Attention Abilities Research Articles

In search for evolutionary roots of a mindful cognition: A Darwinian view on sustained intentional awareness

The attention system underwent important evolutionary changes and specializations in the human genus. In fact, our outstanding social and technological complexity strictly depends on our attentional ability, which is sustained, intentional, and conscious. Attention, intention, and awareness are key features for what can be defined a mindful cognition, and we may wonder whether a specific combination of these cognitive traits may be the result of a natural selective process, or else an accidental by-product of mental complexity. In this article, basic concepts in evolutionary anthropology are reviewed, to consider whether positive, neutral, or negative selective forces might have influenced the evolution of a mindful cognitive ability. At present, all these alternatives are potentially supported by different kinds of evidence. Hybrid hypotheses, considering stabilizing mechanisms or distinct social roles and intra-specific variation, are also likely. An evolutionary approach to the cognitive abilities involved in attention and awareness can reveal potentialities, limitations, and drawbacks of our individual and collective natural behaviors, especially when dealing with the evolution of the human consciousness.

Well-being and sustainability: impact of teacher centred coaching model

Purpose The development of educational models that prioritize the well-being and sustainability of educational communities has become increasingly important in recent years. The purpose of this study was to explore the impact of teachers’ training in strategies for implementing a multidimensional approach to classroom well-being through the Teacher Centred Coaching Model on well-being in the classroom – teachers and students well-being. Design/methodology/approach Through a qualitative design, the authors conduct the present study to assess the perceptions of elementary teachers regarding their own competency development and that of their students during a 25-h intervention program. The study involved teachers (n = 8) and their 8–15-year-old students (n = 423). The “Teachers Perception of SWCI Impact on students” questionnaire was used to collect student data, while teacher competency data was obtained through individual interviews entitled “Strategies for Well-being in the Classroom Intervention”. Findings The analysis of the data showed that teachers believed that improving well-being strategies could benefit the personal development of both themselves and their students. Furthermore, the study revealed a positive impact on the personal and professional well-being of the teachers who participated in the program. After completing the program, students displayed improved abilities in attention and concentration, as well as better personal relationships, organizational skills and emotional regulation. The teachers emphasized that self-awareness and self-regulated learning had a positive influence on their own well-being, as well as on that of the educational community, by promoting empathetic communication, sharing experiences and implementing good practices aimed at enhancing well-being and sustainability. Research limitations/implications The study involved eight participants, comprising eight females and two males. This number could be seen as a limitation, but in another way, these participants (from all the several regions in Portugal) allow us to reach a level of theoretical saturation of the contents in analysis because they complete all the several moments of training, coaching and implementation of the proposal, and their practices, reflections and actions guarantee the depth of data, as Burmeister and Aitken (2012) and Fusch and Ness (2015) propose. Practical implications The teachers emphasized that self-awareness and self-regulated learning had a positive influence on their own well-being, as well as on that of the educational community, by promoting empathetic communication, sharing experiences and implementing good practices aimed at enhancing well-being and sustainability. Social implications After completing the program, students displayed improved abilities in attention and concentration, as well as better personal relationships, organizational skills and emotional regulation. Originality/value This study adds to both theoretical and practical development of continuing teacher training about social and emotional learning and executive functioning and its possible role in promote the personal development of teachers and students.

Ecological virtual reality-based cognitive remediation among inpatients with schizophrenia: A pilot study

