SEARCH · PubMed Health

Results for “ATTENTION”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources

PubMed1998

Auditory attentional shifts in reading-disabled students: quantification of attentional effectiveness by the Attentional Shift Index.

A controversy has existed for some years regarding auditory attentional skills in reading-disabled children. Data have suggested highly developed attentional skills in groups of reading-disabled students, but reduced attentional shifts have also been documented in equivalent groups. Attentional shifts in dichotic listening with forced or directed attention are usually inferred from a significant interaction between attentional task and ear. However, this procedure cannot be used to evaluate individual test performance, and the interaction does not give a useful measure of attentional shifts in dichotic listening meaningful for comparison with other tests of attention. In this paper attentional shifts in dichotic listening are quantified with the Attentional Shift Index (ASI), a measure for evaluating the degree of attentional shift in individual subjects. The ASI is based on the log-odds ratio of hits and intrusion errors when the subject has been tested under conditions of directed or forced attention. When 58.3% of the normative sample showed significant attentional shifts, none of the reading-disabled sample did so. This finding is discussed in relation to different types of deficits that can account for for the lack of auditory attentional shifts.

Acoustic Stimulation↗

PubMed2003

Dissociation between top-down attentional control and the time course of visual attention as measured by attentional dwell time in patients with mild cognitive impairment.

Studies of the time course of visual attention have identified a temporary functional blindness to the second of sequentially presented stimuli in that the attentional cost of attending to one visual stimulus may lead to impairments in identifying a second stimulus presented within 500 ms of the first. This phenomenon is known as the attentional blink or attentional dwell time. The neural correlates of the attentional blink and its relationship to mechanisms that control attention are unknown. To examine this relationship we tested healthy controls and subjects in the preclinical stage of Alzheimer's disease, known as mild cognitive impairment (MCI), on a paradigm which affords quantification of both the attentional blink and the top-down control of attention. When subjects were asked to identify both a number and a letter that were rapidly and sequentially presented on a visual display, the detrimental effect that identifying the first stimulus had on the ability to identify the second served as a measure of the attentional blink. When asked to identify only one of the two stimuli, the ability to ignore the first stimulus was a function of their top-down attentional control. The MCI subjects demonstrated a normal attentional dwell time but in contrast they showed impaired top-down attentional control within the same paradigm. This dissociation suggests that these two aspects of visual attention are subserved by different neural systems. The possible neural correlates of these two attentional functions are discussed.

Aged↗

PubMed2003

Shifts of attention in light and in darkness: an ERP study of supramodal attentional control and crossmodal links in spatial attention.

Crossmodal links in spatial attention, uncovered by recent behavioural and electrophysiological studies, have been interpreted as evidence for supramodal processes controlling shifts of attention. However, previous experiments have usually been conducted in illuminated environments. Continuously available visuo-spatial information might result in shifts of attention being primarily guided by visible information, even when another modality is task-relevant. The present ERP study evaluated this. A symbolic auditory cue directed attention to the left or right hand. Participants had to detect infrequent tactile targets delivered to the cued hand, while ignoring any visual stimuli. Stimuli were presented either in a lit environment or in darkness. Although continuous ambient visuo-spatial information was eliminated in the latter condition, processing of task-irrelevant visual events was still modulated by spatial attention for the tactile task. Moreover, ERP correlates of attentional shifts in the cue-target interval were similar for both illumination conditions. This was further confirmed in a follow-up experiment where the darkness condition was repeated without any peripheral visual stimulation ever occurring. These findings demonstrate that the ERP correlates of crossmodal attention (both preparatory effects in the cue-target interval, and also modulations of stimulus-evoked components) do not depend on selection being guided by ambient visible information in a lit environment. They suggest instead that spatial shifts of attention are controlled supramodally.

Acoustic Stimulation↗

PubMed1997

Attentional selection and attentional gradients: an alternative method for studying transient visual-spatial attention.

