Kairi Kreegipuu

The mismatch negativity (MMN) - A unique window to disturbed central auditory processing in ageing and different clinical conditions

In this article, we review clinical research using the mismatch negativity (MMN), a change-detection response of the brain elicited even in the absence of attention or behavioural task. In these studies, the MMN was usually elicited by employing occasional frequency, duration or speech-sound changes in repetitive background stimulation while the patient was reading or watching videos. It was found that in a large number of different neuropsychiatric, neurological and neurodevelopmental disorders, as well as in normal ageing, the MMN amplitude was attenuated and peak latency prolonged. Besides indexing decreased discrimination accuracy, these effects may also reflect, depending on the specific stimulus paradigm used, decreased sensory-memory duration, abnormal perception or attention control or, most importantly, cognitive decline. In fact, MMN deficiency appears to index cognitive decline irrespective of the specific symptomatologies and aetiologies of the different disorders involved.

The mismatch negativity: an index of cognitive decline in neuropsychiatric and neurological diseases and in ageing

Cognitive impairment is a core element shared by a large number of different neurological and neuropsychiatric diseases. Irrespective of their different aetiologies and symptomatologies, most appear to converge at the functional deficiency of the auditory-frontal cortex network of auditory discrimination, which indexes cognitive impairment shared by these abnormalities. This auditory-frontal cortical deficiency, and hence cognitive decline, can now be objectively measured with the mismatch negativity and its magnetic equivalent. The auditory-frontal cortical network involved seems, therefore, to play a pivotal, unifying role in the different abnormalities. It is, however, more likely that the dysfunction that can be detected with the mismatch negativity and its magnetoencephalographic equivalent manifests a more widespread brain disorder, namely, a deficient N-methyl-D-aspartate receptor function, shared by these abnormalities and accounting for most of the cognitive decline.

Multiple Visual Latency

It has long been known that a dark visual stimulus is seen later than a bright one, with a delay up to several 10s of milliseconds. Systematic studies of various phenomena demonstrating this delay have revealed that the perceptual latency decreases monotonically as the stimulus intensity increases. Because latencies measured by psychological methods and cortical evoked responses are very similar to electroretinogram latencies, it has become a common belief that there is little in the intensity-dependent latency function that cannot be explained by retinal processes. In this study, we report evidence that there is no one absolute visual delay common to the whole visual system, but rather that the delay varies considerably in different perceptual subsystems. The relative visual latency was found to be considerably shorter in the task involving detecting the direction of movement than in other perceptual tasks that presume visual awareness of the beginning or temporal order of visual events.

An almost general theory of mean size perception

A general explanation for the observers ability to judge the mean size of simple geometrical figures, such as circles, was advanced. Results indicated that, contrary to what would be predicted by statistical averaging, the precision of mean size perception decreases with the number of judged elements. Since mean size discrimination was insensitive to how total size differences were distributed among individual elements, this suggests that the observer has a limited cognitive access to the size of individual elements pooled together in a compulsory manner before size information reaches awareness. Confirming the associative law of addition means, observers are indeed sensitive to the mean, not the sizes of individual elements. All existing data can be explained by an almost general theory, namely, the Noise and Selection (N&S) Theory, formulated in exact quantitative terms, implementing two familiar psychophysical principles: the size of an element cannot be measured with absolute accuracy and only a limited number of elements can be taken into account in the computation of the average size. It was concluded that the computation of ensemble characteristics is not necessarily a tool for surpassing the capacity limitations of perceptual processing.

Visual mismatch negativity (vMMN): A review and meta-analysis of studies in psychiatric and neurological disorders

The visual mismatch negativity (vMMN) response is an event-related potential (ERP) component, which is automatically elicited by events that violate predictions based on prior events. VMMN experiments use visual stimulus repetition to induce predictions, and vMMN is obtained by subtracting the response to rare unpredicted stimuli from those to frequent stimuli. One increasingly popular interpretation of the mismatch response postulates that vMMN, similar to its auditory counterpart (aMMN), represents a prediction error response generated by cortical mechanisms forming probabilistic representations of sensory signals. Here we discuss the physiological and theoretical basis of vMMN and review thirty-three studies from the emerging field of its clinical applications, presenting a meta-analysis of findings in schizophrenia, mood disorders, substance abuse, neurodegenerative disorders, developmental disorders, deafness, panic disorder and hypertension. Furthermore, we include reports on aging and maturation as they bear upon many clinically relevant conditions. Surveying the literature we found that vMMN is altered in several clinical populations which is in line with aMMN findings. An important potential advantage of vMMN however is that it allows the investigation of deficits in predictive processing in cognitive domains which rely primarily on visual information; a principal sensory modality and thus of vital importance in environmental information processing and response, and a modality which arguably may be more sensitive to some pathological changes. However, due to the relative infancy of research in vMMN compared to aMMN in clinical populations its potential for clinical application is not yet fully appreciated. The aim of this review and meta-analysis therefore is to present, in a detailed systematic manner, the findings from clinically-based vMMN studies, to discuss their potential impact and application, to raise awareness of this measure and to improve our understanding of disease upon fundamental aspects of visual information processing.

EEG alpha and cortical inhibition in affective attention.

