Attention Flexibility Research Articles

Differential effects of sertraline and cognitive behavioural therapy on behavioural inhibition in patients with obsessive compulsive disorder.

Patients with obsessive compulsive disorder (OCD) randomised to sertraline, manualised cognitive behavioural therapy (CBT), or combination (sertraline + CBT), underwent cognitive assessment. Cognitive testing was conducted at baseline and at week 16. The stop signal reaction time task (SSRT) was used to evaluate motor impulsivity and attentional flexibility was evaluated using the intra/extra-dimensional set shifting task. Paired-samples t -tests or nonparametric variants were used to compare baseline and posttreatment scores within each treatment group. Forty-five patients were tested at baseline (sertraline n = 14; CBT n = 14; sertraline + CBT n = 17) and 23 patients at week 16 (sertraline n = 6; CBT n = 7; sertraline + CBT n = 10). The mean dosage of sertraline was numerically higher in those taking sertraline as a monotherapy (166.67 mg) compared with those taking sertraline in combination with CBT (100 mg). Analysis of pre-post treatment scores using an intent-to-treat-analysis found a significant reduction in the SSRT in those treated with sertraline, whilst there was no significant change on this task for those treated with CBT or the combination. This study found that motor inhibition improved significantly following sertraline monotherapy. Suboptimal sertraline dosing might explain the failure to detect an effect on motor inhibition in the group receiving combination of sertraline + CBT. Higher dose sertraline may have broader cognitive effects than CBT for OCD, motor impulsivity may have value as a measure of treatment outcome and, by extension, the SSRT could serve as a biomarker for personalising care.

Inconclusive results of slow cortical potential neurofeedback for the treatment of chronic post-stroke attention deficits.

Individuals who have suffered a stroke may experience long-lasting cognitive impairments that can worsen if left untreated. We investigated whether voluntary control of slow cortical potentials (SCP) through neurofeedback would help alleviate chronic post-stroke symptoms of impaired attention. The study initially enrolled twenty-eight participants, but due to a high drop-out rate, only sixteen participants completed eight SCP neurofeedback training sessions within three to four weeks. During these sessions, we gave feedback to the participants on their ability to regulate SCPs on a computer screen. Our findings showed a non-significant increase in SCP regulation towards cortical negativity. On the behavioral level, we found improved test values in the divided attention and attentional flexibility subtests of the test battery for attention performance. However, we cannot eliminate the possibility that nonspecific effects influenced or caused our results. We have not observed any improvement regarding the effects of attention deficits on participants' daily lives. We identified five individuals who could gain SCP control successfully and consistently towards negativity. In this group of responders, we observed an improvement in the test results related to divided attention but no other attention-related improvements. Based on our observations, results of SCP neurofeedback training for the treatment of attention deficits after a stroke are inconclusive. More research is necessary to determine the effectiveness of SCP neurofeedback in helping stroke survivors cope with attention-related challenges in their daily lives.

Attention flexibility is associated with retinal cup-to-disk ratio in patients with schizophrenia spectrum disorders

