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PubMed2004

Attentional effects on contrast discrimination in humans: evidence for both contrast gain and response gain.

In order to understand how attention affects visual processing, we investigated the degree to which attention effects can be accounted for by increases in the contrast gain of the contrast response function, CRF (represented by an increase in effective contrast) vs. increases in the response gain (represented by an overall amplification of response). To this end, we used a dual-task paradigm to compare psychophysical "threshold vs. pedestal contrast" (TvC) curves obtained under conditions of full- vs. poor-attention. The attention effect, defined as the ratio of thresholds for poor- vs. full-attention conditions, was roughly four-fold at a pedestal contrast of 0% (i.e., at detection threshold) and there was a significant decrease in attention effect with increasing pedestal contrast, from approximately ten-fold at the lowest non-zero pedestal contrast tested (0.25%) to three-fold at the highest pedestal contrast tested (64%). These findings are consistent with the existence of both contrast gain effects of attention (needed to account for the substantial attention effect at detection threshold and the decrease in attention effect with increasing pedestal contrast) as well as response gain effects of attention (needed to account for the fact that attention was beneficial across all pedestal contrasts-rather than harmful at some contrasts, as a pure contrast gain model would predict). The results of a model fitting Naka-Rushton CRF equations to the TvC data also support this conclusion. Here we found a two-fold increase in contrast gain and a five-fold increase in response gain in the CRF for the full-attention, as compared to the poor-attention, condition. Because pure contrast gain effects, on the order of two-fold, have been observed at early stages of visual processing (for example in areas V4 and MT), our psychophysical results suggest a hybrid model of attention; contrast gain control at an early stage of visual processing, followed by response gain control at a later stage.

Attention↗

PubMed1998

Sustained visual-spatial attention produces costs and benefits in response time and evoked neural activity.

This study investigated the simple reaction time (RT) and event-related potential (ERP) correlates of biasing attention towards a location in the visual field. RTs and ERPs were recorded to stimuli flashed randomly and with equal probability to the left and right visual hemifields in the three blocked, covert attention conditions: (i) attention divided equally to left and right hemifield locations; (ii) attention biased towards the left location; or (iii) attention biased towards the right location. Attention was biased towards left or right by instructions to the subjects, and responses were required to all stimuli. Relative to the divided attention condition, RTs were significantly faster for targets occurring where more attention was allocated (benefits), and slower to targets where less attention was allocated (costs). The early P1 (100-140 msec) component over the lateral occipital scalp regions showed attentional benefits. There were no amplitude modulations of the occipital N1 (125-180 msec) component with attention. Between 200 and 500 msec latency, a late positive deflection (LPD) showed both attentional costs and benefits. The behavioral findings show that when sufficiently induced to bias attention, human observers demonstrate RT benefits as well as costs. The corresponding P1 benefits suggest that the RT benefits of spatial attention may arise as the result of modulations of visual information processing in the extrastriate visual cortex.

Adolescent↗

PubMed2000

The nature and staging of attention dysfunction in early (minimal and mild) Alzheimer's disease: relationship to episodic and semantic memory impairment.

The development of cholinergic therapies for Alzheimer's disease (AD) has highlighted the importance of understanding the role of attentional deficits and the relationship between attention and memory in the earliest stages of the disease. Variability in the tasks used to examine aspects of attention, and in the disease severity, between studies makes it difficult to determine which aspects of attention are affected earliest in AD, and how attentional impairment is related to other cognitive modules. We tested 27 patients in the early stages of the disease on the basis of the MMSE (minimal 24-30 corresponding to minimal cognitive impairment, very mild or possible AD in other classifications; and mild 18-23) on a battery of attentional tests aimed to assess sustained, divided, and selective attention, plus tests of episodic memory, semantic memory, visuoperceptual and visuospatial function, and verbal short-term memory. Although the mildly demented group were impaired on all attentional tests, the minimally impaired group showed a preserved ability to sustain attention, and to divide attention based on a dual-task paradigm. The minimally demented group had particular problems with response inhibition and speed of attentional switching. Examination of the relationship between attention and other cognitive domains showed impaired episodic memory in all patients. Deficits in attention were more prevalent than deficits in semantic memory suggesting that they occur at an earlier stage and the two were partially independent. Impairment in visuoperceptual and visuospatial functions and verbal short-term memory were the least common. Although attention is impaired early in AD, 40% of our patients showed deficits in episodic memory alone, confirming that amnesia may be the only cognitive deficit in the earliest stages of sporadic AD.

