency, CI users revealed enhanced modulation effects of the N2/N4 latency. In general, higher-order processing (N2/N4, P3) was prolonged in CI users in all background conditions when compared with NH listeners. Longer N2/N4 latency in CI users suggests that these individuals have difficulties to map acoustic-phonetic features to lexical representations. These difficulties seem to be increased for speech-in-noise conditions when compared with speech in quiet background. Correlation analyses showed that shorter ERP latencies were related to enhanced speech intelligibility (N1, N2/N4), better lexical fluency (N1), and lower ratings of listening effort (N2/N4) in CI users. In sum, our findings suggest that CI users and NH listeners differ with regards to both the sensory and the higher-order processing of speech in quiet as well as in noisy background conditions. Our results also revealed that verbal abilities are related to speech processing and speech intelligibility in CI users, confirming the view that auditory cognition plays an important role for CI outcome. We conclude that differences in auditory-cognitive processing contribute to the variability in speech performance outcomes observed in CI users.

Stroop event-related potentials as a bioelectrical correlate of frontal lobe dysfunction in multiple sclerosis

Dysfunction of higher cognitive abilities occurs in 40–60 % of people with multiple sclerosis (MS), as detected with neuropsychological testing, with predominant involvement of executive functions and processing speed. Event-related potentials to the Stroop are a bioelectrical correlate of executive function. We tested whether event-related potentials to the executive Stroop test may reflect executive dysfunction in MS. 29 MS patients (M/F:14/15; mean age 40 ± 8), and 16 healthy control subjects were included in the study (M/F:7/9; mean age 36 ± 10). Patients underwent a neuropsychological battery and, according to the performance obtained, they were divided in two groups: 13 frontal patients (F-MS; M/F:6/7; mean age: 40 ± 8) and 16 non frontal patients (NF-MS; M/F:8/8; mean age: 41 ± 7). Simple and complex reaction times to the Stroop task were measured using a computerized system. Event-Related Potentials (ERPs) to the same stimuli were obtained from 29 channel EEG, during mental discrimination between congruent and incongruent stimuli. Multivariate analysis was performed on reaction times (RTs) and ERPs latencies; topographic differences were searched with low resolution brain electromagnetic tomography (LORETA). Significant group effects were found on the percentage of correct responses: F-MS subjects committed more errors than the other two groups. F-MS patients showed delayed P3 and N4 compared to NF-MS patients and delayed P2, N2, P3 and N4 compared to controls. NF-MS subjects showed significantly slower P2, N2 and P3 compared to control subjects. Moreover, frontal score correlated negatively with ERPs’ latency and with complex RTs. At source analysis F-MS patients presented significantly reduced activation predominantly over frontal, cingulate and parietal regions. Taken together, these findings suggest that bioelectrical activity to the Stroop test may well reflect the speed and extent of neural synchronization of frontal circuits. Further studies are needed to evaluate the usefulness of Stroop reaction times and ERPs for detecting frontal involvement early at a subclinical stage, allowing early cognitive therapy, and as a paraclinical marker for monitoring treatment outcomes.

Tell me sweet little lies: An event-related potentials study on the processing of social lies.

In reading tasks, words that convey a false statement elicit an enhanced N400 brainwave response, relative to words that convey a true statement. N400 amplitude reductions are generally linked to the online expectancy of upcoming words in discourse. White lies, contrary to false statements, may not be unexpected in social scenarios. We used the event-related potential (ERP) technique to determine whether there is an impact of social context on sentence processing. We measured ERP responses to target words that either conveyed a social "white" lie or a socially impolite blunt truth, relative to semantic violations. Word expectancy was controlled for by equating the cloze probabilities of white lying and blunt true targets, as measured in previous paper-and-pencil tests. We obtained a classic semantic violation effect (a larger N400 for semantic incongruities relative to sense making statements). White lies, in contrast to false statements, did not enhance the amplitude of the N400 component. Interestingly, blunt true statements yielded both a late frontal positivity and an N400 response in those scenarios particularly biased to white lying. Thus, white lies do not interfere with online semantic processing, and they do not engage further reanalysis processes, which are typically indexed by subsequent late positivity ERP effects. Instead, an N400 and a late frontal positivity obtained in response to blunt true statements indicate that they were treated as unexpected events. In conclusion, unwritten rules of social communicative behavior influence the electrical brain response to locally coherent but socially inappropriate statements.

