A forced-attention dichotic listening fMRI study on 113 subjects

We report fMRI and behavioral data from 113 subjects on attention and cognitive control using a variant of the classic dichotic listening paradigm with pairwise presentations of consonant-vowel syllables. The syllable stimuli were presented in a block-design while subjects were in the MR scanner. The subjects were instructed to pay attention to and report either the left or right ear stimulus. The hypothesis was that paying attention to the left ear stimulus (FL condition) induces a cognitive conflict, requiring cognitive control processes, not seen when paying attention to the right ear stimulus (FR condition), due to the perceptual salience of the right ear stimulus in a dichotic situation. The FL condition resulted in distinct activations in the left inferior prefrontal gyrus and caudate nucleus, while the right inferior frontal gyrus and caudate were activated in both the FL and FR conditions, and in a non-instructed (NF) baseline condition.     

Attention and cognitive control networks assessed in a dichotic listening fMRI study

A meaningful interaction with our environment relies on the ability to focus on relevant sensory input and to ignore irrelevant information, i.e. top-down control and attention processes are employed to select from competing stimuli following internal goals. In this, the demands for the recruitment of top-down control processes depend on the relative perceptual salience of the competing stimuli. In the present functional magnetic resonance imaging (fMRI) study, we investigated the recruitment of top-down control processes in response to varying degrees of control demands in the auditory modality. For this purpose, we tested 20 male and 20 female subjects with a dichotic listening paradigm, in which the relative perceptual salience of two simultaneously presented stimuli was systematically manipulated by varying the inter-aural intensity difference (IID) and asking the subjects to selectively attend to either ear. The analysis showed that the interaction between IID and attentional direction involves two networks in the brain. A fronto-parietal network, including the pre-supplementary motor area, anterior cingulate cortex, inferior frontal junction, insula and inferior parietal lobe, was recruited during cognitively demanding conditions and can thus be seen as a top-down cognitive control network. In contrast, a second network including the superior temporal and the post-central gyri was engaged under conditions with low cognitive control demands. These findings demonstrate how cognitive control is achieved through the interplay of distinct brain networks, with their differential engagement determined as a function of the level of competition between the sensory stimuli.     

Cognitive conflict in a syllable identification task causes transient activation of speech perception area

It has previously been shown that task performance and frontal cortical activation increase after cognitive conflict. This has been argued to support a model of attention where the level of conflict automatically adjusts the amount of cognitive control applied. Conceivably, conflict could also modulate lower-level processing pathways, which would be evident as trial-to-trial changes in domain specific activation. The present fMRI experiment used a syllable identification task where conflict is manipulated by presenting recently ignored syllables. Results showed that on trials following a high conflict trial, activation increased primarily in the planum temporale region of the left temporal cortex, an area believed to be involved in syllable discrimination. The experiment thus showed a transient, domain specific attention effect that was modulated on a trial-to-trial basis. We argue that this indicates a self-regulating system where increased levels of conflict directs resources in order to improve performance.     

Sex differences in dichotic listening

The present study quantified the magnitude of sex differences in perceptual asymmetries as measured with dichotic listening. This was achieved by means of a meta-analysis of the literature dating back from the initial use of dichotic listening as a measure of laterality. The meta-analysis included 249 effect sizes pertaining to sex differences and 246 effect sizes for the main effect of laterality. The results showed small and homogeneous sex differences in laterality in favor of men (d=0.054). The main effect of laterality was of medium magnitude (d=0.609) but it was heterogeneous. Homogeneity for the main effect of laterality was achieved through partitioning as a function of task, demonstrating larger asymmetries for verbal (d=0.65) than for non-verbal tasks (d=0.45). The results are discussed with reference to top-down and bottom-up factors in dichotic listening. The possible influence of a publication bias is also discussed.     

