Atypical event-related potentials revealed during the passive parts of a Go-NoGo task in autism spectrum disorder: a case-control study.
Anne L Høyland, Terje Nærland, Morten Engstrøm and 3 others
PMID 30873274WHAT IT FOUND
Adolescents with autism had delayed early visual responses and stronger novelty-orientation responses during unstructured pauses in a computer task, despite normal performance when responding.
Structured task performance did not reveal these differences.
Key findings
01In the passive non-cue condition, adolescents with ASD had longer N1 latency (181.3 ms vs 168.3 ms in TD) and larger P3a amplitude at Cz (0.25 μV vs -0.99 μV).
02During the active response trials, reaction time was 338.7 ms in ASD and 330.5 ms in TD; omissions were 3.7 and 3.5, and commissions were 1.5 in both groups.
03The passive N1 latency and P3a responses were positively correlated with parent-rated everyday executive function, especially the Behavioral Regulation Index at r = 0.35.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The study was a small case-control comparison, not a treatment trial, so it cannot show that therapy changes these brain responses. The passive brain-response finding was an unexpected secondary analysis, and the authors say the task was complex and the result needs replication in independent samples with a simpler paradigm. No formal power analysis was possible, and the sample size was based on previous studies rather than a calculation. ASD diagnoses were not re-assessed for the study; they were based on prior clinical diagnosis and parent questionnaire. The control group was not IQ-tested; matching relied on school recruitment and parent reports of no learning or psychiatric problems. Everyday executive function was measured only by parent report. Some participants were adults, and the same parent-report questionnaire was used. The ASD group included comorbid ADHD, epilepsy and medication use. When participants with ADHD were removed, the main ERP differences did not materially change. The sensitivity and specificity values were exploratory and were not validated in a separate sample. The sample was 12 to 21 years old and had no intellectual disability, so it may not apply to younger children, adults, or people with intellectual disability.
Declared interests
Funded by The Liaison Committee for education, research and innovation in Central Norway, Norges Forskningsråd and Stiftelsen Kristian Gerhard Jebsen. The supplied text lists funders but gives no author conflict statements.
The easy way to misread this
Do not read the N1 latency and P3a differences as a clinical diagnostic test or a therapy target. The cut-offs were exploratory, the finding came from a secondary analysis, and the authors say it needs replication in independent samples with a simpler task.