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Core psychopathological symptoms in patients with schizophrenia suggest that their sense of self may be disturbed. A disturbance in predictive motor mechanisms may be the cause of such symptoms. Ten patients with schizophrenia and ten... more
Core psychopathological symptoms in patients with schizophrenia suggest that their sense of self may be disturbed. A disturbance in predictive motor mechanisms may be the cause of such symptoms. Ten patients with schizophrenia and ten healthy right-handed control subjects opened and closed their hand. This movement was filmed with an MRI compatible video camera and projected online onto a monitor. BOLD contrast was measured with fMRI. The temporal delay between movement and feedback was parametrically varied. Participants judged whether or not there was a delay. Patients were less sensitive to these delays than a matched control group. Comparing neural activation between the two groups showed a reduced attenuation of movement-sensitive perceptual areas in patients with increasing delay and a higher activation in the putamen in controls. The results provide further evidence that impaired efference copy mechanisms may contribute to the pathogenesis of schizophrenia and its first rank symptoms.
Neurology and psychiatry deal with diseases of the (central) nervous system. Historically neurological disorders are related to a proven organic basis, whereas psychiatric disorders are mainly defined by the phenomenology and course of... more
Neurology and psychiatry deal with diseases of the (central) nervous system. Historically neurological disorders are related to a proven organic basis, whereas psychiatric disorders are mainly defined by the phenomenology and course of the symptoms. Neuroscientific research methods such as molecular genetics, neurochemistry, neurophysiology, neuropathology, functional (SPECT, PET, fMRI) or structural (MRI) imaging have dramatically increased our knowledge of psychiatric and neurological disorders in the last 20 years. Accordingly diagnostic and therapeutic procedures and the long-term prognosis of numerous diseases in both disciplines have substantially improved (i.e. pharmacotherapy, psychotherapy, functional neurosurgery). For major brain disorders - such as dementia of the Alzheimer type - close collaboration between both disciplines is developing in diagnosis, therapy and care. Due to common neurobiological research topics, educational programs, medical training and the challenges of assuring appropriate care to patients with brain disorders, further cooperation between neurology and psychiatry is expected and necessary.
Episodic encoding is the first step in the formation of a memory trace. The relation between type of stimulus material and regional brain activation is not fully understood. We measured brain activation using fMRI in 12 healthy subjects... more
Episodic encoding is the first step in the formation of a memory trace. The relation between type of stimulus material and regional brain activation is not fully understood. We measured brain activation using fMRI in 12 healthy subjects during two experiments, word and face encoding. A widespread network of common activations in both tasks was present in the bilateral frontal (BA44/45), occipital (BA17/18/19) and fusiform gyri (BA37) as well as the right hippocampal formation (BA30). A region-of-interest-analysis for the hippocampal formation and dorsolateral prefrontal cortex (DLPFC) was performed additionally. During face encoding the right dorsal and during word encoding the bilateral ventral hippocampal region was activated. In the prefrontal cortex a lateralization to the left side was present only for word encoding. During encoding, activation in the inferior frontal and hippocampal cortex is modulated by the type of stimulus material.
... Peter Schlotterbeck a1 , Ralf Saur a2 , Christoph Hiemke a3 , Gerd Gründer a4 , Thomas Vehren a4 , Tilo Kircher a1 and Dirk Leube a1 c1. a1 Marburg University, Department of Psychiatry, Marburg, Germany. a2 University of ...
Functional imaging studies have shown that individuals with borderline personality disorder (BPD) display prefrontal and amygdala dysfunction while viewing or listening to emotional or traumatic stimuli. The study examined for the first... more
Functional imaging studies have shown that individuals with borderline personality disorder (BPD) display prefrontal and amygdala dysfunction while viewing or listening to emotional or traumatic stimuli. The study examined for the first time the functional neuroanatomy of attachment trauma in BPD patients using functional magnetic resonance imaging (fMRI) during the telling of individual stories. A group of 11 female BPD patients and 17 healthy female controls, matched for age and education, told stories in response to a validated set of seven attachment pictures while being scanned. Group differences in narrative and neural responses to "monadic" pictures (characters facing attachment threats alone) and "dyadic" pictures (interaction between characters in an attachment context) were analyzed. Behavioral narrative data showed that monadic pictures were significantly more traumatic for BPD patients than for controls. As hypothesized BPD patients showed significant...
