The development of stop-signal and Go/Nogo response inhibition in children aged 7-12 years: performance and event-related potential indices.

The present study examined the development of response inhibition during the Stop-signal and Go/Nogo tasks in children using performance and ERP measures. Twenty-four children aged 7 to 12 years completed both tasks, each with an auditory Nogo/Stop-signal presented on 30% of trials. On average, response inhibition was more difficult in the Stop-signal than Go/Nogo task. Response inhibition performance did not develop significantly across the age range, while response execution varied significantly in a task dependent manner (Go/Nogo: increasing accuracy and reducing response variability with age; Stop-signal: reducing Go mean reaction time and response variability with age). The N1, P2, N2 and P3 components showed different scalp distributions, with N1 and P2 peaking earlier, and P3 later, in Nogo compared to Stop stimuli. N2 and P3 amplitude were positively correlated with successful inhibition probability in the Go/Nogo task only. N2 amplitude and latency to both Nogo and successful Stop stimuli decreased linearly with age, but not in the frontal regions. N1 and P3 amplitude in the parietal region increased with age for Stop-signals. An age-related reduction in P3 latency to Nogo stimuli correlated significantly with reduced RT and variability in Go responding, indicating a relationship between efficient Nogo and Go processing. Together the behavioural and ERP results suggest little development of the response inhibition process as measured via the Stop-signal and Go/Nogo tasks across the 7 to 12 year age range, while response execution processes develop substantially.     

Event-related potentials in attention-deficit/hyperactivity disorder of the predominantly inattentive type: an investigation of EEG-defined subtypes.

Research using resting EEG measures suggests that there is a large variability in EEG profiles within the common behaviourally defined DSM-IV subtypes of AD/HD. Within the predominantly inattentive type of AD/HD (AD/HDin), two distinct groups have been identified, based on underlying EEG activity that represents either cortical hypoarousal, or a maturational lag (with EEGs resembling those of younger children). This study investigated whether ERPs from an inter-modal oddball task could differentiate AD/HDin children from controls, and whether the ERPs of the two previously identified subgroups of AD/HDin children with different EEG profiles differ on this task. AD/HDin children (N=54), 27 identified as cortically hypoaroused and 27 as maturationally lagged, and 27 age-matched controls, were presented with an inter-modal oddball task in which the non-target stimulus was a counter-phasing checkerboard and the target was a 2000 Hz auditory tone. Stimuli (20% targets) were presented at a fixed ISI of 1.03 s and participants were required to count all targets. The task successfully differentiated the AD/HDin children from controls, with AD/HDin children having smaller N1, P2 and P3 amplitudes to both the auditory targets and the visual non-targets. These results were interpreted as indicating a generalised stimulus registration, facilitation and processing deficit in AD/HDin. The only difference between the EEG-defined subtypes was a relative increase in left-frontal N1 amplitude in the cortically hypoaroused group. This was interpreted as indicating reduced frontal lateralisation of N1 in the maturational lag group, supporting its labelling, and anomalous lateralisation in the cortical hypoarousal group.     

The effect of methylphenidate on response inhibition and the event-related potential of children with attention deficit/hyperactivity disorder.

Children with Attention Deficit/Hyperactivity Disorder (AD/HD) appear to be deficient in inhibitory processes, as reflected in behavioural and electrophysiological measures. This study examined the effect of methylphenidate (MPH) on response inhibition in children with AD/HD. Event-related potentials (ERPs) and skin conductance level (SCL) were recorded from 18 boys with AD/HD and 18 controls while they performed a cued Go/Nogo task with 70% Go probability. All participants performed the task twice, with an hour interval between test sessions. At the beginning of this interval children with AD/HD took their normal morning dose of MPH. The AD/HD group showed lower SCL than controls pre-medication, a difference not found subsequent to the administration of MPH. While the AD/HD group made more overall errors (omission+commission) pre-medication, and continued to make more omission errors than controls post-medication, the groups became comparable on the number of commission errors, suggesting MPH ameliorates deficits in response inhibition. Children with AD/HD displayed enhanced N1 and P2 amplitudes, and reduced N2 amplitudes relative to controls. These differences were not significant post-medication, at least partly attributable to the action of MPH. This study is unusual in the concurrent examination of electrodermal and electrophysiological measures of medication effects in children with AD/HD, with the retesting of both the AD/HD and control groups allowing a more valid estimate of the effects of medication, rather than assuming that retesting does not have a substantial impact.     

