Neurophysiological indices of face processing in people with psychosis and their siblings: An event-related potential study.

People with schizophrenia experience difficulties with social interactions. One contributor to these social deficits is dysfunction in processing facial features and facial emotional expressions. However, it is not known whether face processing deficits are evident in those with other psychotic disorders or in those genetically at-risk for psychosis (i.e., first-degree relatives of those with psychosis). We assessed event-related potentials (ERPs) during a facial and emotion processing task in 100 people with a diagnosis of schizophrenia or another psychotic condition (PSY), 32 of their siblings (SIB) and 45 healthy comparison participants (CTL). In separate blocks, participants identified the sex (male or female) or emotion (happy, angry, neutral) of faces. In a comparison condition, participants indicated whether buildings had one or two floors. ERPs were examined in two stages. First, we compared ERPs across the emotion, sex and building identification conditions. Second, we compared ERPs among the three different facial emotions. PSY exhibited significantly lower amplitudes over parietal-occipital regions between 111 and 151 ms when viewing faces but not buildings than CTL, consistent with a face-selective N170 ERP component deficit. The SIB group was intermediate for faces, but not significantly different than PSY or CTL. During emotion identification, all three groups showed increased N170 amplitudes to angry and happy versus neutral expressions, with no group differences. In follow up analyses, we examined differences between PSY with or without affective psychosis, and differences between those with schizophrenia versus other psychotic disorders; there were no significant differences in these analyses. Face processing deficits assessed with ERPs were observed in a group of diverse psychotic disorders, though deficits were not seen to be modulated by facial emotion expression. Additionally, N170 deficits are not evident in siblings of those with PSY.

The psychometric upgrade psychophysiology needs.

Although biological measurements are constrained by the same fundamental psychometric principles as self-report measurements, these essential principles are often neglected in most fields of neuroscience, including psychophysiology. Potential reasons for this neglect could include a lack of understanding of appropriate measurement theory or a lack of accessible software for psychometric analysis. Generalizability theory is a flexible and multifaceted measurement theory that is well suited to handling the nuances of psychophysiological data, such as the often unbalanced number of trials and intraindividual variability of scores of event-related brain potential (ERP) data. The ERP Reliability Analysis Toolbox (ERA Toolbox) was designed for psychophysiologists and is tractable software that can support the routine evaluation of psychometrics using generalizability theory. Psychometrics can guide task refinement, data-processing decisions, and selection of candidate biomarkers for clinical trials. The present review provides an extensive treatment of additional psychometric characteristics relevant to studies of psychophysiology, including validity and validation, standardization, dimensionality, and measurement invariance. Although the review focuses on ERPs, the discussion applies broadly to psychophysiological measures and beyond. The tools needed to rigorously assess psychometric reliability and validate psychophysiological measures are now readily available. With the profound implications that psychophysiological research can have on understanding brain-behavior relationships and the identification of biomarkers, there is simply too much at stake to ignore the crucial processes of evaluating psychometric reliability and validity.

A registered report of a two-site study of variations of the flanker task: ERN experimental effects and data quality.

Error-related negativity is a widely used measure of error monitoring, and many projects are independently moving ERN recorded during a flanker task toward standardization, optimization, and eventual clinical application. However, each project uses a different version of the flanker task and tacitly assumes ERN is functionally equivalent across each version. The routine neglect of a rigorous test of this assumption undermines efforts to integrate ERN findings across tasks, optimize and standardize ERN assessment, and widely apply ERN in clinical trials. The purpose of this registered report was to determine whether ERN shows similar experimental effects (correct vs. error trials) and data quality (intraindividual variability) during three commonly used versions of a flanker task. ERN was recorded from 172 participants during three versions of a flanker task across two study sites. ERN scores showed numerical differences between tasks, raising questions about the comparability of ERN findings across studies and tasks. Although ERN scores from all three versions of the flanker task yielded high data quality and internal consistency, one version did outperform the other two in terms of the size of experimental effects and the data quality. Exploratory analyses of the error positivity (Pe) provided tentative support for the other two versions of the task over the paradigm that appeared optimal for ERN. The present study provides a roadmap for how to statistically compare psychometric characteristics of ERP scores across paradigms and gives preliminary recommendations for flanker tasks to use for ERN- and Pe-focused studies.

The data-processing multiverse of event-related potentials (ERPs): A roadmap for the optimization and standardization of ERP processing and reduction pipelines.