Aged↗

PubMed1997

An event-related potential (ERP) study of transient and sustained visual attention to color and form.

Event-related potential (ERP) effects of transient and sustained non-spatial visual attention were investigated in an experiment where subjects were instructed to attend to the color or form of visual stimuli in order to detect infrequently presented targets with the relevant feature. The to-be-attended feature was either varied in a trial-by-trial fashion (transient attention) or was kept constant for an entire experimental block (sustained attention). Both transient and sustained attention resulted in a larger negativity for attended as compared to unattended stimuli between 200 and 300 ms post-stimulus. This effect was more pronounced for sustained attention than for transient attention and larger for attention to color than for attention directed to stimulus form. In the sustained, but not in the transient attention condition, color attention resulted in larger positivities for attended stimuli between 150 and 200 ms and in the P3 time range. These effects are interpreted as evidence for the existence of non-spatial attentional selection processes that are more effective under sustained than under transient attention conditions and are different from processes of visual-spatial attention. Moreover, the results indicate a special status for sustained attention to stimulus color.

Adult↗

PubMed2000

Intermodal selective attention in monkeys. II: physiological mechanisms of modulation.

Of all areas studied in the accompanying study, attention effects were most consistent and well resolved in V4. In this study, to define some of the anatomical circuits and neural processes underlying the influence of attention, we examined the laminar distribution and physiology of attention effects in V4 and in two lower areas, V1 and V2. Laminar event-related potential (ERP), current source density (CSD) and multiunit activity (MUA) profiles allowed identification of processes occurring in the local ensembles, as well as their sequence and laminar distribution. These methods also permitted us to analyze the brain processes reflected in attention-sensitive components of the surface ERP. As outlined in the previous study, the first robust modulation by attention occurred in V4 during the 100-300 ms poststimulus interval. This is the time frame of the net refractoriness which follows the net local excitatory response to luminance increment. Over this interval, attention reduced CSD amplitudes and increased action potential firing rates, findings consistent with disinhibition as a mechanism for attention in V4. Similar effects were observed during the 100-300 ms time frame in V2. In V4, attention had no effect on the initial excitatory response at the depth of lamina 4, but it did produce large modulations in supragranular and deep laminae, origins of both feedforward and feedback projections. Attentional modulation in V2 was later than in V4 and concentrated in extragranular laminae, with no modulation of the initial layer 4 response. Attentional modulation in V1 was smaller and still later than that in V2 and was focused in the supragranular laminae. In this paradigm, attention did not modulate either the response in lateral geniculate nucleus (LGN) or the initial excitation in lamina 4C of V1. The timing of effects across areas and the laminar distribution of effects within areas indicate that attention effects are mediated by feedback projections. Moreover, our findings suggest that attention may increase the perceptual salience of stimuli by reducing stimulus-evoked refractoriness and/or inhibition in cortical ensembles. Finally, attentional modulation of transmembrane current flow in V4 produced a sustained negative deflection in the laminar ERP profile, that was manifested in the ERP over the occipital surface. This posits a mechanism for the 'selection negativity', a scalp ERP effect noted under similar experimental conditions in human subjects.

Animals↗

PubMed2003

Attention deficits in patients with narcolepsy.

STUDY OBJECTIVES: Although attention problems are presumably responsible for a wide variety of difficulties patients with narcolepsy experience in everyday life, empirical investigation of this issue is scarce. Therefore, we conducted a systematic investigation of different aspects of attention and verbal memory in patients with narcolepsy. DESIGN: Control-group design with comparison of performance in four attention tests--measuring phasic alertness, focused attention, divided attention, and flexible attention--and one verbal memory test. PARTICIPANTS: 19 patients with narcolepsy (NG) and 20 healthy controls (CG) MEASUREMENTS AND RESULTS: The NG showed no deficits in phasic alertness, focused attention, and verbal memory. However, specific deficits occurred in divided and flexible attention. Furthermore, the NG had generally slower and more variable reaction times in all attention tasks. CONCLUSIONS: Our results contradict the hypothesis that attentional impairments in narcolepsy are merely a result of a temporal disturbance of information processing, i.e., deficits can be explained by slowness and variability of performance alone. Rather, deficits in attentional capacity and attentional control also seem to play an important role. Thus, in addition to impairment in the vigilance attention network, results indicate impairment in the executive attention network in patients with narcolepsy.

