Attention In Healthy Subjects Research Articles

An open-label, single-arm pilot study of tocotrienols supplementation on improving memory and attention in healthy young adults

• Supplementation of tocotrienols enhanced attention in healthy subjects. • Supplementation of tocotrienols significantly improved memory in healthy subjects. • Tocotrienols increased neural efficiency of subjects, as evidenced by EEG analysis. • Tocotrienols acts as a potential nootropic in improving cognitive performance. This study aimed to investigate the beneficial effects of tocotrienols (T3) supplementation on one’s attention and memory. Eleven healthy subjects were enrolled to receive placebo followed by T3 in 6 weeks. Psychomotor Vigilance Task (PVT) and Digit Span Test (DST) were used to access subjects’ sustained attention and working memory. Electroencephalogram (EEG) was used to examine the brainwave activity. T3 supplementation significantly improved the memory of the subjects in relative to the baseline as measured by average mean span for forward and reverse DST. Notably, a significant memory enhancement for T3 over placebo was observed. Subjects who consumed T3 have shown faster reaction as compared to placebo as assessed by PVT. T3 supplementation showed an overall reduction in alpha and low-beta power in comparison to placebo, indicating T3 promoted a higher neural efficacy. T3 supplementation may act as a potential nootropic in improving the mental performance and cognitive activity.

Cross-modal aftereffects of visuo-manual prism adaptation: Transfer to auditory divided attention in healthy subjects.

Prism adaptation was shown to modify auditory perception. Using a dichotic listening task, which assesses auditory divided attention, benefits of a rightward prism adaptation were demonstrated in neglect patients (i.e., a syndrome following right hemisphere brain damage) by reducing their left auditory extinction. It is currently unknown whether prism adaptation affects auditory divided attention in healthy subjects. In the present study, we investigated the aftereffects of prism adaptation on dichotic listening. A sample of 47 young adults performed a dichotic listening task, in which pairs of words were presented with two words sounded simultaneously, one in each ear. Three parameters were measured: The percentage of recalled words, the percentage of correctly recalled words, and the laterality index (LI). Prism adaptation to a leftward optical deviation (L-PA) significantly increased the overall percentage of recalled words (p = .044) and that from the right ear (p = .002), and the overall LI (p = .049). For the first time, these findings demonstrate that L-PA produced an orientation of the auditory divided attention in favor of the right ear in healthy participants. This asymmetrical aftereffect provides a new argument in favor of the cross-modal dimension of prism adaptation, although an acclimatization effect of the dichotic listening task is also discussed. Our study opens up a new avenue for using prism adaptation in the field of auditory rehabilitation requiring a modulation of auditory attention. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Acute inflammation and psychomotor slowing: Experimental assessment using lipopolysaccharide administration in healthy humans

Data from clinical and cross-sectional studies suggest that inflammation contributes to psychomotor slowing and attentional deficits found in depressive disorder. However, experimental evidence is still lacking. The aim of this study was to clarify the effect of inflammation on psychomotor slowing using an experimental and acute model of inflammation, in which twenty-two healthy volunteers received an intravenous injection of lipopolysaccharide (LPS, dose: 0.8 ​ng/kg body weight) and of placebo, in a randomized order following a double-blind within-subject crossover design. A reaction time test and a go/no-go test were conducted 3 ​h after the LPS/placebo injection and interleukin (IL)-6 and tumor necrosis factor (TNF)-α concentrations were assessed. No effect of experimental inflammation on reaction times or errors for either test was found. However, inflammation was related to worse self-rated performance and lower effort put in the tasks. Exploratory analyses indicated that reaction time fluctuated more over time during acute inflammation. These data indicate that acute inflammation has only modest effects on psychomotor speed and attention in healthy subjects objectively, but alters the subjective evaluation of test performance. Increased variability in reaction time might be the first objective sign of altered psychomotor ability and would merit further investigation.