Recent progress in cognitive neuroscience suggests that alpha activity may reflect selective cortical inhibition involved in signal amplification, rather than neural idling. Unfortunately, these theoretical advances remain largely ignored in affective neuroscience. To address this limitation the present paper proposes a novel research avenue aimed at using alpha to elucidate cortical inhibitory mechanisms involved in affective processes. The proposal is illustrated by developing inhibitory accounts of affective attention and affective tuning phenomena. The emergent predictions were tested using event-related perturbations from 73 students evaluating affective and nonaffective aspects of five types of emotional images. The results revealed that upper alpha power was increased by affective content in general and aversive stimuli in particular from 350 ms at posterior and from 575 ms at central sites. The evaluation task interacted with affective content only at a liberal statistical significance level in late posterior alpha. These results are generally in line with the proposed inhibitory accounts of affective attention and tuning, although the evidence is preliminary rather than conclusive. As confirmation of functional origins of alpha in affect remains beyond the scope of a single study, this paper aims to inspire further extrapolation of the inhibitory account of alpha within affective neuroscience.

vMMN for schematic faces: automatic detection of change in emotional expression.

Our brain is able to automatically detect changes in sensory stimulation, including in vision. A large variety of changes of features in stimulation elicit a deviance-reflecting event-related potential (ERP) component known as the mismatch negativity (MMN). The present study has three main goals: (1) to register vMMN using a rapidly presented stream of schematic faces (neutral, happy, and angry; adapted from Öhman etal., 2001); (2) to compare elicited vMMNs to angry and happy schematic faces in two different paradigms, in a traditional oddball design with frequent standard and rare target and deviant stimuli (12.5% each) and in an version of an optimal multi-feature paradigm with several deviant stimuli (altogether 37.5%) in the stimulus block; (3) to compare vMMNs to subjective ratings of valence, arousal and attention capture for happy and angry schematic faces, i.e., to estimate the effect of affective value of stimuli on their automatic detection. Eleven observers (19–32 years, six women) took part in both experiments, an oddball and optimum paradigm. Stimuli were rapidly presented schematic faces and an object with face-features that served as the target stimulus to be detected by a button-press. Results show that a vMMN-type response at posterior sites was equally elicited in both experiments. Post-experimental reports confirmed that the angry face attracted more automatic attention than the happy face but the difference did not emerge directly at the ERP level. Thus, when interested in studying change detection in facial expressions we encourage the use of the optimum (multi-feature) design in order to save time and other experimental resources.

Perceived onset time and position of a moving stimulus

During the few past years, there has been a growing interest in the timing and locating of moving stimuli. The most popular spatio-temporal phenomena that have been studied are the flash-lag effect (FLE) [Nature 370 (1994) 256] and the Fröhlich effect (FE) [Z. Sinnesphysiol. 54 (1923) 58]. Most often these phenomena are examined by some spatial task (e.g., judging whether moving and flashed stimuli are spatially aligned or not; explicitly pointing or adjusting the moving stimulus position). Usually, from the measured spatial offset temporal differences in processing of moving and stationary stimuli are inferred. Our experiments show that this practice may not be justified because the spatial and temporal properties were clearly disassociated for the movement onset perception. The disassociation demonstrates that the FLE and FE are most probably based on different internal representations.

Confusion of Space and Time in the Flash-Lag Effect

The apparent lagging of a short flash in the relation to a moving object, the flash-lag effect (FLE), has so far been measured mainly in terms of illusory spatial offset. We propose a method of measuring the perceived temporal asynchrony of the FLE separately from its perceived spatial offset. We presented a moving stimulus that changed its colour at a certain moment. The observer indicated, in two different tasks, where and when the colour change occurred in relation to a stationary reference flash. Results show that the perceived time of the colour change was not congruent with the perceived location of the colour change: the colour change is perceived simultaneously with the flash, but is shifted in position. The presentation of the reference in the form of a flash is not critical for the occurrence of the FLE, because the same effect was obtained with a constantly visible reference signal, the position of which or time when it changed its colour were varied. The observer was not able to ignore the irrelevant dimension of the reference signal: the apparent time of the colour change was influenced by the position of the reference signal, and the apparent location of the colour change was influenced by the presentation time of the reference signal. The observers inability to separate the spatial and temporal aspects of the moving stimulus clearly imposes certain limits on theories that are attempting to explain the FLE exclusively in terms of the perceived space and time.

Unattended and attended visual change detection of motion as indexed by event-related potentials and its behavioral correlates

Visual mismatch negativity (vMMN) is a negative-going component amongst cognitive event-related potentials. It reflects an automatic change-detection process that occurs when an infrequent stimulus is presented that is incongruent with the representation of a frequent (standard) event. In our research we use visual motion (more specifically motion direction changes) to study vMMN. Since movement in the visual field is quite irresistible to our brain, the question in hand is, if the detection of motion direction changes is dependent on attention directed to the stimulus. We present a new continuous whole-display stimulus configuration, where the attention capturing primary task of motion onset detection is in the central part of the visual display and visual oddball sequence on the background. The visual oddball paradigm consisted of 85% standard and 15% deviant events, motion direction change being the deviant. We show that even though the unattended visual oddball sequence does not affect the performance in the demanding behavioral primary task, the differences appearing in that sequence are noticed by our brain and reflected in two distinguishable vMMN components in occipital and parietal scalp locations. When attention is directed toward the visual oddball sequence, we only see different processing of standards and deviants in later time-windows and task-related activity in frontal scalp location. Our results are obtained under strict attention manipulation conditions.