Impaired linguistic processing and atypical brain laterality in adults with ADHD

Introduction: cognitive/behavioral testing, structural imaging, and functional imaging, has demonstrated atypical cerebral asymmetries in patients with attention-deficit/hyperactivity disorder (ADHD). However, few studies directly examined the nature of hemispheric specialization and interaction in this population. Methods: the present experiment applied techniques from behavioral laterality research to assess directly left/right brain dynamics in unmedicated adults with ADHD (n=21) and controls (n=22). We used a lateralized lexical decision task to assess hemispheric differences in word recognition and cross-callosal interhemispheric transfer of linguistic information. Results: analysis of variance indicated that ADHD subjects were impaired relative to controls in identifying words in both hemispheres (P=0.001). Furthermore, ADHD subjects exhibited decreased effects for ‘word regularity’ (P=004), enhanced effects of ‘word frequency’ (P=007), and an increased bias for ‘nonword’ responses overall (P=03), as well as during left visual field trials in particular (P=01). Conclusions: adult subjects with ADHD demonstrated poor linguistic processing. Group differences in sensitivity to semantic and phonological linguistic variables, along with differences in response biases, suggested that ADHD subjects had reduced left hemisphere and enhanced right hemisphere involvement during our task. These findings are relevant to current research investigating ‘endophenotypes’ in ADHD, as laterality indices may prove useful in etiological research, particularly molecular genetic investigations, and highlights the relevance of brain laterality research in clinical psychiatry.     

The interference of local over global information processing in children with attention deficit hyperactivity disorder of the inattentive type

A classic finding in perception of compound patterns is normal individuals cannot skip global analysis in local-oriented processing, but they can successfully resist local analysis in global-oriented processing-the so-called global interference [1]. Recently, studies examining the role of brain hemisphere activity in the Navon task have indicated that the processing of global and local information can be, respectively, attributed to the right and left hemispheres. Moreover, many neuroimaging researches have revealed that certain core symptoms of attention deficit hyperactivity disorder (ADHD) are related to dysfunction of right hemisphere. These findings imply that global interference will be substantially less evident, and possibly even replaced by local interference in ADHD. The present study compared the performance of children with and without attention deficit hyperactivity disorder of the inattentive type (ADHD-I) in the processing of global and local information to examine the local interference hypothesis in ADHD. An ADHD-I group (n=15) and a paired control group (n=19) completed tasks using two versions of the Navon task, one requiring divided attention, in which no information was given to participants regarding the level at which a target would appear, and the other requiring selective attention, in which participants were instructed to attend to either the local or the global level. The results showed that children with ADHD-I exhibited local interference, regardless of which attention procedure was used. These results support the weak right hemisphere hypothesis in ADHD, and provide evidence against the deficit hypotheses for ADHD in the DSM-IV criteria [29], which postulates that inattention symptoms may manifest as a failure to provide close attention to details.     

The dynamic nature of language lateralization: effects of lexical and prosodic factors

In dichotic listening, a right ear advantage for linguistic tasks reflects left hemisphere specialization, and a left ear advantage for prosodic tasks reflects right hemisphere specialization. Three experiments used a response hand manipulation with a dichotic listening task to distinguish between direct access (relative specialization) and callosal relay (absolute specialization) explanations of perceptual asymmetries for linguistic and prosodic processing. Experiment 1 found evidence for direct access in linguistic processing and callosal relay in prosodic processing. Direct access for linguistic processing was found to depend on lexical status (Experiment 2) and affective prosody (Experiment 3). Results are interpreted in terms of a dynamic model of hemispheric specialization in which right hemisphere contributions to linguistic processing emerge when stimuli are words, and when they are spoken with affective prosody.     