Individual differences discriminate event-related potentials but not performance during response inhibition

Event-related brain potentials (ERPs) were recorded from 20 normal participants while they completed a Go/NoGo response inhibition task. Previous ERP studies have implicated the N2 and P3 waveforms as the main indices of processing in this task, and functional brain imaging has shown parietal, prefrontal and anterior cingulate cortices to be involved in response inhibition. 32-channel ERP analysis revealed amplitude differences in the N2/P3 components when stimuli that required a button-press (Go stimuli) were compared with stimuli for which the response had to be withheld (No-Go stimuli), and in N2 and P3 latencies when successful withholds to No-Go stimuli were compared with unsuccessful attempts to inhibit. Further differences in the N2/P3 complex emerged when participants were grouped in terms of a measure of absentmindedness (the Cognitive Failures Questionnaire, CFQ); larger and earlier components were found for high CFQ respondents. We conclude that the latencies of the N2 and P3 may be the critical indicators of active inhibitory processes for this task, suggesting that a pattern of sequential activation rather than altered activity level in key structures may mediate success on the task. In addition, highly absentminded participants exhibited larger components for errors than did less absentminded participants when performing at the same level, which implies that the absentminded may require greater activity in the neural substrates of response inhibition in order to accomplish this task at a comparable level of performance to less absentminded participants.     

Posterior brain ERP patterns related to the go/no-go task in children

Event-related potentials (ERPs) and performance correlates of inhibition of responses to no-go stimuli were investigated in 6-12-year-old children and young adults. The percent of correct responses to go stimuli was high and similar in both groups; the percent of false alarm errors to no-go was significantly higher in children. Effective inhibition of responses to no-go stimuli was elucidated by a negative component of ERPs, the frontal-central N2, with peak latency 230-430 ms after stimulus onset. In adults, N2 was larger to no-go than to go stimuli, regardless of stimulus frequency. This effect was more prominent in tasks with high (25% no-gos and 75% gos), than with low (75% no-gos and 25% gos) inhibitory demand. In children, the parietal N2 was generally larger to rare than to frequent stimuli, and it was more specifically related to inhibition. The analysis of the relationship of no-go N2 to the inhibitory content of stimuli, probability of stimuli, and the contextual task difficulty suggests that child/adult differences in behavioral responses and ERPs may be related to both the immaturity of the fronto-parietal cortical-cortical network and to different task strategies.     

Topographic Study of Auditory Event-Related Potentials in Normal Boys and Boys with Attention Deficit Disorder with Hyperactivity

Auditory evoked potentials were recorded from 19 electrode sites in 20 children with Attention Deficit Disorder with Hyperactivity and 20 normal subjects in a two-choice discrimination task. N2 and Nd were found to be significantly smaller in subjects with Attention Deficit Disorder with Hyperactivity. The N2 abnormalities are discussed in relationship to the mismatch negativity component of the orienting response, poor discrimination of salient stimuli, neurotransmitter deficiency, and theories of “arousal.’Nd findings are related to findings from studies of cerebral blood flow in children diagnosed as having Attention Deficit Disorder with Hyperactivity. These results suggest a problem with both automatic (not under conscious control) and controlled (under voluntary control) processing in children with Attention Deficit Disorder with Hyperactivity.     

Event-related potentials in autistic and healthy children on an auditory choice reaction time task