Alpha-Band Oscillations Reflect Altered Multisensory Processing of the McGurk Illusion in Schizophrenia.

The formation of coherent multisensory percepts requires integration of stimuli across the multiple senses. Patients with schizophrenia (ScZ) often experience a loss of coherent perception and hence, they might also show dysfunctional multisensory processing. In this high-density electroencephalography study, we investigated the neural signatures of the McGurk illusion, as a phenomenon of speech-specific multisensory processing. In the McGurk illusion lip movements are paired with incongruent auditory syllables, which can induce a fused percept. In ScZ patients and healthy controls we compared neural oscillations and event-related potentials (ERPs) to congruent audiovisual speech stimuli and McGurk illusion trials, where a visual /ga/ and an auditory /pa/ was often perceived as /ka/. There were no significant group differences in illusion rates. The EEG data analysis revealed larger short latency ERPs to McGurk illusion compared with congruent trials in controls. The reversed effect pattern was found in ScZ patients, indicating an early audiovisual processing deficit. Moreover, we observed stronger suppression of medio-central alpha-band power (8–10 Hz, 550–700 ms) in response to McGurk illusion compared with control trials in the control group. Again, the reversed pattern was found in SCZ patients. Moreover, within groups, alpha-band suppression was negatively correlated with the McGurk illusion rate in ScZ patients, while the correlation tended to be positive in controls. The topography of alpha-band effects indicated an involvement of auditory and/or frontal structures. Our study suggests that short latency ERPs and long latency alpha-band oscillations reflect abnormal multisensory processing of the McGurk illusion in ScZ.

ID 389 – Studies of neuronal circuits underlying information processing through late P300 event-related potentials in rats

Cognitive event related potentials (ERPs) and oscillations synchrony (EROS) provide a powerful tool for studying brain’s synaptic function underlying information processing. The P300 component of ERPs indexing attention and working memory is altered in neurologic and psychiatric diseases, and is sensitive to pharmacological agents. Here, we investigated whether the P300-like potentials can be generated in rats performing an active auditory discriminant task, and to what extent this response is sensitive to modulation of the cholinergic neurotransmission. In the active oddball paradigm, behavior and auditory evoked potentials (AEPs) were simultaneously recorded in rats as they were presented with frequent non-target and rare target tones during baseline conditions and following the administration of donepezil and scopolamine. Rats that consistently discriminate target tones showed P300 peaks with early and late components. Donepezil enhanced P300 amplitude and evoked theta/gamma oscillations to target tones and attenuated scopolamine-induced deficits in behavioral and AEPs/EROS. We demonstrate that P300-like response can be elicited by rats engaged in stimulus discrimination processing and outline the relevance of the cholinergic system in this response. The AEP P300 paradigm is valuable for characterizing targets and/or drugs that may contribute to facilitation and/or suppression of synaptic responses underlying early and late P300 components.

Test-retest reliability of ERP components: A short-term replication of a visual Go/NoGo task in ADHD subjects

