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An EEG-Based Neuroplastic Approach to Predictive Coding in People With Schizophrenia or Traumatic Brain Injury. 基于脑电图的神经可塑性方法,用于精神分裂症或脑外伤患者的预测编码。
Pub Date : 2024-07-01 Epub Date: 2024-05-06 DOI: 10.1177/15500594241252897
Jonathan K Wynn, Michael F Green

Despite different etiologies, people with schizophrenia (SCZ) or with traumatic brain injury (TBI) both show aberrant neuroplasticity. One neuroplastic mechanism that may be affected is prediction error coding. We used a roving mismatch negativity (rMMN) paradigm which uses different lengths of standard tone trains and is optimized to assess predictive coding. Twenty-five SCZ, 22 TBI (mild to moderate), and 25 healthy controls were assessed. We used a frequency-deviant rMMN in which the number of standards preceding the deviant was either 2, 6, or 36. We evaluated repetition positivity to the standard tone immediately preceding a deviant tone (repetition positivity [RP], to assess formation of the memory trace), deviant negativity to the deviant stimulus (deviant negativity [DN], which reflects signaling of a prediction error), and the difference wave between the 2 (the MMN). We found that SCZ showed reduced DN and MMN compared with healthy controls and with people with mild to moderate TBI. We did not detect impairments in any index (RP, DN, or MMN) in people with TBI compared to controls. Our findings suggest that prediction error coding assessed with rMMN is aberrant in SCZ but intact in TBI, though there is a suggestion that severity of head injury results in poorer prediction error coding.

尽管病因不同,精神分裂症(SCZ)患者或脑外伤(TBI)患者都会表现出异常的神经可塑性。其中一种可能受到影响的神经可塑性机制是预测错误编码。我们使用了巡回错配负性(rMMN)范式,该范式使用了不同长度的标准音调序列,并对预测编码进行了优化评估。我们对 25 名 SCZ、22 名创伤性脑损伤(轻度至中度)患者和 25 名健康对照者进行了评估。我们使用了一种频率偏差 rMMN,其中偏差之前的标准音数量为 2、6 或 36。我们评估了紧接着偏离音调之前的标准音调的重复阳性(重复阳性 [RP],用于评估记忆痕迹的形成)、偏离刺激的偏离阴性(偏离阴性 [DN],用于反映预测错误的信号)以及两者之间的差波(MMN)。我们发现,与健康对照组和轻度至中度创伤性脑损伤患者相比,SCZ 表现出较低的 DN 和 MMN。与对照组相比,我们没有在 TBI 患者的任何指标(RP、DN 或 MMN)上发现障碍。我们的研究结果表明,用rMMN评估的预测错误编码在SCZ患者中是异常的,但在TBI患者中却是完好的,尽管有迹象表明头部损伤的严重程度会导致预测错误编码较差。
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引用次数: 0
Characteristics of ADHD Symptoms and EEG Theta/Beta Ratio in Children With Sleep Disordered Breathing. 睡眠呼吸障碍儿童的多动症症状特征和脑电图 Theta/Beta 比率。
Pub Date : 2024-07-01 Epub Date: 2024-02-25 DOI: 10.1177/15500594241234828
Dandi Ma, Yunxiao Wu, Changming Wang, Fujun Zhao, Zhifei Xu, Xin Ni

Objectives. This study aimed to explore parent-reported symptoms of attention deficit-hyperactivity disorder (ADHD) and sleep electroencephalogram (EEG) theta/beta ratio (TBR) characteristics in children with sleep disordered breathing (SDB). Methods. The parents of children (aged 6-11 years) with SDB (n = 103) and healthy controls (n = 28) completed the SNAP-IV questionnaire, and children underwent overnight polysomnography. Children with SDB were grouped according to obstructive apnea/hypopnea index: primary snoring, mild, and moderate-severe obstructive sleep apnea (OSA) groups. The TBR in non-rapid eye movement (NREM) periods in three sleep cycles was analyzed. Results. Children with SDB showed worse ADHD symptoms compared with the healthy control. There was no intergroup difference in TBR. The time-related decline in TBR observed in the control, primary snoring and mild OSA groups, which was not observed in the moderate-severe OSA group. Overnight transcutaneous oxygen saturation was negatively associated with the hyperactivity/impulsivity score of ADHD symptom. The global TBR during the NREM period in the first sleep cycle was positively correlated with inattention score. Conclusion. Children with SDB showed more ADHD inattention symptoms than the healthy control. Although we found no difference in TBR among groups, we found significant main effect for NREM period. There existed a relationship between hypoxia, TBR, and scores of ADHD symptoms. Hence, it was speculated that TBR can reflect the nocturnal electrophysiological manifestations in children with SDB, which may be related to daytime ADHD symptoms.