In studies of event-related brain potentials (ERPs), numerous decisions about data processing are required to extract ERP scores from continuous data. Unfortunately, the systematic impact of these choices on the data quality and psychometric reliability of ERP scores or even ERP scores themselves is virtually unknown, which is a barrier to the standardization of ERPs. The aim of the present study was to optimize processing pipelines for the error-related negativity (ERN) and error positivity (Pe) by considering a multiverse of data processing choices. A multiverse analysis of a data processing pipeline examines the impact of a large set of different reasonable choices to determine the robustness of effects, such as the impact of different decisions on between-trial standard deviations (i.e., data quality) and between-condition differences (i.e., experimental effects). ERN and Pe data from 298 healthy young adults were used to determine the impact of different methodological choices on data quality and experimental effects (correct vs. error trials) at several key stages: highpass filtering, lowpass filtering, ocular artifact correction, reference, baseline adjustment, scoring sensors, and measurement procedure. This multiverse analysis yielded 3,456 ERN scores and 576 Pe scores per person. An optimized pipeline for ERN included a 15 Hz lowpass filter, ICA-based ocular artifact correction, and a region of interest (ROI) approach to scoring. For Pe, the optimized pipeline included a 0.10 Hz highpass filter, 30 Hz lowpass filter, regression-based ocular artifact correction, a -200 to 0 ms baseline adjustment window, and an ROI approach to scoring. The multiverse approach can be used to optimize pipelines for eventual standardization, which would support efforts toward establishing normative ERP databases. The proposed process of analyzing the data-processing multiverse of ERP scores paves the way for better refinement, identification, and selection of data processing parameters, ultimately improving the precision and utility of ERPs.

A commentary on establishing norms for error-related brain activity during the arrow flanker task among young adults.

We suggest that a large data set for the error-related negativity (ERN) and error positivity (Pe) components of the scalp-recorded event-related brain potential (ERP) recently published as normative is not ready for such use in research and, especially, clinical application. Such efforts are challenged by an incomplete understanding of the functional significance of between-person differences in amplitudes and of nuisance factors that contribute to amplitude differences, a lack of standardization of methods, and the use of a convenience sample for the potentially normative database. To move ERPs toward standardization and useful norms, we encourage more research on the meaning of differences in ERN scores, including factors that influence between- and within-person variation, and the dissemination of protocols for data collection and processing.

Beyond single paradigms, pipelines, and outcomes: Embracing multiverse analyses in psychophysiology.

Psychophysiological research is an inherently complex undertaking due to the nature of the data, and its analysis is characterized by many decision points that shape the final dataset and a study's findings. These decisions create a "multiverse" of possible outcomes, and each decision from study conceptualization to statistical analysis can lead to different results and interpretations. This review describes the concept of multiverse analyses, a methodological approach designed to understand the impact of different decisions on the robustness of a study's findings and interpretation. The emphasis is on transparently showcasing different reasonable approaches for constructing a final dataset and on highlighting the influence of various decision points, from experimental design to data processing and outcome selection. For example, the choice of an experimental task can significantly impact event-related brain potential (ERP) scores or skin conductance responses (SCRs), and different tasks might elicit unique variances in each measure. This review underscores the importance of transparently embracing the flexibility inherent in psychophysiological research and the potential consequences of not understanding the fragility or robustness of experimental findings. By navigating the intricate terrain of the psychophysiological multiverse, this review serves as an introduction, helping researchers to make informed decisions, improve the collective understanding of psychophysiological findings, and push the boundaries of the field.

Social Motivation Differentiates Social Anxiety and Depression: A Daily Diary Study.

Because social anxiety and depression commonly co-occur, it can be challenging to disentangle the emotional and motivational features of these conditions in everyday life contexts. In this daily diary study, we sought to understand the interplay between daily social anxiety and depression symptoms and emotion and motivation, determining whether daily symptoms are independently linked with positive affect, negative affect, and social motivation (desire to approach or to withdraw from others). Community-dwelling adults (N = 269) with a wide range of social anxiety and depression symptoms completed daily assessments for 14 consecutive days (a total of 2,986 daily surveys). Within-person analyses found that increases in social anxiety and depression symptoms were uniquely associated with elevated negative affect; only increases in depression symptoms were associated with diminished positive affect. Increases in social anxiety symptoms were associated with an elevated desire to approach others but not a desire to withdraw from others. By contrast, increases in depression symptoms were associated with a diminished desire to approach others and an elevated desire to withdraw from others. Desire for social connection may distinguish social anxiety from depression. Examining patterns of daily social motivation may enhance clinicians' ability to differentiate the difficulties that arise from social anxiety from those that arise from depression.

