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Low-Frequency Repetitive Transcranial Magnetic Stimulation (rTMS) Affects Event-Related Potential Measures of Novelty Processing in Autism

Overview of attention for article published in Applied Psychophysiology and Biofeedback, November 2009
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Title
Low-Frequency Repetitive Transcranial Magnetic Stimulation (rTMS) Affects Event-Related Potential Measures of Novelty Processing in Autism
Published in
Applied Psychophysiology and Biofeedback, November 2009
DOI 10.1007/s10484-009-9121-2
Pubmed ID
Authors

Estate Sokhadze, Joshua Baruth, Allan Tasman, Mehreen Mansoor, Rajesh Ramaswamy, Lonnie Sears, Grace Mathai, Ayman El-Baz, Manuel F. Casanova

Abstract

In our previous study on individuals with autism spectrum disorder (ASD) (Sokhadze et al., Appl Psychophysiol Biofeedback 34:37-51, 2009a) we reported abnormalities in the attention-orienting frontal event-related potentials (ERP) and the sustained-attention centro-parietal ERPs in a visual oddball experiment. These results suggest that individuals with autism over-process information needed for the successful differentiation of target and novel stimuli. In the present study we examine the effects of low-frequency, repetitive Transcranial Magnetic Stimulation (rTMS) on novelty processing as well as behavior and social functioning in 13 individuals with ASD. Our hypothesis was that low-frequency rTMS application to dorsolateral prefrontal cortex (DLFPC) would result in an alteration of the cortical excitatory/inhibitory balance through the activation of inhibitory GABAergic double bouquet interneurons. We expected to find post-TMS differences in amplitude and latency of early and late ERP components. The results of our current study validate the use of low-frequency rTMS as a modulatory tool that altered the disrupted ratio of cortical excitation to inhibition in autism. After rTMS the parieto-occipital P50 amplitude decreased to novel distracters but not to targets; also the amplitude and latency to targets increased for the frontal P50 while decreasing to non-target stimuli. Low-frequency rTMS minimized early cortical responses to irrelevant stimuli and increased responses to relevant stimuli. Improved selectivity in early cortical responses lead to better stimulus differentiation at later-stage responses as was made evident by our P3b and P3a component findings. These results indicate a significant change in early, middle-latency and late ERP components at the frontal, centro-parietal, and parieto-occipital regions of interest in response to target and distracter stimuli as a result of rTMS treatment. Overall, our preliminary results show that rTMS may prove to be an important research tool or treatment modality in addressing the stimulus hypersensitivity characteristic of autism spectrum disorders.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 225 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 6 3%
Sweden 1 <1%
Germany 1 <1%
United Kingdom 1 <1%
South Africa 1 <1%
Unknown 215 96%

Demographic breakdown

Readers by professional status Count As %
Researcher 29 13%
Student > Master 26 12%
Student > Ph. D. Student 25 11%
Student > Bachelor 21 9%
Professor 17 8%
Other 58 26%
Unknown 49 22%
Readers by discipline Count As %
Psychology 60 27%
Medicine and Dentistry 37 16%
Neuroscience 27 12%
Agricultural and Biological Sciences 14 6%
Nursing and Health Professions 5 2%
Other 25 11%
Unknown 57 25%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 January 2012.
All research outputs
#14,405,036
of 23,849,058 outputs
Outputs from Applied Psychophysiology and Biofeedback
#212
of 355 outputs
Outputs of similar age
#137,240
of 170,450 outputs
Outputs of similar age from Applied Psychophysiology and Biofeedback
#5
of 8 outputs
Altmetric has tracked 23,849,058 research outputs across all sources so far. This one is in the 38th percentile – i.e., 38% of other outputs scored the same or lower than it.
So far Altmetric has tracked 355 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.1. This one is in the 37th percentile – i.e., 37% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 170,450 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 19th percentile – i.e., 19% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 8 others from the same source and published within six weeks on either side of this one. This one has scored higher than 3 of them.