研究目的本研究旨在探讨睡眠呼吸障碍(SDB)儿童中家长报告的注意力缺陷多动障碍(ADHD)症状和睡眠脑电图(EEG)θ/β比值(TBR)特征。研究方法患有睡眠呼吸障碍(SDB)的儿童(6-11 岁)(103 人)和健康对照组(28 人)的父母填写了 SNAP-IV 问卷,儿童接受了夜间多导睡眠图检查。根据阻塞性呼吸暂停/低通气指数对患有 SDB 的儿童进行分组:原发性打鼾组、轻度组和中重度阻塞性睡眠呼吸暂停(OSA)组。分析了三个睡眠周期非快速眼动(NREM)期的TBR。结果显示与健康对照组相比,患有 SDB 的儿童表现出更严重的多动症状。各组间的 TBR 没有差异。在对照组、原发性打鼾组和轻度 OSA 组观察到与时间相关的 TBR 下降,而在中重度 OSA 组未观察到。隔夜经皮血氧饱和度与多动症症状的多动/冲动评分呈负相关。第一个睡眠周期 NREM 期间的总体 TBR 与注意力不集中评分呈正相关。结论与健康对照组相比,SDB患儿表现出更多的ADHD注意力不集中症状。虽然我们发现各组之间的 TBR 没有差异,但我们发现 NREM 期间有显著的主效应。缺氧、TBR 和 ADHD 症状得分之间存在关系。因此,我们推测 TBR 可以反映 SDB 儿童的夜间电生理表现,而夜间电生理表现可能与白天的 ADHD 症状有关。
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引用次数: 0
An ERP Study of Face Processing in Schizophrenia, Bipolar Disorder, and Socially Isolated Individuals from the Community. 精神分裂症、双相情感障碍和社区社交孤立者面部加工的 ERP 研究。
Pub Date : 2024-07-01 Epub Date: 2024-01-31 DOI: 10.1177/15500594231222979
Lauren T Catalano, Jonathan K Wynn, Naomi I Eisenberger, William P Horan, Junghee Lee, Amanda McCleery, David J Miklowitz, Eric A Reavis, L Felice Reddy, Michael F Green

People with schizophrenia (SCZ) and bipolar disorder (BD) have impairments in processing social information, including faces. The neural correlates of face processing are widely studied with the N170 ERP component. However, it is unclear whether N170 deficits reflect neural abnormalities associated with these clinical conditions or differences in social environments. The goal of this study was to determine whether N170 deficits would still be present in SCZ and BD when compared with socially isolated community members. Participants included 66 people with SCZ, 37 with BD, and 125 community members (76 "Community-Isolated"; 49 "Community-Connected"). Electroencephalography was recorded during a face processing task in which participants identified the gender of a face, the emotion of a face (angry, happy, neutral), or the number of stories in a building. We examined group differences in the N170 face effect (greater amplitudes for faces vs buildings) and the N170 emotion effect (greater amplitudes for emotional vs neutral expressions). Groups significantly differed in levels of social isolation (Community-Isolated > SCZ > BD = Community-Connected). SCZ participants had significantly reduced N170 amplitudes to faces compared with both community groups, which did not differ from each other. The BD group was intermediate and did not differ from any group. There were no significant group differences in the processing of specific emotional facial expressions. The N170 is abnormal in SCZ even when compared to socially isolated community members. Hence, the N170 seems to reflect a social processing impairment in SCZ that is separate from level of social isolation.

