ERP markers of target selection discriminate children with high vs. low working memory capacity

High-Frequency rTMS Improves Visual Working Memory in Patients With aMCI: A Cognitive Neural Mechanism Study

BACKGROUND

Visual working memory (VWM), which is an essential component of higher cognitive processes, declines with age and is associated with the progression from amnestic mild cognitive impairment (aMCI) to Alzheimer's disease (AD). Cognitive impairment, particularly in VWM, is prominent in aMCI and may indicate disease progression. This study investigates the cognitive neural mechanisms responsible for VWM impairment in aMCI, with a focus on identifying the VWM processing stages affected. The study targets the dorsolateral prefrontal cortex (DLPFC) for repetitive transcranial magnetic stimulation (rTMS) to investigate its influence on VWM in aMCI patients. The role of the DLPFC in the top-down control of VWM processing is central to understanding rTMS effects on the stages of information processing in aMCI-related VWM impairments.

METHODS

A 7-day rTMS intervention was performed in 25 aMCI patients and 15 healthy elderly controls to investigate its effects on VWM and cognitive functions. Tasks included VWM change detection, digital symbol transformation, and the Stroop task for attention and executive functions. EEG analyses consisting of ERP, ERSP, and functional connectivity (wPLI) were integrated. The first part of the study addressed the cognitive neural mechanism of VWM impairment in aMCI and differentiated the processing stages using EEG. The second part investigated the effects of rTMS on EEG processing at different VWM stages and revealed cognitive neural mechanisms that improve visual working memory in aMCI.

RESULTS

The results indicated a significant deterioration of VWM tasks in aMCI, especially in accuracy and memory capacity, with prolonged reaction time and increased duration of the Stroop task. In the VWM memory encoding phase, N2pc amplitude, α-oscillation in the parieto-occipital region, and θ-band synchronization in the frontoparietal connectivity decreased. Conversely, rTMS improved N2pc amplitude, α-oscillation, and θ-band synchronization, which correlated with improved frontoparietal connectivity, parieto-occipital α-oscillation, and attentional capacity.

CONCLUSIONS

Patients with aMCI experience significant deterioration in VWM function, particularly during the encoding phase. This deterioration manifests in reduced accuracy and capacity of memory performance, accompanied by a significant decrease in N2pc amplitude, alpha oscillations, and theta-band connectivity in frontoparietal and fronto-occipital brain regions. rTMS proves to be a promising intervention that improves VWM, attention, and executive functions. In particular, it supports attention during target selection by increasing N2pc amplitude during encoding, enhancing alpha oscillations for better suppression of irrelevant information, and increasing synchronization in frontoparietal and occipital functional connectivity, which ultimately improves visual working memory.

Development of the relationship between visual selective attention and auditory change detection

Understanding the developmental trajectories of the auditory and visual systems is crucial to elucidate cognitive maturation and its associated relationships, which are essential for effectively navigating dynamic environments. Our one recent study has shown a positive correlation between the event-related potential (ERP) amplitudes associated with visual selective attention (posterior contralateral N2) and auditory change detection (mismatch negativity) in adults, suggesting an intimate relationship and potential shared mechanism between visual selective attention and auditory change detection. However, the evolution of these processes and their relationship over time remains unclear. In this study, we recorded electroencephalography signals from 118 participants (42 adults and 76 typically developing children) during separate visual localization and auditory-embedded fixation tasks. Further, we employed both ERP analysis and multivariate pattern machine learning to investigate developmental patterns. ERP amplitude and decoding accuracy provided convergent evidence underlying a linear developmental trajectory for visual selective attention and an inverted U-shaped trajectory for auditory change detection from childhood to adulthood. Importantly, our findings confirmed the established association of an N2 pc-MMN in adults using a larger sample size, and further identified a positive correlation between decoding accuracy for visual target location and decoding accuracy for auditory stimulus type specifically in adults. However, both visual-auditory correlation effects were absent in children. Our study provides neurophysiological insights into the distinct developmental trajectories of visual selective attention and auditory change detection. It highlights that the close relationship between individual differences in the two processes emerges alongside their respective maturation and does not become evident until adulthood.

