Sex differences in early sensorimotor processing for speech discrimination

The Relationship Between Social Skills and Sensory Profile, Emotion Regulation, and Empathizing/Systemizing in Adolescents on the Autism Spectrum

This study aims to evaluate the relationship between social skills and sensory features, emotion regulation, and empathy in adolescents on the autism spectrum. One hundred and twenty-three adolescents were included in the study (50 autistic, 73 typically developing-TD adolescents). The participants filled out the Adolescent/Adult Sensory Profile (AASP) and Emotion Regulation Questionnaire. Parents of the participants completed the Child Empathy and Systemizing Quotient (EQ-C/SQ-C) and Autism-Social Skills Profile (ASSP) scales. Social reciprocity, social participation/avoidance, ASSP total scores, empathy and systemizing scores were lower, and detrimental social behaviors, low registration sensory profile scores were higher in the autism spectrum group. While a difference between genders was observed in sensory sensitivity, sensation avoiding, low registration quadrants and empathy scores, no gender and group interaction was found in any domain. Social skill total scores were correlated to sensation seeking and low registration sensory features, empathy, systemizing, and reappraisal emotion regulation scores. A hierarchical multiple linear regression analysis was conducted controlling for group and gender, sensation seeking (p = .032, β = 0.138), low registration (p = .012, β = - 0.215) of the AASP, and empathy (p < .001, β = 0.555) and systemizing (p = .033, β = 0.138) scores of the EQ/SQ-C was found to significantly predict social skill total scores. Although emotional regulation strategies may play a role, sensory processing features and empathy and systemizing skills seem to be the more significant contributors to social skills during adolescence. Interventions targeting sensory processing and especially improving empathy and systematization skills may positively affect social skills in adolescents on the autism spectrum.

Child and adolescent development of the brain oscillatory activity during a working memory task

The developmental trajectories of brain oscillations during the encoding and maintenance phases of a Working Memory (WM) task were calculated. The Delayed-Match-to-Sample Test (DMTS) was applied to 239 subjects of 6-29 years, while EEG was recorded. The Event-Related Spectral Perturbation (ERSP) was obtained in the range between 1 and 25 Hz during the encoding and maintenance phases. Behavioral parameters of reaction times (RTs) and response accuracy were simultaneously recorded. The results indicate a myriad of transient and sustained bursts of oscillatory activity from low frequencies (1 Hz) to the beta range (up to 19 Hz). Beta and Low-frequency ERSP increases were prominent in the encoding phase in all age groups, while low-frequency ERSP indexed the maintenance phase only in children and adolescents, but not in late adolescents and young adults, suggesting an age-dependent neural mechanism of stimulus trace maintenance. While the latter group showed Beta and Alpha indices of anticipatory attention for the retrieval phase. Mediation analysis showed an important role of early Delta-Theta and late Alpha oscillations for mediation between age and behavioral responses performance. In conclusion, the results show a complex pattern of oscillatory bursts during the encoding and maintenance phases with a consistent pattern of developmental changes.

An auditory processing advantage enables communication in less complex social settings: Signs of an extreme female brain in children and adolescents being assessed for Autism Spectrum Disorders

Background

The underlying factors of the male predominance in Autism Spectrum Disorders (ASD) are largely unknown, although a female advantage in social communication has been pointed out as a potential factor. Recently, attention has been given to ASD as a sensory processing disorder, focusing on the audio-visual temporal processing paramount for the development of communication. In ASD, a deviant audio-visual processing has been noted, resulting in difficulties interpreting multisensory information. Typically Developed (TD) females have shown an enhanced language processing in unisensory situations compared to multisensory situations. We aim to find out whether such an advantage also can be seen in girls within the ASD population, and if so, is it related to social communication skills?

Method

Forty children (IQ > 85), 20 females (mean age = 13.90 years, SD = 2.34) and 20 males (mean age = 12.15 years, SD = 2.83) triaged for an ASD assessment were recruited from a child and youth psychiatric clinic in Sweden. Using The Social Responsiveness Scale (SRS) we looked at associations with child performance on the Integrated Visual and Auditory Continuous Performance Test (IVA-2).

Results

An auditory advantage in the female group was associated with less rated problems in social communications in unisensory processing whereas in multisensory processing an auditory dominance was associated with more rated problems in Social Awareness. In the male group, a visual dominance was associated with more rated problems in Social Rigidity.

Conclusion

A female unisensory processing advantage in ASD could very well be explaining the male domination in ASD. However, the social difficulties related to multisensory processing indicate that ASD females might be struggling as hard as males in more complex settings. Implications on the assessment procedure are discussed.

