Effects of Electroacupuncture Combined With Psychological Intervention on Depressive Status and Contingent Negative Variation in Patients With Internet Addiction Disorder: A Randomized Controlled Trial.

Background: Depressive symptoms often accompany people with Internet addiction syndrome (IAD). Acupuncture has been found to have significant advantages in improving the severity and depressive symptoms of IAD. Contingent negative variation (CNV) is a common method to explore the mechanism of neurophysiology. Objective: The purpose of this study was to observe the efficacy of electroacupuncture (EA), psychological intervention (PI), and comprehensive intervention (CI) in the treatment of depression in Internet addiction disorder (IAD), and to observe the changes of contingent negative variation (CNV) in each group. Methods: One hundred and twenty subjects diagnosed with IAD were randomly assigned to the EA group, the PI group, or the CI group. They received EA, PI, or a combination of EA and PI for 40 days. The Internet Addiction Test (IAT), the Zung Self-rating Depression Scale (SDS), and the Hamilton Depression Scale (HAMD) were evaluated for all subjects at baseline, 20th, and 40th days of treatment, while CNV data were collected at baseline and 40th days of treatment. Results: Three treatments effectively reduced IAT, SDS, and HAMD scores, and the intergroup comparison showed that CI was superior to EA, while EA was superior to PI. CNV results indicated that the CNV amplitude increased in all three groups of IAD patients after treatment. The CNV latency of point A and A-S2' wave area of the EA group and the CI group did not change significantly after treatment. Only the A-S2' wave area of the PI group increased significantly compared with the baseline period. In addition, IAD's IAT score was positively correlated with SDS and HAMD score at baseline but negatively correlated with CNV latency. After treatment, only the change of HAMD score in the CI group was negatively correlated with amplitude. Conclusion: Our results demonstrate the efficacy of acupuncture and psychological intervention in the treatment of IAD from an electrophysiological perspective. Simultaneously, the increase in CNV amplitude might be the underlying neurophysiological mechanism by which CI improves depression and cognitive function in IAD patients. Clinical Trial Registration: ClinicalTrials.gov, identifier NCT02362698.

Can neurophysiological markers of anticipation and attention predict ADHD severity and neurofeedback outcomes?

Neurophysiological measures of preparation and attention are often atypical in ADHD. Still, replicated findings that these measures predict which patients improve after Neurofeedback (NF), reveal neurophysiological specificity, and reflect ADHD-severity are limited. METHODS: We analyzed children's preparatory (CNV) and attentional (Cue-P3) brain activity and behavioral performance during a cued Continuous Performance Task (CPT) before and after slow cortical potential (SCP)-NF or semi-active control treatment (electromyogram biofeedback). Mixed-effects models were performed with 103 participants at baseline and 77 were assessed for pre-post comparisons focusing on clinical outcome prediction, specific neurophysiological effects of NF, and associations with ADHD-severity. RESULTS: Attentional and preparatory brain activity and performance were non-specifically reduced after treatment. Preparatory activity in the SCP-NF group increased with clinical improvement. Several performance and brain activity measures predicted non-specific treatment outcome. CONCLUSION: Specific neurophysiological effects after SCP-NF were limited to increased neural preparation associated with improvement on ADHD-subscales, but several performance and neurophysiological measures of attention predicted treatment outcome and reflected symptom severity in ADHD. The results may help to optimize treatment.

Non-rhythmic temporal prediction involves phase resets of low-frequency delta oscillations.

The phase of neural oscillatory signals aligns to the predicted onset of upcoming stimulation. Whether such phase alignments represent phase resets of underlying neural oscillations or just rhythmically evoked activity, and whether they can be observed in a rhythm-free visual context, however, remains unclear. Here, we recorded the magnetoencephalogram while participants were engaged in a temporal prediction task, judging the visual or tactile reappearance of a uniformly moving stimulus. The prediction conditions were contrasted with a control condition to dissociate phase adjustments of neural oscillations from stimulus-driven activity. We observed stronger delta band inter-trial phase consistency (ITPC) in a network of sensory, parietal and frontal brain areas, but no power increase reflecting stimulus-driven or prediction-related evoked activity. Delta ITPC further correlated with prediction performance in the cerebellum and visual cortex. Our results provide evidence that phase alignments of low-frequency neural oscillations underlie temporal predictions in a non-rhythmic visual and crossmodal context.

