ERPs, semantic processing and age

Brain vital signs as a quantitative measure of cognition: Methodological implementation in a care home environment

Introduction

Managing cognitive function in care homes is a significant challenge. Individuals in care have a variety of scores across standard clinical assessments, such as the Mini-Mental Status Exam (MMSE), and many of them have scores that fall within the range associated with dementia. A recent methodological advance, brain vital sign monitoring through auditory event-related potentials, provides an objective and sensitive physiological measurement to track abnormalities, differences, or changes in cognitive function. Taking advantage of point-of-care accessibility, the current study evaluated the methodological feasibility, the assessment of whether a particular research method can be successfully implemented, of quantitatively measuring cognition of care home residents using brain vital signs. Secondarily, the current study examined the relationship between brain vital signs, specifically the cognitive processing associated N400 component, and MMSE scores in care home residents.

Materials and methods

Brain vital signs used the established N100 (auditory sensation), P300 (basic attention), and N400 (cognitive processing) event-related potential (ERP) components. A total of 52 residents were enrolled, with all participants evaluated using the MMSE. Participants were assigned into homogeneous groups based on their MMSE scores, and were categorized into low (n = 14), medium (n = 17), and high (n = 13) MMSE groups. Both brain vital sign measures and underlying ERP waveforms were examined. Statistical analyses used partial least squares correlation (PLS) analyses in which both MMSE and age were included as factors, as well as jackknife approaches, to test for significant brain vital sign changes.

Results

The current study successfully measured and analyzed standardized, quantifiable brain vital signs in a care home setting. ERP waveform data showed specific N400 changes between MMSE groups as a function of MMSE score. PLS analyses confirmed significant MMSE-related and age-related differences in the N400 amplitude (p < 0.05, corrected). Similarly, the jackknife approach emphasized the N400 latency difference between the low and high MMSE groups.

Discussion and conclusion

It was possible to acquire brain vital signs measures in care home residents. Additionally, the current study evaluated brain vital signs relative to MMSE in this group. The comparison revealed significant decreasing in N400 response amplitude (cognitive processing) as a function of both MMSE score and age, as well as a slowing of N400 latency. The findings indicate that objective neurophysiological measures of impairment are detectable in care home residents across the span of MMSE scores. Direct comparison to MMSE- and age-related variables represents a critical initial step ahead of future studies that will investigate relative improvements in sensitivity, validity, reliability and related advantages of brain vital sign monitoring.

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.

Semantic Processing in Healthy Aging and Alzheimer's Disease: A Systematic Review of the N400 Differences

Semantic deficits are common in individuals with Alzheimer’s disease (AD). These deficits notably impact the ability to understand words. In healthy aging, semantic knowledge increases but semantic processing (i.e., the ability to use this knowledge) may be impaired. This systematic review aimed to investigate semantic processing in healthy aging and AD through behavioral responses and the N400 brain event-related potential. The results of the quantitative and qualitative analyses suggested an overall decrease in accuracy and increase in response times in healthy elderly as compared to young adults, as well as in individuals with AD as compared to age-matched controls. The influence of semantic association, as measured by N400 effect amplitudes, appears smaller in healthy aging and even more so in AD patients. Thus, semantic processing differences may occur in both healthy and pathological aging. The establishment of norms of healthy aging for these outcomes that vary between normal and pathological aging could eventually help early detection of AD.

Age-related effects in compound production: Intact lexical representations but more effortful encoding

The production of nominal compounds in the presence of morphological, semantic, and unrelated distractor words (picture-word interference paradigm) was investigated in young (M = 27 years) and older (M = 70.5 years) German speakers to test models of speech production and lexical representation. Constituent distractors of compound targets (lip or stick for the target LIPSTICK) speeded compound naming, while naming was slowed by distractors that were categorically related to the compound as a whole (powder → LIPSTICK). Furthermore, no effects were obtained for distractors from the same category as the first constituent of compound targets in picture-naming latencies (toe → LIPSTICK). These effects were present in both age groups and indicate that compounds are stored holistically at the lemma level, and as morphemes at the word-form level, unaffected by age. Main effects of age revealed overall slower picture naming and less accurate responses in the elderly. Furthermore, older speakers showed stronger morphological facilitation, while semantic distractor effects were unaffected by age. In a non-verbal attentional control task (Simon task), older speakers were slower overall and showed larger processing costs than young speakers in the conflict (incongruent) condition. Our data replicate a decline in non-verbal attentional control with age and also reveal slower and more error-prone picture-naming in the elderly. These language-specific changes, however, seem to be independent from attentional control and are likely to result from less fluent morpho-phonological encoding in the elderly.

