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PubMed2003

Surveying a blank field with the attentional spotlight.

Spatial localization is a unique aspect of selective attention that precedes and facilitates other aspects of sensory processing. A common model of spatial attention is an attentional spotlight that enlarges to fit attentional demands. It is unclear if this attentional spotlight expands to survey a blank field or to scan the spatial environment with a smaller attentional spotlight. Two tachistoscopic experiments with young adults investigated how attention is surveyed in a blank field. Exp. 1 consisted of single letters at two concentric regions and under different conditions of attentional demand. Reaction times were proportionally slower for stimuli occurring in a combination of the two regions located at different distances from the fixation point than for stimuli occurring in each region alone. This finding is not consistent with attentional spread to encompass the entire attentional field. The addition of more stimulus locations within each single region yielded significantly slower reaction times. Together these findings suggest that a small attentional spotlight serially monitors different regions of the visual field when there are anticipated locations to be attended.

Adolescent↗
PubMed1991

Exogenous and endogenous control of attention: the effect of visual onsets and offsets.

Two experiments were carried out to investigate the relation between exogenous and endogenous control of visual attention. Subjects searched for a target letter among three nontarget letters that were positioned on an imaginary circle around a fixation point. At different cue-display intervals, a centrally located arrowhead cue reliably indicated the location of the target letter. At different SOAs, a peripheral line segment near one of the letters was either abruptly switched on (Experiment 1) or abruptly switched off (Experiment 2). Presenting the central arrowhead after display onset prevents attention from being focused in advance on the critical location. In this unfocused attentional state, both onset and offset transients attracted attention. When the central arrowhead was available in advance, the focusing of attention prior to display onset precluded attention attraction to the location of the onset or offset transient. Contrary to an offset transient, an onset transient presented at the attended location disrupted performance, indicating that an onset within the spotlight of attention attracts attention. The results are reconciled by means of the zoom-lens theory of attention, suggesting that outside the focus of attention, abrupt transients are not capable of attracting attention. Since the size of the zoom lens is under voluntary control, it can be argued that transients do not fulfill the intentionality criterion of automaticity.

Adolescent↗
PubMed1994

Attentional effects on concurrent psychophysical discriminations: investigations of a sample-size model.

In two experiments, a concurrent discrimination paradigm was used to study the effects of visual attention on psychophysical judgments and the consistency of these effects with a sample-size model in which attention influences the variance of the internal representation used to make psychophysical judgments. Two pairs of lines were presented simultaneously--one on each side of fixation--and subjects had to indicate for each pair separately whether or not the lines had the same length. Attention was manipulated by instructing subjects to pay 100%, 75%, 50%, 25%, or 0% of their attention to the discrimination on one side, with the complementary amount of attention to the other side. In the first experiment, the relationship between attention and discrimination accuracy was consistent with the sample-size model both when attentional allocation varied from trial to trial and when it varied between blocks, and the relationship held over more widely varying attentional allocations than had previously been studied. In addition, discriminations were more accurate overall with varied than with blocked attentional allocation, suggesting that the two types of allocation do not merely differ in the degree to which attention is focused. The second experiment examined the effects of attentional allocation and stimulus variance, the latter being manipulated by randomly incrementing or decrementing line lengths. These manipulations had additive effects on total Thurstonian variance, and a version of the sample-size model gave an excellent quantitative fit to the obtained results. Besides supporting the sample-size model, the results of Experiment 2 suggest that criterion variance is at least as large as sensory variance and that criterion but not sensory variance increases with stimulus variance.

Attention↗
PubMed1993

Attention and driving. Assessment in elderly individuals with dementia.

