The error-related negativity (ERN) and psychopathology: toward an endophenotype

The impact of a brief mindfulness meditation intervention on cognitive control and error-related performance monitoring

Meditation is associated with positive health behaviors and improved cognitive control. One mechanism for the relationship between meditation and cognitive control is changes in activity of the anterior cingulate cortex-mediated neural pathways. The error-related negativity (ERN) and error positivity (Pe) components of the scalp-recorded event-related potential (ERP) represent cingulate-mediated functions of performance monitoring that may be modulated by mindfulness meditation. We utilized a flanker task, an experimental design, and a brief mindfulness intervention in a sample of 55 healthy non-meditators (n = 28 randomly assigned to the mindfulness group and n = 27 randomly assigned to the control group) to examine autonomic nervous system functions as measured by blood pressure and indices of cognitive control as measured by response times, error rates, post-error slowing, and the ERN and Pe components of the ERP. Systolic blood pressure significantly differentiated groups following the mindfulness intervention and following the flanker task. There were non-significant differences between the mindfulness and control groups for response times, post-error slowing, and error rates on the flanker task. Amplitude and latency of the ERN did not differ between groups; however, amplitude of the Pe was significantly smaller in individuals in the mindfulness group than in the control group. Findings suggest that a brief mindfulness intervention is associated with reduced autonomic arousal and decreased amplitude of the Pe, an ERP associated with error awareness, attention, and motivational salience, but does not alter amplitude of the ERN or behavioral performance. Implications for brief mindfulness interventions and state vs. trait affect theories of the ERN are discussed. Future research examining graded levels of mindfulness and tracking error awareness will clarify relationship between mindfulness and performance monitoring.

Relationships among cognition, emotion, and motivation: implications for intervention and neuroplasticity in psychopathology

Emotion-cognition and motivation-cognition relationships and related brain mechanisms are receiving increasing attention in the clinical research literature as a means of understanding diverse types of psychopathology and improving biological and psychological treatments. This paper reviews and integrates some of the growing evidence for cognitive biases and deficits in depression and anxiety, how these disruptions interact with emotional and motivational processes, and what brain mechanisms appear to be involved. This integration sets the stage for understanding the role of neuroplasticity in implementing change in cognitive, emotional, and motivational processes in psychopathology as a function of intervention.

Psychosocial deprivation, executive functions, and the emergence of socio-emotional behavior problems

Early psychosocial deprivation can negatively impact the development of executive functions (EFs). Here we explore the impact of early psychosocial deprivation on behavioral and physiological measures (i.e., event-related potentials; ERPs) of two facets of EF, inhibitory control and response monitoring, and their associations with internalizing and externalizing outcomes in the Bucharest Early Intervention Project (BEIP; Zeanah et al., 2003). This project focuses on two groups of children placed in institutions shortly after birth and then randomly assigned in infancy to either a foster care intervention or to remain in their current institutional setting. A group of community controls was recruited for comparison. The current study assesses these children at 8-years of age examining the effects of early adversity, the potential effects of the intervention on EF and the role of EF skills in socio-emotional outcomes. Results reveal exposure to early psychosocial deprivation was associated with impaired inhibitory control on a flanker task. Children in the foster care intervention exhibited better response monitoring compared to children who remained in the institution on the error-related positivity (Pe). Moreover, among children in the foster care intervention those who exhibited larger error-related negativity (ERN) responses had lower levels of socio-emotional behavior problems. Overall, these data identify specific aspects of EF that contribute to adaptive and maladaptive socio-emotional outcomes among children experiencing early psychosocial deprivation.

Disruption of function-structure coupling in brain regions sub-serving self monitoring in schizophrenia

Deficits in self monitoring are a core feature of cognitive dysfunction in schizophrenia, and may be the basis for disturbances of self and lack of insight, ultimately impacting social functioning. However, the functional and structural neural correlates of such deficits in self monitoring are not well understood. We investigated this issue using measurements of neurophysiological and structural brain indices, i.e., error-related and correct-response negativity (ERN & CRN) of event-related potentials, and gray matter volume of the anterior cingulate cortex (ACC), and tested whether the association between these indices is altered in patients with schizophrenia. Participants consisted of 18 male patients with chronic schizophrenia and 18 healthy male controls. The 2 groups did not differ in ERN amplitude. In contrast, schizophrenia patients showed significantly larger CRN amplitudes than did healthy subjects. Although the 2 groups did not significantly differ in gray matter volume of the ACC subregions, a significant negative correlation was found between ERN amplitudes at the frontocentral electrodes and absolute gray matter volumes of the left cognitive region of ACC only in healthy controls. These results suggest a disruption of function-structure coupling of the brain regions sub-serving self monitoring in schizophrenia.

Neural mechanisms of emotion regulation in childhood anxiety

BACKGROUND

The present study was designed to examine the cortical processes that mediate cognitive regulation in response to emotion-eliciting stimuli in anxious children.

METHODS

Electroencephalographic (EEG) activity was recorded from clinically anxious children (n = 29) and typically developing children (n = 34). Event-related potential components were recorded while children performed a go/no-go task using facial stimuli depicting angry, calm, and happy expressions.

RESULTS

Anxious children had significantly greater posterior P1 and frontal N2 amplitudes, components associated with attention/arousal and cognitive control, respectively, than typically developing children. Anxious children also had significantly greater error-related negativities and correct-response negativities relative to typically developing children. For the anxious group only, there were no differences in neural activation between face (emotion) types or trial (Go vs. No-go) types. A regression analysis revealed that No-go N2 amplitudes for calm faces predicted self-reported anxiety levels.

CONCLUSIONS

Anxious children appeared to show increased cortical activation regardless of the emotional content of the stimuli. Anxious children also showed greater medial-frontal activity regardless of task demands and response accuracy. Taken together, these findings suggest indiscriminate cortical processes that may underlie the hypervigilant regulatory style seen in clinically anxious individuals.

