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PubMed1995

Event-related potentials in cross-modal divided attention in autism.

The behavior and event-related potentials (ERPs) of high functioning subjects with autism (Autism group) were contrasted with the results of normal controls (Control group) during a focused visual attention, a focused auditory attention and a visual/auditory divided attention task. Detecting targets by the Autism group in the cross-modal divided attention condition was more difficult (longer RTs, lower % of correct detections) than attending to one modality. However, both the Autism and Control groups performed all tasks above chance level. The slow negative wave (SNW) was the only negative component which reflected Focused vs Divided task effect in Controls, being largest to stimuli in single channel-focused attention, intermediate when attention was divided between targets of two modalities and smallest to unattended stimuli. Task effects were more evident in the positive peaks for the Autism group. No significant divided attention task effect was noted for P3b, although it was larger for attended than ignored stimuli, of normal morphology and only slightly decreased in size in the Autism group as compared to the Control group. The failure of the Autism group to modulate the slow negative wave in response to Focused/Divided/Ignored conditions in a normal manner, the presence of relatively normal morphology despite the reduced amplitude of the P3b and other positive components, together with the high level of correct target detections are discussed in the context of a selective inhibition deficit and an alternative mechanism of selective attention in autism.

Acoustic Stimulation↗
PubMed2004

Effects of hand posture on preparatory control processes and sensory modulations in tactile-spatial attention.

OBJECTIVE: Event-related brain potentials (ERPs) were measured to investigate spatial coordinate systems involved in the control of preparatory tactile-spatial orienting, and in subsequent attentional modulations of somatosensory processing. METHODS: On each trial, a visual precue directed attention to the left or right hand, where infrequent tactile targets had to be detected. Hands were positioned either close together or wide apart. ERPs were recorded in the cue-target interval and in response to attended and unattended tactile non-targets. RESULTS: A frontal anterior directing attention negativity (ADAN) and a posterior late directing attention positivity (LDAP) were elicited in the cue-target interval contralateral to the direction of an attentional shift. The ADAN was unaffected by hand posture, but the LDAP was attenuated when hands were close together. N140 amplitudes were enhanced in response to tactile stimuli presented to the attended hand, and this effect was more pronounced when hands were wide apart. CONCLUSIONS: ADAN and LDAP are linked to separable anterior and posterior attentional control systems, which use coordinate systems based on somatotopic and external space, respectively. Effects of spatial attention on somatosensory stimulus processing are affected by variations in body posture. SIGNIFICANCE: Our results demonstrate that representations of body locations in external space play a central role in the control of tactile attention.

Adult↗
PubMed2001

Cerebral asymmetries in the level of attention required for word recognition.

Words presented to the right visual field (RVF) are recognised more readily than those presented to the left visual field (LVF). This RVF advantage could reflect: (a) the direct connection between the RVF and left hemisphere, (b) an attentional bias directed towards the RVF, or (c) an attentional advantage, where the left hemisphere is able to recognise words using less attention than the right hemisphere. The attentional bias and advantage models were tested in 20 dextral adults during a divided visual field word-naming task. Spatial attention was manipulated with valid, invalid, or neutral central cues. Error and reaction time measures revealed a RVF advantage for word recognition. If the attentional bias model is correct, the RVF advantage should have been attenuated for valid and invalid cues compared to neutral cues. Instead of this, an interaction emerged whereby the cueing effect was stronger for words in the LVF than the RVF. This interaction has been reported previously in studies using peripheral spatial cues. The interaction suggests that the RVF requires less attention to process words than the LVF. This left hemisphere attentional advantage may reflect asymmetries between the hemispheres in their word processing styles.

Journal Article↗
PubMed1997

What mothers do to support infant visual attention: sensitivities to age and hearing status.

