Flanker interference in young and older participants as reflected in event-related potentials

Investigating the Effect of Contextual Cueing with Face Stimuli on Electrophysiological Measures in Younger and Older Adults

Extracting repeated patterns from our surroundings plays a crucial role in contextualizing information, making predictions, and guiding our behavior implicitly. Previous research showed that contextual cueing enhances visual search performance in younger adults. In this study, we investigated whether contextual cueing could also improve older adults' performance and whether age-related differences in the neural processes underlying implicit contextual learning could be detected. Twenty-four younger and 25 older participants performed a visual search task with contextual cueing. Contextual information was generated using repeated face configurations alongside random new configurations. We measured RT difference between new and repeated configurations; ERPs to uncover the neural processes underlying contextual cueing for early (N2pc), intermediate (P3b), and late (r-LRP) processes; and multiscale entropy and spectral power density analyses to examine neural dynamics. Both younger and older adults showed similar contextual cueing benefits in their visual search efficiency at the behavioral level. In addition, they showed similar patterns regarding contextual information processing: Repeated face configurations evoked decreased finer timescale entropy (1-20 msec) and higher frequency band power (13-30 Hz) compared with new configurations. However, we detected age-related differences in ERPs: Younger, but not older adults, had larger N2pc and P3b components for repeated compared with new configurations. These results suggest that contextual cueing remains intact with aging. Although attention- and target-evaluation-related ERPs differed between the age groups, the neural dynamics of contextual learning were preserved with aging, as both age groups increasingly utilized more globally grouped representations for repeated face configurations during the learning process.

Aerobic Exercise Improves Cortical Inhibitory Function After Stroke: A Preliminary Investigation

BACKGROUND AND PURPOSE

Aerobic exercise can elicit positive effects on neuroplasticity and cognitive executive function but is poorly understood after stroke. We tested the effect of 4 weeks of aerobic exercise training on inhibitory and facilitatory elements of cognitive executive function and electroencephalography markers of cortical inhibition and facilitation. We investigated relationships between stimulus-evoked cortical responses, blood lactate levels during training, and aerobic fitness postintervention.

METHODS

Twelve individuals with chronic (>6 months) stroke completed an aerobic exercise intervention (40 minutes, 3×/wk). Electroencephalography and motor response times were assessed during congruent (response facilitation) and incongruent (response inhibition) stimuli of a Flanker task. Aerobic fitness capacity was assessed as o2peak during a treadmill test pre- and postintervention. Blood lactate was assessed acutely (<1 minute) after exercise each week. Cortical inhibition (N2) and facilitation (frontal P3) were quantified as peak amplitudes and latencies of stimulus-evoked electroencephalographic activity over the frontal cortical region.

RESULTS

Following exercise training, the response inhibition speed increased while response facilitation remained unchanged. A relationship between earlier cortical N2 response and faster response inhibition emerged postintervention. Individuals who produced higher lactate during exercise training achieved faster response inhibition and tended to show earlier cortical N2 responses postintervention. There were no associations between o2peak and metrics of behavioral or neurophysiologic function.

DISCUSSION AND CONCLUSIONS

These preliminary findings provide novel evidence for selective benefits of aerobic exercise on inhibitory control during the initial 4-week period after initiation of exercise training and implicate a potential therapeutic effect of lactate on poststroke inhibitory control.

An explorative multiverse study for extracting differences in P3 latencies between young and old adults

It is well established that P3 latencies increase with age. Investigating these age-related differences requires numerous methodological decisions, resulting in pipelines of great variation. The aim of the present work was to investigate the effects of different analytical pipelines on the age-related differences in P3 latencies in real data. Therefore, we conducted an explorative multiverse study and varied the low-pass filter (4 Hz, 8 Hz, 16 Hz, 32 Hz, and no filter), the latency type (area vs. peak), the level of event-related potential analysis (single participant vs. jackknifing), and the extraction method (manual vs. automated). Thirty young (18-21 years) and 30 old (50-60 years) participants completed three tasks (Nback task, Switching task, Flanker task), while an EEG was recorded. The results show that different analysis strategies can have a tremendous impact on the detection and magnitude of the age effect, with effect sizes ranging from 0% to 88% explained variance. Likewise, regarding the psychometric properties of P3 latencies, we found that the reliabilities fluctuated between rtt  = .20 and 1.00, while the homogeneities ranged from rh  = -.12 to .90. Based on predefined criteria, we found that the most effective pipelines relied on a manual extraction based on a single participant's data. For peak latencies, manual extraction performed well for all filters except for 4 Hz, while for area latencies, filters above 8 Hz produced desirable results. Furthermore, our findings add to the evidence that jackknifing combined with peak latencies can lead to inconclusive results.

Multisensory integration augmenting motor processes among older adults

Objective

Multisensory integration enhances sensory processing in older adults. This study aimed to investigate how the sensory enhancement would modulate the motor related process in healthy older adults.

Method

Thirty-one older adults (12 males, mean age 67.7 years) and 29 younger adults as controls (16 males, mean age 24.9 years) participated in this study. Participants were asked to discriminate spatial information embedded in the unisensory (visual or audial) and multisensory (audiovisual) conditions. The responses made by the movements of the left and right wrists corresponding to the spatial information were registered with specially designed pads. The electroencephalogram (EEG) marker was the event-related super-additive P2 in the frontal-central region, the stimulus-locked lateralized readiness potentials (s-LRP) and response-locked lateralized readiness potentials (r-LRP).

Results

Older participants showed significantly faster and more accurate responses than controls in the multisensory condition than in the unisensory conditions. Both groups had significantly less negative-going s-LRP amplitudes elicited at the central sites in the between-condition contrasts. However, only the older group showed significantly less negative-going, centrally distributed r-LRP amplitudes. More importantly, only the r-LRP amplitude in the audiovisual condition significantly predicted behavioral performance.

Conclusion

Audiovisual integration enhances reaction time, which associates with modulated motor related processes among the older participants. The super-additive effects modulate both the motor preparation and generation processes. Interestingly, only the modulated motor generation process contributes to faster reaction time. As such effects were observed in older but not younger participants, multisensory integration likely augments motor functions in those with age-related neurodegeneration.

