Attention Flexibility Research Articles

Psychoticism and attentional flexibility

In three separate experiments, we tested the hypothesis that a systematic relationship between psychoticism (P) and visual selective attention is infrequently observed because the tasks typically used to test individual differences in efficiency of attentional mechanisms do not entail attentional flexibility. We manipulated the selection rule of the computerized divided visual attention (DIVA) task to be either (a) a predictable, or (b) a random manner, and a secondary task was added to check the quality of high P scorers’ performance in an interference condition; and we also introduced breaks between DIVA tasks to allow for cue utilization. Results revealed that low P scorers outperformed high P scorers in the regular selection rule alternation condition (cue utilization possible), whereas high P scorers performed better in random alternation condition – high P scorers also showed performance superiority in the dual task condition unless stimuli presentation was speeded up. Thus, P does not necessarily impair attentional performance; indeed, our data point to performance advantages of high P, especially attentional efficiency in tasks requiring small demands of attentional control.

Power affects basic cognition: Increased attentional inhibition and flexibility

The present article examines effects of power on basic cognition. It proposes that power bolsters the ability to attend to information selectively; enhancing the processing of information that is related to accessible constructs in detriment of peripheral, less accessible information. In contrast, powerlessness increases attunement to peripheral information, inducing greater distractibility and less attentional flexibility. Experiment 1 focuses on attention to an object and its context. Experiment 2 examines attentional focus and readiness to act. Experiment 3 examines attention to global vs. local aspects of a focal target. Powerful individuals, relative to powerless individuals, showed greater ability to inhibit peripheral information, and greater ability to focus attention in line with the demands of the task. Furthermore, inhibiting peripheral information facilitated action. The consequences of these findings for different domains are discussed.

Methylphenidate-induced improvements of various measures of attention in adults with Attention Deficit Hyperactivity Disorder

The present study examined the effect of the stimulant medication methylphenidate (MPH) on attentional functioning of adults with ADHD. Sixteen adults with a diagnosed ADHD without comorbidity were assessed twice, at baseline off MPH and following MPH treatment. The assessment battery consisted of reaction time tasks of low complexity, including measures of alertness--subdivided into tonic and phasic alertness, vigilance, divided attention, flexibility and such aspects of selective attention as including focused attention, inhibition and integration of sensory information. In addition, 16 healthy participants who were matched to adults with ADHD according to sex, age, education level and intellectual functions were also assessed twice using the same test battery. The results of the present study suggest that adults with ADHD off stimulant medication are seriously impaired in various components of attention including vigilance, divided attention, selective attention and flexibility. These impairments of attention were observed primarily in regard to reaction time and its variability. Treatment of adults with ADHD using individually tailored doses of MPH has a positive effect on measures of alertness, vigilance, selective attention, divided attention and flexibility. However, even on MPH adults with ADHD displayed considerable deficits in vigilance and integration of sensory information. The present findings indicate that adults with ADHD are not differentially impaired in attentional processes but may suffer from a more global deficit of attention. Although MPH treatment has been found to be effective in the treatment of the attention deficit of adults with ADHD, additional treatment appears to be necessary.

Effects of methylphenidate on multiple components of attention in children with attention deficit hyperactivity disorder

Methylphenidate (MPH) has been shown to be effective in the treatment of attention deficits in children with attention deficit hyperactivity disorder (ADHD). Although a variety of studies have been performed, there is little available information as to which components of attentional functioning are disturbed in ADHD. The aim of the present study was to monitor the effect of MPH on various measures of attention in children with ADHD. In a double-blind, placebo-controlled, crossover study, the attentional functioning of 58 children diagnosed with ADHD without psychiatric comorbidity was examined. Assessment of attention was performed on their usual MPH treatment and following withdrawal of the drug. Furthermore, the attentional performance of 58 healthy children was assessed. The test battery consisted of reaction time tasks, including measures of alertness, vigilance, divided attention, flexibility, and aspects of selective attention such as focused attention, inhibition, and integration of sensory information. In comparison to the test performance of healthy children, children with ADHD displayed impairments of vigilance, divided attention, flexibility, and aspects of selective attention including focused attention, inhibition, and integration of sensory information. Statistical comparison of attentional functioning of children with ADHD on and off MPH treatment revealed that the medication resulted in an improved task accuracy regarding vigilance, divided attention, inhibition, focused attention, integration of sensory information, and flexibility. The present findings indicate that various aspects of attention are markedly impaired in children with ADHD. Treatment with MPH was accompanied by improvements in attention functions of small to moderate sizes. Although MPH-induced improvements were observed in a broad range of attention measures, children with ADHD who were on MPH treatment nevertheless displayed serious deficits in a number of components of attention.

