Event-Related Potentials for Diagnosing Children and Adults With ADHD

2016 ◽  
Vol 24 (11) ◽  
pp. 1581-1587 ◽  
Author(s):  
Alex Gamma ◽  
Olga Kara
Keyword(s):  
Diagnostic Accuracy ◽  
Diagnostic Tests ◽  
Scientific Literature ◽  
Event Related Potentials ◽  
Healthy Controls ◽  
Study Quality ◽  
Inclusion Criteria ◽  
Concerted Action ◽  
Related Potentials ◽  
Behavioral Criteria

Objective: The diagnosis of ADHD is based on behavioral criteria, which allow for subjective variability and invite criticism regarding the reality of the disorder. In this situation, more objective criteria would be desirable. We review the scientific literature for diagnostic tests based on event-related potentials (ERPs). Method: Seven studies met the inclusion criteria of reporting the sensitivity and specificity of an ERP-based classifier discriminating participants with ADHD from healthy controls. Study quality was rated using the second version of the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) system. Results: Overall, study quality was acceptable. The largest biases were lack of representativeness and overfitting. Sensitivities and specificities ranged from 57% to 96%, and 63% to 92%, respectively. However, no two studies used the same diagnostic test. Conclusion: There is a serious lack of coordination in worldwide efforts to find more objective ERP-based criteria for the diagnosis of ADHD. Concerted action is needed.

Effects of cannabis use on event related potentials in subjects at ultra high risk for psychosis and healthy controls

2013 ◽  
Vol 88 (2) ◽  
pp. 149-156 ◽  
Author(s):  
Mirjam J. van Tricht ◽  
Emma C. Harmsen ◽  
Johannes H.T.M. Koelman ◽  
Lo J. Bour ◽  
Thérèse A. van Amelsvoort ◽  
...  
Keyword(s):  
High Risk ◽  
Event Related Potentials ◽  
Cannabis Use ◽  
Healthy Controls ◽  
Ultra High Risk ◽  
Related Potentials

scholarly journals Monitoring Migraine Cycle Dynamics with an Easy-to-Use Electrophysiological Marker—A Pilot Study

Sensors ◽  
2018 ◽  
Vol 18 (11) ◽  
pp. 3918 ◽  
Author(s):  
Goded Shahaf ◽  
Pora Kuperman ◽  
Yuval Bloch ◽  
Shahak Yariv ◽  
Yelena Granovsky
Keyword(s):  
Pilot Study ◽  
Stress Level ◽  
Event Related Potentials ◽  
Healthy Controls ◽  
Preliminary Results ◽  
Auditory Oddball ◽  
Control Subjects ◽  
Related Potentials ◽  
Auditory Oddball Task ◽  
The Brain

Migraine attacks can cause significant discomfort and reduced functioning for days at a time, including the pre-ictal and post-ictal periods. During the inter-ictsal period, however, migraineurs seem to function normally. It is puzzling, therefore, that event-related potentials of migraine patients often differ in the asymptomatic and inter-ictal period. Part of the electrophysiological dynamics demonstrated in the migraine cycle are attention related. In this pilot study we evaluated an easy-to-use new marker, the Brain Engagement Index (BEI), for attention monitoring during the migraine cycle. We sampled 12 migraine patients for 20 days within one calendar month. Each session consisted of subjects’ reports of stress level and migraine-related symptoms, and a 5 min EEG recording, with a 2-electrode EEG device, during an auditory oddball task. The first minute of the EEG sample was analyzed. Repetitive samples were also obtained from 10 healthy controls. The brain engagement index increased significantly during the pre-ictal (p ≈ 0.001) and the ictal (p ≈ 0.020) periods compared with the inter-ictal period. No difference was observed between the pre-ictal and ictal periods. Control subjects demonstrated intermediate Brain Engagement Index values, that is, higher than inter-ictal, yet lower than pre-ictal. Our preliminary results demonstrate the potential advantage of the use of a simple EEG system for improved prediction of migraine attacks. Further study is required to evaluate the efficacy of the Brain Engagement Index in monitoring the migraine cycle and the possible effects of interventions.