Mechanisms of spatial contextual cueing in younger and older adults

The contextual cueing effect is the phenomenon observed when response time (RT) becomes faster in visual search in repeated context compared with a new one. In the present study, we explored whether the mechanisms involved in the effect are age dependent. We investigated it in younger (N = 20, 12 women, 21.2 ± 1.75 years) and older (N = 19, nine women, 67.05 ± 3.94 years) adults. We found a faster target identification in the repeated configurations with similar magnitude in the two age groups, which indicates that this contextual cueing effect remained intact even in the older participants. To shed light on the underlying mechanisms, we measured and compared the amplitude of three event-related potentials: N2pc, P3, and response-locked LRP. In the younger group, the larger contextual cueing effect (novel-minus-repeated RT difference) correlated positively with a larger difference in amplitude for repeated compared with novel configurations for both the N2pc and the P3 components, but there was no correlation with the response-locked lateralized readiness potential (rLRP) amplitude difference. However, in the older group, only the rLRP amplitude difference between novel and repeated configurations showed an enhancement with larger contextual cueing. These results suggest that different mechanisms are responsible for the contextual effect in the two age groups. It has both an early and an intermediate locus in younger adults: effective attentional allocation and successful stimulus categorization, or decision-making confidence are involved; while in older adults, a late locus was identified: a more efficient response organization led to a faster reaction.

The ups and downs of bilingualism: A review of the literature on executive control using event-related potentials

Whether bilingualism enhances executive control (EC) is controversial. This article reviews 24 studies on the bilingual EC effect using event-related potentials (ERPs). It evaluates the evidence based on considerations of neural efficiency, different EC theories, and accounts regarding the locus of the bilingual effect. The review finds some evidence for a positive bilingual impact. This is more consistent for the P3 and response-locked ERPs. Moreover, when considering each component independently, evidence primarily supports a monitoring and secondarily an inhibition locus. Additionally, an N2/ERN (error-related negativity) dissociation (no bilingual N2 effect but positive ERN impact, evident as smaller ERN), coupled with the P3 results, suggest that monitoring may not be the (only) locus of a bilingual effect but (an)other post-monitoring mechanism(s). Attention disengagement also receives some support. Finally, results across studies are largely consistent with the Bilingualism Anterior to Posterior and Subcortical Shift model (BAPSS): Bilingual effects, when found, often manifest as shorter latencies, larger components or wider amplitude effects during earlier (N2, P3) but smaller components or narrower effects during later processing (stimulus-locked negativities and response-locked components). However, this evidence is not unequivocal. Many bilingual-monolingual comparisons reveal null or some suggest negative or opposite to prediction bilingual effects. Second, the scant evidence about which bilingual experiences impact EC is, generally, unclear, while some evidence indicates negative effects. Third, BAPSS is often not confirmed when multiple components are examined within subjects. Finally, this literature is challenged by confounds and small samples. Further research is required to conclude a positive bilingual effect on EC in ERPs.

Classification of age groups and task conditions provides additional evidence for differences in electrophysiological correlates of inhibitory control across the lifespan

The aim of this study was to extend previous findings on selective attention over a lifetime using machine learning procedures. By decoding group membership and stimulus type, we aimed to study differences in the neural representation of inhibitory control across age groups at a single-trial level. We re-analyzed data from 211 subjects from six age groups between 8 and 83 years of age. Based on single-trial EEG recordings during a flanker task, we used support vector machines to predict the age group as well as to determine the presented stimulus type (i.e., congruent, or incongruent stimulus). The classification of group membership was highly above chance level (accuracy: 55%, chance level: 17%). Early EEG responses were found to play an important role, and a grouped pattern of classification performance emerged corresponding to age structure. There was a clear cluster of individuals after retirement, i.e., misclassifications mostly occurred within this cluster. The stimulus type could be classified above chance level in ~ 95% of subjects. We identified time windows relevant for classification performance that are discussed in the context of early visual attention and conflict processing. In children and older adults, a high variability and latency of these time windows were found. We were able to demonstrate differences in neuronal dynamics at the level of individual trials. Our analysis was sensitive to mapping gross changes, e.g., at retirement age, and to differentiating components of visual attention across age groups, adding value for the diagnosis of cognitive status across the lifespan. Overall, the results highlight the use of machine learning in the study of brain activity over a lifetime.

Investigating the involvement of cognitive control processes in innovative and adaptive creativity and their age-related changes

Introduction

Based on the two-factor model of creativity, two distinct types of creative problem solving can be differentiated: innovative ("do things differently") and adaptive ("do things better"). Flexible cognitive control is a crucial concept in connection with both general and specific styles of creativity: innovative problem-solving benefits from broader attention and flexible mental set shifting; while adaptive creativity relies on focused attention and persistent goal-oriented processes. We applied an informatively cued task-switching paradigm which is suitable for measuring different cognitive control processes and mechanisms like proactive and reactive control. We hypothesized that adaptive creativity is connected to effective proactive control processes, while innovative creativity is based on reactive task-execution. As we have found no previous evidence how age-related changes in cognitive control affects creative cognition; we also examined the effect of healthy aging on different problem-solving styles in an explorative way.

Methods

Our participants, 37 younger (18-30 years) and 37 older (60-75 years) adults, were divided into innovative and adaptive creative groups according to the Torrance Test of Creative Thinking's Figural Subtest (Hungarian version).

Results

Our results showed that among younger adults the adaptively creative group had larger cue-locked CNV component (effective preparatory activity connected to proactive control), while the innovatively creative group had a larger target-locked P3b component (effective target evaluation and categorization in line with reactive control) which supports a functional difference in the two creative styles. By contrast, in older adults innovative problem-solving showed larger mixing costs (less effective maintenance and selection of task sets), and the lack of trial type effect on target-locked N2b (target-induced goal reactivation and less effective conflict resolution); while adaptive problem-solving caused them to make fewer errors (accuracy-oriented behavior).

Discussion

All in all, innovative and adaptive creativity is based on distinct cognitive control mechanisms in both age-groups, but their processing level is affected by age-related changes.