The ERN is the ERN is the ERN? Convergent validity of error-related brain activity across different tasks

Error-processing is increasingly examined using the error-related negativity (ERN) and error positivity (Pe) - event-related potentials (ERPs) that demonstrate trait-like properties and excellent reliability. The current study focuses on construct validity by applying a multitrait-multimethod approach, treating error-related ERPs (i.e., ERN, Pe and the difference between error minus correct, referred to as ΔERN and ΔPe, respectively) as traits measured across multiple tasks (i.e., Flanker, Stroop, and Go/NoGo). Results suggest convergent validity of these ERPs ranging between .62 and .64 for ΔERN. Values were somewhat smaller for ERN (range .33-.43), Pe (range .37-.49) and ΔPe (range .30-.37). Further, the correlations for ERN and Pe are higher within components across tasks than between different components suggesting discriminant validity. In conclusion, the present study revealed evidence for convergent and discriminant validity of error-related ERPs, further supporting the use of these components as psychophysiological trait markers.

Error-related brain activity predicts cocaine use after treatment at 3-month follow-up

BACKGROUND

Relapse after treatment is one of the most important problems in drug dependency. Several studies suggest that lack of cognitive control is one of the causes of relapse. In this study, a relative new electrophysiologic index of cognitive control, the error-related negativity, is investigated to examine its suitability as a predictor of relapse.

METHODS

The error-related negativity was measured in 57 cocaine-dependent patients during their first week in detoxification treatment. Data from 49 participants were used to predict cocaine use at 3-month follow-up. Cocaine use at follow-up was measured by means of self-reported days of cocaine use in the last month verified by urine screening.

RESULTS

A multiple hierarchical regression model was used to examine the predictive value of the error-related negativity while controlling for addiction severity and self-reported craving in the week before treatment. The error-related negativity was the only significant predictor in the model and added 7.4% of explained variance to the control variables, resulting in a total of 33.4% explained variance in the prediction of days of cocaine use at follow-up.

CONCLUSIONS

A reduced error-related negativity measured during the first week of treatment was associated with more days of cocaine use at 3-month follow-up. Moreover, the error-related negativity was a stronger predictor of recent cocaine use than addiction severity and craving. These results suggest that underactive error-related brain activity might help to identify patients who are at risk of relapse as early as in the first week of detoxification treatment.

Error-monitoring brain activity is associated with affective behaviors in young children

Despite recent evidence that neural correlates of error monitoring such as the error-related negativity (ERN) and error positivity (Pe) are visible in children sooner than previously thought, little is known about these components early in life. Error-monitoring components can be noninvasively recorded from a very early age and have been proposed as biological markers of risk for psychopathology. Therefore, the current study represents an attempt to examine the presence of these components in a sample of very young children and explore their associations with affect and attentional control.Fifteen children between ages 4 and 8 participated in two laboratory episodes: interacting with a stranger and completing a computerized flanker task. Shy and bold behaviors were scored during the stranger interaction and parents reported on temperament-based affective behaviors. Both ERN and Pe were visible in children as young as age 4. A trend-level interaction was observed between age and gender in association with ERN amplitudes. Age and gender were unrelated to the Pe. Greater ERN and Pe were associated with better poorer orienting and greater attentional focusing, respectively. Greater Pe was also linked to less observed boldness. Implications for studies of the development of performance monitoring in children are discussed.

An ERP study of conflict monitoring in 4-8-year old children: associations with temperament

Although there is great interest in identifying the neural correlates of cognitive processes that create risk for psychopathology, there is a paucity of research in young children. One event-related potential (ERP), the N2, is thought to index conflict monitoring and has been linked cognitive and affective risk factors for anxiety. Most of this research, however, has been conducted with adults, adolescents, and older children, but not with younger children. To address this gap, the current study examined 26 4-8-year-olds, who completed a cued flanker task while EEG was continuously recorded. We assessed whether the N2 was detectable in this group of young children and examined associations between the N2 and factors reflecting affective risk (e.g., reduced executive attention, temperamental effortful control, and temperamental surgency). We documented an N2 effect (greater N2 amplitude to incongruent versus congruent flankers), but only in children older than 6 years of age. Increases in the N2 effect were associated with less efficient executive attention and lower temperamental effortful control. We discuss the implications of these findings and consider how they may inform future studies on biomarkers for cognitive and affective risk factors for anxiety.

What are the influences of orthogonally-manipulated valence and arousal on performance monitoring processes? The effects of affective state

Studies of the influence of affective state on the cognitive control process of performance monitoring are mixed and few studies have orthogonally manipulated affective valence and arousal. Performance monitoring can be measured using behaviors (e.g., response times and error rates) and components of the event-related potentials (ERPs), such as the error-related negativity (ERN), correct-related negativity (CRN), and post-error positivity (Pe). We used a pre/post design and standard mood induction paradigm in 121 healthy participants randomly assigned to orthogonal valence (positive or negative) and arousal (high or low) conditions (i.e., happy, calm, anxious, or sad mood states). Following mood induction, valence and arousal ratings differed between groups. Behavioral findings showed decreased accuracy in participants with high arousal and negative valence (i.e., anxious condition), but no additional response time (RT), post-error slowing, or accuracy effects. Amplitude of the CRN differentiated high and low valence, but was not related to arousal. Positive valence was associated with decreased CRN amplitude even when baseline affect and demographic variables were controlled. Valence and arousal did not significantly differentiate the amplitude of the ERN, although the ERN minus CRN difference was related to arousal but not valence ratings in multiple regression analyses. Affect-related differences were not shown for the Pe. Findings provide a context to understand how dimensional aspects of emotional valence and arousal influence performance-monitoring processes and suggest a need for further research on the functional role of the CRN and its relation to affective valence.

Impaired error-monitoring function in people with Internet addiction disorder: an event-related fMRI study

BACKGROUND

Internet addiction disorder (IAD) is rapidly becoming a prevalent mental health concern around the world. The neurobiological underpinnings of IAD should be studied to unravel the potential heterogeneity. This study was set to investigate the error-monitoring ability in IAD subjects.