This article presents a descriptive, longitudinal study of maternal use of communicative strategies to accommodate and direct infant visual attention. The two questions that guided our research were whether maternal use of particular attention-related strategies changed as the child developed from 9 to 18 months of age and whether the mother's ability to make appropriate modifications in strategy use was disrupted when she was using a new mode of communication. Four groups of mother-infant dyads were included: deaf mothers with deaf children (Dd), hearing mothers with deaf children (Hd), deaf mothers with hearing children (Dh), and hearing mothers with hearing children (Hh) (n = 77). When the infants were 9, 12, and 18 months old, they were videotaped while they engaged in free play with their mothers. Using a time-sampling technique, videotapes were coded to determine the frequency with which mothers used specific attention-related strategies. Our findings showed group differences in the attention-related strategies used by deaf and hearing mothers. These group differences were consistent with the hypothesis that while mothers appeared to be sensitive to and tried to accommodate their children's communication needs, the mothers may have been limited by their own communicative experiences. With regard to changes in mothers' use of attention-related strategies over time, our hypothesis of a developmental transition in the chosen strategies was only partially supported. Attention strategies related to language did evidence a pattern of developmental progression; however, maternal use of strategies that directed the children's visual focus to an object or a social partner did not show any such trend. Overall, the patterns indicated in the data from this study suggest that bidirectional influences were operating to some degree in each of the four groups. Among mothers whose hearing status differs from their children, the use of certain attention-related strategies might need to be taught, particularly the use of specific strategies that may scaffold deaf infants' developing abilities to alternate attention between objects and persons.

Journal Article↗
PubMed2001

Asymmetries of visual attention after circumscribed subcortical vascular lesions.

OBJECTIVE: To investigate the role of the basal ganglia and the thalamus for basic processes of visuospatial attention METHODS: Fifteen patients with acute circumscribed vascular lesions (10 with haemorrhage and five with infarction) were included in the study. The lesions were confined exclusively to subcortical structures, such as the basal ganglia, internal capsule, and thalamus, which was confirmed by initial CT on the day of referral and MRI taken 14-28 days after clinical onset. These patients were examined with two computerised attentional tasks (one detection and one search task) measuring spatial visual attention. RESULTS: There was a clear attentional asymmetry in patients with right hemispheric lesions (RHLs) in the visual search task. Seven out of eight patients with RHLs tended to be slower and/or missed significantly more target stimuli in the left sided part of a stimulus array consisting of 25 small squares than in right sided parts, although none of these patients showed signs of visual hemineglect in the visual detection task presenting visual information simultaneously to the right and left visual hemispace. All but one of these patients showed lesions in the posterior limb of the internal capsule and the putamen. On the other hand, patients with left hemispheric lesions were not impaired in the search task with only one patient showing more contralesional omissions of target stimuli than could be expected from the behaviour of normal controls. CONCLUSIONS: The results are in line with previous results showing a dominant role of right hemispheric neuronal structures for spatial attention. Furthermore, the data suggest that even with right hemispheric subcortical lesions without cortical involvement deficits in spatial orienting of attention to the left hemispace can be seen. These asymmetries of visual attention in the absence of neglect symptoms are supposed to be caused (1) by a disruption of the motor corticostriato-pallidothalamo-cortical neuronal circuit or (2) by a (partial) disconnection of relevant parts within the posterior attention network-namely, parietal and thalamic structures.

Adult↗
PubMed1998

Directed attention in Gilles de la Tourette syndrome.

Gilles de la Tourette syndrome (TS) is a basal ganglia (BG) disorder, associated not only with hyperkinetic movements but also with attentional impairments. This experiment sought to ascertain whether overt direct visual attention would influence tactile attentional performance in TS, via the use of a vibrotactile choice reaction time procedure involving biased probabilities of event occurrence. Participants were required to look (i.e., direct gaze) either at the hand receiving the most (expected) vibrations, or the hand less often stimulated (the unexpected), for both crossed and uncrossed arm postures. Contrary to our predictions, gaze did not influence attentional performance in TS patients. Furthermore, patients were found not to be sensitive to distributions of event probability; that is, they did not demonstrate normal expectancy effects like controls. Attentional deficits in TS (as in Parkinson's disease, another BG disorder) may pertain more to difficulties in holding rather than in shifting the focus of attention. Moreover, directing attention towards the unexpected locus in the crossed arm posture improved overall performance in both patients and controls, suggesting that increased task demands (e.g., crossed arm posture), and/or unexpected stimulus location, may be alleviated by directed attention. These impairments may stem from dysfunction in the circuits linking the frontal lobes with the BG.

Journal Article↗
PubMed2004

Attentional modulation of adaptation to illusory lines.

