Robust single-trial event-related potentials differentiate between
Distress and Fear disorders
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.