Als exekutive Funktionen werden kognitive Prozesse bezeichnet, die zum Erreichen eines definierten Ziels die flexible Koordination mehrerer Subprozesse steuern. Diese höheren kognitiven Leistungen stellen eine sehr heterogene Gruppe von... more
Als exekutive Funktionen werden kognitive Prozesse bezeichnet, die zum Erreichen eines definierten Ziels die flexible Koordination mehrerer Subprozesse steuern. Diese höheren kognitiven Leistungen stellen eine sehr heterogene Gruppe von Prozessen dar und werden entsprechend mit unterschiedlichsten Paradigmen untersucht. Exekutive Dysfunktionen sind bei verschiedenen Krankheiten beschrieben worden, die im Allgemeinen auf strukturelle oder funktionelle Pathomechanismen des Frontalkortex — aber auch des
Störungen in der Sprachverarbeitung finden sich bei Patienten mit Schizophrenie in ihrer ausgeprägtesten Form klinisch als „Konkretismus“, d. h. als Festhalten an der wörtlichen Bedeutung übertragener Begriffe („Der Apfel fällt nicht weit... more
Störungen in der Sprachverarbeitung finden sich bei Patienten mit Schizophrenie in ihrer ausgeprägtesten Form klinisch als „Konkretismus“, d. h. als Festhalten an der wörtlichen Bedeutung übertragener Begriffe („Der Apfel fällt nicht weit vom Stamm“). In leichter Ausprägung — d. h. in Form von Problemen beim Verstehen von sprachlichen Ausdrücken — findet sich dieses Phänomen bei fast allen Patienten; es gilt als einer der wichtigsten Prädiktoren für das Auftreten einer Psychose im Prodromalstadium.
Research Interests:
Störungen der Sprachproduktion, klinisch „formale Denkstörungen“, sind ein wichtiges diagnostisches Symptom der Schizophrenie (Bleuler 1911). Defizite in der rezeptiven Sprachverarbeitung werden genauso konsistent beschrieben und in... more
Störungen der Sprachproduktion, klinisch „formale Denkstörungen“, sind ein wichtiges diagnostisches Symptom der Schizophrenie (Bleuler 1911). Defizite in der rezeptiven Sprachverarbeitung werden genauso konsistent beschrieben und in ausgeprägten Fällen als „Konkretismus“ bezeichnet. Bei der klinischen Untersuchung wird dies z. B. durch Erklären von Sprichwörtern oder Metaphern geprüft.
Zusammenfassung   Das Autogene Training (AT) ist ein verbreitetes Entspannungsverfahren mit Wirkung auf physiologische und psychologische Funktionen. In der vorliegenden Studie sollte untersucht werden, ob ein Kurs zum AT Effekte auf das... more
Zusammenfassung   Das Autogene Training (AT) ist ein verbreitetes Entspannungsverfahren mit Wirkung auf physiologische und psychologische Funktionen. In der vorliegenden Studie sollte untersucht werden, ob ein Kurs zum AT Effekte auf das Befinden kognitiv und körperlich beeinträchtigter alter Menschen hat.    Nach einer dreimonatigen Wartezeit (Kontrollzeitraum) wurden AT-Kurse von zwölf Wochen Dauer (Interventionszeitraum) in Altenheimen durchgeführt. An der Studie nahmen 32 multimorbide Bewohner teil, bei 24 wurde eine psychiatrische Diagnose gestellt (Durchschnittsalter 82,1±7,2 Jahre, CAMCOG 75,5±15,7, MMSE 23,3±4,3, HAMD 10,0±3,6, NOSGER 57,2 ±18,4, AT-SYM 32,9±17,6 Punkte). Acht Teilnehmer brachen die Untersuchung in der Wartezeit, 8 weitere den Kurs ab.    Von den 16 Vollteilnehmern konnten nach subjektiven Kriterien 15 (94%), nach objektiven 9 (54%) das AT erlernen. Der Übungserfolg korrelierte signifikant mit Werten der CAMCOG (p=0,001) und NOSGER (p=0,01). Ein dementielles Syndrom erwies sich als ungünstig für das Erlernen. Alter, Stimmung (HAMD) sowie Beschwerden (AT-SYM) hatten darauf keinen Einfluss. Ein Effekt während des Interventionszeitraumes ließ sich anhand von HAMD, NOSGER, AT-SYM und MMSE nicht nachweisen. Die Kurse führten zu einer signifikanten Verbesserung (p<0,001) des aktuellen Befindens im Vorher-Nachher-Vergleich der Übungsstunden.    Körperlich und psychisch beeinträchtigte über 80-jährige können das AT erlernen, wobei eine kognitive Leistungsminderung die Erlernbarkeit erschwert.