Event-related potentials (ERPs) were recorded from midline (Fz, Cz, Pz) and lateral sites (F3, F4, P3, P4) in autistic children (n = 7) and age-matched controls (n = 9) on an auditory choice reaction time task. Subjects were asked to press a button to an infrequent target (500 Hz, P = 0.14) and to ignore higher pitched infrequent (2000 Hz, P = 0.14) and frequent (1000 Hz) non-targets. Autistic subjects made twice as many errors of omission as controls and showed a higher criterion (beta) for targets. Maximum ERP peak amplitudes showed a more varied scalp distribution in the autistic group. N1 latencies were consistently shorter in the autistic group and in 3 subjects the target P3 latencies were markedly longer than for the controls. Compared to controls, the N1 amplitude of the autistic response was larger to the rare stimuli (particularly to non-targets). The amplitude of the P3 component was smaller in the autistic group (particularly to the target). The stimuli were also presented in a passive condition requiring no response. After subtraction of the waveform obtained in the passive condition from that obtained in the active condition or subtraction of the waveform elicited by the rare non-target from that elicited by the target, N1 target amplitude was larger in control than in autistic children. Autistic subjects showed more early negativity to the rare non-target at left frontal and a larger P3 to the target at right parietal sites. ERPs of autistic children are more responsive to stimulus features (e.g. high/rare non-target tone) and less responsive to their associations or meaningfulness (e.g. target P3). Attention-related ERPs of autistic children show signs of precocious (right dominance for P3) and delayed development (P3 not maximal at parietal sites).     

Electrophysiological correlates for response inhibition in intellectually gifted children: A Go/NoGo study

Superior response inhibition is an essential component of the advanced cognitive abilities of gifted children. This study investigated response inhibition in intellectually gifted children by recording event-related brain potentials (ERPs) during a Go/NoGo task. Fifteen intellectually gifted children and 15 intellectually average children participated. Our present findings showed that intellectually gifted children had shorter Go-P3 latency, indicating faster processing of Go stimuli, a finding consistent with previous studies. We focused on the two inhibition-related components, NoGo-N2 and NoGo-P3. The results showed that NoGo-P3 latency was shorter for intellectually gifted children compared to their average peers. N2 latency did not indicate the intelligence difference. These results suggested that intellectually gifted children showed faster inhibition when dealing with NoGo stimuli, and this superiority came from the later stages of inhibition, i.e., response evaluation or the success of inhibiting a response, as indexed by the shorter P3 latency.     

Response inhibition in psychopathy: The frontal N2 and P3

Psychopathy has been associated with atypical function of the anterior cingulate cortex (ACC) and adjacent brain regions and with abnormalities in performance monitoring, which is thought to rely on these structures. The ACC and adjacent regions are also involved in the generation of two characteristic components of the event-related potential: the frontal N2 and P3. Both components are enhanced when a response is withheld (NoGo trial) within a series of positive-responses (Go trials) and are considered an index of response inhibition. We recorded event-related potentials while violent offenders who varied on the dimension of psychopathy and non-offender controls performed a Go/NoGo task. The offenders made more errors of commission on NoGo trials but this effect was unrelated to level of psychopathy within the group and, inconsistent with a previous report, they produced the enhanced frontal N2 and P3 effect in response to NoGo relative to Go conditions. We conclude that the neural processes involved in response inhibition are not abnormal in psychopaths when both stimuli and context are affectively neutral and suggest that a more nuanced perspective regarding impulsivity in this population be considered.     

Effect of neurofeedback training on the neural substrates of selective attention in children with attention-deficit/hyperactivity disorder: a functional magnetic resonance imaging study

Attention Deficit Hyperactivity Disorder (AD/HD) is a neurodevelopmental disorder mainly characterized by impairments in cognitive functions. Functional neuroimaging studies carried out in individuals with AD/HD have shown abnormal functioning of the anterior cingulate cortex (ACC) during tasks involving selective attention. In other respects, there is mounting evidence that neurofeedback training (NFT) can significantly improve cognitive functioning in AD/HD children. In this context, the present functional magnetic resonance imaging (fMRI) study was conducted to measure the effect of NFT on the neural substrates of selective attention in children with AD/HD. Twenty AD/HD children--not taking any psychostimulant and without co-morbidity-participated to the study. Fifteen children were randomly assigned to the Experimental (EXP) group (NFT), whereas the other five children were assigned to the Control (CON) group (no NFT). Subjects from both groups were scanned 1 week before the beginning of the NFT (Time 1) and 1 week after the end of this training (Time 2), while they performed a Counting Stroop task. At Time 1, for both groups, the Counting Stroop task was associated with significant loci of activation in the left superior parietal lobule. No activation was noted in the ACC. At Time 2, for both groups, the Counting Stroop task was still associated with significant activation of the left superior parietal lobule. This time, however, for the EXP group only there was a significant activation of the right ACC. These results suggest that in AD/HD children, NFT has the capacity to normalize the functioning of the ACC, the key neural substrate of selective attention.     