METHODS

Fifteen IAD subjects and 15 healthy controls (HC) participated in this study. Participants were asked to perform a fast Stroop task that may show error responses. Behavioral and neurobiological results in relation to error responses were compared between IAD subjects and HC.

RESULTS

Compared to HC, IAD subjects showed increased activation in the anterior cingulate cortex (ACC) and decreased activation in the orbitofrontal cortex following error responses. Significant correlation was found between ACC activation and the Internet addiction test scores.

CONCLUSIONS

IAD subjects show an impaired error-monitoring ability compared to HC, which can be detected by the hyperactivation in ACC in error responses.

Increased error-related brain activity in youth with obsessive-compulsive disorder and unaffected siblings

BACKGROUND

The pathophysiology of obsessive-compulsive disorder (OCD) involves increased activity in cortico-striatal circuits connecting the anterior cingulate cortex (ACC) with other brain regions. The error-related negativity (ERN) is a negative deflection in the event-related potential following an erroneous response and is thought to reflect ACC activity. This study was done to assess the ERN as a biomarker for OCD by comparing ERN amplitudes in pediatric OCD patients, unaffected siblings of pediatric OCD patients, and healthy controls.

METHODS

The ERN and correct response negativity (CRN) were measured during an Eriksen flanker task to assess performance monitoring in 40 youth with a lifetime diagnosis of OCD, 19 unaffected siblings of OCD patients, and 40 unrelated healthy comparison subjects ranging in age from 10 to 17 years. ERN and CRN amplitudes were compared between groups using linear regression by the generalized estimating equation method to account for correlated data.

RESULTS

Compared to healthy controls, ERN amplitude was significantly increased in both pediatric OCD patients and unaffected siblings. There were no significant group differences in CRN amplitude. ERN amplitude in patients was unrelated to OCD symptom severity, current diagnostic status, or treatment effects.

CONCLUSIONS

Increased error-related brain potentials were observed not only in pediatric OCD patients but also in unaffected siblings. The results provide evidence that enhanced error-related brain activity may serve as a biomarker for OCD in youth that is independent of the presence of clinical symptoms. The ERN may be a useful quantitative phenotype in genetic studies of OCD.

Time Course of Error-Potentiated Startle and its Relationship to Error-Related Brain Activity

Errors are aversive, motivationally-salient events which prime defensive action. This is reflected in a potentiated startle reflex after the commission of an error. The current study replicates and extends previous work examining the time course of error-potentiated startle as a function of startle lag (i.e., 300 ms or 800 ms following correct and error responses). In addition, the relationship between error-potentiated startle and error-related brain activity in both the temporal (error-related negativity, ERN/Ne) and spectral (error-related theta and delta power) domains was investigated. Event-related potentials (ERPs) were recorded from 32 healthy undergraduates while they performed an arrowhead version of a flanker task. Complex Morlet wavelets were applied to compute oscillatory power in the delta- and theta-band range. Consistent with our previous report, startle was larger following errors. Furthermore, this effect was evident at both early and late startle probe times. Increased delta and theta power after an error was associated with larger error-potentiated startle. An association between ERN amplitude and error-potentiated startle was only observed in a subgroup of individuals with relatively large ERN/Ne amplitude. Among these individuals, ERN/Ne magnitude was also related to multiple indices of task performance. This study further supports the notion that errors are aversive events that prime defensive motivation, and that error-potentiated startle is evident beyond the immediate commission of an error and can be predicted from error-related brain activity.

Feelings of helplessness increase ERN amplitudes in healthy individuals

Experiencing feelings of helplessness has repeatedly been reported to contribute to depressive symptoms and negative affect. In turn, depression and negative affective states are associated, among others, with impairments in performance monitoring. Thus, the question arises whether performance monitoring is also affected by feelings of helplessness.

To this end, after the induction of feelings of helplessness via an unsolvable reasoning task, 37 participants (20 females) performed a modified version of a Flanker task. Based on a previously validated questionnaire, 17 participants were classified as helpless and 20 as not-helpless. Behavioral measures revealed no differences between helpless and not-helpless individuals. However, we observed enhanced Error-Related Negativity (ERN) amplitude differences between erroneous and correct responses in the helpless compared to the not-helpless group. Furthermore, correlational analysis revealed that higher scores of helplessness were associated with increased ERN difference scores. No influence of feelings of helplessness on later stages of performance monitoring was observed as indicated by Error-Positivity (Pe) amplitude.

The present study is the first to demonstrate that feelings of helplessness modulate the neuronal correlates of performance monitoring. Thus, even a short-lasting subjective state manipulation can lead to ERN amplitude variation, probably via modulation of mesencephalic dopamine activity.

The extended fronto-striatal model of obsessive compulsive disorder: convergence from event-related potentials, neuropsychology and neuroimaging

In this work, we explored convergent evidence supporting the fronto-striatal model of obsessive-compulsive disorder (FSMOCD) and the contribution of event-related potential (ERP) studies to this model. First, we considered minor modifications to the FSMOCD model based on neuroimaging and neuropsychological data. We noted the brain areas most affected in this disorder -anterior cingulate cortex (ACC), basal ganglia (BG), and orbito-frontal cortex (OFC) and their related cognitive functions, such as monitoring and inhibition. Then, we assessed the ERPs that are directly related to the FSMOCD, including the error-related negativity (ERN), N200, and P600. Several OCD studies present enhanced ERN and N2 responses during conflict tasks as well as an enhanced P600 during working memory (WM) tasks. Evidence from ERP studies (especially regarding ERN and N200 amplitude enhancement), neuroimaging and neuropsychological findings suggests abnormal activity in the OFC, ACC, and BG in OCD patients. Moreover, additional findings from these analyses suggest dorsolateral prefrontal and parietal cortex involvement, which might be related to executive function (EF) deficits. Thus, these convergent results suggest the existence of a self-monitoring imbalance involving inhibitory deficits and executive dysfunctions. OCD patients present an impaired ability to monitor, control, and inhibit intrusive thoughts, urges, feelings, and behaviors. In the current model, this imbalance is triggered by an excitatory role of the BG (associated with cognitive or motor actions without volitional control) and inhibitory activity of the OFC as well as excessive monitoring of the ACC to block excitatory impulses. This imbalance would interact with the reduced activation of the parietal-DLPC network, leading to executive dysfunction. ERP research may provide further insight regarding the temporal dynamics of action monitoring and executive functioning in OCD.