Electrical brain activations in preadolescents during a probabilistic reward-learning task reflect cognitive processes and behavior strategies

Both adults and children learn through feedback to associate environmental events and choices with reward, a process known as reinforcement learning (RL). However, tasks to assess RL-related neurocognitive processes in children have been limited. This study validated a child version of the Probabilistic Reward Learning task in preadolescents (8-12 years) while recording event-related-potential (ERPs), focusing on: (1) reward-feedback sensitivity (frontal Reward-related Positivity, RewP), (2) late attention-related responses to feedback (parietal P300), and (3) attentional shifting toward favored stimuli (N2pc). Behaviorally, as expected, preadolescents could learn stimulus-reward outcome associations, but with varying performance levels. Poor learners showed greater RewP amplitudes compared to good learners. Learning strategies (i.e., Win-Lose-Stay-Shift) were reflected by feedback-elicited P300 amplitudes. Lastly, attention shifted toward to-be-chosen stimuli, as evidenced by the N2pc, but not toward more highly rewarded stimuli as in adults. These findings provide novel insights into the neural processes underlying RL in preadolescents.

Electrical brain activations in preadolescents during a probabilistic reward-learning task reflect cognitive processes and behavioral strategy

Both adults and children learn through feedback which environmental events and choices are associated with higher probability of reward, an ability thought to be supported by the development of fronto-striatal reward circuits. Recent developmental studies have applied computational models of reward learning to investigate such learning in children. However, tasks and measures effective for assaying the cascade of reward-learning neural processes in children have been limited. Using a child-version of a probabilistic reward-learning task while recording event-related-potential (ERP) measures of electrical brain activity, this study examined key processes of reward learning in preadolescents (8-12 years old; n=30), namely: (1) reward-feedback sensitivity, as measured by the early-latency, reward-related, frontal ERP positivity, (2) rapid attentional shifting of processing toward favored visual stimuli, as measured by the N2pc component, and (3) longer-latency attention-related responses to reward feedback as a function of behavioral strategies (i.e., Win-Stay-Lose-Shift), as measured by the central-parietal P300. Consistent with our prior work in adults, the behavioral findings indicate preadolescents can learn stimulus-reward outcome associations, but at varying levels of performance. Neurally, poor preadolescent learners (those with slower learning rates) showed greater reward-related positivity amplitudes relative to good learners, suggesting greater reward-feedback sensitivity. We also found attention shifting towards to-be-chosen stimuli, as evidenced by the N2pc, but not to more highly rewarded stimuli as we have observed in adults. Lastly, we found the behavioral learning strategy (i.e., Win-Stay-Lose-Shift) reflected by the feedback-elicited parietal P300. These findings provide novel insights into the key neural processes underlying reinforcement learning in preadolescents.

Decoding the content of working memory in school-aged children

Developmental improvements in working memory (WM) maintenance predict many real-world outcomes, including educational attainment. It is thus critical to understand which WM mechanisms support these behavioral improvements, and how WM maintenance strategies might change through development. One challenge is that specific WM neural mechanisms cannot easily be measured behaviorally, especially in a child population. However, new multivariate decoding techniques have been designed, primarily in adult populations, that can sensitively decode the contents of WM. The goal of this study was to deploy multivariate decoding techniques known to decode memory representations in adults to decode the contents of WM in children. We created a simple computerized WM game for children, in which children maintained different categories of information (visual, spatial or verbal). We collected electroencephalography (EEG) data from 20 children (7-12-year-olds) while they played the game. Using Multivariate Pattern Analysis (MVPA) on children's EEG signals, we reliably decoded the category of the maintained information during the sensory and maintenance period. Across exploratory reliability and validity analyses, we examined the robustness of these results when trained on less data, and how these patterns generalized within individuals throughout the testing session. Furthermore, these results matched theory-based predictions of WM across individuals and across ages. Our proof-of-concept study proposes a direct and age-appropriate potential alternative to exclusively behavioral WM maintenance measures in children. Our study demonstrates the utility of MVPA to measure and track the uninstructed representational content of children's WM. Future research could use our technique to investigate children's WM maintenance and strategies.