Associations of schizophrenia risk genes ZNF804A and CACNA1C with schizotypy and modulation of attention in healthy subjects

Schizotypy is a multidimensional risk phenotype distributed in the general population, constituting of subclinical, psychotic-like symptoms. It is associated with psychosis proneness, and several risk genes for psychosis are associated with schizotypy in non-clinical populations. Schizotypy might also modulate cognitive abilities as it is associated with attentional deficits in healthy subjects. In this study, we tested the hypothesis that established genetic risk variants ZNF804A rs1344706 and CACNA1C rs1006737 are associated with psychometric schizotypy and that schizotypy mediates their effect on attention or vice versa. In 615 healthy subjects from the FOR2107 cohort study, we analysed the genetic risk variants ZNF804A rs1344706 and CACNA1C rs1006737, psychometric schizotypy (schizotypal personality questionnaire-brief SPQB), and a neuropsychological measure of sustained and selective attention (d2 test). ZNF804A rs1344706 C (non-risk) alleles were significantly associated with higher SPQ-B Cognitive-Perceptual subscores in women and with attention deficits in both sexes. This schizotypy dimension also mediated the effect of ZNF804A on attention in women, but not in men. CACNA1C rs1006737-A showed a significant sex-modulated negative association with Interpersonal schizotypy only in men, and no effect on attention. Our multivariate model demonstrates differential genetic contributions of two psychosis risk genes to dimensions of schizotypy and, partly, to attention. This supports a model of shared genetic influence between schizotypy and cognitive functions impaired in schizophrenia.

Transcranial direct current stimulation as a non-medication modality for attention enhancement: A review of the literature

Objective: Attention is a higher cognitive function and its controlled manipulation has been always a research interest. Transcranial direct current (tDCS) is a non-invasive neuromodulation technique with promising therapeutic outcomes in different neuropsychiatric disorders. Initial studies have shown potential efficacy of tDCS for enhancing attention in neuropsychiatric and healthy individuals. The present study aims to review the tDCS studies on modulating attention among healthy individuals. The potentials of this technique for controlled modulation of attention related performance are discussed. Methods: The databases of PubMed (1980-2016), Web of Sciences (1985-2016), PsychInfo (1985-2016), and Google Scholar (1980-2016) were explored using the search terms transcranial direct current stimulation or 'tDCS, attention, healthy individuals”, and modulation. The obtained results were screened for the title and abstract and the relevant papers were selected for a comprehensive review. Results: Ten studies were included in this review. The protocols applied for improving attention in healthy subjects to modulate attention under different attention specific tasks are discussed. Although studies on attention modulation in healthy individuals are in initial step, the outcomes are relatively promising. The most frequent used regions of brain were dorsolateral prefrontal cortex (DLPFC) and right inferior frontal gyrus. The current density ranging 30-35 µA/cm2 and anodal over left DLPFC can enhance attention in healthy individuals. Conclusion: Current evidence shows relative efficiency of tDCS for controlled modulation of attention in healthy individuals. For clinical application of this technique as an alternative or adjunctive modality of attention modulation further controlled studies are needed.

Stimulation cérébrale non invasive dans le traitement du trouble déficit de l’attention avec ou sans hyperactivité : une revue de la littérature

ObjectivesThe aim of this review is to summarize the available data in the literature about the therapeutic applications of transcranial magnetic stimulation and transcranial direct current stimulation in attention-deficit hyperactivity disorder (ADHD). MethodThe scientific literature search of international articles was performed in February 2016 using the PubMed electronic database. The following MeSH terms were employed: “attention-deficit disorder with hyperactivity” AND “transcranial magnetic stimulation”, “attention-deficit disorder with hyperactivity” AND “transcranial direct current stimulation”. ResultsFive studies were retained by the literature search and were included in the review about rTMS and ADHD. Except for one study, they all showed significant positive effects of rTMS on ADHD. Four studies were retained by the literature search and were included in the review about tDCS and ADHD. Three of them showed significant positive effects of tDCS on ADHD. Two of them used tDCS during sleep at a frequency<1Hz. Only low-level evidences are available to support treatment with rTMS or tDCS in patients with ADHD. Indeed, randomized controlled trials are rare in this field of research. ConclusionAdditional studies are needed to confirm the efficacy of rTMS and tDCS in ADHD. rTMS could be used as an alternative therapy when methylphenidate is not well tolerated or shows an insufficient efficacy. Nevertheless, the optimal target, frequency and duration remain to be determined. tDCS can modulate attention in healthy subjects but data are insufficient in ADHD to conclude. It could be interesting to study its use in association with cognitive remediation to enhance its cognitive efficacy.

