The brain regulation mechanism of error monitoring in impulsive children with ADHD—An analysis of error related potentials

The objective of this study was to investigate the brain mechanism involved in the regulation of impulsivity in children with Attention Deficit and Hyperactivity Disorder (ADHD) through error detection as well as error monitoring. The subjects in this study included 7–11-year-old impulsive ADHD children as well as normal children and adult controls. Error related negativity (ERN) and error positivity (Pe) were measured. ERN peak latency from the children groups was delayed significantly when compared with the adult group; however, no significant difference in ERN amplitude was found among the three groups. Impulsive ADHD children had the earliest peak latency of Pe. In addition, the average Pe amplitude in impulsive children was significantly smaller than in adults (Cz and Pz), and smaller than in normal children (Pz). Late conscious cognitive processing of error is significantly weaker in impulsive ADHD children, suggesting a serious deficit of late error monitoring, rather than error detection.     

Performance monitoring and error significance in patients with obsessive-compulsive disorder

Performance monitoring has been consistently found to be overactive in obsessive-compulsive disorder (OCD). The present study examines whether performance monitoring in OCD is adjusted with error significance. Therefore, errors in a flanker task were followed by neutral (standard condition) or punishment feedbacks (punishment condition). In the standard condition patients had significantly larger error-related negativity (ERN) and correct-related negativity (CRN) ampliudes than controls. But, in the punishment condition groups did not differ in ERN and CRN amplitudes. While healthy controls showed an amplitude enhancement between standard and punishment condition, OCD patients showed no variation. In contrast, group differences were not found for the error positivity (Pe): both groups had larger Pe amplitudes in the punishment condition. Results confirm earlier findings of overactive error monitoring in OCD. The absence of a variation with error significance might indicate that OCD patients are unable to down-regulate their monitoring activity according to external requirements.     

Temporal dynamic modulation of acute stress on error processing in healthy males

Error processing is critical for adaptive behaviors. Acute stress has been found to influence error processing. However, the neural dynamic correlates underlying this modulation remain elusive. To address this issue, we recruited 39 healthy male participants, who performed a two‐session task before and after an acute stress test while their behavioral and EEG data were recorded. The participants were randomly exposed to either a stress condition (Maastricht Acute Stress Test) or a control condition. The stress test consisted of several hand immersion tasks (ice‐cold water, 2°C) and mental arithmetic tasks. A color‐word Stroop task was used to investigate the stress effect on error responses. Based on the level of stress‐induced cortisol, the participants in the stress group were further classified as low (N = 13) or high (N = 13) cortisol responders. The results indicated that only in the high cortisol responders, the error‐related negativity (ERN) amplitude was reduced after acute stress. In addition, the ?ERN in the high cortisol responders was significantly smaller than that in the low cortisol responders. These results suggest that acute stress impairs error detection. However, the error positivity amplitudes increased in the stress group compared to the control group, indicating that acute stress leads to greater error assessment. Taken together, these results suggest that acute stress impairs error detection, which is modulated by individuals’ response level following acute stress, and leads to more emotional and/or motivational responses to the error signal once the error is consciously realized.     

Neural correlates of error processing reflect individual differences in interoceptive sensitivity

Although self-monitoring is an important process for adaptive behaviors in multiple domains, the exact relationship among different internal monitoring systems is unclear. Here, we aimed to determine whether and how physiological monitoring (interoception) and behavioral monitoring (error processing) are related to each other. To this end we examined within-subject correlations among measures representing each function. Score on the heartbeat counting task (HCT) was used as a measure of interoceptive awareness. The amplitude of two event-related potentials (error-related negativity [ERN] and error-positivity [Pe]) elicited in error trials of a choice-reaction task (Simon task) were used as measures of error processing. The Simon task presented three types of stimuli (objects, faces showing disgust, and happy faces) to further examine how emotional context might affect inter-domain associations. Results showed that HCT score was robustly correlated with Pe amplitude (the later portion of error-related neural activity), irrespective of stimulus condition. In contrast, HCT score was correlated with ERN amplitude (the early component) only when participants were presented with disgust-faces as stimuli, which may have automatically elicited a physiological response. Behavioral data showed that HCT score was associated with the degree to which reaction times slowed after committing errors in the object condition. Cardiac activity measures indicated that vigilance level would not explain these correlations. These results suggest a relationship between physiological and behavioral monitoring. Furthermore, the degree to which behavioral monitoring relies on physiological monitoring appears to be flexible and depend on the situation.     