The development of the error-related negativity (ERN) and its relationship with anxiety: evidence from 8 to 13 year-olds

Because anxiety disorders appear to follow developmental trajectories that begin early in development, it may be useful to examine the neurodevelopmental correlates of specific cognitive processes that have been linked to anxiety. For instance, the error-related negativity (ERN) is a negative deflection in the event-related potential that is maximal approximately 50 ms following the commission of errors at fronto-central electrode sites,and has consistently been found to be more negative among anxious adults. Much less,however, is known about anxiety and the ERN in children—especially when this relationship develops. We recorded event-related potentials (ERPs) while 55 children aged 8–13 performed an arrow version of the flankers task. Parents and children both reported on children's anxiety. Results suggest that the relationship between the ERN and anxiety changes as a function of age. Among older children, a larger (i.e., more negative) ERN was significantly related to increased anxiety based on parent report. Although the relationship was less robust, the relationship between ERN and anxiety was opposite among younger children.These results are discussed in terms of existing work on anxiety and the ERN, and the need for longitudinal and developmental studies on the relationship between ERN andanxiety

Affective regulation of cognitive-control adjustments in remitted depressive patients after acute tryptophan depletion

Negative affect in healthy populations regulates the appraisal of demanding situations, which tunes subsequent effort mobilization and adjustments in cognitive control. In the present study, we hypothesized that dysphoria in depressed individuals similarly modulates this adaptation, possibly through a neural mechanism involving serotonergic regulation. We tested the effect of dysphoria induced by acute tryptophan depletion (ATD) in remitted depressed patients on conflict adaptation in a Simon task. ATD temporarily lowers the availability of the serotonin precursor L-Tryptophan and is known to increase depressive symptoms in approximately half of remitted depressed participants. We found that depressive symptoms induced by ATD were associated with increased conflict adaptation. Our finding extends recent observations implying an important role of affect in regulating conflict-driven cognitive control.

Error-related negativity and tic history in pediatric obsessive-compulsive disorder

OBJECTIVE

The error-related negativity (ERN) is a negative deflection in the event-related potential after an incorrect response, which is often increased in patients with obsessive-compulsive disorder (OCD). However, the relation of the ERN to comorbid tic disorders has not been examined in patients with OCD. This study compared ERN amplitudes in patients with tic-related OCD, patients with non-tic-related OCD, and healthy controls.

METHOD

The ERN, correct response negativity, and error number were measured during an Eriksen flanker task to assess performance monitoring in 44 youth with a lifetime diagnosis of OCD and 44 matched healthy controls ranging in age from 10 to 19 years. Nine youth with OCD had a lifetime history of tics.

RESULTS

ERN amplitude was significantly increased in patients with OCD compared with healthy controls. ERN amplitude was significantly larger in patients with non-tic-related OCD than in patients with tic-related OCD or controls. ERN amplitude had a significant negative correlation with age in healthy controls but not in patients with OCD. Instead, in patients with non-tic-related OCD, ERN amplitude had a significant positive correlation with age at onset of OCD symptoms. ERN amplitude in patients was unrelated to OCD symptom severity, current diagnostic status, or treatment effects.

CONCLUSIONS

The results provide further evidence of increased error-related brain activity in pediatric OCD. The difference in the ERN between patients with tic-related and those with non-tic-related OCD provides preliminary evidence of a neurobiological difference between these two OCD subtypes. The results indicate the ERN is a trait-like measurement that may serve as a biomarker for non-tic-related OCD.

Performance monitoring and the medial prefrontal cortex: a review of individual differences and context effects as a window on self-regulation

The medial prefrontal cortex (MPFC) is central to self-regulation and has been implicated in generating a cluster of event-related potential components, collectively referred to as medial frontal negativities (MFNs). These MFNs are elicited while individuals monitor behavioral and environmental consequences, and include the error-related negativity, Nogo N2, and the feedback-related negativity. A growing cognitive and affective neuroscience literature indicates that the activation of the anterior cingulate cortex (ACC) and surrounding medial prefrontal regions during performance monitoring is not only influenced by task context, but that these patterns of activity also vary as a function of individual differences (e.g., personality, temperament, clinical and non-clinical symptomatology, socio-political orientation, and genetic polymorphisms), as well as interactions between individual differences and task context. In this review we survey the neuroscience literature on the relations between performance monitoring, personality, task context, and brain functioning with a focus on the MPFC. We relate these issues to the role of affect in the paradigms used to elicit performance-monitoring neural responses and highlight some of the theoretical and clinical implications of this research. We conclude with a discussion of the complexity of these issues and how some of the basic assumptions required for their interpretation may be clarified with future research.

Additive effects of the dopamine D2 receptor and dopamine transporter genes on the error-related negativity in young children

The error-related negativity (ERN) is a negative deflection in the event-related potential that occurs approximately 50 ms following the commission of an error at fronto-central electrode sites. Previous models suggest dopamine plays a role in the generation of the ERN. We recorded event-related potentials (ERPs) while 279 children aged 5-7 years completed a simple Go/No-Go task; the ERN was examined in relation to the dopamine D2 receptor (DRD2) and dopamine transporter (DAT1) genes. Results suggest an additive effect of the DRD2 and DAT1 genotype on ERN magnitude such that children with at least one DRD2 A1 allele and children with at least one DAT1 9 allele have an increased (i.e. more negative) ERN. These results provide further support for the involvement of dopamine in the generation of the ERN.