Older drivers with dementia are involved in more crashes than healthy older drivers. Some investigators, therefore, have proposed that a diagnosis of dementia (DAT or other type) should lead to the automatic revocation of a driver's license. In the authors' view, however, renewal of license should be based on criteria related to driving competence rather than solely on chronologic age or a medical diagnosis. Unfortunately, current competency testing procedures do not assess the attentional factors discussed herewith that have been found to be important for safe driving. As the studies reviewed in this article reveal, there is good evidence that a skill test that predicts crash involvement in older drivers should incorporate attentional measures, in particular tests of attentional shifting based on dichotic listening and related tests. There is also evidence that attention-shifting measures are diagnostic of attention impairment in the early stages of Alzheimer-type dementia. Further research is needed to determine whether other attentional skills, such as sustained and divided attention, also need to be assessed. Additional work also is needed to refine attention tests for ease of use in the clinical setting. Lastly, although these attention measures account for only some of the variance contributing to crash involvement, they may allow for better predictive capability when combined with measures of other skills involved in driving. Driver training programs can complement driver testing procedures in serving the dual requirement for reducing crash risk among drivers with dementia while continuing to be responsive to their mobility needs. Information on the role of attention and other cognitive skills in safe driving should be made available, so that drivers (or their family members) who think they may have declining skills can seek further evaluation. Organizations such as automobile associations and retired persons groups can provide self-assessment inventories for completion by older drivers or referral for medical and neuropsychological evaluation. Finally, training techniques for improving attentional skills in drivers with DAT need to be developed and tested.

Adult↗
PubMed2026

A systematic review and meta-analysis of visuospatial attentional deficits in Parkinson's patients.

Parkinson's disease (PD) is a neurodegenerative condition primarily characterized by motor deficits, yet cognitive impairments are increasingly recognized. While deficits in executive functioning are well documented even in the absence of cognitive decline, evidence of attentional deficits in PD remains inconsistent, and the role of motor symptom lateralization is unclear. In this systematic review and meta-analysis, we examined visual attention in right-handed, cognitively unimpaired idiopathic PD patients, focusing on the canonical attentional domains (sustained, selective, divided) and processes (alerting, endogenous and exogenous orienting, reorienting), as well as visuospatial bias. Four databases were searched for studies comparing PD patients with healthy controls. Meta-analytic estimates were derived using Hedges' g within random-effects models, and studies that could not be quantitatively integrated were summarized narratively. In addition, studies directly comparing patients with left- and right-predominant motor symptoms (LPD vs. RPD) were reviewed qualitatively. Across 51 studies, PD patients exhibited deficits in sustained, selective, and divided attention. Among attentional processes, only exogenous orienting was impaired, whereas alerting, endogenous orienting, and reorienting were preserved. Findings from the few studies examining visuospatial bias indicated small, context-dependent shifts in spatial attention rather than a consistent directional bias. These findings indicate that PD patients show visual-attentional impairments, particularly under high-demand conditions, while basic alertness and voluntary orienting appear preserved. Exogenous orienting deficits and subtle rightward spatial tendencies in LPD suggest disruption of right-hemisphere attentional networks. These results have implications for early cognitive assessment, rehabilitation strategies, and understanding the neural bases of attentional dysfunction in PD.

Humans↗
PubMed2000

Event-related potential studies of attention.

Over the past 30 years, recordings of event-related potentials (ERPs) from normal individuals have played an increasingly important role in our understanding of the mechanisms of attention. This article reviews some of the recent ERP studies of attention, focusing on studies that isolate the operation of attention in specific cognitive subsystems such as perception, working memory, and response selection. Several conclusions are drawn. First, under some conditions attention modulates the initial feedforward volley of neural activity in intermediate visual processing areas. Second, these early effects can be observed for both the voluntary allocation of attention and for the automatic capture of attention following a peripheral visual transient. Third, these effects are present not only when attention is directed to a location in 2-dimensional space, but also when attention is directed to one of two spatially overlapping surfaces. Fourth, attention does not modulate sensory activity unless sensory systems are overloaded; when sensory systems are not taxed, attention may instead operate to influence memory or response processes. That is, attention operates to mitigate information overload in whichever cognitive subsystems are overloaded by a particular combination of stimuli and task.