Abnormal Neural Basis of Emotional Conflict Control in Treatment-Resistant Depression

2016 ◽  
Vol 48 (2) ◽  
pp. 103-110 ◽  
Author(s):  
Song Xue ◽  
Shanshan Wang ◽  
Xia Kong ◽  
Jiang Qiu
Keyword(s):  
Stroop Task ◽  
Event Related Potentials ◽  
Frontal Region ◽  
Healthy Controls ◽  
Treatment Resistant Depression ◽  
Treatment Resistant ◽  
Neural Basis ◽  
Emotional Conflict ◽  
Related Potentials ◽  
Resistant Depression

Emotional conflict has received increased attention as a research topic. The objective of this study is to confirm that the processing of emotional conflict is impaired in treatment-resistant depression (TRD). We compared the event-related potentials of 17 patients with TRD and 17 healthy controls during the face-word Stroop task, which is an effective way of assessing the effects of emotional conflict directly. Compared with healthy controls, the accuracy scores of the TRD patients were lower in both “congruent stimuli” and “incongruent stimuli” conditions, and their response times were longer. The TRD patients also had larger N2 amplitudes over the frontal region, regardless of stimulus condition, which might reflect that TRD patients pay more attention to emotional information. A larger P3 amplitude over the frontal region for “incongruent stimuli minus congruent stimuli” was also found among patients with TRD, which indicates interference effects in the Stroop task. The results of this study provide novel behavioral and neurophysiological evidence of anomalies in cognitive inhibition among patients with TRD using the word-face task. These findings not only improve our understanding of deficient inhibition in TRD, but also pave the way for a cognitive neuropsychiatric model of depression.

A Preliminary Study of P200 in First-episode Patients, their Relatives and Healthy Controls: Search of New Endophenotypes

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
C. Silveira ◽  
F. Santos ◽  
F. Barbosa ◽  
A. Pedro ◽  
A. Palha ◽  
...  
Keyword(s):  
Event Related Potentials ◽  
First Episode ◽  
Healthy Controls ◽  
Significant Group ◽  
Auditory Oddball ◽  
First Degree Relatives ◽  
Confounding Variables ◽  
Related Potentials ◽  
Post Hoc ◽  
The Relationship

Background/Objective:Despite the well established genetic basis of schizophrenia, the relationship between genes and the disorder itself is still elusive. Individual endophenotypes, which reduce the complexity of genetic analyses, allow statistical approaches with quantitative trait methodologies. P200 abnormalities of event-related potentials have been reported in schizophrenia with conflicting results. The present study aims to characterize the P200 in first-episode patients and to compare it with that of first-degree relatives and controls.Methods:ERPs were recorded at 19 sites with an auditory oddball for 21 first-episode patients with schizophrenia (mean age=25.14; SD=6.20), 41 of their first degree relatives (mean age=47.65; SD=15.53) and 19 healthy controls (mean age=26.32; SD=7.16). Potentials were averaged for frequent stimuli and P200 amplitude and latency measures were obtained.Results:Analysis of midline electrodes revealed significant group effects for P200 peak amplitudes (F(2, 78)=3.315, p=.042), but not for peak latencies. Post-hoc analyses revealed that patients with schizophrenia present significantly lower P200 amplitudes (M=2.466; SD=1.564) than controls (M=5.037; SD=2.500) at Pz (T(38)=3.851, p=.003). No other significant differences were found.Conclusion:The results obtained do not straight-forwardly support the P200 peak amplitude nor peak latency as an endophenotype of schizophrenia. However, the trends of our results may suggest that the P200 amplitudes of relatives may present intermediate values between healthy controls (with higher amplitudes) and patients (with lower amplitudes). Further statistical analyses will be required in order to disentangle the effects of possible confounding variables.

scholarly journals Changes in face and face pareidolia processing in patients with migraine: an ERP study