Prism Adaptation Alters Electrophysiological Markers of Attentional Processes in the Healthy Brain.

Neglect patients typically show a rightward attentional orienting bias and a strong disengagement deficit, such that they are especially slow in responding to left-sided targets after right-sided cues (Posner et al., 1984). Prism adaptation (PA) can reduce diverse debilitating neglect symptoms and it has been hypothesized that PA's effects are so generalized that they might be mediated by attentional mechanisms (Pisella et al., 2006; Redding and Wallace, 2006). In neglect patients, performance on spatial attention tasks improves after rightward-deviating PA (Jacquin-Courtois et al., 2013). In contrast, in healthy subjects, although there is evidence that leftward-deviating PA induces neglect-like performance on some visuospatial tasks, behavioral studies of spatial attention tasks have mostly yielded negative results (Morris et al., 2004; Bultitude et al., 2013). We hypothesized that these negative behavioral findings might reflect the limitations of behavioral measures in healthy subjects. Here we exploited the sensitivity of event-related potentials to test the hypothesis that electrophysiological markers of attentional processes in the healthy human brain are affected by PA. Leftward-deviating PA generated asymmetries in attentional orienting (reflected in the cue-locked N1) and in attentional disengagement for invalidly cued left targets (reflected in the target-locked P1). This is the first electrophysiological demonstration that leftward-deviating PA in healthy subjects mimics attentional patterns typically seen in neglect patients. Significance statement: Prism adaptation (PA) is a promising tool for ameliorating many deficits in neglect patients and inducing neglect-like behavior in healthy subjects. The mechanisms underlying PA's effects are poorly understood but one hypothesis suggests that it acts by modulating attention. To date, however, there has been no successful demonstration of attentional modulation in healthy subjects. We provide the first electrophysiological evidence that PA acts on attention in healthy subjects by mimicking the attentional pattern typically reported in neglect patients: both a rightward attentional orienting bias (reflected in the cue-locked N1) and a deficit in attentional disengagement from the right hemispace (reflected in the target-locked P1). This study makes an important contribution to refining current models of the mechanisms underlying PA's cognitive effects.

Caloric vestibular stimulation: interaction between somatosensory system and vestibular apparatus

Caloric vestibular stimulation: interaction between somatosensory system and vestibular apparatus

Working memory performance in young adults is associated to the AATn polymorphism of the CNR1 gene

Working memory (WM) depends on several neural networks and neurochemical systems. One of them is the endocannabinoid (eCB) system, which CB1 receptor (CB1R) is widely distributed all over the brain. The stimulation of CB1R by agonists reduces WM efficiency. The CNR1 human gene (6q14–15) encodes the CB1R. AATn polymorphism of the CNR1 gene has been related to psychiatric disorders, and to procedural learning and attention in healthy subjects. The aim of this exploratory research was to test whether AATn polymorphism of the CNR1 is related to the WM performance, by measuring n-back task. Mexican healthy young adults (n=94) performed the WM n-back task. One of the most frequent AATn allele in our sample was the AAT12. We formed three groups, as a function of the AATn genotype: AAT≤12/AAT≤12, AAT≤12/AAT>12 and AAT>12/AAT>12, and their accuracy on the n-back task was compared. WM accuracy differed among genotypes (P=0.03): AAT≤12/AAT≤12 group had a higher performance than the AAT>12/AAT>12 group (statistical power: 0.65, f2=0.20, P<0.05). These results suggest that the fewer AATn repeats of the CNR1 gene, the better WM performance, and sustain the idea that eCB system participates in the modulation of the human brain network involved in WM.

