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Interval Timing in Pediatric Multiple Sclerosis: Impaired in the Subsecond Range but Unimpaired in the One-Second Range

Frontiers in Neurology, vol. 11, pp. 575780

Abstract

Background: For adult multiple sclerosis (MS) patients, impaired temporal processing of simultaneity/successiveness has been frequently reported while interval timing has been investigated neither in adult nor pediatric MS patients. We aimed to extent previous research in two ways. First, we focused on interval timing (instead of simultaneity/successiveness) and differentiated between sensory-automatic processing of intervals in the sub-second range and cognitive processing of intervals in the one-second range. Second, we investigated whether impaired temporal information processing would also be observable in pediatric MS patients’ interval timing in the sub-second and in the one-second range. Methods: Participants were Ttwenty-two pediatric MS patients and 22 healthy controls, matched for age, gender and psychometric intelligence as measured by the Culture Fair Test 20-R. They completed two auditory interval timing tasks with stimuli in the sub-second and in the one-second range, respectively, as well as a frequency discrimination task. Results: Pediatric MS patients showed impaired interval timing in the sub-second range compared to healthy controls with a mean difference of the difference limen (DL) of 6.3 ms, 95% CI [1.7, 10.9 ms], and an effect size of Cohen's d = .830. The two groups did not differ significantly in interval timing in the one-second range (mean difference of the DL = 26.9 ms, 95% CI [-14.2, 67.9 ms], Cohen's d = .399) nor in frequency discrimination (mean difference of the DL = 0.4 Hz, 95% CI [-1.1, 1.9 Hz], Cohen's d = .158). Conclusion: The results indicate that especially the sensory-automatic processing of intervals in the sub-second range but not the cognitive processing of longer intervals is impaired in pediatric MS patients. This differential pattern of results is unlikely to be explained by general deficits of auditory information processing. A tentative explanation, to be tested in future studies, points to subcortical deficits in pediatric MS patients, which might also underlie deficits in speech and visuomotor coordination typically reported in pediatric MS patients.

Authors 11

  1. Stefan Johannes Troche corresponding

    University of Bern

    Affiliation as printed

    Institute of Psychology, University of Bern, Bern, Switzerland

  2. Witten/Herdecke University

    Affiliation as printed

    Department of Psychology and Psychotherapy, University of Witten/Herdecke, Witten, Germany

  3. University of Bern

    Affiliation as printed

    Institute of Psychology, University of Bern, Bern, Switzerland

  4. Witten/Herdecke University

    Affiliation as printed

    Department of Psychology and Psychotherapy, University of Witten/Herdecke, Witten, Germany

  5. Universitätsklinikum Aachen · RWTH Aachen University

    Affiliation as printed

    Division of Neuropediatrics and Social Pediatrics, Department of Pediatrics, University Hospital, Rheinisch-Westfälische Technische Hochschule Aachen, Aachen, Germany

  6. University Hospital Regensburg · Kinderklinik Regensburg

    Affiliation as printed

    Department of Pediatric Neurology, Klinik St. Hedwig, University Children's Hospital Regensburg (Kinder-Universitätsklinik Ostbayern KUNO), Regensburg, Germany

  7. University Hospital Augsburg

    Affiliation as printed

    Pediatric Neurology, Children's Hospital, University Hospital Augsburg, Augsburg, Germany

  8. University of Münster · University Hospital Münster

    Affiliation as printed

    Neuropediatric Department, Children's University Hospital Muenster, Muenster, Germany

  9. Klinikum Leverkusen

    Affiliation as printed

    Department of Pediatric Neurology, Hospital for Children and Adolescents, Klinikum Leverkusen, Leverkusen, Germany

  10. Ruhr University Bochum

    Affiliation as printed

    Department of Pediatrics and Pediatric Neurology, Ruhr University Bochum, Bochum, Germany

  11. Witten/Herdecke University

    Affiliation as printed

    Pediatric Neurology, University of Witten/Herdecke, Children's Hospital Datteln, Datteln, Germany

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References 46