Deficits in neural encoding of speech in preterm infants

Nikolay Novitskiy1, Peggy H Y Chan2, Mavis Chan1

  • 1Brain and Mind Institute, The Chinese University of Hong Kong, Hong Kong, China.

Insights

Preterm infants show subtle language deficits. Electroencephalography (EEG) revealed differences in neural speech encoding (frequency following response) between preterm and term infants, highlighting potential pathophysiological pathways.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Speech-Language Pathology

Background:

  • Preterm infants often experience subtle cognitive and language deficits, detectable later in life.
  • Previous research focused on anatomical brain differences, overlooking underlying pathophysiological processes.
  • Neural speech encoding, measured via EEG, predicts language development and may reveal these processes.

Purpose of the Study:

  • To investigate neural speech encoding differences in preterm infants using EEG.
  • To identify pathophysiological pathways contributing to language deficits in preterm children.
  • To examine the relationship between prematurity, age, and speech processing in infants.

Main Methods:

  • Recorded EEG from 45 preterm (≤34 weeks gestation) and 45 term (≥38 weeks) infants (0-12 months corrected age) during sleep.
  • Infants listened to native and non-native Chinese speech stimuli varying in lexical pitch.
  • Analyzed EEG frequency following response (FFR) measures, focusing on synchronization and power.

Main Results:

  • No significant effect of stimulus nativeness on FFR measures was found.
  • Main effects of age were observed, consistent with previous developmental studies.
  • A significant main effect of prematurity emerged, with synchronization measures showing greater group differences than power.

Conclusions:

  • EEG-based FFR measures reveal distinct neural speech processing patterns in preterm infants.
  • Synchronization measures of FFR are more sensitive to prematurity effects than power measures.
  • This study advances understanding of the pathophysiological basis for language difficulties in preterm children.