RESUMO
BACKGROUND: Allergic rhinitis often gives rise to impaired quality of life and is believed to also affect cognitive function. We aimed to examine whether cognitive functions were impaired during grass pollen season in symptomatic allergic children and to relate the degree of impairment to quality of life and biomarkers related to stress and inflammation. METHODS: Forty-three grass pollen-allergic children (age 8-17 years) with non-satisfactory effect of medication (antihistamines and nasal steroids daily) during previous seasons were included. In addition, 26 matched non-allergic children were included as controls. Both groups performed cognitive tests (CANTAB) and completed Quality of Life questionnaires outside and during the pollen season. Blood samples were collected and analyzed for stress and inflammatory biomarkers. Pollen level was measured daily. RESULTS: Impaired cognitive function was found in spatial working memory, where the allergic group made more errors compared to the non-allergic group during pollen season, but not off-season. No significant differences could be seen between the allergic group and the controls in the other tests investigating visual memory or attention. Quality of health questionnaires revealed more symptoms and impaired quality of life in allergic compared to non-allergic children, and increased symptoms in allergic children were associated with longer reaction time for simple movement during pollen season. No differences in stress or inflammatory biomarkers could be found between the groups. CONCLUSION: Cognitive function was affected during pollen season in pollen-allergic children, and the more symptoms the allergic children had, the longer the reaction time in the cognitive tests.
Assuntos
Disfunção Cognitiva , Rinite Alérgica Sazonal , Adolescente , Criança , Humanos , Pólen , Qualidade de Vida , Estações do AnoRESUMO
OBJECTIVES: The primary aim was to find out whether a computer-assisted reading intervention program with a phonic approach can affect event-related (ERPs) and mismatch negativity (MMN) in hearing impaired (HI) children using cochlear implants (CIs). METHODS: This study involved a test group of 15 HI children with CIs and a control group of 14 normal hearing (NH) children. The children were 4 years and 10 months to 8 years and 1 month old. ERPs were recorded immediately before and after 4 weeks of training with a computer-assisted reading intervention, GraphoGame. A multi-feature paradigm, Optimum-1, was used, i.e. a standard stimulus alternated with five different deviants: gap intensity, pitch, location and duration. MMN was calculated from the mean amplitude ERP of each deviant minus the standard stimulus response in a specific time interval, 80 - 224 ms. Repeated measures ANOVA was used for the statistical analysis. RESULTS: The results did not show any significant changes with the computerassisted training in the ERPs and MMNs among the HI children with CIs. The presence of both MMN and a positive mismatch response (pMMR), which might reflect an immaturity, complicates interpreting the results in this age group. Individually, there was a mix of MMNs and pMMRs among all participants, pre and post training, and the change of each deviant after intervention was not predictable. CONCLUSIONS: There are no significant changes in ERP or MMN after intervention, however lack of significances must be interpreted with caution. Besides the presence of both MMNs and pMMRs, only modest changes are to be expected on an individual basis and small samples hinder making statistical conclusions regarding the training's effects. The study contributes to some more descriptive pieces of ERPs and MMNs among the HI children with CIs. The issues of MMN and pMMR are highlighted.
Assuntos
Implantes Cocleares , Potenciais Evocados Auditivos , Perda Auditiva Neurossensorial/terapia , Leitura , Terapia Assistida por Computador/métodos , Estimulação Acústica , Estudos de Casos e Controles , Criança , Pré-Escolar , Feminino , Perda Auditiva Neurossensorial/fisiopatologia , Perda Auditiva Neurossensorial/psicologia , Testes Auditivos , Humanos , Masculino , Resultado do TratamentoRESUMO
Our aim was to explore whether a multi-feature paradigm (Optimum-1) for eliciting mismatch negativity (MMN) would objectively capture difficulties in perceiving small sound contrasts in children with hearing impairment (HI) listening through their hearing aids (HAs) and/or cochlear implants (CIs). Children aged 5-7 years with HAs, CIs and children with normal hearing (NH) were tested in a free-field setting using a multi-feature paradigm with deviations in pitch, intensity, gap, duration, and location. There were significant mismatch responses across all subjects that were positive (p-MMR) for the gap and pitch deviants (F(1,43) = 5.17, p = 0.028 and F(1,43) = 6.56, p = 0.014, respectively) and negative (MMN) for the duration deviant (F(1,43) = 4.74, p = 0.035). Only the intensity deviant showed a significant group interaction with MMN in the HA group and p-MMR in the CI group (F(2,43) = 3.40, p = 0.043). The p-MMR correlated negatively with age, with the strongest correlation in the NH subjects. In the CI group, the late discriminative negativity (LDN) was replaced by a late positivity with a significant group interaction for the location deviant. Children with severe HI can be assessed through their hearing device with a fast multi-feature paradigm. For further studies a multi-feature paradigm including more complex speech sounds may better capture variation in auditory processing in these children.