Journal Article↗
PubMed2004

Psychopharmacological approaches to modulating attention in the five-choice serial reaction time task: implications for schizophrenia.

RATIONALE: In schizophrenia, attentional disturbance is a core feature which may not only accompany the disorder, but may precede the onset of psychiatric symptoms. OBJECTIVES: The five-choice serial reaction time task (5CSRTT) is a test of visuo-spatial attention that has been used extensively in rats for measuring the effects of systemic and central neurochemical manipulations on various aspects of attentional performance, including selective attention, vigilance and executive control. These findings are relevant to our understanding of the neural systems that may be compromised in patients with schizophrenia. METHODS: The 5CSRTT is conducted in an operant chamber that has multiple response locations, in which brief visual stimuli can be presented randomly. Performance is maintained using food reinforcers to criterion levels of accuracy. Various aspects of performance are measured, including attentional accuracy and premature responding, especially under different attentional challenges. RESULTS: The effects of systemic and intra-cerebral infusions of selective dopamine, serotonin and cholinergic receptor agents on the 5CSRTT are reviewed with a view to identifying attention-enhancing effects that may be relevant to the treatment of cognitive deficits in schizophrenia. In addition, some novel agents such as modafinil and histamine receptor agents are also considered. Examining the effects of selective neurochemical lesions helped define the neural locus of attentional effects. Similarly, findings from microdialysis studies helped identify the extracellular changes in neurotransmitters and their metabolites in freely moving rats during performance of the 5CSRTT. CONCLUSIONS: The monoaminergic and cholinergic systems have independent but complementary roles in attentional function, as measured by the 5CSRTT. These functions are predominantly under the control of the prefrontal cortex and striatum. These conclusions are considered in the context of their application towards therapeutic approaches for attentional disturbances that are typically observed in schizophrenic patients.

Animals↗
PubMed2005

[Can a specific assessment of attention contribute to the differential diagnostics of psychiatric disorders?].

OBJECTIVES: The present study examined whether or not children and adolescents with clinical symptoms can be differentiated according to the quantitative and qualitative aspects of attention. METHODS: Eighty-eight probands (ages 10-18 years) assigned to seven ICD-10 diagnostic groups were studied for differences in their attention profiles. An attention task (Frankfurter Aufmerksamkeits Inventar--FAIR), (Moosbrugger & Oehlschlägel, 1996) validated multifold among children and adolescents in the domain of psychiatry was applied. This task covers three attention functions. Two of them are quantitative: selective attention and continuity of attention, while the third is qualitative: self-control. RESULTS: Overall, two distinctly different group-specific attention profiles evolved. These differed mainly in terms of self-control. Whereas all of the diagnostic groups studied showed relatively normal selective attention and normal continuity of attention, two groups exhibited substantial differences with regard to self-control. Particularly children and adolescents with schizophrenia showed very poor self-control, as did those with hyperkinetic disorder, conduct disorder, depressive disorder, or compulsive disorder. In contrast, children and adolescents with eating disorders or other anxiety disorders had a high level of self-control. CONCLUSIONS: Thus, the self-control function was found to be a strong attention parameter for the differential diagnosis of a clinically conspicuous population of children and adolescents.

Adolescent↗
PubMed1991

Activating tasks for the study of visual-spatial attention in ADHD children: a cognitive anatomic approach.

The clinical label attention deficit hyperactivity disorder (ADHD) suggests that this syndrome is a disorder of attention. However, the presumed attentional deficits have not been linked either to specific cognitive operations or to specific neural systems. To provide this link, theories of the cognitive anatomy of attention were used to generate hypotheses about specific visual-spatial attentional deficits in children with ADHD. A cued reaction-time test was used to assess covert and overt shifts of attention theoretically linked to two neuroanatomically defined attentional systems in the posterior and anterior parts of the human brain. The early, posterior-based covert shift of attention was found to be normal in ADHD children, but a later, anterior-based overt shift of attention was abnormal as reflected by a significant lateral difference in reaction time. This was interpreted as a failure to sustain focused attention.