Bilingualism can cause enhanced monitoring and occasional delayed responses in a flanker task

Complex cognitive tasks require different stages of processing (i.e. conflict monitoring, attentional resource allocation and stimulus categorisation). Performance differences between bilinguals and monolinguals on conflict tasks can be affected by the balance of these sub-processes. The current study investigated the effect of bilingualism on these sub-processes during a conflict task with medium monitoring demand. Behavioural responses and evoked potentials from bilinguals and monolinguals were examined during a flanker task with 25% incongruent trials. Behavioural differences were analysed by means of averaged response times and exponentially modified Gaussian analyses of response time distributions. For evoked potentials, the study focussed on N2 (reflecting conflict monitoring) and P3 responses (reflecting allocation of attentional resources for cognitive control). Bilinguals had significantly longer response distribution tails compared to monolinguals. Bilinguals were shown to have a more pronounced N2 and smaller P3 compared to monolinguals, independent of condition, suggesting a different balance of sub-processes for the two groups. This suggests that bilinguals were engaged more strongly in monitoring processes, leading to the allocation of fewer attentional resources during stimulus categorisation. Additionally, the P3 amplitudes were negatively related with the length of response distribution tails for bilinguals. These results are consistent with enhanced conflict monitoring in bilinguals that led to reduced engagement of attentional resources for stimulus categorisation. This enhanced conflict monitoring could lead to occasional extremely slow responses. Thus, the bilingual experience appears to impact the balance of cognitive control processes during conflict tasks, which might only be reflected in a minority of responses.

Time of Day Effects on Inhibitory Functioning: Cognitive and Neural Evidence of Sundowning in Amnestic Mild Cognitive Impairment

Background: Amnestic mild cognitive impairment (aMCI), a prodromal phase of Alzheimer’s disease (AD), is characterized by episodic memory dysfunction, but inhibitory deficits have also been commonly reported. Time of day (TOD) effects have been confirmed in 1) healthy aging on cognitive processes such as inhibitory control, and 2) on behavior in AD (termed the sundowning effect), but no such research has addressed aMCI. Objective: The present study examined the impact of TOD on the behavioral and electrophysiological correlates of inhibition in 54 individuals with aMCI and 52 healthy controls (HCs), all of morning chronotype. Methods: Participants were randomly assigned to complete two inhibition tasks (Go-NoGo and Flanker) during their optimal (morning) or non-optimal (evening) TOD, while electroencephalography was recorded. Results: Both tasks elicited changes in N2 and P3 event-related potential (ERP) components, which commonly index inhibitory functioning. Analyses showed that the Go-NoGo difference in P3 amplitude was reduced in individuals with aMCI relative to HCs. Compared to HCs, the Flanker difference in P3 amplitude was also reduced and coincided with more errors in the aMCI group. Notably, these behavioral and ERP differences were exaggerated in the non-optimal TOD relative to the optimal TOD. Conclusion: Findings confirm the presence of inhibition deficits in aMCI and provide novel evidence of sundowning effects on inhibitory control in aMCI. Results reinforce the need to consider the influences of TOD in clinical assessments involving individuals with aMCI.

The Effects of Aging and Time of Day on Inhibitory Control: An Event-Related Potential Study

Time of day (TOD) influences on executive functions have been widely reported, with greater efficiency demonstrated at optimal relative to non-optimal TOD according to one’s chronotype (i.e., synchrony effect). Older adults (OAs) show declines in inhibitory control and are more sensitive to the effects of circadian variation on executive functioning. To date, no studies have investigated the effects of TOD and aging on executive functioning using electrophysiological measures. The present study investigated the effects of aging and TOD on the neural correlates of inhibitory processing (N2 and P3) using event-related potentials (ERPs). Go-NoGo and Flanker tasks were administered to 52 OAs of morning chronotype and 51 younger adults (YAs) of afternoon-to-evening chronotype who were randomly assigned to morning or afternoon test sessions, with the optimal TOD for OAs in the morning and for YAs in the afternoon/evening. While behavioral results demonstrated no TOD effects, ERPs indicated synchrony effects. Both YAs and OAs showed greater modulation of Go-NoGo N2 and greater P3 amplitude during the non-optimal than optimal TOD, consistent with the synchrony effect. For the Flanker task, age differences in P3 amplitude were only apparent during the non-optimal TOD. These results suggest that processes associated with inhibitory control are differentially affected by TOD and aging, with age-related reductions in inhibitory efficiency during off-peak test times on measures of interference control. These findings highlight the sensitivity of ERPs to detect TOD effects in the absence of behavioral differences, confirm more pronounced TOD effects in OAs relative to YAs on ERP measures of interference control, and reinforce the need to assess and control for circadian typology in research studies.

Evidence that ageing yields improvements as well as declines across attention and executive functions

Many but not all cognitive abilities decline during ageing. Some even improve due to lifelong experience. The critical capacities of attention and executive functions have been widely posited to decline. However, these capacities are composed of multiple components, so multifaceted ageing outcomes might be expected. Indeed, prior findings suggest that whereas certain attention/executive functions clearly decline, others do not, with hints that some might even improve. We tested ageing effects on the alerting, orienting and executive (inhibitory) networks posited by Posner and Petersen's influential theory of attention, in a cross-sectional study of a large sample (N = 702) of participants aged 58-98. Linear and nonlinear analyses revealed that whereas the efficiency of the alerting network decreased with age, orienting and executive inhibitory efficiency increased, at least until the mid-to-late 70s. Sensitivity analyses indicated that the patterns were robust. The results suggest variability in age-related changes across attention/executive functions, with some declining while others improve.

Event-related brain potentials reveal strategy selection in younger and older adults

It is well-established that younger adults prioritize information accrued during different stages of stimulus evaluation ("early" versus "late") to optimize performance. The extent to which older adults flexibly adjust their processing strategies, however, is largely unexplored. Twenty-four younger and twenty-four older participants completed a cued flanker task in which one of three cues, indicating the probability that a congruent array would appear (75 %, 50 %, or 25 %), was presented on each trial. Behavioral and ERP (CNV, LRP, N2, and P3b) analyses allowed us to infer cue-driven changes in strategy selection. Results indicate that when both younger and older adults expected an incongruent array, they prioritized late, target information, resulting in a decreased susceptibility to the performance-impairing effect of distractors, extending the conclusions of Gratton et al. (1992) to older adults and supporting the claim that strategic control remains largely intact during healthy aging.