Detached Mindfulness In Cognitive Therapy: A Metacognitive Analysis And Ten Techniques

This paper describes the nature and information processing requirements of detached mindfulness. The construct emerged from the self-regulatory information processing theory of emotional disorder (Wells & Matthews, 1994), and is viewed as a metacognitive state that facilitates change in core underlying pathological processes. Detached mindfulness has multiple components, requiring the activation of metacognitive knowledge, metacognitive monitoring and control, suspension of conceptual processing, attentional flexibility, and a de-centered relationship with thoughts. A model of the cognitive structures and processes supporting the state is presented. Implications of the model for the scientific development and effective use of mindfulness techniques are discussed. Ten techniques for rapidly achieving detached mindfulness in the course of metacognitive therapy are described.

Attentional functioning is impaired during acute hypoglycaemia in people with Type 1 diabetes

To examine the effects of acute insulin-induced hypoglycaemia on different aspects of attention and on general non-verbal reasoning in people with Type 1 diabetes. A hyperinsulinaemic glucose clamp was used to maintain euglycaemia (4.5 mmol/l) or induce hypoglycaemia (2.6 mmol/l) on separate occasions in 16 adults with Type 1 diabetes each of whom were studied on two occasions in a counterbalanced order. During each study condition, the subjects completed parallel tests of cognitive function assessed by the Test of Everyday Attention and the Raven's Progressive Matrices. Hypoglycaemia caused a significant deterioration in tests sensitive to visual and auditory selective attention. During hypoglycaemia, attentional flexibility deteriorated and speed of information processing was delayed. Sustained attention and intelligence scores were preserved during hypoglycaemia. In people with Type 1 diabetes, hypoglycaemia causes a significant deterioration in attentional abilities, while non-verbal reasoning is preserved. It is likely therefore that many complex cognitive tasks which involve attention will be impaired during moderate hypoglycaemia during everyday life.

Selected executive skills in adolescents with recent first episode major depression

To investigate whether recent first episode major depression in adolescence is characterised by selected executive difficulties in attentional flexibility, behavioural inhibition and decision-making. Selected executive functions were compared in adolescents with recent (past year) first episode major depression (n = 30) and community controls (n = 49). Three computerised tests within the CANTAB battery were completed by all subjects (the Intra-Dimensional, Extra-Dimensional Set-Shifting task, the Affective Go, No-Go task, and the Decision-Making task). Compared with controls, recently depressed cases displayed a bias towards negative stimuli with fewer errors on sad words as well as being more accurate in their responses to sad targets on the Affective Go, No-Go task. Cases also made faster decisions in the context of betting more of their available points compared to controls, as indexed by the Decision-Making task. These results were not influenced by age, gender, IQ, recent mood, severity of depression, medication or comorbidity. Adolescents with recent first episode major depression show greater attention towards sad stimuli and more impulsive behaviour when making decisions. They were able to switch attentional set to neutral stimuli. This study demonstrates that computerised tests for measuring executive functions can be successfully deployed in adolescents, and suggests that specific patterns of neuropsychological functions may be relatively compromised in first episode major depression. These, together with their underlying neural substrates, deserve further investigation within this age range.

The Influence of Approach and Avoidance Cues on Attentional Flexibility

In two experiments, we tested the prediction that rudimentary approach, relative to avoidance, motivational cues bolster attentional flexibility. This prediction was assessed using manipulations of both exteroceptive and interoceptive motivational cues and with two different measures of attentional flexibility, the Stroop task and the 2-back task. Results were consistent with predictions, suggesting that approach, relative to avoidance, motivational cues facilitate task performance by enhancing the ability to shift the focus of attention in response to task demands.