Effects of Memantine on the Auditory Steady-State and Harmonic Responses to 40 Hz Stimulation Across Species.

BACKGROUND: Click trains elicit an auditory steady-state response (ASSR) at the driving frequency (1F) and its integer multiple frequencies (2F, 3F, etc.) called harmonics; we call this harmonic response the steady-state harmonic response (SSHR). We describe the 40 Hz ASSR (1F) and 80 Hz SSHR (2F) in humans and rats and their sensitivity to the uncompetitive NMDA antagonist memantine. METHODS: In humans (healthy control participants, n = 25; patients with schizophrenia, n = 28), electroencephalography was recorded after placebo or 20 mg memantine in a within-participant crossover design. ASSR used 1 ms, 85-dB clicks presented in 250 40/s 500-ms trains. In freely moving rats (n = 9), electroencephalography was acquired after memantine (0, 0.3, 1, 3 mg/kg) in a within-participant crossover design; 65-dB click trains used 5-mV monophasic, 1-ms square waves (40/s). RESULTS: Across species, ASSR at 1F generated greater evoked power (EP) than the 2F SSHR. 1F > 2F intertrial coherence (ITC) was also detected in humans, but the opposite relationship (ITC: 2F > 1F) was seen in rats. EP and ITC at 1F were deficient in patients and were enhanced by memantine across species. EP and ITC at 2F were deficient in patients. Measures at 2F were generally insensitive to memantine across species, although in humans the ITC harmonic ratio (1F:2F) was modestly enhanced by memantine, and in rats, both the EP and ITC harmonic ratios were significantly enhanced by memantine. CONCLUSIONS: ASSR and SSHR are robust, nonredundant electroencephalography signals that are suitable for cross-species analyses that reveal potentially meaningful differences across species, diagnoses, and drugs.

Neuroimaging of social motivation during winning and losing: Associations with social anhedonia across the psychosis spectrum.

BACKGROUND: Individuals with psychosis spectrum disorders (PSD) have difficulty developing social relationships. This difficulty may reflect reduced response to social feedback involving functional alterations in brain regions that support the social motivation system: ventral striatum, orbital frontal cortex, insula, dorsal anterior cingulate cortex, and amygdala. Whether these alterations span PSD is unknown. METHODS: 71 individuals with PSD, 27 unaffected siblings, and 37 control participants completed a team-based fMRI task. After each trial, participants received performance feedback paired with the expressive face of a teammate or opponent. A 2 × 2 (win versus loss outcome x teammate versus opponent) repeated measures ANOVA by group was performed on activation in the five key regions of interest during receipt of feedback. RESULTS: Across groups, three social motivation regions, ventral striatum, orbital frontal cortex, and amygdala, showed sensitivity to feedback (significant main effect of outcome), with greater activation during win versus loss trials, regardless of whether the feedback was from a teammate or opponent. In PSD, ventral striatum and orbital frontal cortex activation to win feedback was negatively correlated with social anhedonia scores. CONCLUSIONS: Patterns of neural activation during social feedback were similar in PSD, their unaffected siblings, and healthy controls. Across the psychosis spectrum, activity in key social motivation regions during social feedback was associated with individual differences in social anhedonia.

Registered replication report of the construct validity of the error-related negativity (ERN): A multi-site study of task-specific ERN correlations with internalizing and externalizing symptoms.

Intact cognitive control is critical for goal-directed behavior and is widely studied using the error-related negativity (ERN). A common assumption in such studies is that ERNs recorded during different experimental paradigms reflect the same construct or functionally equivalent processes and that ERN is functionally distinct from other error-monitoring event-related brain potentials (ERPs; error positivity [Pe]), other neurophysiological indices of cognitive control (N2), and even other theoretically unrelated indices (visual N1). The present registered report represents a replication-plus-extension study of the psychometric validity of cognitive control ERPs and evaluated the convergent and divergent validity of ERN, Pe, N2, and visual N1 recorded during flanker, Stroop, and Go/no-go tasks. Data from 182 participants were collected from two study sites, and ERP psychometric reliability and validity were evaluated. Findings supported replication of convergent and divergent validity of ERN, Pe, and ΔPe (error minus correct)-these ERPs correlated more with themselves across tasks than with other ERPs measured during the same task. Convergent validity of ΔERN across tasks was not replicated, despite high internal consistency. ERN strongly correlated with N2 at levels similar or higher than those in support of convergent validity for other ERPs, and the present study failed to provide evidence of divergent validity for ERN and Pe from N2 or N1. ERN and ΔERN were unrelated to internalizing or externalizing symptoms. Findings underscore the importance of considering the psychometric validity of ERPs, as it provides a foundation for interpreting and comparing ERPs across tasks and studies.