Event-related potentials (ERPs) to hemifield presentations of emotional stimuli: differences between depressed patients and healthy adults in P3 amplitude and asymmetry.

Depression may involve dysfunction of right parietotemporal cortex, a region activated during perception of affective stimuli. To further test this hypothesis, event-related brain potentials (ERPs) were measured in a paradigm previously shown to produce ERP asymmetries to affective stimuli over parietal sites in healthy adults. Pictures of patients with dermatological diseases showing disordered or healed facial areas before (negative) or after (neutral) surgical treatment were briefly exposed for 250 ms to either the left or right hemifield. ERPs of 30 unmedicated, unipolar depressed patients and 16 healthy adults, all right-handed, were recorded from 30 electrodes. A principal components analysis extracted factors which closely corresponded to distinctive ERP components previously reported for this task (N1, N2, early P3, late P3, slow wave). Significant effects of emotional content, i.e. enhanced amplitudes to negative than neutral stimuli, were found for early and late P3. Control subjects showed significant hemispheric asymmetries of emotional processing for late P3 (peak latency 460 ms), with the largest emotional content effects over the right parietal region. In striking contrast to control subjects, depressed patients did not show an increase in late P3 for negative compared to neutral stimuli over either hemisphere and had smaller late P3 amplitude than control subjects. Patients did, however, show larger early P3 (peak latency 330 ms) to negative than neutral stimuli. Results suggest intact early discrimination but abnormal late appraisal of affective content in depression, which may arise from selective inhibition of right parietal regions integral for perceiving and evaluating emotional stimuli.     

Neural Correlates of Response Inhibition in Early Childhood: Evidence From a Go/No-Go Task

We examined the neural correlates underlying response inhibition in early childhood. Five-year-old children completed a Go/No-go task with or without time pressure (Fast vs. Slow condition) while scalp EEG was recorded. On No-go trials where inhibition was required, the left frontal N2 and posterior P3 were enhanced relative to Go trials. Time pressure was detrimental to behavioral performance and modulated the early-occurring P1 component. The topography of ERPs related to response inhibition differed from patterns typically seen in adults, and may indicate a compensatory mechanism to make up for immature inhibition networks in children.     

EEG coherence adjusted for inter-electrode distance in children with attention-deficit/hyperactivity disorder.

Cognition and behaviour depend on the integration of activity in different brain regions, and hence study of the coupling between regions is useful in understanding dysfunctional processes involved in disorders such as attention-deficit/hyperactivity disorder (AD/HD). Such coupling can be estimated by the electroencephalographic (EEG) coherence between scalp electrodes. However, EEG coherence between two points is strongly affected by the distance between them, being inflated by volume conduction effects at short distances and reduced by signal phase differences at larger distances. These distance effects preclude simple comparison of coherence estimates involving different inter-electrode distances. Our group recently introduced a procedure for adjusting coherence measures to remove such distance effects, and explored its potential using normal children. In this study we applied that coherence adjustment procedure to groups of children with AD/HD of the combined (AD/HDcom) and predominantly inattentive (AD/HDin) subtypes, and compared them with a control group. All groups were age- and gender-matched. AD/HD children were found to have a reciprocal pattern of coherence disturbance in the cortico-cortical circuits involved in slow and fast wave activity-elevated slow-wave coherences and reduced fast-wave coherences. This disturbance was larger for inter-hemispheric than intra-hemispheric coherences, and varied markedly with region, suggesting a complex pattern of coherence anomalies with a substantial frontal focus. This complex pattern differed little between subtypes, suggesting that it may constitute the fundamental dysfunction underlying the inattention common to both groups. In contrast, coherence was globally elevated in children with AD/HDcom compared with both AD/HDin and control children. This elevation in coherence may be directly related to the hyperactivity and impulsivity unique to that subtype. Further research using the coherence adjustment procedure appears useful in elucidating the electrophysiological anomalies underlying AD/HD and other disorders.     