The effects of emotional valence on hemispheric processing of metaphoric word pairs

Recent theories of metaphor comprehension discuss the cognitive substrates involved in processing metaphors. However, the role of valence perception during metaphor comprehension has received little attention. The present study aims to examine the effect of emotional valence on metaphor processing, as well as the interaction between this effect and hemispheric differences. Metaphoric, literal, and meaningless word pairs were presented to 43 participants who performed a semantic judgment task. Results showed that processing of metaphors with negative valence was faster when done in the right hemisphere as compared with the left hemisphere. These findings indicate that emotional valence interacts with cognitive processes of metaphor comprehension. We discuss valence with respect to the class inclusion model and the fine versus coarse semantic coding model of metaphor processing.     

Differences in visual attention and task interference between males and females reflect differences in brain laterality

Two cognitive tasks (a letter memory task and a spatial memory task) designed to selectively activate the left or right hemisphere were combined with attentional probe tasks to measure how hemispheric activation affects attention to left and right hemifields. The probe task in Experiment 1 required the identification of digits in the left and right hemifield. During the letter task, male subjects identified more probes from the left hemifield than from the right. Their accuracy varied little across the two hemifields during the dots task.Experiment 2 tested whether this pattern is due to either spatial attention or interference in character processing. Instead of identifying digits, the probe task required subjects to respond to a black square that appeared in the periphery of the screen. For male subjects, the pattern was opposite of that from Experiment 1. During the letter task they responded faster to the probe in the right hemifield than in the left. Their response times were equivalent across the two hemifields during the dots task.These results indicate two separate effects of laterality in male subjects. The activation of one hemisphere produced more attention to the contralateral hemifield in Experiment 2, and the letter memory task interfered with the processing of other characters in the right visual field more than those in the left visual field in Experiment 1. Neither of these effects appeared in female subjects, corroborating earlier claims that female brains are less lateralized than male brains.     

Cerebral blood flow velocity changes during dichotic listening with directed or divided attention: a transcranial Doppler ultrasonography study.

Simultaneous bilateral transcranial Doppler ultrasonography (TCD) monitoring of blood flow velocity (BFV) in the middle cerebral arteries was performed in 28 normal right-handed volunteers during linguistic dichotic listening tasks to investigate the effect of hemispheric specialisation and allocation of attention. A control task that required the repetition of monaurally presented words was followed by three randomised dichotic listening tasks in which the subjects were instructed to direct their attention to the word stimuli of the right ear, the left ear, or to divide their attention between both ears. Behavioural data indicated that the subjects used the required attentional strategies. A significant right ear advantage was not obtained in the divided attention condition due to a ceiling effect. Each task resulted in a significant bilateral increase in BFV. We found no significant lateralisation of BFV change for any of the tasks. We noted marked differences in BFV change between the different conditions that were significant in the right hemisphere, showed a borderline significance in the left hemisphere and appeared to be related with the difficulty of the task. We conclude that the hemodynamic changes caused by attentional strategies or hemispheric specialisation in processing dichotic stimuli over and above the effect of bilateral auditory stimulation, are too subtle to be detected as lateralised changes in BFV. Functional TCD could be used for the evaluation of a task's workload relative to other tasks, and may contribute to elucidate the role of the right hemisphere in attention and arousal.     

Hemispheric asymmetry in categorical versus coordinate visuospatial processing revealed by temporary cortical deactivation.

Kosslyn (1987) proposed that the left hemisphere is better than the right hemisphere at categorical visuospatial processing while the right hemisphere is better than the left hemisphere at coordinate visuospatial processing. In 134 patients, one hemisphere (and then usually the other) was temporarily deactivated by intracarotid injection of sodium amobarbital. After a hemisphere was deactivated, a cognitive test battery was conducted, which included categorical and coordinate visuospatial tasks. Using this technique, the processing capabilities of the intact hemisphere could be determined, thus directly testing Kosslyn's hypothesis regarding hemispheric specialization. Specifically, if the left hemisphere does preferentially process categorical visuospatial relationships, then its deactivation should result in more errors during categorical tasks than right hemisphere deactivation and vise versa for the right hemisphere regarding coordinate tasks. The pattern of results obtained in both categorical and coordinate tasks was consistent with Kosslyn's hypothesis when task difficulty was sufficiently high. However, when task difficulty was low, a left hemispheric processing advantage was found for both types of tasks indicating that: (1) the left hemisphere may be better at "easy" tasks regardless of the type of task and (2) the proposed hemispheric processing asymmetry may only become apparent during sufficiently demanding task conditions. These results may explain why some investigators have failed to find a significant hemispheric processing asymmetry in visuospatial categorical and coordinate tasks.     

