The auditory event-related potential is a stable and reliable measure in elderly subjects over a 3 year period

A multidimensional characterization of the neurocognitive architecture underlying age-related temporal speech processing

Healthy aging is often associated with speech comprehension difficulties in everyday life situations despite a pure-tone hearing threshold in the normative range. Drawing on this background, we used a multidimensional approach to assess the functional and structural neural correlates underlying age-related temporal speech processing while controlling for pure-tone hearing acuity. Accordingly, we combined structural magnetic resonance imaging and electroencephalography, and collected behavioral data while younger and older adults completed a phonetic categorization and discrimination task with consonant-vowel syllables varying along a voice-onset time continuum. The behavioral results confirmed age-related temporal speech processing singularities which were reflected in a shift of the boundary of the psychometric categorization function, with older adults perceiving more syllable characterized by a short voice-onset time as /ta/ compared to younger adults. Furthermore, despite the absence of any between-group differences in phonetic discrimination abilities, older adults demonstrated longer N100/P200 latencies as well as increased P200 amplitudes while processing the consonant-vowel syllables varying in voice-onset time. Finally, older adults also exhibited a divergent anatomical gray matter infrastructure in bilateral auditory-related and frontal brain regions, as manifested in reduced cortical thickness and surface area. Notably, in the younger adults but not in the older adult cohort, cortical surface area in these two gross anatomical clusters correlated with the categorization of consonant-vowel syllables characterized by a short voice-onset time, suggesting the existence of a critical gray matter threshold that is crucial for consistent mapping of phonetic categories varying along the temporal dimension. Taken together, our results highlight the multifaceted dimensions of age-related temporal speech processing characteristics, and pave the way toward a better understanding of the relationships between hearing, speech and the brain in older age.

Enhancing precision in human neuroscience

Human neuroscience has always been pushing the boundary of what is measurable. During the last decade, concerns about statistical power and replicability - in science in general, but also specifically in human neuroscience - have fueled an extensive debate. One important insight from this discourse is the need for larger samples, which naturally increases statistical power. An alternative is to increase the precision of measurements, which is the focus of this review. This option is often overlooked, even though statistical power benefits from increasing precision as much as from increasing sample size. Nonetheless, precision has always been at the heart of good scientific practice in human neuroscience, with researchers relying on lab traditions or rules of thumb to ensure sufficient precision for their studies. In this review, we encourage a more systematic approach to precision. We start by introducing measurement precision and its importance for well-powered studies in human neuroscience. Then, determinants for precision in a range of neuroscientific methods (MRI, M/EEG, EDA, Eye-Tracking, and Endocrinology) are elaborated. We end by discussing how a more systematic evaluation of precision and the application of respective insights can lead to an increase in reproducibility in human neuroscience.

Longitudinal Evidence for Attenuated Local-Global Deviance Detection as a Precursor of Working Memory Decline

From the perspective of predictive coding, normal aging is accompanied by decreased weighting of sensory inputs and increased reliance on predictions, resulting in the attenuation of prediction errors in older age. Recent electroencephalography (EEG) research further revealed that the age-related shift from sensorium to predictions is hierarchy-selective, as older brains show little reduction in lower-level but significant suppression in higher-level prediction errors. Moreover, the disrupted propagation of prediction errors from the lower-level to the higher-level seems to be linked to deficient maintenance of information in working memory. However, it is unclear whether the hierarchical predictive processing continues to decline with advancing age as working memory. Here, we longitudinally followed a sample of 78 participants from three age groups (including seniors, adults, and adolescents) over three years' time. Seniors exhibited largely preserved local processing [consisting of comparable mismatch negativity (MMN), delayed P3a, and comparable reorienting negativity (RON)] but significantly compromised global processing (consisting of suppressed frontocentral negativity and suppressed P3b) in the auditory local-global paradigm. These electrophysiological responses did not change with the passing of time, unlike working memory which deteriorated with advancing age. Correlation analysis further showed that these electrophysiological responses signaling prediction errors are indicative of concurrent working memory. Moreover, there was a correlation between earlier predictive processing and later working memory but not between earlier working memory and later predictive processing. The temporal asymmetry suggested that the hierarchy-selective attenuation of prediction errors is likely a precursor of working memory decline.

Reliability and stability of oddball P300 amplitude in older adults: The role of stimulus sequence effects

The P300 may be an individual difference marker of neuro-cognitive function, which due to age-related cognitive decline may be particularly useful in older adults. Recently, we reported effects of the local stimulus sequence in an oddball task (i.e., the number of non-targets that preceded a target) on P300 amplitude in young and older adults. The same older adults completed a second session of the task 4-8 months after the first session. Here, we examined the effect of the stimulus sequence on the between- and within-session reliability and stability of P300 amplitude and RT, and their intertrial variability, in this sample of older adults. The sequence effects - an inverted U-shape effect of the number of standards preceding a target on parietal P300, and a linear effect on frontal P300 - were stable within and across sessions on the group level. Within individuals, P300 amplitude at frontal and parietal electrodes was generally very reliable and stable, mostly independently of sequence effects, encouraging its use as an individual difference marker of neuro-cognitive function in older adults. However, measures of the strength of the sequence effects themselves showed unacceptable reliability, speaking against their use as individual difference markers, at least in older adults.