Many patients with schizophrenia demonstrate a lack of insight into their disorder and often do not complain about their cognitive impairments. This might be due to generally reduced metacognitive abilities. Twenty-seven patients with a... more
Many patients with schizophrenia demonstrate a lack of insight into their disorder and often do not complain about their cognitive impairments. This might be due to generally reduced metacognitive abilities. Twenty-seven patients with a DSM IV diagnosis of schizophrenia and 19 healthy control subjects performed 2 separate tasks tapping into metacognitive functions. In the first experiment the participants encoded words. In the following recognition part they judged their level of subjective confidence in the correctness of their answer. In the second experiment reaction time was measured, whilst judgments were made about personality trait adjectives describing the subjects themselves or other familiar people. Although the recognition rate in the first experiment was equal between the groups, the patients showed a significantly reduced ability to correctly judge their memory performance. There was no correlation between metamemory and psychopathology nor insight measures. The patients further needed significantly more time to characterize themselves compared to the healthy participants. The response rates for self-characterization correlated with the ability to recognize symptoms as part of a disorder but did not correlate with psychopathology. Metacognitive faculties seem to be, at least in part, a separable cognitive entity. Patients with schizophrenia demonstrate impaired metacognitive capacities, independent of current symptoms or memory performance.
The present study investigated whether a failure of self-monitoring contributes to core syndromes of schizophrenia. Three groups of patients with a DSM-IV diagnosis of schizophrenia (n = 27), with either prominent paranoid hallucinatory... more
The present study investigated whether a failure of self-monitoring contributes to core syndromes of schizophrenia. Three groups of patients with a DSM-IV diagnosis of schizophrenia (n = 27), with either prominent paranoid hallucinatory or disorganization syndrome, or without these symptoms, and a matched healthy control group (n = 23) drew circles on a writing pad connected to a PC monitor. Subjects were instructed to continuously monitor the relationship between their hand movements and their visual consequences. They were asked to detect gain changes in the mapping. Self-monitoring ability and the ability to automatically correct movements were assessed. Patients with either paranoid-hallucinatory syndrome or formal thought disorder were selectively impaired in their ability to detect a mismatch between a self-generated movement and its consequences, but not impaired in their ability to automatically compensate for the gain change. These results support the claim that a failure of self-monitoring may underlie the core symptoms of schizophrenia.
Alterations in self-monitoring have been reported in patients with psychotic disorders, but it remains unclear to what degree they represent true indicators of familial vulnerability for psychosis. An error-correction action-monitoring... more
Alterations in self-monitoring have been reported in patients with psychotic disorders, but it remains unclear to what degree they represent true indicators of familial vulnerability for psychosis. An error-correction action-monitoring task was used to examine self-monitoring in 42 patients with schizophrenia, 32 of their unaffected siblings and 41 healthy controls. Significant between-group differences in self-monitoring accuracy were found (χ2=29.3, p<0.0001), patients performing worst and unaffected siblings performing at an intermediate level compared to controls (all between-group differences p<0.05). In the combined group of healthy controls and unaffected siblings, detection accuracy was associated with positive schizotypy as measured by the Structured Interview for Schizotypy - Revised (SIS-R) (β=-0.16, s.e.=0.07, p=0.026), but not with negative schizotypy (β=-0.05, s.e.=0.12, p=0.694). In patients, psychotic symptoms were not robustly associated with detection accuracy (β=-0.01, s.e.=0.01, p=0.094), although stratified analysis revealed suggestive evidence for association in patients not currently using antipsychotic medication (β=-0.03, s.e.=0.01, p=0.052), whereas no association was found in patients on antipsychotic medication (β=-0.01, s.e.=0.01, p=0.426). A similar pattern of associations was found for negative symptoms. Alterations in self-monitoring may be associated with familial risk and expression of psychosis. The association between psychotic symptoms and self-monitoring in patients may be affected by antipsychotic medication, which may explain previous inconsistencies in the literature.
