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Original Article
Semantic emotional processing (N400) in violent individuals from a community sample
Procesamiento semántico emocional (N400) en individuos violentos de la población general
K.X. Díaz-Galvána, F. Ostrosky-Shejetb,
Corresponding author
feggy@unam.mx

Corresponding author.
, C. Romero-Rebollarc, M.L. Pérez-Lópeza, O. Ortega-Noriegaa
a Laboratorio de Neuropsicología y Psicofisiología, Facultad de Psicología, Universidad Nacional Autónoma de México (UNAM), México, D.F., Mexico
b Directora del Laboratorio de Neuropsicología y Psicofisiología, Facultad de Psicología, Universidad Nacional Autónoma de México (UNAM), México, D.F., Mexico
c Departamento de Ciencias de la Salud, Universidad Autónoma Metropolitana (UAM), Unidad Lerma, Mexico
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          "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">On the left we showed the grand-mean ERPs of the control group&#44; and to the right the violent group&#46; In gray is the wave activity for congruent terminal words&#44; and in black we show the wave activity for incongruent terminal words&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">The main results obtained in ERPs studies in violent psychopathic individuals have been made using P300&#44; and they have shown reduced amplitudes&#46; This result has been interpreted as a deficient frontal processing<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">1</span></a> and&#47;or a diminished capacity for distributing attentional resources in a sustained way in time&#46;<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">2&#8211;5</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Other studies in violent individuals with high psychopathic traits have reported that they elicit a negative component &#40;N300&#41;&#44; that is sensitive to the affective rather than the physical attributes of the stimulus&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">6</span></a> Moreover&#44; late negativities with large amplitudes located in frontal and central areas that appear after 300<span class="elsevierStyleHsp" style=""></span>ms have been previously reported in individuals with a criminal record in odd-ball tasks<a class="elsevierStyleCrossRefs" href="#bib0185"><span class="elsevierStyleSup">7&#44;8</span></a> where the target stimulus required attention&#44; orientation&#44; and decision making processes&#46; Studies using N400 are less common in this population&#44; however&#44; it has been suggested some difficulties with language and semantic processing in violent individuals&#46;</p><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Language and semantic processing in violent population</span><p id="par0015" class="elsevierStylePara elsevierViewall">Williamson et al&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">8</span></a> related psychopathy to a deficit in the emotional processing of language&#46; The authors found that control subjects responded faster and more accurately to emotional words compared to neutral words&#44; and showed a differentiation in ERPs according to the two types of words&#46; Psychopaths responded equally accurate&#44; but they showed no difference either in reaction times or ERPs for differentiating the two type of words&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Kiehl et al&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">3</span></a> studied semantic processing of language in a psychopathic population&#46; They assessed 29 male individuals divided into 3 groups&#58; 8 psychopaths &#40;score&#58; 30 or above&#41;&#44; 9 non-psychopaths &#40;score&#58; 20 or below&#41; and 12 belonged to a mixed group &#40;scores&#58; between 21 and 29 points&#41;&#59; classified according to the Hare&#39;s Psychopathy Check List &#40;PCL-R&#41;&#44; but they only included results from psychopaths and non-psychopaths&#46; They wanted to determine if psychopaths would show the expected ERP differentiation between concrete and abstract words and between positive and negative &#40;emotional&#41; words&#46; They assessed two different ERP time windows&#58; &#40;1&#41; 300&#8211;400<span class="elsevierStyleHsp" style=""></span>ms&#44; because they wanted to determine if psychopathy was associated with an abnormal late fronto-central ERP negativity when processing word stimuli &#40;N350&#41; and &#40;2&#41; 400&#8211;800<span class="elsevierStyleHsp" style=""></span>ms because it corresponded to the concrete&#47;abstract differences seen in previous research&#46; They found that psychopaths made more errors identifying abstract words than concrete words&#44; and even though they responded faster to positive than negative words &#40;as did the control group&#41;&#44; but they did not show the expected event related potential differentiation between word stimuli&#46; Additionally&#44; in each task&#44; the ERPs of the psychopaths included a large centrofrontal negative-going wave &#40;N350&#41;&#44; and this wave was absent or very small in the nonpsychopaths&#46; They concluded psychopaths have difficulties in processing abstract information and a deficit in the emotional processing that is implicit in the psychopathy definition&#46; This personality disorder is also associated to differences in the processing of semantic features of language&#44; indicating that psychopaths might process semantic information in a different way compared to non-psychopaths&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">N400 studies in violent