Test-Retest Reliability of Event-Related Potentials Across Three Tasks

Abstract. Event-related potentials (ERPs) constitute a useful and cost-effective method to assess the neural underpinnings of multiple cognitive processes. ERPs have been used to track changes in cognitive processes in longitudinal and clinical studies. However, few studies have assessed their test-retest reliability (i.e., their consistency across time). Therefore, in the current study, we aimed to assess the test-retest reliability of ERPs (P100, N100, P200, N200, P3b, lateralized readiness potentials) across three tasks. In two assessments separated by approximately 4 months, ERPs were recorded in 26 healthy participants, during two oddball tasks (motor and counting) and a stimulus-response compatibility paradigm. Pearson’s correlations and intraclass correlations were used to assess the test-retest reliability of ERPs. Correlations between ERPs elicited by the three tasks were assessed with Pearson’s correlations. Our analyses revealed moderate to very strong test-retest reliability for most ERP components across the three tasks. Test-retest reliability did not differ between the motor and counting oddball tasks. Most ERPs were also correlated across paradigms. Therefore, these results confirm that ERPs have the potential to be reliable markers to serve as robust assessment tools in longitudinal or clinical studies.

Why do humans have unique auditory event-related fields? Evidence from computational modeling and MEG experiments

Auditory event-related fields (ERFs) measured with magnetoencephalography (MEG) are useful for studying the neuronal underpinnings of auditory cognition in human cortex. They have a highly subject-specific morphology, albeit certain characteristic deflections (e.g., P1m, N1m, and P2m) can be identified in most subjects. Here, we explore the reason for this subject-specificity through a combination of MEG measurements and computational modeling of auditory cortex. We test whether ERF subject-specificity can predominantly be explained in terms of each subject having an individual cortical gross anatomy, which modulates the MEG signal, or whether individual cortical dynamics is also at play. To our knowledge, this is the first time that tools to address this question are being presented. The effects of anatomical and dynamical variation on the MEG signal is simulated in a model describing the core-belt-parabelt structure of the auditory cortex, and with the dynamics based on the leaky-integrator neuron model. The experimental and simulated ERFs are characterized in terms of the N1m amplitude, latency, and width. Also, we examine the waveform grand-averaged across subjects, and the standard deviation of this grand average. The results show that the intersubject variability of the ERF arises out of both the anatomy and the dynamics of auditory cortex being specific to each subject. Moreover, our results suggest that the latency variation of the N1m is largely related to subject-specific dynamics. The findings are discussed in terms of how learning, plasticity, and sound detection are reflected in the auditory ERFs. The notion of the grand-averaged ERF is critically evaluated.

Reliability of P3 Event-Related Potential During Working Memory Across the Spectrum of Cognitive Aging

Event-related potentials (ERPs) offer unparalleled temporal resolution in tracing distinct electrophysiological processes related to normal and pathological cognitive aging. The stability of ERPs in older individuals with a vast range of cognitive ability has not been established. In this test-retest reliability study, 39 older individuals (age 74.10 (5.4) years; 23 (59%) women; 15 non β-amyloid elevated, 16 β-amyloid elevated, 8 cognitively impaired) with scores on the Montreal Cognitive Assessment (MOCA) ranging between 3 and 30 completed a working memory (n-back) test with three levels of difficulty at baseline and 2-week follow-up. The main aim was to evaluate stability of the ERP on grand averaged task effects for both visits in the total sample (n = 39). Secondary aims were to evaluate the effect of age, group (non β-amyloid elevated; β-amyloid elevated, cognitively impaired), cognitive status (MOCA), and task difficulty on ERP reliability. P3 peak amplitude and latency were measured in predetermined channels. P3 peak amplitude at Fz, our main outcome variable, showed excellent reliability in 0-back (intraclass correlation coefficient (ICC), 95% confidence interval = 0.82 (0.67-0.90) and 1-back (ICC = 0.87 (0.76-0.93), however, only fair reliability in 2-back (ICC = 0.53 (0.09-0.75). Reliability of P3 peak latencies was substantially lower, with ICCs ranging between 0.17 for 2-back and 0.54 for 0-back. Generalized linear mixed models showed no confounding effect of age, group, or task difficulty on stability of P3 amplitude and latency of Fz. By contrast, MOCA scores tended to negatively correlate with P3 amplitude of Fz (p = 0.07). We conclude that P3 peak amplitude, and to lesser extent P3 peak latency, provide a stable measure of electrophysiological processes in older individuals.