Schizophrenia presents a considerable clinical challenge due to limited progress in promoting daily-life functioning among diagnosed individuals. Although cognitive remediation (CR) has emerged as a promising approach to improving cognitive and functional outcomes in schizophrenia, its effectiveness among inpatients and within hospital environments—where opportunities to practice skills in real-world contexts are limited—remains unclear. Here, we aimed to establish the feasibility and initial efficacy of a short, ecological virtual reality-based CR training (CR-EVR) in acute mental health inpatient settings. Efficacy was assessed at four levels: training engagement, near transfer, far transfer, and ecological transfer. Twenty-three inpatients with schizophrenia (Male: 33.3 ± 8.5; 4 Female) completed 8, 20-min CR-EVR sessions, with exercises training the cognitive abilities of inhibition, planning, working memory, shifting, self-initiation, persistence, and attention. Their cognitive functioning, schizophrenia symptoms, functional capacity, and participation in occupations were evaluated pre- and post-training to address four levels of effectiveness. Of the recruited participants, 25.8 % dropped out. Inpatients who completed the full protocol reported high rates of satisfaction (1-not satisfied; 5-very satisfied)) from the intervention (Median = 4, IQR:3.5–5). Post-training, significant improvements were found in the trained cognitive components (intervention engagement: −6.58 < t/Z < 2.02, p < .05), general cognitive functioning (−2.59 < t/Z < 2.29, p < .05), functional capacity (t = −2.9, p < .05), and diversity of participation in everyday activities (t = −3.36, p < .05). This preliminary study suggests that CR-EVR may be a feasible and practical tool to enhance cognitive and ecological outcomes in short-stay acute inpatient settings. Subject to further research, such intervention may be considered an add-on to current practices that promote recovery and health among inpatient populations.

The dynamic impact of network attention on natural resources prices in pre-and post-Russian-Ukrainian war

Natural resources prices have been greatly affected by the Russian-Ukrainian war. Investors also pay special attention to the price of natural gas and oil. This paper introduces the Thermal optimal path (TOP) method and the Long Short-Term Memory (LSTM) model to investigate the dynamic lead-lag relationship between investor attention and natural resources prices for crude oil and natural gas.We find that during the war, the ability of investor attention to lead the prices of crude oil and natural gas become significantly stronger. Adding investor attention to the model significantly improves price prediction in the full sample. In addition, after the sample period is segmented according to the TOP method, the forecasting performance is greatly improved compared to the full sample. These findings indicate that traders and companies can incorporate investor attention into price predictions to further improve their trading strategies.

Cross-sectional and longitudinal changes in mind-wandering in older adulthood.

Age-related declines in the frequency of mind-wandering are well established. Theories of mind-wandering have attempted to explain why this decline occurs, but no one theory firmly predicts such changes. One problem with these theoretical views, and the studies that have grown out of them, is their reliance on cross-sectional methods, which do not account for within-person changes over time in mind-wandering, and it is well-documented that cross-sectional and longitudinal changes in some cognitive domains do not align. We present a novel analysis of longitudinal change in subjective and objective indicators of mind-wandering during a sustained attention task. Cognitively normal adults (N = 277, age range 42-94) completed a sustained attention task with thought probes to measure mind-wandering repeatedly over several years. Linear mixed effect models revealed baseline differences in subjective mind-wandering reports among middle-aged and older adults. However, longitudinally, middle-aged participants showed a significant increase in subjective mind-wandering, whereas older participants showed no change. Changes in mind-wandering could not be explained by attentional control ability or contemporaneous estimates of interest and perceived difficulty, but they were explained by baseline levels of conscientiousness. Objective measures of mind-wandering did not show these same patterns and were largely only associated with participants perceived difficulty. Our results build on previous cross-sectional research and suggest that incorporating longitudinal analyses into theories of ageing and mind-wandering and mind-wandering more broadly is important for refining these theories. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

초등 읽기부진 아동의 음운인식과 인지기능 요인 간의 관계 분석

The purpose of this study is to provide basic data for acquiring phonological awareness of children with poor reading by grasping the relationship between phonological perception and cognitive function factors of children with poor reading skills in elementary school. The subjects of this study were analyzed with 95 students enrolled in the 1st to 6th grades of elementary school commissioned by four regional education support offices in Jeollanam-do for poor reading. The analysis results are as follows. First, as a result of conducting an independent sample t-test to verify the difference between the measurement variables through intelligence tests, attention tests, and phonological awareness tests of children with poor reading in elementary school, there was a significant difference between grades(low grades, upper grades) in attention and phonological awareness. Second, as a result of conducting correlation analysis to find out the relationship between phonological awareness and measurement factors of children with poor reading in elementary school, attention, language understanding, and working memory had a significant positive correlation. Third, as a result of conducting hierarchical multiple regression analysis to find out the relative influence of the measurement variables on the phonological awareness of children with poor reading in elementary school, it was found that selective attention and working memory abilities had the greatest influence on phonological awareness.