2020 ◽  
Vol 123 (3) ◽  
pp. 876-884 ◽  
Author(s):  
Gülsüm Akdeniz ◽  
Sadiye Gumusyayla ◽  
Gonul Vural ◽  
Hesna Bektas ◽  
Orhan Deniz
Keyword(s):  
Migraine With Aura ◽  
Migraine Without Aura ◽  
Cortical Excitability ◽  
Event Related Potentials ◽  
Event Related Potential ◽  
Healthy Controls ◽  
Positive Potential ◽  
Cortical Hyperexcitability ◽  
Significant Difference ◽  
Related Potentials

Migraine is a multifactorial brain disorder characterized by recurrent disabling headache attacks. One of the possible mechanisms in the pathogenesis of migraine may be a decrease in inhibitory cortical stimuli in the primary visual cortex attributable to cortical hyperexcitability. The aim of this study was to investigate the neural correlates underlying face and face pareidolia processing in terms of the event-related potential (ERP) components, N170, vertex positive potential (VPP), and N250, in patients with migraine. In total, 40 patients with migraine without aura, 23 patients with migraine and aura, and 30 healthy controls were enrolled. We recorded ERPs during the presentation of face and face pareidolia images. N170, VPP, and N250 mean amplitudes and latencies were examined. N170 was significantly greater in patients with migraine with aura than in healthy controls. VPP amplitude was significantly greater in patients with migraine without aura than in healthy controls. The face stimuli evoked significantly earlier VPP responses to faces (168.7 ms, SE = 1.46) than pareidolias (173.4 ms, SE = 1.41) in patients with migraine with aura. We did not find a significant difference between N250 amplitude for face and face pareidolia processing. A significant difference was observed between the groups for pareidolia in terms of N170 [F(2,86) = 14,75, P < 0.001] and VPP [F(2,86) = 16.43, P < 0.001] amplitudes. Early ERPs are a valuable tool to study the neural processing of face processing in patients with migraine to demonstrate visual cortical hyperexcitability. NEW & NOTEWORTHY Event-related potentials (ERPs) are important for understanding face and face pareidolia processing in patients with migraine. N170, vertex positive potential (VPP), and N250 ERPs were investigated. N170 was revealed as a potential component of cortical excitability for face and face pareidolia processing in patients with migraine.

scholarly journals A Preliminary Study of p200 in First-episode Patients, their Relatives and Healthy Controls: Search of New Endophenotypes

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
C. Silveira ◽  
F. Santos ◽  
F. Barbosa ◽  
A. Pedro ◽  
A. Palha ◽  
...  
Keyword(s):  
Event Related Potentials ◽  
First Episode ◽  
Healthy Controls ◽  
Significant Group ◽  
Auditory Oddball ◽  
First Degree Relatives ◽  
Confounding Variables ◽  
Related Potentials ◽  
Post Hoc ◽  
The Relationship

Background/Objective:Despite the well established genetic basis of schizophrenia, the relationship between genes and the disorder itself is still elusive. Individual endophenotypes, which reduce the complexity of genetic analyses, allow statistical approaches with quantitative trait methodologies. P200 abnormalities of event-related potentials have been reported in schizophrenia with conflicting results. the present study aims to characterize the P200 in first-episode patients and to compare it with that of first-degree relatives and controls.Methods:ERPs were recorded at 19 sites with an auditory oddball for 21 first-episode patients with schizophrenia (mean age=25.14; SD=6.20), 41 of their first degree relatives (mean age=47.65; SD=15.53) and 19 healthy controls (mean age=26.32; SD=7.16). Potentials were averaged for frequent stimuli and P200 amplitude and latency measures were obtained.Results:Analysis of midline electrodes revealed significant group effects for P200 peak amplitudes (F(2, 78)=3.315, p=.042), but not for peak latencies. Post-hoc analyses revealed that patients with schizophrenia present significantly lower P200 amplitudes (M=2.466; SD=1.564) than controls (M=5.037; SD=2.500) at Pz (T(38)=3.851, p=.003). No other significant differences were found.Conclusion:The results obtained do not straight-forwardly support the P200 peak amplitude nor peak latency as an endophenotype of schizophrenia. However, the trends of our results may suggest that the P200 amplitudes of relatives may present intermediate values between healthy controls (with higher amplitudes) and patients (with lower amplitudes). Further statistical analyses will be required in order to disentangle the effects of possible confounding variables.