Reliability analysis of individual visual P1 and N1 maps indicates the heterogeneous topographies involved in early visual processing among human subjects

There is a lack of studies regarding the reliability of the event-related components (ERPs) of an electroencephalogram (EEG) used to assess cognitive processing in human subjects. To explore the reliability scores for the P1 and N1 components in two sessions (separated by an average of 116 days), twenty subjects performed a visual lateralized detection paradigm and EEG recording (58 channels) were employed. The session factor did not modulate the P1/N1 latencies. The visual field factor (left (LVF) or right (RVF)) was a determinant for the P1 and N1 topographical distributions as shown in previous studies. Moreover, topographical maps of the grand average showed a very strong correlation level between sessions (>0.9). Finally, individual maps demonstrated that the classic contralateral pattern for the P1 and N1 components was not always present in all subjects. In particular, compared to the N1 component, the P1 component exhibited a more complex set of individual topographical distributions, revealing that some steps are more heterogeneous among human subjects in early visual processing.

Meta-analysis of auditory P50 sensory gating in schizophrenia and bipolar disorder

The ability of the brain to reduce the amount of trivial or redundant sensory inputs is called gating function. Dysfunction of sensory gating may lead to cognitive fragmentation and poor real-world functioning. The auditory dual-click paradigm is a pertinent neurophysiological measure of sensory gating function. This meta-analysis aimed to examine the subcomponents of abnormal P50 waveforms in bipolar disorder and schizophrenia to assess P50 sensory gating deficits and examine effects of diagnoses, illness states (first-episode psychosis vs. schizophrenia, remission vs. episodes in bipolar disorder), and treatment status (medication-free vs. medicated). Literature search of PubMed between Jan 1st 1980 and March 31st 2019 identified 2091 records for schizophrenia, 362 for bipolar disorder. 115 studies in schizophrenia (4932 patients), 16 in bipolar disorder (975 patients) and 10 in first-degree relatives (848 subjects) met the inclusion criteria. P50 sensory gating ratio (S2/S1) and S1-S2 difference were significantly altered in schizophrenia, bipolar disorder and their first-degree relatives. First-episode psychosis did not differ from schizophrenia, however episodes altered P50 sensory gating in bipolar disorder. Medications improve P50 sensory gating alterations in schizophrenia significantly and at trend level in bipolar disorder. Future studies should examine longitudinal course of P50 sensory gating in schizophrenia and bipolar disorder.

Long-Term Test-Retest Reliability of Auditory Gamma Oscillations Between Different Clinical EEG Systems

OBJECTIVE

There is increasing interest in the utility of gamma-band activity for assessing various brain functions, including perception, language, memory, and cognition. The auditory steady-state response (ASSR) involves neural activity in the brain elicited by trains of a click sound, and its maximum response is obtained at 40 Hz (40-Hz ASSR). Abnormalities of the 40-Hz ASSR are also widely reported in patients with schizophrenia. Thus, the test-retest reliability of the ASSR is important for its clinical and translational application. However, there are only limited studies reporting the short-term reliability between acquisitions at two time points made using the same electroencephalogram (EEG) system. Furthermore, the long-term reliability between multiple EEG systems and the reliability of spontaneous gamma activity are unknown but are crucial for multicenter collaborative research.

METHODS

We examined the long-term test-retest reliability of 40-Hz ASSR oscillatory activities indexed by the phase locking factor (PLF), evoked power, and (non-phase-locked) induced power between two clinical 19-electrode EEG systems [recorded twice for EEG-1 (time1 and time2) and EEG-2 (time3 and time4)] at four time points from 14 healthy controls over a duration of 5 months. Test-retest reliability was examined using intraclass correlation coefficients (ICCs).

RESULTS

Both PLF and evoked power showed good to excellent ICCs (>0.60), mainly in the Fz-electrode, both within each EEG system-EEG-1 [(time1 vs. time2) PLF: ICC = 0.66, evoked power: ICC = 0.88] and EEG-2 [(time3 vs. time4) PLF: ICC = 0.82, evoked power: ICC = 0.77]-and between the two EEG systems [(EEG-1 vs. EEG-2) PLF: ICC = 0.73, evoked power: ICC = 0.84]. In contrast, induced power showed the highest (excellent) ICC between the two EEG systems (ICC = 0.95) mainly in the Cz-electrode. For PLF, the Fz-electrode showed better test-retest reliability across all EEG recordings than the Cz-electrode (Fz: ICC = 0.67, Cz: ICC = 0.63), whereas we found similar excellent reproducibility across all EEG recordings from both electrodes for evoked power (Fz: ICC = 0.79, Cz: ICC = 0.77) and induced power (Fz: ICC = 0.79, Cz: ICC = 0.80).