精神分裂症(SCZ)和双相情感障碍(BD)患者在处理包括人脸在内的社交信息时存在障碍。通过 N170 ERP 成分对人脸处理的神经相关性进行了广泛研究。然而,目前还不清楚 N170 的缺陷是反映了与这些临床症状相关的神经异常,还是反映了社会环境的差异。本研究的目的是确定,与社会隔离的社区成员相比,N170缺陷是否仍然存在于SCZ和BD患者中。参与者包括 66 名 SCZ 患者、37 名 BD 患者和 125 名社区成员(76 名 "与社区隔离";49 名 "与社区相连")。我们在一项人脸处理任务中记录了参与者的脑电图,在这项任务中,参与者要识别人脸的性别、人脸的情绪(愤怒、快乐、中性)或建筑物的层数。我们研究了 N170 脸部效应(脸部与建筑物的振幅更大)和 N170 情绪效应(情绪表达与中性表达的振幅更大)的组间差异。各组在社会隔离程度上存在明显差异(社区隔离 > SCZ > BD = 社区连接)。与两个社区组相比,SCZ 参与者对人脸的 N170 波幅明显减小,而两个社区组之间没有差异。BD 组处于中间位置,与任何组都没有差异。在特定情绪面部表情的处理方面,两组之间没有明显差异。即使与社会隔离的社区成员相比,SCZ 的 N170 也是异常的。因此,N170似乎反映了SCZ的社会处理障碍,而这种障碍与社会隔离水平无关。
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引用次数: 0
Spatial Decoding for Gaze Independent Brain-Computer Interface Based on Covert Visual Attention Shift Using Electroencephalography. 基于脑电图隐蔽视觉注意力转移的独立于凝视的脑机接口空间解码
Pub Date : 2024-07-01 Epub Date: 2024-02-04 DOI: 10.1177/15500594241229187
Nupur Chugh, Swati Aggarwal

The gaze-independent brain-computer interface (BCI) device is used to re-establish interaction for individuals who have abnormal eye movement. It may be possible to control the BCI by shifting your attention spatially. However, spatial attention is rarely employed to increase the effectiveness of target detection and is typically used to provide a simple "yes" or "no" response to the target recognition inquiry. To improve the effectiveness of detecting target, it is crucial to take advantage of the possible advantages of spatial attention. N2-posterior-contralateral (N2pc) component reflects correlates of visual spatial attention and is used to determine target position. In this study, a long-short-term memory (LSTM) network is used to answer "yes/no" questions by decoding covert spatial attention based on N2pc characteristics using EEG signals. The proposed LSTM-based model's average decoding accuracy is 92.79%. The target detection efficiency was successfully increased by about 4% when compared to conventional machine learning algorithms. The proposed model is tested on the independent dataset to validate its performance. The results of this work show that N2pc characteristics can be employed in gaze-independent BCIs for tracking covert attention shifts, which may help persons with poor eye mobility to connect with their environment.

与注视无关的脑机接口(BCI)设备用于为眼球运动异常的人重新建立互动。通过空间注意力的转移可以控制 BCI。然而,空间注意力很少被用来提高目标检测的有效性,通常只是用来对目标识别询问做出简单的 "是 "或 "否 "的回答。要提高检测目标的效率,利用空间注意可能带来的优势至关重要。N2-后外侧(N2pc)成分反映了视觉空间注意的相关性,可用于确定目标位置。本研究利用长短期记忆(LSTM)网络,通过脑电信号解码基于 N2pc 特征的隐蔽空间注意力来回答 "是/否 "问题。所提出的基于 LSTM 的模型的平均解码准确率为 92.79%。与传统的机器学习算法相比,目标检测效率成功提高了约 4%。我们在独立数据集上对所提出的模型进行了测试,以验证其性能。这项工作的结果表明,N2pc特性可用于与注视无关的BCI中,以跟踪隐蔽的注意力转移,从而帮助眼球活动能力差的人与周围环境建立联系。
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引用次数: 0
A Multimodal Analysis to Explore Upper Limb Motor Recovery at 4 Weeks After Stroke: Insights From EEG and Kinematics Measures. 探索中风后4周上肢运动恢复的多模式分析:脑电图和运动学测量的见解。
Pub Date : 2024-07-01 Epub Date: 2023-10-19 DOI: 10.1177/15500594231209397
Annibale Antonioni, Martina Galluccio, Riccardo Toselli, Andrea Baroni, Giulia Fregna, Nicola Schincaglia, Giada Milani, Michela Cosma, Giovanni Ferraresi, Monica Morelli, Ilaria Casetta, Alessandro De Vito, Stefano Masiero, Nino Basaglia, Paola Malerba, Giacomo Severini, Sofia Straudi