Speech-in-noise testing: Innovative applications for pediatric patients, underrepresented populations, fitness for duty, clinical trials, and remote services

Speech perception testing, defined as providing standardized speech stimuli and requiring a listener to provide a behavioral and scored response, has been an integral part of the audiologic test battery since the beginning of the audiology profession. Over the past several decades, limitations in the diagnostic and prognostic validity of standard speech perception testing as routinely administered in the clinic have been noted, and the promotion of speech-in-noise testing has been highlighted. This review will summarize emerging and innovative approaches to speech-in-noise testing with a focus on five applications: (1) pediatric considerations promoting the measurement of sensory and cognitive components separately; (2) appropriately serving underrepresented populations with special attention to racial, ethnic, and linguistic minorities, as well as considering biological sex and/or gender differences as variables of interest; (3) binaural fitness for duty assessments of functional hearing for occupational settings that demand the ability to detect, recognize, and localize sounds; (4) utilization of speech-in-noise tests in pharmacotherapeutic clinical trials with considerations to the drug mechanistic action, the patient populations, and the study design; and (5) online and mobile applications of hearing assessment that increase accessibility and the direct-to-consumer market.

Dynamic auditory contributions to error detection revealed in the discrimination of Same and Different syllable pairs

During speech production auditory regions operate in concert with the anterior dorsal stream to facilitate online error detection. As the dorsal stream also is known to activate in speech perception, the purpose of the current study was to probe the role of auditory regions in error detection during auditory discrimination tasks as stimuli are encoded and maintained in working memory. A priori assumptions are that sensory mismatch (i.e., error) occurs during the discrimination of Different (mismatched) but not Same (matched) syllable pairs. Independent component analysis was applied to raw EEG data recorded from 42 participants to identify bilateral auditory alpha rhythms, which were decomposed across time and frequency to reveal robust patterns of event related synchronization (ERS; inhibition) and desynchronization (ERD; processing) over the time course of discrimination events. Results were characterized by bilateral peri-stimulus alpha ERD transitioning to alpha ERS in the late trial epoch, with ERD interpreted as evidence of working memory encoding via Analysis by Synthesis and ERS considered evidence of speech-induced-suppression arising during covert articulatory rehearsal to facilitate working memory maintenance. The transition from ERD to ERS occurred later in the left hemisphere in Different trials than in Same trials, with ERD and ERS temporally overlapping during the early post-stimulus window. Results were interpreted to suggest that the sensory mismatch (i.e., error) arising from the comparison of the first and second syllable elicits further processing in the left hemisphere to support working memory encoding and maintenance. Results are consistent with auditory contributions to error detection during both encoding and maintenance stages of working memory, with encoding stage error detection associated with stimulus concordance and maintenance stage error detection associated with task-specific retention demands.

Audiovisual incongruence differentially impacts left and right hemisphere sensorimotor oscillations: Potential applications to production

Speech production gives rise to distinct auditory and somatosensory feedback signals which are dynamically integrated to enable online monitoring and error correction, though it remains unclear how the sensorimotor system supports the integration of these multimodal signals. Capitalizing on the parity of sensorimotor processes supporting perception and production, the current study employed the McGurk paradigm to induce multimodal sensory congruence/incongruence. EEG data from a cohort of 39 typical speakers were decomposed with independent component analysis to identify bilateral mu rhythms; indices of sensorimotor activity. Subsequent time-frequency analyses revealed bilateral patterns of event related desynchronization (ERD) across alpha and beta frequency ranges over the time course of perceptual events. Right mu activity was characterized by reduced ERD during all cases of audiovisual incongruence, while left mu activity was attenuated and protracted in McGurk trials eliciting sensory fusion. Results were interpreted to suggest distinct hemispheric contributions, with right hemisphere mu activity supporting a coarse incongruence detection process and left hemisphere mu activity reflecting a more granular level of analysis including phonological identification and incongruence resolution. Findings are also considered in regard to incongruence detection and resolution processes during production.

Distinct modulation of mu and beta rhythm desynchronization during observation of embodied fake hand rotation

The rubber hand illusion (RHI) is a phenomenon whereby participants recognize a fake hand as their own. Studies have examined the effects of observing fake hand movements after the RHI on brain sensorimotor activity, although results remain controversial. To address these discrepancies, we investigated the effects of observation of fake hand rotation after the RHI on sensorimotor mu (μ: 8-13 Hz) and beta (β: 15-25 Hz) rhythm event-related desynchronization (ERD) using electroencephalography (EEG). Questionnaire results and proprioceptive drift revealed that the RHI occurred in participants when their invisible hand and fake visible hand were stroked synchronously but not during asynchronous stroking. Independent component (IC) clustering from EEG data during movement observation identified three IC clusters, including the right sensorimotor, left sensorimotor, and left occipital cluster. In the right sensorimotor cluster, we observed distinct modulation of μ and β ERD during fake hand rotation. Illusory ownership over the fake hand enhanced μ ERD but inversely attenuated β ERD. Further, the extent of μ ERD correlated with proprioceptive drift, but not with questionnaire ratings, whereas the converse results were obtained for β ERD. No ownership-dependent ERD modulation was detected in the left sensorimotor cluster. Alpha (α: 8-13 Hz) rhythm ERD of the left occipital cluster was smaller in the synchronous condition than in the asynchronous condition, but α ERD was not correlated with questionnaire rating or drift. These findings suggest that observing embodied fake hand rotation induces distinct cortical processing in sensorimotor brain areas.