In two experiments, I employed an alternative method for studying transient visual-spatial attention. Instead of using precues, attention was manipulated by presenting most stimuli sequentially at predictable locations. In Experiment 1, most stimuli appeared in a regular clockwise or counterclockwise order, but some were separated by one or both visual meridians from the expected location. In Experiment 2, most stimuli were presented successively along the horizontal meridian, and some stimuli were separated by one, two, or three positions from the expected location. Faster response times and larger posterior P1 and N1 components as well as enhanced negativities at midline electrodes were found for expected-location than for unexpected-location stimuli. These effects were partially modulated by the distance of unexpected stimuli from the current focus of attention, suggesting the existence of attentional gradients. Moreover, the data suggest that the direction of previous attentional shifts and the visual meridians play an important role for spatial attention.

Adult↗

PubMed1993

Quality of attention in chronic fatigue syndrome: subjective reports of everyday attention and cognitive difficulty, and performance on tasks of focused attention.

Patients with chronic fatigue syndrome (also known as post-viral fatigue syndrome or myalgic encephalomyelitis) commonly report cognitive difficulties concerning attention, concentration and memory. In this study, patients were compared with matched controls on two questionnaires which assess subjective difficulties with attention and general cognitive functioning, and on two tasks requiring focused attention. Patients reported significantly greater difficulty with attention on the Everyday Attention Questionnaire and more cognitive symptoms on the Profile of Fatigue-Related Symptoms. The objective tests did not clearly indicate a deficit in patients' focused attention; patients tended to perform less well on the Embedded Figures Test and the Stroop Colour-Word Interference Test, but these differences were not significant. There was, however, evidence of psychomotor retardation, with patients having longer response times for word reading and colour naming in the Stroop test. Difficulties in interpreting findings for both subjective and objective cognitive measures are discussed.

Adult↗

PubMed2000

Evidence for distinct attentional bottlenecks in attention switching and attentional blink tasks.

E. Weichselgartner and G. A. Sperling (1987), using rapid serial visual presentation (RSVP), estimated that attention could be moved to a new spatial location within 300-400 ms. H. J. Müller and P. M. Rabbit (1989) used a spatial cuing task and found a similar time course for voluntarily redeploying attention. A separate phenomenon known as the attentional blink (AB) also follows a similar time course, yet occurs when participants attend to a single spatial location. The present study found that attention can be shifted more quickly than previously estimated and that part of the deficit observed during searches of spatially distinct RSVP streams is due to an AB. The results support some early and late selection accounts for the temporal dynamics of visual attention and suggest different bottlenecks during visual selection. The implications for visual search and visual processing are discussed.

Attention↗

PubMed2003

Attention, spatial representation, and visual neglect: simulating emergent attention and spatial memory in the selective attention for identification model (SAIM).

The selective attention for identification model (SAIM) is presented. This uses a spatial window to select visual information for recognition, binding parts to objects and generating translation-invariant recognition. The model provides a qualitative account of both normal and disordered attention. Simulations of normal attention demonstrate 2-object costs and effects of object familiarity on selection, global precedence, spatial cueing, and inhibition of return. When lesioned, SAIM demonstrated either view- or object-centered neglect or spatial extinction, depending on the type and extent of lesion. The model provides a framework to unify (a) object- and space-based theories of normal selection, (b) dissociations within the syndrome of unilateral neglect, and (c) attentional and representational accounts of neglect.

Attention↗

PubMed1985

Selective attention and the brain: a hypothesis concerning the hippocampal--ventral striatal axis, the mediation of selective attention, and the pathogenesis of attentional disorders.

The mechanisms mediating selective attention are not currently known. Dysfunctional selective attention is a common and prominent finding in a variety of medical and psychiatric conditions. A hypothesis is developed that efferents from the hippocampal formation are the final common pathway of processes which determine the noteworthiness of both exteroceptive and interoceptive stimuli, and that dysfunction of these efferents is a common pathway for a variety of anatomical, electrophysiological, and neurochemical lesions. This hypothesis suggests that clinical syndromes of disordered attention may be caused by various lesions of efferent connections from hippocampal formation to nucleus accumbens. The hypothesis further addresses the possibility that the threshold of hippocampus to various classes of stimuli may change on a diurnal and phasic basis. Experimental evidence that bears on the hypothesis is reviewed and experimental implications of the hypothesis are explored.