Adult↗

PubMed2001

A parametric fMRI study of overt and covert shifts of visuospatial attention.

It has recently been demonstrated that a cortical network of visuospatial and oculomotor control areas is active for covert shifts of spatial attention (shifts of attention without eye movements) as well as for overt shifts of spatial attention (shifts of attention with saccadic eye movements). Studies examining activity in this visuospatial network during attentional shifts at a single rate have given conflicting reports about how the activity differs for overt and covert shifts. To better understand how the network subserves attentional shifts, we performed a parametric study in which subjects made either overt attentional shifts or covert attentional shifts at three different rates (0.2, 1.0, and 2.0 Hz). At every shift rate, both overt and covert shifts of visuospatial attention induced activations in the precentral sulcus, intraparietal sulcus, and lateral occipital cortex that were of greater amplitude for overt than during covert shifting. As the rate of attentional shifts increased, responses in the visuospatial network increased in both overt and covert conditions but this parametric increase was greater during overt shifts. These results confirm that overt and covert attentional shifts are subserved by the same network of areas. Overt shifts of attention elicit more neural activity than do covert shifts, reflecting additional activity associated with saccade execution. An additional finding concerns the anatomical organization of the visuospatial network. Two distinct activation foci were observed within the precentral sulcus for both overt and covert attentional shifts, corresponding to specific anatomical landmarks. We therefore reappraise the correspondence of these two precentral areas with the frontal eye fields.

Adult↗

PubMed1995

Spatial attention and eye movements.

We previously showed that when attention is allocated to the right or left of the fixation point, saccades directed to targets located above or below the fixation point deviate contralateral to the attention locus. In the present study, we examined how general this phenomenon is and whether the amount of saccade deviation depends on the location of attention with respect to that of the saccade target. Three experiments were carried out. In experiment 1 the location of the imperative stimulus was uncued. Its presentation exogenously directed attention to its location. In experiment 2 the location of the imperative stimulus was cued by a central cognitive cue. In this experiment attention was endogenously directed to the imperative stimulus location before its presentation (expectancy paradigm). In experiment 3 all stimulus boxes contained a possible imperative stimulus at the display presentation. A central cue, presented subsequently, indicated which of them had to be used for the saccade. In this experiment attention was endogenously directed to the imperative stimulus, but after its presentation (no-expectancy paradigm). The results showed that, regardless of how attention was directed to the imperative stimulus, the vertical saccades deviated contralateral to the attention location. The deviation was larger when attention was in the upper field and the saccade was directed upward ("same hemifield" condition) than when attention was in the upper field and the saccade was directed downward ("opposite hemifield" condition). The same relationship between the "same hemifield" condition and "opposite hemifield" condition was found when attention was in the lower field. Saccadic reaction times (SRTs) were shortest in experiment 2 and longest in experiment 3. In experiment 2, SRTs of the "same hemifield" condition were significantly longer than those of the "opposite hemifield" condition. Taken altogether, these results strongly support the notion that attention allocation in space leads to an activation of oculomotor circuits, in spite of eye immobility. The possible mechanisms responsible for saccade deviations and for greater saccade deviations when attention is in the same hemifield as the programmed ocular saccade are discussed.

Analysis of Variance↗

PubMed2006

Interactions between endogenous and exogenous attention on cortical visual processing.

