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Robust single-trial event-related potentials differentiate between Distress and Fear disorders
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  • Martin Randau,
  • Nina Reinholt,
  • Cyril Pernet,
  • Bob Oranje,
  • Belinda Rasmussen,
  • Sidse Arnfred
Martin Randau
Copenhagen University Hospital

Corresponding Author:[email protected]

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Nina Reinholt
Copenhagen University Hospital
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Cyril Pernet
Copenhagen University Hospital
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Bob Oranje
Copenhagen University Hospital
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Belinda Rasmussen
Copenhagen University Hospital
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Sidse Arnfred
Copenhagen University Hospital
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Abstract

Recent evidence indicates that measures of brain functioning as indexed by event-related potentials (ERP) on the electroencephalogram aligns more closely to transdiagnostic measures of psychopathology than to categorical taxonomies. The Hierarchical Taxonomy of Psychopathology (HiTOP) is a transdiagnostic, dimensional framework aiming to solve issues of comorbidity, symptom heterogeneity and arbitrary diagnostic boundaries. Based on shared features, the emotional disorders are allocated into subfactors Distress and Fear. Evidence indicate that disorders which are close in the HiTOP hierarchy share etiology, symptom profiles and treatment outcome. However, further studies testing the biological underpinnings of the HiTOP are called for. In this study, we assessed differences between Distress and Fear in a range of well-studied ERP components. Fifty-one patients with emotional disorders were divided into two groups (Distress, N = 26; Fear, N = 25) according to HiTOP criteria and compared against 37 healthy comparison subjects (HC). Addressing issues in traditional ERP preprocessing and analysis methods, we applied robust single-trial analysis as implemented in the EEGLAB toolbox LIMO EEG. Several ERP components were found to differ between the groups. Surprisingly, we found no difference between Fear and HC for any of the ERPs. This suggests that some well-established results from the literature, e.g., increased error-related negativity in OCD, is not a shared neurobiological correlate of the Fear subfactor. Conversely, for Distress, we found reductions compared to Fear and HC in several ERP components across paradigms. Future studies could utilize HiTOP-validated psychopathology measures to more precisely define subfactor groups.
20 Jul 2023Submitted to Psychophysiology
21 Jul 2023Submission Checks Completed
21 Jul 2023Assigned to Editor
21 Jul 2023Review(s) Completed, Editorial Evaluation Pending
09 Aug 2023Reviewer(s) Assigned
04 Oct 2023Editorial Decision: Revise Minor
24 Oct 2023Review(s) Completed, Editorial Evaluation Pending
24 Oct 20231st Revision Received
25 Oct 2023Reviewer(s) Assigned