From Sensory Perception to Lexical-Semantic Processing: An ERP Study in Non-Verbal Children with Autism.

This study examines electrocortical activity associated with visual and auditory sensory perception and lexical-semantic processing in nonverbal (NV) or minimally-verbal (MV) children with Autism Spectrum Disorder (ASD). Currently, there is no agreement on whether these children comprehend incoming linguistic information and whether their perception is comparable to that of typically developing children. Event-related potentials (ERPs) of 10 NV/MV children with ASD and 10 neurotypical children were recorded during a picture-word matching paradigm. Atypical ERP responses were evident at all levels of processing in children with ASD. Basic perceptual processing was delayed in both visual and auditory domains but overall was similar in amplitude to typically-developing children. However, significant differences between groups were found at the lexical-semantic level, suggesting more atypical higher-order processes. The results suggest that although basic perception is relatively preserved in NV/MV children with ASD, higher levels of processing, including lexical- semantic functions, are impaired. The use of passive ERP paradigms that do not require active participant response shows significant potential for assessment of non-compliant populations such as NV/MV children with ASD.

Language processing in children with cochlear implants: a preliminary report on lexical access for production and comprehension.

In this plenary paper, we present a review of language research in children with cochlear implants along with an outline of a 5-year project designed to examine the lexical access for production and recognition. The project will use auditory priming, picture naming with auditory or visual interfering stimuli (Picture-Word Interference and Picture-Picture Interference, respectively) and eye tracking paradigms to examine the roles of semantic and various phonological factors. Preliminary data are presented from auditory priming, picture-word interference and picture-picture interference tasks. The emergence of group difference is briefly discussed.

Evidence of deficient central speech processing in children with specific language impairment: the T-complex.

OBJECTIVE: This paper examined neurophysiological correlates of speech in children with language impairment (LI) and typical language development (TLD) across four experiments using different speech stimuli and tasks. METHODS: The T-complex event-related potential (ERP) components and other ERP components (e.g., mismatch negativity [MMN]; N400) were examined. A subset of the children participated in more than one of the experiments. RESULTS: 73% of the children with LI had poor T-complex measures compared to only 13% of children with TLD. The T-complex measures were more comparable, in terms of indicating typical versus deviant processing, to neurophysiological measures of language processing, such as lexical discrimination, than to other measures of auditory and speech processing, such as the MMN. Only one LI child showed no poor measures and 64% showed three or more poor neurophysiological measures. However, 50% of children with TLD showed no poor neurophysiological measures, and 82% of the TLD children showed no more than two poor measures. CONCLUSIONS: These results suggest that poor auditory processing, as measured by the T-complex, is a marker for LI and that multiple deficits serve to mark LI. SIGNIFICANCE: The T-complex measures, indexing secondary auditory cortex, reflect an important aspect of processing in speech and language development.

Neurophysiological indices of attention to speech in children with specific language impairment.

OBJECTIVE: The aim was to determine whether children with specific language impairment (SLI) differed from children with typical language development (TLD) in their allocation of attention to speech sounds. METHODS: Event-related potentials were recorded to non-target speech sounds in two tasks (passive-watch a video and attend to target tones among speech sounds) in two experiments, one using 50-ms duration vowels and the second using 250-ms vowels. The difference in ERPs across tasks was examined in the latency range of the early negative difference wave (Nd) found in adults. Analyses of the data using selected superior and inferior sites were compared to those using electrical field power (i.e., global field power or GFP). The topography of the ERP at the maximum GFP was also examined. RESULTS: A negative difference, comparable to the adult Nd, was observed in the attend compared to the passive task for both types of analysis, suggesting allocation of attentional resources to processing the speech stimuli in the attend task. Children with TLD also showed greater negativity than those with SLI in the passive task for the long vowels, suggesting that they allocated more attentional resources to processing the speech in this task than the SLI group. This effect was only significant using the GFP analysis and was seen as smaller GFP for the TLD than SLI group. The SLI group also showed significantly later latency than the TLD group in reaching the maximum GFP. In addition, a significantly greater proportion of children with SLI compared to those with typical language showed left-greater-than-right frontocentral amplitude at the latency determined from each child's maximum GFP peak. CONCLUSIONS: Children generally showed greater attention to speech sounds when attention is directed to the auditory modality compared to the visual modality. However, children with TLD, unlike SLI, also appear to devote some attentional resources to speech even in a task in which they are instructed to attend to visual information and ignore the speech. SIGNIFICANCE: These findings suggest that children with SLI have limited attentional resources, that they are poorer at dividing attention, or that they are less automatic in allocating resources to speech compared to children with typically developing language skills.

Neurophysiological indexes of speech processing deficits in children with specific language impairment.

We used neurophysiological and behavioral measures to examine whether children with specific language impairment (SLI) have deficits in automatic processing of brief, phonetically similar vowels, and whether attention plays a role in such deficits. The neurophysiological measure mismatch negativity (MMN) was used as an index of discrimination in two tasks; one in which children ignored the auditory stimuli and watched a silent video and a second in which they attended to the auditory modality. Children with SLI showed good behavioral discrimination, but significantly poorer behavioral identification of the brief vowels than the children with typical language development (TLD). For the TLD children, two neurophysiological measures (MMN and a later negativity, LN) indexed discrimination of the vowels in both tasks. In contrast, only the LN was elicited in either task for the SLI group. We did not see a direct correspondence between the absence of MMN and poor behavioral performance in the children with SLI. This pattern of findings indicates that children with SLI have speech perception deficiencies, although the underlying cause may vary.