Analysis of Variance↗
PubMed1992

Attentional fatigue following breast cancer surgery.

Attentional fatigue usually follows intense use of mental effort and is manifested as a decreased capacity to concentrate, that is, to direct attention. The purpose of this study was to examine the capacity to direct attention in persons with cancer during the initial phase of illness. The sample consisted of 32 women without cognitive or affective disorders who underwent surgery for localized (Stage I or II) breast cancer. Subjects manifested attentional deficits of varying intensity on a battery of tests of directed attention on the day before discharge from the hospital, which was a mean of 3 days following mastectomy or breast conservation surgery. Unexpectedly, the two surgical groups did not differ significantly in attentional capacity and functioning. Attentional test scores were not significantly correlated with narcotic pain medication interval, mood state, or self-ratings of attentional functioning. However, as number of days postsurgery increased, attentional performance decreased. The theoretical basis for further examination of attentional fatigue in people with cancer or other life-threatening illnesses is discussed.

Adult↗
PubMed1996

Divided and focused attention in patients with lesion of the prefrontal cortex.

Despite the common claim of attention disorders in patients with frontal lobe lesion, attention has been poorly investigated and its contribution to behavioral changes has not been studied. The aim of this study was to assess divided (Experiment I) and focused attention (Experiment II) in patients with prefrontal damage. The study used simple detection tests measuring reaction times (RT) to successive stimuli of one modality and of randomly varying modalities (divided attention) and Go No-Go tests (focused attention). Experiment I showed that RT difference between patients and controls increased when stimuli modality was uncertain, a result we attributed to a deficit of divided attention. Experiment II showed that patients remained sensitive to irrelevant stimuli, demonstrating their inability to focus attention. The prominent behavioral change in patients consisted of increased distractibility which was correlated with divided and focused attention deficits. Finally, the presence on magnetic resonance imaging of a left lesion in the superior part of the prefrontal cortex and in the head of the caudate nucleus was the best predictor of attention disorders. In conclusion, this study shows that patients with a prefrontal lesion suffer from divided and focused attention deficits that correspond to behavioral changes.

Adult↗
PubMed1999

Cortical responses to sustained and divided attention in Alzheimer's disease.

Neuropsychological data suggests that divided attention is more impaired than sustained attention during the early phases of Alzheimer's disease. The purpose of the present study was to compare cerebral activation patterns during sustained and divided attention between Alzheimer patients and healthy elderly. The O-15-water PET activation method was used to map sustained and divided attention in 16 patients with Alzheimer's disease (mean age +/- SD: 68 +/- 5 years; MMSE: 11-25, mean +/- SD = 19.5 +/- 4.9) and in 16 healthy age-matched control subjects. After stereotactical normalization, voxel-by-voxel t statistics was used to assess the significance of activated brain areas and to compare activations between patients and control subjects. In the healthy elderly, sustained and divided attention both elicited activation of the right inferior parietal lobule, and the right middle frontal gyrus, whereas the anterior cingulate gyrus was activated during sustained attention only. Only medial frontal structures (Brodmann Area (BA) 32/34) were activated in Alzheimer patients, and both frontal (BA-10), posterior cingulate (BA-23/31), and subcortical sites were deactivated. Compared to the healthy elderly, the activations in the patients of the right medial (BA-11) superior (BA-10) and inferior (BA-47) frontal gyri, the right middle temporal (BA-20), and the left lingual (BA-17) gyri were significantly reduced. More cortical sites differed statistically between Alzheimer patients and control subjects during divided than during sustained attention. The activation pattern elicited by attention supports the neuropsychological data that divided attention is more impaired than sustained attention in early Alzheimer's disease.

