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PubMed1992

Further evidence for family-genetic risk factors in attention deficit hyperactivity disorder. Patterns of comorbidity in probands and relatives psychiatrically and pediatrically referred samples.

We examined 140 probands with attention deficit hyperactivity disorder, 120 normal controls, and their 822 first-degree relatives using "blind" raters and structured diagnostic interviews. Compared with controls, probands with attention deficit hyperactivity disorder were more likely to have conduct, mood, and anxiety disorders. Compared with relatives of controls, relatives of probands with attention deficit hyperactivity disorder had a higher risk for attention deficit hyperactivity disorder, antisocial disorders, major depressive disorder, substance dependence, and anxiety disorders. Patterns of comorbidity indicate that attention deficit hyperactivity disorder and major depressive disorders may share common familial vulnerabilities, that attention deficit hyperactivity disorder plus conduct disorder may be a distinct subtype, and that attention deficit hyperactivity disorder and anxiety disorders are transmitted independently in families. These results extend previous findings indicating family-genetic influences in attention deficit hyperactivity disorder by using both pediatrically and psychiatrically referred proband samples. The distributions of comorbid illnesses in families provide further validation for subgrouping probands with attention deficit hyperactivity disorder by comorbidity.

Adolescent↗
PubMed2005

Detecting effects of donepezil on visual selective attention using signal detection parameters in Alzheimer's disease.

BACKGROUND: Attentional function is impaired in Alzheimer's disease (AD). Moreover, attention is mediated by acetylcholine. But, despite the widespread use of acetylcholinesterase inhibitors (AChE-I) to augment available acetylcholine in AD, measures of attentional function have not been used to assess the drug response. OBJECTIVES: We hypothesized that as cholinergic augmentation impacts directly on the attentional system, higher-order measures of visual selective attention would be sensitive to effects of treatment using an AChE-I (donepezil hydrochloride). We also sought to determine whether these attentional measures were more sensitive to treatment than other measures of cognitive function. METHODS: Seventeen patients with AD (8 untreated, 9 treated with donepezil) were contrasted on performance of a selective cancellation task. Two signal detection parameters were used as outcome measures: decision strategy (beta, beta) and discriminability (d-prime, d'). Standard screening and cognitive domain measures of vigilance, language, memory, and executive function were also contrasted. RESULTS: Treated patients judged stimuli more conservatively (p = 0.29) by correctly endorsing targets and rejecting false alarms. They also discriminated targets from distractors more easily (p = 0.58). The screening and neuropsychological measures failed to differentiate the groups. CONCLUSIONS: Higher-order attentional measures captured the effects of donepezil treatment in small groups of patients with AD. The results suggest that cholinergic availability may directly affect the attentional system, and that these selective attention measures are sensitive markers to detect treatment response.

Aged↗
PubMed2003

Human prefrontal and sensory cortical activity during divided attention tasks.

In our natural environment, the ability to divide attention is essential since we attend simultaneously to a number of sensory modalities, e.g., to visual and auditory stimuli. In this study, functional magnetic resonance imaging (fMRI) was used to study brain activation while a divided attention task was performed. Brain activation was also assessed under selective attention. Fourteen healthy male subjects aged between 19 and 28 years underwent fMRI studies using gradient EPI sequences. Cingulate activation was evident in all attention tasks. Focusing attention on one modality (visual or auditory) increased the activity in the corresponding primary and secondary sensory area. When attention is divided between both modalities, the activation in the sensory areas is decreased, possibly due to a limited capacity of the system for controlled processing. Left prefrontal activation, however, was evident selectively during the divided attention task. The present results suggest that this area may be important in the execution of controlled processing when attention is divided between two sources of information. These results support the view that the prefrontal cortex is involved in the central executive system and controls attention and information flow.

Acoustic Stimulation↗
PubMed1998

The contribution of attention to the right visual field advantage for word recognition.

Perceptual asymmetries have been explained by structural, attentional bias and attentional advantage models. Structural models focus on asymmetries in the physical access information has to the hemispheres, whereas attentional models focus on asymmetries in the operation of attentional processes. A series of experiments was conducted to assess the contribution of attentional mechanisms to the right visual field (RVF) advantage found for word recognition. Valid, invalid and neutral peripheral cues were presented at a variety of stimulus onset asynchronies to manipulate spatial attention. Results indicated a significant RVF advantage and cueing effect. The effect of the cue was stronger for the left visual field than the RVF. This interaction supports the attentional advantage model which suggests that the left hemisphere requires less attention to process words. The attentional asymmetry is interpreted in terms of the different word processing styles used by the left and right hemispheres. These results have ramifications for the methodology used in divided visual field research and the interpretation of this research.