Attentional capacity, a probe ERP study: differences between children with attention-deficit hyperactivity disorder and normal control children and effects of methylphenidate

In the present study it was investigated whether the smaller P3s in attention-deficit hyperactivity disorder (ADHD) children are caused by a shortage of capacity underlying P3 processes or whether they are due to a capacity allocation problem. Also, effects of methylphenidate on these processes were investigated. Performance and event-related potentials (ERPs) of 14 ADHD and 14 control children were measured using an irrelevant-probe technique. Three types of task irrelevant visual probes (standards, deviants, and novels) were presented against the background of two visual tasks that varied in task difficulty. The parietal P3 wave was measured in response to task stimuli and probes. ADHD subjects made significantly fewer correct detections than normal controls in both the easy and the hard tasks. Controls showed an enhanced P3 to task-relevant stimuli in the hard task, whereas ADHD children did not. Probe (novel) P3 amplitudes decreased from the easy to the hard task to the same extent in both groups. Methylphenidate enhanced the percentage of correct responses and task P3 amplitudes in both the easy and the hard task but probe P3 amplitudes were not influenced by methylphenidate. It was concluded that ADHD children do not suffer from a shortage in attentional capacity; rather, the evidence is in favor of a problem with capacity allocation. Furthermore, methylphenidate had enhancing effects on performance and ERPs, but did not improve the capacity-allocation deficit.     

高血压患者抑制控制加工异常的ERP研究

目的：探讨高血压患者抑制控制缺陷的神经电生理机制。方法：采用视觉事件相关电位（ERP）Go-Nogo实验范式,选取高血压患者14例和正常对照15例进行研究。视觉刺激物为随机出现的等边三角图形,要求被试看到两个三角形（Go刺激）时尽快尽准确地按键,看到一个三角形（Nogo刺激）时不按键。Go刺激和Nogo刺激概率分别为60％、40％,随机呈现,记录行为学数据和32道ERP数据。结果：两组被试的行为学数据比较差异无统计学意义,ERP结果发现：N2d波、P3d波潜伏期高血压组明显高于对照组[N2d：F（1.27）=25．858,P=0．000,P3d：F（1.27）=6．013,P=0．021],差异有统计学意义,Nogo—N2波波幅[F（1.27）=3．391,P=0．077]、潜伏期[F（1.27）=3．783,P=0．062]及N2d波波幅[F（1．27）=2．968,P=0．096]组间差异边缘性显著。P3d波波幅、NogoP3波幅和潜伏期无明显组别差异。结论：高血压患者早期冲突监控机制异常,在200～300ms时间窗内抑制控制加工障碍,为高血压病的进一步研究提供神经电生理依据。     

The association of childhood obesity to neuroelectric indices of inhibition

To examine whether childhood obesity is associated with inhibitory control, we compared healthy weight and obese preadolescent children's task performance along with the N2 and P3 components during a Go/NoGo task. Results indicated that obese children exhibited lower response accuracy relative to healthy weight children during the NoGo task requiring greater amounts of inhibitory control, whereas no such difference was observed during the Go task. Neuroelectric data indicated that healthy weight children exhibited a more frontal distribution for the NoGo P3 relative to the Go P3, whereas obese children had similar topographic distributions between the Go P3 and NoGo P3. Further, obese children had larger NoGo N2 amplitude relative to the Go N2, whereas this difference was not observed for healthy weight children. These findings suggest that childhood obesity is negatively and selectively associated with prefrontal inhibitory control.     

基于改进的视觉CPT范式对注意缺陷多动障碍患儿额区ERPs的研究

采用事件相关电位（ERPs）来研究注意缺陷多动障碍（ADHD）患儿在选择注意任务下额区的神经活动。实验采用高密度的脑电采集仪来记录受试在执行改进的视觉持续性操作测试（Visual-CPT）范式下的ERPs,12名患儿（ADHD组）及13名健康儿童（对照组）参加本次试验。在Go和No-go条件下,分别对两组受试的行为学及ERPs进行分析和比较,并对结果进行双样本t检验。结果发现,ADHD组在实验过程中表现得较差,漏报率和错误率明显增加,而且反应时间明显延长;无论是Go条件还是No-go条件,潜伏期未见显著性差异,但是ADHD组相比对照组在额区表现出幅值显著低的N2成分（P<0.05）;此外,ADHD组在No-go条件下具有幅值显著高的P2成分（P <0.05）。结果表明,ADHD患儿在认知功能执行中产生障碍,而这种障碍可能与其额叶区域的ERPs波形幅值异常有关。     