Background. Stroke is a leading cause of death and disability worldwide and there is a very short period of increased synaptic plasticity, fundamental in motor recovery. Thus, it is crucial to acquire data to guide the rehabilitation treatment. Promising results have been achieved with kinematics and neurophysiological data, but currently, few studies integrate these different modalities. Objectives. We explored the correlations between standardized clinical scales, kinematic data, and EEG measures 4 weeks after stroke. Methods. 26 patients were considered. Among them, 20 patients also performed the EEG study, beyond the kinematic analysis, at 4 weeks. Results. We found correlations between the Fugl-Meyer Assessment-Upper Extremity, movement duration, smoothness measures, and velocity peaks. Moreover, EEG measures showed a tendency for the healthy hemisphere to vicariate the affected one in patients characterized by better clinical conditions. Conclusions. These results suggest the relevance of kinematic (in particular movement duration and smoothness) and EEG biomarkers to evaluate post-stroke recovery. We emphasize the importance of integrating clinical data with kinematic and EEG analyses from the early stroke stages, in order to guide rehabilitation strategies to best leverage the short period of increased synaptic plasticity.

背景中风是世界范围内死亡和残疾的主要原因,突触可塑性在很短的时间内增加,这是运动恢复的基础。因此,获取数据以指导康复治疗是至关重要的。运动学和神经生理学数据已经取得了有希望的结果,但目前很少有研究将这些不同的模式结合起来。目标。我们探讨了标准化临床量表、运动数据和中风后4周脑电图测量之间的相关性。方法。考虑了26名患者。其中,20名患者在4周时进行了除运动学分析外的脑电图研究。后果我们发现Fugl-Meyer评估上肢、运动持续时间、平滑度和速度峰值之间存在相关性。此外,脑电图测量显示,在临床条件较好的患者中,健康半球有取代受影响半球的趋势。结论。这些结果表明运动(特别是运动持续时间和平稳性)和脑电图生物标志物与评估卒中后恢复的相关性。我们强调将中风早期的临床数据与运动学和脑电图分析相结合的重要性,以指导康复策略,最好地利用短暂的突触可塑性增加。
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引用次数: 0
Applying Common Spatial Pattern and Convolutional Neural Network to Classify Movements via EEG Signals. 应用常见空间模式和卷积神经网络,通过脑电信号对运动进行分类。
Pub Date : 2024-07-01 Epub Date: 2024-03-24 DOI: 10.1177/15500594241234836
Sepideh Zolfaghari, Tohid Yousefi Rezaii, Saeed Meshgini

Developing an electroencephalography (EEG)-based brain-computer interface (BCI) system is crucial to enhancing the control of external prostheses by accurately distinguishing various movements through brain signals. This innovation can provide comfortable circumstances for the populace who have movement disabilities. This study combined the most prospering methods used in BCI systems, including one-versus-rest common spatial pattern (OVR-CSP) and convolutional neural network (CNN), to automatically extract features and classify eight different movements of the shoulder, wrist, and elbow via EEG signals. The number of subjects who participated in the experiment was 10, and their EEG signals were recorded while performing movements at fast and slow speeds. We used preprocessing techniques before transforming EEG signals into another space by OVR-CSP, followed by sending signals into the CNN architecture consisting of four convolutional layers. Moreover, we extracted feature vectors after applying OVR-CSP and considered them as inputs to KNN, SVM, and MLP classifiers. Then, the performance of these classifiers was compared with the CNN method. The results demonstrated that the classification of eight movements using the proposed CNN architecture obtained an average accuracy of 97.65% for slow movements and 96.25% for fast movements in the subject-independent model. This method outperformed other classifiers with a substantial difference; ergo, it can be useful in improving BCI systems for better control of prostheses.

开发基于脑电图(EEG)的脑机接口(BCI)系统对于通过大脑信号准确区分各种动作来增强外部假肢的控制至关重要。这项创新可以为有运动障碍的人群提供舒适的环境。这项研究结合了BCI系统中最常用的方法,包括单向与复向共同空间模式(OVR-CSP)和卷积神经网络(CNN),通过脑电信号自动提取特征并对肩部、手腕和肘部的八种不同动作进行分类。参与实验的受试者人数为 10 人,他们在以快速和慢速做动作时记录了脑电信号。在通过 OVR-CSP 将脑电信号转换到另一个空间之前,我们使用了预处理技术,然后将信号送入由四个卷积层组成的 CNN 架构。此外,我们在应用 OVR-CSP 后提取了特征向量,并将其视为 KNN、SVM 和 MLP 分类器的输入。然后,将这些分类器的性能与 CNN 方法进行了比较。结果表明,在与受试者无关的模型中,使用提出的 CNN 架构对八个动作进行分类的平均准确率为:慢速动作 97.65%,快速动作 96.25%。该方法在性能上大大优于其他分类器;因此,它可用于改进 BCI 系统,以更好地控制假肢。
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引用次数: 0
Resting-state EEG as Biomarker of Maladaptive Motor Function and Depressive Profile in Stroke Patients. 静息态脑电图是脑卒中患者适应不良运动功能和抑郁特征的生物标记。
Pub Date : 2024-07-01 Epub Date: 2024-03-09 DOI: 10.1177/15500594241234394
Lucas M Marques, Sara Pinto Barbosa, Anna Carolyna Gianlorenço, K Pacheco-Barrios, Daniel R Souza, Denise Matheus, Linamara Battistella, Marcel Simis, Felipe Fregni