CONCLUSION

The 40-Hz ASSR oscillatory activities, including induced power, showed excellent test-retest reliability, even when using different EEG systems over a duration of 5 months. These findings confirm the utility of the 40-Hz ASSR as a reliable clinical and translatable biomarker for multicenter collaborative research.

Behavioral and Electrophysiological Assessment of Adults Who Underwent Cochlear Implantation After Hearing Aid Experience

Introduction  Cochlear implantation has been considered a viable option to restore hearing perception in adults with severe to profound postlingual hearing loss. Objectives  To analyze behavioral hearing responses and P300 latency and amplitude measurements in adults with bilateral sensorineural hearing loss at two phases, first when they were using hearing aids (HAs) and, then, after 12 months of cochlear implant (CI) use. The association between behavioral and electrophysiological evaluations was explored, as it is believed that the study of auditory processing with different hearing devices can contribute to future CI adjustments and fittings, especially for patients who cannot give subjective feedback (such as small children and individuals with multiple disabilities). Methods  Prospective comparative study (Ethical approval 11489/2014). Twelve adults were assessed, 7 males and 5 females, in the 22 to 76 years old age range, who had undergone CI surgery after HA experience. Results  The analyses showed an improvement of hearing thresholds when patients started using CIs. Comparing data from P300 latency measurements, there was an increase of the P300 wave post-CI at Cz and Fz. Regarding the amplitude, P300 mean values decreased at Cz, but increased at Fz. There was no significant correlation between behavioral and electrophysiological assessment and the variables age, gender, auditory deprivation, and electronic device used. Conclusion  There was a significant improvement of hearing thresholds after twelve months of CI experience. The mean latency values of P300 after 12 months of CI use increased at Cz and Fz, while mean amplitude values decreased at Cz and increased at Fz.

Markers of Novelty Processing in Older Adults Are Stable and Reliable

Exploratory behavior and responsiveness to novelty play an important role in maintaining cognitive function in older adults. Inferences about age- or disease-related differences in neural and behavioral responses to novelty are most often based on results from single experimental testing sessions. There has been very limited research on whether such findings represent stable characteristics of populations studied, which is essential if investigators are to determine the result of interventions aimed at promoting exploratory behaviors or draw appropriate conclusions about differences in the processing of novelty across diverse clinical groups. The goal of the current study was to investigate the short-term test-retest reliability of event-related potential (ERP) and behavioral responses to novel stimuli in cognitively normal older adults. ERPs and viewing durations were recorded in 70 healthy older adults participating in a subject-controlled visual novelty oddball task during two sessions occurring 7 weeks apart. Mean midline P3 amplitude and latency, mean midline amplitude during successive 50 ms intervals, temporospatial factors derived from principal component analysis (PCA), and viewing duration in response to novel stimuli were measured during each session. Analysis of variance (ANOVA) revealed no reliable differences in the value of any measurements between Time 1 and 2. Intraclass correlation coefficients (ICCs) between Time 1 and 2 were excellent for mean P3 amplitude (ICC = 0.86), the two temporospatial factors consistent with the P3 components (ICC of 0.88 and 0.76) and viewing duration of novel stimuli (ICC = 0.81). Reliability was only fair for P3 peak latency (ICC = 0.56). Successive 50 ms mean amplitude measures from 100 to 1,000 ms yielded fair to excellent reliabilities, and all but one of the 12 temporospatial factors identified demonstrated ICCs in the good to excellent range. We conclude that older adults demonstrate substantial stability in ERP and behavioral responses to novel visual stimuli over a 7-week period. These results suggest that older adults may have a characteristic way of processing novelty that appears resistant to transient changes in their environment or internal states, which can be indexed during a single testing session. The establishment of reliable measures of novelty processing will allow investigators to determine whether proposed interventions have an impact on this important aspect of behavior.

Objective Identification of Simulated Cochlear Implant Settings in Normal-Hearing Listeners Via Auditory Cortical Evoked Potentials

OBJECTIVES

Providing cochlear implant (CI) patients the optimal signal processing settings during mapping sessions is critical for facilitating their speech perception. Here, we aimed to evaluate whether auditory cortical event-related potentials (ERPs) could be used to objectively determine optimal CI parameters.

DESIGN

While recording neuroelectric potentials, we presented a set of acoustically vocoded consonants (aKa, aSHa, and aNa) to normal-hearing listeners (n = 12) that simulated speech tokens processed through four different combinations of CI stimulation rate and number of spectral maxima. Parameter settings were selected to feature relatively fast/slow stimulation rates and high/low number of maxima; 1800 pps/20 maxima, 1800/8, 500/20 and 500/8.