Can inhibition deficit hypothesis account for age-related differences in semantic fluency? Converging evidence from Stroop color and word test and an ERP flanker task

The inhibition deficit hypothesis (IDH) proposed that individual differences in inhibitory control is an underlying reason for age-related language decline. This study examined whether the hypothesis holds within the domain of lexico-semantic retrieval. Sixty-six older adults aged 60-79 were tested in a semantic fluency task comprising 16 categories; each response was classified as automatic or controlled. Also, Stroop color and word test and an ERP flanker task were employed to yield both behavioral and neural measures of inhibitory control. Mixed-effects modelling revealed that the number of controlled (but not automatic) responses was negatively associated with age. This interaction could be partially accounted for by the behavioral Stroop inhibition score and two neural measures from the ERP flanker task (P2 and Pc amplitudes). These results not only provide converging evidence supporting the IDH, but also demonstrate the involvement of specific inhibitory control components, including attentional control and performance monitoring.

Multiplicative priming of the correct response can explain the interaction between Simon and flanker congruency

In the Simon task, participants perform a decision on non-spatial features (e.g., stimulus color) by responding with a left or right key-press to a stimulus presented on the left or right side of the screen. In the flanker task, they classify the central character while ignoring the flanking characters. In each task, there is a conflict between the response-relevant features and the response-irrelevant features (i.e., the location on the screen for the Simon task, and the flankers for the flanker task). Thus, in both tasks, resolving conflict requires to inhibit irrelevant features and to focus on relevant features. When both tasks were combined within the same trial (e.g., when the row of characters was presented on the left or right side of the screen), most previous research has shown an interaction. In the present study, we investigated whether this interaction is affected by a multiplicative priming of the correct response occurring when both Simon and flanker irrelevant features co-activate the correct response (Exp. 1), a spatial overlap between Simon and flanker features (Exp. 2), and the learning of stimulus-response pairings (Exp. 3). The results only show an impact of multiplicative priming.

Behavioral and electrophysiological correlates of Simon and flanker conflict interference in younger and older adults

Conflict processing and interference control have been popular topics of research in the study of pathological brain aging. However, there remains much to be learned about how these cognitive processes are altered in the course of healthy brain aging. Moreover, few studies have combined multiple measures of interference control using factorial designs. The aim of this study was to determine the nature of age-related changes in behavioral and electroencephalographic correlates of interference control using a factorial combination of the Simon and flanker interference conditions. Data were collected from a group of younger and high-functioning older adults. Behavioral results indicated the presence of conflict interference effects in both groups, that both Simon and flanker conflict effects are increased in high-functioning older adults, that the two types of conflict interference interact superadditively, and that older adults are more susceptible to the superadditive costs of multiple conflict types. ERP analyses revealed that early perceptual and response-selection processes are differentially modulated by flanker and Simon conflict respectively, however, there was no evidence that these early processes were impaired in older adults. Later components of the ERP in the P3 time range mirrored behavioral results, reflecting the increased susceptibility to flanker and Simon conflict in older adults.

Effect of Background Music on Attentional Control in Older and Young Adults

Healthy aging may be accompanied by cognitive decline that includes diminished attentional control, an executive function that allows us to focus our attention while inhibiting distractors. Previous studies have demonstrated that background music can enhance some executive functions in both young and older adults. According to the Arousal-Mood Theory, the beneficial influence of background music on cognitive performance would be related to its ability to increase the arousal level of the listeners and to improve their mood. Consequently, stimulating and pleasant music might enhance attentional control. Therefore, the aims of this study were (1) to determine if the influence of background music, and more specifically its arousal level, might improve attentional control in older adults and (2) whether this effect is similar across older and young adults. Older and young adults performed a visuo-spatial flanker task during three auditory conditions: stimulating music, relaxing music, and silence. Participants had to indicate as fast and as accurately as possible the direction of a central arrow, which was flanked by congruent or incongruent arrows. As expected, reaction times were slower for the incongruent compared to congruent trials. Interestingly, this difference was significantly greater under the relaxing music condition compared to other auditory conditions. This effect was the same across both age groups. In conclusion, relaxing music seems to interfere with visuo-spatial attentional control compared to stimulating music and silence, regardless of age.

The neurocognitive underpinnings of the Simon effect: An integrative review of current research

For as long as half a century the Simon task - in which participants respond to a nonspatial stimulus feature while ignoring its position - has represented a very popular tool to study a variety of cognitive functions, such as attention, cognitive control, and response preparation processes. In particular, the task generates two theoretically interesting effects: the Simon effect proper and the sequential modulations of this effect. In the present study, we review the main theoretical explanations of both kinds of effects and the available neuroscientific studies that investigated the neural underpinnings of the cognitive processes underlying the Simon effect proper and its sequential modulation using electroencephalogram (EEG) and event-related brain potentials (ERP), transcranial magnetic stimulation (TMS), and functional magnetic resonance imaging (fMRI). Then, we relate the neurophysiological findings to the main theoretical accounts and evaluate their validity and empirical plausibility, including general implications related to processing interference and cognitive control. Overall, neurophysiological research supports claims that stimulus location triggers the creation of a spatial code, which activates a spatially compatible response that, in incompatible conditions, interferes with the response based on the task instructions. Integration of stimulus-response features plays a major role in the occurrence of the Simon effect (which is manifested in the selection of the response) and its modulation by sequential congruency effects. Additional neural mechanisms are involved in supporting the correct and inhibiting the incorrect response.

Benefits of Cochlear Implantation in Middle-Aged and Older Adults

Introduction

Nowadays cochlear implantation (CI) is the treatment of choice in adults in case conventional hearing devices fail. Besides speech perception, an improvement in quality of life and in cognitive performance has been reported. Thereby, the study focused on the impact of age.

Participants and Methods

Thirty middle-aged (MA) between 50 and 64 years and 41 older subjects (OA) aged 65 and older with bilateral severe hearing loss performed a comprehensive computer-based neurocognitive test battery (ALAcog) pre- and 12 months post-implantation. Besides, monosyllabic speech perception in quiet (Freiburg monosyllabic speech test), health-related quality of life (HR-QoL, Nijmegen Cochlear Implant Questionnaire) and depressive symptoms (GDS-15) have been assessed.