Cognitive control and conflict adaptation in youth with high-functioning autism.

BACKGROUND: Youth diagnosed with autism spectrum disorders (ASD) often show deficits in cognitive control processes, potentially contributing to characteristic difficulties monitoring and regulating behavior. Modification of performance following conflict can be measured by examining conflict adaptation, the adjustment of cognitive resources based on previous-trial conflict. The electrophysiological correlates of these processes can be measured using the N2, a stimulus-locked component of the event-related potential (ERP). METHODS: High-density ERPs and behavioral data [i.e. response times (RTs) and error rates] were acquired while 28 youth with ASD and 36 typically developing controls completed a modified Eriksen flanker task. RESULTS: Behaviorally, groups showed similar conflict adaptation effects; youth with ASD showed larger RT slowing on switch trials. For electrophysiology, controls demonstrated larger N2 amplitudes for incongruent (high-conflict) trials following congruent (low-conflict) trials than for incongruent trials following incongruent trials. Importantly, youth with ASD showed no such differences in N2 amplitude based on previous-trial conflict. CONCLUSIONS: Lack of electrophysiological conflict adaptation effects in youth with ASD indicates irregular neural processing associated with conflict adaptation. Individuals with ASD show declines in level of conflict evaluation and adaptation. Future research is necessary to accurately characterize and understand the behavioral implications of these cognitive control deficits relative to diagnostic severity, anxiety, and personality.

Performance monitoring and cognitive control in individuals with mild traumatic brain injury.

Literature suggests that individuals with mild traumatic brain injury (mTBI) show subtle abnormalities in the cognitive control process of performance monitoring. The neural bases of performance monitoring can be measured using the error-related negaitivity (ERN) and post-error positivity (Pe) components of the scalp-recorded event-related potential (ERP). Thirty-six individuals with mTBI and 46 demographically similar controls completed a modified color-naming Stroop task while ERPs were recorded. Separate repeated-measures analyses of variance were used to examine the behavioral (response times [RT] and error rates) and ERP (ERN and Pe amplitudes) indices of performance monitoring. Both groups showed slower RTs and increased error rates on incongruent trials relative to congruent trials. Likewise, both groups showed more negative ERN and more positive Pe amplitude to error trials relative to correct trials. Notably, there were no significant main effects or interactions of group for behavioral and ERP measures. Subgroup and correlational analyses with post-concussive symptoms and indices of injury severity were also not significant. Findings suggest comparable performance to non-injured individuals in some aspects of cognitive control in this sample. Neuropsychological implications and comparison with other cognitive control component processes in individuals with TBI are provided.

Open science in human electrophysiology.

Open science practices are gaining momentum in psychophysiological research, but at the nascent stage of this special issue in the International Journal of Psychophysiology there was no systematic collection of resources to support the adoption of open science practices specific to studies of human electrophysiology (EEG). The purpose of this special issue was to gather and provide resources that identify the idiosyncratic considerations and implications of open science practices specifically for studies of human EEG and event-related potentials (ERPs). Papers also show the importance of promoting good scientific practices in the application of open science principles to EEG and ERPs. This introduction to the special issue provides a roadmap for identifying the resources necessary to begin and improve the application of open science principles to EEG and ERP research. We are optimistic that open science practices will help increase the robustness, rigor, and replicability of EEG/ERP research and ultimately become the norm in studies of EEG and ERPs.

Aberrant reward processing to positive versus negative outcomes across psychotic disorders.