RESULTS

Speech identification and reaction times did not differ with changes in either the number of maxima or stimulation rate indicating ceiling behavioral performance. Similarly, we found that conventional univariate analysis (analysis of variance) of N1 and P2 amplitude/latency failed to reveal strong modulations across CI-processed speech conditions. In contrast, multivariate discriminant analysis based on a combination of neural measures was used to create "neural confusion matrices" and identified a unique parameter set (1800/8) that maximally differentiated speech tokens at the neural level. This finding was corroborated by information transfer analysis which confirmed these settings optimally transmitted information in listeners' neural and perceptual responses.

CONCLUSIONS

Translated to actual implant patients, our findings suggest that scalp-recorded ERPs might be useful in determining optimal signal processing settings from among a closed set of parameter options and aid in the objective fitting of CI devices.

Test-Retest of Long Latency Auditory Evoked Potentials (P300) with Pure Tone and Speech Stimuli

Introduction Long latency auditory evoked potentials, especially P300, have been used for clinical evaluation of mental processing. Many factors can interfere with Auditory Evoked Potential - P300 results, suggesting large intra and inter-subject variations.

Objective The objective of the study was to identify the reliability of P3 components (latency and amplitude) over 4–6 weeks and the most stable auditory stimulus with the best test-retest agreement.

Methods Ten normal-hearing women participated in the study. Only subjects without auditory processing problems were included. To determine the P3 components, we elicited long latency auditory evoked potential (P300) by pure tone and speech stimuli, and retested after 4–6 weeks using the same parameters. We identified P300 latency and amplitude by waveform subtraction.

Results We found lower coefficient of variation values in latency than in amplitude, with less variability analysis when speech stimulus was used. There was no significant correlation in latency measures between pure tone and speech stimuli, and sessions. There was a significant intrasubject correlation between measures of latency and amplitude.

Conclusion These findings show that amplitude responses are more robust for the speech stimulus when compared with its pure tone counterpart. The P300 indicated stability for latency and amplitude measures when the test-retest was applied. Reliability was higher for amplitude than for latency, with better agreement when the pure tone stimulus was used. However, further research with speech stimulus is needed to clarify how these stimuli are processed by the nervous system.

Contralateral Noise Stimulation Delays P300 Latency in School-Aged Children

Background and Objective

The auditory cortex modulates auditory afferents through the olivocochlear system, which innervates the outer hair cells and the afferent neurons under the inner hair cells in the cochlea. Most of the studies that investigated the efferent activity in humans focused on evaluating the suppression of the otoacoustic emissions by stimulating the contralateral ear with noise, which assesses the activation of the medial olivocochlear bundle. The neurophysiology and the mechanisms involving efferent activity on higher regions of the auditory pathway, however, are still unknown. Also, the lack of studies investigating the effects of noise on human auditory cortex, especially in peadiatric population, points to the need for recording the late auditory potentials in noise conditions. Assessing the auditory efferents in schoolaged children is highly important due to some of its attributed functions such as selective attention and signal detection in noise, which are important abilities related to the development of language and academic skills. For this reason, the aim of the present study was to evaluate the effects of noise on P300 responses of children with normal hearing.

Methods

P300 was recorded in 27 children aged from 8 to 14 years with normal hearing in two conditions: with and whitout contralateral white noise stimulation.

Results

P300 latencies were significantly longer at the presence of contralateral noise. No significant changes were observed for the amplitude values.

Conclusion

Contralateral white noise stimulation delayed P300 latency in a group of school-aged children with normal hearing. These results suggest a possible influence of the medial olivocochlear activation on P300 responses under noise condition.

Paying attention to my voice or yours: An ERP study with words

Self-related stimuli-such as one's own face or name-seem to be processed differently from non-self stimuli and to involve greater attentional resources, as indexed by larger amplitude of the P3 event-related potential (ERP) component. Nonetheless, the differential processing of self-related vs. non-self information using voice stimuli is still poorly understood. The present study investigated the electrophysiological correlates of processing self-generated vs. non-self voice stimuli, when they are in the focus of attention. ERP data were recorded from twenty right-handed healthy males during an oddball task comprising pre-recorded self-generated (SGV) and non-self (NSV) voice stimuli. Both voices were used as standard and deviant stimuli in distinct experimental blocks. SGV was found to elicit more negative N2 and more positive P3 in comparison with NSV. No association was found between ERP data and voice acoustic properties. These findings demonstrated an earlier and later attentional bias to self-generated relative to non-self voice stimuli. They suggest that one's own voice representation may have a greater affective salience than an unfamiliar voice, confirming the modulatory role of salience on P3.

Insights from ERPs into attention during recovery after cerebellar stroke: a case report

The role of the cerebellum in cognitive performance and attentional processes is a focus of research in recent years. We investigated the P300 component in a patient with a left posterior cerebellar ischemic stroke during both the acute phase and over 4 weeks of follow-up. After stroke, auditory event-related potentials showed a reduction in P3 amplitude, which appears to improve instead after 4 weeks of follow-up. These event-related potential findings could suggest a specific neural pattern of disruption in selective attention during the discrimination processes of the stimulus following a posterior cerebellar lesion. A recovery is observed in the long term.

