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Kalaivanan K. Lexical tone perception and learning in older adults: A review and future directions. Q J Exp Psychol (Hove) 2023:17470218231211722. [PMID: 37873972 DOI: 10.1177/17470218231211722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2023]
Abstract
While the literature is well represented in accounting for how aging influences segmental properties of speech, less is known about its influences on suprasegmental properties such as lexical tones. In addition, foreign language learning is increasingly endorsed as being a potential intervention to boost cognitive reserve and overall well-being in older adults. Empirical studies on young learners learning lexical tones are aplenty in comparison with older learners. Challenges in this domain for older learners might be different due to aging and other learner-internal factors. This review consolidates behavioural and neuroscientific research related to lexical tone, speech perception, factors characterising learner groups, and other variables that would influence lexical tone perception and learning in older adults. Factors commonly identified to influence tone learning in younger adult populations, such as musical experience, language background, and motivation in learning a new language, are discussed in relation to older learner groups and recommendations to boost lexical tone learning in older age are provided based on existing studies.
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Affiliation(s)
- Kastoori Kalaivanan
- Neuroscience and Behavioural Disorders Programme, DUKE-NUS Medical School, Singapore
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Kasdan A, Gordon RL, Lense MD. Neurophysiological Correlates of Dynamic Beat Tracking in Individuals With Williams Syndrome. BIOLOGICAL PSYCHIATRY. COGNITIVE NEUROSCIENCE AND NEUROIMAGING 2022; 7:1183-1191. [PMID: 33419711 PMCID: PMC8060366 DOI: 10.1016/j.bpsc.2020.10.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Revised: 08/20/2020] [Accepted: 10/09/2020] [Indexed: 12/16/2022]
Abstract
BACKGROUND Williams syndrome (WS) is a neurodevelopmental disorder characterized by hypersociability, heightened auditory sensitivities, attention deficits, and strong musical interests despite differences in musical skills. Behavioral studies have reported that individuals with WS exhibit variable beat and rhythm perception skills. METHODS We sought to investigate the neural basis of beat tracking in individuals with WS using electroencephalography. Twenty-seven adults with WS and 16 age-matched, typically developing control subjects passively listened to musical rhythms with accents on either the first or second tone of the repeating pattern, leading to distinct beat percepts. RESULTS Consistent with the role of beta and gamma oscillations in rhythm processing, individuals with WS and typically developing control subjects showed strong evoked neural activity in both the beta (13-30 Hz) and gamma (31-55 Hz) frequency bands in response to beat onsets. This neural response was somewhat more distributed across the scalp for individuals with WS. Compared with typically developing control subjects, individuals with WS exhibited significantly greater amplitude of auditory evoked potentials (P1-N1-P2 complex) and modulations in evoked alpha (8-12 Hz) activity, reflective of sensory and attentional processes. Individuals with WS also exhibited markedly stable neural responses over the course of the experiment, and these responses were significantly more stable than those of control subjects. CONCLUSIONS These results provide neurophysiological evidence for dynamic beat tracking in WS and coincide with the atypical auditory phenotype and attentional difficulties seen in this population.
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Affiliation(s)
- Anna Kasdan
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, Tennessee; Curb Center for Art, Enterprise, and Public Policy, Nashville, Tennessee.