Assuntos
Percepção Auditiva/fisiologia , Encéfalo/fisiopatologia , Perda Auditiva/fisiopatologia , Testes Auditivos/métodos , Estimulação Acústica , Criança , Pré-Escolar , Implantes Cocleares , Eletroencefalografia , Potenciais Evocados Auditivos , Feminino , Humanos , MasculinoRESUMO
Novelty processing was studied in patients with lesions centered in either OFC or lateral pFC (LPFC). An auditory novelty oddball ERP paradigm was applied with environmental sounds serving as task irrelevant novel stimuli. Lesions to the LPFC as well as the OFC resulted in a reduction of the frontal Novelty P3 response, supporting a key role of both frontal subdivisions in novelty processing. The posterior P3b to target sounds was unaffected in patients with frontal lobe lesions in either location, indicating intact posterior cortical target detection mechanisms. LPFC patients displayed an enhanced sustained negative slow wave (NSW) to novel sounds not observed in OFC patients, indicating prolonged resource allocation to task-irrelevant stimuli after LPFC damage. Both patient groups displayed an enhanced NSW to targets relative to controls. However, there was no difference in behavior between patients and controls suggesting that the enhanced NSW to targets may index an increased resource allocation to response requirements enabling comparable performance in the frontal lesioned patients. The current findings indicate that the LPFC and OFC have partly shared and partly differential contributions to the cognitive subcomponents of novelty processing.
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Percepção Auditiva/fisiologia , Lesões Encefálicas/fisiopatologia , Lobo Frontal/lesões , Lobo Frontal/fisiopatologia , Estimulação Acústica/métodos , Adulto , Atenção/fisiologia , Eletroencefalografia , Potenciais Evocados/fisiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Tempo de Reação/fisiologiaRESUMO
Spontaneous dissociative alterations in awareness and perception among highly suggestible individuals following a hypnotic induction may result from disruptions in the functional coordination of the frontal-parietal network. We recorded EEG and self-reported state dissociation in control and hypnosis conditions in two sessions with low and highly suggestible participants. Highly suggestible participants reliably experienced greater state dissociation and exhibited lower frontal-parietal phase synchrony in the alpha2 frequency band during hypnosis than low suggestible participants. These findings suggest that highly suggestible individuals exhibit a disruption of the frontal-parietal network that is only observable following a hypnotic induction.
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Ritmo alfa/fisiologia , Lobo Frontal/fisiologia , Hipnose , Lobo Parietal/fisiologia , Adulto , Mapeamento Encefálico , Eletroencefalografia , Feminino , Humanos , MasculinoRESUMO
INTRODUCTION: Inconsistencies in the relationship between dissociation and hypnosis may result from heterogeneity among highly suggestible individuals, in particular the existence of distinct highly suggestible subtypes that are of relevance to models of psychopathology and the consequences of trauma. This study contrasted highly suggestible subtypes high or low in dissociation on measures of hypnotic responding, cognitive functioning, and psychopathology. METHODS: Twenty-one low suggestible (LS), 19 low dissociative highly suggestible (LDHS), and 11 high dissociative highly suggestible (HDHS) participants were administered hypnotic suggestibility scales and completed measures of free recall, working memory capacity, imagery, fantasy-proneness, psychopathology, and exposure to stressful life events. RESULTS: HDHS participants were more responsive to positive and negative hallucination suggestions and experienced greater involuntariness during hypnotic responding. They also exhibited impaired working memory capacity, elevated pathological fantasy and dissociative symptomatology, and a greater incidence of exposure to stressful life events. In contrast, LDHS participants displayed superior object visual imagery. CONCLUSIONS: These results provide further evidence for two highly suggestible subtypes: a dissociative subtype characterised by deficits in executive functioning and a predisposition to psychopathology, and a subtype that exhibits superior imagery and no observable deficits in functioning.
