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Pain and attention: attentional disruption or distraction?

UNLABELLED: The effect of pain processing on attention capacity during visual search was examined in 2 experiments. In the first experiment, we investigated whether pain draws on the same limited resources as attentional task performance. It was hypothesized that pain would negatively affect task performance under different load manipulations. Low and high load conditions of a visual search task were presented in a mixed design combined with a painfully cold or neutral cold pressor test. Performance was not affected by pain. In experiment 2, low and high load conditions were separated in different blocks to study whether pain perception was affected when task load could be anticipated. Again, pain did not significantly affect task performance. In contrast, subjective pain intensity scores were significantly lower after performing the high load compared with the low load condition. Simultaneous recordings of event-related potentials indicated an increased negativity during the pain compared with the control condition. Also, in the early (350 to 450 msec) interval of event-related potentials, an increase in negativity was found for the high load compared with the low load condition. Topographic distributions suggested that pain and task load are mediated by qualitatively different resources. PERSPECTIVE: Our findings indicate that highly demanding attentional task performance and pain processing interfere as a result of difficulties in allocating attention. The clinical relevance of this finding is that performing a highly demanding task might distract attention from pain.

Adult↗

Directing spatial attention in mental representations: Interactions between attentional orienting and working-memory load.

Orienting spatial attention to locations in the extrapersonal world has been intensively investigated during the past decades. Recently, it was demonstrated that it is also possible to shift attention to locations within mental representations held in working memory. This is an important issue, since the allocation of our attention is not only guided by external stimuli, but also by their internal representations and the expectations we build upon them. The present experiment used behavioural measures and event-related functional magnetic resonance imaging to investigate whether spatial orienting to mental representations can modulate the search and retrieval of information from working memory, and to identify the neural systems involved, respectively. Participants viewed an array of coloured crosses. Seconds after its disappearance, they were cued to locations in the array with valid or neutral cues. Subsequently, they decided whether a probe stimulus was presented in the array. The behavioural results indicated that orienting of spatial attention within working memory attenuates the well-known effect of decreasing performance when memory load is increased. So "internal" spatial orienting seems to highlight information or facilitate search within working memory, which leads to advantages in retrieval. Imaging enabled the separation of brain areas supporting spatial orienting functions from those sensitive to working-memory load. Orienting of spatial attention to the contents of working memory activated posterior parietal cortex bilaterally, the insula, and lateral and medial frontal cortices.

Adult↗

Limits of attentive tracking reveal temporal properties of attention.

The maximum speed for attentive tracking of targets was measured in three types of (radial) motion displays: ambiguous motion where only attentive tracking produced an impression of direction, apparent motion, and continuous motion. The upper limit for tracking (about 50 deg s-1) was an order of magnitude lower than the maximum speed at which motion can be perceived for some of these stimuli. In all cases but one, the ultimate limit appeared to be one of temporal frequency, 4-8 Hz, not retinal speed or rotation rate. It was argued that this rate reflects the temporal resolution of attention, the maximum rate at which events can be individuated from those that precede or follow them. In one condition, evidence was also found for a speed limit to attentive tracking, a maximum rate at which attention could follow a path around the display.

Attention↗

Usability of a theory of visual attention (TVA) for parameter-based measurement of attention I: evidence from normal subjects.

The present study investigated the usability of whole and partial report of briefly displayed letter arrays as a diagnostic tool for the assessment of attentional functions. The tool is based on Bundesen's (1990, 1998, 2002; Bundesen et al., 2005) theory of visual attention (TVA), which assumes four separable attentional components: processing speed, working memory storage capacity, spatial distribution of attention, and top-down control. A number of studies (Duncan et al., 1999; Habekost & Bundesen, 2003; Peers et al., 2005) have already demonstrated the clinical relevance of these parameters. The present study was designed to examine whether (a) a shortened procedure bears sufficient accuracy and reliability, (b) whether the procedures reveal attentional constructs with clinical relevance, and (c) whether the mathematically independent parameters are also empirically independent. In a sample of 35 young healthy subjects, we found high intraparameter correlations between full- and short-length tests and sufficient internal consistencies as measured via a bootstrapping method. The clinical relevance of the TVA parameters was demonstrated by significant correlations with established clinical tests measuring similar constructs. The empirical independence of the four TVA parameters is suggested by nonsignificant or, in the case of processing speed and working memory storage capacity, only modest correlations between the parameter values.