Hemispheric Specialization for the Processing of Tactual Stimuli in Congenitally Deaf and Hearing Children

A group of congenitally deaf and a group of normal hearing children were given two dichhaptically presented tests of hemispheric specialization.Left hemisphere specialization for language was assessed by a letter sequences task and right hemisphere specialization for spatial stimuli was measured by the nonsense shapes test of Witelson (1974). The results showed a significant right tactual field superiority for the processing of tactually presented letter sequences. There were no significant differences between the tactual fields for the processing of tactually presented nonsense shapes. The pattern of lateralization demonstrated on the letter sequences task was consistent across both groups. However, groups differed significantly on the overall performance of the verbal task, with deaf subjects demonstrating lower accuracy scores compared to hearing subjects.Age and I. Q. factors produced significant differences between sub-groups on the nonsense shapes task.     

Atypical hemispheric dominance for attention: functional MRI topography.

The right hemisphere is predominantly involved in tasks associated with spatial attention. However, left hemispheric dominance for spatial attention can be found in healthy individuals, and both spatial attention and language can be lateralized to the same hemisphere. Little is known about the underlying regional distribution of neural activation in these 'atypical' individuals. Previously a large number of healthy subjects were screened for hemispheric dominance of visuospatial attention and language, using functional Doppler ultrasonography. From this group, subjects were chosen who were 'atypical' for hemispheric dominance of visuospatial attention and language, and their pattern of brain activation was studied with functional magnetic resonance imaging during a task probing spatial attention. Right-handed subjects with the 'typical' pattern of brain organization served as control subjects. It was found that subjects with an inverted lateralization of language and spatial attention (language right, attention left) recruited left-hemispheric areas in the attention task, homotopic to those recruited by control subjects in the right hemisphere. Subjects with lateralization of both language and attention to the right hemisphere activated an attentional network in the right hemisphere that was comparable to control subjects. The present findings suggest that not the hemispheric side, but the intrahemispheric pattern of activation is the distinct feature for the neural processes underlying language and attention.     

Alpha hemispheric asymmetry of males and females on verbal and non-verbal tasks: some preliminary results.

The present study gathered preliminary data from males and females for verbal and non-verbal tasks to explore differences in alpha hemispheric asymmetry. Results indicated a significant task by hemispheric interaction effect which revealed significantly less alpha for the left hemisphere, as compared to the right hemisphere, for the verbal task. Significantly less alpha was found for the right hemisphere during the non-verbal task as compared to the right hemisphere on the verbal task. While significant differences between males and females were not revealed, task, subject, and stimuli differences are discussed as variables which may contribute to results obtained from hemispheric processing research.     

Evidence of interhemispheric transmission in laterality effects

The study was aimed at testing various models that can explain visual lateral asymmetries due to hemispheric specialization. In Experiments 1-3 the subjects had to perform a lateralized "go-no go" discrimination of words (primary task) either alone or in association with secondary tasks that interfered with the processing of the left hemisphere (ordered tapping) or the right hemisphere (finger flexion). In Experiment 4 the primary task was one of lateralized "go-no go" discrimination of faces while the secondary tasks were again those of ordered tapping and finger flexion. The results showed that in the case of word discrimination the advantage in speed of response in favour of the right visual field/left hemisphere (RVF/LH), which was observed for the primary task alone, did not change when the secondary task was added. This held true irrespective of whether the secondary task loaded the left or right hemisphere. The advantage for the left visual field/right hemisphere (LVF/RH) observed for face discrimination alone, disappeared when the secondary task interfered with the processing of the right hemisphere and did not change when the secondary task concerned the left hemisphere. It was concluded that each hemisphere is able to elaborate in parallel the incoming information, but, in normal conditions, interhemispheric transmission is responsible for the lateral asymmetries in perception (conditional interhemispheric transmission model).     