Learning to predict: Neuronal signatures of auditory expectancy in human event-related potentials.

Learning to anticipate future states of the world based on statistical regularities in the environment is a key component of perception and is vital for the survival of many organisms. Such statistical learning and prediction are crucial for acquiring language and music appreciation. Importantly, learned expectations can be implicitly derived from exposure to sensory input, without requiring explicit information regarding contingencies in the environment. Whereas many previous studies of statistical learning have demonstrated larger neuronal responses to unexpected versus expected stimuli, the neuronal bases of the expectations themselves remain poorly understood. Here we examined behavioral and neuronal signatures of learned expectancy via human scalp-recorded event-related brain potentials (ERPs). Participants were instructed to listen to a series of sounds and press a response button as quickly as possible upon hearing a target noise burst, which was either reliably or unreliably preceded by one of three pure tones in low-, mid-, and high-frequency ranges. Participants were not informed about the statistical contingencies between the preceding tone 'cues' and the target. Over the course of a stimulus block, participants responded more rapidly to reliably cued targets. This behavioral index of learned expectancy was paralleled by a negative ERP deflection, designated as a neuronal contingency response (CR), which occurred immediately prior to the onset of the target. The amplitude and latency of the CR were systematically modulated by the strength of the predictive relationship between the cue and the target. Re-averaging ERPs with respect to the latency of behavioral responses revealed no consistent relationship between the CR and the motor response, suggesting that the CR represents a neuronal signature of learned expectancy or anticipatory attention. Our results demonstrate that statistical regularities in an auditory input stream can be implicitly learned and exploited to influence behavior. Furthermore, we uncover a potential 'prediction signal' that reflects this fundamental learning process.

Does hypnotic susceptibility influence information processing speed and motor cortical preparatory activity?

Responsiveness to suggestions while hypnotized is termed hypnotic susceptibility. An association between reaction time and hypnotic susceptibility has been demonstrated, but whether distinct changes in brain activity accompany this relationship remains unclear. We investigated the effect of hypnotic susceptibility on the speed of information processing and motor cortical preparatory activity. Twenty-one "low" (LowHS) and fifteen "high" (HighHS) hypnotically susceptible right-handed participants performed precued simple (SRT) and choice (CRT) reaction time key-press tasks under hypnotized and non-hypnotized conditions. Force and surface electromyography data were recorded from left and right index fingers. The contingent negative variation (CNV) was derived from electroencephalography data. Mean reaction time and premotor time was shorter in HighHS participants than LowHS participants for both simple and choice reaction time tasks. HighHS participants in the hypnotized state performed fewer errors than HighHS participants in the non-hypnotized state and LowHS participants in either state for the SRT task. HighHS participants made fewer errors overall than LowHS participants for the CRT task. Mean C3/C4 CNV amplitude was larger in HighHS than in LowHS participants. Furthermore, larger CNV amplitude was associated with shorter premotor time. Our findings indicate that shorter reaction time in the high hypnotically susceptible group is associated with a greater change in brain activity during motor preparation. One interpretation is that hypnotic susceptibility and neural mechanisms of arousal and selective attention are linked.

Age-related differences in event-related potentials and pupillary responses in cued reaction time tasks.

Deficits in the noradrenergic system are associated with age-related cognitive decline, yet how healthy aging influences the functional properties of this arousal system is still poorly understood. We addressed this question in humans using pupillometry, a well-established indicator of activity levels in the locus coeruleus (LC), the main noradrenergic center in the brain. We recorded the pupillogram and the electroencephalogram of 36 young and 39 older adults, while they were engaged in cued reaction time tasks known to elicit LC responses in monkeys. Event-related potentials (ERPs) revealed significant group differences. Older adults showed higher cortical activation during preparatory processes reflected in enhanced cue-evoked frontocentral ERPs and reduced parietal ERPs at the time of the motor response. In contrast, the amplitude of the task-related pupillary responses did not show a significant group effect. Our findings suggest that aging-related changes in cortical processing during motor preparation and execution, as documented by electroencephalogram, are not accompanied by changes in the amplitude of activation of the LC, as documented by pupillography.