Personality and error monitoring: an update

People differ considerably with respect to their ability to initiate and maintain cognitive control. A core control function is the processing and evaluation of errors from which we learn to prevent maladaptive behavior. People differ strongly in the degree of error processing, and how errors are interpreted and appraised. In the present study it was investigated whether a correlate of error monitoring, the error negativity (Ne or ERN), is related to personality factors. Therefore, the EEG was measured continuously during a task that provoked errors, and the Ne was tested with respect to its relation to personality traits. The results indicate a substantial trait-like relation of error processing and personality factors: the Ne was more pronounced for subjects scoring low on the “Openness” scale, the “Impulsiveness” scale and the “Emotionality” scale. Inversely, the Ne was less pronounced for subjects scoring low on the “Social Orientation” scale. The results implicate that personality traits related to emotional valences and rigidity are reflected in the way people monitor and adapt to erroneous actions.

Preserved reward outcome processing in ASD as revealed by event-related potentials

Background

Problems with reward system function have been posited as a primary difficulty in autism spectrum disorders. The current study examined an electrophysiological marker of feedback monitoring, the feedback-related negativity (FRN), during a monetary reward task. The study advanced prior understanding by focusing exclusively on a developmental sample, applying rigorous diagnostic characterization and introducing an experimental paradigm providing more subtly different feedback valence (reward versus non-reward instead of reward versus loss).

Methods

Twenty-six children with autism spectrum disorder and 28 typically developing peers matched on age and full-scale IQ played a guessing game resulting in monetary gain (“win”) or neutral outcome (“draw”). ERP components marking early visual processing (N1, P2) and feedback appraisal (FRN) were contrasted between groups in each condition, and their relationships to behavioral measures of social function and dysfunction, social anxiety, and autism symptomatology were explored.

Results

FRN was observed on draw trials relative to win trials. Consistent with prior research, children with ASD exhibited a FRN to suboptimal outcomes that was comparable to typical peers. ERP parameters were unrelated to behavioral measures.

Conclusions

Results of the current study indicate typical patterns of feedback monitoring in the context of monetary reward in ASD. The study extends prior findings of normative feedback monitoring to a sample composed exclusively of children and demonstrates that, as in typical development, individuals with autism exhibit a FRN to suboptimal outcomes, irrespective of neutral or negative valence. Results do not support a pervasive problem with reward system function in ASD, instead suggesting any dysfunction lies in more specific domains, such as social perception, or in response to particular feedback-monitoring contexts, such as self-evaluation of one’s errors.

Right frontal cortical asymmetry predicts empathic reactions: support for a link between withdrawal motivation and empathy

Depression, diminished positive affect, and exaggerated negative affect have all been linked to right frontal cortical asymmetry as measured by electroencephalography (EEG). Emerging evidence, however, suggests that right frontal EEG asymmetry might be linked to empathic responding. EEG was used to assess baseline asymmetries in frontal brain activity. Participants viewed images associated with a charity and then rated their sadness, personal distress, perspective-taking, and empathic concern towards the images. We found that baseline measures of right frontal asymmetry were a significant predictor of empathic concern, a relationship that was mediated by feelings of sadness. These results provide a more complex view of right frontal asymmetry and suggest that this pattern of brain activity might facilitate sensitivity towards the suffering of others.

Beyond the broken error-related negativity: functional and diagnostic correlates of error processing in psychosis

BACKGROUND

Studies of event-related potentials have consistently shown that schizophrenia is associated with a blunted error-related negativity (ERN), indicating a deficit in error monitoring. It is unknown whether this deficit is unique to schizophrenia or is common to psychotic disorders more broadly, and its associations with clinical characteristics of the illness are not well understood.

METHODS

The ERN and the error positivity (Pe) were recorded from 33 individuals with schizophrenia, 45 individuals with other psychotic disorders, and 33 healthy control subjects. Patients were drawn from a cohort with psychotic disorders followed since first hospitalization and diagnosed by consensus based on 10 years of observation.

RESULTS

The ERN was profoundly blunted in the patient group, regardless of diagnosis, indicating that this deficit is not unique to schizophrenia. The Pe, meanwhile, was blunted only among individuals with schizophrenia, indicating that the ERN and Pe are differentially related to psychotic illnesses. A blunted ERN was associated with more severe negative symptoms and poorer real-world functioning, as indicated by unemployment and re-hospitalization over 10 years of illness. Although reduced compared with control subjects, ERN amplitude was greater in patients with higher neuroticism, indicating that error processing is moderated by personality differences in the same manner as in healthy populations.

CONCLUSIONS

The current study advances the literature by evaluating diagnostic specificity and functional correlates of impaired error processing in psychosis.

The phenomenology of error processing: the dorsal ACC response to stop-signal errors tracks reports of negative affect

A reliable observation in neuroimaging studies of cognitive control is the response of dorsal ACC (dACC) to events that demand increased cognitive control (e.g., response conflicts and performance errors). This observation is apparently at odds with a comparably reliable association of the dACC with the subjective experience of negative affective states such as pain, fear, and anxiety. Whereas "affective" associates of the dACC are based on studies that explicitly manipulate and/or measure the subjective experience of negative affect, the "cognitive" associates of dACC are based on studies using tasks designed to manipulate the demand for cognitive control, such as the Stroop, flanker, and stop-signal tasks. Critically, extant neuroimaging research has not systematically considered the extent to which these cognitive tasks induce negative affective experiences and, if so, to what extent negative affect can account for any variance in the dACC response during task performance. While undergoing fMRI, participants in this study performed a stop-signal task while regularly reporting their experience of performance on several dimensions. We observed that within-subject variability in the dACC response to stop-signal errors tracked changes in subjective frustration throughout task performance. This association remained when controlling for within-subject variability in subjective reports of cognitive engagement and several performance-related variables indexing task difficulty. These results fit with existing models characterizing the dACC as a hub for monitoring ongoing behavior and motivating adjustments when necessary and further emphasize that such a function may be linked to the subjective experience of negative affect.