| | - Reyna L Gordon
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, Tennessee; Department of Psychology, Vanderbilt University, Nashville, Tennessee; Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee; Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, Tennessee; Curb Center for Art, Enterprise, and Public Policy, Nashville, Tennessee
| | - Miriam D Lense
- Vanderbilt Brain Institute, Vanderbilt University, Nashville, Tennessee; Department of Psychology, Vanderbilt University, Nashville, Tennessee; Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee; Vanderbilt Kennedy Center, Vanderbilt University Medical Center, Nashville, Tennessee; Curb Center for Art, Enterprise, and Public Policy, Nashville, Tennessee
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Gopal KV, Schafer EC, Nandy R, Brown A, Caldwell J, Phillips B, Ballard G. Characteristic Deviations of Auditory Evoked Potentials in Individuals with Autism Spectrum Disorder. J Am Acad Audiol 2021; 32:379-385. [PMID: 34731905 DOI: 10.1055/s-0041-1730365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND Neurological, structural, and behavioral abnormalities are widely reported in individuals with autism spectrum disorder (ASD); yet there are no objective markers to date. We postulated that by using dominant and nondominant ear data, underlying differences in auditory evoked potentials (AEPs) between ASD and control groups can be recognized. PURPOSE The primary purpose was to identify if significant differences exist in AEPs recorded from dominant and nondominant ear stimulation in (1) children with ASD and their matched controls, (2) adults with ASD and their matched controls, and (3) a combined child and adult ASD group and control group. The secondary purpose was to explore the association between the significant findings of this study with those obtained in our previous study that evaluated the effects of auditory training on AEPs in individuals with ASD. RESEARCH DESIGN Factorial analysis of variance with interaction was performed. STUDY SAMPLE Forty subjects with normal hearing between the ages of 9 and 25 years were included. Eleven children and 9 adults with ASD were age- and gender-matched with neurotypical peers. DATA COLLECTION AND ANALYSIS Auditory brainstem responses (ABRs) and auditory late responses (ALRs) were recorded. Adult and child ASD subjects were compared with non-ASD adult and child control subjects, respectively. The combined child and adult ASD group was compared with the combined child and adult control group. RESULTS No significant differences in ABR latency or amplitude were observed between ASD and control groups. ALR N1 amplitude in the dominant ear was significantly smaller for the ASD adult group compared with their control group. Combined child and adult data showed significantly smaller amplitude for ALR N1 and longer ALR P2 latency in the dominant ear for the ASD group compared with the control group. In our earlier study, the top predictor of behavioral improvement following auditory training was ALR N1 amplitude in the dominant ear. Correspondingly, the ALR N1 amplitude in the dominant ear yielded group differences in the current study. CONCLUSIONS ALR peak N1 amplitude is proposed as the most feasible AEP marker in the evaluation of ASD.
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Affiliation(s)
- Kamakshi V Gopal
- Department of Audiology and Speech-Language Pathology, University of North Texas, Denton, Texas
| | - Erin C Schafer
- Department of Audiology and Speech-Language Pathology, University of North Texas, Denton, Texas
| | - Rajesh Nandy
- Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, Texas
| | - Ashley Brown
- Department of Audiology and Speech-Language Pathology, University of North Texas, Denton, Texas
| | - Joshua Caldwell
- Department of Audiology and Speech-Language Pathology, University of North Texas, Denton, Texas
| | - Bryce Phillips
- Department of Audiology and Speech-Language Pathology, University of North Texas, Denton, Texas
| | - Gabrielle Ballard
- Department of Audiology and Speech-Language Pathology, University of North Texas, Denton, Texas
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Silva DMR, Rothe-Neves R, Melges DB. Long-latency event-related responses to vowels: N1-P2 decomposition by two-step principal component analysis. Int J Psychophysiol 2019; 148:93-102. [PMID: 31863852 DOI: 10.1016/j.ijpsycho.2019.11.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2019] [Revised: 11/16/2019] [Accepted: 11/18/2019] [Indexed: 11/26/2022]
Abstract
The N1-P2 complex of the auditory event-related potential (ERP) has been used to examine neural activity associated with speech sound perception. Since it is thought to reflect multiple generator processes, its functional significance is difficult to infer. In the present study, a temporospatial principal component analysis (PCA) was used to decompose the N1-P2 response into latent factors underlying covariance patterns in ERP data recorded during passive listening to pairs of successive vowels. In each trial, one of six sounds drawn from an /i/-/e/ vowel continuum was followed either by an identical sound, a different token of the same vowel category, or a token from the other category. Responses were examined as to how they were modulated by within- and across-category vowel differences and by adaptation (repetition suppression) effects. Five PCA factors were identified as corresponding to three well-known N1 subcomponents and two P2 subcomponents. Results added evidence that the N1 peak reflects both generators that are sensitive to spectral information and generators that are not. For later latency ranges, different patterns of sensitivity to vowel quality were found, including category-related effects. Particularly, a subcomponent identified as the Tb wave showed release from adaptation in response to an /i/ followed by an /e/ sound. A P2 subcomponent varied linearly with spectral shape along the vowel continuum, while the other was stronger the closer the vowel was to the category boundary, suggesting separate processing of continuous and category-related information. Thus, the PCA-based decomposition of the N1-P2 complex was functionally meaningful, revealing distinct underlying processes at work during speech sound perception.