IntroductionIn recent years, there has been increasing interest in the potential use of retinal imaging as a non-invasive and easily accessible tool for investigating the neurobiological underpinnings of schizophrenia. Studies have suggested that patients with schizophrenia spectrum disorders (SSD) have structural abnormalities in the retina, including changes in retinal thickness and the ratio of the retinal cup-to-disk ratio.ObjectivesTo investigate the relationship between retinal cup-to-disk ratio and cognitive performance in patients with SSD using a high-definition retinal imaging device – optical coherence tomography (OCT) scanner.MethodsThe sample was comprised of twenty patients with SSD (F20-F29 according to ICD-10 criteria). All diagnoses were confirmed by a researcher using the Mini International Psychiatric Interview. All patients underwent complete ophthalmological examination, excluding any ocular pathology. Retinal thickness was measured in both eyes of all patients with a high-definition spectral-domain OCT device. Examined retinal parameters were: total retinal nerve fiber layer thickness (RNFL); RNFL thickness in all eye quadrants (nasal, temporal, superior, inferior); RNFL symmetry; average macular volume (MV); average macular thickness (MT); ganglion cell layer thickness (GC); average retinal cup-to-disk (C/D) ratio, vertical C/D ratio. Cognitive performance of all patients was tested using the Intra/Extradimensional Set Shift Task (IED). IED is a component of a state-of-the-art computerized battery for cognitive assessment – Cambridge Neuropsychological Automated Test Battery. IED is a measure of maintenance, shifting and flexibility of attention. Associations between retinal variables and IED measures were determined with Pearson correlation analyses.ResultsMean age of patients was 33 ± 7.5 years. Fifty five percent of the sample was male, illness duration was 6.2 ± 3.9 years. Daily dosage of chlorpromazine was 225.7 ± 108.8 mg. Retinal C/D ratio in the right eye was positively associated with IED total errors (r=0.50; p=0.02) and negatively with IED stage progression (r=-0.52, p=0.18). Likewise, vertical C/D ratio was positively associated with IED total errors (r=0.49; p=0.02) and negatively with IED stage progression (r=-0.52, p=0.18).ConclusionsPrevious analyses of retinal parameters in patients with schizophrenia point towards enlargement of retinal cup-to-disk ratio, irrespective of any underlying somatic comorbidities. Our data shows worsening of attention flexibility in association with the increase of cup-to-disk ratio in patients with schizophrenia spectrum disorders. The significance of cup-to-disk retinal disturbance in schizophrenia spectrum disorders and its connection with cognitive performance should be further evaluated and supplemented with measurements of functional adaptation in these patients.Disclosure of InterestNone Declared

Development and validation of the Driver Attention Regulation Scale: A measure of the perceived ability to regulation attention on the road

The ability to regulate attention while driving is a vital skill for remaining safe on the road. However, there is no current self-report method that measures such a construct, potentially limiting research in the area of attention and distraction. This study aimed to develop and validate a new measure, the Driver Attention Regulation Scale (DARS), that can be used to identify how drivers perceive their ability to regulate attention while driving. To achieve this aim, two online surveys were shared with unique samples of Australian drivers. Following the development of an initial item pool, principal components analysis and follow up confirmatory factor analysis were used to test the structure of the items and revealed that three factors emerged: attentional presence (e.g., focus; vigilance), attentional flexibility (e.g., awareness; shifting), and attentional capacity (e.g., processing speed; cognitive resources). Each of the subscales (α = 0.75–0.88) and the total scale (α = 0.87–0.91) exhibited a good internal consistency across the samples. Evidence of external validity was also demonstrated, as the DARS was positively associated with generalised attention regulation measures, and driver confidence, but negatively associated with emotion regulation difficulties, driver stress, and driving errors/lapses. Mediation analyses also indicated that the attentional constructs measured by the DARS may indirectly influence driving behaviours, via their effect on driver stress and confidence. Overall, the DARS has demonstrated promise as a new measure of driving-related attentional skills that can be used in future research to better understand how situational factors may impact drivers’ confidence, and also how confidence may influence driving behaviours (e.g., speeding).

Attention control in preterm and term 5-month-old infants: Cross-task stability increases with gestational age.

Cross-task stability refers to performance consistency across different settings and measures of the same construct. Cross-task stability can help us understand developmental processes, including how risks such as preterm birth affect outcomes. We investigated cross-task stability of attention control in 32 preterm and 39 term infants. All infants had the same chronological age at time of testing (5months) but varied in gestational age (GA) at birth (30-42weeks). Infants completed an experimental attention following task with a researcher and a naturalistic play observation with their mothers. Both preterm and term infants demonstrated attention following in the experimental task. GA and flexibility of attention were related: the likelihood of no turn trials decreased with increasing GA. To evaluate cross-task stability, we compared attention performance in the experimental and naturalistic settings. Flexible attention shifts on the experimental task were positively related to attention to objects in the naturalistic observation. Furthermore, the association between flexible attention shifts on the experimental task and attention to objects in the naturalistic observation was moderated by GA. Our study provides initial evidence that the consolidation of attention control increases with GA. These findings highlight the value of comparing experimental and observational measures of attention.