Increased error-related brain activity distinguishes generalized anxiety disorder with and without comorbid major depressive disorder

Generalized anxiety disorder (GAD) and major depressive disorder (MDD) are so frequently comorbid that some have suggested that the 2 should be collapsed into a single overarching "distress" disorder. Yet there is also increasing evidence that the 2 categories are not redundant. Neurobehavioral markers that differentiate GAD and MDD would be helpful in ongoing efforts to refine classification schemes based on neurobiological measures. The error-related negativity (ERN) may be one such marker. The ERN is an event-related potential component presenting as a negative deflection approximately 50 ms following an erroneous response and reflects activity of the anterior cingulate cortex. There is evidence for an enhanced ERN in individuals with GAD, but the literature in MDD is mixed. The present study measured the ERN in 26 GAD, 23 comorbid GAD and MDD, and 36 control participants, all of whom were female and medication-free. Consistent with previous research, the GAD group was characterized by a larger ERN and an increased difference between error and correct trials than controls. No such enhancement was evident in the comorbid group, suggesting comorbid depression may moderate the relationship between the ERN and anxiety. The present study further suggests that the ERN is a potentially useful neurobiological marker for future studies that consider the pathophysiology of multiple disorders in order to construct or refine neurobiologically based diagnostic phenotypes.

Resting-state functional connectivity between fronto-parietal and default mode networks in obsessive-compulsive disorder

Background

Obsessive-compulsive disorder (OCD) is characterized by an excessive focus on upsetting or disturbing thoughts, feelings, and images that are internally-generated. Internally-focused thought processes are subserved by the “default mode network" (DMN), which has been found to be hyperactive in OCD during cognitive tasks. In healthy individuals, disengagement from internally-focused thought processes may rely on interactions between DMN and a fronto-parietal network (FPN) associated with external attention and task execution. Altered connectivity between FPN and DMN may contribute to the dysfunctional behavior and brain activity found in OCD.

Methods

The current study examined interactions between FPN and DMN during rest in 30 patients with OCD (17 unmedicated) and 32 control subjects (17 unmedicated). Timecourses from seven fronto-parietal seeds were correlated across the whole brain and compared between groups.

Results

OCD patients exhibited altered connectivity between FPN seeds (primarily anterior insula) and several regions of DMN including posterior cingulate cortex, medial frontal cortex, posterior inferior parietal lobule, and parahippocampus. These differences were driven largely by a reduction of negative correlations among patients compared to controls. Patients also showed greater positive connectivity between FPN and regions outside DMN, including thalamus, lateral frontal cortex, and somatosensory/motor regions.

Conclusions

OCD is associated with abnormal intrinsic functional connectivity between large-scale brain networks. Alteration of interactions between FPN and DMN at rest may contribute to aspects of the OCD phenotype, such as patients' inability to disengage from internally-generated scenarios and thoughts when performing everyday tasks requiring external attention.

The impact of depression heterogeneity on inhibitory control

OBJECTIVE

Major depressive disorder (MDD) is associated with deficits in executive cognitive function, including inhibitory control. However, inconsistencies have been found across studies. Depression is a heterogeneous disorder and these inconsistencies may therefore relate to heterogeneity in relatively small samples.

METHOD

Here we sought to examine event-related potentials (ERPs) during a cognitive Go/No-Go task in melancholic (n = 60) and non-melancholic depressed patients (n = 54) relative to controls (n = 114).

RESULTS

Behavioural responses indicate that inhibitory control processes are differentially affected by subtypes of depression such that melancholic patients exhibit a greater number of commission errors and more variable response rates in comparison to non-melancholic patients and controls respectively. However, ERPs do not differ during a cognitive Go/No-Go task when ERPs associated with correct responses are examined.

CONCLUSIONS

These findings indicate that while patients with melancholia differ from patients without melancholia and controls, no neurophysiological differences are observed when controlling for observable behavioural impairment.

What We’ve Learned From Mistakes

The error-related negativity (ERN) is a neural measure of error processing that peaks just 50 milliseconds after subjects make mistakes. Although previously conceptualized in purely cognitive terms, data increasingly suggest that the ERN is related to motivation and affect. The ERN has consistently been linked to individual differences in trait anxiety. Indeed, the ERN is itself trait-like, demonstrating high heritability and stability over time. The evidence suggests that an increased ERN is a viable biomarker of risk for anxiety disorders. The ERN is also sensitive to variation in the perceived consequences of making an error (i.e., error value): Punishing errors has a lasting effect on the ERN—an effect that is larger among more anxious individuals. Collectively, these data indicate that individual differences in anxiety and learning history could interact to influence the ERN—and that the ERN could be used to better understand trajectories of risk for anxiety disorders across development.

Clarifying domains of internalizing psychopathology using neurophysiology

Current initiatives such as the National Institute of Mental Health's Research Domain Criteria project aim to reorganize classification of mental disorders along neurobiological lines. Here, we describe how consideration of findings from psychiatric research employing two physiological measures with distinct neural substrates--the startle blink reflex and the error-related negativity (ERN)--can help to clarify relations among disorders entailing salient anxiety or depressive symptomatology. Specifically, findings across various studies and reviews reveal distinct patterns of association for both the startle blink reflex and the ERN with three key domains of psychopathology: (1) Fear (or phobic) disorders (distinguished by increased startle to unpleasant stimuli, but normal-range ERN). (2) Non-phobic anxiety disorders and negative affect (associated with increased ERN, increased startle across all types of emotional stimuli and increased baseline startle) and, more tentatively (3) Major depression (for which patterns of response for both startle and ERN appear to vary, as a function of severity and distinct symptomatology). Findings from this review point to distinct neurobiological indicators of key psychopathology domains that have been previously demarcated using personality and diagnostic data. Notably, these indicators exhibit more specificity in their relations with these three domains than has been seen in quantitative-dimensional models. Implications of these findings are discussed.

Anxiety disrupts the evaluative component of performance monitoring: An ERP study

Thirty low and 30 high anxious participants performed a speeded Go/noGo task during which they had to rely on evaluative feedback to infer whether their actions were timely (correct) or not. We focused on FRN, an ERP component that is sensitive to the valence of feedback. Depending on the context, neutral faces served either as positive or negative feedback. Whereas the FRN of low anxious individuals did discriminate between neutral faces when used either as positive or negative feedback, the FRN of high anxious individuals did not. However, before the FRN, we also found evidence for a differential perceptual effect at the level of the N170 face-specific component between the two feedback conditions, equally so in low and high anxious individuals. These results suggest that anxiety disrupts selectively the evaluative component of performance monitoring, which presumably allows to ascribe a given value (either positive or negative) to actions.