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Affiliation(s)
- Daniel M R Silva
- Phonetics Lab, Faculty of Letters, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Rui Rothe-Neves
- Phonetics Lab, Faculty of Letters, Federal University of Minas Gerais, Belo Horizonte, Brazil.
| | - Danilo B Melges
- Graduate Program in Electrical Engineering, Department of Electrical Engineering, Federal University of Minas Gerais
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Vander Werff KR, Rieger B. Impaired auditory processing and neural representation of speech in noise among symptomatic post-concussion adults. Brain Inj 2019; 33:1320-1331. [PMID: 31317775 PMCID: PMC6731965 DOI: 10.1080/02699052.2019.1641624] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2018] [Accepted: 07/05/2019] [Indexed: 10/26/2022]
Abstract
Background: The purpose of the study was to examine auditory event-related potential (AERP) evidence of changes in earlier and later stages of auditory processing in individuals with long-term post-concussion problems compared to healthy controls, with a secondary aim of comparing AERPs by functional auditory behavioral outcomes. Methods: P1-N1-P2 complex and P300 components recorded to speech in quiet and background noise conditions were completed in individuals with ongoing post-concussion symptoms following mTBI and healthy controls. AERPs were also examined between sub-groups with normal or impaired auditory processing by behavioral tests. Results: Group differences were present for later stages of auditory processing (P300). Earlier components did not significantly differ by group overall but were more affected by noise in the mTBI group. P2 amplitude in noise differed between mTBI sub-groups with normal or impaired auditory processing. Conclusion: AERPs revealed differences between healthy controls and those with chronic post-concussion symptoms following mTBI at a later stage of auditory processing (P300). Neural processing at the earlier stage (P1-N1-P2) was more affected by noise in the mTBI group. Preliminary evidence suggested that it may be only the proportion of individuals with functional evidence of central auditory dysfunction with changes in AERPs at earlier stages of processing.
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Affiliation(s)
- Kathy R. Vander Werff
- Department of Communication Sciences and Disorders, Syracuse University, Syracuse NY
| | - Brian Rieger
- Department of Physical Medicine and Rehabilitation, SUNY Upstate Medical University, Syracuse, NY
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Legris E, Galvin J, Roux S, Gomot M, Aoustin JM, Marx M, He S, Bakhos D. Cortical reorganization after cochlear implantation for adults with single-sided deafness. PLoS One 2018; 13:e0204402. [PMID: 30248131 PMCID: PMC6152998 DOI: 10.1371/journal.pone.0204402] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2017] [Accepted: 09/07/2018] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Adults with single sided deafness (SSD) have lost binaural function, which limits sound source localization, speech understanding in noise, and quality of life. For SSD patients, restoration of bilateral auditory input is possible only with a cochlear implant (CI). In this study, cortical auditory evoked potentials (CAEPs) and behavioral performance were measured in left-implanted (SSD-CI-L) and right-implanted (SSD-CI-R) patients before and after cochlear implantation. We hypothesized that improvements in behavioral performance would be accompanied by changes in CAEPs after cochlear implantation. DESIGN Prospective longitudinal study. SETTING Tertiary referral center. METHOD Nine right-handed adult SSD CI patients participated in the study. CAEPs were recorded before cochlear implantation and at 6 and 12 months post-implantation. CAEPs were elicited using speech stimuli (/ba/) delivered in sound field at 70 dBA. Global field power (GFP) latency and amplitude were calculated for P1, N1 and P2 peaks at each test session. CAEP were analyzed at frontocentral (Cz) and temporal (P7, P8, T7 and T8) and mastoid electrodes (M1 and M2) contralateral to the CI ear. Behavioral measures (sentence recognition in noise, with and without spatial cues) were collected at the same test sessions as for CAEPs. Speech performance and CAEPs were also measured in a control group of normal-hearing (NH) subjects. RESULTS While increased N1 amplitude was observed in the scalp potential maps for GFP and Cz for SSD-CI-L patients after implantation, the changes were not statistically significant. Peak CAEP amplitude at electrodes to contralateral to the CI ear increased after cochlear implantation for all SSD-CI patients, but significant increases were observed only for mastoid sites. Peak latencies for some components at temporal and mastoid sites remained significantly longer than for the NH control group, even after cochlear implantation. For SSD-CI-R patients, P2 peak amplitude for baseline GFP and Cz was significantly lower than for the NH control group. A significant improvement for speech understanding in noise was observed at 12 months post-implantation when speech was presented to the CI ear and noise to the non-implanted ear. CONCLUSION After cochlear implantation, speech understanding significantly improved when speech and noise were spatially separated. The increased N1 amplitude for SSD-CI-L patients and the increased bilateral activation for all SSD-CI patients may reflect cortical reorganization and restoration of binaural function after one year of experience with the CI. However, because of the limited number of SSD patients, significant changes in cortical activity after cochlear implantation were often difficult to observe.