Selective visual attention modulates neuronal activation in various cortical areas. This type of neuronal modulation could happen even in the early stages of visual processing where specific attributes of visual stimuli are processed. It has been shown that different forms of visual aftereffects, such as tilt aftereffect, motion aftereffect, and figural aftereffect, are modulated by attention. In this study, we investigated the effect of visual attention on adaptation to illusory lines. In the first experiment, orientation selective adaptation to a peripheral illusory line was measured in three conditions: (1) poor attention condition in which subjects performed a dual task (even-odd judgment) at the fixation point during the adaptation period, (2) partial attention condition in which subjects only observed successively presented digits at the fixation point and did not perform the task during the adaptation period, and (3) full attention condition in which no visual stimuli were presented at the fixation point. Results showed that the magnitude of adaptation systematically decreased as the attentional load at the fixation point increased. In the second experiment, two transparent illusory contours were presented during the adaptation period, and tilt aftereffects to attended and non-attended illusory lines were compared. The magnitude of tilt aftereffect to the attended illusory line was significantly greater than that to the non-attended illusory line even when non-attended illusory contour was more visually salient. Because visual areas V2 and V1 are the first stage in the processing of illusory contours, we could conclude that visual attention has modulatory effects on the activation of neurons in these areas.

Adaptation, Ocular↗
PubMedDate not supplied

[Attention of crashed patients hurt on the road].

OBJECTIVE: To describe main factors that are important in the attention of crashed patients, in emergency services in Cuernavaca, Morelos, México. MATERIAL AND METHODS: A cross-sectional study that included all people hurt on the road that were attended on emergency services between February and April of 2001. The emergency services of the following hospitals were used: Hospital General Regional 1 of the IMSS, Hospital General "José G. Parres" of the SSA, and two private hospitals, located in Cuernavaca city. The variables were social demography, related to the crash event and the injury that needs medical attention; and dependent variable was the opportunity for the attention. Different kinds of analysis were applied, such as simple, bivaried and of multiple logistic regressions. RESULTS: 382 cases were recorded, 72.2% of them were male victims and the average age was young-adults. The traffic accidents were the main cause of these lesions. Emergency medical attention was required mainly on weekends (57.3%). The main anatomic regions hurt were (46.3%) the head, face and neck; 56% of the wounds were minor, 41.1% of the wounds were serious or severe and only 2.9% of them were extremely severe. The time for attention on the emergency services on Cuernavaca was too long. It was an average of one hour and 56 minutes for serious or severe wounded victims and one hour and 48 minutes for extremely severe wounded victims, and therefore they didn't meet the optimal standard time. The factors associated with opportune medical attention were: high level of education and age, as well as the use of an ambulance to be transported to the hospital and require hospitalization. The severe of the wounds had no influence. CONCLUSIONS: The final model show different social demographic factors as age, level of education and the opportune medical attention. Therefore it is clear that there is not a well emergency system between the different hospitals to provide opportune and effective medical attention.

Accidents, Traffic↗
PubMed1997

The Phenomenology of Attention

The effect of attention on perceived brightness and contrast was investigated in eight experiments. Attention was manipulated by engaging observers in an attention-demanding concurrent task (letter detection) or by directing attention to a location with a peripheral cue. In all of the dual-task manipulations, attention reduced the variability of responses. However, attention did not affect the brightness of stimuli, nor did it affect the amount of simultaneous brightness contrast. Results with peripheral location cues were similar; however, the effect of attention in these experiments could be attributed to nonperceptual factors. The metaphorical "spotlight" of attention reduces observers' uncertainty about the brightness of a stimulus, but it does not "illuminate" in terms of brightness or contrast.

Journal Article↗
PubMed2006

Disentangling the relation between television viewing and cognitive processes in children with attention-deficit/hyperactivity disorder and comparison children.

OBJECTIVES: To develop causal hypotheses regarding the effects of television viewing on cognitive processes in children and to examine the proposition that deleterious effects of television may be stronger among children with attention-deficit/hyperactivity disorder. DESIGN: Longitudinal study involving 2 phases occurring 18 months apart. SETTING: University research facilities in Lexington. PARTICIPANTS: Fifty-nine children with attention-deficit/hyperactivity disorder and 106 comparison children. The children's mean age was 7.18 years at phase 1 and 8.74 years at phase 2. MAIN OUTCOME MEASURES: Laboratory measures of visual attention to television, cognitive engagement to televised stories, factual recall of televised stories, and causal recall of televised stories. Parental reports of a child's weekly television viewing. RESULTS: Among comparison children, phase 1 television viewing negatively predicted phase 2 visual attention and phase 2 cognitive engagement (after accounting for phase 1 levels of the outcome variables and any relevant demographic variables). Also among comparison children, phase 1 attention negatively predicted phase 2 television viewing, even after accounting for phase 1 levels of television viewing and relevant demographic variables. These patterns were not observed among children with attention-deficit/hyperactivity disorder. CONCLUSIONS: Contrary to recent arguments, television viewing was associated with cognitive abilities in comparison children but not children with attention-deficit/hyperactivity disorder, a finding that suggests more careful examinations of the relation between television viewing and children's cognitive abilities are in order. Future studies should consider the possibility that any effects of television may be limited to certain developmental periods.