Adolescent↗
PubMed1993

Attentional modulation of the phonetic significance of acoustic cues.

Four experiments addressing the role of attention in phonetic perception are reported. The first experiment shows that the relative importance of two cues to the voicing distinction changes when subjects must perform an arithmetic distractor task at the same time as identifying a speech stimulus. The contribution of voice onset time to phonetic labeling decreases when subjects are distracted, while that of FO onset frequency increases. The second experiment shows a similar pattern for two cues to the distinction between the vowels /i/ (as in "beat") and /I/ (as in "bit"). Under low attention conditions, formant pattern has a smaller effect on phonetic labeling while vowel duration has a larger effect. Together these experiments indicate that careful attention to speech perception is necessary for strong acoustic cues (voice-onset time and formant patterns) to achieve their full impact on phonetic labeling, while weaker acoustic cues (FO onset frequency and vowel duration) achieve their full impact on phonetic labeling without close attention. Experiment 3 shows that this pattern is obtained when the distractor task places little demand on verbal short-term memory. Experiment 4 provides a data set for testing formal models of the role of attention in speech perception. Attention is shown to influence the signal-to-noise ratio in the phonetic encoding of acoustic cues; the sustained phonetic contribution of weak cues without close attention stems from reduced competition from strong cues. This principle is instantiated in a network model in which the role of attention is to reduce noise in the phonetic encoding of acoustic cues. Implications of this work for understanding speech perception and general theories of the role of attention in perception are discussed.

Acoustic Stimulation↗
PubMed1998

Differential activation of right superior parietal cortex and intraparietal sulcus by spatial and nonspatial attention.

Neuropsychological and functional neuroimaging studies have implicated the right posterior parietal cortex (PPC) in human spatial attention. We tested the hypothesis that this area is also involved in nonspatial aspects of attention and working memory using positron emission tomography in healthy volunteers. In an initial experiment, digits were presented in pseudo-random spatial locations, and subjects attended either to locations or digits in order to detect single targets (attention condition) or to sequences of stimuli (working memory (WM) condition). Right superior parietal cortex (BA7) and intraparietal sulcus (IPS) were active during both spatial (locations) and nonspatial (digits) tasks compared to rest, although more so for the former. Additionally, right PPC was activated to an even greater extent during tests of WM than of attention, especially for tests of spatial WM. There were no differences in activation of dorsolateral prefrontal cortex in the spatial versus nonspatial versions of the task, contrary to many previous studies. A follow-up experiment which presented abstract objects in a fixed, central location confirmed that right IPS was active during tests of nonspatial attention and also that this activation is not due to incidental spatial representation of digit stimuli. However, BA7 was not activated by this nonspatial, nondigit attentional task. Overall, these data suggest first that right IPS is recruited for both nonspatial and spatial attention and WM. Second, right BA7 is recruited specifically for spatial (both direct and indirect) forms of attentional processing. Finally, PPC activations in spatial WM tasks are likely to be due to a combination of spatial perception, attention, and WM, rather than to any of these individually.

Adult↗
PubMed2002

Effects of acute and repeated systemic administration of ketamine on prefrontal acetylcholine release and sustained attention performance in rats.