Executive Functions and Theory of Mind in Teachers and Non-Teachers

Human teaching is a key behavior for the socialization of cultural knowledge. Previous studies suggest that human teaching behavior would support the development of executive and ToM skills, which in turn would refine the teaching behavior. Given this connection, it raises the question of whether subjects with professional training in teaching also have more efficient executive and ToM systems. To shed light on this issue, in the present study we compared the performance of professional teachers (N = 20, age range = 35–61 years) with a matched control group of non-teachers (N = 20, age range: 29–64 years) on tasks measuring working memory (Sternberg Task), cognitive flexibility (Wisconsin Card Sorting Test), executive control (Attention Network Test), along with online ToM skills (Frith–Happé Animations Task), emotion recognition (Reading the Mind in the Eyes Test) and first-order and second-order ToM (Yoni Task). We found that teachers were significantly more accurate on tasks involving cognitive flexibility (p = .014) and working memory (p = .040), and more efficient on tasks requiring executive control of attention (p = .046), compared to non-teachers. In ToM tasks, differences in accuracy between teachers and non-teachers were not found. But, teachers were slower to respond than non-teachers (about 2 s difference) on tasks involving emotion recognition (p = .0007) and the use of second-order affective ToM (p = .006). Collectively, our findings raise an interesting link between professional teaching and the development of cognitive skills critical for decision-making in challenging social contexts such as the classroom. Future research could explore ways to foster teachers' strengths in cognitive flexibility, working memory, and executive control of attention to enhance teaching strategies and student learning outcomes. Additionally, exploring factors behind slower response times in affective ToM tasks can guide teacher-training programs focused on interpersonal skills and improve teacher-student interactions.

Reward history modulates attention based on feature relationship.

Prioritizing attention to reward-predictive items is critical for survival, but challenging because these items rarely appear in the same feature or within the same environment. However, whether attention selection can be adaptively tuned to items that matched the context-dependent, relative feature of previously rewarded items remains largely unknown. In four experiments (N = 40 per experiment), we trained participants to learn the color-reward association and then adopted visual search tasks in which the color of a singleton distractor matched either the feature value (e.g., red or yellow) or feature relationship (i.e., redder or yellower) of previously rewarded colors. We consistently found enhanced attentional capture by a singleton distractor when it was relationally matched to the high reward compared with the low reward relationship, in addition to observing the typical effect of learned value on singletons matching the previously rewarded colors. Our findings provide novel evidence for the flexibility of value-driven attention via feature relationship, which is particularly useful given the changeable sensory inputs in real-world searches. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Individual differences in attention control and the processing of phonological contrasts in a second language.

This study investigated attention control in L2 phonological processing from a cognitive individual differences perspective, to determine its role in predicting phonological acquisition in adult L2 learning. Participants were 21 L1-Spanish learners of English, and 19 L1-English learners of Spanish. Attention control was measured through a novel speech-based attention-switching task. Phonological processing was assessed through a speeded ABX categorization task (perception) and a delayed sentence repetition task (production). Correlational analyses indicated that learners with more efficient attention switching skill and faster speed in correctly identifying the target phonetic features in the speech dimension under focus could perceptually discriminate L2 vowels at higher processing speed, but not at higher accuracy rates. Thus, attentional flexibility provided a processing advantage for difficult L2 contrasts but did not predict the extent to which precise representations for the target L2 vowels had been established. However, attention control was related to L2 learners' ability to distinguish the contrasting L2 vowels in production. In addition, L2 learners' accuracy in perceptually distinguishing between two contrasting vowels was significantly related to how much of a quality distinction between them they could make in production.

