Are auditory cues special? Evidence from cross-modal distractor-induced blindness.

A target that shares features with preceding distractor stimuli is less likely to be detected due to a distractor-driven activation of a negative attentional set. This transient impairment in perceiving the target (distractor-induced blindness/deafness) can be found within vision and audition. Recently, the phenomenon was observed in a cross-modal setting involving an auditory target and additional task-relevant visual information (cross-modal distractor-induced deafness). In the current study, consisting of three behavioral experiments, a visual target, indicated by an auditory cue, had to be detected despite the presence of visual distractors. Multiple distractors consistently led to reduced target detection if cue and target appeared in close temporal proximity, confirming cross-modal distractor-induced blindness. However, the effect on target detection was reduced compared to the effect of cross-modal distractor-induced deafness previously observed for reversed modalities. The physical features defining cue and target could not account for the diminished distractor effect in the current cross-modal task. Instead, this finding may be attributed to the auditory cue acting as an especially efficient release signal of the distractor-induced inhibition. Additionally, a multisensory enhancement of visual target detection by the concurrent auditory signal might have contributed to the reduced distractor effect.

ERP signatures of auditory awareness in cross-modal distractor-induced deafness.

Previous research showed that dual-task processes such as the attentional blink are not always transferable from unimodal to cross-modal settings. This study investigated whether such a transfer can be stated for a distractor-induced impairment of target detection established in vision (distractor-induced blindness, DIB) and recently observed in the auditory modality (distractor-induced deafness, DID). A cross-modal DID effect was confirmed: The detection of an auditory target indicated by a visual cue was impaired if multiple auditory distractors preceded the target. Event-related potentials (ERPs) were used to identify psychophysiological correlates of target detection. A frontal negativity about 200 ms succeeded by a sustained, widespread negativity was associated with auditory target awareness. In contrast to unimodal findings, P3 amplitude was not enhanced for hits. The results support the notion that early frontal attentional processes are linked to auditory awareness, whereas the P3 does not seem to be a reliable indicator of target access.

Observation of others' threat reactions recovers memories previously shaped by firsthand experiences.

Information about dangers can spread effectively by observation of others' threat responses. Yet, it is unclear if such observational threat information interacts with associative memories that are shaped by the individual's direct, firsthand experiences. Here, we show in humans and rats that the mere observation of a conspecific's threat reactions reinstates previously learned and extinguished threat responses in the observer. In two experiments, human participants displayed elevated physiological responses to threat-conditioned cues after observational reinstatement in a context-specific manner. The elevation of physiological responses (arousal) was further specific to the context that was observed as dangerous. An analogous experiment in rats provided converging results by demonstrating reinstatement of defensive behavior after observing another rat's threat reactions. Taken together, our findings provide cross-species evidence that observation of others' threat reactions can recover associations previously shaped by direct, firsthand aversive experiences. Our study offers a perspective on how retrieval of threat memories draws from associative mechanisms that might underlie both observations of others' and firsthand experiences.

Impact of Coronavirus Disease 2019 in a French Cohort of Myasthenia Gravis.

OBJECTIVE: To describe the clinical characteristics and outcomes of coronavirus disease 2019 (COVID-19) among patients with myasthenia gravis (MG) and identify factors associated with COVID-19 severity in patients with MG. METHODS: The CO-MY-COVID registry was a multicenter, retrospective, observational cohort study conducted in neuromuscular referral centers and general hospitals of the FILNEMUS (Filière Neuromusculaire) network (between March 1, 2020, and June 8, 2020), including patients with MG with a confirmed or highly suspected diagnosis of COVID-19. COVID-19 was diagnosed based on a PCR test from a nasopharyngeal swab or severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) serology, thoracic CT scan, or typical symptoms. The main outcome was COVID-19 severity based on location of treatment/management (home, hospitalized in a medical unit, or in an intensive care unit). We collected information on demographic variables, general history, and risk factors for severe COVID-19. Multivariate ordinal regression models were used to identify factors associated with severe COVID-19 outcomes. RESULTS: Among 3,558 patients with MG registered in the French database for rare disorders, 34 (0.96%) had COVID-19. The mean age at COVID-19 onset was 55.0 ± 19.9 years (mean MG duration: 8.5 ± 8.5 years). By the end of the study period, 28 patients recovered from COVID-19, 1 remained affected, and 5 died. Only high Myasthenia Gravis Foundation of America (MGFA) class (≥IV) before COVID-19 was associated with severe COVID-19 (p = 0.004); factors that were not associated included sex, MG duration, and medium MGFA classes (≤IIIb). The type of MG treatment had no independent effect on COVID-19 severity. CONCLUSIONS: This registry-based cohort study shows that COVID-19 had a limited effect on most patients, and immunosuppressive medications and corticosteroids used for MG management are not risk factors for poorer outcomes. However, the risk of severe COVID-19 is elevated in patients with high MGFA classes (odds ratio, 102.6 [4.4-2,371.9]). These results are important for establishing evidence-based guidelines for the management of patients with MG during the COVID-19 pandemic.

Distractor-induced deafness: The effect of multiple auditory distractors on conscious target processing.

Conscious access to a target stimulus embedded in a rapid serial visual presentation can be impaired by the preceding presentation of multiple task-irrelevant distractors. While this phenomenon - labeled distractor-induced blindness (DIB) - is established in vision, it is unknown whether a similar effect can be observed in the auditory modality. Considering the differences in the processing of visual and auditory stimuli, modality-specific effects in the inhibitory mechanisms triggered by distractors can be expected. First, we aimed to find evidence for a distractor-induced deafness (DID) for auditory targets in a behavioral experiment. The target was defined by a transient increase in amplitude in a continuous sinusoidal tone, which was to be detected if accompanied or preceded by a deviant tone (cue). Both events were embedded in separate streams in a binaural rapid serial auditory presentation. Distractors preceded the cue and shared the target's features. As previously observed for DIB, a failure to detect the auditory target critically relied on the presentation of multiple distractor episodes. This DID effect was followed up in a subsequent event-related brain potentials (ERP) study to identify the signature of target detection. In contrast to missed targets, hits were characterized by a larger frontal negativity and by a more pronounced centro-parietal P3b wave. Whereas the latter process was also observed in the visual domain, indicating a post-perceptual updating process, the frontal negativity was exclusively observed for auditory DID. This modality-specific process might signal that early attentional control processes support conscious access to relevant auditory events.