Showing papers on "Vigilance (psychology) published in 2020"
TL;DR: A bottom-up, neuronal pathway-dependent mechanism involving use-dependent, local sleep may be the main driver of response variability and explain the dissociation between cognitive processes with regard to trait vulnerability to sleep loss.
135 citations
TL;DR: Both TMS and tDCS elicit a small trans-diagnostic effect on working memory, tDCS also improved attention/vigilance across diagnoses, and effects on the other domains were not significant.
Abstract: Background Cognition is commonly affected in brain disorders. Non-invasive brain stimulation (NIBS) may have procognitive effects, with high tolerability. This meta-analysis evaluates the efficacy of transcranial magnetic stimulation (TMS) and transcranial Direct Current Stimulation (tDCS) in improving cognition, in schizophrenia, depression, dementia, Parkinson's disease, stroke, traumatic brain injury, and multiple sclerosis. Methods
A PRISMA systematic search was conducted for randomized controlled trials. Hedges' g was used to quantify effect sizes (ES) for changes in cognition after TMS/tDCS v. sham. As different cognitive functions may have unequal susceptibility to TMS/tDCS, we separately evaluated the effects on: attention/vigilance, working memory, executive functioning, processing speed, verbal fluency, verbal learning, and social cognition. Results
We included 82 studies (n = 2784). For working memory, both TMS (ES = 0.17, p = 0.015) and tDCS (ES = 0.17, p = 0.021) showed small but significant effects. Age positively moderated the effect of TMS. TDCS was superior to sham for attention/vigilance (ES = 0.20, p = 0.020). These significant effects did not differ across the type of brain disorder. Results were not significant for the other five cognitive domains. Conclusions
Our results revealed that both TMS and tDCS elicit a small trans-diagnostic effect on working memory, tDCS also improved attention/vigilance across diagnoses. Effects on the other domains were not significant. Observed ES were small, yet even slight cognitive improvements may facilitate daily functioning. While NIBS can be a well-tolerated treatment, its effects appear domain specific and should be applied only for realistic indications (i.e. to induce a small improvement in working memory or attention).
94 citations
TL;DR: The experimental results demonstrate that the wearable dry electrode prototype, which has a relatively comfortable forehead setup, can efficiently capture vigilance dynamics and the best mean correlation coefficients achieved by the proposed approach are achieved.
Abstract: Vigilance decrement in driving tasks has been reported to be a major factor in fatal accidents and could severely endanger public transportation safety. However, efficient approaches for estimating vigilance in real driving environment are still lacking. In this paper, we propose a novel approach for implementing continuous vigilance estimation using forehead electrooculograms (EOGs) acquired by wearable dry electrodes in both simulated and real driving environments. To improve the feasibility of this approach for real-world applications, a forehead EOG-based electrode placement with only four electrodes is designed. Flexible dry electrodes and an acquisition board are integrated as a wearable device for recording EOGs. Twenty and ten subjects participated in the simulated and real-world driving environment experiments, respectively. Accurate eye movement parameters from eye-tracking glasses are extracted to calculate the PERCLOS index for vigilance annotation. This is because the vigilance state is a temporally dynamic process, and a continuous conditional random field and a continuous conditional neural field are introduced to construct more accurate vigilance estimation models. To evaluate the efficiency of our system, systematic experiments are performed in real scenarios under various illumination and weather conditions following laboratory simulations as preliminary studies. The experimental results demonstrate that the wearable dry electrode prototype, which has a relatively comfortable forehead setup, can efficiently capture vigilance dynamics. The best mean correlation coefficients achieved by our proposed approach are 71.18% and 66.20% in laboratory simulations and real-world driving environments, respectively. The cross-environment experiments are performed to evaluate the simulated-to-real generalization and a best mean correlation coefficient of 53.96% is achieved.
63 citations
TL;DR: It is suggested that OTR in the NAc differentially modulate social approach and social vigilance, primarily through an OTR-Gq mechanism.
47 citations
TL;DR: Comparing with adult eye-tracking data and child and adolescent data from reaction time indices of attention biases to threat, there was no vigilance bias towards threat in anxious youth, and anxious youth were more avoidant of threat across the time-course of stimulus viewing.