Sequence effects in the Go/NoGo task: Inhibition and facilitation

Facilitation and inhibition are asymmetric aspects of attention that differentially affect response times (RTs), accuracy and neuroelectric activity in many experimental tasks. Both vary as a function of stimulus context, with stimulus repetitions, for example, often resulting in facilitation in terms of speed, accuracy or reduced neural activity. Although inhibition has been extensively studied in the Go/NoGo task, facilitation has been overlooked. Twenty healthy adults performed an adapted Go/NoGo task which manipulated levels of facilitation and inhibition. Event-related potential (ERP) and behavioural measures were averaged according to preceding stimulus sequences. Established Go/NoGo effects for N2 and P3 components were replicated. Behavioural and ERP measures, however, showed strong sequence effects. Correlates of facilitation included reduced P1 and N1 latencies, and topographic effects in P1, to Go stimulus repetitions. Manipulations of inhibitory load through increasing Go before NoGo stimuli resulted in incremental increases in N1, P2 and N2 latencies. Several additional ERP and RT measures showed quadratic effects, with indications of facilitation or inhibition which reversed towards the end of longer stimulus trains. The results suggest that both facilitatory and inhibitory processes underlie performance in the Go/NoGo task. As Go stimuli are typically more frequently repeated than NoGo stimuli, the two processes may be confounded when sequence effects are not considered. Additionally, analysing stimuli by context indicates that the timing of the Go-P3 latency is closely related to responses, and the prolongation of N1, P2 and N2 with increasing difficulty of inhibition supports a possible relation of these components to inhibition.     

Differential effects of age on subcomponents of response inhibition

Inhibitory deficits contribute to cognitive decline in the aging brain. Separating subcomponents of response inhibition may help to resolve contradictions in the existing literature. A total of 49 healthy participants underwent functional magnetic resonance imaging (fMRI) while performing a Go/no-go-, a Simon-, and a Stop-signal task. Regression analyses were conducted to identify correlations of age and activation patterns. Imaging results revealed a differential effect of age on subcomponents of response inhibition. In a simple Go/no-go task (no spatial discrimination), aging was associated with increased activation of the core inhibitory network and parietal areas. In the Simon task, which required spatial discrimination, increased activation in additional inhibitory control regions was present. However, in the Stop-signal task, the most demanding of the three tasks, aging was associated with decreased activation. This suggests that older adults increasingly recruit the inhibitory network and, with increasing load, additional inhibitory regions. However, if inhibitory load exceeds compensatory capacity, performance declines in concert with decreasing activation. Thus, the present findings may refine current theories of cognitive aging.     

ERPs to infrequent auditory stimuli in two- and three-stimulus versions of the inter-modal oddball task

Previous research has shown that auditory targets in inter-modal oddball conditions are processed in two stages, an early modality-specific and a later context-dependent stage. The aim of this study was to investigate how the processing of auditory target stimuli is affected by the inclusion of an additional infrequent auditory non-target stimulus in inter-modal oddball conditions. 17 subjects received 300 stimuli in each of a two- and a three-stimulus version of the inter-modal oddball task. Both tasks included 240 (80%) presentations of a counter-phasing checkerboard randomly interspersed with 60 presentations of an auditory stimulus. In the two-stimulus condition subjects received 60 (20%) target stimuli. In the three-stimulus condition subjects received 30 (10%) target and 30 (10%) non-target stimuli. ERPs to the two target stimuli and ERPs to targets and auditory non-targets in the three-stimulus condition were investigated. Early components N100 and P200 were larger to non-targets than targets. N140, an additional frontal negativity in inter-modal oddball conditions, was larger in the three-stimulus compared with the two-stimulus condition. Targets produced two late positive components (P250/P3a and P300). In the three-stimulus task the P250/P3a was enhanced frontally and P300 was enhanced in right parietal regions. Non-target auditory stimuli produced a broad negativity (N285) at this latency. All stimuli produced a late positivity (P350) that demonstrated task-related topographic differences. The results are interpreted with respect to previous inter-modal oddball findings and research into auditory processing.