RATIONALE: The effects of non-competitive N-methyl- D-aspartate (NMDA) receptor antagonists model aspects of schizophrenic symptomatology. Because effects on both cortical cholinergic transmission and attentional processes have been hypothesized to represent components of the properties of psychotogenic drugs, the present study investigated the effects of ketamine on the activity of cortical cholinergic inputs and attentional performance. OBJECTIVE: To determine the effects of acute and repeated ketamine administration on cortical acetylcholine release and performance of rats in an operant task designed to assess sustained attention performance. METHODS: Experiment 1 assessed the effects of ketamine (2.0-20.0 mg/kg, i.p.) on medial prefrontal acetylcholine release using in vivo microdialysis. In experiment 2, animals were pretreated with 2.0 mg/kg or 25.0 mg/kg ketamine for 7 days. Cortical acetylcholine release was assessed in these rats following the subsequent administration of a 'challenge' dose of 2.0 mg/kg on days 1, 8, and 15 following completion of the pretreatment regimen. Experiment 3 assessed the effects of acute ketamine administration (2.0, 4.0, and 8.0 mg/kg, i.p.) on sustained attention performance. In experiment 4, animals trained in the sustained attention task were pretreated with 25.0 mg/kg ketamine or vehicle for 7 days. In these animals, the performance effects of 2.0 mg/kg ketamine administered 1, 8, or 15 days after completion of the pretreatment regimen were assessed. RESULTS: The acute administration of ketamine dose dependently increased cortical acetylcholine release by up to 250% above baseline and for over 40 min following the highest dose of ketamine. Pretreatment with 2.0 mg or 25.0 mg/kg did not robustly alter the effects of subsequent ketamine administration on cortical acetylcholine release. In animals performing the sustained attention task, administration of the highest dose of ketamine resulted in high levels of errors of omission, while the administration of the two smaller doses did not affect performance. Pretreatment with 25.0 mg/kg disrupted the attentional performance during the pretreatment period, but it did not affect the baseline performance thereafter. Furthermore, ketamine pretreatment did not systematically alter the performance effects of subsequent ketamine administration. CONCLUSIONS: The robust stimulation of cortical acetylcholine release represents a potent component of the pharmacological effects of ketamine. The effects of acute ketamine on attentional performance were limited to high rates of omissions. Repeated ketamine administration 'sensitized' neither cortical acetylcholine release nor attentional performance. These effects of repeated ketamine differ substantially from those of another major psychotogenic drug, amphetamine, and thus support the view that ketamine and amphetamine model fundamentally different aspects of schizophrenia.

Acetylcholine↗
PubMed2003

Preparatory states in crossmodal spatial attention: spatial specificity and possible control mechanisms.

We used event-related functional magnetic resonance imaging to study the neural correlates of endogenous spatial attention for vision and touch. We examined activity associated with attention-directing cues (central auditory pure tones), symbolically instructing subjects to attend to one hemifield or the other prior to upcoming stimuli, for a visual or tactile task. In different sessions, subjects discriminated either visual or tactile stimuli at the covertly attended side, during bilateral visuotactile stimulation. To distinguish cue-related preparatory activity from any modulation of stimulus processing, unpredictably on some trials only the auditory cue was presented. The use of attend-vision and attend-touch blocks revealed whether preparatory attentional effects were modality-specific or multimodal. Unimodal effects of spatial attention were found in somatosensory cortex for attention to touch, and in occipital areas for attention to vision, both contralateral to the attended side. Multimodal spatial effects (i.e. effects of attended side irrespective of task-relevant modality) were detected in contralateral intraparietal sulcus, traditionally considered a multimodal brain region; and also in the middle occipital gyrus, an area traditionally considered purely visual. Critically, all these activations were observed even on cue-only trials, when no visual or tactile stimuli were subsequently presented. Endogenous shifts of spatial attention result in changes of brain activity prior to the presentation of target stimulation (baseline shifts). Here, we show for the first time the separable multimodal and unimodal components of such preparatory activations. Additionally, irrespective of the attended side and modality, attention-directing auditory cues activated a network of superior frontal and parietal association areas that may play a role in voluntary control of spatial attention for both vision and touch.

Attention↗
PubMed2001

Modulating the attentional bias in unilateral neglect: the effects of the strategic set.

Left unilateral neglect is a neurological condition characterized by an impairment in orienting and responding to events occurring on the left side. To gain insight into the brain mechanisms of space processing and to provide theoretical foundations for patient rehabilitation, it is important to explore the attentional bias shown by neglect patients in the light of existing models of normal attentional orienting. Three experiments tested the hypothesis that attentional bias in neglect involves primarily exogenous, or stimulus-based, orienting of attention, with relatively preserved endogenous, or voluntary, orienting. Six patients with right hemisphere damage and left unilateral neglect and 18 age-matched participants without brain damage performed a cued reaction time (RT) task to targets which could appear in one of two lateral boxes. Cues consisted of a brief brightening of the contour of one of the boxes. The target followed the cue at 150, 550, or 1000 ms stimulus-onset asynchrony (SOA). In experiment 1, the cues were not informative about the future location of the target, and thus elicited a purely exogenous orienting of attention. Controls showed slowed RTs to the cued locations at SOAs > 150 ms, consistent with the notion of inhibition of return (IOR). Neglect patients had no evidence of IOR for right targets; they showed a disproportionate cost for left targets preceded by right (invalid) cues; this cost was maximal at the shortest SOA, consistent with the idea of a biased exogenous orienting in neglect. In experiment 2, 80% of the cues were valid (i.e., they correctly predicted the location of the impending target), thus inducing an initially exogenous, and later endogenous, attentional shift toward the cued box. Neglect patients showed again a cost for left invalidly cued targets, which this time persisted at SOAs > 150 ms, as if patients' attention had been cued to the right side not only exogenously, but also endogenously, thus rendering more difficult an endogenous reorienting toward the left. In experiment 3, only 20% of the cues were valid, so that the best response strategy was to endogenously orient attention toward the box opposite to the cued one. Controls were able to take advantage of invalid cues to rapidly respond to targets. In this condition, neglect patients were able to nullify their spatial bias; they achieved their fastest RTs to left targets, which were in the range of their RTs to right targets. However, for neglect patients fast responses to left targets occurred only at 1000 ms SOA, while controls were able to redirect their attention to the uncued box already at 550 ms SOA. Altogether, these results suggest that endogenous orienting is relatively spared, if slowed, in unilateral neglect.