Imaging melody and rhythm processing in young children

In the adult brain, melody and rhythm processing have been found to show different hemispheric dominance, with the right hemisphere apparently more sensitive to melody and the left hemisphere to rhythm. We used a novel, child-friendly scanning protocol to examine the neural basis of melody and rhythm processing in young children (mean age 6 years 4 months, n=33). FMRI data were acquired using a sparse temporal sampling technique, taking advantage of the natural delay in the cerebrovascular response to neuronal activity. We found that this group of young children showed some differential specialization for melody and rhythm processing, but to a lesser extent than previously reported in adults. These results suggest that hemispheric specialization for musical processing may develop with age.     

Language and arithmetic--a study using the intracarotid amobarbital procedure

The intracarotid amobarbital procedure is used as a standard procedure in presurgical evaluation to assess hemispheric lateralization of language and memory, but has not been applied to investigate numerical processing. Patients with medically intractable epilepsy (n=20) were consecutively recruited during a presurgical evaluation programme. All 14 patients with left-lateralized language showed better arithmetic performance with the left hemisphere (intracarotid amobarbital procedure right), while five out of six patients with bilateral or right-hemispheric language representation showed better performance with the right hemisphere (intracarotid amobarbital procedure left). Furthermore, in patients with left-lateralized language, an interaction between intracarotid amobarbital procedure and type of arithmetic operation was found. The study suggests a close association between language lateralization and hemispheric specialization for arithmetic processing.     

Contrastive patterns of intrahemispheric interference to verbal and spatial concurrent tasks in right-handed, left-handed and stuttering populations

A time-sharing paradigm was used to assess hemispheric lateralization for both language and visuo-spatial processing in right-handed, left-handed and stuttering populations. A right hand only tapping disruption, indicative of left hemisphere interference, accompanied concurrent verbal tasks only in the dextral group. Left-handers and stutterers revealed symmetrical patterns of hemispheric language interference. Significantly different absolute levels of language interference were found for the three groups, with dextrals having the least, followed by sinistrals, and being greatest for stutterers. These magnitude differences were explained in relation to a hypothesis of strength of language representation within a given hemisphere. Visuo-spatial right hemisphere interference was shown for left-handers with a concurrent object chimera task.     

The nature of hemispheric specialization for linguistic and emotional prosodic perception: a meta-analysis of the lesion literature

It is unclear whether there is hemispheric specialization for prosodic perception and, if so, what the nature of this hemispheric asymmetry is. Using the lesion-approach, many studies have attempted to test whether there is hemispheric specialization for emotional and linguistic prosodic perception by examining the impact of left vs. right hemispheric damage on prosodic perception task performance. However, so far no consensus has been reached. In an attempt to find a consistent pattern of lateralization for prosodic perception, a meta-analysis was performed on 38 lesion studies (including 450 left hemisphere damaged patients, 534 right hemisphere damaged patients and 491 controls) of prosodic perception. It was found that both left and right hemispheric damage compromise emotional and linguistic prosodic perception task performance. Furthermore, right hemispheric damage degraded emotional prosodic perception more than left hemispheric damage (trimmed g = −0.37, 95% CI [−0.66; −0.09], N = 620 patients). It is concluded that prosodic perception is under bihemispheric control with relative specialization of the right hemisphere for emotional prosodic perception.     