Self-Focused Attention and the Self-Regulation of Attention: Implications for Personality and Pathology

The ability to shift attention away from the self may increase self–conscious individuals' vulnerability to negative affective states. Participants' ability to shift their attention away from themselves was assessed by how quickly they could shift attention to an external stimulus when thinking about themselves relative to their reaction time when thinking about someone else. This measure of attentional flexibility was not related to the degree of self–focus. Consistent with previous research, individuals high in private self–focused attention were more dysphoric. Being low in attentional flexibility magnified the effects of private self–focused attention. Participants high in private self–awareness who could not stop thinking about themselves experienced more dysphoria and generalized anxiety than those lower in self–consciousness or those who could better regulate attention. A similar effect was found for public self–awareness and social anxiety.

Working memory and flexibility in awareness and attention

We argue that attention and awareness form the basis of one type of working-memory storage. In contrast to models of working memory in which storage and retrieval occur effortlessly, we document that an attention-demanding goal conflict within a retrieval cue impairs recall from working memory. In a conceptual span task, semantic and color-name cues prompted recall of four consecutive words from a twelve-word list. The first-four, middle-four, and final-four words belonged to different semantic categories (e.g., body parts, animals, and tools) and were shown in different colors (e.g., red, blue, and green). In Experiment 1, the color of the cue matched that of cued items 75% of the time, and the rare mismatch impaired recall. In Experiment 2, though, the color of the cue matched that of the cued items only 25% of the time, and the now-more-frequent mismatches no longer mattered. These results are difficult to explain with passive storage alone and indicate that a processing difficulty impedes recall from working memory, presumably by distracting attention away from its storage function.

ATTENTIONAL FLEXIBILITY AND PERSEVERATION: DEVELOPMENTAL ASPECTS IN YOUNG CHILDREN

Whereas a growing interest in the development of attentional flexibility (AF) and in perseverative behavior, being one marker of this component, exists in neuropsychological studies and in the domain of developmental psychopathology (e.g., PKU, infantile schizophrenia, autism and Parkinson's disease) (Pennington & Ozonoff, 1996; Stahl & Pry, 2002), only a few studies have concerned themselves with this subject in normal children. It is thus of interest to add more empirical data to the existing literature in this domain. Therefore, the aim of our study was to explore the development of AF and of perseverative errors in young preschool children with normal development, aged 1.5 to 6 years. Using set-shifting tasks of increasing difficulty level, three age groups were compared with respect to their AF skills.Results show a developmental factor underlying AF, with different levels of this form becoming more and more complex with age, ranging from a rudimentary visual form to a complex representational form of flexibility. Overall, few perseverative errors occurred and they decreased with age. Results are discussed from a developmental and neuropsychological perspective. This work was supported by a grant from the Fondation France Télécom. The study was made possible through the cooperation of the Service Médico-Psychologique pour Enfants et Adolescents, Peyre Plantade CHU Montpellier, France. We are grateful to Cécile Rattaz and Philip Worthington, who devoted a lot of their time and effort to this research.

Experimenter Affective Expression and Gaze Following in 7-Month-Olds.

The study of gaze following in infants younger than 12 months of age has emphasized the effects of gesture, type of target, and its position or placement. This experiment extends this literature by examining the effects of adults' affective expression on 7-month-olds' gaze following. The effects of 3 affective expressions-happy, sad, and neutral-on 7-month-olds' frequency of gaze following were examined. The results indicated that infants more frequently followed the gaze of an adult posing a neutral expression than that of an adult posing either a happy or a sad expression. The infants also looked proportionately longer toward the indicated target when the adult's expression was neutral. The results are interpreted in terms of infants' flexibility of attention.

A controlled, prospective study of neuropsychological outcomes post parathyroidectomy in primary hyperparathyroid patients