Aged↗
PubMed1999

Neuroanatomic overlap of working memory and spatial attention networks: a functional MRI comparison within subjects.

Frontal and posterior parietal activations have been reported in numerous studies of working memory and visuospatial attention. To directly compare the brain regions engaged by these two cognitive functions, the same set of subjects consecutively participated in tasks of working memory and spatial attention while undergoing functional MRI (fMRI). The working memory task required the subject to maintain an on-line representation of foveally displayed letters against a background of distracters. The spatial attention task required the subject to shift visual attention covertly in response to a centrally presented directional cue. The spatial attention task had no working memory requirement, and the working memory task had no covert spatial attention requirement. Subjects' ability to maintain central fixation was confirmed outside the MRI scanner using infrared oculography. According to cognitive conjunction analysis, the set of activations common to both tasks included the intraparietal sulcus, ventral precentral sulcus, supplementary motor area, frontal eye fields, thalamus, cerebellum, left temporal neocortex, and right insula. Double-subtraction analyses yielded additional activations attributable to verbal working memory in premotor cortex, left inferior prefrontal cortex, right inferior parietal lobule, precuneus, and right cerebellum. Additional activations attributable to covert spatial attention included the occipitotemporal junction and extrastriate cortex. The use of two different tasks in the same set of subjects allowed us to provide an unequivocal demonstration that the neural networks subserving spatial attention and working memory intersect at several frontoparietal sites. These findings support the view that major cognitive domains are represented by partially overlapping large-scale neural networks. The presence of this overlap also suggests that spatial attention and working memory share common cognitive features related to the dynamic shifting of attentional resources.

Adult↗
PubMed1997

Effects of spatial attention on directional manual and ocular responses.

The aim of the present study was to investigate how spatial attention influences directional manual and saccadic reaction times. Two experiments were carried out. In experiment 1 subjects were instructed to perform pointing responses toward targets that were located either in the same or the opposite hemifield with respect to the hemifield in which an imperative stimulus was presented. In experiment 2, they were instructed to make saccadic or pointing responses. The direction of the responses was indicated by the shape of the imperative stimulus. Reaction time (RT), movement time, and, in experiment 2, saccadic trajectory were measured. The imperative stimulus location was either cued (endogenous attention) or uncued. In the latter case the imperative stimulus presentation attracted attention (exogenous attention). The main results of the experiments were the following: First, exogenous attention markedly decreased the RTs when the required movement was directed toward the imperative stimulus location. This directional effect was much stronger for pointing than for ocular responses. Second, endogenously allocated attention did not influence differentially RTs of pointing responses directed toward or away the attended hemifield. In contrast, endogenous attention markedly favored the saccadic responses when made away from the cued hemifield. Third, regardless of cueing, the direction of movement affected both pointing and saccadic reaction times. Saccadic reaction times were faster when the required movement was directed upward, while manual reaction times were faster when the movement was directed downward. Fourth, lateralized spatial attention deviated the trajectory of the saccades contralateral to the attention location. This pattern of results supports the notion that spatial attention depends on the activation of the same sensorimotor circuits that program actions in space.

Adult↗
PubMed2001

Acute effects of alcohol on divided and covert attention in men.

RATIONALE: While several studies identified divided attention to be sensitive to alcohol effects, the impact of alcohol on covert visual attention is still not clear, despite the latter's important role in perception. OBJECTIVES: The study tests the effect of acute moderate doses of alcohol on divided and covert attention in right-handed, male volunteers. METHODS: The design of the study involved a double-blind trial with an alcohol and a placebo condition; measurements were taken before and after an oral dose of 0.6 g/kg alcohol versus placebo. In the divided-attention task, simultaneous visuo-spatial and auditory stimulation was applied. In a test of covert attention, subjects had to shift their attentional focus according to a central cue, from one location in the visual field to another. RESULTS: Under the divided-attention condition, reaction times were significantly prolonged after alcohol ingestion compared to placebo. Covert attention pre-post change was also significantly different between the alcohol and placebo groups. There is a reduction of false-cueing disturbance for left-appearing stimuli under moderate alcohol but an increase of disturbance for rightward stimuli, i.e. we found a lateralised pattern of reaction for spatial orienting. In the placebo group, no significant differences in right-left performance were obtained. CONCLUSION: The results suggest that sensory-attentional mechanisms play a key role in altered visual perceptual performance after alcohol ingestion. Furthermore, differences between the right and left visual field in the cued target-detection task indicate that alcohol exerts an influence on right-hemispheric attentional priming.