Abstract: Objective Attention biases for threat may reflect an early risk marker for anxiety disorders. Yet questions remain regarding the direction and time-course of anxiety-linked biased attention patterns in youth. A meta-analysis of eye-tracking studies of biased attention for threat was used to compare the presence of an initial vigilance toward threat and a subsequent avoidance in anxious and nonanxious youths. Method PubMed, PsycARTICLES, Medline, PsychINFO, and Embase were searched using anxiety, children and adolescent, and eye-tracking-related key terms. Study inclusion criteria were as follows: studies including participants ≤18 years of age; reported anxiety using standardized measures; measured attention bias using eye tracking with a free-viewing task; comparison of attention toward threatening and neutral stimuli; and available data to allow effect size computation for at least one relevant measure. A random effects model estimated between- and within-group effects of first fixations toward threat and overall dwell time on threat. Results Thirteen eligible studies involving 798 participants showed that neither youths with or without anxiety showed significant bias in first fixation to threat versus neutral stimuli. However anxious youths showed significantly less overall dwell time on threat versus neutral stimuli than nonanxious controls (g = −0.26). Conclusion Contrasting with adult eye-tracking data and child and adolescent data from reaction time indices of attention biases to threat, there was no vigilance bias toward threat in anxious youths. Instead, anxious youths were more avoidant of threat across the time course of stimulus viewing. Developmental differences in brain circuits contributing to attention deployment to emotional stimuli and their relationship with anxiety are discussed.
46 citations
TL;DR: It is proposed that subcortical activating networks underlying vigilance play a critical role in mediating the widespread neural and cognitive effects of focal mTLE.
Abstract: Mesial temporal lobe epilepsy (mTLE) is a neurological disorder in which patients suffer from frequent consciousness-impairing seizures, broad neurocognitive deficits, and diminished quality of life. Although seizures in mTLE originate focally in the hippocampus or amygdala, mTLE patients demonstrate cognitive deficits that extend beyond temporal lobe function-such as decline in executive function, cognitive processing speed, and attention-as well as diffuse decreases in neocortical metabolism and functional connectivity. Given prior observations that mTLE patients exhibit impairments in vigilance, and that seizures may disrupt the activity and long-range connectivity of subcortical brain structures involved in vigilance regulation, we propose that subcortical activating networks underlying vigilance play a critical role in mediating the widespread neural and cognitive effects of focal mTLE. Here, we review evidence for impaired vigilance in mTLE, examine clinical implications and potential network underpinnings, and suggest neuroimaging strategies for determining the relationship between vigilance, brain connectivity, and neurocognition in patients and healthy controls.
42 citations
TL;DR: How state changes due to factors such as caffeine and sleep deprivation affect both vigilance and rsfMRI measures is considered and emerging approaches and methodological challenges for the estimation and interpretation of vigilance effects are reviewed.
Abstract: Measures of resting-state functional magnetic resonance imaging (rsfMRI) activity have been shown to be sensitive to cognitive function and disease state. However, there is growing evidence that variations in vigilance can lead to pronounced and spatially widespread differences in resting-state brain activity. Unless properly accounted for, differences in vigilance can give rise to changes in resting-state activity that can be misinterpreted as primary cognitive or disease-related effects. In this paper, we examine in detail the link between vigilance and rsfMRI measures, such as signal variance and functional connectivity. We consider how state changes due to factors such as caffeine and sleep deprivation affect both vigilance and rsfMRI measures and review emerging approaches and methodological challenges for the estimation and interpretation of vigilance effects.
33 citations
TL;DR: A direct relationship between ketamine‐induced functional connectivity changes and the concomitant decrease of vigilance in EEG is suggested, which may provide a neurophysiological framework for the antidepressant action of ketamine.