Error-related brain activity in extraverts: Evidence for altered response monitoring in social context

While the personality trait of extraversion has been linked to enhanced reward sensitivity and its putative neural correlates, little is known about whether extraverts’ neural circuits are particularly sensitive to social rewards, given their preference for social engagement and social interactions. Using event-related potentials (ERPs), this study examined the relationship between the variation on the extraversion spectrum and a feedback-related ERP component (the error-related negativity or ERN) known to be sensitive to the value placed on errors and reward. Participants completed a forced-choice task, in which either rewarding or punitive feedback regarding their performance was provided, through either social (facial expressions) or non-social (verbal written) mode. The ERNs elicited by error trials in the social – but not in non-social – blocks were found to be associated with the extent of one's extraversion. However, the directionality of the effect was in contrast with the original prediction: namely, extraverts exhibited smaller ERNs than introverts during social blocks, whereas all participants produced similar ERNs in the non-social, verbal feedback condition. This finding suggests that extraverts exhibit diminished engagement in response monitoring – or find errors to be less salient – in the context of social feedback, perhaps because they find social contexts more predictable and thus more pleasant and less anxiety provoking.     

Event-related brain potentials and error-related processing: An analysis of incorrect responses to go and no-go stimuli

Recent research has suggested that there is a component of the event-related brain potential, the error-related negativity (ERN), that is associated with error detection and remedial actions such as error inhibition, immediate error correction, or error compensation. The present experiment used a go/no-go task to define more precisely the functional significance of this component. In this task, an ERN was observed for incorrect responses on go trials (errors of choice) and for response on no-go trials (errors of action). Because errors of action cannot be corrected immediately by executing another response, these results indicate that the process manifested by the ERN is not dependent on immediate error correction. Other aspects of the data converge in suggesting that the ERN process is more U related to error detection and that the connections between detection and remedial actions may depend on the task situation.     

Speeding up older adults: age-effects on error processing in speed and accuracy conditions

Behavioral performance in older adults is often characterized by normal error rates but longer response latencies compared to younger adults. The slowing of reaction times might reflect a compensatory strategy to avoid errors and might be associated with performance monitoring alterations. The present study investigated whether the ability to compensate for potential deficits influences age-related differences in performance monitoring. A modified flanker task was used with either accuracy or speed instruction. Both groups showed reliable differences between conditions: accuracy, reaction times and error-related negativities were reduced in the speed compared with the accuracy condition. Older adults showed smaller error-related negativities compared with younger adults and the reduction was more pronounced in the speed condition. Further, similar-sized error-related and correct-related negativities were found in older adults. Results indicate that performance monitoring deficits in older adults are related to deficits in behavioral performance, at least if they are forced to respond quickly.     

Error processing in high-functioning Autism Spectrum Disorders

Studies report error-processing abnormalities in high-functioning individuals with Autism Spectrum Disorders (ASD) that may be influenced by intelligence and autism severity. Error processing can be measured using the error-related negativity (ERN) and post-error positivity (Pe) components of the event-related potential (ERP), along with behavioral indices such as post-error reaction time (RT) slowing. We used a modified Flanker task to test the hypothesis that high-functioning individuals with ASD would show decreased amplitude ERN in 24 individuals with ASD and 21 age- and IQ-matched typically-developing control participants. Behaviorally, individuals with ASD committed more errors than controls, but groups did not significantly differ on RTs, although there was a trend-level difference in post-error slowing. For ERPs, ERN amplitude was significantly attenuated in individuals with ASD relative to controls; groups did not differ in Pe amplitude. Amplitude of the ERN was not significantly correlated with measures of intelligence, anxiety, behavioral inhibition, or general autism severity.     

Self-regulation in ADHD: The role of error processing

Attention-deficit hyperactivity disorder (ADHD) is characterized by persistent and impairing developmentally inappropriate levels of inattention, hyperactivity, and impulsivity. Such behavioral dysregulation may be a consequence of deficits in self-monitoring or adaptive control, both of which are required for adaptive behavior. Processing of contextual demands, ongoing monitoring of one's behavior to evaluate whether it is appropriate for a particular situation, and adjusting behavior when it is suboptimal are components of self-regulation. This review examines and integrates the emerging literature on error-processing and adaptive control as components of self-regulation into the prominent etiological theories of ADHD. Available data on error-processing, as reflected in event-related potentials (ERN and Pe) and behavioral performance, suggest that both early error detection and later error-evaluation may be diminished in ADHD, thereby interfering with adaptive control processes. However, variability in results limit broad conclusions, particularly for early error detection. A range of methodological issues, including ERP parameters and sample and task characteristics, likely contribute to this variability, and recommendations for future work are presented. The emerging literature on error-processing and adaptive control informs etiological theories of ADHD in general and may provide a method for testing self-regulation models in particular.     