Adult↗
PubMed2005

Spatial attention: more than intrinsic alerting?

It has been proposed that the right hemisphere alerting network co-activates, either directly or via the brainstem, the attention system in the parietal cortex involved in spatial attention. The observation that impaired alertness and sustained attention can predict the outcome of neglect might suggest such a relationship, too. In the present fMRI study, we intended to analyse and compare the functional anatomy of two attentional conditions both involving intrinsic (endogenous) alerting and fixation but differing with respect to the degree of spatially distributed attention by using the same paradigm under two different attentional conditions. In a group of ten participants, both a focused and a distributed visuospatial attention condition evoked similar patterns of activation in dorsolateral prefrontal regions, in the anterior cingulate gyrus, in the superior and inferior parietal cortex as well as in the superior temporal gyrus and in the thalamus. These activation foci were stronger in the right hemisphere under both conditions. After subtraction of the alertness condition with focused spatial attention, distributed spatial attention with stimuli appearing at unpredictable locations within both visual fields induced additional bilateral activations only in the left and right superior parietal cortex and in the right precuneus suggesting that these regions are specific for a more widespread dispersion of spatial attention.

Adult↗
PubMed2001

Multimodal mechanisms of attention related to rates of spatial shifting in vision and touch.

Covert attention can be directed spatially in several different sensory modalities (e.g. vision and touch). Recent psychological experiments indicate the existence of crossmodal links in spatial attention, but their neural basis in humans remains underspecified. We used positron emission tomography (PET) to assess the role of stimulus modality in the activity of brain regions involved in different rates of spatial attention shifting. A 2 x 2 factorial design manipulated the rate (high versus low) of spatial attention shifts between left and right hemifields, plus the sensory modality (vision versus touch) of stimulation. Two brain regions showed activations related to attentional shift-rate, independent of the stimulated modality: these were the right frontopolar gyrus, and the right posterior superior temporal sulcus (STS). The anterior area showed higher blood flow with the high rate of shifts in spatial attention, while the posterior area showed higher flow during the low rate conditions, where attention was sustained for longer on one side. No area showed a significant rate effect in one modality without an effect in the second modality. These results demonstrate multimodal roles for the activated brain regions in relation to the rate of spatial attention shifting, plus right-hemisphere dominance for this. They also suggest that anterior and posterior regions of the spatial-attention network play different roles in attention shifting.

Adult↗
PubMed2002

Attentional control: brief and prolonged.

The attention system can be viewed as a collection of modules each of which contains two components: the expression of attention and the controlling operations that produce that expression. Current theories place sites of attentional control in the anterior cortex and sites of expression in the posterior cortex. Attention to a particular location or appearance of an object is itself controlled by instruction from a supervisory system, by the pointing of an arrow cue, and by bottom-up abrupt onsets of stimuli. The control of attention is regulated by cognitive activities such a cognitive load, error monitoring, and current goals. A new development of the triangular circuit theory, together with supporting data, suggest the existence of two modes of activity in columns of attentional expression: brief enhancement of pulse processing that selects information, and prolonged fast oscillations that sustain attention during preparatory and maintenance attention. It is proposed that the direct pathway of the triangular circuit controls the selection of information in the brief attention mode while the indirect pathway through the thalamus controls the production of fast oscillations in the prolonged attention mode.

Attention↗