Do specific dietary constituents and supplements affect mental energy? Review of the evidence

The numbers of marketing claims and food, beverage, and drug products claiming to increase mental energy have risen rapidly, thus increasing the need for scientific specificity in marketing and food label claims. Mental energy is a three-dimensional construct consisting of mood (transient feelings about the presence of fatigue or energy), motivation (determination and enthusiasm), and cognition (sustained attention and vigilance). The present review focuses on four dietary constituents/supplements (Ginkgo biloba, ginseng, glucose, and omega-3 polyunsaturated fatty acids) to illustrate the current state of the literature on dietary constituents and mental energy. The strongest evidence suggests effects of Ginkgo biloba on certain aspects of mood and on attention in healthy subjects, as well as associations between omega-3 polyunsaturated fatty acids and reduced risk of age-related cognitive decline. Limitations of the current data and challenges for future research are discussed.

Interhemispheric balance of overt attention: a theta burst stimulation study

Interhemispheric imbalance is discussed as a pathophysiological mechanism in visuospatial neglect. It is suggested that after a lesion of the right hemisphere the mutual transcallosal inhibition is impaired, resulting in an increased activity of the left hemisphere. We investigated the interhemispheric balance of attention in healthy subjects by using a free visual exploration task and by interfering with the neural activity of the posterior parietal cortex (PPC) of either hemisphere using an inhibitory transcranial magnetic stimulation routine with theta burst stimulation (TBS). Subjects explored colour photographs of real-life scenes presented on a computer screen under four conditions: (i) without TBS; (ii) after TBS over the right PPC; (iii) after TBS over the left PPC; and (iv) after TBS over the right PPC and, after the first half of the task, over the left PPC. Eye movements were measured, and distribution of mean cumulative fixation duration over screen halves was analyzed. TBS over the right PPC resulted in a significant rightward shift of mean cumulative fixation duration of approximately 30 min. The shift could be reversed when a subsequent train of TBS was applied over the left PPC. However, left PPC stimulation alone had no significant effect on visual exploration behaviour. The present study shows that the effect of TBS on the PPC depends on which hemisphere is stimulated and on the state of the contralateral homologue area. These findings are in accordance with the predictions of the interhemispheric rivalry model in neglect.

EEG correlates of the states of visual and auditory attention in healthy subjects

In order to determine more accurately the EEG markers of different types of attention (AT) of a healthy adult, 14 young healthy subjects (aged 18–30 years) were subjected to spectral coherent analysis of the electrical activity of the brain in the baseline state and during activation of different forms of AT (the orienting response to the sound tone and opening of the eyes, involuntary and voluntary visual AT). In the last two cases, specially developed computer-aided techniques were used. The quantitative differences in the states were assessed on the basis of nonparametric (the Mann-Whitney test) and parametric (Student’s t test) statistics. In three subjects, EEG and fMRI comparisons of the brain response to opening of the eyes were made. It was shown that the activation of different forms of AT in healthy subjects is accompanied by considerable diffuse nonspecific changes in the EEG spectral coherent characteristics (a decrease in the average spectral frequency and power, as well as in coherence) in combination with more local, more often oppositely directed shifts in the region of the cortical representation of the working analyzer. Complex systemic rearrangements of the brain activity involving all components of the activating system, as well as the specifics of different forms of AT connected with the rearrangement of activity between its divisions, are reflected in the diffuse changes of intercentral interaction. For example, marked reactivity of the symmetrical frontopolar (Fp1-Fp2) and the anterotemporal (F7-F8) cortical areas with unidirectional maximum shifts during voluntary AT is likely to reflect the responses of the frontothalamic component of the activating system. The reciprocity of the behavior of interhemispheric frontopolar and temporal relationships seems to be determined by the activity of its different components: frontothalamic and hippocampal. The local component of the EEG response to opening of the eyes in the form of increased α coherence in the occipital areas is coupled with increased oxygenation of blood in the cortical representation of the visual analyzer (the +BOLD effect of the fMRI response).