individuals</span><p id="par0030" class="elsevierStylePara elsevierViewall">N400 is a stimulus-related brain activity in the 200&#8211;600<span class="elsevierStyleHsp" style=""></span>ms post stimulus onset window&#44; relative to a 100<span class="elsevierStyleHsp" style=""></span>ms pre-stimulus baseline&#46; It is typically examined in cross-condition comparisons and routinely instantiated in a difference ERP created via a point-by-point subtraction of a congruent ERP from an incongruent one&#46; This difference&#8212;or N400 effect&#8212;is a monophasic negativity over centro-parietal sites&#44; with a slightly right hemisphere bias&#46; At a physiological level&#44; amplitude reductions might reflect smaller postsynaptic potentials in the same neurons&#44; activation of fewer neurons in a population&#44; and&#47;or less temporal synchrony among the generating neurons&#46; This component is altered by context and therefore it is related to language processing&#44; representing a deficit in the integration of elements of language&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">9</span></a> It has been proposed that it is a multimodal system&#44; where a wave of activity begins in the medial posterior temporal gyri&#44; distributing to ventral temporal regions&#59; and later &#40;370&#8211;500<span class="elsevierStyleHsp" style=""></span>ms&#41; to the anterior temporal lobe and to both frontal lobes&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">9</span></a> These processes which depend upon semantic memory are closely related to implicit associations&#46;<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">10&#8211;12</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">Kiehl et al&#46;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">5</span></a> studied semantic processing in psychopaths using N400 and P600 components&#46; They assessed 50 male inmates in a security detention center&#46; The inmates were divided into psychopaths &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>25&#41; and non-psychopaths &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>25&#41; using the PCL-R to classify them&#44; they were both paired in age and years of education&#46; To assess semantic processing&#44; they used a typical N400 paradigm that was made up of one hundred sentences &#40;eight to ten words in length&#41;&#59; sentences ended with a word that was either semantically congruent &#40;50&#37; of trials&#41; or semantically incongruent &#40;50&#37; of trials&#41; with the previous sentence context&#46; They did not find differences in the N400 amplitudes between groups&#46; The authors concluded that the processes that underlie the elicitation of the N400 components during processing of sentences are relatively intact in psychopaths&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">However&#44; previous studies have suggested that abnormalities in language processes are most prevalent when psychopathic individuals are required to perform tasks involving semantic processing&#44; and that they compartmentalize their speech into smaller&#44; more discrete units than do others&#44; differing from others in degree and extent of cognitive processes required to perform language tasks&#44; especially when language processing is related to emotional stimuli&#46;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">13</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">In summary&#44; ERP&#39;s studies in violent psychopaths and individuals with criminal record have reported early latencies in brain stem potentials&#44; an increased latency to increased middle latency ERP and larger visual EP amplitudes that has been linked to novelty seeking&#46; Moreover&#44; it has also been reported&#44; enhanced P3 to task-relevant events&#44; suggesting an excessive attention to this stimulating events&#46;<a class="elsevierStyleCrossRefs" href="#bib0215"><span class="elsevierStyleSup">14&#44;15</span></a> It has been reported a negative component &#40;N350&#41; that non-psychopathic individuals did not elicit during semantic processing tasks&#44; and it has been suggested a semantic&#47;language deficit in this population&#59; however&#44; results are still scarce and inconclusive&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">Currently most studies have been performed in criminal and psychopathic individuals&#44; which are institutionalized in prisons or in mental security facilities whereas studies with violent people among the general population are less common&#44; specially using EEG techniques&#46;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">16</span></a> Therefore&#44; the aim of the present study was to study semantic processing in violent individuals from general population&#46;</p></span></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Material and methods</span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Participants</span><p id="par0055" class="elsevierStylePara elsevierViewall">Sixty adult males from a community sample were recruited and divided into two groups&#58; the violent group &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>30&#41; and the control group &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>30&#41;&#46; Nine individuals were excluded from the study&#59; 6 participants of the control group and 3 from the violent due to excessive artifacts in the ERP recording &#40;greater than 40&#37; of trials&#41;&#46; Thus&#44; leaving a sample made up of 24 control individuals and 27 from the violent