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Affiliation(s)
- Elsa Legris
- Université François-Rabelais de Tours, CHRU de Tours, UMR-S1253, Tours, France
- Ear Nose and Throat department, Tours, France
| | - John Galvin
- House Ear Institute, Los Angeles, CA, United States of America
| | - Sylvie Roux
- Université François-Rabelais de Tours, CHRU de Tours, UMR-S1253, Tours, France
| | - Marie Gomot
- Université François-Rabelais de Tours, CHRU de Tours, UMR-S1253, Tours, France
| | | | - Mathieu Marx
- Ear Nose and Throat department, Toulouse, France
| | - Shuman He
- Department of Otolaryngology–Head and Neck Surgery, The Ohio State University, Columbus, OH, United States of America
| | - David Bakhos
- Université François-Rabelais de Tours, CHRU de Tours, UMR-S1253, Tours, France
- Ear Nose and Throat department, Tours, France
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Gansonre C, Højlund A, Leminen A, Bailey C, Shtyrov Y. Task-free auditory EEG paradigm for probing multiple levels of speech processing in the brain. Psychophysiology 2018; 55:e13216. [PMID: 30101984 DOI: 10.1111/psyp.13216] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2017] [Revised: 05/09/2018] [Accepted: 05/09/2018] [Indexed: 11/26/2022]
Abstract
While previous studies on language processing highlighted several ERP components in relation to specific stages of sound and speech processing, no study has yet combined them to obtain a comprehensive picture of language abilities in a single session. Here, we propose a novel task-free paradigm aimed at assessing multiple levels of speech processing by combining various speech and nonspeech sounds in an adaptation of a multifeature passive oddball design. We recorded EEG in healthy adult participants, who were presented with these sounds in the absence of sound-directed attention while being engaged in a primary visual task. This produced a range of responses indexing various levels of sound processing and language comprehension: (a) P1-N1 complex, indexing obligatory auditory processing; (b) P3-like dynamics associated with involuntary attention allocation for unusual sounds; (c) enhanced responses for native speech (as opposed to nonnative phonemes) from ∼50 ms from phoneme onset, indicating phonological processing; (d) amplitude advantage for familiar real words as opposed to meaningless pseudowords, indexing automatic lexical access; (e) topographic distribution differences in the cortical activation of action verbs versus concrete nouns, likely linked with the processing of lexical semantics. These multiple indices of speech-sound processing were acquired in a single attention-free setup that does not require any task or subject cooperation; subject to future research, the present protocol may potentially be developed into a useful tool for assessing the status of auditory and linguistic functions in uncooperative or unresponsive participants, including a range of clinical or developmental populations.
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Affiliation(s)
- Christelle Gansonre
- Center of Functionally Integrative Neuroscience (CFIN), Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
| | - Andreas Højlund
- Center of Functionally Integrative Neuroscience (CFIN), Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
| | - Alina Leminen
- Center of Functionally Integrative Neuroscience (CFIN), Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.,Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Christopher Bailey
- Center of Functionally Integrative Neuroscience (CFIN), Department of Clinical Medicine, Aarhus University, Aarhus, Denmark
| | - Yury Shtyrov
- Center of Functionally Integrative Neuroscience (CFIN), Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.,Laboratory of Behavioural Neurodynamics, St. Petersburg State University, St. Petersburg, Russia
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Clunies-Ross KL, Campbell C, Ohan JL, Anderson M, Reid C, Fox AM. Hemispheric asymmetries in rapid temporal processing at age 7 predict subsequent phonemic decoding 2 years later: A longitudinal event-related potential (ERP) study. Neuropsychologia 2018; 111:252-260. [PMID: 29410292 DOI: 10.1016/j.neuropsychologia.2018.01.035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2017] [Revised: 01/23/2018] [Accepted: 01/24/2018] [Indexed: 10/18/2022]
Abstract
The asymmetric sampling in time hypothesis (AST) suggests that the left and right secondary auditory areas process auditory stimuli according to different sampling rates (Poeppel, 2003). We investigated whether asymmetries consistent with the AST are observable in children at age 7 and whether they become more pronounced at age 9. Data were collected from 50 children who attended a 2-day research program at age 7 and were followed up 2 years later. At both time points, children were presented with tone-pairs, each composed of two 50 ms, 1000 Hz, sinusoidal tones separated by inter-stimulus intervals (ISIs) of 25, 50, 100, or 200 ms. Stimuli were presented binaurally whilst the EEG was recorded. The Ta and Tb, which are components of the auditory event-related potential (ERP), were used as electrophysiological indices of auditory processing. There was no significant effect of age on Ta or Tb responses. Tb responses to the second tone of tone-pairs indicated a left-hemisphere preference for rapidly presented stimuli (50 ms ISI) and a right hemisphere preference for more slowly presented stimuli (100 and 200 ms ISI). The results provide evidence that auditory areas of the left hemisphere preferentially respond to fast temporal rates, and those of the right hemisphere preferentially respond to slow temporal rates in children at age 7 and 9. In 7-year-old children, leftward lateralisation of responses to rapidly presented tones predicted better phonemic decoding ability 2 years later, which suggests that hemispheric specialisation may be a precursor for subsequent phonemic decoding skills.