The contextual goal dependent attentional flexibility (CoGoDAF) framework: A new approach to attention bias in depression

Successful adaptation to the environment requires attentional prioritization of emotional information relevant to the current situational demands. Accordingly, the presence of an attention bias (AB) for both positive and negative information may allow preferential processing of stimuli in line with the current situational goals. However, AB for negative information sometimes becomes maladaptive, being antithetical to the current adaptive needs and goals of an individual, such as in the case of affective disorders such as depression. Although difficulties in flexible shifting between emotional stimuli in depression have increasingly become a topic of discussion in the field, an integrative approach towards biased versus flexible emotional attentional processes remains absent. In the present paper, we advance a novel and integrative view of conceptualizing potentially aberrant affective attention patterns in depression as a function of the current contextual features. We propose that flexible emotional attention takes place as a result of attention prioritization towards goal-relevant emotional stimuli depending upon the current context of the individual. Specifically, the roles of context, distal and proximal goals, and approach and avoidance motivation processes are considered in a unified manner. The empirical, clinical, and interventional implications of this integrative framework provide a roadmap for future psychological and neurobiological experimental and translational research.

The Role of Dispositional Mindfulness in the Impact of Repetitive Negative Thinking on Anxiety and Depression in People with Different Autistic-Like Traits

ObjectivesAvailable data suggest that inflexible allocation of attention in people on the autism spectrum can lead to anxiety and depression symptoms, through the increase of repetitive negative thinking (worry and rumination). In the present study, we used dispositional mindfulness as a proxy to attention flexibility and tested its role in the influence of repetitive negative thinking on affective symptoms (anxiety and depression) in people with different autistic-like traits.MethodPath analysis was used to test the direct and indirect effects of different autistic-like traits, dispositional mindfulness, worry and rumination on anxiety-related concerns and depression symptoms in a sample (n = 209) of neurotypical adults.ResultsAutistic-like traits implying poor attention switching and communication abilities were linked to higher dispositional mindfulness, increased repetitive thinking, and stronger affective symptoms through largely shared pathways. Autistic-like traits implying strong attention-to-detail bypassed dispositional mindfulness in the pathways linking increased repetitive negative thinking and stronger affective symptoms.ConclusionsThe present findings indicate that dispositional mindfulness can play a protective role against the impact of worry and rumination on affective symptoms in some people but not in others, depending on different autistic-like traits.PreregistrationThis study was not pre-registered.

Neural correlates of the attention training technique as used in metacognitive therapy - A randomized sham-controlled fMRI study in healthy volunteers.

The Attention Training Technique (ATT) developed as part of metacognitive therapy is a psychotherapeutic treatment method used to enhance top-down attentional flexibility and control. This study investigated potential neurocognitive changes due to ATT and its underlying neural mechanisms using pre-to-post functional magnetic resonance imaging (fMRI). Fifty-four healthy participants were subjected to a randomized, sham-controlled attention training and evaluated using a neurocognitive test battery that partly took place in an fMRI environment. Participants received two doses ATT or sham ATT daily for 1 week. On day eight, all subjects completed the neurocognitive test battery again. After the training, the ATT group showed a significant improvement in reaction times regarding attentional disengagement compared to the sham ATT group. fMRI data showed decreased levels of activation in the anterior cingulate cortex (ACC) when comparing the ATT group to the sham ATT group during attentional disengagement post intervention. No ATT > sham ATT effects were found regarding selective auditory attention, working memory performance and inhibitory control. These findings putatively indicate that ATT facilitates faster attention allocation and increased attentional flexibility in healthy subjects. The fMRI results suggest this ATT-dependent improvement is accompanied by reduced ACC activity, indicating a more flexible attentional state.

Mindfulness for the self-management of negative coping, rumination and fears of compassion in people with cancer: An exploratory study.