group&#46;</p><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">The control group</span><p id="par0060" class="elsevierStylePara elsevierViewall">The control group was comprised of 24 healthy individuals who did not reach the cutoff point in the RPQ &#40;Reactive and Proactive Aggression Questionnaire<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">17</span></a>&#41; scores above eight points in the reactive aggression subscale&#46; In reference to violent behavior&#44; individuals with a history of physical violence or a criminal record were excluded from this group&#59; moreover&#44; subjects with any psychiatric or neurological disorder were also excluded from this study&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">The violent group</span><p id="par0065" class="elsevierStylePara elsevierViewall">27 healthy individuals belonged to this group provided they scored above the cutoff point in the RPQ &#40;scores under eight points in the reactive aggression subscale and&#47;or three points in the proactive subscale&#41;&#46; In reference to violent behavior&#44; we considered point of the RPQ scale and the number of violent episodes and&#47;or criminal&#44; including criminal antecedents such as minor infractions&#44; physical fights&#44; being gang members&#44; using weapons&#46; Subjects with any psychiatric or neurological disorder were excluded from the study&#46;</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Materials</span><p id="par0070" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleItalic">The Reactive and Proactive Aggression Questionnaire &#40;RPQ&#41;</span> is a screening questionnaire that reflects physical or verbal aggression&#46; It is made up by 23 items&#44; 11 refer to reactive aggression and 12 to proactive aggression&#46; We used the Spanish version of the Reactive and Proactive Aggression Questionnaire &#40;RPQ&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">18</span></a> Subjects scoring above eight points in the reactive aggression subscale were classified as violent&#44; with a cutoff adjusted for Mexican population&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Stimuli</span><p id="par0075" class="elsevierStylePara elsevierViewall">We used a semantic pairing task composed of one hundred sentences made up of one adjective &#40;i&#46;e&#46; <span class="elsevierStyleItalic">nice</span>&#41; and a transitive verb &#40;i&#46;e&#46; <span class="elsevierStyleItalic">to help</span>&#41;&#46; We included only transitive verbs because they express an action that the subject performs directly to another person or object&#46; The sentences were presented one word at a time &#40;450<span class="elsevierStyleHsp" style=""></span>ms stimulus duration and 1000<span class="elsevierStyleHsp" style=""></span>ms ISI&#41; on a computer monitor&#46; Sentences ended with a word that was either semantically congruent &#40;50&#37; of trials&#41; or semantically incongruent &#40;50&#37; of trials&#41; with the previous sentence context &#40;adjective&#41;&#46; The order of sentence presentation was random&#46; All stimuli were presented in white on a black background&#44; within a continuously displayed outline of a white rectangular box&#46; A prompt &#40;three X letters&#41; was presented 1250<span class="elsevierStyleHsp" style=""></span>ms after the offset of the last word to indicate that the participant should make the sense&#47;no sense discrimination&#46; ERPs were analyzed only for correctly classified terminal words&#46; Accuracy was stressed while response speed was de-emphasized&#46;</p><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Event related-potentials recording</span><p id="par0080" class="elsevierStylePara elsevierViewall">Scalp potentials were recorded with tin electrodes &#40;ElectroCap International&#41; placed over 32 positions&#58; FP1&#44; FP2&#44; F7&#44; F3&#44; Fz&#44; F4&#44; F8&#44; T3&#44; C3&#44; Cz&#44; C4&#44; T4&#44; T5&#44; P3&#44; Pz&#44; P4&#44; T6&#44; O1&#44; and O2 from10-20 system&#44; besides FPz&#44; FT7&#44; FT8&#44; FC3&#44; FCz&#44; FC4&#44; TP7&#44; TP8&#44; CP3&#44; CPz&#44; CP4&#44; and Oz electrode sites&#46; All EEG electrodes were referenced to linked earlobes&#46; Electrical impedances were maintained below 5<span class="elsevierStyleHsp" style=""></span>k&#937; throughout the experiment&#46; The EEG signals &#40;NuAmp&#44; Neuroscan&#41; were amplified and filtered with a bandpass of 0&#46;1&#8211;30<span class="elsevierStyleHsp" style=""></span>Hz&#44; digitized at 1024<span class="elsevierStyleHsp" style=""></span>Hz sampling rate&#44; and stored on a hard disk&#46; The epoch length was 1024<span class="elsevierStyleHsp" style=""></span>ms with a 100<span class="elsevierStyleHsp" style=""></span>ms pre-stimulus baseline and 924<span class="elsevierStyleHsp" style=""></span>ms post stimulus&#46; After exclusion of 9 participants due to excessive artifacts&#44; there were no significant group differences in the number of trials averaged in any condition&#46; Data was stored for further analysis using SCAN program in 4&#46;3&#46;1&#46; version&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">ERPs processing</span><p id="par0085" class="elsevierStylePara elsevierViewall">Once the EEG activity was recorded&#44; we conducted a visual inspection of the recording with the aim of eliminating artifacts&#46; Afterwards&#44; the epochs which amplitude exceeded the range &#177;50<span class="elsevierStyleHsp" style=""></span>&#956;V were automatically eliminated&#46; Then&#44; we corrected the