Adult↗

The structure of attentional control: contingent attentional capture by apparent motion, abrupt onset, and color.

Five spatial cuing experiments tested 2 hypotheses regarding attentional capture: (a) Attentional capture is contingent on endogenous attentional control settings, and (b) attentional control settings are limited to the distinction between dynamic and static discontinuities (C. L. Folk, R. W. Remington, & J. C. Johnston, 1992). In Experiments 1 and 2, apparent-motion precues produced significant costs in performance for targets signaled by motion but not for targets signaled by color or abrupt onset. Experiment 3 established that this pattern is not due to differences in the difficulty of target discrimination. Experiments 4 and 5 revealed asymmetric capture effects between abrupt onset and apparent motion related to stimulus salience. The results support the hypotheses of Folk et al. (1992) and suggest that stimulus salience may also play a role in attentional capture.

Adolescent↗

Attention to visual pattern information produces the attentional blink in rapid serial visual presentation.

To-investigate the temporal allocation of attention, a series of 7 experiments using rapid serial visual presentation (RSVP) was designed to examine the relationship of the attentional demands of various target tasks to the production of the subsequent visual attentional deficit, or "attentional blink" (AB), recently reported by J. E. Raymond, K. L. Shapiro, and K. M. Arnell (1992). The principal finding is that AB occurs only when a target is an object and does not occur when the target is defined by a temporal interval. Target detection difficulty as estimated by d' analysis reveals no relationship between the attentional demands of the target and the production of the AB. A late-selection account of this phenomenon is offered in place of the early-selection account advanced in Raymond et al.'s previous report.

Adult↗

The attentional demands of encoding and retrieval in younger and older adults: 1. Evidence from divided attention costs.

Four studies examined the effects of divided attention in younger and older adults. Attention was divided at encoding or retrieval in free recall (Experiment 1), cued recall (Experiments 2 and 3), and recognition (Experiment 4). Dividing attention at encoding disrupted memory performance equally for the two age groups; by contrast, for both age groups, dividing attention at retrieval had little or no effect on memory performance. Secondary task reaction times (RTs) were slowed to a greater extent for the older adults than for the younger adults, especially at retrieval. Age-related differences in RT costs at retrieval were largest in free recall, smaller in cued recall, and smallest in recognition. These results provide evidence for an age-related increase in the attentional demands of encoding and retrieval.

Adult↗

A psychophysical measure of attention deficit in children with attention-deficit/hyperactivity disorder.

The authors explored the temporal mechanism of attention deficit in children with attention-deficit/hyperactivity disorder (ADHD). In rapid serial visual presentation tasks in which two targets (T-sub-1 and T-sub-2) were presented in close temporal proximity among distractors, participants tried to identify T-sub-1 and detect T-sub-2 in one (dual-task) experiment and only to detect T-sub-2 in a second control (single-task) experiment. The sensitivity of T-sub-2 detection was analyzed using signal detection theory. The attentional blink--the impairment in T-sub-2 detection following the identification of T-sub-1--was increased in magnitude and protracted in the patients. Moreover, some ADHD children appeared to have a blink largely normal in magnitude but temporally displaced toward a later time. The authors hypothesize that a slower closing of the attention gate may mediate this specific attention impairment in ADHD children.

Attention Deficit Disorder with Hyperactivity↗

How does attention select and track spatially extended objects? New effects of attentional concentration and amplification.