Episodic encoding is the first step in the formation of a memory trace. The relation between type of stimulus material and regional brain activation is not fully understood. We measured brain activation using fMRI in 12 healthy subjects... more
Episodic encoding is the first step in the formation of a memory trace. The relation between type of stimulus material and regional brain activation is not fully understood. We measured brain activation using fMRI in 12 healthy subjects during two experiments, word and face encoding. A widespread network of common activations in both tasks was present in the bilateral frontal (BA44/45), occipital (BA17/18/19) and fusiform gyri (BA37) as well as the right hippocampal formation (BA30). A region-of-interest-analysis for the hippocampal formation and dorsolateral prefrontal cortex (DLPFC) was performed additionally. During face encoding the right dorsal and during word encoding the bilateral ventral hippocampal region was activated. In the prefrontal cortex a lateralization to the left side was present only for word encoding. During encoding, activation in the inferior frontal and hippocampal cortex is modulated by the type of stimulus material.
The use of syntactic structures on a sentence level is a unique human ability. Functional imaging studies have usually investigated syntax comprehension. However, language production may be performed by different neuronal resources. We... more
The use of syntactic structures on a sentence level is a unique human ability. Functional imaging studies have usually investigated syntax comprehension. However, language production may be performed by different neuronal resources. We have investigated syntax generation on a sentence level with functional magnetic resonance imaging (fMRI). BOLD contrast was measured while subjects articulated utterances aloud. In the active condition 'sentence generation' (SG), subjects had to produce subject verb object (SVO) sentences (e.g. "The child throws the ball") according to syntactically incomplete stimuli (e.g. "throw ball child") presented visually. In the control condition 'word reading' (WR), subjects had to read identical stimuli without completing the syntactic structure, while in a second control condition 'sentence reading' (SR), subjects had to read complete sentences. The semantic meaning of all expressions was obvious despite the syntactically incomplete structure in conditions SG and WR. In both contrasts, SG minus WR and SG minus SR, activation was mainly present in the left inferior frontal (BA 44/45) and medial frontal (BA 6) gyri, the superior parietal lobule (BA 7) and the right insula (BA 13). A region of interest analysis revealed significantly stronger left-dominant activation in BA 45 compared to BA 44. Our data illustrates the crucial involvement of the left BA 45 in syntactic encoding and is in line with more recent imaging and brain lesion data on syntax processing on a sentence level, emphasizing the involvement of a distributed left and right hemispheric network in syntax generation.
Most current models of knowledge organization in the brain are based on hierarchical or taxonomic categories (animals, tools). Another important organizational pattern is thematic categorization, i.e. categories held together by external... more
Most current models of knowledge organization in the brain are based on hierarchical or taxonomic categories (animals, tools). Another important organizational pattern is thematic categorization, i.e. categories held together by external relations, a unifying scene or event (car and garage). We used fMRI to examine neural activation patterns as subjects performed a category construction task where these two category types were contrasted. Subjects were visually presented with a target word followed by the presentation of two match words and had to choose by button press one match that goes best with the target word. In the balanced or cross-categorization condition (Car/Garage Bus) both match words fit the target; in the biased conditions only one match word fit the target either thematically (Car/Garage Brush) or taxonomically (Car/Bus Eraser). We found that in the biased conditions, thematic and taxonomic categories recruited very similar cortical regions: left inferior frontal, middle temporal and occipital regions. In the balanced condition subjects showed no behavioral preference for either thematic or taxonomic matches. However, contrasting signal changes during a subjective taxonomic choice in the presence of a thematic alternative vs. a subjective thematic choice in the presence of a taxonomic alternative required the additional recruitment of right middle frontal gyrus, left precuneus and left thalamus. Our results suggest that thematic relations between objects are processed similarly to taxonomic relations, but require less cerebral processing demand, providing validation for thematic categories as an alternative principle of conceptual organization.
It has been shown that social deficits contribute to psychopathology in schizophrenia, such as the bleulerian autism. A possible dysfunction in the mirror neuron system may be the reason for these deficits in the disorder. We wanted to... more
It has been shown that social deficits contribute to psychopathology in schizophrenia, such as the bleulerian autism. A possible dysfunction in the mirror neuron system may be the reason for these deficits in the disorder. We wanted to better characterize the neural networks involved in the perception of social behavior. Fifteen healthy participants were presented with video clips of 8 seconds' duration depicting either (1) one actor manipulating an object, (2) two actors with only one manipulating an object or (3) two actors cooperating in manipulating an object and 2 other control conditions. Functional magnetic resonance imaging data were acquired during watching these videos. We found the perception of social cooperation is supported by a neural network comprising the precuneus, the temporoparietal junction (supramarginal gyrus, angular gyrus, BA 39/40), the middle temporal gyrus (including superior temporal sulcus) and frontal regions (medial frontal gyrus, inferior frontal gyrus). These areas form a complex network also being activated during theory of mind and cooperative behavior tasks. Its nodes overlap with those of the mirror neuron system. Consequently, both theory of mind abilities and mirror mechanisms are relevant in the perception and understanding of social cooperative behavior. We outline the consequences of these results for a further understanding of schizophrenic psychopathology with respect to social deficits and ego disturbances.