Results

Both age groups significantly improved in all three categories after 12 months. No differences were evaluated between MA and OA regarding speech perception and HR-QoL pre- and post-operatively. In contrast, cognitive performance differed between the age groups: pre-operatively OA performed worse in most neurocognitive subdomains like working memory (p=0.04), inhibition (p=0.004), processing speed (p=0.003) and mental flexibility (p=0.01), post-operatively MA outperformed OA only in inhibition (p=0.01). Age only slightly influenced cognitive performance in MA, whereas in OA age per se tremendously impacted on working memory (p=0.04), inhibition (p=0.02), memory (p=0.04) and mental flexibility (p=0.01). Educational level also affected processing speed, mental flexibility (p=0.01) and working memory (p=0.01). This was more pronounced in OA. In both age groups, hearing status had a strong effect on attentional tasks (p=0.01). In MA, depressive symptoms were more influential on cognitive functioning and on HR-QoL than in OA. Improvement in quality of life (p=0.0002) and working memory (p=0.001) was greater for those with a higher pre-operative depression score.

Conclusion

Speech perception and HR-QoL improved in hearing impaired, independently of age. Pre-operative differences in cognitive performance between OA and MA clearly attenuated 12 months after CI. Impact of comorbidities differed between age groups.

Can irrelevant but salient visual cues compensate for the age-related decline in cognitive conflict resolution?-An ERP study

We studied a Posner-type gaze-cued version of a Simon task to characterize age-related changes in visuospatial attention and inhibitory control. Earlier results had indicated that the direction of gaze is a strong social cue that speeds response times; so we wondered whether, as a task-irrelevant stimulus, it could compensate for age-related impairment of inhibitory processes in the elderly. Our results assessed the Simon effect by: reaction time, error rate, the P3 component and the lateralized readiness potential (LRP). We found that the Simon effect was larger in the older group confirming an increased sensitivity to interference and also suggesting a decreased inhibitory control in older adults. LRP results showed that aging and stimulus-response incongruency delayed the selection of the responses–indexed by longer s-LRP latency data–, and also decreased the efficiency of motor inhibition in the Simon task–the s-LRP amplitude of both wrong- and correct-side activation was larger in older adults, and the latency difference of these two components was longer in this age-group. Also a larger N2pc amplitude in the congruent, compared to incongruent gaze condition, showed an increased visuospatial attention when the gaze-cueing drew attention to the target stimulus. This gaze-cueing could not be ignored and hence it modified task processing in the older age group, which was evident in the incongruent Simon condition where the congruent gaze increased older adults’ reaction time and their error rate; but there was no difference observed in the congruent Simon condition. Since the anticipated facilitation of reaction times did not occur, we suggest that general slowing and decreased inhibitory functions in the elderly caused the social cue not to be a supporting stimulus but rather to be a further burden on their cognitive processing.

Adiposity is related to neuroelectric indices of motor response preparation in preadolescent children

OBJECTIVE

Event-related brain potentials (ERPs) have been utilized to study the cognitive implications of health-related behaviors, although many questions remain regarding the neural correlates underlying the cognition and adiposity relationship in childhood. Specifically, it is unknown whether excess fat mass is associated with the neural correlates of motor preparation and activation. The present work examined interrelationships between adiposity and ERPs that index inhibition, stimulus evaluation, and motor planning.

METHOD

To further elucidate the neural components of inhibitory control that are sensitive to adiposity, N2, P3, and response- and stimulus-locked Lateralized Readiness Potential (LRPs) were measured while preadolescent children completed an attentional inhibition task. Whole body percent adiposity was measured via dual-energy x-ray absorptiometry (DXA).

RESULTS

Adiposity was related to the response-locked LRP amplitudes and marginally to P3 amplitude during the incongruent trials, such that participants with less adiposity elicited larger LRP and P3 components. Furthermore, P3 was strongly related to participant reaction times, suggesting that while LRP is strongly associated with adiposity, P3 has a more direct relationship to behavioral task performance.

CONCLUSIONS

The results suggest that while different cognitive functions may be affected by health-related characteristics, stimulus evaluation and motor activation may be particularly sensitive to excess adiposity in children. These findings extend previous work implicating adiposity in cognitive health in the pediatric population.

STUDY IMPORTANCE

Clinical Registry Number: NCT02630667 at https://clinicaltrials.gov.

A Central Component of the N1 Event-Related Brain Potential Could Index the Early and Automatic Inhibition of the Actions Systematically Activated by Objects

Stimuli of the environment, like objects, systematically activate the actions they are associated to. These activations occur extremely fast. Nevertheless, behavioral data reveal that, in most cases, these activations are then automatically inhibited, around 100 ms after the occurrence of the stimulus. We thus tested whether this early inhibition could be indexed by a central component of the N1 event-related brain potential (ERP). To achieve that goal, we looked at whether this ERP component is larger in tasks that could increase the inhibition and in trials where reaction times (RTs) happen to be long. The illumination of a real space bar of a keyboard out of the dark was used as a stimulus. To maximize the modulation of the inhibition, the task participants had to perform was manipulated across blocks. A look-only task and a count task were used to increase inhibition and an immediate press task was used to decrease it. ERPs of the two block-conditions where presses had to be prevented and where the largest central N1s were predicted were compared to those elicited in the press task, differentiating the ERPs to the third of the trials where presses were the slowest from the ERPs to the third of the trials with the fastest presses. Despite larger negativities due to lateralized readiness potentials (LRPs) and despite greater attention likely in immediate press-trials, central N1s were found to be minimal for the fastest presses, intermediate for the slowest ones and maximal for the two no-press conditions. These results thus provide a strong support for the idea that the central N1 indexes an early and short lasting automatic inhibition of the actions systematically activated by objects. They also confirm that the strength of this automatic inhibition spontaneously fluctuates across trials and tasks. On the other hand, just before N1s, parietal P1s were found larger for fastest presses. They might thus index the initial activation of these actions. Finally, consistent with the idea that N300s index late inhibition processes, that occur preferentially when the task requires them, these ERPs were quasi absent for fast presses trials and much larger in the three other conditions.