Real-world situations involve attending to spatially extended objects, often under conditions of motion and high processing load. The present experiments investigated such processing by requiring observers to attentionally track a number of long, moving lines. Concurrently, observers responded to sporadic probes as a measure of the distribution of attention across the lines. The results revealed that attention is concentrated at the centers of lines during tracking, despite their uniformity, and that this center advantage grew as the lines became longer: Not only did observers get worse near the endpoints, but they became better at the lines' centers, as if attention became more concentrated as the objects became more extended. These results begin to show how attention is flexibly allocated in online visual processing to extended dynamic objects.

Attention↗

Linguistic attention control: attention shifting governed by grammaticized elements of language.

In 2 experiments, the authors investigated attention control for tasks involving the processing of grammaticized linguistic stimuli (function words) contextualized in sentence fragments. Attention control was operationalized as shift costs obtained with adult speakers of English in an alternating-runs experimental design (R. D. Rogers & S. Monsell, 1995). Experiment 1 yielded significant attention shift costs between tasks involving judgments about the meanings of grammatical function words. The authors used a 3-stage experimental design (G. Wylie & A. Allport, 2000), and the emerging pattern of results implicated task set reconfiguration and not task set inertia in these shift costs. Experiment 2 further demonstrated that shift costs were lower when the tasks involved shared attentional resources (processing the same grammatical dimension) versus unshared resources (different grammatical dimensions). The authors discuss the results from a cognitive linguistic perspective and for their implications for the view that language itself can serve a special attention-directing function.

Attention↗

Attention to combined attention in new world monkeys (Cebus apella, Saimiri sciureus).

Co-orientation by capuchin (Cebus apella) and squirrel (Saimiri sciureus) monkeys in response to familiar humans abruptly switching the direction of their visual attention was recorded. Co-orientation occurred more frequently overall in capuchins than squirrel monkeys. Capuchins showed a tendency to habituate within trials involving consecutive attention switches performed by 2 different people, whereas squirrel monkeys co-oriented more when the 2nd attention switch was by a 2nd actor. These results suggest variable attention-processing abilities in New World monkeys, including differences in summation of attention by others.

Animals↗

Nonspatial visual attention explained by spatial attention plus limited storage.

The use of nonspatial attentional mechanisms in search tasks was investigated by presenting observers with stimuli that contained 4-12 elements located on a circle around the fixation point. The elements differed in one of six nonspatial 'dimensions', namely orientation, contrast, scale, number of cycles, 'shape', and place in the alphabet. The target element of the search task differed from trial to trial but was always presented to the observer as a nonspatial, visual cue. This cue was displayed either before the stimulus (precue) or after the stimulus (postcue). Whereas a precue creates optimal conditions for the use of nonspatial attentional mechanisms, a postcue precludes benefits from their use. The fact that performance was better in the case of precued stimuli than in the case of postcued stimuli indicates that observers employed nonspatial attentional mechanisms. In the final analysis, however, the effect of nonspatial attention reduces to spatial attention in combination with limited storage capacity.

Attention↗

Directed and divided attention in Alzheimer's disease: impairment in shifting of attention to global and local stimuli.

This study investigated the relative performance of Alzheimer's disease (AD) patients and normal controls on directed and divided attention reaction time (RT) tasks that involved the use of global-local stimuli (e.g., a large '1' made from small '2s'). Relative to normals, AD patients displayed disproportionately greater impairment on the divided attention task compared to the directed attention task. On the divided attention task, when the target remained at the same global-local level across consecutive trials, the AD patients displayed a greater facilitation effect than did the controls when responding to the second stimulus. However, when the target changed levels across consecutive trials (i.e., from the global to the local, or vice versa) the AD patients' RTs to the second stimulus were disproportionately slower than were the controls' RTs. These results demonstrated that AD patients are impaired in disengaging and shifting attention across levels of perceptual organization within the same stimulus.

Aged↗

Attentive and pre-attentive periodicity analysis in auditory memory: an event-related brain potential study.