Sensorimotor contributions to working memory differ between the discrimination of Same and Different syllable pairs

Sensorimotor activity during speech perception is both pervasive and highly variable, changing as a function of the cognitive demands imposed by the task. The purpose of the current study was to evaluate whether the discrimination of Same (matched) and Different (unmatched) syllable pairs elicit different patterns of sensorimotor activity as stimuli are processed in working memory. Raw EEG data recorded from 42 participants were decomposed with independent component analysis to identify bilateral sensorimotor mu rhythms from 36 subjects. Time frequency decomposition of mu rhythms revealed concurrent event related desynchronization (ERD) in alpha and beta frequency bands across the peri- and post-stimulus time periods, which were interpreted as evidence of sensorimotor contributions to working memory encoding and maintenance. Left hemisphere alpha/beta ERD was stronger in Different trials than Same trials during the post-stimulus period, while right hemisphere alpha/beta ERD was stronger in Same trials than Different trials. A between-hemispheres contrast revealed no differences during Same trials, while post-stimulus alpha/beta ERD was stronger in the left hemisphere than the right during Different trials. Results were interpreted to suggest that predictive coding mechanisms lead to repetition suppression effects in Same trials. Mismatches arising from predictive coding mechanisms in Different trials shift subsequent working memory processing to the speech-dominant left hemisphere. Findings clarify how sensorimotor activity differentially supports working memory encoding and maintenance stages during speech discrimination tasks and have potential to inform sensorimotor models of speech perception and working memory.

Gender differentiates effects of acoustic stimulation in patients with tinnitus

Gender constitutes a major factor to consider when tailoring subtype-based therapies for tinnitus. Previous reports showed important differences between men and women concerning basic perceptual tinnitus characteristics (i.e., laterality, frequency, tinnitus loudness) as well as psychological reactions linked to this condition. Therapeutic approaches based on acoustic stimulation involve processes beyond a pure masking effect and consist of sound presentation temporarily altering or alleviating tinnitus perception via residual and/or lateral inhibition mechanisms. Presented stimuli may include pure tones, noise, and music adjusted to or modulated to filter out tinnitus pitch and therefore trigger reparative functional and structural changes in the auditory system. Furthermore, recent findings suggest that in tonal tinnitus, the presentation of pitch-adjusted sounds which were altered by a 10Hz modulation of amplitude was more efficient than unmodulated stimulation. In this paper, we investigate sex differences in the outcome of different variants of acoustic stimulation, looking for factors revealing predictive value in the efficiency of tinnitus relief.

The Application of EEG Mu Rhythm Measures to Neurophysiological Research in Stuttering

Deficits in basal ganglia-based inhibitory and timing circuits along with sensorimotor internal modeling mechanisms are thought to underlie stuttering. However, much remains to be learned regarding the precise manner how these deficits contribute to disrupting both speech and cognitive functions in those who stutter. Herein, we examine the suitability of electroencephalographic (EEG) mu rhythms for addressing these deficits. We review some previous findings of mu rhythm activity differentiating stuttering from non-stuttering individuals and present some new preliminary findings capturing stuttering-related deficits in working memory. Mu rhythms are characterized by spectral peaks in alpha (8-13 Hz) and beta (14-25 Hz) frequency bands (mu-alpha and mu-beta). They emanate from premotor/motor regions and are influenced by basal ganglia and sensorimotor function. More specifically, alpha peaks (mu-alpha) are sensitive to basal ganglia-based inhibitory signals and sensory-to-motor feedback. Beta peaks (mu-beta) are sensitive to changes in timing and capture motor-to-sensory (i.e., forward model) projections. Observing simultaneous changes in mu-alpha and mu-beta across the time-course of specific events provides a rich window for observing neurophysiological deficits associated with stuttering in both speech and cognitive tasks and can provide a better understanding of the functional relationship between these stuttering symptoms. We review how independent component analysis (ICA) can extract mu rhythms from raw EEG signals in speech production tasks, such that changes in alpha and beta power are mapped to myogenic activity from articulators. We review findings from speech production and auditory discrimination tasks demonstrating that mu-alpha and mu-beta are highly sensitive to capturing sensorimotor and basal ganglia deficits associated with stuttering with high temporal precision. Novel findings from a non-word repetition (working memory) task are also included. They show reduced mu-alpha suppression in a stuttering group compared to a typically fluent group. Finally, we review current limitations and directions for future research.