The auditory brainstem response to complex sounds: a potential biomarker for guiding treatment of psychosis

Cognitive deficits limit psychosocial functioning in schizophrenia. For many patients, cognitive remediation approaches have yielded encouraging results. Nevertheless, therapeutic response is variable, and outcome studies consistently identify individuals who respond minimally to these interventions...

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Main Authors: Melissa A Tarasenko, Neal R Swerdlow, Scott eMakeig, David L Braff, Gregory A Light
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-10-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fpsyt.2014.00142/full
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author Melissa A Tarasenko
Melissa A Tarasenko
Neal R Swerdlow
Scott eMakeig
David L Braff
Gregory A Light
Gregory A Light
author_facet Melissa A Tarasenko
Melissa A Tarasenko
Neal R Swerdlow
Scott eMakeig
David L Braff
Gregory A Light
Gregory A Light
author_sort Melissa A Tarasenko
collection DOAJ
description Cognitive deficits limit psychosocial functioning in schizophrenia. For many patients, cognitive remediation approaches have yielded encouraging results. Nevertheless, therapeutic response is variable, and outcome studies consistently identify individuals who respond minimally to these interventions. Biomarkers that can assist in identifying patients likely to benefit from particular forms of cognitive remediation are needed. Here we describe an event-related potential (ERP) biomarker – the auditory brainstem response to complex sounds (cABR) – that appears to be particularly well-suited for predicting response to at least one form of cognitive remediation that targets auditory information processing. Uniquely, the cABR quantifies the fidelity of sound encoded at the level of the brainstem and midbrain. This ERP biomarker has revealed auditory processing abnormalities in various neurodevelopmental disorders, correlates with functioning across several cognitive domains, and appears to be responsive to targeted auditory training. We present preliminary cABR data from 18 schizophrenia patients and propose further investigation of this biomarker for predicting and tracking response to cognitive interventions.
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spelling doaj.art-2ac56456f67f4cb3a1b77c55b19544e82022-12-22T01:19:02ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402014-10-01510.3389/fpsyt.2014.00142111783The auditory brainstem response to complex sounds: a potential biomarker for guiding treatment of psychosisMelissa A Tarasenko0Melissa A Tarasenko1Neal R Swerdlow2Scott eMakeig3David L Braff4Gregory A Light5Gregory A Light6VA San Diego Healthcare SystemUniversity of California, San DiegoUniversity of California, San DiegoUniversity of California, San DiegoUniversity of California, San DiegoUniversity of California, San DiegoVA San Diego Healthcare SystemCognitive deficits limit psychosocial functioning in schizophrenia. For many patients, cognitive remediation approaches have yielded encouraging results. Nevertheless, therapeutic response is variable, and outcome studies consistently identify individuals who respond minimally to these interventions. Biomarkers that can assist in identifying patients likely to benefit from particular forms of cognitive remediation are needed. Here we describe an event-related potential (ERP) biomarker – the auditory brainstem response to complex sounds (cABR) – that appears to be particularly well-suited for predicting response to at least one form of cognitive remediation that targets auditory information processing. Uniquely, the cABR quantifies the fidelity of sound encoded at the level of the brainstem and midbrain. This ERP biomarker has revealed auditory processing abnormalities in various neurodevelopmental disorders, correlates with functioning across several cognitive domains, and appears to be responsive to targeted auditory training. We present preliminary cABR data from 18 schizophrenia patients and propose further investigation of this biomarker for predicting and tracking response to cognitive interventions.http://journal.frontiersin.org/Journal/10.3389/fpsyt.2014.00142/fullSchizophreniaEEGpsychosisbiomarkerscognitive remediationcABR
spellingShingle Melissa A Tarasenko
Melissa A Tarasenko
Neal R Swerdlow
Scott eMakeig
David L Braff
Gregory A Light
Gregory A Light
The auditory brainstem response to complex sounds: a potential biomarker for guiding treatment of psychosis
Frontiers in Psychiatry
Schizophrenia
EEG
psychosis
biomarkers
cognitive remediation
cABR
title The auditory brainstem response to complex sounds: a potential biomarker for guiding treatment of psychosis
title_full The auditory brainstem response to complex sounds: a potential biomarker for guiding treatment of psychosis
title_fullStr The auditory brainstem response to complex sounds: a potential biomarker for guiding treatment of psychosis
title_full_unstemmed The auditory brainstem response to complex sounds: a potential biomarker for guiding treatment of psychosis
title_short The auditory brainstem response to complex sounds: a potential biomarker for guiding treatment of psychosis
title_sort auditory brainstem response to complex sounds a potential biomarker for guiding treatment of psychosis
topic Schizophrenia
EEG
psychosis
biomarkers
cognitive remediation
cABR
url http://journal.frontiersin.org/Journal/10.3389/fpsyt.2014.00142/full
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