Sensory processing is affected by both endogenous and exogenous mechanisms of attention, although how these mechanisms interact in the brain has remained unclear. In the present study, we recorded event-related potentials (ERPs) to investigate how multiple stages of information processing in the brain are affected when endogenous and exogenous mechanisms are concurrently engaged. We found that the earliest stage of cortical visual processing, the striate-cortex-generated C1, was immune to attentional modulation, even when endogenous and exogenous attention converged on a common location. The earliest stage of processing to be affected in this experiment was the late phase of the extrastriate-cortex-generated P1 component, which was dominated by exogenous attention. Processing at this stage was enhanced by exogenous attention, regardless of where endogenous attention had been oriented. Endogenous attention, however, dominated a later, higher-order stage of processing indexed by an enhancement of the P300 that was unaffected by exogenous attention. Critically, between these early and late stages, an interaction was found wherein endogenous and exogenous attention produced distinct, and overlapping, effects on information processing. At the same time that exogenous attention was producing an extended enhancement of the late-P1, endogenous attention was enhancing the occipital-parietal N1 component. These results provide neurophysiological support for theories suggesting that endogenous and exogenous mechanisms represent two attention systems that can affect information processing in the brain in distinct ways. Furthermore, these data provide new evidence regarding the precise stages of neural processing that are, and are not, affected when endogenous and exogenous attentions interact.

Adult↗

PubMed2001

The attentive homunculus: now you see it, now you don't.

The nature of the neural system that directs our attention toward selective items in the extrapersonal world is a longstanding and interesting puzzle. The ability to image the human brain at work non-invasively using positron-emission tomography or functional magnetic resonance has provided the means to investigate this issue. In this article, I review the contributions of brain imaging toward the characterization of attentional control in the human brain. The majority of experiments to date have investigated visual spatial orienting. A consistent pattern of brain areas has been revealed, comprising most notably the posterior parietal cortex around the intraparietal sulcus and frontal regions including the frontal eye fields. The brain areas implicated in the control of visual spatial attention were noted to resemble those involved in the control of eye movements, and direct experimental comparisons supported a tight link between the two systems. The findings suggested a sensible view of the attentional 'homunculus' as a distributed neural system related to the control of eye movements. Eye movements form perhaps the most basic orienting response, and can be shifted rapidly and efficiently based on multiple frames of reference. Some attention experiments using objects and features instead of spatial locations as the target of selection also obtained similar patterns of parietal-frontal activations, rendering further support to this view of the attentional control system. Some recent experiments, however, have cautioned against a premature conclusion regarding the ubiquity of the attentional control system revealed by studies of visual spatial attention. Different parietal and frontal regions become engaged when attention is shifted along non-spatial dimensions, such as when attention is directed toward a particular motor act or toward a specific point in time. In these cases, the neural system resembles those involved in the control of limb movements. The attentional homunculus thus begins to dissolve. The alternative view suggested is that attentional control may be a property of specialized parietal-frontal systems that transform perception into action. Future studies will be needed to validate this view of attention, or to provide a more mature understanding of its true nature.

Attention↗

PubMed1996

Evidence of strategic effects in the modulation of orienting of attention.

Two models of visual orienting of attention are frequently described. Voluntary orienting is usually induced by central cues that direct subjects' attention to a given location in the visual space. Automatic orienting is provoked by presentation of peripheral cues. It is shown that automatic orienting induces greater attentional costs and benefits, and is less under a subject's control (Jonides 1981). Furthermore, it is not similarly affected by factors such as signal eccentricity (Umiltà et al. 1991). The present experiment was undertaken to investigate how sensitive automatic orienting produced by peripheral cues is to voluntary modulations of attention. In experiment 1, subjects facing situations daily in which attentional requirements are high, were compared to non-practiced ones. In experiment 2, other groups of practiced subjects facing high or low attentional-demanding situations were tested. In both experiments, subjects were asked to respond to signals, presented in rapid succession, in one of two possible locations in space, on each side of central fixation point. The cue signal automatically oriented attention to one of the two locations in which a first stimulus was presented with 100% probability; 100 ms after the first response (RT1), a second response signal (RT2) was delivered either in the same location (valid condition) or in the opposite location (invalid condition). Four cue probabilities were manipulated for this second stimulus: 100%/0%, 80%/20%, 50%/50%, and 20%/80%. Two eccentricities of 3 degrees and 6 degrees were tested. RT2 data demonstrated that (1) there was no eccentricity effect; (2) the higher the cue probability, the greater were the attentional costs; (3) the attentional effects were smaller in the practiced subjects who faced attention-demanding situations daily, than in the other groups. Put together, these data suggest that automatic orienting of attention can be modulated by voluntary attentional processes, according to cue probability. Furthermore, experienced subjects seem to be able to better distribute their attentional resources in space, with increased task requirements. The adoption of an optimal criterion might lead to the use of a cost minimizing strategy.