Error-related negativity varies with the activation of gender stereotypes

The error-related negativity (ERN) was suggested to reflect the response-performance monitoring process. The purpose of this study is to investigate how the activation of gender stereotypes influences the ERN. Twenty-eight male participants were asked to complete a tool or kitchenware identification task. The prime stimulus is a picture of a male or female face and the target stimulus is either a kitchen utensil or a hand tool. The ERN amplitude on male-kitchenware trials is significantly larger than that on female-kitchenware trials, which reveals the low-level, automatic activation of gender stereotypes. The ERN that was elicited in this task has two sources—operation errors and the conflict between the gender stereotype activation and the non-prejudice beliefs. And the gender stereotype activation may be the key factor leading to this difference of ERN. In other words, the stereotype activation in this experimental paradigm may be indexed by the ERN.     

Error-related processing during a period of extended wakefulness

The nature of error detection as manifested by the error-related negativity was examined in both a Sternberg memory search task and a visual search task. Both tasks were performed in conditions with consistent or varied stimulus-response mapping and loads of three or six letters. After subjects were trained extensively in all conditions, they performed the tasks throughout the night without sleeping. The data suggest that the effectiveness of error detection decreases over time because of a decrease in the quality of perceptual processing. Error detection also suffers when performance requires more search-related resources. In both cases, the representation of the correct response is compromised. These results indicate that error detection depends on the same perceptual and cognitive processes that are required for correct performance.     

Electrocortical processing of social signals of threat in combat-related post-traumatic stress disorder

Post-traumatic stress disorder (PTSD) is characterized by avoidance, emotional numbing, increased arousal and hypervigilance for threat following a trauma. Thirty-three veterans (19 with PTSD, 14 without PTSD) who had experienced combat trauma while on deployment in Iraq and/or Afghanistan completed an emotional faces matching task while electroencephalography was recorded. Vertex positive potentials (VPPs) elicited by happy, angry and fearful faces were smaller in veterans with versus without PTSD. In addition, veterans with PTSD exhibited smaller late positive potentials (LPPs) to angry faces and greater intrusive symptoms predicted smaller LPPs to fearful faces in the PTSD group. Veterans with PTSD were also less accurate at identifying angry faces, and accuracy decreased in the PTSD group as hyperarousal symptoms increased. These findings show reduced early processing of emotional faces, irrespective of valence, and blunted prolonged processing of social signals of threat in conjunction with impaired perception for angry faces in PTSD.     

Meta-analytic review of event-related potential studies in post-traumatic stress disorder

In recent years there has been an accumulation of studies that have utilized the measurement of event-related potentials (ERP) to examine the neuroelectric correlates of hypothesized alterations in information processing in persons with post-traumatic stress disorder (PTSD). The objective of this meta-analysis was to summarize the findings of ERP PTSD research, including studies that have examined P50 auditory sensory gating, augmenting-reducing P200, and P300 in target detection oddball tasks. The results suggest that persons with PTSD exhibit alterations in the amplitude and latency of ERP within these paradigms that support the hypothesis that changes in information processing can accompany PTSD. The results were also consistent with recent cognitive neuropsychological findings in PTSD research.     

Response-related negativities following correct and incorrect responses: evidence from a temporospatial principal component analysis

Two ERP components have been observed following correct and incorrect responses, the error-related negativity (ERN/Ne) and the correct-related negativity (CRN). The function of these components is still under debate. We used a visual size discrimination task at three difficulty levels and utilized a temporospatial principal component analysis (PCA) to examine whether ERN/Ne and CRN could be explained by one or more factors. While ERN/Ne decreased with higher task difficulty, amplitudes increased for correct responses at parietal electrodes. PCA revealed two temporospatial factors: a centrally distributed factor differing between correct and incorrect responses and a more frontoparietally distributed factor contributing to both ERN/Ne and CRN. These data support the notion that ERN/Ne and CRN might reflect a combination of two underlying processes: an error-sensitive and an outcome-independent aspect of response monitoring.     