Atypical local and global biological motion perception in children with attention deficit hyperactivity disorder

Perceiving biological motion (BM) is crucial for human survival and social interaction. Many studies have reported impaired BM perception in autism spectrum disorder, which is characterised by deficits in social interaction. Children with attention deficit hyperactivity disorder (ADHD) often exhibit similar difficulties in social interaction. However, few studies have investigated BM perception in children with ADHD. Here, we compared differences in the ability to process local kinematic and global configurational cues, two fundamental abilities of BM perception, between typically developing and ADHD children. We further investigated the relationship between BM perception and social interaction skills measured using the Social Responsiveness Scale and examined the contributions of latent factors (e.g. sex, age, attention, and intelligence) to BM perception. The results revealed that children with ADHD exhibited atypical BM perception. Local and global BM processing showed distinct features. Local BM processing ability was related to social interaction skills, whereas global BM processing ability significantly improved with age. Critically, general BM perception (i.e. both local and global BM processing) may be affected by sustained attentional ability in children with ADHD. This relationship was primarily mediated by reasoning intelligence. These findings elucidate atypical BM perception in ADHD and the latent factors related to BM perception. Moreover, this study provides new evidence that BM perception is a hallmark of social cognition and advances our understanding of the potential roles of local and global processing in BM perception and social cognitive disorders.

Atypical local and global biological motion perception in children with attention deficit hyperactivity disorder

Perceiving biological motion (BM) is crucial for human survival and social interaction. Many studies have reported impaired BM perception in autism spectrum disorder, which is characterised by deficits in social interaction. Children with attention deficit hyperactivity disorder (ADHD) often exhibit similar difficulties in social interaction. However, few studies have investigated BM perception in children with ADHD. Here, we compared differences in the ability to process local kinematic and global configurational cues, two fundamental abilities of BM perception, between typically developing and ADHD children. We further investigated the relationship between BM perception and social interaction skills measured using the Social Responsiveness Scale and examined the contributions of latent factors (e.g. sex, age, attention, and intelligence) to BM perception. The results revealed that children with ADHD exhibited atypical BM perception. Local and global BM processing showed distinct features. Local BM processing ability was related to social interaction skills, whereas global BM processing ability significantly improved with age. Critically, general BM perception (i.e. both local and global BM processing) may be affected by sustained attentional ability in children with ADHD. This relationship was primarily mediated by reasoning intelligence. These findings elucidate atypical BM perception in ADHD and the latent factors related to BM perception. Moreover, this study provides new evidence that BM perception is a hallmark of social cognition and advances our understanding of the potential roles of local and global processing in BM perception and social cognitive disorders.

Exploring visuospatial function neuroplasticity in elite speed skaters: a resting-state fMRI independent component analysis.

Limited research has been conducted on the neural mechanisms of visuospatial attention in closed skill sports. This research aimed to delve into the unique visuospatial attention abilities of skaters and elucidate the underlying neural mechanisms. This cross-sectional study employed an expert-novice paradigm, applying a purely data-driven approach to analyze and compare the resting-state networks (RSNs) associated with visuospatial attention in 15 elite skaters and 15 control subjects. From the 38 components identified by independent component analysis (ICA) algorithm, five RSNs were selected, including the dorsal attention network (DAN), left and right fronto-parietal network (FPN), somatomotor network (SMN) and visual network (VIS). Elite skaters exhibited heightened functional connectivity (FC) in the right angular gyrus and left precuneus within DAN, left fusiform gyrus within left FPN, right primary motor cortex within right FPN, left supplementary motor area within SMN, and right primary visual cortex within VIS compared to the control group. Conversely, skaters demonstrated diminished FC in the bilateral superior temporal gyrus within DAN and right prefrontal cortex within the right FPN. Statistical results demonstrated significant differences in RSNs related to visuospatial functions in a wide range of brain regions between elite skaters and controls. We further speculate that these variances could be attributable to alterations in visuospatial abilities resulting from years of devoted skating training. The findings of this study offer novel perspectives on the neural reorganization linked to motor training, contributing to an enriched comprehension of the neuroplasticity changes inherent in prolonged engagement in motor skill development.