Effect of Aging on ERP Components of Cognitive Control

As people age, their performance on tasks requiring cognitive control often declines. Such a decline is frequently explained as either a general or specific decline in cognitive functioning with age. In the context of hypotheses suggesting a general decline, it is often proposed that processing speed generally declines with age. A further hypothesis is that an age-related compensation mechanism is associated with a specific cognitive decline. One prominent theory is the compensation hypothesis, which proposes that deteriorated functions are compensated for by higher performing functions. In this study, we used event-related potentials (ERPs) in the context of a GO/NOGO task to examine the age-related changes observed during cognitive control in a large group of healthy subjects aged between 18 and 84 years. The main question we attempted to answer was whether we could find neurophysiological support for either a general decline in processing speed or a compensation strategy. The subjects performed a relatively demanding cued GO/NOGO task with similar omissions and reaction times across the five age groups. The ERP waves of cognitive control, such as N2, P3cue and CNV, were decomposed into latent components by means of a blind source separation method. Based on this decomposition, it was possible to more precisely delineate the different neurophysiological and psychological processes involved in cognitive control. These data support the processing speed hypothesis because the latencies of all cognitive control ERP components increased with age, by 8 ms per decade for the early components (<200 ms) and by 20 ms per decade for the late components. At the same time, the compensatory hypothesis of aging was also supported, as the amplitudes of the components localized in posterior brain areas decreased with age, while those localized in the prefrontal cortical areas increased with age in order to maintain performance on this simple task at a relatively stable level.

Sex differences in two event-related potentials components related to semantic priming

Although sex differences in language processing are well documented in behavioral studies, only a few electrophysiological studies have explored this topic. We analyzed sex differences in two language-related components of event-related potentials (ERPs): the N400 and the Late Positive Complex (LPC). Ten men and 10 women, matched by age and handedness, participated in the study. Two semantic priming paradigms were presented: word pairs (60 congruent and 60 incongruent) and sentences (50 with congruent and 50 with incongruent ending words). In addition, the effect of context was investigated by a comparison between ERP effects obtained in single word priming and sentential priming. The N400 effect was earlier and larger in women, and the LPC effect was larger in men. Furthermore, the LPC effect in men, but not in women, was much larger with sentence priming than with word priming, suggesting that the LPC effect may be more dependent on context in men than in women. The opposite sex difference on the two ERP components indicates different underlying mechanisms. While the LPC effect is thought to be generated by purely explicit mechanisms, such as postlexical integrative processes, the N400 effect may be also governed by prelexical implicit and explicit mechanisms. Our results were consistent with the notion of more automated processing of language in women than in men.

Effects of ageing on cognitive task preparation as reflected by event-related potentials

OBJECTIVE

The anticipation of complex cognitive tasks involves effortful preparation being reflected in the contingent negative variation (CNV) of the event-related potential. In the literature there are contradictory results concerning the effect of age on this potential. We wanted to investigate effects of age, time-on-task, and task difficulty on the CNV.

METHOD

Young and middle-aged participants performed a visual search and a non-search task during an early and a late phase of a 6-h session.

RESULTS

Performance data revealed increased response times and error rates for middle-aged vs. young participants. Most importantly, an increased frontal CNV amplitude was found for the older participants, especially pronounced in the search task. A late positivity which was elicited to the offset of the preceding stimulus was increased for the middle-aged vs. young group in the visual search task only. There was no effect of time-on-task on performance, but the CNV became larger with time-on-task in the search task while it became smaller in the non-search task.

CONCLUSIONS

The results suggest an enhancement of effortful task preparation for middle-aged participants especially when the task is difficult.

SIGNIFICANCE

This underlines the role of the CNV as a neurophysiological indicator for effortful cognitive preparation.

Memory-related EEG power and coherence reductions in mild Alzheimer's disease

OBJECTIVES

To examine memory-related EEG power and coherence over temporal and central recording sites in patients with early Alzheimer's disease (AD) and normal controls.

METHOD

EEG was recorded from central (Fz, Cz and Pz) and temporal (T3 and T4) electrodes while ten very mild AD patients and ten controls performed a Sternberg-type memory scanning task with three levels of working memory load. Spectral power in delta (0-3 Hz), theta (3-5 Hz), lower alpha1 (5-7 Hz), lower alpha2 (7-9 Hz), upper alpha (9-11 Hz) and beta (15-30 Hz) was averaged for temporal and central electrodes. Coherence was averaged between central electrodes, between central and right temporal electrodes and between central and left temporal electrodes.

RESULTS

While behavioral performance of very mild AD patients did not differ significantly from that of normal controls, findings suggest that normal controls but not AD patients respond to memory demands by increasing upper alpha power over temporal cortex. When compared with normal controls, AD patients had reduced upper alpha coherence between central and right temporal cortex.

DISCUSSION

Results are consistent with previous research on the role of upper alpha in semantic memory and suggest that very mild AD may inhibit selective synchronization of upper alpha in temporal lobes. Reduced coherence between central and temporal cortex is discussed in light of a neurological model of AD that hypothesizes reduced electrocortical efficiency and a breakdown of neural network communication to temporal lobes possibly resulting from temporal lobe atrophy.