Dysfunctional preparatory processes in hazardous drinkers: An ERP study.

Alcohol drinking is associated with impaired cognitive and motor performance. This electrophysiological study examined the differences in the preparatory processes preceding motor imagery (visual and kinesthetic) and execution between hazardous drinkers and non-hazardous drinking controls. Twenty-two hazardous drinkers and 22 non-hazardous drinking controls were recruited to participate in the study. They were required to produce a 3-key response sequence physically or mentally 3 s after the appearance of a corresponding cue. Here we showed significantly smaller amplitudes of both early and late negative contingent variation in hazardous drinkers compared to controls. In addition, the early negative contingent variation preceding motor execution was greater than those in the motor imagery conditions in both groups. Results of this study suggest impairments of attentional control and motor preparation in hazardous drinkers. Preparatory processes of motor execution and motor imagery mainly differ from each other in voluntary attention orientation, but not in motor preparation.

[Progressive muscle relaxation according to Jacobson for migraine prophylaxis : Clinical effectiveness and mode of action]. / Progressive Muskelrelaxation nach Jacobson bei der Migräneprophylaxe : Klinische Effektivität und Wirkmechanismen.

Progressive muscle relaxation (PMR) after Jacobson has been used for migraine prophylaxis since the early 1970s. Migraine patients are assumed to have an enhanced autonomic arousal which can be counterbalanced by systematic relaxation. Relaxation techniques are thought to reduce the activation level, to alter cortical pain processing and to enhance activation in pain-reducing cortical structures in the periaqueductal grey matter. Meta-analyses could show PMR to be just as efficacious as pharmacological treatment options. A beneficial effect can only arise if regular daily exercises of 5-25 min are performed and the exercises are transferred into the daily routine. This review critically summarizes the empirical findings concerning the effects of PMR on migraine. A lack of recent research on this topic was determined. In a study by this group 50 migraine patients and 46 healthy controls were examined. It could be shown that in addition to the clinical efficacy on migraine frequency, changes in cortical information processing, measured by means of the evoked potential contingent negative variation (CNV) could also be determined. The initially increased CNV amplitude became normalized after regular PMR training in migraine patients. With the review of PMR studies on migraine prophylaxis and the results of our own study it could be shown that PMR is an efficacious non-pharmacological treatment option for migraine prophylaxis. In addition to its clinical effects, alterations in cortical stimulation processing in terms of a normalization of the CNV could be documented.

Progressive muscle relaxation reduces migraine frequency and normalizes amplitudes of contingent negative variation (CNV).

BACKGROUND: Central information processing, visible in evoked potentials like the contingent negative variation (CNV) is altered in migraine patients who exhibit higher CNV amplitudes and a reduced habituation. Both characteristics were shown to be normalized under different prophylactic migraine treatment options whereas Progressive Muscle Relaxation (PMR) has not yet been examined. We investigated the effect of PMR on clinical course and CNV in migraineurs in a quasi-randomized, controlled trial. METHODS: Thirty-five migraine patients and 46 healthy controls were examined. Sixteen migraineurs and 21 healthy participants conducted a 6-week PMR-training with CNV-measures before and after as well as three months after PMR-training completion. The remaining participants served as controls. The clinical course was analyzed with two-way analyses of variance (ANOVA) with repeated measures. Pre-treatment CNV differences between migraine patients and healthy controls were examined with t-tests for independent measures. The course of the CNV-parameters was examined with three-way ANOVAs with repeated measures. RESULTS: After PMR-training, migraine patients showed a significant reduction of migraine frequency. Preliminary to the PMR-training, migraine patients exhibited higher amplitudes in the early component of the CNV (iCNV) and the overall CNV (oCNV) than healthy controls, but no differences regarding habituation. After completion of the PMR-training, migraineurs showed a normalization of the iCNV amplitude, but neither of the oCNV nor of the habituation coefficient. CONCLUSIONS: The results confirm clinical efficacy of PMR for migraine prophylaxis. The pre-treatment measure confirms altered cortical information processing in migraine patients. Regarding the changes in the iCNV after PMR-training, central nervous mechanisms of the PMR-effect are supposed which may be mediated by the serotonin metabolism.