There is an increasing number of primary hyperparathyroidism (PHPT) patients with neuropsychological or psychiatric symptoms. Many of these patients do not have osseous or renal complications to satisfy the criteria for parathyroidectomy according to the NIH guidelines. To assess whether there is any improvement in neuropsychological and mood symptoms following parathyroidectomy. Twenty PHPT patients undergoing parathyroidectomy and 20 orthopaedic controls matched for age, gender and estimated intelligence were subjects to pre and postoperative assessment of cognition and mood with a mean surgery-retest interval of 3 months. Using two tests of attentional flexibility [the Stroop test, the Digit symbol test of the Wechsler Adult Intelligence Scale-Revised (WAIS-R)], and two memory tests for prose and nonverbal material, no significant change was found between the groups when comparing scores before and after surgery. There was no improvement between pre and postoperative measures of verbal (dominant hemisphere) as opposed to visuo-spatial (nondominant hemisphere) function when compared to controls. There was no relationship between the reduction in serum calcium and the change in the neuropsychological measures postoperatively. This controlled, prospective study demonstrates no significant improvement in neuropsychological indices using objective, validated psychometric tools in an unselected cohort of PHPT patients. No relationship was found between serum calcium level and the degree of neuropsychological deficit. More studies are needed to assess whether the effect of parathyroidectomy is beneficial and sustainable in PHPT patients with neuropsychological symptoms alone.

Impaired Neuropsychological Functioning in Lead-Exposed Children

Neuropsychological functions were assessed in 174 children participating in a longitudinal study of low-level lead exposure. At age 5 1/2 years, children were administered the Working Memory and Planning Battery of the Cambridge Neuropsychological Testing Automated Battery. Measures of sociodemographic characteristics of the family, prenatal and perinatal risk, quality of caregiving and crowding in the home, and maternal and child intelligence were used as covariates to test the hypothesis that children with higher lifetime average blood lead concentrations would perform more poorly on tests of working memory, attentional flexibility, and planning and problem solving. The lifetime average blood lead level in this sample was 7.2 micrograms per deciliter (μg/dL; range: 0-20 μg/dL). Children with greater exposure performed more poorly on tests of executive processes. In both bivariate and multivariate analyses, children with higher lifetime average blood lead concentrations showed impaired performance on the tests of spatial working memory, spatial memory span, intradimensional and extradimensional shifts, and an analog of the Tower of London task. Many of the significant associations remained after controlling for children's intelligence test scores, in addition to the other covariates. These findings indicate that the effects of pediatric lead exposure are not restricted to global indexes of general intellectual functioning, and executive processes may be at particular risk of lead-induced neurotoxicity.

On the automaticity and flexibility of covert attention

On the automaticity and flexibility of covert attention

Executive Function in Sleep Apnea: Controlling for Attentional Capacity in Assessing Executive Attention

As the effects of general slowness and decreased attentional capacity on higher executive attention have not been fully taken into account in the sleep apnea literature, we statistically controlled for basic attentional performance in evaluating executive attention per se in sleep apnea patients. A case-controlled design was used with comparison of basic and executive attentional tasks. Thirty-six polysomnographically diagnosed patients (mean apnea-hypopnea index = 60.5 +/- SD 31.6) participated, together with 32 healthy controls. Neuropsychological tests included Trail Making part A and B, Symbol Digit Modalities (SDMT), Digit Span forward and backward, Stroop Color-Word, Five-Point design fluency, and an Attentional Flexibility task. Patients' vigilance data indicated time-on-task decrements after 10 minutes. Moreover, their performance was significantly reduced on the SDMT (effect size d = 0.93), the Digit Span forward task (d = 0.44), the number of errors on the basic 2-choice reaction time subtest of the Attentional Flexibility task (d = 0.74) and the mean RT on the actual Attentional Flexibility subtest (d = 0.54). It has been argued that the latter poor performance was probably primarily related to the task's phonologic loop component of working memory rather than to an attentional switching deficit per se. No other performance differences were found between patients and healthy controls. In addition to vigilance decrements, attentional capacity deficits clearly emerge, ie, slowed information processing and decreased short-term memory span. However, no specific clinical indications for executive attentional deficits--such as disinhibition, distractibility, perseveration, attentional switching dysfunction, decreased design fluency, or an impaired central executive of working memory--are found in patients with severe sleep apnea. Their cognitive performance seems very similar to the cognitive decline found after sleep loss and qualitatively different from patients with chronic obstructive pulmonary disease, suggesting sleepiness as the primary factor in a parsimonious explanation for the attention deficits in sleep apnea, without the need to assume prefrontal brain damage.