Oxidative DNA damage as one sign of reactive oxygen species induced oxidative stress is an important factor in the pathogenesis of various psychiatric disorders. Altered levels of DNA base damage products as well as the expression of the... more
Oxidative DNA damage as one sign of reactive oxygen species induced oxidative stress is an important factor in the pathogenesis of various psychiatric disorders. Altered levels of DNA base damage products as well as the expression of the main repair enzyme 8-hydroxyguanine glycosylase 1 have been described. The aim of the present study was to examine the effects of drugs (amphetamine, methylphenidate and atomoxetine) used in the treatment of attention deficit-hyperactivity disorder on the expression of this enzyme via reverse transcriptase-polymerase chain reaction in human neuroblastoma SH-SY5Y and human monocytic U-937 cells at concentrations of 50, 500 and 5,000 ng/ml. We observed decreased expression of this enzyme for all applied substances. In U-937 cells, the significance level was reached after treatment with 5,000 ng/ml amphetamine as well as after treatment with 50, 500 and 5,000 ng/ml atomoxetine. Incubation of SH-SY5Y cells with 50 and 5,000 ng/ml amphetamine and 5,000 ng/ml methylphenidate led to significant decreases of 8-hydroxyguanine glycosylase 1. As a positive correlation between the expression of 8-hydroxyguanine glycosylase 1 and the level of oxidative DNA damage products has been described, we accordingly consider these substances (amphetamine, methylphenidate and atomoxetine) to possibly play a protective role in this process.
Attention-deficit/hyperactivity disorder (ADHD) often persists into adulthood, albeit with changes in clinical symptoms throughout the life span. Although effect sizes of neuropsychological deficits in ADHD are well established,... more
Attention-deficit/hyperactivity disorder (ADHD) often persists into adulthood, albeit with changes in clinical symptoms throughout the life span. Although effect sizes of neuropsychological deficits in ADHD are well established, developmental approaches have rarely been explored and little is yet known about age-dependent changes in cognitive dysfunction from childhood to adulthood. In this cross-sectional study, 20 male children (8-12 years), 20 adolescents (13-16 years), and 20 adults (18-40 years) with ADHD and a matched control group were investigated using six experimental paradigms tapping into different domains of cognitive dysfunction. Subjects with ADHD were more delay-aversive and showed deficits in time discrimination and time reproduction, but they were not impaired in working memory, interference control or time production. Independent of age, the most robust group differences were observed with respect to delay aversion and time reproduction, pointing to persistent dysfunction in the mesolimbic reward circuitry and in the frontal-striatal-cerebellar timing system in subjects with ADHD. Across all tasks, effect sizes were lowest for adolescents with ADHD compared to age-matched controls. Developmental dissociations were found only for simple stimuli comparison, which was particularly impaired in ADHD children. Thus, in line with current multiple-pathway approaches to ADHD, our data suggest that deficits in different cognitive domains are persistent across the lifespan, albeit less pronounced in adolescents with ADHD.
Previous research has demonstrated that compensatory movements for changes in visuomotor coupling often are not consciously detected. But what factors affect the conscious detection of such changes? This issue was addressed in 4... more
Previous research has demonstrated that compensatory movements for changes in visuomotor coupling often are not consciously detected. But what factors affect the conscious detection of such changes? This issue was addressed in 4 experiments. Participants carried out a drawing task in which the relative velocity between the actual movement and its visual consequences was perturbed. Unconscious compensatory movements and conscious detection rates were simultaneously recorded. There was an invariant relationship between the extent of the change and its conscious detection that was proportional to the initial drawing velocity. This suggests that conscious change detection relies on a system that integrates visual and motor information-as, for instance, suggested by the internal model theory of motor control. Figural discrepancies increased the detection rates, indicating that additional cues for the what system facilitate conscious change detection.