내현적 자기애, SNS 중독 경향성, 자기초점주의 및 대인관계능력의 구조적 관계

The purpose of this study is to investigate the relationship between covert narcissism, social network service addiction tendency, self-focused attention, and interpersonal ability. A structural equation model including the four variables was formulated based on previous studies. 324 middle school students who lived in Gyeongsangnam-do answered the survey and the data were analyzed. Results indicated that covert narcissism was positively related to SNS addiction tendency and self-focused attention, and negatively related to interpersonal ability. Also, self-focused attention and interpersonal ability had a mediation effect, respectively, in the relationship between covert narcissism and SNS addiction tendency. Lastly, all direct and indirect effects were verified in the paths from covert narcissism to SNS addiction tendency. Based on the results, the ways to support adolescent with SNS addiction were discussed.

Hollow engineering in CoNi@Air@C@MoS2 multicomponent composites derived from bimetallic CoNi Prussian blue analogs for ultra-wide bandwidth and strong electromagnetic wave absorption

In recent years, two-dimensional layered transition metal dichalcogenides-based multicomponent composites (MCCs) acting as electromagnetic wave (EMW) materials have received intensive investigations. However, the vulcanication of metal greatly hindered their enhancement of EMW absorption performances (EMWAPs). Herein, a combined metal-organic frameworks-derived and hydrothermal strategy was presented to produce yolk-shell structure (YSS) CoNi@Air@C@MoS2 MCCs. The results showed that the thermal and hydrothermal treatments resulted in the generation of YSS and two-dimensional MoS2 nanosheets, which maintained the original morphology of CoNi Prussian blue analogues. The protection of thick C layer well inhibited the vulcanization of inner CoNi alloy. The formed sheet-like MoS2 further optimized impedance matching characteristics, which led to the satisfactory EMWAPs of CoNi@Air@C@MoS2 MCCs. Furthermore, the EMWAPs could be further improved by optimizing the Ni:Co atom ratios CoNi@Air@C@MoS2 MCCs, which stemmed from their boosted impedance matching performances, EMW attention and polarization loss abilities. The absorption bandwidth and reflection loss values for YSS CoNi@Air@C@MoS2 MCCs are 8 GHz and −60.83 dB, which covered almost all C-Ku bands. In general, our research work provided a valid strategy to produce YSS magnetic CoNi@Air@C@MoS2 MCCs with high efficiency, which well avoided the vulcanization of metal nanoparticles, made best of hollow engineering and atomic ratio optimization strategy to boost the comprehensive EMWAPs.

Cognitive and Emotional Effect of a Multi-species Probiotic Containing Lactobacillus rhamnosus and Bifidobacterium lactis in Healthy Older Adults: A Double-Blind Randomized Placebo-Controlled Crossover Trial.