Proactive and reactive sequential effects on selective attention

Sequences of events can affect selective attention either through proactive mechanisms, through reactive mechanisms, or through a combination of the two. The current study examined electrophysiological responses to both prime and target stimuli in a primed dichotic listening task. Each trial presented a distractor prime syllable followed by two simultaneous syllables, and participants were asked to report one of the simultaneous syllables. Trials where the participant reported the non-primed syllable showed more negative event-related potentials at prime presentation, which may indicate inhibition of the prime representation. Trials where the participant reported the primed syllable showed more negative event-related potentials at target presentation, which may indicate cognitive conflict and effortful response selection. In context of current theories, the data suggest that the interplay of a proactive inhibition bias and a reactive potential for conflict is involved in causing sequential effects on selective attention mechanisms.     

Use of the dichotic listening technique with learning disabilities

Dichotic listening (DL) techniques have been used extensively as a non-invasive procedure to assess language lateralization among children with and without learning disabilities (LD), and with individuals who have other auditory system related brain disorders. Results of studies using DL have indicated that language is lateralized in children with LD and that the lateralized language asymmetries do not develop after age 6 nor are they affected by gender. Observed differences in lateralized language processes between control children and those with LD were found not due to delayed cerebral dominance, but rather to deficits in selective attention. In addition, attention factors have a greater influence on auditory processing of verbal than nonverbal stimuli for children with LD, and children with LD exhibit a general processing bias to the same hemisphere unlike control children. Furthermore, employing directed attention conditions in DL experiments has played an important role in explaining learning disabled children's performance on DL tasks. We conclude that auditory perceptual asymmetries as assessed by DL with children who experience LD are the result of the interaction of hemispheric capability and attention factors.     

Reactive cognitive-control processes in free-report consonant–vowel dichotic listening

The relevance of cognitive-control processes has been frequently discussed and studied in the context of dichotic listening. Experimental and clinical studies indicate that directing attention to either of the two simultaneously presented phonological stimuli, but especially to the left-ear stimulus increases the requirements for cognitive-control processes. Here, we extend this view by reporting the results of a behavioural and a functional magnetic-resonance imaging (fMRI) experiment designed to analyse the involvement of cognitive-control processes also in a free-report dichotic-listening paradigm. It was hypothesised that dichotically presented pairs of stop–consonant–vowel syllables would provide different demands for cognitive-control processes as a function of the spectro-temporal overlap of the two stimuli. Accordingly, in Experiment 1 it was shown that dichotic syllables of high (e.g., /ba/ and /ga/) as opposed to low spectro-temporal overlap (e.g., /ba/ and /ka/) produce significantly faster and more correct answers, and are more often perceived as one syllable. In Experiment 2 it was further shown that pairs of low as compared to high spectro-temporal overlap trigger a more pronounced activation predominately in left-hemispheric, speech-associated brain regions, namely left posterior inferior sulcus/gyrus, bilaterally in pre-supplementary motor and mid-cingulate cortex as well as in the inferior parietal lobe. Taken together, behavioural and functional data indicate a stronger involvement of reactive cognitive control in the processing of low-overlap as opposed to high-overlap stimulus pairs. This supports the notion that higher-order, speech-related cognitive-control processes also are involved in a free-report dichotic-listening paradigm.     

Reactive cognitive-control processes in free-report consonant–vowel dichotic listening

The relevance of cognitive-control processes has been frequently discussed and studied in the context of dichotic listening. Experimental and clinical studies indicate that directing attention to either of the two simultaneously presented phonological stimuli, but especially to the left-ear stimulus increases the requirements for cognitive-control processes. Here, we extend this view by reporting the results of a behavioural and a functional magnetic-resonance imaging (fMRI) experiment designed to analyse the involvement of cognitive-control processes also in a free-report dichotic-listening paradigm. It was hypothesised that dichotically presented pairs of stop–consonant–vowel syllables would provide different demands for cognitive-control processes as a function of the spectro-temporal overlap of the two stimuli. Accordingly, in Experiment 1 it was shown that dichotic syllables of high (e.g., /ba/ and /ga/) as opposed to low spectro-temporal overlap (e.g., /ba/ and /ka/) produce significantly faster and more correct answers, and are more often perceived as one syllable. In Experiment 2 it was further shown that pairs of low as compared to high spectro-temporal overlap trigger a more pronounced activation predominately in left-hemispheric, speech-associated brain regions, namely left posterior inferior sulcus/gyrus, bilaterally in pre-supplementary motor and mid-cingulate cortex as well as in the inferior parietal lobe. Taken together, behavioural and functional data indicate a stronger involvement of reactive cognitive control in the processing of low-overlap as opposed to high-overlap stimulus pairs. This supports the notion that higher-order, speech-related cognitive-control processes also are involved in a free-report dichotic-listening paradigm.     

