Attention Fatigue Research Articles

Alone or with a friend: A social context for psychological restoration and environmental preferences

We tested propositions about the influences of social context and need for psychological restoration on preferences for natural and urban environments. We framed preference in terms of (1) beliefs about the likelihood of restoration during a walk in each type of environment and (2) the evaluation of restoration given differing restoration needs. Imagining themselves as alone or in the company of a friend, and as attentionally fatigued or fully refreshed, the 106 participants first evaluated recovery, reflection, and social stimulation outcomes. Next, they viewed slides simulating a walk through a forest or an urban center. They then rated the likelihood of recovery, reflection, and social stimulation outcomes from such a walk, as well as how safe it would be while walking. This procedure was repeated with the second environment. Attentional fatigue increased preference for the natural over the urban environment. Company increased preference for the urban environment but not for the natural environment. The absence of a general effect of company in the natural environment owes to two opposed effects: company enabled restoration through its effect on safety, while solitude enhanced restoration when safety was controlled for in the analysis.

Daytime parahypnagogia: a state of consciousness that occurs when we almost fall asleep

Based on a series of self-reports of a previously undescribed and undocumented experiential event, we are postulating the existence of a newly identified state of consciousness, daytime parahypnagogia (DPH). DPH is more likely to occur when one is tired, bored, suffering from attention fatigue, and/or engaged in a passive activity. Individuals describe DPH as a transient and fleeting episode that is dissociative, trance-like, dreamlike, uncanny, and often pleasurable; but, unlike a daydream, it is not self-directed. A DPH episode is spontaneous and may consist of a flash image, thought, and/or creative insight that is quickly forgotten. However, the individual remains aware of having had a DPH experience. This paper details the experiential characteristics associated with DPH. Through a brief review of the literature, the authors differentiate DPH from related phenomena and establish DPH as a unique and distinct altered state of consciousness.

Where to recover from attentional fatigue: An expectancy-value analysis of environmental preference

Preferences for natural and urban environments can be framed in terms of (1) beliefs about the likelihood of psychological restoration during a walk in each type of environment and (2) the evaluation of restoration given differing restoration needs. We conducted an experiment to test hypotheses about restoration as a basis for environmental preferences. Imagining themselves as attentionally fatigued or fully refreshed, participants ( N=101) evaluated recovery, reflection, and social stimulation outcomes. Next, they viewed slides simulating a walk through a forest or an urban center, then rated the likelihood of recovery, reflection, and social stimulation outcomes following such a walk. This procedure was repeated with the second environment. Preference for the forest over the city was twice as strong given attentional fatigue. The greater likelihood of restoration in the natural environment in conjunction with more positive evaluation of recovery when fatigued appears to explain this pattern. The results have implications for environmental preference conceptualizations and our understanding of the relationship between preference and restoration.

PROMOTING ATTENTIONAL HEALTH: IMPORTANCE TO WOMEN’S LIVES

Promoting attentional health is an important opportunity to support and empower women to actively participate in their own health care and function effectively in multiple roles. Attention, the ability to focus or concentrate, is a necessary cognitive resource used throughout the life span in participating in self-health care. However, women can inadvertently overuse this essential capacity, especially when responding to life’s multiple demands, resulting in mental or attentional fatigue. When women experience this mental fatigue, many daily activities, including self-health care, are more difficult. An attentional perspective in women’s health allows approaches to improve daily functioning and reduce the risk of attentional fatigue. In this article we present the conceptual dimensions of directed attention and its relevance to women’s health; practice and research implications are identified.

Cancer-Related Fatigue: Nursing Assessment and Management

Cancer-Related Fatigue: Nursing Assessment and Management

An Instrument to Measure the Attentional Demands of Community-Dwelling Elders

The capacity to direct attention (CDA) is a pivotal facet of cognitive functioning that allows people to focus on trains of thought, complex tasks, and the daily business of life. According to a theoretical framework of directed attentional fatigue (DAF) and restoration, excessive demand for attention depletes CDA, a condition called DAF. Attentional demands are factors such as feelings of loss and worries that require intense or prolonged use of CDA and thus can lead to DAF. The purposes of this study were to determine reliability and validity for an instrument to measure attentional demands, the Attentional Demands Survey (ADS). The ADS was administered to 197 (142 females, 50 males) community-dwelling elderly (ages 65-98 years, M = 77). A factor analysis revealed 4 factors/subscales consistent with theorized domains. Internal consistency for each subscale ranged from .87 to .90 and test-retest reliability was .91. The ADS can be used to explore the relationships among attentional demands, CDA, and interventions to support and restore attentional functioning for elders.