In human face-to-face communication, the content of speech is often illustrated by coverbal gestures. Behavioral evidence suggests that gestures provide advantages in the comprehension and memory of speech. Yet, how the human brain... more
In human face-to-face communication, the content of speech is often illustrated by coverbal gestures. Behavioral evidence suggests that gestures provide advantages in the comprehension and memory of speech. Yet, how the human brain integrates abstract auditory and visual information into a common representation is not known. Our study investigates the neural basis of memory for bimodal speech and gesture representations. In this fMRI study, 12 participants were presented with video clips showing an actor performing meaningful metaphoric gestures (MG), unrelated, free gestures (FG), and no arm and hand movements (NG) accompanying sentences with an abstract content. After the fMRI session, the participants performed a recognition task. Behaviorally, the participants showed the highest hit rate for sentences accompanied by meaningful metaphoric gestures. Despite comparable old/new discrimination performances (d') for the three conditions, we obtained distinct memory-related left-hemispheric activations in the inferior frontal gyrus (IFG), the premotor cortex (BA 6), and the middle temporal gyrus (MTG), as well as significant correlations between hippocampal activation and memory performance in the metaphoric gesture condition. In contrast, unrelated speech and gesture information (FG) was processed in areas of the left occipito-temporal and cerebellar region and the right IFG just like the no-gesture condition (NG). We propose that the specific left-lateralized activation pattern for the metaphoric speech-gesture sentences reflects semantic integration of speech and gestures. These results provide novel evidence about the neural integration of abstract speech and gestures as it contributes to subsequent memory performance.
Semantic priming, a well-established technique to study conceptual representation, has thus far produced variable fMRI results, both regarding the type of priming effects and their correlation with brain activation. The aims of the... more
Semantic priming, a well-established technique to study conceptual representation, has thus far produced variable fMRI results, both regarding the type of priming effects and their correlation with brain activation. The aims of the current study were (a) to investigate two types of semantic relations--categorical versus associative--under controlled processing conditions and (b) to investigate whether categorical and associative relations between words are correlated with response enhancement or response suppression. We used fMRI to examine neural correlates of semantic priming as subjects performed a lexical decision task with a long SOA (800 msec). Four experimental conditions were compared: categorically related trials (couch-bed), associatively related trials (couch-pillow), unrelated trials (couch-bridge), and nonword trials (couch-sibor). We found similar behavioral priming effects for both categorically and associatively related pairs. However, the neural priming effects differed: Categorically related pairs resulted in a neural suppression effect in the right MFG, whereas associatively related pairs resulted in response enhancement in the left IFG. A direct contrast between them revealed activation for categorically related trials in the right insular lobe. We conclude that perceptual and functional similarity of categorically related words may lead to response suppression within right-lateralized frontal regions that represent more retrieval effort and the recruitment of a broader semantic field. Associatively related pairs that require a different processing of the related target compared to the prime may lead to the response enhancement within left inferior frontal regions. Nevertheless, the differences between associative and categorical relations might be parametrical rather than absolutely distinct as both relationships recruit similar regions to a different degree.
Gestures are an important component of interpersonal communication. Especially, complex multimodal communication is assumed to be disrupted in patients with schizophrenia. In healthy subjects, differential neural integration processes for... more
Gestures are an important component of interpersonal communication. Especially, complex multimodal communication is assumed to be disrupted in patients with schizophrenia. In healthy subjects, differential neural integration processes for gestures in the context of concrete [iconic (IC) gestures] and abstract sentence contents [metaphoric (MP) gestures] had been demonstrated. With this study we wanted to investigate neural integration processes for both gesture types in patients with schizophrenia. During functional magnetic resonance imaging-data acquisition, 16 patients with schizophrenia (P) and a healthy control group (C) were shown videos of an actor performing IC and MP gestures and associated sentences. An isolated gesture (G) and isolated sentence condition (S) were included to separate unimodal from bimodal effects at the neural level. During IC conditions (IC > G ∩ IC > S) we found increased activity in the left posterior middle temporal gyrus (pMTG) in both groups. ...