Assuntos
Transtornos Dissociativos/psicologia , Hipnose , Sugestão , Adolescente , Adulto , Cognição/fisiologia , Manual Diagnóstico e Estatístico de Transtornos Mentais , Fantasia , Feminino , Humanos , Imaginação/fisiologia , Individualidade , Masculino , Memória de Curto Prazo/fisiologia , Rememoração Mental , Testes Neuropsicológicos , Escalas de Graduação Psiquiátrica , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia , Adulto JovemRESUMO
Right-edge boundary tones have earlier been found to restrict syntactic processing by closing a clause for further integration of incoming words. The role of left-edge intonation, however, has received little attention to date. We show that Swedish left-edge boundary tones selectively facilitate the on-line processing of main clauses, the syntactic structure they are associated with. In spoken Swedish, main clauses are produced with a left-edge boundary tone, which is absent in subordinate clauses. Main and subordinate clauses are further distinguished syntactically by word order when containing sentence adverbs. The effects of tone and word order on the processing of embedded main, subordinate, and neutral clauses (lacking sentence adverbs) were measured using ERPs. A posterior P600 in embedded main clauses and a smaller P600 in subordinate clauses indicated that embedded clauses with sentence adverbs were structurally less expected than neutral clauses and thus were reanalyzed. The tone functioned as a cue for main clause word order, selectively reducing the P600 in embedded main clauses, without affecting the processing of subordinate or neutral clauses. Its perception was reflected in a right frontal P200 effect. The left-edge boundary tone thus seems to activate a main clause structure, albeit without suppressing alternative structures. The P600 was also preceded by a short positive effect in cases where a left-edge boundary tone was absent.
Assuntos
Potenciais Evocados/fisiologia , Inibição Psicológica , Idioma , Acústica da Fala , Comportamento Verbal/fisiologia , Estimulação Acústica , Adolescente , Adulto , Compreensão , Formação de Conceito , Sinais (Psicologia) , Eletroencefalografia , Feminino , Humanos , Masculino , Psicolinguística , Valores de Referência , Adulto JovemRESUMO
This study tested the prediction that dissociative tendencies modulate the impact of a hypnotic induction on cognitive control in different subtypes of highly suggestible individuals. Low suggestible (LS), low dissociative highly suggestible (LDHS), and high dissociative highly suggestible (HDHS) participants completed the Stroop color-naming task in control and hypnosis conditions. The magnitude of conflict adaptation (faster response times on incongruent trials preceded by an incongruent trial than those preceded by a congruent trial) was used as a measure of cognitive control. LS and LDHS participants displayed marginally superior up-regulation of cognitive control following a hypnotic induction, whereas HDHS participants' performance declined. These findings indicate that dissociative tendencies modulate the influence of a hypnotic induction on cognitive control in high hypnotic suggestibility and suggest that HS individuals are comprised of distinct subtypes with dissimilar cognitive profiles.
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Transtornos Dissociativos/psicologia , Sugestão , Cognição , Feminino , Humanos , Masculino , Testes Psicológicos , Tempo de Reação , Teste de Stroop , Adulto JovemRESUMO
This study examined whether the behavioral and electrophysiological correlates of synaesthetic response conflict could be disrupted by posthypnotic suggestion. We recorded event-related brain potentials while a highly suggestible face-color synaesthete and matched controls viewed congruently and incongruently colored faces in a color-naming task. The synaesthete, but not the controls, displayed slower response times, and greater P1 and sustained N400 ERP components over frontal-midline electrodes for incongruent than congruent faces. The behavioral and N400 markers of response conflict, but not the P1, were abolished following a posthypnotic suggestion for the termination of the participant's synaesthesia and reinstated following the cancellation of the suggestion. These findings demonstrate that the conscious experience of synaesthesia can be temporarily abolished by cognitive control.
Assuntos
Hipnose , Transtornos de Sensação/psicologia , Adulto , Cor , Interpretação Estatística de Dados , Eletroencefalografia , Potenciais Evocados/fisiologia , Face , Feminino , Humanos , Testes Neuropsicológicos , Desempenho Psicomotor/fisiologia , Tempo de Reação/fisiologia , Sugestão , Percepção Visual/fisiologiaRESUMO
Results indicating that high stem tones realizing word accents activate a certain class of suffixes in online processing of Central Swedish are presented. This supports the view that high Swedish word accent tones are induced onto word stems by particular suffixes rather than being associated with words in the mental lexicon. Using event-related potentials, effects of mismatch between word accents and inflectional suffixes were compared with mismatches between stem and suffix in terms of declension class. Declensionally incorrect suffixes yielded an increase in the N400, indicating problems in lexical retrieval, as well as a P600 effect, showing reanalysis. Both declensionally correct and incorrect high tone-inducing (Accent 2) suffixes combined with a mismatching low tone (Accent 1) on the stems produced P600 effects, but did not increase the N400. Suffixes usually co-occurring with Accent 1 did not yield any effects in words realized with the nonmatching Accent 2, suggesting that Accent 1 is a default accent, lacking association with any particular suffix. High tones on Accent 2 words also produced an early anterior positivity, interpreted as a P200 effect reflecting preattentive processing of the tone.