Migraine and Meditation: Characteristics of Cortical Activity and Stress Coping in Migraine Patients, Meditators and Healthy Controls-An Exploratory Cross-Sectional Study.

The aim of this exploratory cross-sectional study was to investigate the characteristics of cortical activity and stress coping in migraine patients, meditation experienced subjects, and healthy controls. 45 meditation experienced subjects, 46 migraine patients, and 46 healthy controls took part in the study. Cortical activity was measured with the contingent negative variation (CNV), a slow cortical event-related potential. Stress coping was examined with the standardized Stress Coping Questionnaire SVF-78. A one-way analysis of variance was used to investigate possible differences between the groups. CNV-amplitude was significantly higher in migraineurs than in controls. The meditators showed significantly lowest amplitudes. Migraine patients used negative stress-coping strategies significantly more often than meditators and healthy controls. Especially the application of the strategy "rumination" was most frequent in migraine patients and least frequent in meditators. Moreover, frequent rumination was significantly correlated with high CNV-amplitudes. Cortical and stress processing in people with meditation experience was improved compared to migraine patients and healthy controls.

Contingent negative variation (CNV) associated with sensorimotor timing error correction.

INTRODUCTION: Detection and subsequent correction of sensorimotor timing errors are fundamental to adaptive behavior. Using scalp-recorded event-related potentials (ERPs), we sought to find ERP components that are predictive of error correction performance during rhythmic movements. METHOD: Healthy right-handed participants were asked to synchronize their finger taps to a regular tone sequence (every 600 ms), while EEG data were continuously recorded. Data from 15 participants were analyzed. Occasional irregularities were built into stimulus presentation timing: 90 ms before (advances: negative shift) or after (delays: positive shift) the expected time point. A tapping condition alternated with a listening condition in which identical stimulus sequence was presented but participants did not tap. RESULTS: Behavioral error correction was observed immediately following a shift, with a degree of over-correction with positive shifts. Our stimulus-locked ERP data analysis revealed, 1) increased auditory N1 amplitude for the positive shift condition and decreased auditory N1 modulation for the negative shift condition; and 2) a second enhanced negativity (N2) in the tapping positive condition, compared with the tapping negative condition. In response-locked epochs, we observed a CNV (contingent negative variation)-like negativity with earlier latency in the tapping negative condition compared with the tapping positive condition. This CNV-like negativity peaked at around the onset of subsequent tapping, with the earlier the peak, the better the error correction performance with the negative shifts while the later the peak, the better the error correction performance with the positive shifts. DISCUSSION: This study showed that the CNV-like negativity was associated with the error correction performance during our sensorimotor synchronization study. Auditory N1 and N2 were differentially involved in negative vs. positive error correction. However, we did not find evidence for their involvement in behavioral error correction. Overall, our study provides the basis from which further research on the role of the CNV in perceptual and motor timing can be developed.

Decoupling interval timing and climbing neural activity: a dissociation between CNV and N1P2 amplitudes.

It is often argued that climbing neural activity, as for example reflected by the contingent negative variation (CNV) in the electroencephalogram, is the signature of the subjective experience of time. According to this view, the resolution of the CNV coincides with termination of subjective timing processes. Paradoxically, behavioral data indicate that participants keep track of timing even after the standard interval (SI) has passed. This study addresses whether timing continues after CNV resolution. In Experiment 1, human participants were asked to discriminate time intervals while evoked potentials (EPs) elicited by the sound terminating a comparison interval (CI) were measured. As the amplitude of N1P2 components increases as a function of the temporal distance from the SI, and the latency of the P2 component followed the hazard rate of the CIs, timing processes continue after CNV resolution. Based on a novel experimental paradigm, statistical model comparisons and trial-by-trial analyses, Experiment 2 supports this finding as subjective time is more accurately indexed by the amplitude of early EPs than by CNV amplitude. These results provide the first direct evidence that subjective timing of multisecond intervals does not depend on climbing neural activity as indexed by the CNV and that the subjective experience of time is better reflected by distinct features of post-CI evoked potentials.