The diagnosis of beginning dementia is based mainly on neuropsychological testing. Several measures of EEG spectral composition, coherence and complexity (correlation dimension) have been shown to correspond to cognitive function. Only a... more
The diagnosis of beginning dementia is based mainly on neuropsychological testing. Several measures of EEG spectral composition, coherence and complexity (correlation dimension) have been shown to correspond to cognitive function. Only a few studies have evaluated EEG changes in normal aging, and no quantitative study has addressed changes in EEG during cognitive tasks in demented elderly. In this study the quantitative descriptors of EEGs from 31 demented or cognitively impaired elderly persons, 30 healthy elderly (mean age 69 years) and 35 young controls (mean age 31 years) were compared. The EEGs were recorded during two resting conditions (eyes closed and eyes opened) and two tasks (mental arithmetics and a lexical decision). The goal of the study was to evaluate which temporal and spatial EEG descriptors change with cognitive decline and with normal aging, respectively. Cognitive categories (unimpaired, impaired, demented) were based on Structured Interview for the Diagnosis of Dementia of Alzheimer Type (SIDAM) scores. The EEGs were analysed using adaptive segmentation of continuous EEG, which quantifies the succession of distinct stable topographic voltage patterns (EEG microstates). The main findings were a significant increase in the number of ultra-short EEG microstates and, independently, a reduction in the average duration of EEG microstates in the cognitively impaired and demented patients. In addition, cognitive impairment was associated with a reduction or loss of EEG reactivity normally observed when the resting states with closed and with opened eyes are compared. No alterations in temporal or spatial EEG descriptors were found in normal aging. Cognitive tasks did not add to information already obtained during the resting states. The reduction in EEG microstate duration correlated with loss of cognitive function. Temporo-spatial analysis of EEG therefore is a useful indicator of cortical dysfunction in dementia, correlating with the degree of cognitive impairment. Normal aging seems not to be accompanied by changes in temporo-spatial EEG patterns. The data suggest that fragmentation of the electrophysiological processes underlies cognitive dysfunction in Alzheimer's disease.

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Language rhythm is assumed to involve an alternation of strong and weak beats within a certain linguistic domain, although the beats are not necessarily isochronously distributed in natural language. However, in certain contexts, as for... more
Language rhythm is assumed to involve an alternation of strong and weak
beats within a certain linguistic domain, although the beats are not
necessarily isochronously distributed in natural language. However, in
certain contexts, as for example in compound words, rhythmically induced
stress shifts occur in order to comply with the so-called Rhythm Rule
@Liberman1977. This rule operates when two stressed adjacent syllables
create a stress clash or adjacent unstressed syllables (stress lapse)
occur. Experimental studies on speech production, judgement of stress
perception, and event-related potentials (ERPs) @Bohn2013 have found
differences in production, ratings, and ERP components respectively,
between well-formed structures and rhythmic deviations. The present
study builds up on these findings by using functional magnetic resonance
imaging (fMRI) in order to localise rhythmic processing (within the
concept of Rhythm Rule) in the brain. Other fMRI studies on linguistic
stress found effects in the supplementary motor area, insula, precuneus,
superior temporal gyrus, parahippocampal gyrus, calcarine gyrus and
inferior frontal gyrus @Domahs2013, @Geiser2008, @Rothermich2013.
However, what other studies have not investigated yet is rhythm
processing in natural contexts, thus in the course of a story which is
not further controlled for a metrically isochronous speech rhythm. Here
we examine the hypotheses that a) well-formed structures are processed
differently than rhythmic deviations in compound words for German, b)
this happens in speech processing of stories in the absence of a
phonologically related task (implicit rhythm processing).

Our compounds consisted of three parts (A(BC)) that build a
premodifier-noun combination. The modifier was either a monosyllabic
noun (“*Holz*”, wood) or a bisyllabic noun (“*Pla*stik”, plastic) with
lexical stress on the initial syllable. The premodifier was followed by
a disyllabic noun bearing compound stress on the initial syllable in
isolation (“*Spiel*zeug”, toy ). When combining these two word
structures the premodifier bears overall compound stress and the initial
stress of the disyllabic noun should be shifted rightwards to its final
syllable, in order to be in accordance to the Rhythm Rule:
*Holz*-spiel-*zeug* (wooden toy(s)). On the other hand if the disyllabic
noun is combined with a preceding disyllabic noun bearing initial
stress, a shift is unnecessary allowing for the stress pattern:
*Pla*-stik-*spiel*-zeug (plastic toy(s)). The first condition we call
SHIFT and the second NO SHIFT. In contrast to these well-formed
conditions we induce rhythmically ill-formed conditions: CLASH for the
case that emph<span>Holz</span>-*spiel*-zeug keeps the initial stress of
its compounds and LAPSE when we introduce the unnecessary shift in
*Pla*-stik-spiel-*zeug*. We constructed 20 word pairs following the same
stress patterns as “Holz-/Plastikspielzeug” and embedded them in 20
two-minute long stories. Our focus when embedding the conditions was the
naturalness of the stories. For example, word-pair “Holzspielzeug” vs.
“Plastikspielzeug” would thus appear in the following context: ’The
clown made funny grimaces, reached into his red cloth bag and threw a
small *wooden toy* to the lady in the front row.’ vs. ’The toys, garden
chairs and pillows remained however outside. The mother wanted to tidy
up the *plastic toys* from the garden after dinner.’

