An event-related brain potential study of auditory attention in cochlear implant users

Exploring neurocognitive factors and brain activation in adult cochlear implant recipients associated with speech perception outcomes-A scoping review

Background

Cochlear implants (CIs) are considered an effective treatment for severe-to-profound sensorineural hearing loss. However, speech perception outcomes are highly variable among adult CI recipients. Top-down neurocognitive factors have been hypothesized to contribute to this variation that is currently only partly explained by biological and audiological factors. Studies investigating this, use varying methods and observe varying outcomes, and their relevance has yet to be evaluated in a review. Gathering and structuring this evidence in this scoping review provides a clear overview of where this research line currently stands, with the aim of guiding future research.

Objective

To understand to which extent different neurocognitive factors influence speech perception in adult CI users with a postlingual onset of hearing loss, by systematically reviewing the literature.

Methods

A systematic scoping review was performed according to the PRISMA guidelines. Studies investigating the influence of one or more neurocognitive factors on speech perception post-implantation were included. Word and sentence perception in quiet and noise were included as speech perception outcome metrics and six key neurocognitive domains, as defined by the DSM-5, were covered during the literature search (Protocol in open science registries: 10.17605/OSF.IO/Z3G7W of searches in June 2020, April 2022).

Results

From 5,668 retrieved articles, 54 articles were included and grouped into three categories using different measures to relate to speech perception outcomes: (1) Nineteen studies investigating brain activation, (2) Thirty-one investigating performance on cognitive tests, and (3) Eighteen investigating linguistic skills.

Conclusion

The use of cognitive functions, recruiting the frontal cortex, the use of visual cues, recruiting the occipital cortex, and the temporal cortex still available for language processing, are beneficial for adult CI users. Cognitive assessments indicate that performance on non-verbal intelligence tasks positively correlated with speech perception outcomes. Performance on auditory or visual working memory, learning, memory and vocabulary tasks were unrelated to speech perception outcomes and performance on the Stroop task not to word perception in quiet. However, there are still many uncertainties regarding the explanation of inconsistent results between papers and more comprehensive studies are needed e.g., including different assessment times, or combining neuroimaging and behavioral measures.

Systematic review registration

https://doi.org/10.17605/OSF.IO/Z3G7W.

Electrophysiological Evidence for a Common Magnitude Representation of Spatiotemporal Information in Working Memory

Spatiotemporal interference has attracted increasing attention because it provides a window for studying the neural representation of magnitude in the brain. We aimed to identify the neural basis of spatiotemporal interference using a Kappa effect task in which two circles were presented in sequence with two time intervals and three space distances. Participants reproduced the time intervals while ignoring the space distance when electroencephalogram signals were recorded synchronously. The behavior results showed that production time increased with time interval and space distance. Offset of the time intervals elicited typical P2 and P3b components. Larger parietal P2 and P3b amplitudes were elicited by the combination of longer time intervals and longer space distances. The parietal P2 and P3b amplitudes were positively correlated with the production time, and the corresponding neural source was located in the parietal cortex. The results suggest that the parietal P2 and P3b index updates a common representation of spatiotemporal information in working memory, which provides electrophysiological evidence for the mechanisms underlying spatiotemporal interferences. Our study supports a theory of magnitude, in which different dimensions can be integrated into a common magnitude representation in a generalized magnitude system that is localized at the parietal cortex.