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Updated: Mar 31, 2026

Infant Auditory Processing and Event-related Brain Oscillations
Published on: July 1, 2015
Early electrophysiological markers of atypical language processing in prematurely born infants
Natacha Paquette1, Phetsamone Vannasing2, Julie Tremblay2
1Sainte-Justine University Hospital Research Center, Montreal, QC, Canada; Centre de Recherche en Neuropsychologie et Cognition, University of Montreal, Montreal, QC, Canada.
Insights
Premature infants show delayed brain responses to speech sounds as early as 3 months old, indicating potential language impairments. Early detection using auditory event-related potentials (AERPs) can facilitate timely interventions for preterm children.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Prematurity can impact nervous system development, leading to language and cognitive disorders in school-aged children.
- Early identification of these impairments is crucial for timely intervention and improved outcomes.
- Electrophysiological measures offer potential for early detection of neurodevelopmental delays.
Purpose of the Study:
- To investigate the utility of auditory event-related potentials (AERPs) and mismatch negativity (MMN) in identifying early language and cognitive impairments in preterm infants.
- To identify early electrophysiological markers of neurodevelopmental delays in prematurely born children.
Main Methods:
- Assessed pre-attentional auditory responses (MMN and AERPs) using an oddball paradigm with speech and non-speech stimuli in 74 children (33 preterm, 41 full-term) at 3, 12, and 36 months.
- Administered the Bayley Scale of Infant Development, Third Edition (BSID-III) to assess language and cognitive development.
- Compared auditory responses between preterm and full-term infants and correlated MMN latency with BSID-III scores.
Main Results:
- Preterm infants at 3 months exhibited delayed MMN responses to speech stimuli compared to full-term infants.
- A significant negative correlation was observed between MMN latency to speech sounds and the BSID-III expressive language subscale.
- No significant differences in MMN responses to non-speech stimuli were found between preterm and full-term infants, suggesting intact auditory discrimination.
Conclusions:
- MMN to speech stimuli at 3 months of age may serve as an early electrophysiological marker for delayed language development in preterm infants.
- Early identification of auditory processing differences can facilitate targeted interventions for preterm children.
- Preserved MMN responses to non-speech stimuli indicate specific delays related to speech processing in preterm infants.
Abstract:
Because nervous system development may be affected by prematurity, many prematurely born children present language or cognitive disorders at school age. The goal of this study is to investigate whether these impairments can be identified early in life using electrophysiological auditory event-related potentials (AERPs) and mismatch negativity (MMN). Brain responses to speech and non-speech stimuli were assessed in prematurely born children to identify early electrophysiological markers of language and cognitive impairments. Participants were 74 children (41 full-term, 33 preterm) aged 3, 12, and 36 months. Pre-attentional auditory responses (MMN and AERPs) were assessed using an oddball paradigm, with speech and non-speech stimuli presented in counterbalanced order between participants. Language and cognitive development were assessed using the Bayley Scale of Infant Development, Third Edition (BSID-III). Results show that preterms as young as 3 months old had delayed MMN response to speech stimuli compared to full-terms. A significant negative correlation was also found between MMN latency to speech sounds and the BSID-III expressive language subscale. However, no significant differences between full-terms and preterms were found for the MMN to non-speech stimuli, suggesting preserved pre-attentional auditory discrimination abilities in these children. Identification of early electrophysiological markers for delayed language development could facilitate timely interventions.
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