Several studies of reward processing in schizophrenia have shown reduced sensitivity to positive, but not negative, outcomes although inconsistencies have been reported. In addition, few studies have investigated whether patients show a relative deficit to social versus nonsocial rewards, whether deficits occur across the spectrum of psychosis, or whether deficits relate to negative symptoms and functioning. This study examined probabilistic implicit learning via two visually distinctive slot machines for social and nonsocial rewards in 101 outpatients with diverse psychotic disorders and 48 community controls. The task consisted of two trial types: positive (optimal to choose a positive vs. neutral machine) and negative (optimal to choose a neutral vs. negative machine), with two reward conditions: social (faces) and nonsocial (money) reward conditions. A significant group X trial type interaction indicated that controls performed better on positive than negative trials, whereas patients showed the opposite pattern of better performance on negative than positive trials. In addition, both groups performed better for social than nonsocial stimuli, despite lower overall task performance in patients. Within patients, worse performance on negative trials showed significant, small-to-moderate correlations with motivation and pleasure-related negative symptoms and social functioning. The current findings suggest reward processing disturbances, particularly decreased sensitivity to positive outcomes, extend beyond schizophrenia to a broader spectrum of psychotic disorders and relate to important clinical outcomes.

Intact differentiation of responses to socially-relevant emotional stimuli across psychotic disorders: An event-related potential (ERP) study.

Event-related potential (ERP) studies of motivated attention in schizophrenia typically show intact sensitivity to affective vs. non-affective images depicting diverse types of content. However, it is not known whether this ERP pattern: 1) extends to images that solely depict social content, (2) applies across a broad sample with diverse psychotic disorders, and (3) relates to self-reported trait social anhedonia. We examined late positive potential (LPP) amplitudes to images involving people that were normatively pleasant (affiliative), unpleasant (threatening), or neutral in 97 stable outpatients with various psychotic disorders and 38 healthy controls. Both groups showed enhanced LPP to pleasant and unpleasant vs. neutral images to a similar degree, despite lower overall LPP in patients. Within the patients, there were no significant LPP differences among subgroups (schizophrenia vs. other psychotic disorders; affective vs. non-affective psychosis) for the valence effect (pleasant/unpleasant vs. neutral). Higher social anhedonia showed a small, significant relation to lower LPP to pleasant images across all groups. These findings suggest intact motivated attention to social images extends across psychotic disorder subgroups. Dimensional transdiagnostic analyses revealed a modest association between self-reported trait social anhedonia and an LPP index of neural sensitivity to pleasant affiliative images.

The viability of the frequency following response characteristics for use as biomarkers of cognitive therapeutics in schizophrenia.

Deficits in early auditory information processing contribute to cognitive and psychosocial disability; this has prompted development of interventions that target low-level auditory processing, which may alleviate these disabilities. The frequency following response (FFR) is a constellation of event-related potential and frequency characteristics that reflect the processing of acoustic stimuli at the level of the brainstem and ascending portions of the auditory pathway. While FFR is a promising candidate biomarker of response to auditory-based cognitive training interventions, the psychometric properties of FFR in schizophrenia patients have not been studied. Here we assessed the psychometric reliability and magnitude of group differences across 18 different FFR parameters to determine which of these parameters demonstrate adequate internal consistency. Electroencephalography from 40 schizophrenia patients and 40 nonpsychiatric comparison subjects was recorded during rapid presentation of an auditory speech stimulus (6000 trials). Patients showed normal response amplitudes but longer latencies for most FFR peaks and lower signal-to-noise ratios (SNRs) than healthy subjects. Analysis of amplitude and latency estimates of peaks, however, indicated a need for a substantial increase in task length to obtain internal consistency estimates above 0.80. In contrast, excellent internal consistency (>0.95) was shown for FFR sustained responses. Only SNR scores reflecting the FFR sustained response yielded significant group differences and excellent internal consistency, suggesting that this measure is a viable candidate for use in clinical treatment studies. The present study highlights the use of internal consistency estimates to select FFR characteristics for use in future intervention studies interested in individual differences among patients.

The relationship between cognitive performance and electrophysiological indices of performance monitoring.

Studies of electrophysiological indices of performance monitoring, such as the error-related negativity (ERN), posterror positivity (Pe), and N2 components of the event-related potential (ERP), suggest that increased ERN and Pe amplitudes and decreased N2 amplitudes are associated with better cognitive flexibility and cognitive control abilities; however, few studies have directly examined the relationship between cognitive performance and ERP indices of performance monitoring. We examined the neuropsychological profile of 89 healthy individuals who performed a modified flanker task. The neuropsychological domains tested included memory, verbal fluency, and attention/executive functioning. Pearson's correlations and multiple regression analyses showed a significant relationship between measures of attention/executive functioning and ERN amplitude, even when negative affect, reaction time interference, and posterror slowing were controlled. N2 amplitude related only to posterror slowing. The amplitude of the Pe was not significantly related to any cognitive domains. These findings are consistent with recent work indicating that performance monitoring requires attention skills and cognitive flexibility. Implications for the conflict-monitoring and reinforcement-learning theories are discussed.