Transient and sustained incentive effects on electrophysiological indices of cognitive control in younger and older adults

Preparing for upcoming events, separating task-relevant from task-irrelevant information and efficiently responding to stimuli all require cognitive control. The adaptive recruitment of cognitive control depends on activity in the dopaminergic reward system as well as the frontoparietal control network. In healthy aging, dopaminergic neuromodulation is reduced, resulting in altered incentive-based recruitment of control mechanisms. In the present study, younger adults (18-28 years) and healthy older adults (66-89 years) completed an incentivized flanker task that included gain, loss, and neutral trials. Event-related potentials (ERPs) were recorded at the time of incentive cue and target presentation. We examined the contingent negative variation (CNV), implicated in stimulus anticipation and response preparation, as well as the P3, which is involved in the evaluation of visual stimuli. Both younger and older adults showed transient incentive-based modulation of CNV. Critically, cue-locked and target-locked P3s were influenced by transient and sustained effects of incentives in younger adults, while such modulation was limited to a sustained effect of gain incentives on cue-P3 in older adults. Overall, these findings are in line with an age-related reduction in the flexible recruitment of preparatory and target-related cognitive control processes in the presence of motivational incentives.

A Non-linear Relationship Between Selective Attention and Associated ERP Markers Across the Lifespan

The ability to selectively attend to task-relevant information increases throughout childhood and decreases in older age. Here, we intended to investigate these opposing developmental trajectories, to assess whether gains and losses early and late in life are associated with similar or different electrophysiological changes, and to get a better understanding about the development in middle-adulthood. We (re-)analyzed behavioral and electrophysiological data of 211 participants, who performed a colored Flanker task while their Electroencephalography (EEG) was recorded. Participants were subdivided into six groups depending on their age, ranging from 8 to 83 years. We analyzed response speed and accuracy as well as the event replated potential (ERP) components P1 and N1, associated with visual processing and attention, N2 as marker of interference suppression and cognitive control, and P3 as a marker of cognitive updating and stimulus categorization. Response speed and accuracy were low early and later in life, with peak performance in young adults. Similarly, ERP latencies of all components and P1 and N1 amplitudes followed a u-shape pattern with shortest latencies and smallest amplitudes occurring in middle-age. N2 amplitudes were larger in children, and for incongruent stimuli in adults middle-aged and older. P3 amplitudes showed a parietal-to-frontal shift with age. Further, group-wise regression analyses suggested that children’s performance depended on cognitive processing speed, while older adults’ performance depended on cognitive resources. Together these results imply that different mechanisms restrict performance early and late in life and suggest a non-linear relationship between electrophysiological markers and performance in the Flanker task across the lifespan.

ERP correlates of cognitive control in children prenatally exposed to methadone or buprenorphine

Much is still unknown about the potential long-term effects of prenatal methadone and buprenorphine exposure. We examined neural correlates of cognitive control in 19 prenatally methadone and buprenorphine exposed and 21 nondrug exposed children, aged 9-11 years. Children performed a modified version of the Eriksen Flanker task, which taps into selective attention, conflict response, and response inhibition mechanisms. We investigated behavioral responses and the ERP components N1, P2, N2, P3, and the late positive component (LPC). Children in the exposed group showed normal cognitive control function. However, an atypical ERP response related to perceptual and attention allocation processes was found in the exposed group.

Effects of Mild Cognitive Impairment on the Event-Related Brain Potential Components Elicited in Executive Control Tasks

We summarize here the findings of several studies in which we analyzed the event-related brain potentials (ERPs) elicited in participants with mild cognitive impairment (MCI) and in healthy controls during performance of executive tasks. The objective of these studies was to investigate the neural functioning associated with executive processes in MCI. With this aim, we recorded the brain electrical activity generated in response to stimuli in three executive control tasks (Stroop, Simon, and Go/NoGo) adapted for use with the ERP technique. We found that the latencies of the ERP components associated with the evaluation and categorization of the stimuli were longer in participants with amnestic MCI than in the paired controls, particularly those with multiple-domain amnestic MCI, and that the allocation of neural resources for attending to the stimuli was weaker in participants with amnestic MCI. The MCI participants also showed deficient functioning of the response selection and preparation processes demanded by each task.

Can cochlear implantation improve neurocognition in the aging population?

Introduction

The relationship between cognition and the ability to hear is well known. Due to changes in demographics, the number of people with sensorineural hearing loss and cognitive impairment is increasing. The aim of this study was to identify the impact of hearing rehabilitation via cochlear implantation on cognitive decline among the aging population.

Patients and methods

This prospective study included 60 subjects aged between 50 and 84 years (mean 65.8 years, SD=8.9) with a severe to profound bilateral hearing impairment. A computer-based evaluation of short- and long-term memory, processing speed, attention, working memory and inhibition was performed prior to surgery as well as 6 and 12 months after cochlear implantation. Additionally, speech perception at 65 and 80 dB (Freiburger monosyllabic speech test) as well as disease-related (Nijmegen Cochlear Implant Questionnaire) and general (WHOQOL-OLD) quality of life were assessed.

Results

Six months postimplantation, speech perception, quality of life and also neurocognitive abilities significantly increased. The most remarkable improvement after 6 months was detected in executive functions such as attention (p<0.001), inhibition (p=0.025) and working memory (n-back: p=0.002; operation span task: p=0.008), followed by delayed recall (p=0.03). In contrast, long-term memory showed a significant change of performance only after 12 months (p=0.021). After 6 months, most cognitive domains remained stable, except working memory assessed by the operation span task, which significantly improved between 6 and 12 months (p<0.001). No correlation was found between cognitive results and duration of deafness, speech perception or quality of life.

Conclusion

Cochlear implantation does not only lead to better speech perception and quality of life, but has also been shown to improve cognitive skills in hearing impaired adults aged 50 years or more. These effects seem to be independent of each other.

Effects of age on inhibitory control are affected by task-specific features

Older adults have been argued to have impoverished inhibitory control compared to younger adults. However, these effects of age may depend on processing speed and their manifestation may furthermore depend on the type of inhibitory control task that is used. We present two experiments that examine age effects on inhibition across three tasks: a Simon arrow, static flanker and motion flanker task. The results showed overall slower reaction times (RTs) for older adults on all three tasks. However, effects of age on inhibition costs were only found for the Simon task, but not for the two flanker tasks. The motion flanker task furthermore showed an effect of baseline processing speed on the relation between age and inhibition costs. Older adults with slower baseline responses showed smaller inhibition costs, suggesting they were affected less by the flanker items than faster older adults. These findings suggest that effects of age on inhibition are task dependent and can be modulated by task-specific features such as the type of interference, type of stimuli and processing speed.

