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Test–Retest Reliability of Mismatch Negativity and Late Discriminative Negativity Response in Children With Listening Difficulties
Journal article   Open access   Peer reviewed

Test–Retest Reliability of Mismatch Negativity and Late Discriminative Negativity Response in Children With Listening Difficulties

Mridula Sharma, Varghese Peter, Danielle Dennis, Gitanjali Raman and Suzanne C Purdy
European Journal of Neuroscience, Vol.64(5), pp.1-11
2025
PMCID: PMC11931196
PMID: 40074702
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Eur J of Neuroscience - 2025 - Sharma - Test Retest Reliability of Mismatch Negativity and Late Discriminative Negativity2.36 MBDownloadView
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Abstract

Cognitive neuroscience Applied and developmental psychology Biological psychology Expanding knowledge in psychology children late discrimination negativity listening difficulties mismatch negativity UniSC Diversity Area - Life Stages
The aim of the study was to determine the test–retest reliability of MMN and LDN recorded to simple speech contrasts in children with listening difficulties. MMN and LDN responses were recorded from Fz and Cz electrodes for a /da/-/ga/ contrast twice within a 10-day period. To extract MMN and LDN, auditory-evoked responses to /ga/ stimuli presented alone were subtracted from the responses to /ga/ presented within an oddball sequence. Intraclass correlation coefficients (ICCs) were used to determine test–retest reliability of MMN and LDN. Eighty-five children aged 7.0–12.8 years were grouped into four clusters; Cluster 1 included children with global difficulties (n = 34); Cluster 2 had children with poor auditory processing but relatively good word reading (n = 19); Cluster 3 had poor auditory processing, memory and attention skills but relatively good nonverbal intelligence and language skills (n = 14); and Cluster 4 had poor auditory processing and attention but relatively good memory skills (n = 18). At Visit 1, MMN and LDN were detectable at Cz in only 42% and 21% of participants, respectively. The ICC for the four clusters for MMN ranged from 0.36 to 0.76; LDN ICCs were 0.21–0.54. MMN was most replicable (71%) for children with listening difficulties in Cluster 3 with good nonverbal intelligence and language. The results do not support the clinical utility of MMN or LDN for objective assessment of auditory discrimination. Although MMN had better test–retest reliability, overall detectability was poor. Better detectability is required for any clinical utility in children.

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