EEG correlates of anticipatory attention and target processing in children and adults during visual spatial attention

The ability of attentional orienting has been suggested to keep developing throughout childhood. Electroencephalography (EEG) studies have shown that 6-10 year old children exhibit lateralized alpha-band (8-13 Hz) activity and event-related potentials (ERPs) that are classic markers of spatial attentional orienting in adults. However, the lack of a direct comparison of these EEG correlates between children and adults in the same experiment made it difficult to evaluate developmental effects on neural activity throughout attentional stages. This study aimed to directly compare cue-related alpha activity and ERPs for the anticipatory attention stage and target-related ERPs for the target processing stage between healthy children and adults. Participants, including 19 children (6-10 years) and 23 adults (18-34 years), successfully completed a visual spatial attention task, although children responded more slowly and less consistently than adults. Both age groups exhibited significant cue-related alpha lateralization and ERPs (EDAN, ADAN, and LDAP) during anticipatory attention and significant attentional modulation of target-related N1 during target processing. However, no significant difference was found in the magnitude of attentional modulation of these EEG correlates between children and adults. These findings suggest that the neural underpinnings of anticipatory attention and target processing during visual spatial attention could have been largely developed in 6-10 year old children.

Decoding the content of working memory in school-aged children

Developmental improvements in working memory (WM) maintenance predict many real-world outcomes, including educational attainment. It is thus critical to understand which WM mechanisms support these behavioral improvements, and how WM maintenance strategies might change through development. One challenge is that specific WM neural mechanisms cannot easily be measured behaviorally, especially in a child population. However, new multivariate decoding techniques have been designed, primarily in adult populations, that can sensitively decode the contents of WM. The goal of this study was to deploy multivariate decoding techniques known to decode memory representations in adults to decode the contents of WM in children. We created a simple computerized WM game for children, in which children maintained different categories of information (visual, spatial or verbal). We collected electroencephalography (EEG) data from 20 children (7-12-year-olds) while they played the game. Using Multivariate Pattern Analysis (MVPA) on children's EEG signals, we reliably decoded the category of the maintained information during the sensory and maintenance period. Across exploratory reliability and validity analyses, we examined the robustness of these results when trained on less data, and how these patterns generalized within individuals throughout the testing session. Furthermore, these results matched theory-based predictions of WM across individuals and across ages. Our proof-of-concept study proposes a direct and age-appropriate potential alternative to exclusively behavioral WM maintenance measures in children. Our study demonstrates the utility of MVPA to measure and track the uninstructed representational content of children's WM. Future research could use our technique to investigate children's WM maintenance and strategies.

Neural Correlates of Visual Attention and Short-Term Memory in Children with Reading Difficulty

Visual attention and memory of 20 children with reading difficulty (M_age = 134 months), 24 chronological (M_age = 138 months) and 19 reading-age controls (M_age = 92 months) were examined using object substitution masking; mask offset delay increases visual attention and visual short-term memory demands. ERP amplitude differences in the N1 (alerting), N2pc (N2-posterior-contralateral; selective attention), and SPCN (sustained posterior contralateral negativity; memory load) were expected between groups. Chronological controls performed best, but ERP results were mixed. No group differences were found for N1 or N2pc. SPCN showed enhanced negativity in reading difficulty, indicating greater memory load and anomalous inhibition.