Early adversity and neural correlates of executive function: implications for academic adjustment

Early adversity can negatively impact the development of cognitive functions, although little is known about whether such effects can be remediated later in life. The current study examined one facet of executive functioning - inhibitory control - among children who experienced institutional care and explored the impact of a foster care intervention within the context of the Bucharest Early Intervention Project (BEIP). Specifically, a go/nogo task was administered when children were eight years old and behavioral and event-related potential (ERP) measures were collected. Results revealed that children assigned to care as usual (i.e. institutional care) were less accurate and exhibited slower neural responses compared to children assigned to the foster care intervention and children who had never been institutionalized. However, children in both the care as usual and foster care groups exhibited diminished attention processing of nogo cues as assessed via P300 amplitude. Foster care children also showed differential reactivity between correct and error responses via the error-related negativity (ERN) as compared to children in the care as usual group. Combined, the results highlight perturbations in neural sources of behavioral and attention problems among children experiencing early adversity. Potential implications for academic adjustment in at risk children are discussed.

Altered error-related brain activity in youth with major depression

Depression is associated with impairments in cognitive control including action monitoring processes, which involve the detection and processing of erroneous responses in order to adjust behavior. Although numerous studies have reported altered error-related brain activity in depressed adults, relatively little is known about age-related changes in error-related brain activity in depressed youth. This study focuses on the error-related negativity (ERN), a negative deflection in the event-related potential (ERP) that is maximal approximately 50ms following errors. High-density ERPs were examined following responses on a flanker task in 24 youth diagnosed with MDD and 14 low-risk healthy controls (HC). Results indicate that compared to HC, MDD youth had significantly smaller ERN amplitudes and did not exhibit the normative increases in ERN amplitudes as a function of age. Also, ERN amplitudes were similar in depressed youth with and without comorbid anxiety. These results suggest that depressed youth exhibit different age-related changes in brain activity associated with action monitoring processes. Findings are discussed in terms of existing work on the neural correlates of action monitoring and depression and the need for longitudinal research studies investigating the development of neural systems underlying action monitoring in youth diagnosed with and at risk for depression.

Etiologic relationships between anxiety and dimensions of maladaptive perfectionism in young adult female twins

BACKGROUND

Theory and research suggest that maladaptive perfectionism, specifically, concerns about mistakes (CM) and doubts about actions (DA), may be important etiologic and maintenance mechanisms for anxiety and its disorders. However, no studies speaking directly to the origins of the relationship, i.e. what etiologic factors underlie the phenotypic association between anxiety and maladaptive perfectionism, exist. The current study aimed to address this gap in the literature by exploring genetic and environmental relationships between anxiety symptoms and maladaptive perfectionism.

METHODS

The sample consisted of 292 young adult same-sex female twins from the Michigan State University Twin Registry. Anxiety symptoms were assessed by the State Trait Anxiety Inventory-Trait version and an anxiety problems scale derived from the Young Adult Self Report. Maladaptive perfectionism was measured using the CM and DA subscales of the Frost Multidimensional Perfectionism Scale.

RESULTS

Anxiety and maladaptive perfectionism were both moderately heritable, with estimates ranging from. 45 to .66. Moreover, multivariate analyses revealed that genetic factors were primarily responsible for associations between anxiety and maladaptive perfectionism (r(g) =.59-.88).

CONCLUSION

This is the first study to demonstrate the role of genetic factors in the relationship between anxiety and maladaptive perfectionism. Future studies are needed to uncover the specific biologic and genetic factors that contribute to this relationship and to evaluate whether maladaptive perfectionism represents an intermediate trait or risk factor for anxiety.

Dopamine effects on human error processing depend on catechol-O-methyltransferase VAL158MET genotype

Brain dopamine (DA) has been linked to error processing. Because high and low (vs medium) prefrontal cortex (PFC) DA levels may facilitate D2-receptor-related modulations of PFC neural activation patterns, we hypothesized that high and low DA predicts increased error-specific transitions of PFC activity. Male human participants (n = 169) were genotyped for the catechol-O-methyltransferase (COMT) Val158Met polymorphism, associated with low (Val) and medium (Met) PFC DA levels. In addition, DRD2TaqIa and 5-HTTLPR, associated with striatal D(2) receptor density and serotonin uptake, respectively, were assessed. Participants received placebo or a selective DA-D(2) receptor blocker (sulpiride, 200 mg) and performed a Flanker task. EEG was recorded and decomposed into independent brain components (ICs) using independent component analysis. After errors, participants displayed (1) a negative deflection in ICs source-localized to the proximity of the anterior midcingulate cortex [IC-error-related negativity (IC-ERN)], (2) increased midcingulate cortex IC power in the delta/theta frequency range, and (3) slowing in the subsequent trial [posterror slowing (PES)]. Importantly, all, IC-ERN, delta/theta power, and PES were modulated by COMT × Substance interactions such that the Val allele predicted elevated IC-ERN, delta/theta power, and PES after placebo; this association was reversed under sulpiride. Because low doses of sulpiride presumably increase PFC DA levels, the COMT × Substance interaction supports the hypothesis that low (Val, placebo) and high (Met, sulpiride) versus medium (Val, sulpiride; Met, placebo) DA levels elevate reactivity to errors. Consistent with an influence of serotonin on PFC DA, the COMT × Substance interaction was modulated by 5-HTTLPR.