Interictal and postictal performances on dichotic listening test in children with focal epilepsy

Dichotic listening test (DL) is an important tool to disclose speech dominance in healthy subjects and in clinical cases. The aim of this study was to probe if focal epilepsy in children reveals a corresponding suppression of the ear reports contralateral to seizure onset site. Thus, 15 children and adolescents with clinically and electroencephalographically diagnosed focal epilepsy selected for left-hemisphere speech dominance without mental retardation were compared to matched controls according to age, gender, IQ and handedness. All children were assessed with DL for three times: Interictally (t(0)), postictally 5' (t(1)) and 1h (t(2)). At t(0), all groups revealed a right ear advantage (REA), indicating a left-hemisphere speech dominance. There was a continuous increase in right correct score (REC) over the trials for normal controls. Five minutes postictally, there was an abrupt decrease in REC with a sustained left ear correct score (LEC) for children with epilepsy, independent of which side suffered from seizures. This effect was maintained even after 1h. Thus, in children with left-hemisphere speech dominance the epileptic discharges caused a suppression of REC regardless of origin. The seizures may have a prolonged impact on attention and auditory perception for a considerable time after consciousness has been regained.     

Working memory predicts semantic comprehension in dichotic listening in older adults

Older adults have difficulty understanding spoken language in the presence of competing voices. Everyday social situations involving multiple simultaneous talkers may become increasingly challenging in later life due to changes in the ability to focus attention. This study examined whether individual differences in cognitive function predict older adults’ ability to access sentence-level meanings in competing speech using a dichotic priming paradigm. Older listeners showed faster responses to words that matched the meaning of spoken sentences presented to the left or right ear, relative to a neutral baseline. However, older adults were more vulnerable than younger adults to interference from competing speech when the competing signal was presented to the right ear. This pattern of performance was strongly correlated with a non-auditory working memory measure, suggesting that cognitive factors play a key role in semantic comprehension in competing speech in healthy aging.     

Manipulation of voice onset time during dichotic listening

The manipulation of voice onset time (VOT) during dichotic listening has provided novel insights regarding brain function. To date, the most common design is the utilisation of four VOT conditions: short-long pairs (SL), where a CV syllable with a short VOT is presented to the left ear and a CV syllable with a long VOT is presented to the right ear as well as long-short (LS), short-short (SS) and long-long (LL) pairs. Rimol, Eichele, and Hugdahl (2006) first reported that in healthy adults SL pairs elicit the largest REA while, in fact, LS pairs elicit a significant left ear advantage (LEA). This VOT effect was replicated by Sandmann et al. (2007). A study of children aged 5-8years of age has shown a developmental trajectory whereby long VOTs gradually start to dominate over short VOTs when LS pairs are being presented under dichotic conditions (Westerhausen, Helland, Ofte, & Hugdahl, 2010). Two studies have investigated attentional modulation of the VOT effect in children and adults. The converging evidence from these studies shows that at around 9years of age children lack the adult-like cognitive flexibility required to exert top-down control over stimulus-driven bottom-up processes (Andersson, Llera, Rimol, & Hugdahl, 2008; Arciuli, Rankine, & Monaghan, 2010). Arciuli et al. further demonstrated that this kind of cognitive flexibility is a predictor of proficiency with complex tasks such as reading. A review of each of these studies, the possible mechanisms underlying the VOT effect and directions for future research are discussed.     