Cancer and its treatments have the potential to significantly impact mental health, provoking feelings of anxiety, depression, and distress, which can last long after treatment is over. One of the most rapidly emerging influences in the healthcare field is mindfulness-based interventions (MBIs), which are designed to cultivate present moment awareness, attentional flexibility, compassion and acceptance, to reduce physical and psychological distress. However, there is limited research into the efficacy of MBIs or disease specific MBIs in shifting negative coping, ruminative thinking and fears of compassion as primary outcomes in individuals with cancer. This exploratory study was designed to evaluate inter- and intra-individual change in the management of negative coping, rumination and fears of compassion, following a cancer-specific mindfulness-based intervention. A single group, non-experimental, repeated measures study of 22 participants across six cancer care centres explored the efficacy of an 8-week Mindfulness-Based Cognitive Therapy for Cancer (MBCT-Ca) course. The Reliable Change Index (RCI) examined reliable clinical improvement, deterioration, or no change in individuals on the Mental Adjustment to Cancer Scale (MACS), the Ruminative Responses Scale (RRS) and the Fears of Compassion Scale (FCS). About 82% of participants (n=18) saw an improvement in at least one measure. A significant decrease in primary outcome scores was observed in negative coping, ruminating and fears of self-compassion. There were significant correlations between the fear of self-compassion and depressive ruminating, fear of accepting compassion from others and showing it to others pre and post intervention. Our findings indicate that the MBCT-Ca programme may significantly reduce negative coping, ruminating and fears of self-compassion improving psychological health and wellbeing in cancer survivors.

Individual differences in motivational self-focus modulate context-based affective attention flexibility toward goal-relevant information: An eye-tracking study

Flexible attention toward relevant positive or negative information depending on specific contextual affective goals underlies resilience and is thought to be modulated by individual differences in motivational self-focuses. In this study, it was tested how promotion and prevention motivational self-focuses modulate context-based affective attention flexibility toward goal-relevant emotional information. A sample of 102 participants with different promotion and prevention levels completed a novel eye-tracking task, requiring switching attention toward positive or negative goal-relevant emotional information in different motivationally relevant contexts. High promotion participants showed difficulties in affective attention switching (i.e., less flexibility) in prevention but not in promotion contexts. Conversely, high prevention participants showed difficulties in affective attention switching in promotion but not in prevention contexts. Results thus support that contextual affective attention flexibility depends on specific motivational self-focuses.

Short-term cognitive loading deteriorates breathing pattern and gas exchange in adult patients with congenital central hypoventilation syndrome.

Human PHOX2B mutations result in life-threatening sleep-related hypoventilation (congenital central hypoventilation syndrome, CCHS). Most patients retain ventilatory activity when awake through a respiratory-related cortical network. We hypothesised that this need to mobilise cortical resources to breathe would lead to breathing-cognition interferences during cognitive loading. Seven adult CCHS patients (five women; median age 21) performed standard neuropsychological tests (paced auditory serial addition test - calculation capacity, working memory, sustained and divided attention; trail making test - visuospatial exploration capacity, cognitive processing speed, attentional flexibility; Corsi block-tapping test - visuospatial memory, short-term memory, working memory) during unassisted breathing and under ventilatory support. Ventilatory variables and transcutaneous haemoglobin oxygen saturation were recorded. Cortical connectivity changes between unassisted breathing and ventilatory support were assessed using electroencephalographic recordings (EEG). Baseline performances were lower than expected in individuals of this age. During unassisted breathing, cognitive loading coincided with increased breathing variability, and decreases in oxygen saturation inversely correlated with an increasing number of apnoeic cycles per minute (rho -0.46, 95% CI -0.76 to -0.06, p=0.01). During ventilatory support, cognitive tasks did not disrupt breathing pattern and were not associated with decreased oxygen saturation. Ventilatory support was associated with changes in EEG cortical connectivity but not with improved test performances. Acute cognitive loads induce oxygen desaturation in adult CCHS patients during unassisted breathing, but not under ventilatory support. This justifies considering the use of ventilatory support during mental tasks in CCHS patients to avoid repeated episodes of hypoxia.