Adult↗

PubMed2003

People with stroke living in the community: Attention deficits, balance, ADL ability and falls.

PURPOSE: To describe levels of attention deficits among people with stroke living in the community and explore relationships between attention, balance, function and falls. METHOD: Forty-eight mobile community-dwelling people with stroke (30 men, 18 women, mean age 68.4 +/- 11.2) were recruited to this cross-sectional investigation through General Practitioners. Twenty-six participants had a right, 21 a left hemisphere infarction and one had a brain stem lesion; mean time since stroke was 46 months (range five to 204). Participants' were interviewed about fall-events; attention, balance and function were assessed using standardised tests. RESULTS: Visual inattention was identified in five participants (10%), deficits of sustained attention in 15 (31%), auditory selective attention in nine (19%), visual selective attention in 17 (35%) and divided attention deficits in 21 participants (43%). Sustained and divided attention scores correlated with balance, ADL ability and fall-status (p < 0.01). The balance and function of subjects with normal attention were better than those with abnormal scores (p < 0.01). Analysis of variance revealed differences between repeat-fallers and non-fallers with no near-falls for divided attention, balance and ADL ability (p < 0.01). CONCLUSIONS: Attention deficits were common among this sample; sustained and divided attention deficits correlated with functional impairments and falls, highlighting that attention deficits might contribute to accident prone behaviour and falling.

Accidental Falls↗

PubMed2000

Intermodal selective attention in monkeys. I: distribution and timing of effects across visual areas.

This study quantified the magnitude and timing of selective attention effects across areas of the macaque visual system, including the lateral geniculate nucleus (LGN), lower cortical areas V1 and V2, and multiple higher visual areas in the dorsal and ventral processing streams. We used one stimulus configuration and behavioral paradigm, with simultaneous recordings from different areas to allow direct comparison of the distribution and timing of attention effects across the system. Streams of interdigitated auditory and visual stimuli were presented at a high rate with an irregular interstimulus interval (mean of 4/s). Attention to visual stimuli was manipulated by requiring subjects to make discriminative behavioral responses to stimuli in one sensory modality, ignoring all stimuli in the other. The attended modality was alternated across trial blocks, and difficulty of discrimination was equated across modalities. Stimulus presentation was gated, so that no stimuli were presented unless the subject gazed at the center of the visual stimulus display. Visual stimuli were diffuse light flashes differing in intensity or color and subtending 12 degrees centered at the point of gaze. Laminar event-related potential (ERP) and current source density (CSD) response profiles were sampled during multiple paired penetrations in multiple visual areas with linear array multicontact electrodes. Attention effects were assessed by comparing responses to specific visual stimuli when attended versus when visual stimuli were looked at the same way, but ignored. Effects were quantified by computing a modulation index (MI), a ratio of the differential CSD response produced by attention to the sum responses to attended and ignored visual stimuli. The average MI increased up levels of the lower visual pathways from none in the LGN to 0.0278 in V1 to 0.101 in V2 to 0.170 in V4. Above the V2 level, attention effects were larger in ventral stream areas (MI = 0. 152) than in dorsal stream areas (MI = 0.052). Although onset latencies were shortest in dorsal stream areas, attentional modulation of the early response was small relative to the stimulus-evoked response. Higher ventral stream areas showed substantial attention effects at the earliest poststimulus time points, followed by the lower visual areas V2 and V1. In all areas, attentional modulation lagged the onset of the stimulus-evoked response, and attention effects grew over the time course of the neuronal response. The most powerful, consistent, and earliest attention effects were those found to occur in area V4, during the 100-300 ms poststimulus interval. Smaller effects occurred in V2 over the same interval, and the bulk of attention effects in V1 were later. In the accompanying paper, we describe the physiology of attention effects in V1, V2 and V4.

Animals↗

PubMed2005

Long-term attention problems in children with traumatic brain injury.