Variability in Visual Cortex Activation During Prolonged Functional Magnetic Resonance Imaging

This study was conducted to test whether cortical activation varies across successive epoques during functional magnetic resonance imaging (fMRI) studies. Ten normal adult volunteers were studied with a 1.5-T MR scanner. Pseudocoronal study planes were chosen perpendicular to the tentorium cerebelli, at two thirds the distance from the posterior edge of the splenium of the corpus callosum to the transverse sinuses. Functional images were acquired with a T2*-weighted spoiled gradient echo sequence. The visual cortex was stimulated by goggles flashing at 8 Hz. Each study consisted of 82 sequential scans, lasting 15 seconds each for a total of 20.5 minutes. Two scans without stimulation were alternated with two scans of visual stimulation. Scans 3 through 83 were divided into five sequences of 16 scans. For each sequence, the number of pixels within a predefined rectangular region of interest that showed increased activity during stimulation were counted. Least squares regression models of straight lines were fit to the data. The initial level of visual cortex activation in the region of interest, as measured by the y-intercept, varied substantially from subject to subject (range: 4-68, p < 0.001). There was sufficient evidence of systematic change with time to reject the hypothesis of constant activation with the same stimulus over time (p=0.02). The observed visual cortex activation with single-plane fMRI varied both with time over successive epoques and among subjects. Possible factors responsible for the variation may include head movement, eyelid position, attention, and physiologic fatigue. These factors must be accounted for in experimental design and in data analysis and interpretation.

Comparison of two selection techniques used in augmentative and alternative communication

An alternating treatments design was implemented to compare two selection techniques used in augmentative and alternative communication systems: scanning and direct selection. Specifically, use of inverse circular scanning and direct selection (using a head-mounted optical pointer) by a child with severe physical limitations was compared across response accuracy, acquisition rate, and response time. Results indicated that direct selection was more effectively used by the child across all three dimensions, even though preassessment information predicted that scanning should be a more appropriate technique. Off-task and attentional fatigue issues seemed to play a role in determination of the most appropriate match between selection technique demands and child skills and limitations.

Symptom management: loss of concentration.

To review the loss of the ability to concentrate in individuals with cancer, the risk factors, and nursing approaches to support and improve attentional functioning. Published articles and books pertaining to concentration, central nervous system toxicity, attentional fatigue, and cognitive dysfunction. Multiple factors related to cancer, its treatment, and the demands of a life-threatening illness increase the risk for loss of concentration and attentional fatigue. Nurses can assess potential loss of concentration by observation and objective and subjective measures. Attention can be conserved by reducing environmental demands and applying attention-restoring strategies.

Development of an intervention to restore attention in cancer patients

Developing interventions to maintain or restore attentional capacity during demanding phases of illness will help promote effective functioning in people with cancer. This study tested the effects of an experimental intervention aimed at maintaining or restoring attentional capacity in 32 women during the 3 months after surgery for localized (Stage I or II) breast cancer. The intervention was designed to minimize or prevent attentional fatigue through regular participation in activities that engage fascination and have other restorative properties. Attentional capacity was assessed using objective and subjective measures at four time points, approximately 3, 18, 60, and 90 days after breast cancer surgery. After the first observation, subjects were randomly assigned to receive the intervention (n = 16) or not to receive intervention (n = 16). Repeated measures ANOVA showed a significant interaction of experimental intervention and time on attentional capacity. Specifically, subjects in the intervention group showed significant improvement in attentional capacity over the four time points, while the nonintervention group showed a pattern of inconsistent performance over time. Findings suggest that nurses can intervene to maintain or restore attentional capacity in women after surgery for localized breast cancer. The theoretical basis for further development of attention-restoring interventions in patients with cancer is discussed.

Attentional fatigue following breast cancer surgery.

Attentional fatigue usually follows intense use of mental effort and is manifested as a decreased capacity to concentrate, that is, to direct attention. The purpose of this study was to examine the capacity to direct attention in persons with cancer during the initial phase of illness. The sample consisted of 32 women without cognitive or affective disorders who underwent surgery for localized (Stage I or II) breast cancer. Subjects manifested attentional deficits of varying intensity on a battery of tests of directed attention on the day before discharge from the hospital, which was a mean of 3 days following mastectomy or breast conservation surgery. Unexpectedly, the two surgical groups did not differ significantly in attentional capacity and functioning. Attentional test scores were not significantly correlated with narcotic pain medication interval, mood state, or self-ratings of attentional functioning. However, as number of days postsurgery increased, attentional performance decreased. The theoretical basis for further examination of attentional fatigue in people with cancer or other life-threatening illnesses is discussed.

Review of Attention Fatigue and the Concept of Infinity.

Review of Attention Fatigue and the Concept of Infinity.

Attention Fatigue and the Concept of Infinity

Attention Fatigue and the Concept of Infinity