As the population ages, cognitive decline becomes more common. Strategies targeting the gut-brain axis using probiotics are emerging to achieve improvements in neuropsychiatric and neurological disorders. However, the beneficial role of probiotics on brain function in healthy older adults remains unclear. Our aim was to evaluate a multi-species probiotic formulation as a therapeutic approach to reduce emotional and cognitive decline associated with aging in healthy adults. A randomized double-blind placebo-controlled crossover trial was conducted. The study involved a 10-week intervention where participants consumed the assigned probiotic product daily, followed by a 4-week washout period before the second condition started. Cognitive function was assessed using the Mini-Mental State Examination (MMSE) and the Psychological Experiments Construction Language Test Battery. At the emotional level, the Beck Depression Inventory (BDI) and the State-Trait Anxiety Inventory (STAI) were used. Thirty-three participants, recruited between July 2020 and April 2022, ingested a multispecies probiotic (Lactobacillus rhamnosus and Bifidobacterium lactis). After the intervention, noticeable enhancements were observed in cognitive function (mean difference 1.90, 95% CI 1.09 to 2.70, p < 0.005), memory (mean difference 4.60, 95% CI 2.91 to 6.29, p < 0.005) by MMSE and digit task, and depressive symptoms (mean difference 4.09, 95% CI 1.70 to 6.48, p < 0.005) by BDI. Furthermore, there were significant improvements observed in planning and problem-solving skills, selective attention, cognitive flexibility, impulsivity, and inhibitory ability. Probiotics administration improved cognitive and emotional function in older adults. Limited research supports this, requiring more scientific evidence for probiotics as an effective therapy for cognitive decline. This study has been prospectively registered at ClinicalTrials.gov (NCT04828421; 2020/July/17).

Application of virtual reality technologies in the rehabilitation of patients with left and right hemisphere lesions in the acute period of ischemic stroke

BACKGROUND: Currently, neurocognitive rehabilitation with the integration of innovative virtual reality (VR) technologies is the standard component of early rehabilitation treatment programs for patients with acute focal brain damage. AIM: Based on the statistical methodology, this study aimed to evaluate the efficiency of neurocognitive rehabilitation with the application VR technologies in patients with left and right hemisphere lesions in the acute period of ischemic stroke. MATERIALS AND METHODS: The study examined 160 patients diagnosed with ischemic stroke exhibiting cognitive impairments. Patients were divided into two groups based on stroke localization: group 1 (n=80) had left hemisphere lesions, whereas group 2 (n=80) had left hemisphere lesions. Since day 5 of hospitalization, in addition to basic therapy, rehabilitation was performed using a hardware–software multimedia complex based on VR for remote-controlled rehabilitation «Devirta-Delphi». Rehabilitation efficiency (RE) was assessed by testing objectively quantitative measures of accuracy and coordination of movement performance before and after treatment using a Kinect Delphi system. Cognitive and psychoemotional measures were assessed by neuropsychological tests on days 2–4 of hospitalization and at the end of the VR therapy. Mathematical statistics were calculated using Python programming language and its libraries Pandas and SciPy. RESULTS: Higher RE values were obtained in patients with right-sided stroke. Irrespective of lesion lateralization, significant improvement was noted with respect to mnestic, executive function, and ideomotor praxis, regression of anxiety, depression, and general aggression. Group 1 also showed an improvement in speech function and a decrease in general asthenia, whereas group 2 showed an increase in attention and emotion recognition ability. Factors that negatively affected RE were identified, namely, apathy, anxiety, prestroke cognitive decline, semantic aphasia, and decreased attention in group 1 and semantic and visual–spatial impairments, prestroke decline, and recurrent stroke in group 2. CONCLUSION: The application of an immersive environment in the early rehabilitation of patients with cognitive impairment improves the performance of verbal and visual tests reflecting mnestic, regulatory, and neurodynamic executive functions in lesions with different lateralization.

Functional and Structural Cerebellar-Behavior Relationships in Aging.

Healthy aging is associated with deficits in cognitive performance and brain changes, including in the cerebellum. Yet, the precise link between cerebellar function/structure and cognition in aging remains poorly understood. We explored this relationship in 138 healthy adults (aged 35-86, 53% female) using resting-state functional connectivity MRI (fcMRI), cerebellar volume, and cognitive and motor assessments in an aging sample. We expected to find negative relationships between lobular volume for with age, and positive relationships between specific lobular volumes with motor and cognition respectively. We predicted lower cerebellar fcMRI to cortical networks and circuits with increased age. Behaviorally, we expected higher cerebello-frontal fcMRI cerebellar connectivity with association areas to correlate with better behavioral performance. Behavioral tasks broadly assessed attention, processing speed, working memory, episodic memory, and motor abilities. Correlations were conducted between cerebellar lobules I-IV, V, Crus I, Crus II, vermis VI and behavioral measures. We found lower volumes with increased age as well as bidirectional cerebellar connectivity relationships with increased age, consistent with literature on functional connectivity and network segregation in aging. Further, we revealed unique associations for both cerebellar structure and connectivity with comprehensive behavioral measures in a healthy aging population. Our findings underscore cerebellar involvement in behavior during aging.