Event-related potentials (ERPs) have been widely used to investigate brain functioning in children with Attention Deficit Hyperactivity Disorder (ADHD) in both research and diagnostic settings. To ensure the efficiency of ERP techniques in ADHD diagnosis and in longitudinal observational studies, the test-retest reliability of the affected population must be validated. Thus, the present article assesses the short-term test-retest reliability of certain early and late ERPs (i.e., P1, N1, N2, P2, P3), as well as independent components (ICs) decomposed from the above mentioned ERPs (IC P3 Go, IC P3 NoGo early, IC P3 NoGo late) relevant to ADHD, through the Intraclass Correlation Coefficient (ICC). More specifically, we employ a cued visual Go/NoGo paradigm for recording ERPs from 22 children with ADHD (mean age 12.2), twice within 30min. Amplitudes and latencies are calculated by the ‘peak amplitude’ method and by a variation of the fractional area. Results for amplitudes lie mostly within the ‘good’ and ‘excellent’ range for both measurement methods, while ICC for latencies is more variable ranging from ‘poor’ to ‘excellent’ results. Crucially, the ICs, which are associated with distinct functionally independent processes of the executive attentional system have shown a comparable test-retest reliability with the raw ERPs. Our results are consistent with other reliability studies of neurotypical population in the literature, and as such, consist initial evidence that ERPs could be reliable neurophysiological markers for the ADHD population.

Specific Reaction Patterns to Distinct Positive Emotional Cues Related to Incentive Motivation in Dependence of the Taq1A-Polymorphism: Molecular Genetic Associations of Early and Late Event-Related Potentials

Background/Aims: Early and late event-related potential (ERP) responses, representing early subconscious and late motivational processes, were recorded for positive emotional words related to ‘wanting' and ‘liking', in dependence of the dopamine-related Taq1A genotype (ANKK1/DRD2). Research suggests that ‘wanting' as opposed to ‘liking' is related to dopaminergic processes. Therefore, it was hypothesized that risk allele carriers of the Taq1A polymorphism exhibit late ERP changes in reaction to words representing incentive motivation, i.e. ‘wanting' (word categories ‘lust' and ‘anticipation'), but not to words representing ‘liking' (‘closeness'). Methods: Seventy-two male participants performed an emotional-word Stroop task during EEG recording and were genotyped according to the Taq1A polymorphism of ANKK1/DRD2. Results: Positive emotional words related to anticipation and lust revealed blunted responses in the late positive potential (LPP) in carriers of the A1 allele, an effect absent in response to ‘liking'-related words. These differences were not evident in the earlier posterior negativity (EPN). Conclusion: As no differences in dependence of the Taq1A genotype were observed in reaction to ‘wanting'- and ‘liking'-related words in the EPN, but merely in the LPP, it can be assumed that incentive-motivational stimuli only modify motivation-related ERP responses in carriers of the A1 allele of the Taq1A polymorphism, indicating the role of dopamine in late ERP components.

The Effects of Amnestic Mild Cognitive Impairment on Go/NoGo Semantic Categorization Task Performance and Event-Related Potentials.

We examined the effects of amnestic mild cognitive impairment (aMCI) on behavioral (response times and error rates) and scalp-recorded event-related potential (ERP) measures of response execution and inhibition, using Go/NoGo tasks involving basic and superordinate semantic categorization. Twenty-five aMCI (16 F; 68.5±8 years) and 25 age- and gender-matched normal control subjects (16 F; 65.4±7.1 years) completed two visual Go/NoGo tasks. In the single car task, responses were made based on single exemplars of a car (Go) and a dog (NoGo) (basic). In the object animal task, responses were based on multiple exemplars of objects (Go) and animals (NoGo) (superordinate). The aMCI subjects had higher commission errors on the NoGo trials compared to the control subjects, whereas both groups had comparable omission errors and reaction times during the Go trials. The aMCI subjects had significantly prolonged N2 ERP latency during Go and NoGo trials across tasks compared to the controls. Both groups showed similar categorization effects and response type effects in N2/P3 ERP latencies and P3 amplitude. Our findings indicate that altered early neural processing indexed by N2 latency distinguishes subjects with aMCI from controls during the Go/NoGo task. Prolonged Go-N2 latency in aMCI appears to precede behavioral changes in response execution, whereas prolonged NoGo-N2 latency underlies behavioral deterioration in response inhibition.

Wanting it Too Much: An Inverse Relation Between Social Motivation and Facial Emotion Recognition in Autism Spectrum Disorder.