baseline of each epoch&#44; taking into account the average of the pre-stimulus activity&#44; and subtracting this average from each epoch&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Averaging</span><p id="par0090" class="elsevierStylePara elsevierViewall">Finally&#44; we averaged the 1024 points of each epoch&#44; obtaining an average for each electrode and condition &#40;congruent and incongruent&#41;&#46; Every ERP was filtered off-line using a FIR &#40;Finite Impulse Response&#41; analogical filter with a broad band of 0&#46;1<span class="elsevierStyleHsp" style=""></span>Hz and 12<span class="elsevierStyleHsp" style=""></span>Hz using a slope of 48<span class="elsevierStyleHsp" style=""></span>dB&#47;octave&#44; all with the purpose of highlighting the main components of the ERPs&#46; Afterwards the grand averages were made for each condition and group&#46;</p></span></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Procedure</span><p id="par0095" class="elsevierStylePara elsevierViewall">All subjects signed a written informed consent for this study and were guaranteed confidentiality of the information they provided&#46; Ethics Committees of the participant institutions approved the study&#46; Participants were assessed at the Laboratory of Neuropsychology and Psychophysiology in the Faculty of Psychology at the National Autonomous University of Mexico&#46; Assessments were carried out by 5 psychologists previously trained and it consisted of three sessions of 2&#46;5<span class="elsevierStyleHsp" style=""></span>h each&#46; In the first session&#44; a clinical history was applied to obtain details about the life history of the participant and&#47;or to dismiss those with neurological and psychiatric conditions&#46; In the second session&#44; a neuropsychological evaluation was carried out&#44; and in the third session&#44; electrophysiological assessment was conducted using EEG and Event Related Potentials recording&#46; For the aims of the present study&#44; only the data from the first and the third session was analyzed&#46;</p><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Data analyses</span><p id="par0100" class="elsevierStylePara elsevierViewall">We used a repeated-measures &#91;Group &#40;violent&#44; control&#41;<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>condition &#40;congruent&#44; incongruent&#41;&#93; ANOVA&#46; The N400 is typically measured as the most negative peak amplitude in the 200&#8211;600<span class="elsevierStyleHsp" style=""></span>ms post-stimulus time window in the difference wave of incongruent minus congruent conditions&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">9</span></a> However&#44; several studies of the N400 component in psychopathologic populations have shown that relying solely on the difference wave can direct to misleading results&#46;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">19</span></a> Thus&#44; separate analyses were performed on the peak amplitude of the N400 difference wave and the original peaks from the incongruent and congruent conditions&#46; Separate ANOVAs were performed on midline &#40;Fz&#44; Fcz&#44; Cz&#44; Pz&#44; and Oz&#41;&#44; medial &#40;Fp1&#44; Fp2&#44; F3&#44; F4&#44; Fc3&#44; Fc4&#44; C3&#44; C4&#44; P3&#44; P4&#44; O1 and O2&#41; and lateral sites &#40;F7&#44; F8&#44; Ft7&#44; Ft8&#44; T3&#44; T4&#44; Tp7&#44; Tp8&#44; T5 and T6&#41;&#46; The first set of ANOVAs for the difference wave included factors of Group &#40;violent and control&#41;&#44; and Site &#40;electrode derivations in each line&#41;&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">For medial and lateral sites ANOVAs there was an additional factor of Hemisphere &#40;right&#58; even numbered channels and left&#58; odd numbered channels&#41;&#46; For the second set of ANOVAs for the peak amplitude analyses there was an additional factor of Condition &#40;Congruent and Incongruent&#41;&#46; The Geisser&#8211;Greenhouse correction was employed where appropriate<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">20</span></a> and a significance level of <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>0&#46;05 was set&#44; corrected for multiple comparisons using Bonferroni&#46; Only the statistically significant results are presented in this study&#46;</p></span></span></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0145">Results</span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0150">Behavioral data</span><p id="par0110" class="elsevierStylePara elsevierViewall">There were no significant group differences in the number of errors committed &#40;congruent&#58; <span class="elsevierStyleItalic">F</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;420&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;52&#59; incongruent&#58; <span class="elsevierStyleItalic">F</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#46;015&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;90&#41; or in the reaction time &#40;congruent correct answers&#58; <span class="elsevierStyleItalic">F</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;1&#46;22&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;28&#59; incongruent answers&#58; <span class="elsevierStyleItalic">F</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;178&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;67&#59; congruent errors&#58; <span class="elsevierStyleItalic">F</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;364&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;55&#59; incongruent