scholarly journals Event-related potential examination of facial affect processing in bipolar disorder and schizophrenia

2012 ◽  
Vol 43 (1) ◽  
pp. 109-117 ◽  
Author(s):  
J. K. Wynn ◽  
C. Jahshan ◽  
L. L. Altshuler ◽  
D. C. Glahn ◽  
M. F. Green
Keyword(s):  
Bipolar Disorder ◽  
Event Related Potentials ◽  
Facial Affect ◽  
Event Related Potential ◽  
Facial Features ◽  
Healthy Controls ◽  
Related Potentials ◽  
Patient Groups ◽  
Bipolar Patients ◽  
Affect Processing

BackgroundPatients with bipolar disorder exhibit consistent deficits in facial affect identification at both behavioral and neural levels. However, little is known about which stages of facial affect processing are dysfunctional.MethodEvent-related potentials (ERPs), including amplitude and latency, were used to evaluate two stages of facial affect processing: N170 to examine structural encoding of facial features and N250 to examine decoding of facial features in 57 bipolar disorder patients, 30 schizophrenia patients and 30 healthy controls. Three conditions were administered: participants were asked to identify the emotion of a face, the gender of a face, or whether a building was one or two stories tall.ResultsSchizophrenia patients' emotion identification accuracy was lower than that of bipolar patients and healthy controls. N170 amplitude was significantly smaller in schizophrenia patients compared to bipolar patients and healthy controls, which did not differ from each other. Both patient groups had significantly longer N170 latency compared to healthy controls. For N250, both patient groups showed significantly smaller amplitudes compared with controls, but did not differ from each other. Bipolar patients showed longer N250 latency than healthy controls; patient groups did not differ from each other.ConclusionsBipolar disorder patients have relatively intact structural encoding of faces (N170) but are impaired when decoding facial features for complex judgments about faces (N250 latency and amplitude), such as identifying emotion or gender.

scholarly journals Diverging white matter trajectories in children after traumatic brain injury

Neurology ◽  
2017 ◽  
Vol 88 (15) ◽  
pp. 1392-1399 ◽  
Author(s):  
Emily L. Dennis ◽  
Faisal Rashid ◽  
Monica U. Ellis ◽  
Talin Babikian ◽  
Roza M. Vlasova ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
White Matter ◽  
Chronic Phase ◽  
Event Related Potentials ◽  
Preliminary Evidence ◽  
Healthy Controls ◽  
Potential Biomarker ◽  
Related Potentials ◽  
Healthy Control

Objective:To examine longitudinal trajectories of white matter organization in pediatric moderate/severe traumatic brain injury (msTBI) over a 12-month period.Methods:We studied 21 children (16 M/5 F) with msTBI, assessed 2–5 months postinjury and again 13–19 months postinjury, as well as 20 well-matched healthy control children. We assessed corpus callosum function through interhemispheric transfer time (IHTT), measured using event-related potentials, and related this to diffusion-weighted MRI measures of white matter (WM) microstructure. At the first time point, half of the patients with TBI had significantly slower IHTT (TBI-slow-IHTT, n = 11) and half were in the normal range (TBI-normal-IHTT, n = 10).Results:The TBI-normal-IHTT group did not differ significantly from healthy controls, either in WM organization in the chronic phase or in the longitudinal trajectory of WM organization between the 2 evaluations. In contrast, the WM organization of the TBI-slow-IHTT group was significantly lower than in healthy controls across a large portion of the WM. Longitudinal analyses showed that the TBI-slow-IHTT group experienced a progressive decline between the 2 evaluations in WM organization throughout the brain.Conclusions:We present preliminary evidence suggesting a potential biomarker that identifies a subset of patients with impaired callosal organization in the first months postinjury who subsequently experience widespread continuing and progressive degeneration in the first year postinjury.

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