Retest reliability of individual p3 topography assessed by high density electroencephalography

BACKGROUND

Some controversy remains about the potential applicability of cognitive potentials for evaluating the cerebral activity associated with cognitive capacity. A fundamental requirement is that these neurophysiological parameters show a high level of stability over time. Previous studies have shown that the reliability of diverse parameters of the P3 component (latency and amplitude) ranges between moderate and high. However, few studies have paid attention to the retest reliability of the P3 topography in groups or individuals. Considering that changes in P3 topography have been related to different pathologies and healthy aging, the main objective of this article was to evaluate in a longitudinal study (two sessions) the reliability of P3 topography in a group and at the individual level.

RESULTS

The correlation between sessions for P3 topography in the grand average of groups was high (r = 0.977, p<0.001). The within-subject correlation values ranged from 0.626 to 0.981 (mean: 0.888). In the between-subjects topography comparisons, the correlation was always lower for comparisons between different subjects than for within-subjects correlations in the first session but not in the second session.

CONCLUSIONS

The present study shows that P3 topography is highly reliable for group analysis (comprising the same subjects) in different sessions. The results also confirmed that retest reliability for individual P3 maps is suitable for follow-up studies for a particular subject. Moreover, P3 topography appears to be a specific marker considering that the between-subjects correlations were lower than the within-subject correlations. However, P3 topography appears more similar between subjects in the second session, demonstrating that is modulated by experience. Possible clinical applications of all these results are discussed.

Advances in electrophysiology in the diagnosis of behavioral disorders

INTRODUCTION

Diagnosis in psychiatry remains largely subjective. Developing biological observations in psychiatric disorders into laboratory-based diagnostic tests can significantly impact diagnosis and management of these disorders. Diagnostic electrophysiological techniques are non-invasive and relatively inexpensive.

AREAS COVERED

In this review, the authors propose that enough knowledge has accumulated to allow the establishment of psychiatry-based clinical electrophysiology laboratories (PCELs). A brief summary of established clinical indications for electrophysiology tests, summary of highly promising technologies and a presentation of a proposed four-step approach to facilitate the translation of promising biological observations into diagnostic tests are provided. The reader should develop an appreciation of the current status of the clinical applications of psychiatric electrophysiology. The authors propose to capitalize on the widely accepted indication to rule out medical causes of psychiatric symptoms (e.g., epileptic activity) to begin developing PCELs as the equipment and skills necessary are basic to the entire discipline. The potential impact of the growing knowledge on the practice of psychiatry is explored to update clinicians and administrators as they develop laboratory and service plans.

EXPERT OPINION

Psychiatric electrophysiology currently plays a limited role in the diagnosis and management in psychiatry. This status is not supported by the existing literature. The underutilization of electrophysiological tests in psychiatry is propagated by the fact that the laboratories providing the service are not managed by psychiatrists. The authors propose that the first steps are to establish such laboratories and train psychiatrists to competently provide the service.

Longer term test-retest reliability of error-related brain activity

The error-related negativity (ERN) is a negative deflection in the event-related potential (ERP) following an erroneous response and is thought to reflect activity of the anterior cingulate cortex. There is accumulating evidence that the component has trait-like properties; prior evidence further suggests test-retest reliability estimates ranging from .40 to .82 over a period of 2 to 6 weeks. The present study examined temporal stability over a longer time period. Error-related brain activity was recorded from 26 subjects during an arrow version of the flankers task on two occasions separated by 1.5 to 2.5 years. Depending on the scoring method, test-retest reliability of the ERN ranged from .56 to .67. These data are consistent with previous suggestions that the ERN is a moderately stable, trait-like neural measure.

Neurophysiological measures of sensory registration, stimulus discrimination, and selection in schizophrenia patients

Cortical Neurophysiological event related potentials (ERPs) are multidimensional measures of information processing that are well suited to efficiently parse automatic and controlled components of cognition that span the range of deficits exhibited in schizophrenia patients. Components following a stimulus reflect the sequence of neural processes triggered by the stimulus, beginning with early automatic sensory processes and proceeding through controlled decision and response related processes. Previous studies employing ERP paradigms have reported deficits of information processing in schizophrenia across automatic through attention dependent processes including sensory registration (N1), automatic change detection (MMN), the orienting or covert shift of attention towards novel or infrequent stimuli (P3a), and attentional allocation following successful target detection processes (P3b). These automatic and attention dependent information components are beginning to be recognized as valid targets for intervention in the context of novel treatment development for schizophrenia and related neuropsychiatric disorders. In this review, we describe three extensively studied ERP components (N1, mismatch negativity, P300) that are consistently deficient in schizophrenia patients and may serve as genetic endophenotypes and as quantitative biological markers of response outcome.