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Encéfalo/fisiologia , Linguística , Acústica da Fala , Percepção da Fala/fisiologia , Estimulação Acústica , Adolescente , Adulto , Eletroencefalografia , Potenciais Evocados , Feminino , Humanos , Idioma , Testes de Linguagem , Masculino , Espectrografia do Som , Fala , Fatores de Tempo , Adulto JovemRESUMO
OBJECTIVE: The objective of our study was to evaluate the effect of supplementation with docosahexaenoic acid and arachidonic acid for human milk-fed preterm infants. The primary end point was cognitive development at 6 months of age. METHODS: The study was a randomized, double-blind, placebo-controlled study among 141 infants with birth weights of <1500 g. The intervention with 32 mg of docosahexaenoic acid and 31 mg of arachidonic acid per 100 mL of human milk started 1 week after birth and lasted until discharge from the hospital (on average, 9 weeks). Cognitive development was evaluated at 6 months of age by using the Ages and Stages Questionnaire and event-related potentials, a measure of brain correlates related to recognition memory. RESULTS: There was no difference in adverse events or growth between the 2 groups. At the 6-month follow-up evaluation, the intervention group performed better on the problem-solving subscore, compared with the control group (53.4 vs 49.5 points). There was also a nonsignificant higher total score (221 vs 215 points). The event-related potential data revealed that infants in the intervention group had significantly lower responses after the standard image, compared with the control group (8.6 vs 13.2). There was no difference in responses to novel images. CONCLUSIONS: Supplementation with docosahexaenoic acid and arachidonic acid for very preterm infants fed human milk in the early neonatal period was associated with better recognition memory and higher problem-solving scores at 6 months.
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Ácido Araquidônico/uso terapêutico , Aleitamento Materno , Desenvolvimento Infantil , Cognição , Suplementos Nutricionais , Ácidos Docosa-Hexaenoicos/uso terapêutico , Recém-Nascido Prematuro , Recém-Nascido de muito Baixo Peso , Fatores Etários , Método Duplo-Cego , Feminino , Humanos , Recém-Nascido , MasculinoRESUMO
Two hypotheses concerning cerebellar function and predictive behavior are the sensory prediction hypothesis and the timing hypothesis. The former postulates that the cerebellum is critical in generating expectancies regarding forthcoming sensory information. The latter postulates that this structure is critical in generating expectancies that are precisely timed; for example, the expected duration of an event or the time between events. As such, the timing hypothesis constitutes a more specific form of prediction. The present experiment contrasted these two hypotheses by examining the mismatch negativity (MMN) response in patients with cerebellar cortical atrophy and matched controls. While watching a silent movie, a stream of task-irrelevant sounds was presented. A standard sound was presented 60% of the time, whereas the remaining sounds deviated from the standard on one of four dimensions: duration, intensity, pitch, or location. The timing between stimuli was either periodic or aperiodic. Based on the sensory prediction hypothesis, the MMN for the patients should be abnormal across all four dimensions. In contrast, the timing hypothesis would predict a selective impairment of the duration MMN. Moreover, the timing hypothesis would also predict that the enhancement of the MMN observed in controls when the stimuli are presented periodically should be attenuated in the patients. Compared to controls, the patients exhibited a delayed latency in the MMN to duration deviants and a similar trend for the intensity deviants, while pitch and location MMNs did not differ between groups. Periodicity had limited and somewhat inconsistent effects. The present results are at odds with a general role for the cerebellum in sensory prediction and provide partial support for the timing hypothesis.
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Percepção Auditiva/fisiologia , Variação Contingente Negativa/fisiologia , Potenciais Evocados Auditivos/fisiologia , Degenerações Espinocerebelares/fisiopatologia , Estimulação Acústica/métodos , Adulto , Idoso , Análise de Variância , Atenção , Limiar Auditivo , Mapeamento Encefálico , Estudos de Casos e Controles , Discriminação Psicológica , Eletroencefalografia/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Tempo de Reação/fisiologiaRESUMO
Findings from 99mTc-HMPAO SPECT measurements at rest in a group of 19 school-age children with specific language impairment (SLI) were compared to a group of 12 children with attention-deficit hyperactivity disorder (ADHD). The regional cerebral blood flow (CBF) distributions were different in the two groups. Children with SLI showed significantly lower CBF values in the right parietal region and in the subcortical region compared to the ADHD group. In addition, the SLI group had symmetric CBF distributions in the left and right temporal regions, whereas the ADHD group showed the usual asymmetry with left-sided hemispheric predominance in the temporal regions. The findings give further evidence for anomalous neurodevelopment with deviant hemispheric lateralization as an important factor in the aetiology of SLI. They also point to the role of subcortical structures in language impairment in childhood. Earlier focus on cortical structures in SLI research needs to be widened to include subcortical regions as well.