On the ERN and the significance of errors

The error-related negativity (ERN) is an event-related brain potential observed when subjects commit errors. To examine whether the ERN is sensitive to the value of errors, the motivational significance of errors was manipulated in two experiments. In Experiment 1, low and high monetary value errors were compared to evaluate the effect of trial value on the ERN. In Experiment 2, subjects performed a flanker task both while their performance was being evaluated and during a control condition. Consistent with the notion that the error-detection system is sensitive to the significance of errors, the ERN was significantly larger on high-value trials in Experiment 1 and during evaluation in Experiment 2. There were no corresponding effects on the correct response negativity, and no behavioral differences between conditions were evident in either experiment. These results are discussed in terms of the functional role of the ERN in response monitoring.     

Cardiac workload and inhibitory control in younger and older adults

Our goal was to investigate age differences in the role played by cardiovascular regulation in response control. We questioned whether pre-test respiratory sinus arrhythmia (RSA; an index of phasic vagal cardiac control) and/or rate pressure product (RPP; a measure of cardiac workload) were associated with error rate and/or error-related electrocortical responses (ERPs) during a Go/NoGo inhibitory control task across three levels of working memory load. ERPs, RSA and RPP were indirectly associated with performance in young adults. Within the older group, higher resting RPP was directly associated with NoGo errors at all levels of load, an association not seen in the younger group. Thus, for older adults, excessive hemodynamic demands at rest were more relevant than on-task electrocortical responses in the prediction of inhibitory control errors. These data support the relevance of autonomic regulation in understanding age-related change in higher-order neurocognitive function.     

The dependability of electrophysiological measurements of performance monitoring in a clinical sample: A generalizability and decision analysis of the ERN and Pe

Psychometric studies of the ERN, CRN, Pe, and Pc ERPs are increasing. Coherent integration of these results is difficult with classical test theory because the definition of error depends on the measure of reliability. This study used generalizability theory, which extends the ideas of classical test theory, as a framework for evaluating the influence of psychopathology and number of trials on dependability of measurement. Participants included 34 people meeting criteria for major depression, 29 meeting criteria for an anxiety disorder, and 319 controls. For all ERPs, within‐person variance was larger than between‐person variance across groups, indicating many trials are needed for adequate dependability (at least 13). Slightly fewer trials were needed to achieve adequate dependability in the control group than the pathology groups. Regions of interest had higher dependability than single sensors.     

Chronic medication does not affect hyperactive error responses in obsessive‐compulsive disorder

Patients with obsessive‐compulsive disorder (OCD) show an increased error‐related negativity (ERN), yet previous studies have not controlled for medication use, which may be important given evidence linking performance monitoring to neurotransmitter systems targeted by treatment, such as serotonin. In an examination of 19 unmedicated OCD patients, 19 medicated OCD patients, 19 medicated patient controls without OCD, and 21 unmedicated healthy controls, we found greater ERNs in OCD patients than in controls, irrespective of medication use. Severity of generalized anxiety and depression was associated with ERN amplitude in controls but not patients. These data confirm previous findings of an exaggerated error response in OCD, further showing that it cannot be attributed to medication. The absence in patients of a relationship between ERN amplitude and anxiety/depression, as was found in controls, suggests that elevated error signals in OCD may be disorder‐specific.     

Typology of post-traumatic stress disorder in children and adolescents

Results obtained from clinical and psychopathological studies of 161 patients with post-traumatic stress disorder (PTSD) aged 3–18 years with symptom durations from one month to four years are presented. Four major clinical variants of the type of PTSD were identified in children and adolescents: insomniac( 34.8%), phobic (23.6%), psychopathic-like (21.7%), and asthenic-depressive (19.9%). These variants, differing in terms of course and prognosis, occurred at different frequencies in different age and ethnic groups; there were no gender-related differences. __________ Translated from Zhurnal Nevrologii i Psikhiatrii imeni S. S. Korsakova, Vol. 105, No. 12, pp. 9–12, December, 2005.     

Electrophysiological correlates of error processing in borderline personality disorder

The electrophysiological correlates of error processing were investigated in patients with borderline personality disorder (BPD) using event-related potentials (ERP). Twelve patients with BPD and 12 healthy controls were additionally rated with the Barratt impulsiveness scale (BIS-10). Participants performed a Go/Nogo task while a 64 channel EEG was recorded. Three ERP components were of special interest: error-related negativity (ERN)/error negativity (Ne), early error positivity (early Pe) reflecting automatic error processing, and the late Pe component which is thought to mirror the awareness of erroneous responses. We found smaller amplitudes of the ERN/Ne in patients with BPD compared to controls. Moreover, significant correlations with the BIS-10 non-planning sub-score could be demonstrated for both the entire group and the patient group. No between-group differences were observed for the early and late Pe components. ERP measures appear to be a suitable tool to study clinical time courses in BPD.