Adult↗
PubMed2002

Divided and selective attention in panic disorder. A comparative study of patients with panic disorder, major depression and healthy controls.

OBJECTIVE: While depression is definitely a condition with diminished attentional functioning, there is little evidence as to whether attention is also disturbed in panic disorder. In the present study patients with panic disorder and with depression were compared by means of neuropsychological tests which assess selective and divided attention. METHOD: Twenty-one inpatients with a Panic Disorder, 21 inpatients with a Major Depressive Disorder (DSM-IV diagnoses) and 20 healthy control subjects were investigated drug free. Neuropsychological standard tests were used to measure selective attention (Signal Detection, Wiener-Test-system) and divided attention (Gesichtsfeld-/Neglectprüfung, TAP), which allow the discrimination between left and right visual field stimulus processing. RESULTS: Patients with panic disorder and depression responded significantly slower than healthy control subjects in the test for divided attention, while no differences were found between the two groups of patients. In contrast, there were no differences among the groups of patients and control subjects in regard to reaction time in the test for selective attention. Stimulus presentations in the left and right visual fields did not affect the reaction times differently. CONCLUSIONS: Patients with panic disorder appeared as disturbed in their attentional functioning as patients with depression. Therefore, ignoring attentional deficits in patients with panic disorder is not justified.

Adult↗
PubMed2001

Evaluation of attention problems in children with autism and children with a specific language disorder.

Children with autism and children with a specific language disorder show additional attention deficits. The literature on the neuropsychological investigation of attention in both groups of children suggests that the nature of their attention problems might be different. The purpose of this study is to examine the attention test profiles in these two groups of children with developmental disorders. Nineteen children and adolescents with autism, 17 subjects with a specific language disorder and 19 control subjects participated in the study. Non-verbal intelligence was normal for all subjects. The "Testbatterie zur Aufmerksamkeitsprüfung" was administered to all subjects. This instrument provides the possibility to examine a wide range of attention functions and executive functions. The results showed that the autistic individuals had deficits in executive functions, whereas the language impaired children had deficits in auditory sustained attention, in auditory selective attention, and in the domain of executive functions. It is concluded that although both groups of developmentally impaired subjects showed attention problems, the deficits are not the same in both groups. The different neuropsychological profiles probably reflect different mechanisms in the pathogenesis of the attention deficits in both types of developmental disorders.

Adolescent↗
PubMed2006

Attentional modulation of firing rate and synchrony in a model cortical network.

The response of a neuron in the visual cortex to stimuli of different contrast placed in its receptive field is commonly characterized using the contrast response curve. When attention is directed into the receptive field of a V4 neuron, its contrast response curve is shifted to lower contrast values (Reynolds et al., 2000). The neuron will thus be able to respond to weaker stimuli than it responded to without attention. Attention also increases the coherence between neurons responding to the same stimulus (Fries et al., 2001). We studied how the firing rate and synchrony of a densely interconnected cortical network varied with contrast and how they were modulated by attention. The changes in contrast and attention were modeled as changes in driving current to the network neurons. We found that an increased driving current to the excitatory neurons increased the overall firing rate of the network, whereas variation of the driving current to inhibitory neurons modulated the synchrony of the network. We explain the synchrony modulation in terms of a locking phenomenon during which the ratio of excitatory to inhibitory firing rates is approximately constant for a range of driving current values. We explored the hypothesis that contrast is represented primarily as a drive to the excitatory neurons, whereas attention corresponds to a reduction in driving current to the inhibitory neurons. Using this hypothesis, the model reproduces the following experimental observations: (1) the firing rate of the excitatory neurons increases with contrast; (2) for high contrast stimuli, the firing rate saturates and the network synchronizes; (3) attention shifts the contrast response curve to lower contrast values; (4) attention leads to stronger synchronization that starts at a lower value of the contrast compared with the attend-away condition. In addition, it predicts that attention increases the delay between the inhibitory and excitatory synchronous volleys produced by the network, allowing the stimulus to recruit more downstream neurons.