Interactive Electronic Pegboard for Enhancing Manual Dexterity and Cognitive Abilities: Instrument Usability Study.

Strokes pose a substantial health burden, impacting 1 in 6 people globally. One-tenth of patients will endure a second, often more severe, stroke within a year. Alarmingly, a younger demographic is being affected due to recent lifestyle changes. As fine motor and cognitive issues arise, patient disability as well as the strain on caregivers and health care resources is exacerbated. Contemporary occupational therapy assesses manual dexterity and cognitive functions through object manipulation and pen-and-paper recordings. However, these assessments are typically isolated, which makes it challenging for therapists to comprehensively evaluate specific patient conditions. Furthermore, the reliance on one-on-one training and assessment approaches on manual documentation is inefficient and prone to transcription errors. This study examines the feasibility of using an interactive electronic pegboard for stroke rehabilitation in clinical settings. A total of 10 patients with a history of stroke and 10 healthy older individuals were recruited. With a limit of 10 minutes, both groups of participants underwent a series of challenges involving tasks related to manual operation, shape recognition, and color discrimination. All participants underwent the Box and Block Test and the Purdue Pegboard Test to assess manual dexterity, as well as an array of cognitive assessments, including the Trail Making Test and the Mini-Mental Status Examination, which served as a basis to quantify participants' attention, executive functioning, and cognitive abilities. The findings validate the potential application of an interactive electronic pegboard for stroke rehabilitation in clinical contexts. Significant statistical differences (P<.01) were observed across all assessed variables, including age, Box and Block Test results, Purdue Pegboard Test outcomes, Trail Making Test-A scores, and Mini-Mental Status Examination performance, between patients with a history of stroke and their healthy older counterparts. Functional and task testing, along with questionnaire interviews, revealed that patients with a history of stroke demonstrated prolonged completion times and slightly inferior performance. Nonetheless, most patients perceived the prototype as user-friendly and engaging. Thus, in the context of patient rehabilitation interventions or the evaluation of patient cognition, physical functioning, or manual dexterity assessments, the developed pegboard could potentially serve as a valuable tool for hand function, attention, and cognitive rehabilitation, thereby mitigating the burden on health care professionals. Health care professionals can use digital electronic pegboards not only as a precise one-on-one training tool but also as a flexible system that can be configured for online or offline, single-player or multiplayer use. Through data analysis, a more informed examination of patients' cognitive and functional issues can be conducted. Importantly, patient records will be fully retained throughout practices, exercises, or tests, and by leveraging the characteristics of big data, patients can receive the most accurate rehabilitation prescriptions, thereby assisting them in obtaining optimal care.

Associations of aerobic and muscular fitness with sustained overt attention and discrimination abilities in preadolescents

ABSTRACT Sustained overt attention and discrimination abilities – representing an individual’s capability to focus on a target or event by directing the eyes towards it and to discern between different visual and auditory stimuli – are crucial in school activities such as reading and problem-solving. Research has highlighted a link between these cognitive abilities and children’s physical fitness. However, some aspects have received limited attention. To fill this literature gap, we investigated the associations of two fitness domains, namely aerobic and muscular fitness, with cognitive processes that necessitate sustained overt attention and discrimination abilities in preadolescents. A total of 176 elementary school students (70 girls, mean age = 11.17 years, standard deviation = 0.7) were instructed to perform half-mile run to evaluate their aerobic fitness and the 60-second sit-up and standing broad jump tests to evaluate their muscular fitness. Additionally, we adopted the visual pursuit test and determination test to assess sustained overt attention and discrimination abilities, respectively. Our results revealed that aerobic fitness was the strongest predictor of sustained overt attention performance, whereas muscular fitness was the strongest predictor of discrimination performance. These findings provide new insights into the unique associations of fitness domains with sustained overt attention and discrimination abilities in preadolescents.