Attention↗

PubMed1997

Distinguishing subcortical and cortical influences in visual attention. Subcortical attentional processing.

PURPOSE: The purpose of the study was to investigate the role of subcortical processing in human visual attention. The midbrain contribution to visual attention is unclear. Although evidence exists for a subcortical attentional advantage in ocular motor tasks, such an advantage has not been shown in perceptual tasks. Because retinotectal projections arise predominantly from nasal retina (i.e., temporal hemifield), subcortical attention should be distributed asymmetrically for monocular viewing conditions with an advantage to the temporal hemifield. METHODS: To test for a subcortical attentional effect, the authors compared the results of binocular and monocular viewing conditions using the split priming motion induction paradigm. In this perceptual attention paradigm, priming cues are presented to the left and right of fixation followed by an instantaneously presented horizontal bar. As a result of attention to the priming cues, motion is perceived within the bar as it appears to draw in from the two lateral cues toward a central collision point. Asymmetrically distributed attention results in an asymmetry in the perception of motion within the bar, and thus the perceived collision point will be shifted away from the center. RESULTS: In two separate studies, one with and one without control of eye movements, the authors found significant differences between the results for monocular and binocular presentation. When the stimulus configuration is presented to the left eye, the perceived collision point is shifted toward the center consistent with a subcortical attentional effect. However, presentation of the stimulus configuration to the right eye yields the same results as those of binocular presentation. CONCLUSIONS: This pattern of results can be explained by a separate and additive interaction between cortical and subcortical attentional effects in the visual field. Dominance of the left visual field for cortical attention and dominance of the temporal visual field for subcortical attention act together when the initial priming cue occurs in the temporal (left) visual field of the left eye. However, these influences compete when the same stimulus configuration is presented to the right eye, where cortical attention predominates in the left visual field and subcortical attention predominates in the temporal (right) visual field.

Adult↗

PubMed2003

Impaired and enhanced attentional function in children with attention deficit/hyperactivity disorder.

BACKGROUND: The symptom domain of inattention in attention deficit/hyperactivity disorder (ADHD) suggests that there are neuropsychological fields of attention in which subjects with ADHD express deficits. However, studies using differentiated neuropsychological attentional tests in ADHD are lacking. METHOD: A consecutive series of 35 subjects with ADHD aged 9-12 years were assessed on a computer-driven neuropsychological test battery for attentional functions. Their performance was classified according to the data of a normative sample of 187 healthy subjects aged 9-12 years, and compared with the performance of 35 matched healthy control subjects. RESULTS: According to normative data, most ADHD subjects performed on all attentional measures within the normal range. Comparisons with the control group revealed that ADHD subjects reacted faster on all attentional tests, yielding statistical significance for the Go/No go test and the Divided Attention test. They also performed with significantly fewer errors on the Divided Attention test. On the Go/No go test, Visual Scanning test and Attentional Shift test ADHD subjects committed significantly more errors than control subjects. CONCLUSIONS: Our results suggest a differential pattern rather than a deficit pattern of attentional functions in ADHD. It is suggested that the more rapid response style of ADHD subjects leads to a more erroneous performance in self-paced attentional tasks and to a better performance in externally paced attentional tasks. However, neuropsychological tests of attention do not contribute to the clinical diagnosis of ADHD.

Attention↗

PubMed2001

Attention and fluctuating attention in patients with dementia with Lewy bodies and Alzheimer disease.