Predictive information processing in the brain: errors and response monitoring

The monitoring of one's own actions is essential for adjusting behavior. In particular, response errors are important events that require behavioral adjustments. Correct and incorrect responses, as well as feedback to responses, are followed by brain activity originating mainly in the anterior cingulate, which can be measured with fMRI and event-related potential (ERP) techniques. After each response a small negativity (Nc or CRN) is elicited in the ERP, which is strongly enhanced in incorrect trials (Ne or ERN). Following feedback stimuli that signal a negative outcome of an action, a similar negativity, the feedback-related negativity (FRN) is elicited. Recently it has been shown that these neurophysiological correlates of response monitoring and evaluation can be classified even on the single-trial level in the EEG and thus could be utilized not only to distinguish between correct and erroneous actions, but also can be used online for a wide range of applications such as prediction of clinical outcomes or brain computer interfaces.

Reward and punishment effects on error processing and conflict control

Recently, positive affect has been reported to reduce cognitive conflicts and adaptations related to conflict control. van Steenbergen et al. (2009) proposed that the aversive quality of conflicts drives short-term adaptations following a conflict. They reasoned that monetary gain and its positive emotional consequences might counteract the aversive quality of conflict and hence reduce subsequent adaptations. In two experiments, we combined Simon-type conflicts with monetary gains and losses in between trials and analyzed event-related brain potentials. In Experiment 1, gains and losses occurred randomly between trials as a lottery, whereas in Experiment 2 gains and losses were contingent upon performance, either rewarding the 25% fastest responses or penalizing the 25% slowest responses. In Experiment 1, conflict adaptation was completely unaffected by gains or losses; contrary to predictions, in Experiment 2, conflict adaptation in reward blocks was more pronounced after a gain. In Experiment 2 we also investigated the error-related negativity (ERN) – a brain signal proposed to be related to performance monitoring. The ERN and behavioral post-error slowing were enlarged in the context of reward; therefore, reward increases error adaptation, possibly by enhancing the subjective value of errors. In conclusion, affective modulations of conflict adaptations seem to be much more limited than previously asserted and adaptive mechanisms triggered by errors and conflicts dissociate.

Punishment has a lasting impact on error-related brain activity

The current study examined whether punishment has direct and lasting effects on error-related brain activity, and whether this effect is larger with increasing trait anxiety. Participants were told that errors on a flanker task would be punished in some blocks but not others. Punishment was applied following 50% of errors in punished blocks during the first half of the experiment (i.e., acquisition), but never in the second half (i.e., extinction). The ERN was enhanced in the punished blocks in both experimental phases--this enhancement remained stable throughout the extinction phase. More anxious individuals were characterized by larger punishment-related modulations in the ERN. The study reveals evidence for lasting, punishment-based modulations of the ERN that increase with anxiety. These data suggest avenues for research to examine more specific learning-related mechanisms that link anxiety to overactive error monitoring.

Theta lingua franca: a common mid-frontal substrate for action monitoring processes

We present evidence that a multitude of mid-frontal event-related potential (ERP) components partially reflect a common theta band oscillatory process. Specifically, mid-frontal ERP components in the N2 time range and error-related negativity time range are parsimoniously characterized as reflections of theta band activities. Forty participants completed three different tasks with varying stimulus-response demands. Permutation tests were used to identify the dominant time-frequency responses of stimulus- and response-locked conditions as well as the enhanced responses to novelty, conflict, punishment, and error. A dominant theta band feature was found in all conditions, and both ERP component amplitudes and theta power measures were similarly modulated by novelty, conflict, punishment, and error. The findings support the hypothesis that generic and reactive medial prefrontal cortex processes are parsimoniously reflected by theta band activities.

Task confusion after switching revealed by reductions of error-related ERP components

While response delays after task switching have been widely used as an index to investigate the limits of cognitive flexibility, little is known about their counterpart in error rates. It has been hypothesized that at least some postswitching errors are not caused by simple response errors but by task confusion, which refers to the establishment and execution of an incorrect task set. The aim of the current study is to provide evidence for this hypothesis. Using a multitrial paradigm, we firstly dissociated task confusion from simple cue encoding failure, and then measured the error-related negativity (ERN) and the following error positivity (Pe) as indices of the brain's error processing. We predicted that task confusion, if it exists, would cause ambiguity to the criteria of correct response, and therefore attenuate error processing. Results confirmed our prediction, suggesting that task confusion actually occurs after switching.

Depression and anxious apprehension distinguish frontocingulate cortical activity during top-down attentional control

A network consisting of left dorsolateral prefrontal cortex (LDLPFC) and dorsal anterior cingulate cortex (dACC) has been implicated in top-down attentional control. Few studies have systematically investigated how this network is altered in psychopathology, despite evidence that depression and anxiety are associated with attentional control impairments. Functional MRI and dense-array event-related brain potential (ERP) data were collected in separate sessions from 100 participants during a color-word Stroop task. Functional MRI results guided ERP source modeling to characterize the time course of activity in LDLPFC (300-440 ms) and dACC (520-680 ms). At low levels of depression, LDLPFC activity was indirectly related to Stroop interference and only via dACC activity. In contrast, at high levels of depression, dACC did not play an intervening role, and increased LDLPFC activity was directly related to decreased Stroop interference. Specific to high levels of anxious apprehension, higher dACC activity was related to more Stroop interference. Results indicate that depression and anxious apprehension modulate temporally and functionally distinct aspects of the frontocingulate network involved in top-down attention control.

Drunk, Powerful, and in the Dark

Social power, alcohol intoxication, and anonymity all have strong influences on human cognition and behavior. However, the social consequences of each of these conditions can be diverse, sometimes producing prosocial outcomes and other times enabling antisocial behavior. We present a general model of disinhibition to explain how these seemingly contradictory effects emerge from a single underlying mechanism: The decreased salience of competing response options prevents activation of the Behavioral Inhibition System (BIS). As a result, the most salient response in any given situation is expressed, regardless of whether it has prosocial or antisocial consequences. We review three distinct routes through which power, alcohol intoxication, and anonymity reduce the salience of competing response options, namely, through Behavioral Approach System (BAS) activation, cognitive depletion, and reduced social desirability concerns. We further discuss how these states can both reveal and shape the person. Overall, our approach allows for multiple domain-specific models to be unified within a common conceptual framework that explains how both situational and dispositional factors can influence the expression of disinhibited behavior, producing both prosocial and antisocial outcomes.