QOL-31. NEUROPSYCHOLOGICAL FUNCTIONING AND QUALITY OF LIFE IN INFANT AT/RT SURVIVORS: FOCUS ON FLUID INTELLIGENCE AND VISUAL PROCESSING

Abstract BACKGROUND Understanding the long-term cognitive sequelae in infant brain tumor survivors remains incomplete, particularly regarding the impact of tumor type, multimodal treatment, and other patient-related factors. This retrospective analysis explores neuropsychological and quality of survival (QoS) outcomes in survivors of atypical teratoid/rhabdoid tumors (AT/RT) and extracranial malignant rhabdoid tumors of soft tissues (eMRT) and kidneys (RTK), all treated within the same framework. Neuropsychological data from children with AT/RT were compared to data from children with non-irradiated low-grade glioma (LGG). METHODS Patients (0 - 36 months at diagnosis) underwent various treatments, including radio-chemotherapy for AT/RT (n = 13) and eMRT/RTK (n = 7), chemotherapy only for LGG (n = 4) and eMRT/RTK (n = 1), or observation for LGG (n = 11). Neuropsychological evaluations were conducted at a median of 6.8 years (AT/RT), 6.6 years (eMRT/RTK), and 5.2 years (LGG) post-diagnosis. RESULTS Impairments were observed for all tumour types. Patients with AT/RT exhibited impairments in fluid intelligence (p =.041; d = 1.11) and visual processing (p =.001; d = 2.09) when compared to LGG-patients. Both groups demonstrated deficits in psychomotor speed and attention abilities (p &amp;lt;.001–.019; d = 0.79–1.90). Diagnosis significantly predicted cognitive outcomes, whereas gender and age-related variables did not. QoS outcomes for all rhabdoid patients indicated lower scores in psychosocial functioning (p =.023; d = 0.78) and quality of life (p =.006; d = 0.79) compared to healthy controls. CONCLUSIONS Infant rhabdoid tumor survivors experience cognitive and quality-of-life sequelae. Patients with AT/RT are especially vulnerable to impairments in fluid intelligence and visual processing, while infant LGG-patients without radiotherapy demonstrated comparable deficits in psychomotor and attention abilities. Close monitoring of neuropsychological and quality of life outcomes is crucial for early onset and multimodal treatment.

QOL-35. ANALYSIS ON THE EVOLUTIONARY PATTERN OF COGNITIVE FUNCTIONS IN CHILDREN ON FOLLOW-UP FOR BRAIN TUMORS

Abstract BACKGROUND Long-term cognitive sequelae of paediatric brain tumors are of increasing interest. The role of histology and surgery remains still unclear. Our study aimed to evaluate children cognitive functioning before and after brain tumors surgery, and at the end of additional treatments. METHODS New diagnoses of paediatric primary brain tumors were prospectively assessed. Neurocognitive evaluations were performed at diagnosis (T0), within 7-10 days from surgery (T1) and 12-18 months after the end of treatments (T2). Language, learning and memory, attention, executive functions, visuo-constructional and sensorimotor skills were evaluated at T0 and T1, Intelligent Quotient (IQ) was explored at T0 and T2. RESULTS Twenty-five patients (M:F=15:10, mean age 10.9±3.4 years) were enrolled between January 2019 and December 2022. In comparison to normal values (&amp;gt;7.0), at baseline patients showed major deficits in narrative memory (6.6±3.7, p&amp;lt;0.001) and visuo-spatial memory (copy design tasks: general 6.8±3.9, p&amp;lt;0.001, specific 6.2±3.3, p&amp;lt;0.001, motor 5.2±3.2, p&amp;lt;0.001). At T1 assessment, significant deficits remained in narrative memory (6.2±3.3, p&amp;lt;0.001) and visual-motor coordination (copy design tasks: specific 5.9±3.0, p&amp;lt;0.001 and motor 4.8±4.3 p&amp;lt;0.001); attention and visual-constructional abilities significantly improved (p=0.04 and p=0.001). On the visual construction test, children with high-grade histology scored lower than the low-grade group (Rey- Osterrieth complex figure-copy 5.1±4.4 vs 11.0±4.3; p=0.019). At T2 evaluation children showed persistent deficits in visuo-spatial processing and a possible decline in IQ scores, with lower scores compared with T0 (93 vs 100, p=0.05). CONCLUSIONS Children with brain tumors may present several neuropsychological impairments at diagnosis, particularly those with high-grade diseases. Surgery may have a positive effect on the recovery of some cognitive functions. However, cognitive decline may worsen over time. Baseline and periodic neurocognitive evaluations should be encouraged to identify functional difficulties and to develop a tailored treatment approach for the patient.