Zaburzenia poznawcze u dzieci i młodzieży z wrodzonym zakażeniem HIV w Polsce

The aim of the study was to assess the presence of cognitive impairments in children and adolescents with vertically transmitted HIV infection and to determine possible relationships with clinical and socio-demographic variables. Fifty children with perinatal HIV infection aged 6-18 years were included in the experimental group (PHIV+). Two sex- and age-matched groups were recruited as reference groups: (1) a PHEU group that included 24 healthy children perinatally HIV-exposed but uninfected, and (2) an HIV-nA group that included 43 healthy children of uninfected parents. CANTAB Research Suite was used to assess cognitive functioning. In comparison with the HIV-nA group, the PHIV+ group scored worse in movement execution, shifting and flexibility of attention, reversal learning and working memory. In comparison with the PHEU group, the PHIV+ group had significantly longer planning time in the memory task. The analysis of results for the 12-18 year-old age group revealed deterioration of cognitive functions in all tests of the PHIV+ children in comparison with the HIV-nA group. A higher logarithm of viral load at the start of the ARV treatment was associated with worse results in the use of feedback, shifting of attention, cognitive flexibility and worse information processing. Results of the research indicate deterioration of executive functioning in the PHIV+ group associated with longer duration of HIV neuroinfection and severity of infection before treatment.

Preattentive facilitation of target trajectories in a dragonfly visual neuron

The ability to pursue targets in visually cluttered and distraction-rich environments is critical for predators such as dragonflies. Previously, we identified Centrifugal Small-Target Motion Detector 1 (CSTMD1), a dragonfly visual neuron likely involved in such target-tracking behaviour. CSTMD1 exhibits facilitated responses to targets moving along a continuous trajectory. Moreover, CSTMD1 competitively selects a single target out of a pair. Here, we conducted in vivo, intracellular recordings from CSTMD1 to examine the interplay between facilitation and selection, in response to the presentation of paired targets. We find that neuronal responses to both individual trajectories of simultaneous, paired targets are facilitated, rather than being constrained to the single, selected target. Additionally, switches in selection elicit suppression which is likely an important attribute underlying target pursuit. However, binocular experiments reveal these results are constrained to paired targets within the same visual hemifield, while selection of a target in one visual hemifield establishes ocular dominance that prevents facilitation or response to contralaterally presented targets. These results reveal that the dragonfly brain preattentively represents more than one target trajectory, to balance between attentional flexibility and resistance against distraction.

Trained athletes and cognitive function: a systematic review and meta-analysis

ABSTRACT As trends in physical inactivity continue to increase throughout the lifespan, one prominent area of interest is the cumulative benefits of participating in physical activity. Recent literature has demonstrated the cognitive and brain benefits associated with one such population, elite athletes. However, it is unclear which aspects of the athlete experience drive this athlete–cognition relationship, which is the objective of the current study. In this study, we examine, in a quantitative meta-analysis (k = 41), the relationship between athlete experiences and laboratory-based measures of cognitive function in the following domains: attentional allocation, inhibitory control and cognitive flexibility. Athlete groups outperform control groups on a battery of cognitive tasks, including attentional allocation (g = 1.18) and cognitive flexibility (g = 0.31). Moreover, athlete type and experience are important factors to consider when evaluating this relationship. Moderator analyses revealed that athletes trained in aerobic (g = 0.93) or HIIT team-based sports (g = 0.65), as well as child (g = 0.26), elite (g = 0.94) (semi-professional, professional, national and international) or older adult athletes (g = 0.91) were responsible for driving this effect. At a time when physical inactivity levels are increasing, these results have important societal considerations. Participating in sport-related physical activity may be a beneficial influence on cognitive development throughout the lifespan.