Attention↗
PubMed2005

Measurement of attention and related functions in the preschool child.

The goal of this review of the clinical and research literature is to identify, describe, and critique published methods for assessment of attention and related functions in preschool children (ages 6 and younger). The need for valid assessment of preschool children has grown dramatically in the past two decades following the implementation of special education services for infants, toddlers, and preschoolers under Public Law 99-457. At the same time, the number of preschool children presenting to clinicians for assessment of attention problems has grown at a steady rate. In contrast to assessment methods for school-age children, the availability of reliable and valid measures of attention for preschool children is much more limited. The majority of instruments developed to measure attention in preschoolers are described in the experimental literature, with fewer available commercially. Attention tests that can be appropriately used with children aged 3 and younger are scarce. Most preschool tests of attention report validity data involving sensitivity in contrasting clinical groups to controls, while the literature describing the utility of these measures in differentiating between clinical groups is much more limited. The review provides information on performance based tests (e.g., continuous performance, cancellation, auditory/visual span), as well as parent and teacher rating scales. The review concludes that valid assessment of attention and related skills can be effectively achieved in preschool children, with appropriate cautions.

Attention↗
PubMed1988

Attaining and maintaining preparation: a comparison of attention in hyperactive, normal, and disturbed control children.

The hypothesis that hyperactive children have a deficit in sustained attention was investigated. Eighteen children who had attention deficit disorder with hyperactivity (ADDH), aged 7 to 11 years, were compared with children who had conduct disorder (n = 15), mixed conduct disorder and ADDH (n = 26), emotional disorder (n = 18), or learning disability (n = 22), and with normal controls (n = 15). The subjects were tested on three versions of the Continuous Performance Task. Sustained attention was assessed from performance with increasing time on task and from ability to prepare attention in response to a warning. Performance of all subjects deteriorated with increasing time and improved with the opportunity to prepare attention. Hyperactive subjects were not more adversely affected by increasing time, nor did they benefit less than controls from the opportunity to prepare attention. Data reanalysis after rediagnosis according to ICD-9 criteria did not change the results. This study did not confirm the hypothesis that hyperactive children have a unique sustained attention deficit.

Affective Symptoms↗
PubMed2006

Attention control in middle childhood: relations to psychopathological symptoms and threat perception distortions.

The present study examined the construct of attention control, which is an important aspect of effortful control, in a sample of non-clinical children aged between 9 and 13 years. Results demonstrated that attention control was associated with a broad range of psychopathological complaints, including symptoms of anxiety, aggression, depression, and ADHD. As predicted, lower levels of attention control were accompanied by higher levels of these symptoms. Further, attention control was also negatively related to threat perception distortions, which indicates that children who display low levels of this regulative temperament factor are more prone to such cognitive biases. Third, when controlling for neuroticism, attention control remained significantly (negatively) associated with symptoms of anxiety, depression (child report only), and ADHD. The correlations between attention control and threat perception distortions largely disappeared when the influence of neuroticism was partialled out. Only the link between attention control and anxious interpretations of ambiguous vignettes survived this correction. Finally, no evidence was found for the hypothesised mediating role of cognitive distortions on the relation between temperament factors and psychopathological symptoms.

Adolescent↗
PubMed2006

Efficacy of visuo-spatial training in right-brain damaged patients with spatial hemineglect and attention disorders.

Several rehabilitative approaches have been used to reduce neglect disorders. Some studies tried to demonstrate that hemineglect can be ameliorated by using tasks promoting attentional activation towards the neglected hemispace (Robertson et al., 1995, 2001). As a consequence, a functional link between level of attention and disorders of space exploration has been proposed. For this reason we tried to explore the possible role of attentional deficits on the efficacy of a standard neglect treatment based on visuo spatial rehabilitation. In this study we then examined the performances of a selected group of seven right brain damaged patients, suffering from both severe hemineglect and attentional deficits (of both phasic and tonic components of attention), to several tasks before and after a visuo-spatial training (VST) whose efficacy has been already demonstrated (Pizzamiglio et al., 1992). Results showed that VST induces a significant remission of hemineglect symptoms independently from disorders of attention. Moreover, after visuo-spatial rehabilitation, no improvement of attentional deficits is detectable.