Application of a computer-based neurocognitive assessment battery in the elderly with and without hearing loss

INTRODUCTION

Due to demographic changes, the number of people suffering not only from dementia illness but also from hearing impairment with the need for hearing rehabilitation have increased noticeably. Even with the association between hearing, age, and cognitive decline being well known, this issue has so far not played an important role in daily clinical Ear Nose Throat settings. The aim of the present study was to evaluate the use of a computer-based battery of tests of neurocognitive abilities in older patients with and without hearing loss.

PATIENTS AND METHODS

A total of 120 patients aged 50 years and older were enrolled in this prospective clinical study: 40 patients suffered from severe bilateral hearing loss and were tested before cochlear implantation and 80 patients showed normal hearing thresholds between 500 and 4,000 Hz bilaterally. The test battery covered a wide range of cognitive abilities such as long- and short-term memory, working memory (WM), attention, inhibition, and other executive functions. Individuals with severe depression or cognitive impairment were excluded.

RESULTS

Hearing status was a significant predictor of performance on delayed recall (P=0.0082) and verbal fluency after adjusting for age (P=0.0016). Age predominantly impacted on inhibition (P=0.0039) and processing speed (P<0.0001), whereas WM measured by the Operation Span task (OSPAN) and the attention were influenced by both age and hearing. The battery of tests was feasible and practical for testing older patients without prior computer skills.

CONCLUSION

A computerized neurocognitive assessment battery may be a suitable tool for the elderly in clinical practice. While it cannot replace a thorough neuropsychological examination, it may help to draw the line between cognitive and hearing impairment in the elderly and enable the development of individual strategies for hearing rehabilitation.

The P3 Parietal-To-Frontal Shift Relates to Age-Related Slowing in a Selective Attention Task

Abstract. Older adults recruit relatively more frontal as compared to parietal resources in a variety of cognitive and perceptual tasks. It is not yet clear whether this parietal-to-frontal shift is a compensatory mechanism, or simply reflects a reduction in processing efficiency. In this study we aimed to investigate how the parietal-to-frontal shift with aging relates to selective attention. Fourteen young and 26 older healthy adults performed a color Flanker task under three conditions (incongruent, congruent, neutral) and event-related potentials (ERPs) were measured. The P3 was analyzed for the electrode positions Pz, Cz, and Fz as an indicator of the parietal-to-frontal shift. Further, behavioral performance and other ERP components (P1 and N1 at electrodes O1 and O2; N2 at electrodes Fz and Cz) were investigated. First young and older adults were compared. Older adults had longer response times, reduced accuracy, longer P3 latencies, and a more frontal distribution of P3 than young adults. These results confirm the parietal-to-frontal shift in the P3 with age for the selective attention task. Second, based on the differences between frontal and parietal P3 activity the group of older adults was subdivided into those showing a rather equal distribution of the P3 and older participants showing a strong frontal focus of the P3. Older adults with a more frontally distributed P3 had longer response times than participants with a more equally distributed P3. These results suggest that the frontally distributed P3 observed in older adults has no compensatory function in selective attention but rather indicates less efficient processing and slowing with age.

Effect of Aging on Motor Inhibition during Action Preparation under Sensory Conflict

Motor behaviors often require refraining from selecting options that may be part of the repertoire of natural response tendencies but that are in conflict with ongoing goals. The presence of sensory conflict has a behavioral cost but the latter can be attenuated in contexts where control processes are recruited because conflict is expected in advance, producing a behavioral gain compared to contexts where conflict occurs in a less predictable way. In the present study, we investigated the corticospinal correlates of these behavioral effects (both conflict-driven cost and context-related gain). To do so, we measured motor-evoked potentials (MEPs) elicited by transcranial magnetic stimulation (TMS) over the primary motor cortex (M1) of young and healthy older adults performing the Eriksen Flanker Task. Subjects performed button-presses according to a central arrow, flanked by irrelevant arrows pointing in the same (congruent trial) or opposite direction (incongruent trial). Conflict expectation was manipulated by changing the probability of congruent and incongruent trials in a given block. It was either high (mostly incongruent blocks, MIB, 80% incongruent trials) or low (mostly congruent blocks, MCB, 80% congruent). The MEP data indicate that the conflict-driven behavioral cost is associated with a strong increase in inappropriate motor activity regardless of the age of individuals, as revealed by larger MEPs in the non-responding muscle in incongruent than in congruent trials. However, this aberrant facilitation disappeared in both groups of subjects when conflict could be anticipated (i.e., in the MIBs) compared to when it occurred in a less predictably way (MCBs), probably allowing the behavioral gain observed in both the young and the older individuals. Hence, the ability to overcome and anticipate conflict was surprisingly preserved in the older adults. Nevertheless, some control processes are likely to evolve with age because the behavioral gain observed in the MIB context was associated with an attenuated suppression of MEPs at the time of the imperative signal (i.e., before conflict is actually detected) in older individuals, suggesting altered motor inhibition, compared to young individuals. In addition, the behavioral analysis suggests that young and older adults rely on different strategies to cope with conflict, including a change in speed-accuracy tradeoff.

Enhanced Impulsive Action Selection in Middle-Aged Adults-Insights From an Oculomotor Simon Task

Several studies have investigated the age-related impact in cognitive action control. However, to our knowledge, none of the studies have focused on the effect of moderate age on the strength of automatic activation according to the activation-suppression model. We therefore investigated the effect of moderate age on cognitive action control using an oculomotor version of the Simon task and distributional analyses. A group of middle-aged (n = 39; 57 ± 9 years) healthy adults were compared to a group of young healthy participants (n = 43; 24 ± 3 years). We first analyzed the overall impact of age on the congruence effect and then used conditional accuracy functions (CAFs) and delta plots to assess the strength of automatic activation and selective inhibition, respectively. Compared to young participants, middle-aged participants showed a greater congruence effect as well as higher rates of fast errors in conflict situations indicating an enhanced impulsive action selection. Furthermore, the overall downward slope of the congruence effect’s evolution was significantly steeper in older participants and the last slope tended to be significantly steeper. This may indicate that the middle-aged participants exerted a stronger selective inhibition. Our results suggest that middle-aged adults are more prone to impulsive action selection than young adults. Recent theories postulate that older adults might implement compensatory mechanisms to supply cognitive difficulties. This is in line with our results suggesting a potential greater selective inhibition. Overall, this study proposes that moderate aging impacts both processes of impulsive response selection and suppression underlying cognitive action control.