Testing the Bilingual Cognitive Advantage in Toddlers Using the Early Executive Functions Questionnaire

The present study aims to assess differences in executive functioning between monolingual and multilingual 23-month-old toddlers, both when dichotomizing multilingualism and assessing it on a continuum. It is hypothesized that multilinguals, individuals with greater non-dominant language exposure, and individuals with more translation equivalents, would perform better in the following domains: response inhibition, attentional flexibility, and regulation. No differences are expected for working memory. The Early Executive Functions Questionnaire, a newly developed parental report, is used to measure the four executive functions of interest. Multilinguals and individuals with greater non-dominant language exposure have significantly higher response inhibition; however, no differences are noted for any other executive function. Additionally, no associations between translation equivalents and executive functioning are found. Post-hoc analyses reveal that non-dominant language production had a positive correlation with working memory. The present findings support the notion of a domain-specific cognitive advantage for multilingual toddlers.

The location independence of learned attentional flexibility.

Individuals can adjust their shift readiness, known as attentional flexibility, according to the statistical structure of the environment. However, the extent to which these modulations in attentional flexibility are associated with a global readiness to shift attention to any location versus an anticipated shift to a single location remains unknown. Across two experiments, participants shifted attention among three rapid serial visual presentation (RSVP) streams of alphanumeric characters in response to embedded visual cues and made button presses in response to targets at the cued location. We manipulated the likelihood that participants would receive a cue that signaled a shift between two of the streams across blocks of trials. The likelihood of a cued shift of attention to the third location was held constant across all blocks. Participants demonstrated smaller target detection shift costs (Experiments 1 and 2) and shorter saccade latencies (Experiment 1) when the overall likelihood of shifting was high than when the overall shift likelihood was low. Critically, we observed evidence of both global shift readiness and location-specific shift readiness in both experiments such that participants shifted attention to the most-likely-to-be cued location the fastest, but still demonstrated a difference in the time to shift attention to the unlikely location according to the overall shift likelihood. Our findings provide evidence that moment-by-moment changes in attentional flexibility are not limited to an expectation to shift to a single location, but rather reflect, in part, a location-independent state of control.

Cognitive performance during adulthood in a rat model of neonatal diffuse white matter injury

RationaleInfants born prematurely risk developing diffuse white matter injury (WMI), which is associated with impaired cognitive functioning and an increased risk of autism spectrum disorder. Recently, our rat model of preterm diffuse WMI induced by combined fetal inflammation and postnatal hypoxia showed impaired motor performance, anxiety-like behaviour and autism-like behaviour in juvenile rats, especially males. Immunohistochemistry showed delayed myelination in the sensory cortex and impaired oligodendrocyte differentiation.ObjectiveTo assess long-term cognitive deficits in this double-hit rat model of diffuse WMI, animals were screened on impulsivity, attention and cognitive flexibility in adulthood using the 5-choice serial reaction time task (5CSRTT) and a probabilistic reversal learning task, tests that require a proper functioning prefrontal cortex. Thereafter, myelination deficits were evaluated by immunofluorescent staining in adulthood.ResultsOverall, little effect of WMI or sex was found in the cognitive tasks. WMI animals showed subtle differences in performance in the 5CSRTT. Manipulating 5CSRTT parameters resulted in performance patterns previously seen in the literature. Sex differences were found in perseverative responses and omitted trials: female WMI rats seem to be less flexible in the 5CSRTT but not in the reversal learning task. Males collected rewards faster in the probabilistic reversal learning task. These findings are explained by temporally rather than permanently affected myelination and by the absence of extensive injury to prefrontal cortical subregions, confirmed by immunofluorescent staining in both adolescence and adulthood.ConclusionThis rat model of preterm WMI does not lead to long-term cognitive deficits as observed in prematurely born human infants.