Event-Related Potentials and Cognitive Processing of Affectively Toned Words in Depression

Abstract Background: Depressed subjects and euthymic controls demonstrate differences in cognitive processing and brain electrophysiology. Contingent negative variation (CNV) and postimperative negative variation (PINV) was used to investigate the relationship between cognition and cortical event related potentials. Method: Electrophysiological responses and memory of different personality trait adjectives were measured in 15 patients with major depressive disorder and 15 euthymic controls. The words were presented acoustically to elicit event-related potentials. The subjects were asked to indicate whether the words were self-referential. Responses were measured separately for self referential and non-self referential, neutral, positively and negatively toned words. Results: Depressed patients chose more negative and fewer positive words as self-referential, though no significant differences between groups in CNV magnitude for any of the words were found. Persistence of cortical negativity after the motor response (PINV) was significantly (P < 0.02) greater in patients for all non-self-referential words, and reaction times were significantly longer for all words. Recall of positive words and recognition of all words were significantly impaired in patients. Conclusions: Both electrophysiological measures and memory tests found differences between depressed patients and controls, suggesting that the PINV wave may be a useful electrophysiological probe to clarify the neurophysiological basis of cognitive processes.

[Interindividual variability of contingent negative variation]

The use of CNV in clinical practice requires the choice of a standardised protocol, the constitution of reference normative data and the consideration of intra- and interindividual variability. For this purpose, we recorded CNV in 86 control subjects (44 men and 42 women, 18 to 62 years old (mean age = 34 +/- 13 years) during a reaction time paradigm with a warning signal and a 1-second S1-S2 interval. Moreover, the role of inter-stimulation interval was analysed in a group of 12 subjects through the comparison of recordings made with 1- and 3-second intervals. The CNV amplitude, its morphology and topographic distribution as well as its resolution mode and evolution through the recording were studied. The subjects' performances and their interactions with electroencephalographic data were also included in the analyses. Our results underscore the contribution of age and gender and psychological factors to CNV variability. CNV amplitude (both M1 and M2) increased and changed topographic distribution toward more central sites in older. Men had faster reaction times than women and lower post-S1 P300. Moreover, the life events-related stress and the subject's current anxiety level were accompanied by a decreased CNV amplitude.

Does cerebral activity change in middle-aged adults in a visual discrimination task?

The purpose of this study was to assess changes in cerebral activity in middle-aged adults (MA: 50 years) compared to young adults (YA: 20 years). Subjects had to compare the duration or the intensity of a visual stimulus with a previously memorized standard. Evoked potentials were recorded, and a dipole model (obtained from PET data on young adults) was applied for fitting late-latency components. MA performance was poorer than YA performance. Task-specific ERP late components were found (P3 in intensity, CNV in duration), but P3 had a lower amplitude and CNV was less frontal in MAs compared to YAs. The activity of the dipoles that generate late components - cuneus in the intensity task, right frontal in the duration task, and anterior cingulate in both tasks-was less ample or less peaked in MAs than in YAs. This study characterizes neurobiological effects of aging that may already be visible during midlife.

Age-related changes of evoked potentials

The aim of this review is to analyse the current state of our knowledge on evoked potentials (EPs) in ageing and to report some conclusions on the relation between EPs and elder age. Evoked potentials provide a measure of the function of sensory systems that change during the different stages of life. Each sensory system has its own time of maturation. The individuation of the exact period of life when brain ageing starts is difficult to define. Normally, the amplitude of EPs decreases, and their latency increases from adult to elder life. Many authors speculate that these modifications might depend on neuronal loss, changes in cell membrane, composition or senile plaques present in older patients, but there is no evidence that these changes might modify the cerebral function in healthy aged individuals. This review emphasises some incongruities present in different studies confirmed by daily neurophysiologic practice. Different techniques as event-related desynchronization (ERD), contingent negative variation (CNV) and Bereitschaftspotential, are available to study central neuronal changes in normal and pathologic ageing.

Disturbance of semantic processing in temporal lobe epilepsy demonstrated with scalp ERPs

We investigated event-related potentials (N400, LPC and CNV) elicited in temporal lobe epilepsy (TLE) patients and control subjects from scalp electrodes, using a word-pair category matching paradigm. Each prime consisted of a Japanese noun (constructed from 2-4 characters of the Hiragana) followed by a Chinese character (Kanji) as the target, the latter representing one of five semantic categories. There were two equally probable target conditions: match or mismatch. Each target was preceded by a prime, either belonging to, or not belonging to, the same semantic category. The subjects were required to respond with a specified button press to the given target, according to the condition. We found RTs to be longer under the mismatch condition in both subject groups. The N400 amplitude was reduced in TLE subjects under both conditions, although LPC and CNV amplitudes showed no significant differences. These results suggest that scalp N400 is capable of demonstrating disturbance of semantic processing in TLE non-invasively.