errors &#40;<span class="elsevierStyleItalic">F</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;896&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;36&#41;&#41;&#46;</p></span><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0155">Event-related potentials</span><p id="par0115" class="elsevierStylePara elsevierViewall">Grand-mean ERPs for congruent terminal words&#44; incongruent terminal words and for the incongruent-congruent difference waves are presented for violent and control groups &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; We observed that the control group elicited differential activity for congruent and incongruent terminal words&#44; particularly in centro-parietal areas and more accurate in the left hemisphere&#59; meanwhile we found that the violent group hardly produced different activity for congruent and incongruent words&#44; neither differences between both hemispheres&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0090" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0160">N400 difference wave</span><p id="par0120" class="elsevierStylePara elsevierViewall">Across all participants we found a main effect of site &#91;<span class="elsevierStyleItalic">F</span>&#40;5&#44; 250&#41;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;869&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;044&#93; in the midline&#44; where the N400 was largest at centro-parietal sites&#46; Between groups&#44; we found differences in medial and lateral sites&#46; In medial site we found differences in all electrodes except in the prefrontal derivations &#40;Fp1-Fp2&#41; &#91;interaction site&#42;group <span class="elsevierStyleItalic">F</span>&#40;6&#44; 282&#41;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#46;007&#59; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;020&#93;&#44; and in lateral site we found differences in temporal derivations &#40;anterior and posterior&#41;&#44; as well as in temporal&#8211;parietal derivations &#91;interaction site<span class="elsevierStyleHsp" style=""></span>&#42;<span class="elsevierStyleHsp" style=""></span>group <span class="elsevierStyleItalic">F</span>&#40;4&#44; 212&#41;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>5&#46;108&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;009&#93; &#40;see <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#59; there were no differences between groups in midline&#46; Within groups we found that&#44; in medial site&#44; prefrontal derivations were different from the rest in the control group and there were no differences in the violent group&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia></span><span id="sec0095" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0165">N400 peak analyses</span><p id="par0125" class="elsevierStylePara elsevierViewall">We found differences between groups in all three line sites to congruent terminal words&#58; midline &#91;interaction condition<span class="elsevierStyleHsp" style=""></span>&#42;<span class="elsevierStyleHsp" style=""></span>group <span class="elsevierStyleItalic">F</span>&#40;1&#44; 50&#41;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>27&#46;163&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>0&#46;000&#93;&#59; medial &#91;interaction condition<span class="elsevierStyleHsp" style=""></span>&#42;<span class="elsevierStyleHsp" style=""></span>group <span class="elsevierStyleItalic">F</span>&#40;1&#44; 47&#41;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>17&#46;148&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>0&#46;000&#93;&#59; and lateral &#91;interaction condition<span class="elsevierStyleHsp" style=""></span>&#42;<span class="elsevierStyleHsp" style=""></span>group <span class="elsevierStyleItalic">F</span>&#40;1&#44; 53&#41;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>9&#46;235&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;004&#93; &#40;see <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#41;&#46; We created a brain mapping of the activity from the two conditions in each group&#44; and we observed &#40;as it was expected&#41; negative activity to the incongruent condition and more positive activity to the congruent condition in the control group&#59; conversely&#44; in the violent group we observed negative activity produced to the congruent condition and less positive activity to the incongruent condition&#59; exhibiting a very similar activity on both conditions &#40;see <a class="elsevierStyleCrossRefs" href="#fig0010">Figs&#46; 2 and 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0130" class="elsevierStylePara elsevierViewall">Within groups we found that the control group differentiated the congruent from the incongruent condition in all line sites&#46; There were differences to the congruent condition in the centro-parietal electrodes &#40;in medial site&#41;&#46; In the violent group we found that they differentiated between conditions only in the midline site&#44; and in the congruent condition&#44; we found differences in prefrontal&#44; frontal&#44; and fronto-central derivations&#59; in the incongruent condition we found differences between frontal and fronto-central derivations &#91;interaction site<span class="elsevierStyleHsp" style=""></span>&#42;<span class="elsevierStyleHsp" style=""></span>condition<span class="elsevierStyleHsp" style=""></span>&#42;<span class="elsevierStyleHsp" style=""></span>group <span class="elsevierStyleItalic">F</span>&#40;6&#44; 