BACKGROUND: Attentional deficits are described in the consensus clinical criteria for the operationalized diagnosis of dementia with Lewy bodies (DLB) as characteristic of the condition. In addition, preliminary studies have indicated that both attentional impairments and fluctuation of attentional impairments are more marked in patients with DLB than in patients with Alzheimer disease (AD), although neuropsychological function has not previously been examined in a large prospective cohort with confirmed diagnostic accuracy against postmortem diagnosis. METHODS: A detailed evaluation of attention and fluctuating attention was undertaken in 155 patients with dementia (85 with DLB and 80 with AD) from a representative hospital dementia case register and 35 elderly controls using the Cognitive Drug Research Computerized Assessment System for Dementia Patients computerized neuropsychological battery. Operationalized clinical diagnosis was made using the consensus criteria for DLB and the National Institute of Neurological and Communicative Disorders and Stroke-Alzheimer's Disease and Related Disorders Association criteria for AD. High levels of sensitivity and specificity have been achieved for the first 50 cases undergoing postmortem examination. RESULTS: The groups were well matched for severity of cognitive impairments, but the AD patients were older (mean age, 80 vs 78 years) and more likely to be female (55% vs 40%). Patients with DLB were significantly more impaired than patients with AD on all measures of attention and fluctuating attention (for all comparisons, t > or = 2.5, P<.001), and patients from both dementia groups were significantly more impaired than elderly controls for all comparisons other than cognitive reaction time, which was significantly more impaired in DLB patients than controls but was comparable in controls and AD patients. There were, however, significant associations between the severity of cognitive impairment and the severity of both attentional deficits and fluctuations in attention. CONCLUSIONS: This large prospective study confirms that slowing of cognitive processing, attention, and fluctuations of attention are significantly more pronounced in DLB and AD patients, although fluctuating attention is common in patients with moderate-to-severe AD. Deficits of cognitive reaction time appear to be specific to DLB, except in severe dementia. A detailed evaluation of attentional performance could make an important contribution to differential diagnosis, although the results need to be interpreted within the context of the overall severity of cognitive deficits.

Aged↗

PubMed2001

Attention processes in children with shunted hydrocephalus versus attention deficit-hyperactivity disorder.

Children with congenital hydrocephalus, children with attention deficit-hyperactivity disorder, and normal controls were evaluated with measures of focused attention (Visual Orienting and Detection Task), sustained attention (continuous performance test), and attention shifting (Wisconsin Card Sorting Test). Components from these tasks have been linked to attention systems mediated by anterior or posterior brain networks. Children with congenital hydrocephalus showed an inability to focus and shift attention, which specifically implicated impairment of the disengage and move components of the posterior brain attention system. Children with attention deficit-hyperactivity disorder displayed the expected performance patterns on measures of focused attention once their difficulties with sustained attention were taken into account. However, they showed problems with shifting and sustaining attention, which are commonly associated with the anterior brain attention system.

Achievement↗

PubMed2001

The differential assessment of children's attention: the Test of Everyday Attention for Children (TEA-Ch), normative sample and ADHD performance.

"Attention" is not a unitary brain process. Evidence from adult studies indicates that distinct neuroanatomical networks perform specific attentional operations and that these are vulnerable to selective damage. Accordingly, characterising attentional disorders requires the use of a variety of tasks that differentially challenge these systems. Here we describe a novel battery, the Test of Everyday Attention for Children (TEA-Ch), comprising nine subtests adapted from the adult literature. The performance of 293 healthy children between the ages of 6 and 16 is described together with the relationships to IQ, existing measures of attention, and scholastic attainment. This large normative sample also allows us to test the fit of the adult model of functionally separable attention systems to the observed patterns of variance in children's performance. A Structural Equation Modelling approach supports this view. A three-factor model of sustained and selective attention and higher-level "executive" control formed a good fit to the data, even in the youngest children. A single factor model was rejected. There are behavioural and anatomical grounds to believe that Attention Deficit Disorder (ADD) is particularly associated with poor self-sustained attention and behavioural control. The TEA-Ch performance of 24 boys diagnosed with ADD presented here is consistent with this view. When performance levels on WISC-III subtests were taken into account, specific deficits in sustained attention were apparent while selective attention performance was within the normal range.