We obtained images (3T) of 20 healthy right-handed German monolinguals
(9 male) employing a 2x2 design: well-formedness (rhythmically
well-formed vs. ill-formed) x rhythm-trigger (monosyllabic vs.
disyllabic premodifier). Subjects were instructed to listen carefully
and were asked two comprehension questions after each story. On the
group level we analysed the data in the 2x2 design mentioned above. Our
critical events were the whole compound words. We report clusters of
p\<.005 and volumes of at least 72 voxels (Monte Carlo corrected).

For the main effect of well-formedness we found effects in the left
cuneus, precuneus and calcarine gyrus. For the main effect of
rhythm-trigger we found no significant differences at this
supra-threshold level, which was expected since we did not hypothesise
an effect of the length of the premodifier. Our main finding is the
interaction of well-formedness and rhythmic-trigger in the precentral
gyrus bilaterally and in the right supplementary motor area (SMA). Since
the interaction was significant we calculated theoretically motivated
pairwise contrasts within one rhythmic trigger level. For the
monosyllabic premodifier CLASH vs. SHIFT revealed no significant
clusters, but, interestingly, the opposite contrast (SHIFT vs. CLASH)
showed differences in the right superior frontal gyrus, right inferior
frontal gyrus (rIFG, BA 45), right lingual and calcarine gyrus,
bilateral precentral gyrus (BA6,BA4), left precentral gyrus (BA3a). For
the bisyllabic premodifier LAPSE vs. NO SHIFT activated significantly
the left inferior temporal gyrus, left parahippocampal gyrus, left
insula, bilateral superior temporal gyrus (STG), right pre- and
postcentral gyrus. NOSHIFT vs. LAPSE activated significantly the right
lingual gyrus and the calcarine gyrus bilaterally. We finally compared
the two rhythmically ill-formed structures LAPSE vs. CLASH and found
significant activation in the right supplementary motor area and
premotor cortex.

Our findings are in line with previous fMRI findings on rhythmic
processing. Firstly, the superior temporal gyrus is robustly involved in
rhythmic processing irrespective of the task of the study: semantic and
metric task @Rothermich2013, speech perception of violated vs. correctly
stressed words @Domahs2013 and in explicit and implicit isochronous
speech rhythm tasks @Geiser2008. To this we can add with our
careful-listening task comparable to the semantic task of
@Rothermich2013. Our contribution is that we found activations for the
implicit task of careful listening which have only been found for
explicit tasks before: these include the left insula, the bilateral
precentral gyrus, the precuneus and the parahippocampal gyrus. Lastly,
the activation in the supplementary motor areas completes the picture of
rhythm processing regions in the brain. This finding is of special
interest since it was strong for the comparison within rhythmically
ill-formed conditions LAPSE vs. CLASH. This might be due to the fact
that stress lapse structures contain two violations, i.e. a deviation
from word stress which is not rhythmically licensed, while the clash
structures contain only a rhythmically deviation but keep the original
word stress.

The differences in activations found for well-formedness show that even
in implicit rhythmical processing the language parser is sensitive to
subtle deviations in the alternation of strong and weak beats. This is
particularly evident in the STG activation associated with the
processing of linguistic prosody, SMA activation which has been
suggested to be involved in temporal aspects of the processing of
sequences of strong and weak syllables, and IFG activation associated
with tasks requiring more demanding processing of suprasegmental cues.

Bohn, K., Knaus, J., Wiese, R., & Domahs, U. The influence of rhythmic
(ir) regularities on speech processing: Evidence from an ERP study on
German phrases. Neuropsychologia, 51(4), 760-771 (2013). Domahs, U.,
Klein, E., Huber, W., & Domahs, F. Good, bad and ugly word stress–fMRI
evidence for foot structure driven processing of prosodic violations.
Brain and language, 125(3), 272-282 (2013). Geiser, E., Zaehle, T.,
Jancke, L., & Meyer, M. The neural correlate of speech rhythm as
evidenced by metrical speech processing. Journal of Cognitive
Neuroscience, 20(3), 541-552 (2008). Liberman, M., & Prince, A. On
stress and linguistic rhythm. Linguistic inquiry, 249-336 (1977).
Rothermich, K., & Kotz, S. A. Predictions in speech comprehension: fMRI
evidence on the meter–semantic interface. Neuroimage, 70, 89-100 (2013).
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