282&#41;<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#46;007&#44; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;020&#93;&#46;</p></span></span><span id="sec0100" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0170">Discussion</span><p id="par0180" class="elsevierStylePara elsevierViewall">The aim of this study was to explore semantic processing in violent individuals from general population&#46; In accordance with previous studies&#44; we found a main effect of hemisphere&#44; with a larger effect over the right hemisphere&#46;<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">5&#44;21</span></a></p><p id="par0140" class="elsevierStylePara elsevierViewall">When we analyzed the N400 effect&#44; we found differences between groups in medial and lateral sites&#44; specifically in temporal and parietal derivations&#46; Within groups&#44; we found that in the control group&#44; the prefrontal derivations were different from the rest&#44; whereas in the violent group there were no differences between electrodes&#46; This results are not in accordance to Kiehl et al&#46;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">5</span></a>&#59; however&#44; they used a different N400 paradigm &#40;a classical N400 paradigm&#41; using sentences with no emotional content&#46; Therefore&#44; our data could be related to the negative component reported previously in individuals with a criminal record N300<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">2&#44;4&#44;7&#44;8</span></a> and to the negative fronto-central component &#40;N350&#41; found in psychopaths&#44; using an emotional content paradigm&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">3</span></a></p><p id="par0145" class="elsevierStylePara elsevierViewall">When we analyzed the N400 conditions &#40;congruent and incongruent&#41; between groups&#44; we found differences in the congruent condition in all three sites &#40;midline&#44; medial&#44; and lateral&#41;&#46; Both groups differentiated the conditions in midline&#44; but in the lateral and in the medial site the violent group showed no differences between conditions&#46; Within groups&#44; in the control group we found the expected event-related potential differentiation between conditions in centro-parietal&#44; frontal&#44; and temporal derivations&#46; Meanwhile&#44; in the violent group these differences were found in temporal and frontal regions&#44; not showing the expected ERP differentiation between conditions in all sites&#46; Moreover&#44; there were no statistical differences in the behavioral responses or in the reaction times between groups&#46; Regarding these results&#44; we believe that control group is using cognitive resources that have been previously associated with the processing of semantic memory&#44; like centro-parietal regions<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">9</span></a> and successfully integrate the information to a context&#44; leading to differentiate between conditions&#46; Meanwhile&#44; the violent group appeals to frontal areas&#44; suggesting probably a stronger cognitive demand for them&#44;<a class="elsevierStyleCrossRefs" href="#bib0260"><span class="elsevierStyleSup">22&#44;23</span></a> and not fully succeed at the differentiation task&#44; since they can behaviorally discriminate between conditions but they do not show the expected ERP differentiation&#46; These results have been previously reported in psychopathic individuals&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">3</span></a></p><p id="par0150" class="elsevierStylePara elsevierViewall">Additionally&#44; we observed that the violent group generated negative activity during the congruent condition&#44; and a lesser negativity under the incongruent&#46; Previous studies in schizophrenic individuals with N400 have reported the same negative activity during congruent stimuli&#46;<a class="elsevierStyleCrossRefs" href="#bib0250"><span class="elsevierStyleSup">20&#44;24</span></a> They have proposed that this excessive negativity under congruent conditions is the reason why the N400 difference wave has a lesser amplitude&#44; suggesting that the greater amplitudes found in both conditions &#40;congruent and incongruent&#41; might reflect a deficient processing in the contextual integration that&#39;s language related&#44; representing a disturbance in the integration of elements in language&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">It has been previously suggested that violent behavior is the result of an interaction of several biological&#44; cognitive and social factors&#46;<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">25</span></a> According to our results&#44; we could be in line with the idea of a different&#44; less efficient processing in violent individuals&#46; This deficiency starts in early stages of cognitive processing &#40;milliseconds&#41;&#44; previous to the behavioral response&#44; and even though they can respond behaviorally accurate&#44; this may be leading them toward a less efficient way of cognitive functioning&#44; affecting other cognitive processes like decision making&#44; integration of lexical elements into a context &#40;language&#41;&#44; and the emotional processing&#44; that has been previously reported in this population&#46;<a class="elsevierStyleCrossRefs" href="#bib0205"><span class="elsevierStyleSup">11&#44;12&#44;15</span></a></p><p id="par0160" class="elsevierStylePara elsevierViewall">In conclusion&#44; our results do support the hypothesis that processes underlying the elicitation of the N400 components during a semantic