Activities of Daily Living↗

PubMed1987

Reorienting attention across the horizontal and vertical meridians: evidence in favor of a premotor theory of attention.

Stimuli presented in a non-attended location are responded to much slower than stimuli presented in an attended one. The hypotheses proposed to explain this effect make reference to covert movement of attention, hemifield inhibition, or attentional gradients. The experiment reported here was aimed at discriminating among these hypotheses. Subjects were cued to attend to one of four possible stimulus locations, which were arranged either horizontally or vertically, above, below, to the right or left of a fixation point. The instructions were to respond manually as fast as possible to the occurrence of a visual stimulus, regardless of whether it occurred in a cued or in a non-cued location. In 70% of the cued trials the stimulus was presented in the cued location and in 30% in one of the non-cued locations. In addition there were trials in which a non-directional cue instructed the subject to pay attention to all four locations. The results showed that the correct orienting of attention yielded a small but significant benefit; the incorrect orienting of attention yielded a large and significant cost; the cost tended to increase as a function of the distance between the attended location and the location that was actually stimulated; and an additional cost was incurred when the stimulated and attended locations were on opposite sides of the vertical or horizontal meridian. We concluded that neither the hypothesis postulating hemifield inhibition nor that postulating movement of attention with a constant time can explain the data. The hypothesis of an attention gradient and that of attention movements with a constant speed are tenable in principle, but they fail to account for the effect of crossing the horizontal and vertical meridians. A hypothesis is proposed that postulates a strict link between covert orienting of attention and programming explicit ocular movements. Attention is oriented to a given point when the oculomotor programme for moving the eyes to this point is ready to be executed. Attentional cost is the time required to erase one ocular program and prepare the next one.

Attention↗

PubMed2002

Spatial attention in agenesis of the corpus callosum: shifting attention between visual fields.

The role of the corpus callosum in spatially selective visual attention is uncertain. Research using commissurotomy and callosotomy patients has attempted to determine if the corpus callosum plays a role in reorienting attention between visual fields, as if spatial attention is unitary or divisible between the cerebral hemispheres. Reorienting of selective visuospatial attention within versus between visual fields was tested in 10 individuals with agenesis of the corpus callosum (ACC) and nine matched controls. Spatially focused attention to the most likely location of target appearance was created using both peripheral sensory cues and central symbolic cues in separate tests. Results demonstrated that individuals with ACC have significantly greater difficulty reorienting attention to an invalidly cued target stimulus occurring in the opposite visual field. However, this effect did not interact with the type of cueing (sensory or symbolic). Individuals with ACC did not differ from controls either with respect to the laterality of within-field reorientation of attention, or with respect to the most efficient direction of between-field shifting of attention. Since congenital absence of the corpus callosum significantly reduces efficiency in the reorienting of attention between visual fields, spatial attention cannot be completely unified based on a subcortical mechanism and the mobilization of attentional resources within each hemisphere must depend on callosal processes.

Adult↗

PubMed2001

The attentional role of the left parietal cortex: the distinct lateralization and localization of motor attention in the human brain.

It is widely agreed that visuospatial orienting attention depends on a network of frontal and parietal areas in the right hemisphere. It is thought that the visuospatial orienting role of the right parietal lobe is related to its role in the production of overt eye movements. The experiments reported here test the possibility that other parietal regions may be important for directing attention in relation to response modalities other than eye movement. Specifically, we used positron emission tomography (PET) to test the hypothesis that a 'left' parietal area, the supramarginal gyrus, is important for attention in relation to limb movements (Rushworth et al., 1997; Rushworth, Ellison, & Walsh, in press). We have referred to this process as 'motor attention' to distinguish it from orienting attention. In one condition subjects spent most of the scanning period covertly attending to 'left' hand movements that they were about to make. Activity in this first condition was compared with a second condition with identical stimuli and movement responses but lacking motor attention periods. Comparison of the conditions revealed that motor attention-related activity was almost exclusively restricted to the 'left' hemisphere despite the fact that subjects only ever made ipsilateral, left-hand responses. Left parietal activity was prominent in this comparison, within the parietal lobe the critical region for motor attention was the supramarginal gyrus and the adjacent anterior intraparietal sulcus (AIP), a region anterior to the posterior parietal cortex identified with orienting attention. In a second part of the experiment we compared a condition in which subjects covertly rehearsed verbal responses with a condition in which they made verbal responses immediately without rehearsal. A comparison of the two conditions revealed verbal rehearsal-related activity in several anterior left hemisphere areas including Broca's area. The lack of verbal rehearsal-related activity in the left supra-marginal gyrus confirms that this area plays a direct role in motor attention that cannot be attributed to any strategy of verbal mediation. The results also provide evidence concerning the importance of ventral premotor (PMv) and Broca's area in motor attention and language processes.