Cerebral lateralization of familiar and unfamiliar music perception in nonmusicians: a dual task approach

In a dual task procedure that controls for attentional trade-off effects, asymmetrical interference effects were observed in dual task conditions of finger tapping and concurrent processing of familiar and unfamiliar music. Laterality effects suggested that perception of orchestral presentations is largely lateralized to the left hemisphere in both males and females. In a second dual task condition of vocalization and music processing, both males and females displayed interference in speech production during concurrent music processing. Males showed greater left hemispheric interference effects during simultaneous vocalization and music processing.     

The influence of left and right hemisphere brain damage on configural and featural processing of affective faces

The literature about the lateralization of facial emotion perception according to valence (positive, negative) is conflicting; investigating the underlying processes may shed light on why some studies show right-hemisphere dominance across valence and other studies demonstrate hemispheric differences according to valence. This is the first clinical study to examine whether the use of configural and featural cues underlies hemispheric differences in affective face perception. Right brain-damaged (RBD; n = 17), left brain-damaged (LBD; n = 17) and healthy control (HC; n = 34) participants completed an affective face discrimination task that tested configural processing using whole faces and featural processing using partial faces. No group differences in expression perception according to valence or processing strategy were found. Across emotions, the RBD group was less accurate than the HC group in discriminating whole faces, whilst the RBD and LBD groups were less accurate than HCs in discriminating partial faces. This suggests that the right hemisphere processes facial expressions from configural and featural information, whereas the left hemisphere relies more heavily on featural facial information.     

The Hemispheric Specialization for Linguistic and Non-Linguistic Tactile Stimuli in Third Grade Children

Thirty third-grade children were given two dichaptically presented tests of hemispheric specialization.Specialization for linguistic stimuli was measured by a letters task and specialization for spatial stimulus was measured by a nonsense shapes task. The results showed a significant right hemisphere processing advantage for tactually presented spatial stimuli. There was no significant processing advantage for either hemisphere with tactually presented linguistic stimuli. The right hemisphere specialization for tactually presented spatial stimuli was present for both boys and girls. Thus there was no evidence of sexual bimorphism in the neurological organization of third grade children for spatial processing.     

A corpus callosal deficit in sequential analysis by schizophrenics

This preliminary study evaluated interhemispheric (i.e., corpus callosal) information processing by chronic schizophrenic and normal subjects. In right-handed normals the left hemisphere has been reported to be superior in temporal sequential analysis. Consequently temporal information presented to the right hemisphere requires time to cross to the left hemisphere for analysis. Measurement of hemispheric laterality and corpus callosal transfer time were evaluated by a two-pulse temporal discrimination task. Two dot stimuli were presented with decreasing temporal separation during bilateral and unilateral conditions. Subjects were required to judge perceived simultaneity and nonsimultaneity of dot onset. The results indicate that left hemisphere function in chronic schizophrenic and normal controls is superior to the right hemisphere in temporal analysis. Corpus callosal transfer time was significantly slower for chronic schizophrenics than for normal controls.     

Relationship between changes in hemispheric advantage during familiarization to faces and proficiency in facial recognition

Female college students were given a task involving the recognition of initially unfamiliar faces which were tachistoscopically presented to one or the other visual field. Subjects who showed a left visual field advantage made fewer errors than those who showed a right visual field advantage both at the very beginning of the task, when the faces were totally unfamiliar, and at the end of the task, when the faces were relatively familiar; however, during intermediate phases of familiarization, there was no difference in number of errors between subjects with right and left visual field advantages. The results support our previously proposed view that there are shifts in the processing of facial information, beginning with a relatively undifferentiated holistic type of right hemisphere processing, progressing to an analytic mode of left hemisphere processing and culminating in a mode of right hemisphere processing in which distinctive features are incorporated into an articulated whole. The results further suggest that the direction of hemispheric advantage shown at different periods in the course of familiarization is related to level of proficiency.