This study examined social motivation and early-stage face perception as frameworks for understanding impairments in facial emotion recognition (FER) in a well-characterized sample of youth with autism spectrum disorders (ASD). Early-stage face perception (N170 event-related potential latency) was recorded while participants completed a standardized FER task, while social motivation was obtained via parent report. Participants with greater social motivation exhibited poorer FER, while those with shorter N170 latencies exhibited better FER for child angry faces stimuli. Social motivation partially mediated the relationship between a faster N170 and better FER. These effects were all robust to variations in IQ, age, and ASD severity. These findings augur against theories implicating social motivation as uniformly valuable for individuals with ASD, and augment models suggesting a close link between early-stage face perception, social motivation, and FER in this population. Broader implications for models and development of FER in ASD are discussed.

多感覚AR-BCIの開発に向けた基礎的研究

A Brain-Computer Interface (BCI) enables users who cannot move their own body freely to manipulate machines. Recently, a system which is a combination of BCI and Augmented Reality (AR) is proposed. This system can link real machines to augmented markers and realize an intuitive interface. However, conventional AR-BCI system uses only visual stimuli, so a user cannot operate machines behind him/her. To deal with this problem, we propose a multisensory AR-BCI using three dimensional stereophonic sound, which provides choices behind users by generating sounds including position information. First, we investigate the amplitude and latency of event-related potential (ERP) induced by three dimensional stereophonic sound. The result shows the latency of ERP is longer (650 ms) than conventional BCI. This result suggests that the feature should be extracted with a longer time window. Second, we compare the accuracy of separate classification with combined one under the mixed visual and auditory stimuli. The result shows separate classification is better than combined one (p<0.05). Therefore, our research proposes separate classification method which comes from the basic features of ERPs under multisensory AR-BCI system and shows the appropriateness of proposed method.

The crossroads of anxiety: distinct neurophysiological maps for different symptomatic groups.

BackgroundDespite the devastating impact of anxiety disorders (ADs) worldwide, long-lasting debates on causes and remedies have not solved the clinician’s puzzle: who should be treated and how? Psychiatric classifications conceptualize ADs as distinct entities, with strong support from neuroscience fields. Yet, comorbidity and pharmacological response suggest a single “serotonin dysfunction” dimension. Whether AD is one or several disorders goes beyond academic quarrels, and the distinction has therapeutic relevance. Addressing the underlying dysfunctions should improve treatment response. By its own nature, neurophysiology can be the best tool to address dysfunctional processes.PurposeTo search for neurophysiological dysfunctions and differences among panic disorder (PD), agoraphobia-social-specific phobia, obsessive–compulsive disorder (OCD) and generalized anxiety disorder.MethodsA sample population of 192 unmedicated patients and 30 aged-matched controls partook in this study. Hypothesis-related neurophysiological variables were combined into ten independent factors: 1) dysrhythmic patterns, 2) delta, 3) theta, 4) alpha, 5) beta (whole-head absolute power z-scores), 6) event-related potential (ERP) combined latency, 7) ERP combined amplitude (z-scores), 8) magnitude, 9) site, and 10) site of hyperactive networks. Combining single variables into representative factors was necessary because, as in all real-life phenomena, the complexity of interactive processes cannot be addressed through single variables and the multiplicity of potentially implicated variables would demand an extremely large sample size for statistical analysis.ResultsThe nonparametric analysis correctly classified 81% of the sample. Dysrhythmic patterns, decreased delta, and increased beta differentiated AD from controls. Shorter ERP latencies were found in several individual patients, mostly from the OCD group. Hyperactivities were found at the right frontorbital-striatal network in OCD and at the panic circuit in PD.ConclusionsOur findings support diffuse cortical instability in AD in general, with individual differences in information processing deficits and regional hyperactivities in OCD and PD. Study limitations and the rationale behind the variable selection and combination strategy will be discussed before addressing the therapeutic implications of our findings.