Aged↗
PubMed2002

Sustained attention deficit in bipolar disorder is not a working memory impairment in disguise.

Euthymic patients with bipolar disorder have been reported to show persistent deficits in sustained attention. However, the sustained attention task which was used also placed demands on working memory. Bipolar disorder patients in the euthymic state were therefore compared with healthy controls on two measures of sustained attention with and without a working memory component. Signal detection methodology was applied to the results. Euthymic patients with bipolar disorder were particularly impaired at detecting targets in the sustained attention task without a working memory component. This deficit was still apparent in a sub-group of patients who were not currently receiving lithium medication. By contrast, performance in the sustained attention task involving working memory task was not significantly different in the two groups. Sustained attention deficits apparent during the euthymic period of bipolar disorder cannot be explained in terms of working memory impairment and represents a reduced inherent capacity rather than a change in response bias. Deficits in sustaining attention may help explain the difficulties in psychological and occupational functioning in bipolar disorder patients during remission.

Adult↗
PubMed2004

Relationship between motor proficiency, attention, impulse, and activity in children with ADHD.

The aim of this study was to investigate the relationship between motor performance, attention deficit, impulsiveness, and hyperactivity in children with attention-deficit--hyperactivity disorder (ADHD). Participants were 42 school-aged children with ADHD (36 males, 6 females; mean age 8 years 2 months, SD 1 year 2 months; range 6 years to 11 years), and 42 age- and sex-matched children without ADHD (mean age 8 years 3 months, SD 1 year 1 month; range 6 years to 11 years). Motor abilities were assessed with the Bruininks-Oseretsky Test of Motor Proficiency. Attention and impulse control were measured with the Gordon Diagnostic System, and assessment of activity level was based on two Activity Level Rating Scales that were completed by parents and teachers. Analysis by t-test revealed a significant difference between children with and without ADHD in fine and gross motor skills, impulse control, and attention. Stepwise regression indicated that attention, impulse control, and parent ratings of activity level were the three best predictors of gross motor skills for children with ADHD, accounting for 55.9% of the variance. Attention and impulse control were the two best predictors of fine motor skills, accounting for 45.7% of the variance. Attention and impulse control were consistently found to be important predictors of both fine and gross motor skills in children with ADHD. However, the fact that activity level was a predictor for gross motor proficiency but not for fine motor tasks suggests that different behavioral processes are involved in fine and gross motor performance to different extents.

Attention↗
PubMed1999

Early clinical assessment of attention.

Fifty preschoolers participated in this study. Twenty-five preschoolers classified as ADHD were matched with 25 typically developing preschoolers, and assessed using three tests of attention (two vigilance tests, one visual-search test). Their behavior exhibited during these attention tests was also assessed. Compared to their peers, preschoolers classified as ADHD exhibited significantly more omission and commission errors on the visual attention test. On the visual-search attention test, preschoolers classified as ADHD exhibited significantly more commission errors, and they took significantly longer to complete it. They did not exhibit significantly more omission or commission errors on the auditory attention test. The preschoolers classified as ADHD were also more vocal, more often off-task and out-of-seat, and they required more adult redirectives to return to task. Discussion is focused on the clinical value of developmentally appropriate attention tests and behavioral observation systems in the early clinical assessment of attention in very young children.

Age Factors↗
PubMed2005

Auditory processing measures: correlation with neuropsychological measures of attention, memory, and behavior.

It has been suggested that measures of auditory processing (AP) are sensitive measures of attention resulting in the high comorbidity of auditory processing disorder (APD) and attention deficit/hyperactivity disorder (ADHD). Others have found that selected AP measures share significant variance with memory tasks. The current study investigated the relation between AP measures and various neuropsychological measures presumed to measure attention and memory in 36 children with a mean age of 7.78 years (SD=1.61) referred to an outpatient facility. Results indicate that AP measures significantly correlated with each other as well as with some measures of attention, memory, and behavior ratings. Results suggest that although AP measures include elements of both attention and memory, these measures also appear to assess processes not tapped by other measures of attention and memory. The correlation of AP measures with parent-and teacher-rated withdrawal, parent-rated somatization, conduct, and depression, as well as teacher-rated attention, anxiety, learning problems, social skills, and leadership suggest that auditory processing problems may manifest in myriad behaviors across settings. Implications for practice and future research are presented.

Attention↗