Objective: Investigate the relationship between resting-state EEG-measured brain oscillations and clinical and demographic measures in Stroke patients. Methods: We performed a cross-sectional analysis of a cohort study (DEFINE cohort), Stroke arm, with 85 patients, considering demographic, clinical, and stroke characteristics. Resting-state EEG relative power from delta, theta, alpha, and beta oscillations were measured from the central region. Multivariate regression models were used for both affected and non-affected hemispheres. Results: Motor function was negatively associated with Delta and Theta oscillations, while positively associated with Alpha oscillations (both hemispheres). Similarly, cognition levels measured were negatively associated with Delta activity. Depression levels were negatively associated with Alpha activity specifically in the affected hemisphere, while positively associated with Beta activity in both hemispheres. Regarding pain measures, no significant association was observed, while CPM measure showed a positive association with Alpha activity in the non-affected hemisphere. Finally, we found that theta/alpha ratio was negatively associated with motor function and CPM scores. Conclusion: The results lead us to propose a framework for brain oscillations in stroke, whereas Delta and Beta would represent disrupted mal-adaptive brain plasticity and Theta and Alpha would represent compensatory and functional brain oscillations for motor and sensory deficits in stroke, respectively.

目的研究脑卒中患者静息态脑电图测量的大脑振荡与临床和人口统计学指标之间的关系。方法: 我们对一项队列研究(DEFINE 队列)进行了横断面分析:我们对一项队列研究(DEFINE 队列)的 85 名中风患者进行了横断面分析,考虑了人口统计学、临床和中风特征。我们测量了中心区域静息态脑电图中δ、θ、α和β振荡的相对功率。对受影响半球和非受影响半球采用多变量回归模型。结果显示运动功能与 Delta 和 Theta 振荡呈负相关,而与 Alpha 振荡呈正相关(两个半球)。同样,测量的认知水平与德尔塔活动呈负相关。抑郁水平与受影响半球的 Alpha 活动呈负相关,而与两个半球的 Beta 活动呈正相关。在疼痛测量方面,没有观察到明显的相关性,而在未受影响的大脑半球,CPM 测量与 Alpha 活动呈正相关。最后,我们发现θ/α比值与运动功能和CPM评分呈负相关。结论这些结果使我们提出了脑卒中大脑振荡的框架,Delta 和 Beta 代表被破坏的不良适应性大脑可塑性,而 Theta 和 Alpha 则分别代表脑卒中运动和感觉缺陷的代偿性和功能性大脑振荡。
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引用次数: 0
Pre-attentive and Attentive Auditory Event-related Potentials in Children With Attention-Deficit Hyperactivity Disorder and Autism. 注意缺陷多动障碍和自闭症儿童的注意前和注意听觉事件相关电位。
Pub Date : 2024-05-16 DOI: 10.1177/15500594241255499
Ulrich Schall, Ross Fulham, Max Günther, Jessica Bergmann, Renate Thienel, Julie Ortmann, Natalie G Wall, Paula Gómez Álvarez, Anne-Marie Youlden
Abnormalities in auditory processing are believed to play a major role in autism and attention-deficit hyperactivity disorder (ADHD). Both conditions often co-occur in children, causing difficulties in deciding the most promising intervention. Event-related potentials (ERPs) have been investigated and are showing promise to act as potential biomarkers for both conditions. This study investigated mismatch negativity (MMN) using a passive listening task and P3b in an active auditory go/no-go discrimination task. Recordings were available from 103 children (24 females): 35 with ADHD, 27 autistic, 15 autistic children with co-occurring ADHD, and 26 neurotypical (NT) children. The age range considered was between 4 and 17 years, but varied between groups. The results revealed increases in the MMN and P3b amplitudes with age. Older children with ADHD exhibited smaller P3b amplitudes, while younger autistic children showed reduced MMN amplitudes in response to phoneme changes compared to their NT counterparts. Notably, children diagnosed with autism and ADHD did not follow this pattern; instead, they exhibited more similarities to NT children. The reduced amplitudes of phonetically elicited MMN in children with autism and reduced P3b in children with ADHD suggest that the two respective ERPs can act as potential biomarkers for each condition. However, optimisation and standardisation of the testing protocol, as well as longitudinal studies are required in order to translate these findings into clinical practice.