Lateralisation of language and emotion in schizotypal personality: Evidence from dichotic listening

Striking disturbances have been reported in language and emotional prosody processing by patients diagnosed with schizophrenia. In view of this and of research suggesting that schizotypal personality traits can also be expressed sub-clinically, the present study aimed to discover whether similar disturbances would be reflected in cognitive laterality patterns when symptoms of schizotypy are present yet at a non-clinical level. A dichotic listening task was used to examine the sensitivity and speed with which 132 right-handed participants (85 females and 47 males, mean age = 32.44, SD = 12.29) detected both words and emotional prosody, all of whom also completed the Schizotypal Personality Questionnaire. Findings indicated that both high (n = 64) and low (n = 68) schizotypy groups demonstrated the typical right ear advantage for the detection of words and left ear advantage for the detection of emotional prosody. Individuals with higher schizotypal personality scores also demonstrated poorer sensitivity in detecting emotional prosody. These results reveal that within the healthy population, higher levels of schizotypy are not associated with the atypical lateralisation of language and emotion. Nevertheless, the existence of these symptoms does signal the presence of shared characteristics with the clinical sphere, namely poorer emotion recognition performance.     

Dichotic listening and otoacoustic emissions: shared variance between cochlear function and dichotic listening performance in adults with normal hearing

The present study investigated a possible connection between speech processing and cochlear function. Twenty-two subjects with age range from 18 to 39, balanced for gender with normal hearing and without any known neurological condition, were tested with the dichotic listening (DL) test, in which listeners were asked to identify CV-syllables in a nonforced, and also attention-right, and attention-left condition. Transient evoked otoacoustic emissions (TEOAEs) were recorded for both ears, with and without the presentation of contralateral broadband noise. The main finding was a strong negative correlation between language laterality as measured with the dichotic listening task and of the TEOAE responses. The findings support a hypothesis of shared variance between central and peripheral auditory lateralities, and contribute to the attentional theory of auditory lateralization. The results have implications for the understanding of the cortico-fugal efferent control of cochlear activity.     

Intentional attention switching in dichotic listening: Exploring the efficiency of nonspatial and spatial selection

Using an auditory variant of task switching, we examined the ability to intentionally switch attention in a dichotic-listening task. In our study, participants responded selectively to one of two simultaneously presented auditory number words (spoken by a female and a male, one for each ear) by categorizing its numerical magnitude. The mapping of gender (female vs. male) and ear (left vs. right) was unpredictable. The to-be-attended feature for gender or ear, respectively, was indicated by a visual selection cue prior to auditory stimulus onset. In Experiment 1, explicitly cued switches of the relevant feature dimension (e.g., from gender to ear) and switches of the relevant feature within a dimension (e.g., from male to female) occurred in an unpredictable manner. We found large performance costs when the relevant feature switched, but switches of the relevant feature dimension incurred only small additional costs. The feature-switch costs were larger in ear-relevant than in gender-relevant trials. In Experiment 2, we replicated these findings using a simplified design (i.e., only within-dimension switches with blocked dimensions). In Experiment 3, we examined preparation effects by manipulating the cueing interval and found a preparation benefit only when ear was cued. Together, our data suggest that the large part of attentional switch costs arises from reconfiguration at the level of relevant auditory features (e.g., left vs. right) rather than feature dimensions (ear vs. gender). Additionally, our findings suggest that ear-based target selection benefits more from preparation time (i.e., time to direct attention to one ear) than gender-based target selection.     

Smoking reduces language lateralization: a dichotic listening study with control participants and schizophrenia patients

Schizophrenia has been associated with deficits in functional brain lateralization. According to some authors, the reduction of asymmetry could even promote this psychosis. At the same time, schizophrenia is accompanied by a high prevalence of nicotine dependency compared to any other population. This association is very interesting, because sex-dependent effects of smoking in auditory language asymmetries have been reported recently, and the verbal domain is also one major focus in cognitive deficit studies of schizophrenia. Thus, the altered laterality pattern in schizophrenia could, at least in part, result from secondary artefacts due to smoking rather than being a pure cause of the disease itself. To test this hypothesis, the present study examined auditory language lateralization in 67 schizophrenia patients and in 72 healthy controls in a phonemic and an emotional dichotic listening task. Our findings replicate previous research, in that smoking reduces language lateralization in men in phonemic dichotic listening. In addition, we show that smoking also reduces laterality in women in the emotional dichotic listening task. Thus, smoking alters phonemic and emotional language asymmetries differentially for men and women, with a stronger effect for men in the left hemisphere phonemic task, and a stronger effect for women in the right hemisphere emotional task. Together, these findings point towards an effect of smoking which is possibly independent of sex and hemisphere. Importantly, by testing equal numbers of smoking and non-smoking patients and controls, we found no schizophrenia-associated asymmetry effect. Possible neurobiological mechanisms with which smoking may alter auditory microcircuits and thereby diminish left-right differences are discussed.     