Data quality and reliability metrics for event-related potentials (ERPs): The utility of subject-level reliability.

Event-related brain potentials (ERPs) represent direct measures of neural activity that are leveraged to understand cognitive, affective, sensory, and motor processes. Every ERP researcher encounters the obstacle of determining whether measurements are precise or psychometrically reliable enough for an intended purpose. In this primer, we review three types of measurements metrics: data quality, group-level internal consistency, and subject-level internal consistency. Data quality estimates characterize the precision of ERP scores but provide no inherent information about whether scores are precise enough for examining individual differences. Group-level internal consistency characterizes the ratio of between-person differences to the precision of those scores, and provides a single internal consistency estimate for an entire group of participants that risks masking low internal consistency for some individuals. Subject-level internal consistency considers the precision of an ERP score for a person relative to between-person differences for a group, and an estimate is yielded for each individual. We apply each metric to published error-related negativity (ERN) and reward positivity (RewP) data and demonstrate how failing to consider data quality and internal consistency can undermine statistical inferences. We conclude with general comments on how these estimates may be used to improve measurement quality and methodological transparency. Subject-level internal consistency computation is implemented within the ERP Reliability Analysis (ERA) Toolbox.

Evaluating the internal consistency of subtraction-based and residualized difference scores: Considerations for psychometric reliability analyses of event-related potentials.

In studies of event-related brain potentials (ERPs), difference scores between conditions in a task are frequently used to isolate neural activity for use as a dependent or independent variable. Adequate score reliability is a prerequisite for studies examining relationships between ERPs and external correlates, but there is no extensive treatment on the suitability of the various available approaches to estimating difference score reliability that focus on ERP research. In the present study, we provide formulas from classical test theory and generalizability theory for estimating the internal consistency of subtraction-based and residualized difference scores. These formulas are then applied to error-related negativity (ERN) and reward positivity (RewP) difference scores from the same sample of 117 participants. Analyses demonstrate that ERN difference scores can be reliable, which supports their use in studies of individual differences. However, RewP difference scores yielded poor reliability due to the high correlation between the constituent reward and non-reward ERPs. Findings emphasize that difference score reliability largely depends on the internal consistency of constituent scores and the correlation between those scores. Furthermore, generalizability theory yields more suitable estimates of internal consistency for subtraction-based difference scores than classical test theory. We conclude that ERP difference scores can show adequate reliability and be useful for isolating neural activity in studies of individual differences.

Psychopathic traits, inhibition, and positive and negative emotion: Results from an emotional Go/No-Go task.

Difficulty stopping unwanted or inappropriate actions (i.e., inhibitory control) is implicated in antisocial behaviors, which are common in people high in psychopathic traits. Recent research indicates that, for those with antisocial personality, inhibitory control is impaired under negative emotional contexts; however, it is unclear whether this impairment extends to persons with psychopathic traits and to impairments under positive emotional contexts. Identifying some of these distinctions can point to therapeutics that target negative emotion specifically or emotion dysregulation broadly. We sought to identify unique relationships between distinct facets of psychopathy and inhibitory control in the context of positive, negative, and neutral stimuli. Using a community sample (N = 117), event-related potentials were recorded during an emotional-linguistic Go/No-Go task. Results indicated distinct cognition-emotion relationships for each psychopathy facet. Higher interpersonal facet scores related to reciprocal interference between cognition and emotion. Higher callous affect facet scores related to reduced inhibitory and emotional processing, except when stimuli were most engaging (emotional No-Go trials). Higher erratic lifestyle facet scores related to increased effort required to process both emotion and inhibition cues. Finally, higher antisocial facet scores related to poorer behavioral inhibition overall. This research challenges the theoretical accounts of psychopathy focused on specific deficits in negative emotion, such as fearlessness, while offering some support for theories related to attentional dysfunction. Results also highlight the importance of facet-level theorizing, as results varied by facet. This study may inform efforts to reduce disinhibited behaviors, particularly in emotional contexts, among those high in certain psychopathic traits.