task with emotional content are impaired in violent individuals&#46; It is probable that the deficiency we found in our violent sample may not be strong enough to lead them to violate social rules&#44; but they are definitely in a higher risk to commit a violent act where the use of their cognitive resources &#40;such as semantic processing&#41; may be less effective than in non-violent individuals&#46; Also&#44; it is of great importance to consider that they can behaviorally respond correctly&#44; but they can&#8217;t show different ERP activity between conditions&#59; this may be the highlight of a neurobiological marker&#46; This treats highly correlate to the neuropsychological deficits consistently reported in these groups&#44; such as impulsivity&#44; planning problems&#44; mental flexibility&#44; inhibition&#44; abstraction and self-emotional regulation&#46;<a class="elsevierStyleCrossRefs" href="#bib0175"><span class="elsevierStyleSup">5&#44;17&#44;26&#8211;31</span></a></p><p id="par0165" class="elsevierStylePara elsevierViewall">Studies concerning this topic using N400 are still scarce and more complementing imaging techniques research are required for a better understanding of the neurobiological basis of violent behavior&#46;</p><span id="sec0105" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0175">Limitations and further research</span><p id="par0170" class="elsevierStylePara elsevierViewall">The present study showed semantic and emotional processing in violent individuals&#44; however our design can be interpreted methodologically as biased because is not a randomized sample since we recruited violent man from the community sample&#46; Therefore we recommend to take this results carefully for generalize this data&#46; Regarded to this issue we propose to make future research in a group of violent inmates and a bigger sample to minimize the biased effect of the sample and so the results become widespread&#46; As well&#44; we believe this work should be complemented with neuroimage data and neuropsychological assessment&#46;</p></span></span><span id="sec0110" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0180">Conflict of interest</span><p id="par0175" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interests&#46;</p></span></span>"
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          "titulo" => "Introduction"
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              "titulo" => "Language and semantic processing in violent population"
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              "titulo" => "N400 studies in violent individuals"
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            0 => array:2 [
              "identificador" => "sec0080"
              "titulo" => "Behavioral data"
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              "titulo" => "Event-related potentials"
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              "identificador" => "sec0090"
              "titulo" => "N400 difference wave"
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              "identificador" => "sec0095"
              "titulo" => "N400 peak analyses"
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              "titulo" => "Limitations and further research"
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          "identificador" => "sec0110"
          "titulo" => "Conflict of interest"
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        9 => array:2 [
          "identificador" => "xack357531"
          "titulo" => "Acknowledgements"
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        10 => array:1 [
          "titulo" => "References"
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      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2017-08-08"
    "fechaAceptado" => "2017-10-18"
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        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1007398"
          "palabras" => array:3 [
            0 => "Semantic processing"
            1 => "Violent behavior"
            2 => "Community sample"
          ]
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      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec1007397"
          "palabras" => array:3 [
            0 => "Procesamiento sem&#225;ntico"
            1 => "Conducta violenta"
            2 => "Poblaci&#243;n general"
          ]
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    "resumen" => array:2 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Background</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Several studies have suggested different brain abnormalities and cognitive impairment in violent individuals&#44; all of them associated with brain areas like the prefrontal and temporal cortex and limbic regions involving executive functions&#44; decision making&#44; language and emotional regulation&#46; However&#44; most studies have focused on EEG quantitative analysis or other components like the P300&#59; additionally&#44; the majority have been performed on forensic samples&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Objective</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">To explore semantic&#47;emotional processing using an N400 paradigm in a general population sample&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Material and methods</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">60 adult males were recruited and divided into two groups&#58; control group &#40;healthy men from the