Event-related potential (ERP) measures of error processing as biomarkers of externalizing disorders: A narrative review

Previous studies have shown that electrophysiological measures of error processing are affected in patients at risk or diagnosed with internalizing disorders, hence, suggesting that error processing could be a suitable biomarker for internalizing disorders. In this narrative review, we will evaluate studies that address the role of event-related potential (ERP) measures of error-processing in externalizing disorders and discuss to what extend these can be considered a biomarker for externalizing disorders. Currently, there is evidence for the notion that electrophysiological indices of error processing such as the error-related negativity (ERN) and error positivity (Pe) are reduced in individuals with substance use disorders, attention-deficit/hyperactivity disorder, and in forensic populations. However, it remains unclear whether this is also the case for other understudied disorders such as behavioral addiction. Furthermore, to fully understand how these deficits affect day to day behavior, we encourage research to focus on testing current theories and hypotheses of ERN and Pe. In addition, we argue that within an externalizing disorder, individual differences in error processing deficits may be related to prognosis and gender of the patient, methodological issues and presence of comorbidity. Next, we review studies that have related treatment trajectories with ERP measures of error processing, and we discuss the prospect of improving error processing as a treatment option. We conclude that ERP measures of error processing are candidate biomarkers for externalizing disorders, albeit we strongly urge researchers to continue looking into the predictive value of these measures in the etiology and treatment outcome through multi-method and longitudinal designs.

Preliminary Evaluations of Habituation of Operant Responding for Sensory Stimuli in Humans

Research suggests that repetitive reinforcers wane in their ability to maintain operant behavior in a manner consistent with habituation. Weaker reinforcers, including sensory stimuli common in human work, may be most impacted by repetition. The present research examined within-session operant responding patterns for visual stimuli in humans from two experiments assessing multiple characteristics of habituation. In Experiment 1, declines in reinforced responding were assessed and stimulus specificity was evaluated to test habituation's contribution to these declines. Seventy-three participants completed two visits, both including a reinforcement paradigm using pictures. With repetition, operant responding declined. The stimulus specificity manipulation did not enhance responding, suggesting that habituation did not contribute to response declines. Several methodological concerns may have contributed to the absence of a stimulus specificity effect. Experiment 2 assessed a separate habituation characteristic, rate of stimulation, to address these methodological concerns and further evaluate habituation. Twenty-eight participants completed the reinforcement paradigm over three visits. Decline in responding was partially supported, but the rate of stimulation did not alter declines. In sum, habituation's contribution to within-session declines for sensory reinforcers was not evident in either experiment. These results suggest that assessment of habituation of sensory reinforcers in humans may require parametric evaluation.