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Affiliation(s)
- Karen L Clunies-Ross
- Neurocognitive Development Unit, School of Psychological Science, The University of Western Australia, M304, 35 Stirling Highway, Crawley, Perth, Western Australia 6009, Australia.
| | - Catherine Campbell
- Neurocognitive Development Unit, School of Psychological Science, The University of Western Australia, M304, 35 Stirling Highway, Crawley, Perth, Western Australia 6009, Australia
| | - Jeneva L Ohan
- Neurocognitive Development Unit, School of Psychological Science, The University of Western Australia, M304, 35 Stirling Highway, Crawley, Perth, Western Australia 6009, Australia
| | - Mike Anderson
- Neurocognitive Development Unit, School of Psychological Science, The University of Western Australia, M304, 35 Stirling Highway, Crawley, Perth, Western Australia 6009, Australia
| | - Corinne Reid
- Neurocognitive Development Unit, School of Psychological Science, The University of Western Australia, M304, 35 Stirling Highway, Crawley, Perth, Western Australia 6009, Australia
| | - Allison M Fox
- Neurocognitive Development Unit, School of Psychological Science, The University of Western Australia, M304, 35 Stirling Highway, Crawley, Perth, Western Australia 6009, Australia
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Wagner M, Lee J, Mingino F, O'Brien C, Constantine A, Shafer VL, Steinschneider M. Language Experience with a Native-Language Phoneme Sequence Modulates the Effects of Attention on Cortical Sensory Processing. Front Neurosci 2017; 11:569. [PMID: 29162999 PMCID: PMC5681492 DOI: 10.3389/fnins.2017.00569] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Accepted: 09/28/2017] [Indexed: 11/13/2022] Open
Abstract
Auditory evoked potentials (AEP) reflect spectro-temporal feature changes within the spoken word and are sufficiently reliable to probe deficits in auditory processing. The current research assessed whether attentional modulation would alter the morphology of these AEPs and whether native-language experience with phoneme sequences would influence the effects of attention. Native-English and native-Polish adults listened to nonsense word pairs that contained the phoneme sequence onsets /st/, /sət/, /pət/ that occur in both the Polish and English languages and the phoneme sequence onset /pt/ that occurs in the Polish language, but not the English language. Participants listened to word pairs within two experimental conditions designed to modulate attention. In one condition, participants listened to word pairs and performed a behavioral task to the second word in the pairs (“with task”) and in the alternate condition participants listened to word pairs without performing a task (“without task”). Conditions were counterbalanced so that half the English and Polish subjects performed the “without task” condition as the first testing session and the “with task” condition as the second testing session. The remaining English and Polish subjects performed the tasks in the reverse order. Two or more months separated the testing sessions. Task conditions did not modulate the morphology of the AEP. Attention, however, modulated the AEP by producing a negative shift in the overall waveform. This effect of attention was modulated by experience with a native-language phoneme sequence. Thus, only Polish listeners showed an effect of attention to the native language /pt/ onset when the behavioral task occurred as the second testing session for which attention demands were reduced. This effect began at 400 ms and suggests a mechanism at intermediate stages within auditory cortex that facilitates recognition of the native language for comprehension.
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Affiliation(s)
- Monica Wagner
- Department of Communication Sciences and Disorders, St. John's University, New York, NY, United States
| | - Jungmee Lee
- Department of Communication Sciences and Disorders, University of South Florida, Tampa, FL, United States
| | - Francesca Mingino
- Department of Communication Sciences and Disorders, St. John's University, New York, NY, United States
| | - Colleen O'Brien
- Department of Communication Sciences and Disorders, St. John's University, New York, NY, United States
| | - Adam Constantine
- Department of Communication Sciences and Disorders, St. John's University, New York, NY, United States
| | - Valerie L Shafer
- Graduate Center, City University of New York, New York, NY, United States
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