Action Potentials↗
PubMed1996

Evidence for attention to threatening stimuli in depression.

A modified version of the attentional deployment task developed by MacLeod, Mathews and Tata (1986) [Journal of Abnormal Psychology, 95, 15-20] was used to examine two issues: first, whether there was any evidence of attentional bias in depressed subjects, rather than in anxious subjects alone; and second, whether attentional effects would occur in the location of stimuli that could not be identified. Subjects were presented with pairs of words, one above the other, and the extent to which attention favored threatening rather than neutral words was assessed from the latency to detect a dot in the same location of one them. These detection latencies showed that depressed, but not anxious subjects, were selectively attentive to socially threatening words. There was also evidence for attentional effects in the anxious subjects favoring physically threatening words. Furthermore, panic disorder patients were preferentially attentive to the location of physically-threatening stimuli that could not be accurately identified. Overall, the results provide further evidence that emotionally disturbed subjects tend to orient attention towards personally-relevant emotional stimuli. However, the previous hypothesis that this attentional bias occurs only in anxiety, and not in depression, was not supported.

Adult↗
PubMed1995

A computational model for the neurobiological substrates of visual attention.

Two interesting and complex tasks are performed by the brain in the process of perception: the integration of characteristics leading to an easier recognition of a pattern as a whole (binding), and the extraction of properties that need to be detailed and analyzed (attention). Attention seems to have a reciprocal relation with binding, inasmuch as the latter promotes the composition of features and their dependencies, while the former selects a single characteristic independently of the remainder. Classically, binding is viewed as a process whereby sets of properties are gathered in representative entities, which are themselves linked to form higher level structures, in a sequence that culminates in the total integration of the pattern features in a localized construct. The convergent axonal projections from one cortical area to another would be the neurobiological mechanism through which binding is achieved. Attention comprises the selective excitation of neuronal networks or pathways that stand for specific pattern properties. The thalamus and its reticular nucleus would then be the anatomical substrate of the attentional focus. In this paper we propose a computational model aiming at bringing together the main (and apparently diverging) ideas about binding and attention. Based on experimental data, a neuronal network representing cortical pyramidal cells is assembled, and its structure and function are related to the binding and attention phenomena. Actually, the convergent projections that enlarge the visual receptive field are associated to binding, while a specific change in the pyramidal cell behavior is responsible for attention. Computer simulations are shown which reproduce the electrophysiology of pyramidal cells and mimic some interesting experimental results in visual attention. We conclude by conjecturing that attention is a driven interruption in the regular process of binding.

Algorithms↗
PubMed1987

Distribution in the visual field of the costs of voluntarily allocated attention and of the inhibitory after-effects of covert orienting.

By using a simple reaction time (RT) paradigm we have investigated the spatial distribution of the benefits and costs of voluntarily directed attention and of the inhibitory after-effects of covert orienting. In the first experiment subjects deliberately allocated attention to each one of five stimulus positions disposed along the horizontal meridian, while at the same time fixing their eyes on the central position. The separation in visual angle between the central position and the two nearest positions, one on the left and the other on the right, was 10 degrees; that between the central position and the two most eccentric positions was 30 degrees. By comparing RT to brief flashes of light presented at each position during directed attention with RT to identical flashes at the same position during diffuse attention (i.e. in a condition in which subjects paid equal attention to all five positions), it was possible to determine that benefits, that is RT decreases relative to the diffuse-attention condition, were strictly limited to the attended position. Costs, i.e. RT increases relative to the diffuse-attention condition, showed a more diffuse and complex spatial pattern. When attention was directed to one of the noncentral positions, costs were apparent at the two contralateral positions and at the central position, but not at the ipsilateral position. When attention was directed to the central position, costs occurred at all other positions. This suggests a special role for the vertical meridian in delimiting the area of costs when one covertly orients towards the opposite right or left visual half field. Work of others and our preliminary evidence indicate that the area of costs is similarly limited by the horizontal meridian when one orients toward the opposite upper or lower visual field. In the second experiment we studied the inhibitory after-effect of covert orienting. Orienting to a light stimulus without moving the eyes to it may induce a short-lived facilitation of the speed of response to a second stimulus presented at the same position, but this facilitation is followed by a profound and prolonged RT retardation. By using a two-flashes paradigm we observed this RT retardation not only when the two stimuli appeared at the same position, but also when they occurred at different locations in the same altitudinal or lateral visual hemifield. There were no inhibitory after-effects when the two stimuli appeared on opposite sides of the vertical or horizontal meridian.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗
PubMed1995