听觉处理异常被认为是自闭症和注意力缺陷多动障碍(ADHD)的主要病因。这两种疾病经常同时出现在儿童身上,因此很难决定最有前途的干预措施。对事件相关电位(ERPs)进行了研究,结果表明,ERPs 有希望成为这两种疾病的潜在生物标志物。本研究采用被动倾听任务和主动听觉 "去/不去 "辨别任务中的 P3b 对错配负性(MMN)进行了调查。103 名儿童(24 名女性)进行了记录:其中 35 名患有多动症,27 名患有自闭症,15 名患有多动症的自闭症儿童和 26 名神经典型(NT)儿童。研究对象的年龄范围为 4 至 17 岁,但各组之间存在差异。结果显示,MMN 和 P3b 波幅随年龄增长而增加。年龄较大的多动症儿童的 P3b 波幅较小,而年龄较小的自闭症儿童与 NT 儿童相比,对音素变化的 MMN 波幅较小。值得注意的是,被诊断为自闭症和多动症的儿童并不遵循这一模式;相反,他们表现出与 NT 儿童更多的相似之处。自闭症儿童由语音引起的MMN振幅减小,而ADHD儿童的P3b振幅减小,这表明这两种ERP可作为每种疾病的潜在生物标志物。然而,要将这些发现转化为临床实践,还需要对测试方案进行优化和标准化,并开展纵向研究。
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引用次数: 0
Development of Biomarkers Potentially Sensitive to Early Psychosis Using Mismatch Negativity (MMN) to Complex Pattern Deviations. 利用错配负性(MMN)复杂模式偏差,开发对早期精神病具有潜在敏感性的生物标志物。
Pub Date : 2024-05-16 DOI: 10.1177/15500594241254896
D. Salisbury, Fran López Caballero, B. Coffman
Infrequent stimulus deviations from repetitive sequences elicit mismatch negativity (MMN) even passively, making MMN practical for clinical applications. Auditory MMN is typically elicited by a change in one (or more) physical stimulus parameters (eg, pitch, duration). This lower-order simple MMN (sMMN) is impaired in long-term schizophrenia. However, sMMN contains activity from release from stimulus adaptation, clouding its face validity as purely deviance-related. More importantly, it is unreliably reduced in samples of first-episode psychosis, limiting its utility as a biomarker. Complex pattern-deviant MMN (cMMN) tasks, which elicit early and late responses, are based on higher-order abstractions and better isolate deviance detection. Their abstract nature may increase the sensitivity to processing deficits in early psychosis. However, both the early and late cMMNs are small, limiting separation between healthy and psychotic samples. In 29 healthy individuals, we tested a new dual-rule cMMN paradigm to assess additivity of deviance. Sounds alternated lateralization between left and right, and low and high pitches, creating a left-low, right-high alternating pattern. Deviants were a repeated left-low, violating lateralization and pitch patterns. Early and late cMMNs on the dual-rule task were significantly larger than those on the one-rule extra tone cMMN task (P < .05). Further, the dual-rule early cMMN was not significantly smaller than pitch or duration sMMNs (P > .48, .28, respectively). These results demonstrate additivity for cMMN pattern-violating rules. This increase in cMMN amplitude should increase group difference effect size, making it a prime candidate for a biomarker of disease presence at first psychotic episode, and perhaps even prior to the emergence of psychosis.
重复序列中不常见的刺激偏差甚至会被动地引起错配负性(MMN),这使得 MMN 在临床应用中非常实用。听觉 MMN 通常是由一个(或多个)物理刺激参数(如音调、持续时间)的变化引起的。在长期精神分裂症患者中,这种低阶简单听觉神经网络(sMMN)会受到损害。然而,sMMN 包含刺激适应释放产生的活动,这使其纯粹与偏差相关的表面有效性变得模糊不清。更重要的是,它在首发精神病样本中的降低并不可靠,从而限制了其作为生物标记物的效用。复杂模式偏差MMN(cMMN)任务会引起早期和晚期反应,基于高阶抽象,能更好地分离偏差检测。它们的抽象性可能会提高对早期精神病处理缺陷的敏感度。然而,早期和晚期 cMMN 都很小,限制了健康样本和精神病样本之间的分离。我们在 29 名健康人中测试了一种新的双规则 cMMN 范式,以评估偏差的附加性。声音在左侧和右侧、低音和高音之间交替出现,形成左低右高的交替模式。偏差是一种重复的左低、违反侧化和音调模式。双规则任务的早期和晚期 cMMN 明显大于单规则额外音 cMMN 任务(P 分别为 0.48 和 0.28)。这些结果表明,违反规则的 cMMN 模式具有可加性。cMMN 振幅的增大应能增加组间差异效应的大小,从而使其成为首次精神病发作时,甚至可能在精神病出现之前,作为疾病存在的生物标志物的主要候选者。
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引用次数: 0
Assessment of Classical and Non-Classical Quantitative Electroencephalographic Measures in Patients with Substance Use Disorders. 物质使用障碍患者的经典和非经典定量脑电图测量的评估。
Pub Date : 2024-05-01 Epub Date: 2023-10-17 DOI: 10.1177/15500594231208245
Alioth Guerrero-Aranda, Francisco Javier Alvarado-Rodríguez, Andrea Enríquez-Zaragoza, Jaime Carmona-Huerta, Andrés Antonio González-Garrido