Retest reliability of medial frontal negativities during performance monitoring

The error-related negativity (ERN) and feedback-related negativity (FRN) have been used as electrophysiological indices of performance monitoring produced in response to internally generated (errors) and externally generated (feedback) activations of the anterior cingulate cortex (ACC). No studies to date have systematically examined the measurement reliability of these components. In this article, we present the retest reliability of the ERN and FRN during response tasks designed to elicit errors or feedback responses on two occasions. Data from four experiments are presented in which participants performed tasks over various periods of time. Results indicate good retest reliability of the ERN and FRN amplitudes and source generation of these components. The present article provides important validation of the ERN and FRN as stable and trait-like electrophysiological reflections of performance monitoring and ACC functional integrity.

The effects of immediate and short-term retest on the latencies and amplitudes of the auditory event-related potentials in healthy adults

OBJECTIVE

To evaluate the immediate and short-term effects of repeated within session trials on N1, P2, N2 and P3 latencies and P2, N2 and P3 amplitudes in healthy adults.

MATERIALS AND METHODS

ERPs were elicited by the auditory oddball paradigm and recorded over Fz, Cz and Pz in 18 healthy adults over two sessions, one to three days apart, and two within session trials with one to three minutes trial-retrial interval. The ERPs' latencies and amplitudes were blindly calculated and were analyzed by Analysis of Variance (ANOVA) with repeated measures.

RESULTS

Significant decreases of N2 amplitude at Fz, P3 amplitude at Cz and P3 latency at Pz were recorded in the second-compared to the first within session trial (p=0.034, 0.041, 0.046, respectively). There were no significant inter-session differences regarding N1, P2, N2 and P3 latencies or amplitudes. There was no significant interaction between session and trial. A statistically significant difference was found between the first session's mental count errors (p=0.039) but there were no significant differences between the second session's trials (p=0.581) or between sessions (p=0.328).

CONCLUSIONS

N1, P2, N2 and P3 latencies and amplitudes are stable at short-term intervals of one to three days, but one to three minutes' retrial interval may affect P3 latency and N2 and P3 amplitudes. We suggest that when primary novelty-induced cognitive processes are evaluated, single trial sessions or more than three-minute inter-trials interval should be employed in order to mitigate habituation.

Stimulus experience modifies auditory neuromagnetic responses in young and older listeners

Experiencing repeatedly presented auditory stimuli during magnetoencephalographic (MEG) recording may affect how the sound is processed in the listener's brain and may modify auditory evoked responses over the time course of the experiment. Amplitudes of N1 and P2 responses have been proposed as indicators for the outcome of training and learning studies. In this context the effect of merely sound experience on N1 and P2 responses was studied during two experimental sessions on different days with young, middle-aged, and older participants passively listening to speech stimuli and a noise sound. N1 and P2 were characterized as functionally distinct responses with P2 sources located more anterior than N1 in auditory cortices. N1 amplitudes decreased continuously during each recording session, but completely recovered between sessions. In contrast, P2 amplitudes were fairly constant within a session but increased from the first to the second day of MEG recording. Whereas N1 decrease was independent of age, the amount of P2 amplitude increase diminished with age. Temporal dynamics of N1 and P2 amplitudes were interpreted as reflecting neuroplastic changes along different time scales. The long lasting increase in P2 amplitude indicates that the auditory P2 response is potentially an important physiological correlate of perceptual learning, memory, and training.

The test-retest reliability of a standardized neurocognitive and neurophysiological test battery: "neuromarker"

NeuroMarker combines EEG and ERP measures with neurocognitive tests in a fully computerized and standardized testing system. It is designed for use across the lifespan and has a large normative database of over 1,000 subjects. This study was a preliminary evaluation of "NeuroMarker" in subjects spanning four decades. Twenty-one healthy subjects (12-57 years) were tested at baseline and four weeks later. From the "Neuromarker" battery, the authors analyzed EEG data (eyes open and closed) and ERPs elicited during auditory oddball (N100, P200, N200, P300) and working memory (P150, P300) tasks. Concomitant neuropsychological data, acquired using a touch-screen system, comprised measures of sensori-motor, attention, verbal, executive, and memory function. Test-retest data were examined using analyses of variance and correlational procedures (corrected for multiple comparisons), with parallel analyses of age. EEG data did not differ across sessions, and showed high test-retest reliability (.71-.95), particularly for theta and delta (>.85). ERP components also showed sound reliability, particularly for sites where components are maximal: fronto-central N100 (.76-.77), centro-parietal P300 (.78-.81) to oddball targets, N100 and P200 (.74-.86) to oddball non-targets, and P150 amplitude and latency (.84-.93) to working memory stimuli. Neuropsychological tests showed a similarly sound level of consistency (on average, .70), with the most consistent tests tapping simple motor function, estimated intelligence, switching of attention (Part 2), verbal interference response time and memory intrusions (.71-.89). Age and sex did not have a differential impact on reliability for EEG, ERP, or neuropsychology measures. These findings provide preliminary evidence that the "NeuroMarker" battery is reliable for test-retest assessments. The results suggest that the standardized approach has utility for providing sensitive clinical and treatment evaluations across age groups.