general population&#59; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>30&#41;&#44; violent group &#40;violent men from the general population&#59; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>30&#41;&#46; All subjects were assessed with an aggression questionnaire &#40;RPQ&#59; Raine et al&#46;<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">17</span></a>&#41; to be classified into one of the groups&#46; Repeated-measures &#91;Group &#40;violent&#44; control&#41;<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>condition &#40;congruent&#44; incongruent&#41;&#93; ANOVA was used&#46; Separate analyses were performed on the peak amplitude of the N400 difference wave and the original peaks from the incongruent and congruent conditions&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Results</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We found no significant differences in behavioral responses&#46; However we found that the control group elicited different activity for each condition &#40;congruent and incongruent&#41;&#59; the violent group did not&#46; We found significant differences in the N400 difference wave in medial and lateral lines between the groups&#46; There were differences in the congruent condition in all the lines between groups&#59; there were no differences in the incongruent wave between groups&#46; In the brain mapping we observed that the control group elicited negative activity during the incongruent condition and positive activity during the congruent&#59; meanwhile the violent group elicited similar activity in both conditions&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Conclusions</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Semantic emotional processing is impaired in violent individuals&#44; suggesting deficient processing in the integration of language elements in an emotional context&#46; The biological risk of violence in these individuals is disputed&#46;</p></span>"
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        "resumen" => "<span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Antecedentes</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudios sugieren anormalidades estructurales y cognitivas en individuos violentos&#44; asociadas con la corteza pre frontal&#44; temporal y la am&#237;gdala involucrando funciones ejecutivas&#44; toma de decisiones&#44; lenguaje y regulaci&#243;n emocional&#46; Los estudios han realizado an&#225;lisis cuantitativo &#40;EEG&#41; o an&#225;lisis del P300&#59; adem&#225;s&#44; se han llevado a cabo en muestras forenses institucionalizadas&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Objetivo</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Explorar el procesamiento emocional&#47;sem&#225;ntico utilizando un paradigma de N400 en una muestra de la poblaci&#243;n general&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Material y m&#233;todo</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Participaron 60 hombres adultos divididos en dos grupos&#58; grupo control &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>30&#41;&#44; grupo violento &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>30&#41;&#46; Los sujetos fueron clasificados de acuerdo a la escala de agresi&#243;n reactiva y proactiva &#40;RPQ&#59; Raine A&#44; Dodge K&#44; Loeber R&#46; et al&#46;&#44; 2006&#41;&#46; Se utiliz&#243; una ANOVA de medidas repetidas &#91;Grupo &#40;violento&#44; control&#41; x condici&#243;n &#40;congruente&#44; incongruente&#41;&#93;&#46; Se realizaron an&#225;lisis por separado para la diferencia de la amplitud N400&#44; y para los picos originales &#40;congruente e incongruente&#41;&#46;</p></span> <span id="abst0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Resultados</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">No se encontraron diferencias significativas en las respuestas conductuales entre los grupos&#46; Sin embargo&#44; el grupo control genera actividad diferencial para cada condici&#243;n&#44; mientras que el grupo violento no&#46; Se observaron diferencias en la diferencia de la amplitud del N400 derivaciones mediales y de la l&#237;nea media&#46; Tambi&#233;n se encontraron diferencias en las 3 l&#237;neas de electrodos en la condici&#243;n congruente&#46; No se encontraron diferencias entre los grupos en la condici&#243;n incongruente&#46; Con un mapeo cerebral se observ&#243; que el grupo control genera actividad negativa durante el procesamiento del est&#237;mulo incongruente y actividad positiva durante el congruente&#44; mientras que el grupo control gener&#243; actividad similar ante ambas condiciones&#46;</p></span> <span id="abst0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conclusiones</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">El procesamiento sem&#225;ntico emocional se encuentra afectado en los individuos violentos&#44; sugiriendo un procesamiento deficiente en la integraci&#243;n de los elementos del lenguaje en un contexto emocional&#46; Se discute el posible riesgo biol&#243;gico en estos individuos para la comisi&#243;n de conductas violentas&#46;</p></span>"
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          "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">On the left we showed the grand-mean ERPs of the control group&#44; and to the right the violent group&#46; In gray is the wave activity for congruent terminal words&#44; and in black we show the wave activity for incongruent terminal words&#46;</p>"
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