Background: People diagnosed with substance use disorders (SUDs) are at risk for impairment of brain function and structure. However, physicians still do not have any clinical biomarker of brain impairment that helps diagnose or treat these patients when needed. The most common method to study these patients is the classical electroencephalographic (EEG) analyses of absolute and relative powers, but this has limited individual clinical applicability. Other non-classical measures such as frequency band ratios and entropy show promise in these patients. Therefore, there is a need to expand the use of quantitative (q)EEG beyond classical measures in clinical populations. Our aim is to assess a group of classical and non-classical qEEG measures in a population with SUDs. Methods: We selected 56 non-medicated and drug-free adult patients (30 males) diagnosed with SUDs and admitted to Rehabilitation Clinics. According to qualitative EEG findings, patients were divided into four groups. We estimated the absolute and relative powers and calculated the entropy, and the alpha/(delta + theta) ratio. Results: Our findings showed a significant variability of absolute and relative powers among patients with SUDs. We also observed a decrease in the EEG-based entropy index and alpha/(theta + delta) ratio, mainly in posterior regions, in the patients with abnormal qualitative EEG. Conclusions: Our findings support the view that the power spectrum is not a reliable biomarker on an individual level. Thus, we suggest shifting the approach from the power spectrum toward other potential methods and designs that may offer greater clinical possibilities.

背景:被诊断为物质使用障碍的人有大脑功能和结构受损的风险。然而,医生仍然没有任何脑损伤的临床生物标志物来帮助在需要时诊断或治疗这些患者。研究这些患者最常见的方法是对绝对功率和相对功率的经典脑电图(EEG)分析,但这限制了个体临床应用。其他非经典测量,如频带比和熵,在这些患者中显示出希望。因此,有必要在临床人群中扩大定量(q)脑电图的使用范围,使其超越经典测量。我们的目的是评估SUD人群中的一组经典和非经典qEEG测量。方法:我们选择了56名非药物和无药物的成年患者(30名男性),他们被诊断为SUDs并入住康复诊所。根据定性脑电图结果,将患者分为四组。我们估计了绝对功率和相对功率,并计算了熵,以及α/(δ + θ)比率。结果:我们的研究结果显示,SUDs患者的绝对功率和相对功率存在显著差异。我们还观察到基于EEG的熵指数和α/(θ + delta)比值,主要在后部区域,在定性脑电图异常的患者中。结论:我们的研究结果支持这样一种观点,即功率谱在个体水平上不是一个可靠的生物标志物。因此,我们建议将方法从功率谱转向其他可能提供更大临床可能性的潜在方法和设计。
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Clinical EEG and neuroscience
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