Driving Simulator Training Is Associated with Reduced Inhibitory Workload in Older Drivers

Background: In demanding cognitive tasks, older people mostly experience more problems than younger people, and their brain workload is higher. An overloaded or exhausted mental workload is frequently associated with unsafe driving behavior. In this paper, we hypothesize that 10 active training sessions in a driving simulator positively influence brain workload, which relates to a beneficial increase in on-road driving performance. Methods: Ninety-one healthy active drivers (62–87 years) were randomly assigned to: (a) a driving simulator-training group; (b) an attention-training group; or (c) a control group. The dependent variables of this training study were brain workload (theta Fz/alpha Pz), and performance in three tasks, for which inhibition of inadequate responses (Stroop, Negative Priming, and Flanker) is required. Seventy-seven participants (85% of the total sample) completed the training. Training gains were analyzed by using a multiple regression analysis with planned comparisons. Results: The results revealed that the driving simulator training reduced brain workload during performance of the inhibition tasks. The performance of the simulator group during the inhibition tasks did not improve, but the participants completed the tasks with less brain workload compared to the attention-training group. Conclusion: Adding to our first paper on the Drive-Wise project, this paper now focuses on the superiority of the driving simulator training, compared to attention-training in regards to reducing brain workload. The change in brain workload seems to be associated with a positive change in drivers’ behavior on the road. Hence, a driving simulator training lasting only ten sessions leads to beneficial neuroplastic changes. This demonstrates brain plasticity of older people and its possible positive influence in real driving behavior.

Conflict-Specific Aging Effects Mainly Manifest in Early Information Processing Stages-An ERP Study with Different Conflict Types

Aging is usually accompanied by alterations of cognitive control functions such as conflict processing. Recent research suggests that aging effects on cognitive control seem to vary with degree and source of conflict, and conflict specific aging effects on performance measures as well as neural activation patterns have been shown. However, there is sparse information whether and how aging affects different stages of conflict processing as indicated by event related potentials (ERPs) such as the P2, N2 and P3 components. In the present study, 19 young and 23 elderly adults performed a combined Flanker conflict and stimulus-response-conflict (SRC) task. Analysis of the reaction times (RTs) revealed an increased SRC related conflict effect in elderly. ERP analysis furthermore demonstrated an age-related increase of the P2 amplitude in response to the SRC task. In addition, elderly adults exhibited an increased P3 amplitude modulation induced by incongruent SRC and Flanker conflict trials.

Age differences in the Attention Network Test: Evidence from behavior and event-related potentials

The Attention Network Test (ANT) is widely used to capture group and individual differences in selective attention. Prior behavioral studies with younger and older adults have yielded mixed findings with respect to age differences in three putative attention networks (alerting, orienting, and executive control). To overcome the limitations of behavioral data, the current study combined behavioral and electrophysiological measures. Twenty-four healthy younger adults (aged 18-29years) and 24 healthy older adults (aged 60-76years) completed the ANT while EEG data were recorded. Behaviorally, older adults showed reduced alerting, but did not differ from younger adults in orienting or executive control. Electrophysiological components related to alerting and orienting (P1, N1, and CNV) were similar in both age groups, whereas components related to executive control (N2 and P3) showed age-related differences. Together these results suggest that comparisons of network effects between age groups using behavioral data alone may not offer a complete picture of age differences in selective attention, especially for alerting and executive control networks.

Executive Dysfunctions and Event-Related Brain Potentials in Patients with Amyotrophic Lateral Sclerosis

A growing body of evidence implies psychological disturbances in amyotrophic lateral sclerosis (ALS). Specifically, executive dysfunctions occur in up to 50% of ALS patients. The recently shown presence of cytoplasmic aggregates (TDP-43) in ALS patients and in patients with behavioral variants of frontotemporal dementia suggests that these two disease entities form the extremes of a spectrum. The present study aimed at investigating behavioral and electrophysiological indices of conflict processing in patients with ALS. A non-verbal variant of the flanker task demanded two-choice responses to target stimuli that were surrounded by flanker stimuli which either primed the correct response or the alternative response (the latter case representing the conflict situation). Behavioral performance, event-related potentials (ERP), and lateralized readiness potentials (LRP) were analyzed in 21 ALS patients and 20 controls. In addition, relations between these measures and executive dysfunctions were examined. ALS patients performed the flanker task normally, indicating preserved conflict processing. In similar vein, ERP and LRP indices of conflict processing did not differ between groups. However, ALS patients showed enhanced posterior negative ERP waveform deflections, possibly indicating increased modulation of visual processing by frontoparietal networks in ALS. We also found that the presence of executive dysfunctions was associated with more error-prone behavior and enhanced LRP amplitudes in ALS patients, pointing to a prefrontal pathogenesis of executive dysfunctions and to a potential link between prefrontal and motor cortical functional dysregulation in ALS, respectively.

Experienced stress produces inhibitory deficits in old adults' Flanker task performance: First evidence for lifetime stress effects beyond memory

Studies regarding aged individuals' performance on the Flanker task differ with respect to reporting impaired or intact executive control. Past work has explained this discrepancy by hypothesising that elderly individuals use increased top-down control mechanisms advantageous to Flanker performance. This study investigated this mechanism, focussing on cumulative experienced stress as a factor that may impact on its execution, thereby leading to impaired performance. Thirty elderly and thirty young participants completed a version of the Flanker task paired with electroencephalographic recordings of the alpha frequency, whose increased synchronisation indexes inhibitory processes. Among high stress elderly individuals, findings revealed a general slowing of reaction times for congruent and incongruent stimuli, which correlated with alpha desynchronisation for both stimulus categories. Results found high performing (low stress) elderly revealed neither a behavioural nor electrophysiological difference compared to young participants. Therefore, rather than impacting on top-down compensatory mechanisms, findings indicate that stress may affect elderly participants' inhibitory control in attentional and sensorimotor domains.