Using Measures Of Specific Abilities To Predict Training Performance in Canadian Forces Operator Occupations

This study examined the predictive validity of information processing measures—Speed of Closure, Flexibility of Closure, Perceptual Speed, and Auditory Attention—on training performance. The incremental validity of these validity measures beyond general cognitive ability was examined in a military sample of Canadian Forces personnel in the Operator Family. Trainees engaged in Qualification Level 3 training (n = 122) completed 5 information processing ability measures, the Canadian Forces General Classification Test Form 3 Revised (n = 72), and the Canadian Forces Aptitude Test (n = 98). The criterion was a global percentage grade taken from course evaluation reports. Information processing improved the predictive validity of selection against training performance when used with measures of general cognitive ability (ΔR2 = .06). The only specific ability measure that significantly predicted training performance was the X-A2 battery, a measure of auditory attention (β = .21, p < .05). The information processing measures did not reach significance but still contributed to the predictive equation. These results are comparable with past research where specific abilities provided small yet statistically significant increases in incremental validity beyond g.

Inhibition of Prepotent Responding and Attentional Flexibility in Treated Phenylketonuria

Inhibition of prepotent responding and attentional flexibility were assessed in 58 early and continuously treated phenylketonuria (PKU) patients and 69 controls, age 7 to 14 years. A computerized task was used requiring participants to process consecutive stimuli according to various attentional sets. Analysis of error rate suggested poorer inhibition of prepotent responding in PKU patients compared with controls. No influence of concurrent plasma phenylalanine (phe) was shown, neither in the younger (age < 11 years) nor in the older participants (age sup3; 11 years). Analysis of error rate provided strong evidence for poorer attentional flexibility in PKU patients compared with controls. The difference between attentional flexibility in controls and PKU patients could mainly be attributed to younger PKU patients, with concurrent phe levels higher than 360μmol/L.Younger PKU patients with phe levels below 360 μmol/L performed at the same level as age-matched controls. Performance of PKU patients was strongly associated with phe levels in age periods during the first 10 years of life, which are characterized by a strong development of executive functioning (ages 2-7 and age 9). High phe levels during these age periods could delay development of inhibitory control and attentional flexibility. With regard to treatment, analyses with lifetime and concurrent phe levels support strict dietary control throughout the first decade of life, after which the phe-restricted diet can be relaxed. However, based on the evidence that development of specific executive functions continues until approximately age 12, it is recommended to maintain phe levels below 360 μmol/L throughout early adolescence.

Early contingent negative variation of the EEG and attentional flexibility are reduced in hypotension

This study explored the question as to whether hypotension is related to decreased attentional performance and reduced cortical activation. A total of 50 females aged 19–44 years participated in the study. Attentional performance was assessed using three subtests of the Attentional and Cognitive Efficiency (ACE) battery. Contingent negative variation (CNV) as a measure of cortical activation was registered during a constant fore-period reaction time paradigm: two conditions were defined using tones as S1 (80 or 60 dB) and S2 (70 dB). The following results were obtained. Hypotensive patients performed significantly more poorly on one subtest of the ACE, which indicates a reduced speed for switching from a routine to a controlled response (quantifying attentional flexibility). They also had longer reaction times and revealed a significantly smaller amplitude of the early CNV component. In addition, a significant correlation was observed between systolic blood pressure and the amplitude of the early CNV component. The data support previous findings that hypotension can be related to lowered cortical activation and indicate that specific aspects of attentional performance might be negatively affected by hypotension.

Familial Association of Neuropsychological Traits in Patients With Generalized and Partial Seizure Disorders

To investigate familial effects of neuropsychological deficits associated with seizure disorders, we studied 65 families, in which 1 member had epilepsy. The disorders included childhood absence epilepsy (CAE), juvenile myoclonic epilepsy (JME) and temporal lobe epilepsy (TLE). Age-appropriate tests were administered to assess sustained attention, encoding and verbal memory, executive and focused attention and attentional flexibility/impulsivity. CAE probands attained lower scores than other probands in visual sustained attention and the ability to focus on and execute a visual-motor task. Scores of the unaffected relatives tended to fall between those of the probands and the controls. JME relatives had lower scores than other relatives in tests of visual and auditory sustained attention and attentional flexibility, and showed greater variability in response time. Behavioral information of this type may aid in the specification and differentiation of genetic linkages in affected families.