Explore versus store: Children strategically trade off reliance on exploration versus working memory during a complex task

During complex tasks, we use working memory to actively maintain goal sets and direct attention toward goal-relevant information in the environment. However, working memory is severely limited, and storing information in working memory is cognitively effortful. Previous work by Kibbe and Kowler [2011, Journal of Vision, 11(3), Article 14] showed that adults strategically modulate reliance on working memory during complex, goal-oriented tasks, varying the amount of information they store in working memory depending both on the cognitive demands of the task and on the ease with which task-relevant information can be accessed from the environment. We asked whether children, whose working memory and executive functions are undergoing significant developmental change, also use working memory strategically during complex tasks. Forty-six 8-10-year-old children searched through arrays of hidden objects to find three that belonged to a given category defined over the objects' features. We manipulated the cognitive demands of the task by increasing the complexity of the category. We manipulated the exploration costs of the task by varying the rate at which task-relevant information could be accessed. We measured children's search patterns to gain insights into how the children used working memory during the task. We found that as the cognitive demands of the task increased, children stored less information in working memory, relying more on exploration. When exploration was costlier, children explored less, storing more in working memory. These results suggest that developing children, like adults, make strategic decisions about when to explore versus when to store during a complex, goal-oriented task.

Endogenous control is insufficient for preventing attentional capture in children and adults

Adults are known to have developed the ability to selectively focus their attention in a goal-driven (endogenous) manner but it is less clear at what stage in development (5-6 & 9-11 years) children can endogenously control their attention and whether they behave similarly to adults when managing distractions. In this study we administered a child-adapted cued visual search task to three age-groups: five- to six-year-olds (N = 45), nine- to eleven-year-olds (N = 42) and adults (N = 42). Participants were provided with a cue which either guided their attention towards or away from an upcoming target. On some trials, a singleton distracter was presented which participants needed to ignore. Participants completed three conditions where the cues were: 1) usually helpful (High Predictive), 2) usually unhelpful (Low Predictive) and 3) never helpful (Baseline) in guiding attention towards the target. We found that endogenous cue-utilisation develops with increasing age. Overall, nine- to eleven-year-olds and adults, but not five- to six-year-olds, utilised the endogenous cues in the High Predictive condition. However, all age-groups were unable to ignore the singleton distracter even when using endogenous control. Moreover, we found better cue-maintenance ability was related to poorer distracter-inhibition ability in early-childhood, but these skills were no longer related further on in development. We conclude that overall endogenous control is still developing in early-childhood, but an adult-like form of this skill has been acquired by mid-childhood. Furthermore, endogenous cue-utilisation was shown as insufficient for preventing attentional capture in both children and adults.

The development of oculomotor suppression of salient distractors in children

There is considerable evidence that adults can prevent attentional capture by physically salient stimuli via proactive inhibition. A key question is whether young children can also inhibit salient stimuli to prevent visual distraction. The current study directly compared attentional capture in children (M_age = 5.5 years) and adults (M_age = 19.3 years) by measuring overt eye movements. Participants searched for a target shape among heterogeneous distractor shapes and attempted to ignore a salient color singleton distractor. The destination of first saccades was used to assess attentional capture by the salient distractor, providing a more direct index of attentional allocation than prior developmental studies. Adults were able to suppress saccades to the singleton distractor, replicating previous studies. Children, however, demonstrated no such oculomotor suppression; first saccades were equally likely to be directed to the singleton distractor and nonsingleton distractors. Subsequent analyses indicated that children were able to suppress the distractor, but this occurred approximately 550 ms after stimulus presentation. The current results suggest that children possess some level of top-down control over visual attention, but this top-down control is delayed compared with adults. Development of this ability may be related to executive functions, which include goal-directed behavior such as organized search and impulse control as well as preparatory and inhibitory cognitive functions.

