Purpose: Despite a good prognosis, thyroid cancer (TC) survivors often report psychological distress and decreased quality of life. This longitudinal study aims to evaluate TC survivors’ levels of distress, anxiety, depression and unmet needs, checking potential life events. Methods: Distress Thermometer, Hospital Anxiety Depression Scale, Supportive Care Need Survey (short form) and Interview for Recent Life Events were administered to 73 TC survivors (T0) and 44 of them were re-tested one year later (T1). Participants were at 0–5, 5–10 or >10 years from the end of their cancer-related treatments. Results: At T0, distress, anxiety and depression mean scores were 6.4, 6.8 and 5.3, while at T1 they were 5.5, 4.8 and 5.1. Only anxiety scores decreased significantly between T0 and T1. 50.7% of patients had unmet psychological needs at T0 and 50.0% at T1. Most participants were satisfied in the communicative/ informative (T0:79.5%; T1: 77.3%) and social/health care areas (T0:74.0%; T1:75.0%). The most experienced stressful events detected concerned their working areas. Conclusions: Results confirmed that patients reported distress, anxiety and depression concerns even many years after the end of treatments. Both medical and psychological surveillance are relevant to improving TC survivors’ wellbeing.
A brief period of monocular deprivation (MD) induces short-term plasticity of the adult visual system. Whether MD elicits neural changes beyond visual processing is yet unclear. Here, we assessed the specific impact of MD on neural correlates of multisensory processes. Neural oscillations associated with visual and audio-visual processing were measured for both the deprived and the non-deprived eye. Results revealed that MD changed neural activities associated with visual and multisensory processes in an eye-specific manner. Selectively for the deprived eye, alpha synchronization was reduced within the first 150 ms of visual processing. Conversely, gamma activity was enhanced in response to audio-visual events only for the non-deprived eye within 100-300 ms after stimulus onset. The analysis of gamma responses to unisensory auditory events revealed that MD elicited a crossmodal upweight for the non-deprived eye. Distributed source modeling suggested that the right parietal cortex played a major role in neural effects induced by MD. Finally, visual and audio-visual processing alterations emerged for the induced component of the neural oscillations, indicating a prominent role of feedback connectivity. Results reveal the causal impact of MD on both unisensory (visual and auditory) and multisensory (audio-visual) processes and, their frequency-specific profiles. These findings support a model in which MD increases excitability to visual events for the deprived eye and audio-visual and auditory input for the non-deprived eye.
The role of early auditory experience in the development of neural speech tracking remains an open question. To address this issue, we measured neural speech tracking in children with or without functional hearing during their first year of life after their hearing was restored with cochlear implants (CIs), as well as in hearing controls (HC). Neural tracking in children with CIs is unaffected by the absence of perinatal auditory experience. CI users and HC exhibit a similar neural tracking magnitude at short timescales of brain activity. However, neural tracking is delayed in CI users, and its timing depends on the age of hearing restoration. Conversely, at longer timescales, speech tracking is dampened in participants using CIs, thereby accounting for their speech comprehension deficits. These findings highlight the resilience of sensory processing in speech tracking while also demonstrating the vulnerability of higher-level processing to the lack of early auditory experience.
Previous research indicates that both adults and newborns show enhanced electrophysiological and behavioral responses to schematic face‐like configurations (FCs—three dots composing a downward‐pointing triangle), as compared to the inverted configurations (ICs). Even fetuses, when exposed to light stimuli projected through the uterine wall, preferentially orient their heads toward FCs rather than ICs. However, when this effect emerges along the third trimester of pregnancy and in relation to the maturation of which brain structures is still unknown. Here, to provide a sensitive measure of fetal preference for FCs along the whole third trimester, fetal lens movements in response to FCs and ICs was monitored with 2D‐ultrasound. In a series of three experiments, fetuses were recruited at 26, 31, and 37 weeks of gestational age and were presented with both flashing and continuous light stimuli. Our results showed that significantly more lens movements were observed in response to continuous as compared to flashing light stimuli. Furthermore, lens movements linearly increased within the third trimester and, regardless of the time‐point, significantly more lens movements were observed in response to FCs versus ICs. We also found a significant correlation in the first time‐point, wherein the greater the FCs versus ICs differential response the larger the thalamic nuclei dimension. These findings suggest that FC preference is already present at the beginning of the third trimester, as soon as thalamocortical projections are established.
Face masks provide fundamental protection against the transmission of respiratory viruses but hamper communication. We estimated auditory and visual obstacles generated by face masks on communication by measuring the neural tracking of speech. To this end, we recorded the EEG while participants were exposed to naturalistic audio-visual speech, embedded in 5-talker noise, in three contexts: (i) no-mask (audio-visual information was fully available), (ii) virtual mask (occluded lips, but intact audio), and (iii) real mask (occluded lips and degraded audio). Neural tracking of lip movements and of the sound envelope of speech was measured through backward modeling, that is, by reconstructing stimulus properties from neural activity. Behaviorally, face masks increased perceived listening difficulty and phonological errors in speech content retrieval. At the neural level, we observed that the occlusion of the mouth abolished lip tracking and dampened neural tracking of the speech envelope at the earliest processing stages. By contrast, degraded acoustic information related to face mask filtering altered neural tracking of speech envelope at later processing stages. Finally, a consistent link emerged between the increment of perceived listening difficulty and the drop in reconstruction performance of speech envelope when attending to a speaker wearing a face mask. Results clearly dissociated the visual and auditory impact of face masks on the neural tracking of speech. While the visual obstacle related to face masks hampered the ability to predict and integrate audio-visual speech, the auditory filter generated by face masks impacted neural processing stages typically associated with auditory selective attention. The link between perceived difficulty and neural tracking drop also provides evidence of the impact of face masks on the metacognitive levels subtending face-to-face communication.
Lip-reading, i.e., the ability to recognize speech using only visual cues, plays a fundamental role in audio-visual speech processing, intelligibility, and comprehension. This capacity is integral to language development and functioning; it emerges in early development, and it slowly evolves. By linking psycholinguistics, psychophysics, and neurophysiology, the present narrative review explores the development and significance of lip-reading across different stages of life, highlighting its role in human communication in both typical and atypical development, e.g., in the presence of hearing or language impairments. We examined how relying on lip-reading becomes crucial when communication occurs in noisy environments and, on the contrary, the impacts that visual barriers can have on speech perception. Finally, this review highlights individual differences and the role of cultural and social contexts for a better understanding of the visual counterpart of speech.