An attentional grasp reflex in patients with Alzheimer's disease.

Motor and visual grasp reflexes often occur as part of the symptomatology of Alzheimer's disease (AD). Similar grasp reflexes may also be associated with the impaired performance of AD patients on tasks which require direction of visual attention without eye movements. The covert orienting of visual attention task (COVAT) requires subjects to keep their eyes fixed on a central point and manually respond to the appearance of a peripheral target in one of two locations in the left or right visual field. Before the target appears, a cue is presented at either the target location or the contralateral location to the target, although the nature of the cue is not known until the target appears. We hypothesised that the attentional grasp reflex would become evident in patients with AD when attentional shifts away from the cue were required but there was no target for the shift present. Twelve patients who met the clinical criteria for AD and 12 age and education matched controls were administered three COVAT conditions in which the target appeared at the cued location with either an 80, 50 or 20% probability. For the 80 and 50% probability conditions. RTs for targets at the cued location were significantly faster than RTs for targets contralateral to the cue in both AD subjects and controls indicating that AD subjects were able to disengage attention when there was a target for the attentional shift. For the 20% probability condition, control subjects showed significantly faster RTs for targets appearing contralateral to the cue than for targets at the cued location indicating that when they expected the target to appear in the opposite visual field to the cue, they could initiate the shift of attention before the target appeared. However, AD subjects continued to show significantly faster RTs for targets at the cued location than for targets appearing contralateral to the cue, despite the high probability that targets would not occur at the cued location. This suggests that the covert redirection of attention away from a peripheral visual cue could not be initiated until the contralateral target appeared. Taken together these results suggest an attentional grap reflex in patients with AD.

Aged↗
PubMed1995

Attentional modulation of adaptation to two-component transparent motion.

We have studied the effects of voluntary attention on the induction of motion aftereffects (MAEs). While adapting, observers paid attention to one of two transparently displayed random dot patterns, moving concurrently in opposite directions. Selective attention was found to modulate the susceptibility to motion adaptation very substantially. To measure the strength of the induced MAEs we modulated the signal-to-noise ratio of a real motion signal in a random dot pattern that was used to balance the aftereffect. Results obtained for adapting to single motion vectors show that the MAE can be represented as a shift of the psychometric function for motion direction discrimination. Selective attention to the different components of transparent motion altered the susceptibility to adaptation. Shifting attention from one component to the other caused a large shift of the psychometric curves, about 70-75% of the shift measured for the separate components of the transparent adapting stimulus. We conclude that attention can differentiate between spatially superimposed motion vectors and that attention modulates the activity of motion mechanisms before or at the level where adaptation gives rise to MAEs. The results are discussed in light of the role of attention in visual perception and the physiological site for attentional modulation of MAEs.

Adaptation, Physiological↗
PubMed1988

Neuropathological determinants of acquired attention disorders in traumatic brain injury.

Attentional disorders are frequently mentioned neuropsychological sequalae following traumatic brain injury (TBI). However, little is known about the recovery of attention, or the determinants of variability of attentional functioning following TBI. The present study was undertaken to examine (1) the extent to which attentional disorders are present among patients at various chronicity stages following TBI, (2) differences in performance on a number of measures of attention as a function of different clinical-neuropathological syndromes. A sample of 70 TBI subjects were rated according to different clinical-neuropathological syndromes and neuropsychologically evaluated. The results suggest that TBI patients of different chronicity stages, with significantly different lengths of coma, did not significantly differ in terms of the type or severity of attentional disorders. However, when the same patients were classified according to clinical-neuropathological syndromes, significant differences in the severity and type of attentional disorders were evident. The findings were interpreted to suggest that typical indices of severity of TBI do not correlate with the severity and type of attentional disorders and that qualitative aspects of the subjects' pathology may be more important in determining the nature of the attentional disorders.

Adolescent↗