Linking Brainwaves to the Brain: An ERP Primer

This article reviews literature on the characteristics and possible interpretations of the event-related potential (ERP) peaks commonly identified in research. The description of each peak includes typical latencies, cortical distributions, and possible brain sources of observed activity as well as the evoking paradigms and underlying psychological processes. The review is intended to serve as a tutorial for general readers interested in neuropsychological research and as a reference source for researchers using ERP techniques.

Clinical application of the P300 event-related brain potential

The P300 brain potential can provide information about cognition that is quantitatively comparable to other clinically used biomedical assays. Causes of P300 variability with respect to task and biologic determinants have been well characterized so that refinement of ERP methods for clinical applications is possible. Elaboration of how P300 and other ERP components reflect neuropsychologic processes would help to increase their clinical relevance. In particular, development of reliable P3a paradigms used in conjunction with P3b tasks promises to augment dramatically the applicability and sensitivity of ERPs. Use of P300 as a clinical evaluation tool should be revisited with contemporary theory, methods, and analysis procedures because a reliable neuroelectric measure of mental function would redefine the assessment of cognitive disorders.

Meta-analysis of P300 and schizophrenia: patients, paradigms, and practical implications

The goal of the present meta-analysis was to identify factors that contribute to P300 event-related brain potential (ERP) differences in patients with schizophrenia compared to unaffected controls in an attempt to characterize the clinically relevant dimensions underlying P300 deficits in patients with schizophrenia. P300 effect size (d) was smaller in amplitude and longer in latency in schizophrenic patients compared to normal controls, with the strongest effects obtained from the auditory oddball. Paranoid subtype demonstrated larger P300 amplitude effect sizes than other disease subtypes, and P300 latency effect size decreased with disease duration. Psychopathology severity and antipsychotic medications were unrelated to P300 amplitude effect size. Gender proportion, educational level, and stimulus and task variables also affected P300 amplitude and latency effect sizes. The findings are used to formulate a theoretical account of the empirical data and provide suggestions for maximizing the utility of the P300 component in the assessment of schizophrenia.

Test-retest reliability of chemosensory evoked potentials

This study investigated the test-retest reliability of chemosensory event-related potentials in humans. Olfactory event-related potentials and chemosomatosensory event-related potentials were evaluated in 20 healthy, normosmic subjects. Phenyl ethyl alcohol (PEA, 40% v/v) and H(2)S (4 ppm) served as olfactory stimuli whereas CO(2) (60% v/v) was the chemosomatosensory stimulus. Fifteen stimuli of each compound were applied to each nostril. Identical stimulation sequences were used during three test sessions. Sessions 1 and 2 were separated by a mean of 6.8 days; sessions 2 and 3 by 12.5 days. Electroencephalographic recordings were made from Fz, Cz, Pz, C3, and C4. Amplitudes and latencies of P1, N1, P2, N2, and P3 were measured. Pearson's correlation coefficient was calculated to test the test-retest reliability, and the general linear model examined the differences. Most correlations ranged between 0.4 < r < 0.75. Latencies correlated significantly better (P = 0.008) between sessions than amplitudes, even though with CO(2) stimulus amplitudes correlated significantly better than with PEA (P = 0.006) or H(2)S (P = 0.003). No differences arose between measurements from different nostrils for any stimulus. Chemosensory event-related potentials show good test-retest reliability. Carbon dioxide amplitudes exhibit better signal-to-noise ratios than PEA or H(2)S amplitudes. Chemosensory event-related potentials are a clinically valuable objective and are reproducible.

One-year test-retest reliability of auditory ERPs in young and old adults

The reliability of ERP measures was investigated in a sample covering the adult life span (n = 59, age 21-92). This sample was divided into a young and an old group. ERPs to an auditory two-stimuli oddball task were recorded in the sample at two occasions separated by 12-14 months (T1 and T2). The recordings of T1 were split in half, to assess within session reliability. Correlations were calculated for N1, P2 and P3 peak latency and amplitude, for average amplitude during 50 ms epochs within the defined P3-window 250-550, and for average amplitude in successive 15 ms epochs from 1 to 705 ms. The results show that amplitude measures were more reliable than the latency measures at all electrodes. Time window/epoch amplitude measures yielded reliabilities in the same range as peak amplitude. Reliabilities peaked around the conventionally studied N1, P2 and P3, and this is seen as a validation of the components. In general, the old group exhibited weaker P3 peak latency reliabilities than the young group. However, many of these differences did not reach statistical significance. Implications of the findings are discussed.