Relaxation Technique to Improve Children’s Attention

Nowadays, the new generation is very familiar with technology. The use of gadgets increases the prevalence of the risk of attention deficit disorder and hyperactivity because gadget addiction affects the excessive release of the hormone dopamine, causing a decrease in the maturity of the Pre pre-frontal cortex. Unfortunately, impaired concentration will ultimately have a prolonged impact on a child's academic performance. Symptoms of lack of concentration in children will interfere with cognitive development, behavior, and social and communication skills. One of the factor is the gadget usage. The gadget provided too much stimulus at once, while attention is the ability to focus the mind or mental ability in sorting information that is not needed and focusing only on the required information. Relaxation is a technique believed to help improve attention. Unfortunately, only a few literature present relaxation carried out on children. This research involved 34 children of elementary school in Surakarta. The experiment was carried out using the one-group pre-post test technique. Corsi block and digit span are used as measurement instruments. The results show a significant difference in children's attention ability before and after the intervention.

A mobile device-based game prototype for ADHD: development and preliminary feasibility testing

This research aimed to devise and assess a mobile game therapy software for children with Attention-Deficit/Hyperactivity Disorder (ADHD), as well as evaluating its suitability and effectiveness in improving the cognitive ability of typically developing children. The study encompassed 55 children diagnosed with ADHD and 55 neurotypical children. Initial assessments involved ADHD-related scales, computerized tests for information processing, and physiological-psychological evaluations. After a 4-week home-based game intervention, participants underwent re-evaluation using baseline measures and provided feedback on treatment satisfaction. Considering the small proportion of study participants who dropped out, data was analyzed using both the Intention-to-Treat (ITT) analysis and the Per-protocol (PP) analysis. The trial was registered at ClinicalTrials.gov (NCT06181747). In ITT analysis, post-intervention analysis using linear mixed models indicated that the ADHD group improved significantly more than the neurotypical group particularly in Continuous Performance Test (CPT) accuracy (B = −23.92, p < 0.001) and reaction time (B = 86.08, p < 0.01), along with enhancements in anti-saccade (B = −10.65, p < 0.05) and delayed-saccade tasks (B = 0.34, p < 0.05). A reduction in parent-rated SNAP-IV scores was also observed (B = 0.43, p < 0.01). In PP analysis, paired-sample t-tests suggested that the ADHD group had significant changes pre- and post-intervention, in terms of CPT Accuracy (t = −7.62, p < 0.01), Anti-saccade task Correct Rate (t = −3.90, p < 0.01) and SNAP-IV scores (t = −4,64, p < 0.01). However, no significant changes post-intervention were observed in the neurotypical group. Survey feedback highlighted a strong interest in the games across both groups, though ADHD participants found the game more challenging. Parents of ADHD children reported perceived benefits and a willingness to continue the game therapy, unlike the neurotypical group’s parents. The findings advocated for the integration of serious video games as a complementary tool in ADHD treatment strategies, demonstrating the potential to augment attentional abilities and alleviate clinical symptoms. However, a randomized controlled trial (RCT) is needed to further verify its efficacy.