Adult↗

PubMed1998

Where and when to pay attention: the neural systems for directing attention to spatial locations and to time intervals as revealed by both PET and fMRI.

Although attention is distributed across time as well as space, the temporal allocation of attention has been less well researched than its spatial counterpart. A temporal analog of the covert spatial orientation task [Posner MI, Snyder CRR, Davidson BJ (1980) Attention and the detection of signals. J Exp Psychol Gen 109:160-174] was developed to compare the neural systems involved in directing attention to spatial locations versus time intervals. We asked whether there exists a general system for allocating attentional resources, independent of stimulus dimension, or whether functionally specialized brain regions are recruited for directing attention toward spatial versus temporal aspects of the environment. We measured brain activity in seven healthy volunteers by using positron emission tomography (PET) and in eight healthy volunteers by using functional magnetic resonance imaging (fMRI). The task manipulated cued attention to spatial locations (S) and temporal intervals (T) in a factorial design. Symbolic central cues oriented subjects toward S only (left or right), toward T only (300 msec or 1500 msec), toward both S and T simultaneously, or provided no information regarding S or T. Subjects also were scanned during a resting baseline condition. Behavioral data showed benefits and costs for performance during temporal attention similar to those established for spatial attention. Brain-imaging data revealed a partial overlap between neural systems involved in the performance of spatial versus temporal orientation of attention tasks. Additionally, hemispheric asymmetries revealed preferential right and left parietal activation for spatial and temporal attention, respectively. Parietal cortex was activated bilaterally by attending to both dimensions simultaneously. This is the first direct comparison of the neural correlates of attending to spatial versus temporal cues.

Adult↗

PubMed2003

Attentional blink in adults with attention-deficit hyperactivity disorder. Influence of eye movements.

The attentional blink paradigm tests attention by overloading it: a list of stimuli is presented very rapidly one after another at the same location on a computer screen, each item overwriting the last, and participants monitor the list using two criteria [e.g. detect the target (red letter) and identify the probe (letter p)]. If the interval between the target and the probe is greater than about 500 ms, both are usually reported correctly, but, when the interval between the target and the probe is within 200-500 ms, report of the probe declines. This decline is the attentional blink, an interval of time when attention is supposedly switching from the first criterion to the second. The attentional blink paradigm should be difficult to perform correctly without vigilantly attending to the rapidly presented list. Vigilance tasks are often used to assess attention-deficit hyperactivity disorder (ADHD). Symptoms of the disorder include hyperactivity and attentional dysfunction; however, some people with ADHD also have difficulty maintaining gaze at a fixed location. We tested 15 adults with ADHD and their age- and sex-matched controls, measuring accuracy and gaze stability during the attentional blink task. ADHD participants reported fewer targets and probes, took longer to recover from the attentional blink, made more eye movements, and made identification errors consistent with non-perception of the letter list. In contrast, errors made by control participants were consistent with guessing (i.e., report of a letter immediately preceding or succeeding the correct letter). Excessive eye movements result in poorer performance for all participants; however, error patterns confirm that the weak performance of ADHD participants may be related to gaze instability as well as to attentional dysfunction.

Adult↗