RESUMO
Psychiatric diagnoses currently rely on a patient's presenting symptoms or signs, lacking much-needed theory-based biomarkers. Our neuropsychological theory of anxiety, recently supported by human imaging, is founded on a longstanding, reliable, rodent 'theta' brain rhythm model of human clinical anxiolytic drug action. We have now developed a human scalp EEG homolog-goal-conflict-specific rhythmicity (GCSR), i.e., EEG rhythmicity specific to a balanced conflict between goals (e.g., approach-avoidance). Critically, GCSR is consistently reduced by different classes of anxiolytic drug and correlates with clinically-relevant trait anxiety scores (STAI-T). Here we show elevated GCSR in student volunteers divided, after testing, on their STAI-T scores into low, medium, and high (typical of clinical anxiety) groups. We then tested anxiety disorder patients (meeting diagnostic criteria) and similar controls recruited separately from the community. The patient group had higher average GCSR than their controls-with a mixture of high and low GCSR that varied with, but cut across, conventional disorder diagnosis. Consequently, GCSR scores should provide the first theoretically-based biomarker that could help diagnose, and so redefine, a psychiatric disorder.
Assuntos
Transtornos de Ansiedade/diagnóstico , Transtornos de Ansiedade/psicologia , Biomarcadores , Eletroencefalografia , Lobo Frontal/fisiopatologia , Ritmo Teta , Idoso , Análise de Variância , Ansiolíticos/farmacologia , Ansiolíticos/uso terapêutico , Transtornos de Ansiedade/tratamento farmacológico , Transtornos de Ansiedade/etiologia , Conflito Psicológico , Suscetibilidade a Doenças , Eletroencefalografia/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de DoençaRESUMO
Annoyance to unwanted sound differs across individuals, though why noise sensitive individuals are more reactive to noise while others are more resilient remains unanswered. The Information Processing Hypothesis posits that noise sensitive individuals are vulnerable to higher-order auditory processing deficits. The aim of this study was to test the veracity of this hypothesis by documenting differences in pre-attentive auditory evoked potentials (ERP) between high noise sensitive and low noise sensitive individuals. Participants provided annoyance measures for three amplitude-modulated sounds, and were exposed to the sounds while undergoing electroencephalogram recording. Results indicated that annoyance increased with modulation, and that modulation affected both N1 and P2 components. At the group level, highly noise sensitive individuals exhibited significantly greater annoyance to a low-frequency tone, alongside significantly higher P2 amplitude, than individuals reporting low levels of noise sensitivity. Overall, the results partially supported the Information Processing Hypothesis of noise sensitivity, but also suggest that acoustic features may be more important than hitherto argued.
Assuntos
Córtex Auditivo/fisiologia , Percepção Auditiva/fisiologia , Limiar Auditivo/fisiologia , Potenciais Evocados Auditivos/fisiologia , Ruído , Estimulação Acústica , Adolescente , Adulto , Eletroencefalografia , Feminino , Humanos , Masculino , Som , Adulto JovemRESUMO
The auditory processing atypicalities experienced by many individuals on the autism spectrum disorder might be understood in terms of difficulties parsing the sound energy arriving at the ears into discrete auditory 'objects'. Here, we asked whether autistic adults are able to make use of two important spatial cues to auditory object formation - the relative timing and amplitude of sound energy at the left and right ears. Using electroencephalography, we measured the brain responses of 15 autistic adults and 15 age- and verbal-IQ-matched control participants as they listened to dichotic pitch stimuli - white noise stimuli in which interaural timing or amplitude differences applied to a narrow frequency band of noise typically lead to the perception of a pitch sound that is spatially segregated from the noise. Responses were contrasted with those to stimuli in which timing and amplitude cues were removed. Consistent with our previous studies, autistic adults failed to show a significant object-related negativity (ORN) for timing-based pitch, although their ORN was not significantly smaller than that of the control group. Autistic participants did show an ORN to amplitude cues, indicating that they do not experience a general impairment in auditory object formation. However, their P400 response - thought to indicate the later attention-dependent aspects of auditory object formation - was missing. These findings provide further evidence of atypical auditory object processing in autism with potential implications for understanding the perceptual and communication difficulties associated with the condition.
Assuntos
Percepção Auditiva/fisiologia , Transtorno do Espectro Autista/fisiopatologia , Potenciais Evocados Auditivos/fisiologia , Percepção Espacial/fisiologia , Adulto , Sinais (Psicologia) , Eletroencefalografia , Feminino , Humanos , Masculino , Adulto JovemRESUMO
Auditory Scene Analysis provides a useful framework for understanding atypical auditory perception in autism. Specifically, a failure to segregate the incoming acoustic energy into distinct auditory objects might explain the aversive reaction autistic individuals have to certain auditory stimuli or environments. Previous research with non-autistic participants has demonstrated the presence of an Object Related Negativity (ORN) in the auditory event related potential that indexes pre-attentive processes associated with auditory scene analysis. Also evident is a later P400 component that is attention dependent and thought to be related to decision-making about auditory objects. We sought to determine whether there are differences between individuals with and without autism in the levels of processing indexed by these components. Electroencephalography (EEG) was used to measure brain responses from a group of 16 autistic adults, and 16 age- and verbal-IQ-matched typically-developing adults. Auditory responses were elicited using lateralized dichotic pitch stimuli in which inter-aural timing differences create the illusory perception of a pitch that is spatially separated from a carrier noise stimulus. As in previous studies, control participants produced an ORN in response to the pitch stimuli. However, this component was significantly reduced in the participants with autism. In contrast, processing differences were not observed between the groups at the attention-dependent level (P400). These findings suggest that autistic individuals have difficulty segregating auditory stimuli into distinct auditory objects, and that this difficulty arises at an early pre-attentive level of processing.