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In children, deviant sounds in an oddball paradigm elicit a mismatch negativity (MMN) indexing discrimination of sound change and late difference negativity (LDN) with unknown functional significance. Salient sounds elicit an ERP index if orienting, P3a, and a late negative component, Nc. We compared children's responses elicited by moderate sound changes and novel sounds to examine the relationships between MMN and LDN, and LDN and Nc. Two components of the Nc, the Nc1 and Nc2, were identified. The scalp topography of LDN differed from those of the MMN and Nc1. Children's early P3a appeared mature but late P3a lacked frontal predominance. The findings suggested that LDN is not linked with either the sensory or attentional processing. It might reflect cognitive, albeit preattentive, processing of sound change. The Nc1 appears to reflect cognitive attentive processing of salient stimuli and the Nc2 might reflect reorienting after distraction.

This study provides evidence supporting the use of focused forms of both Individual Psychodynamic Therapy and Family Therapy for moderate to severe depression in children and young adolescents.

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