The development of attentional control mechanisms in multisensory environments

Outside the laboratory, people need to pay attention to relevant objects that are typically multisensory, but it remains poorly understood how the underlying neurocognitive mechanisms develop. We investigated when adult-like mechanisms controlling one's attentional selection of visual and multisensory objects emerge across childhood. Five-, 7-, and 9-year-olds were compared with adults in their performance on a computer game-like multisensory spatial cueing task, while 129-channel EEG was simultaneously recorded. Markers of attentional control were behavioural spatial cueing effects and the N2pc ERP component (analysed traditionally and using a multivariate electrical neuroimaging framework). In behaviour, adult-like visual attentional control was present from age 7 onwards, whereas multisensory control was absent in all children groups. In EEG, multivariate analyses of the activity over the N2pc time-window revealed stable brain activity patterns in children. Adult-like visual-attentional control EEG patterns were present age 7 onwards, while multisensory control activity patterns were found in 9-year-olds (albeit behavioural measures showed no effects). By combining rigorous yet naturalistic paradigms with multivariate signal analyses, we demonstrated that visual attentional control seems to reach an adult-like state at ∼7 years, before adult-like multisensory control, emerging at ∼9 years. These results enrich our understanding of how attention in naturalistic settings develops.

Individual Differences in Working Memory and the N2pc

The lateralized ERP N2pc component has been shown to be an effective marker of attentional object selection when elicited in a visual search task, specifically reflecting the selection of a target item among distractors. Moreover, when targets are known in advance, the visual search process is guided by representations of target features held in working memory at the time of search, thus guiding attention to objects with target-matching features. Previous studies have shown that manipulating working memory availability via concurrent tasks or within task manipulations influences visual search performance and the N2pc. Other studies have indicated that visual (non-spatial) vs. spatial working memory manipulations have differential contributions to visual search. To investigate this the current study assesses participants' visual and spatial working memory ability independent of the visual search task to determine whether such individual differences in working memory affect task performance and the N2pc. Participants (n = 205) completed a visual search task to elicit the N2pc and separate visual working memory (VWM) and spatial working memory (SPWM) assessments. Greater SPWM, but not VWM, ability is correlated with and predicts higher visual search accuracy and greater N2pc amplitudes. Neither VWM nor SPWM was related to N2pc latency. These results provide additional support to prior behavioral and neural visual search findings that spatial WM availability, whether as an ability of the participant's processing system or based on task demands, plays an important role in efficient visual search.

Age-related changes in selection, recognition, updating and maintenance information in WM. An ERP study in children and adolescents

Possible age-related changes in different working memory (WM) subcomponents were assessed by analyzing the event-related-potentials associated with the n-back task. Two versions of the task (0- and 1-back) were administered to 168 subjects between 6 and 20 years of age. In both n-back tasks, lists of symbol-letter pairs were presented. Participants had to select the letter and decide whether it matched the target in memory. Selection-matching of the relevant item, as indexed by an N2pc component, was evident in all age groups, indicating early maturation of this ability. The decreasing amplitude of the P300 with age, coupled with the longer duration of the load effect in young children, suggests that WM updating requires greater processing resources at younger ages. The slow wave, present during the maintenance period, showed an inversion of polarity with age in anterior sites that could reflect age-related changes in the active maintenance of information in WM.

Neurophysiological differences between ADHD and control children and adolescents during the recognition phase of a working memory task

Impairment of executive functions including attention and working memory (WM) have been proposed as an important feature of Attention Deficit and Hyperactivity Disorder (ADHD). During the recognition phase of a delayed match-to-sample test (DMTS) a reduced N2pc component, related to the attentional selection of the memorized item and a reduced distractor positivity (Pd), related to the processing suppression of distractors are expected in ADHD subjects. For the purpose of the study, twenty-nine ADHD subjects diagnosed with a structured interview and the DuPaul questionnaire, were included in the study. Thirty-four control subjects were recruited from public schools and matched by age (from 6 to 17 years old) and gender with the ADHD group. Reaction times (RTs), errors, and Event Related Potentials (ERPs) were obtained in a DMTS task during the recognition phase in correct trials. RTs and errors were higher in ADHD subjects compared to the control group. Specifically, errors were much higher in ADHD than in controls. The cluster mass permutation statistics showed a significant N2pc component in both groups during the recognition phase, but a significant Pd component was present only in controls. The present results suggest that in correct trials ADHD children use the same neural resources to select the memorized item from WM with similar efficacy than controls, although a lower Pd suggests a difficulty in suppressing distractors.