OBJECTIVE: To examine long-term attention problems and their cognitive correlates after childhood traumatic brain injury (TBI). METHOD: Data were drawn from a prospective, longitudinal study conducted between 1992 and 2002. Participants included 41 children with severe TBI, 41 with moderate TBI, and 50 with orthopedic injury (OI), who were all between 6 and 12 years of age at the time of injury. Parent ratings of attention problems were obtained at a long-term follow-up on average 4 years post-injury and compared with ratings of premorbid attention problems obtained shortly after injury. At the long-term follow-up, children also completed several cognitive tests of attention and executive functions. RESULTS: Hierarchical linear and logistic regression analyses indicated that the severe TBI group displayed significantly more attention problems than the OI group at 4 years post-injury, both behaviorally and cognitively, after controlling for race, socioeconomic status, and premorbid attention problems. At long-term follow-up, 46% of the severe TBI group displayed significant attention problems on the Child Behavior Checklist, as opposed to 26% of the OI group (odds ratio=3.38; 95% confidence interval, 1.15-9.94). On the Attention-Deficit/Hyperactivity Disorder Rating Scale, 20% of the severe TBI group displayed clinically significant attention problems compared with 4% in the OI group (odds ratio=9.59; 95% confidence interval, 1.24-73.99). However, group differences in behavioral symptoms were significantly larger for children with more premorbid symptoms than for children with fewer premorbid problems. Measures of executive functions were significantly related to behavioral attention problems, after controlling for group membership, race, and socioeconomic status. CONCLUSIONS: Childhood TBI exacerbates premorbid attention problems. Long-term behavioral symptoms of attention problems are related to the cognitive deficits in attention and executive functions that often occur in association with childhood TBI.

Attention Deficit Disorder with Hyperactivity↗

PubMed2001

Effect of attentive fixation in macaque thalamus and cortex.

Attentional modulation of neuronal responsiveness is common in many areas of visual cortex. We examined whether attentional modulation in the visual thalamus was quantitatively similar to that in cortex. Identical procedures and apparatus were used to compare attentional modulation of single neurons in seven different areas of the visual system: the lateral geniculate, three visual subdivisions of the pulvinar [inferior, lateral, dorsomedial part of lateral pulvinar (Pdm)], and three areas of extrastriate cortex representing early, intermediate, and late stages of cortical processing (V2, V4/PM, area 7a). A simple fixation task controlled transitions among three attentive states. The animal waited for a fixation point to appear (ready state), fixated the point until it dimmed (fixation state), and then waited idly to begin the next trial (idle state). Attentional modulation was estimated by flashing an identical, irrelevant stimulus in a neuron's receptive field during each of the three states; the three responses defined a "response vector" whose deviation from the line of equal response in all three states (the main diagonal) indicated the character and magnitude of attentional modulation. Attentional modulation was present in all visual areas except the lateral geniculate, indicating that modulation was of central origin. Prevalence of modulation was modest (26%) in pulvinar, and increased from 21% in V2 to 43% in 7a. Modulation had a push-pull character (as many cells facilitated as suppressed) with respect to the fixation state in all areas except Pdm where all cells were suppressed during fixation. The absolute magnitude of attentional modulation, measured by the angle between response vector and main diagonal expressed as a percent of the maximum possible angle, differed among brain areas. Magnitude of modulation was modest in the pulvinar (19-26%), and increased from 22% in V2 to 41% in 7a. However, average trial-to-trial variability of response, measured by the coefficient of variation, also increased across brain areas so that its difference among areas accounted for more than 90% of the difference in modulation magnitude among areas. We also measured attentional modulation by the ratio of cell discharge due to attention divided by discharge variability. The resulting signal-to-noise ratio of attention was small and constant, 1.3 +/- 10%, across all areas of pulvinar and cortex. We conclude that the pulvinar, but not the lateral geniculate, is as strongly affected by attentional state as any area of visual cortex we studied and that attentional modulation amplitude is closely tied to intrinsic variability of response.

Analysis of Variance↗

PubMed1997

Right hemisphere dysfunction in subjects with attention-deficit disorder with and without hyperactivity.

