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Illustrative recordings of blink reflexes (the stimulations were all on the left side supramural nerves). The first two are the ipsilateral and contralateral waveforms of a healthy volunteer (Control) under Blank 1, the second two are those of a bipolar I patient (BD I) under Fear, and the last two are those of a bipolar II patient (BD II) under Fear. The dashed lines under the waveforms represent the baseline of respective blink reflex.

Illustrative recordings of blink reflexes (the stimulations were all on the left side supramural nerves). The first two are the ipsilateral and contralateral waveforms of a healthy volunteer (Control) under Blank 1, the second two are those of a bipolar I patient (BD I) under Fear, and the last two are those of a bipolar II patient (BD II) under Fear. The dashed lines under the waveforms represent the baseline of respective blink reflex.

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Background Responses to external emotional-stimuli or their transitions might help to elucidate the scientific background and assist the clinical management of psychiatric problems, but pure emotional-materials and their utilization at different levels of neurophysiological processing are few. Methods Using pictures and sounds with pure emotions o...

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... 200 ms epoch. Data collected under Blank 1 session were served as a baseline control (before external emotional-stimuli), while those collected under Blank 2 were served as another control to washout possible effects of the external emotional-stimuli. The representative recordings of the R1, R2 and R2' in three groups of participants are shown in Fig. ...

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Alzheimer’s disease (AD) is a neurodegenerative disorder featured by progressive cognitive decline, which manifests in severe impairment of memory, attention, emotional processing and daily activities, leading to significant disability and social burden. Investigation on Mild Cognitive Impairment (MCI), the prodromal and transitional stage between normal aging and AD, serves as a key in diagnosing and slowing down the progression of AD. Numerous effects have been made up to date, however, the attentional mechanisms under different external emotion stimuli in MCI and AD are still unexplored in deep. To further explore the attentional mechanisms under different external emotion stimuli in both MCI and AD patients. In 51 healthy volunteers (Controls, 24 males and 27 females), 52 MCI (19 males and 33 females), and 47 AD (15 males and 32 females) patients, we administered the visual oddball event-related potentials (ERPs) under three types of external emotional stimuli: Neutral, Happiness and Sadness, in which the components N1, P2, N2 and P3 as well as the abnormal cortical activations corresponding to the significant ERP differences in the three groups were observed. Under all three external emotions, in AD patients, N2 and P3 latencies were significantly prolonged compared to both Controls and MCI. In addition, under Happiness, in MCI, P3 latencies were significantly delayed compared to Controls. Meanwhile, under both Happiness and Sadness, in AD patients, P3 amplitudes were significantly decreased compared to Controls and MCI, respectively. During N2 time window, under Neutral emotion, significant hypoactivation in the right superior temporal gyrus was found in AD patients compared to Controls, and under Happiness, the activation of the right inferior frontal gyrus was significantly attenuated in MCI compared to Controls. Under Sadness, in AD patients, the activation of the right superior frontal gyrus was significantly decreased compared to MCI. During P3 time window, under both Happiness and Sadness, when AD patients compared to MCI, the significantly attenuated activations were located in the right fusiform gyrus and the right middle occipital gyrus, respectively. Our results demonstrated visual attentional deficits under external emotional stimuli in both MCI and AD patients, highlighting the function of Happiness for early detecting MCI, in which the P3 latency and the hypoactivation of right inferior frontal gyrus during N2 time window can be early signs. The current study sheds further light of attentional mechanisms in MCI and AD patients, and indicates the value of emotional processing in the early detection of cognitive dysfunction.