Neural measures of anticipatory bodily attention in children: Relations with executive function

The ability to selectively direct attention to a certain location or modality is a key neurocognitive skill. One important facet of selective attention is anticipation, a foundational biological construct that bridges basic perceptual processes and higher-order cognition. The current study focuses on the neural correlates of bodily anticipation in 6- to 8-year-old children using a task involving tactile stimulation. Electroencephalographic (EEG) activity over sensorimotor cortex was measured after a visual cue directed children to monitor their right or left hand in anticipation of tactile stimulation. Prior to delivery of the tactile stimulus, a regionally-specific desynchronization of the alpha-range mu rhythm occurred over central electrode sites (C3/C4) contralateral to the cue direction. The magnitude of anticipatory mu rhythm desynchronization was associated with children's performance on two executive function tasks (Flanker and Card Sort). We suggest that anticipatory mu desynchronization has utility as a specific neural marker of attention focusing in young children, which in turn may be implicated in the development of executive function.

Learning What to Attend to: From the Lab to the Classroom

Research in adult cognitive neuroscience addresses the bidirectional relationship between attentional selection and prior knowledge gained from learning and experience. This research area is ready for integration with developmental cognitive neuroscience, in particular with educational neuroscience. We review one aspect of this research area, learning what to attend to, to propose a path of integration from highly controlled experiments based on developmental and adult cognitive theories to inform cognitive interventions for learners across the lifespan. In particular, we review the research program that we have developed over the last few years, describe the constraints that we have faced in integrating adult and developmental paradigms, and delineate suggested next steps to inform educational neuroscience in more applied ways. Our proposed path of integration transitions from basic to applied research, while also suggesting that input from education could inform new basic research avenues that may more likely yield outcomes meaningful for education.

Quantifying attentional effects on the fidelity and biases of visual working memory in young children

Attentional control enables us to direct our limited resources to accomplish goals. The ability to flexibly allocate resources helps to prioritize information and inhibit irrelevant/distracting information. We examined developmental changes in visual working memory (VWM) fidelity in 4- to 7-year-old children and the effects that a distracting non-target object can exert in biasing their memory representations. First, we showed that VWM fidelity improves from early childhood to adulthood. Second, we found evidence of working memory load on recall variability in children and adults. Next, using cues to manipulate attention, we found that older children are able to construct a more durable memory representation for an object presented following a non-target using a pre-cue (that biases encoding before presentation) compared with a retro-cue (that signals which item to recall after presentation). In addition, younger children had greater difficulties maintaining an item in memory when an intervening item was presented. Lastly, we found that memory representations are biased toward a non-target when it is presented following the target and away from a non-target when it precedes the target. These bias effects were more pronounced in children compared with adults. Together, these results demonstrate changes in attention over development that influence VWM memory fidelity.

Event-related potential measures of executive functioning from preschool to adolescence

Executive functions are a collection of cognitive abilities necessary for behavioural control and regulation, and are important for school success. Executive deficits are common across acquired and developmental disorders in childhood and beyond. This review aims to summarize how studies using event-related potential (ERP) can provide insight into mechanisms underpinning how executive functions develop in children from preschool to adolescence. We specifically focus on ERP components that are considered to be well-established markers of executive functioning, including the ability to resist distraction (inhibition, N200), hold scenes in mind (visuospatial working memory, contralateral delay activity), attend to specific stimuli (information processing, P300), follow rules (response monitoring, error-related negativity [ERN], and error-related positivity [Pe]), and adjust to feedback (outcome monitoring, feedback-related negativity). All of these components show developmental changes from preschool to adolescence, in line with behavioural and neuroimaging findings. These ERP markers also show altered developmental trajectories in the context of atypical executive functions. As an example, deficits in executive function are prominently implicated in attention-deficit-hyperactivity disorder. Therefore, this review highlights ERP studies that have investigated the above ERP components in this population. Overall, ERPs provide a useful marker for the development and dysfunction of executive skills, and provide insight into their neurophysiological basis.