A dichotic listening study of attention control in older adults

The influence of age on attentional control of bottom-up processing was investigated with a dichotic-listening paradigm. The typical right-ear-advantage (REA) without specific attentional instructions was used as a measure of bottom-up processing (non-forced condition). Top-down attentional control was evaluated by instructing subjects to report only the right or left ear stimulus of the dichotic pair (forced-right, forced-left conditions). Both young and old participants showed a REA in the non-forced condition and an increased REA in the forced-right condition. The old group failed, however, to use attention to modulate the REA to the same degree as the younger participants in the forced-left condition. Only the young group showed a significant left ear advantage (LEA). The results are discussed in relation to cognitive decline in normal aging and in early stages of dementia.     

Attention and cognitive control: unfolding the dichotic listening story

In this article we present a theoretical approach to cognitive control and attention modulation, as well as review studies related to such a view, using an auditory task based on dichotic presentations of simple consonant-vowel syllables. The reviewed work comes out of joint research efforts by the 'Attention-node' at the 'Nordic Center of Excellence in Cognitive Control'. We suggest a new way of defining degrees of cognitive control based on systematically varying the stimulus intensity of the right or left ear dichotic stimulus, thus parametrically varying the degree of stimulus interference and conflict when assessing the amount of cognitive control necessary to resolve the interference. We first present an overview and review of previous studies using the so-called "forced-attention" dichotic listening paradigm. We then present behavioral and neuroimaging data to explore the suggested cognitive control model, with examples from normal adults, clinical and special ability groups.     

The effects of different intensity levels of background noise on dichotic listening to consonant-vowel syllables

It has previously been shown that the right ear advantage in dichotic listening to consonant-vowel syllables is affected if a background noise is presented at the same time as the dichotic stimuli. What is not known is, however, if there is also an effect of varying the intensity level of the background noise. We therefore presented conversation or traffic noise background noise simultaneously with the dichotic syllable stimuli to healthy adult subjects. The intensity of the background noises varied between 50-65 dB in steps of 5 dB. The results showed that the right ear correct reports decreased, while left ear correct reports increased as a consequence of increasing background noise intensity. The effects were also stronger for the right ear, and for the traffic background noise condition, particularly at the two highest intensity levels. The results are discussed in terms of alertness and attentional mechanisms.     

The sad, the angry, and the asymmetrical brain: dichotic listening studies of negative affect and depression

Dichotic Listening (DL) is a valuable tool to study emotional brain lateralization. Regarding the perception of sadness and anger through affective prosody, the main finding has been a left ear advantage (LEA) for the sad but contradictory data for the anger prosody. Regarding an induced mood in the laboratory, its consequences upon DL were a diminished right ear advantage (REA) for the induction of sadness and an increased REA for the induction of anger. The global results fit with the approach-withdrawal motivational model of emotional processing, pointing to sadness as a right hemisphere emotion but anger processed bilaterally or even in the left hemisphere, depending on the subject's preferred mode of expression. On the other hand, the study of DL in clinically depressed patients found an abnormally larger REA in verbal DL tasks which was predictive of therapeutic pharmacological response. However, the mobilization of the available left hemisphere resources in these responders (reflected in a higher REA) would indicate a remission of the episode but would not assure the absence of new relapses.     

Perspectives on dichotic listening and the corpus callosum

The present review summarizes historic and recent research which has investigated the role of the corpus callosum in dichotic processing within the context of audiology. Examination of performance by certain clinical groups, including split brain patients, multiple sclerosis cases, and other types of neurological lesions is included. Maturational, age related, and genetic factors are also discussed. Finally, some attention is given to recent trends in audiology research to develop improved diagnostic and rehabilitation tools for individuals with dichotic deficits potentially related to callosal dysfunction.