Interhemispheric balance of attention: A theta burst stimulation study

Interhemispheric imbalance is discussed as a pathophysiological mechanism in visuospatial neglect. It is suggested that after a lesion of the right hemisphere, the mutual transcallosal inhibition is impaired resulting in an increased activity of the left hemisphere. We investigated interhemispheric balance of attention in healthy subjects using a free visual exploration task and by interfering with the neural activity of the posterior parietal cortex (PPC) of either hemisphere by means of theta burst stimulation (TBS).

Optokinetic stimulation affects temporal estimation in healthy humans

The representation of time and space are closely linked in the cognitive system. Optokinetic stimulation modulates spatial attention in healthy subjects and patients with spatial neglect. In order to evaluate whether optokinetic stimulation could influence time perception, a group of healthy subjects performed “time-comparison” tasks of sub- and supra-second intervals before and after leftward or rightward optokinetic stimulation. Subjective time perception was biased by the direction of optokinetic stimulation. Rightward optokinetic stimulation induced an overestimation of time perception compared with baseline and leftward optokinetic stimulation. These results indicate a directional bias in time perception induced by manipulation of spatial attention and could argue for a mental linear representation of time intervals.

Event-Related Potentials of Visual Spatial Attention in Healthy Subjects

Event-Related Potentials of Visual Spatial Attention in Healthy Subjects

Chewing gum differentially affects aspects of attention in healthy subjects

In a study published previously in this journal (Wilkinson et al., 2002), the effect of chewing gum on cognitive functioning was examined. The results of this study indicated that chewing a piece of gum results in an improvement of working memory and of both immediate and delayed recall of words but not of attention. In the present study, memory and a variety of attentional functions of healthy adult participants were examined under four different conditions: no chewing, mimicking chewing movements, chewing a piece of tasteless chewing gum and chewing a piece of spearmint flavoured chewing gum. The sequence of conditions was randomised across participants. The results showed that the chewing of gum did not improve participants' memory functions. Furthermore, chewing may differentially affect specific aspects of attention. While sustained attention was improved by the chewing of gum, alertness and flexibility were adversely affected by chewing. In conclusion, claims that the chewing a gum improves cognition should be viewed with caution.

Ginkgo extract increases speed of attention in healthy subjects

Ginkgo extract increases speed of attention in healthy subjects

Lateralization of sustained attention in healthy subjects with left and right language dominance measured by functional transcranial Doppler ultrasonography (fTCD)

It is stated that in most humans the right hemisphere is dominant for distributing attention across the extrapersonal space (MESIJLAM1990]. Consistently, sustained attention as one compo-nent of the attentional system has proven to be a rightlateralized in healthy subjects (PARD01991AJ. Intracarotid amobarbital testing in epilectic patients gave evidence for a right-sided “attentional dominance” unrelated to the site of language lateralization { SPIERS1990J. Existing neuro-imaging studies in healthy subjects did not control for the influence of language lateralization on attentional dominance. In reference with Pardo’s paradigm we therefore investigated whether the hemispheric dominance for sustained attention is dependent on the side of language lateratization.

Effects of practice of serial tests of attention in healthy subjects

The effects of practice on the serial performance of auditory and visual attention tasks were investigated in 10 healthy volunteers tested at 2 to 4 weekly intervals over eight test sessions using a battery of psychometric tests. Subjects as a group showed an ability to significantly (p = .05) improve their performances over time on all tests except for the Simple Reaction Time and Symbol Digit Modalities Test, the latter demonstrating a trend towards improvement (p = .07). Improvement when it occurred was almost uniformly linear and on tests such as the Pegboard and Stroop, was still discernable at the eighth session. On tests such as Paced Visual Serial Addition Task, floor effects were noted after five sessions and no further improvement was possible. In general, younger subjects tended to make fewer errors, perform quicker and improve for longer periods than their older counterparts. The results indicate that on tests of attention, healthy subjects have the ability to significantly improve performance with practice and this may extend over as many as eight discrete test sessions. The implications for neuropsychological research are discussed.