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How to Obtain Reliable Visual Event-related Potentials in Newborns
Published on: October 24, 2019
Reduction of the event-related potential P3 in preterm born 5-year-old healthy children
Dominique A Jaeger1, Nina Gawehn2, Axel Schölmerich3
1Dept. for Developmental Neuropsychology, Clinic of Pediatrics, Municipal Hospital Dortmund, Germany; Dept. of Social Paediatrics and Neuropediatrics, Clinic of Pediatrics, Municipal Hospital Dortmund, Germany.
Insights
Preterm children may have subtle electrophysiological attention changes, even without behavioral symptoms. Early neurophysiological assessment is crucial for identifying these subclinical attentional differences in preschoolers.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Preterm birth can impact intrauterine brain development, increasing risks for later attention deficits.
- Existing research on attention deficits in preterm children is often symptom-based or uses neuropsychological tasks, with limited neurophysiological investigation.
Purpose of the Study:
- To investigate electrophysiological attention functioning in low-risk preterm children compared to term-born children.
- To explore potential subclinical attentional changes not evident in behavioral assessments.
Main Methods:
- Utilized electroencephalography (EEG) during an oddball task to assess attention in 27 preterm and 20 term children aged 5-6 years.
- Compared neurophysiological responses, specifically the oddball P3 component, between the two groups.
Main Results:
- Preterm children did not exhibit attention deficits on a symptom level.
- However, preterm children showed a blunted oddball P3 response compared to term children, indicating electrophysiological differences.
Conclusions:
- Results suggest subclinical attentional alterations in preterm children at the neurophysiological level, despite normal performance on behavioral tests.
- Emphasizes the need for early, closer monitoring of preterm children in preschool, even in the absence of overt clinical symptoms.
Objectives:
An abbreviated gestational period may interrupt intrauterine brain development and constitutes a serious risk factor. Many preterm children show some form of attention deficits in later life. However, there is ambiguity about the nature and extent of these attention deficits in the literature. Moreover, the majority of studies investigated attention functions in preterm children on a symptom based level or using neuropsychological tasks. In contrast, neurophysiological studies have been comparatively scarce which will be addressed in the current study.
Methods:
We investigated attention functioning in 27 low risk preterm children and 20 term children of 5-6 years of age by using EEG recording in an attention driven task (oddball task).
Results:
Compared with term children, preterm children showed no attention deficits on a symptom level, but failed to show an increased oddball P3.
Conclusion:
Current results suggest subclinical attentional changes in preterm children on the electrophysiological level in contrast to normal performance in attentional behavioral tests.
Significance:
Our results emphasize to have a closer look at preterm children early in preschool age even though clinically relevant symptoms seem to be absent.
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