In an event-related potential (ERP) study we presented human subjects with streams of repetitive white noise (semi-periodic noise) under attend and ignore conditions to investigate whether the perception of the periodicity with short cycle-lengths is due to lower level, pre-attentive sensory memory processing or higher level, attentive working memory processing. The ERPs of both conditions reveal N1-like deflections that are time locked on the semi-periodic noise suggesting that the processing of the periodicity is due to a pre-attentive rather than an attentive process. The topography of the deflections suggests that its generators are located in the supratemporal plane. Additionally, the ERPs elicited by infrequent disruptions in the periodicity show differences between the conditions suggesting that the detection of disruptions in periodicity is facilitated by attention.

Adult↗

Neural correlates of pre-attentive and attentive processing of visual changes.

To identify electrophysiological correlates of pre-attentive and attentive processing of visual changes, we compared event-related brain potentials in response to color changes at attended and unattended spatial locations using a visual S1-S2 matching task. The results showed that compared to no change, change stimuli elicited occipito-temporal positivity at around 100-160 ms (change-related positivity) and subsequent central negativity at around 220-300 ms (N270). Change-related positivity was observed in response to changes at both attended and unattended locations, while N270 was observed only when attention was directed to the location of the changes. These results suggest that change-related positivity reflects the pre-attentive processing of visual changes and N270 reflects the attentive processing of visual changes in the human brain.

Adult↗

Distinct capacity limits for attention and working memory: Evidence from attentive tracking and visual working memory paradigms.

A hallmark of both visual attention and working memory is their severe capacity limit: People can attentively track only about four objects in a multiple object tracking (MOT) task and can hold only up to four objects in visual working memory (VWM). It has been proposed that attention underlies the capacity limit of VWM. We tested this hypothesis by determining the effect of varying the load of a MOT task performed during the retention interval of a VWM task and comparing the resulting dual-task costs with those observed when a VWM task was performed concurrently with another VWM task or with a verbal working memory task. Instead of supporting the view that the capacity limit of VWM is solely attention based, the results indicate that VWM capacity is set by the interaction of visuospatial attentional, central amodal, and local task-specific sources of processing.

Attention↗

The wide attentional window: a major deficit of children with attention difficulties.

The present study assessed visual selective attention in children with attention difficulties compared to age-matched, typically achieving children. We used the flanker task, which requires participants to respond to a central target flanked by distractors, and the feature and conjunction visual search, which requires participants to search for a predesignated target embedded among a variable number of distractors. The results showed that children with attention difficulties encountered major problems only when responding to a central target flanked by adjacent incongruent distractors and when searching for a conjunctive target in a high-density display. These results suggest that children with attention difficulties have a characteristic inability to restrict visual attention to a limited spatial area so as to selectively process relevant information while effectively ignoring distracting information.

Attention Deficit Disorder with Hyperactivity↗

Attention to features precedes attention to locations in visual search: evidence from electromagnetic brain responses in humans.

Single-unit recordings in macaque extrastriate cortex have shown that attentional selection of nonspatial features can operate in a location-independent manner. Here, we investigated analogous neural correlates at the neural population level in human observers by using simultaneous event-related potential (ERP) and event-related magnetic field (ERMF) recordings. The goals were to determine (1) whether task-relevant features are selected before attention is allocated to the location of the target, and (2) whether this selection reflects the locations of the relevant features. A visual search task was used in which the spatial distribution of nontarget items with attended feature values was varied independently of the location of the target. The presence of task-relevant features in a given location led to a change in ERP/ERMF activity beginning approximately 140 msec after stimulus onset, with a neural origin in the ventral occipito-temporal cortex. This effect was independent of the location of the actual target. This effect was followed by lateralized activity reflecting the allocation of attention to the location of the target (the well known N2pc component), which began at approximately 170 msec poststimulus. Current source localization indicated that the allocation of attention to the location of the target originated in more anterior regions of occipito-temporal cortex anterior than the feature-related effects. These findings suggest that target detection in visual search begins with the detection of task-relevant features, which then allows spatial attention to be allocated to the location of a likely target, which in turn allows the target to be positively identified.

Adult↗