The attention-deficit disorder, with and without hyperactivity, is associated with defective attention, response inhibition and, in attention-deficit disorder with hyperactivity, with motor restlessness. In adults, inattention, defective response inhibition, and impersistence are more commonly seen in right hemisphere lesions. In the present study, we investigate possible right hemisphere dysfunctions in attention-deficit disorder with hyperactivity and attention-deficit disorder without hyperactivity. The right hemisphere performance of 60 teenagers, 16 having attention-deficit disorder with hyperactivity, 9 having attention-deficit disorder without hyperactivity, and 35 controls, selected clinically (DSM-III) and experimentally (through Continuous Performance Test and Paced Auditory Addition Task), with normal IQ was assessed using a wide-ranging battery of visuospatial, visuoperceptive, and visuoconstructive functions (Benton's Line Orientation, Benton's Visual Retention, Raven's Progressive Matrices, Wechsler Adult Intelligence Scale [WAIS] Block-Design, Rey's Complex Figure). Teenagers with attention-deficit disorder with and without hyperactivity performed significantly worse than controls. Greater differences were found between subjects with attention-deficit disorder without hyperactivity and control than between subjects with attention-deficit disorder with hyperactivity and control subjects. Our results seem to be consistent with right-hemisphere dysfunction, especially in subjects with attention-deficit disorder without hyperactivity. Additionally, WAIS Block-Design and Benton's Line Orientation are the visuospatial tests with the highest discriminant power to differentiate between controls, subjects with attention-deficit disorder without hyperactivity, and subjects with attention-deficit disorder with hyperactivity.

Adolescent↗

PubMed2001

A pilot study of attention deficits, balance control and falls in the subacute stage following stroke.

OBJECTIVES: To (1) identify and monitor changes in deficits of attention and balance in the subacute stage following stroke, (2) investigate fall events, (3) explore relationships between deficits of attention, balance and falling post stroke. DESIGN: A prospective observational study. SETTING: Hospitalized patients with stroke were recruited from a rehabilitation ward. SUBJECTS: Fourteen subjects were recruited, 13 subjects (age 21-80 years) completed all assessments. Ten had right and three had left hemispheric lesions. Eight subjects were male. MAIN OUTCOME MEASURES: Subjects were assessed on two occasions during a six-week period. Standardized tests were used to measure unilateral visual neglect, sustained and selective attention and balance. Fall histories were collected by chart review and semi-structured interview. RESULTS: At the initial assessment six subjects had sustained auditory attention deficit, eight had deficits of auditory selective attention, 12 had visual selective attention deficits and seven subjects presented with visual inattention. Scores for visual inattention and visual selective attention improved over time (p = 0.006, p = 0.026 respectively) as did scores for balance control (p = 0.001). Auditory selective attention scores at the first assessment were found to correlate with measures of balance (p < 0.01), subjects with normal attention scores achieved better balance scores. Four subjects fell at least once during the six weeks. Scores for attention and balance of fallers were not found to be significantly different from the scores of nonfallers. CONCLUSIONS: The sample size was small but high levels of attention deficit were identified. Findings suggest a weak or no relationship between attention deficits and falls. Further studies are required to explore the extent of attention deficits post stroke and its impact on balance control and falling.

Accidental Falls↗

PubMed2002

Attentional modulation of behavioral performance and neuronal responses in middle temporal and ventral intraparietal areas of macaque monkey.

Although many studies have demonstrated that neuronal responses are modulated by attention, the significance of this modulation for behavior is poorly understood. We recorded from neurons in the middle temporal (MT) and ventral intraparietal (VIP) areas in the visual cortex of two macaque monkeys while they performed a motion detection task under two conditions of spatial attention. The ability of the animals to detect the motion was reduced when they withdrew attention from the stimulus. Withdrawing attention also reduced neuronal responses to the motion in both the MT and VIP areas. To compare the neuronal and behavioral effects of attention, the amount of attentional modulation was expressed in units of stimulus strength. On average, attention modulated neuronal responses in MT less than needed to account for the attentional effect on behavior. The opposite was observed in VIP, where the average effect of attention on neuronal responses was greater than that needed to account for behavior. Similar results were obtained when the effects of attention on neuronal response and behavioral performance were compared using a parametric function of stimulus strength. Across neurons in both areas, attentional modulation of neuronal responses was more variable than, and uncorrelated with, attentional modulation of behavioral performance. These findings suggest that attention can alter the average relationship between neuronal activity in visual cortex and behavioral performance. Where this relationship is preserved may indicate which cortical regions are most closely associated with the behavior in a given task.

Animals↗