Abstract: In resting-state functional connectivity experiments, a steady state (of consciousness) is commonly supposed. However, recent research has shown that the resting state is a rather dynamic than a steady state. In particular, changes of vigilance appear to play a prominent role. Accordingly, it is critical to assess the state of vigilance when conducting pharmacodynamic studies with resting-state functional magnetic resonance imaging (fMRI) using drugs that are known to affect vigilance such as (subanesthetic) ketamine. In this study, we sought to clarify whether the previously described ketamine-induced prefrontal decrease of functional connectivity is related to diminished vigilance as assessed by electroencephalography (EEG). We conducted a randomized, double-blind, placebo-controlled crossover study with subanesthetic S-Ketamine in N = 24 healthy, young subjects by simultaneous acquisition of resting-state fMRI and EEG data. We conducted seed-based default mode network functional connectivity and EEG power spectrum analyses. After ketamine administration, decreased functional connectivity was found in medial prefrontal cortex whereas increased connectivities were observed in intraparietal cortices. In EEG, a shift of energy to slow (delta, theta) and fast (gamma) wave frequencies was seen in the ketamine condition. Frontal connectivity is negatively related to EEG gamma and theta activity while a positive relationship is found for parietal connectivity and EEG delta power. Our results suggest a direct relationship between ketamine-induced functional connectivity changes and the concomitant decrease of vigilance in EEG. The observed functional changes after ketamine administration may serve as surrogate end points and provide a neurophysiological framework, for example, for the antidepressant action of ketamine (trial name: 29JN1556, EudraCT Number: 2009-012399-28).
32 citations
TL;DR: The current study provides further evidence for both an empirical dissociation between vigilance components and the cortical regions underlying attentional processes and the advantages of using online HD-tDCS to examine the stimulation effects on attentional and vigilance functioning.
30 citations
TL;DR: A novel and adaptive cumulative vigilance scoring (CVS) scheme is proposed based on tonic performance and response time and the first findings on stable and significant attention predictors from the power ratios of resting-state EEG can be useful in brain-computer interfacing and vigilance monitoring applications.
Abstract: Resting-state brain networks represent the intrinsic state of the brain during the majority of cognitive and sensorimotor tasks. However, no study has yet presented concise predictors of task-induced vigilance variability from spectro-spatial features of the resting-state electroencephalograms (EEG). In this study, ten healthy volunteers have participated in fixed-sequence, varying-duration sessions of sustained attention to response task (SART) for over 100 minutes. A novel and adaptive cumulative vigilance scoring (CVS) scheme is proposed based on tonic performance and response time. Multiple linear regression (MLR) using feature relevance analysis has shown that average CVS, average response time, and variabilities of these scores can be predicted (p < 0.05) from the resting-state band-power ratios of EEG signals. Cross-validated neural networks also captured different associations for narrow-band beta and wide-band gamma and differences between the high- and low-attention networks in temporal regions. The proposed framework and these first findings on stable and significant attention predictors from the power ratios of resting-state EEG can be useful in brain-computer interfacing and vigilance monitoring applications.
28 citations
TL;DR: It is suggested that acute psychological stress increases general alertness and promotes attentional control in selective attention processes and may reflect more allocation of neural resources as a consequence of improved Attentional control under stress.
Abstract: The current study investigated the influence of acute psychological stress on selective attention processes. After an acute stressor or a control condition, 20 participants performed an arrow-based version of the Eriksen flanker task, while ERPs (N1, N2, P3), reaction times, accuracy, subjective stress, and electrocardiogram signal were measured. Results showed elevated self-report stress, negative affect, state anxiety, heart rate, and reduced high-frequency heart rate variability in the stress block than in the control block, indicating that the flanker task was performed in a stressful situation. In the flanker task, faster response and larger flanker effect of accuracy were observed for the stress block relative to the control block, indicating increased arousal level and improved conflict detection under stress. Event-related potentials locked to target stimuli in the flanker task revealed that (a) frontal N1 was amplified in the stress block than in the control block, indicating elevated vigilance level under stress; (b) frontal N2 was increased in the stress block than in the control block for both congruent and incongruent trials, indicating more intensive attention control under stress; and (c) Increased P3 in the stress block than in the control block may reflect more allocation of neural resources as a consequence of improved attentional control under stress. These findings suggest that acute psychological stress increases general alertness and promotes attentional control in selective attention processes.
TL;DR: Vigilance, or the ability to sustain attention for extended periods of time, has been of interest to the human factors and ergonomics community for 70 years as mentioned in this paper, and several theories have been proposed.
Abstract: Vigilance, or the ability to sustain attention for extended periods of time, has been of interest to the human factors and ergonomics community for 70 years. During this time, several theories have...
TL;DR: Data suggest that acute and sustained fear are supported by distinct neural pathways, with sustained fear amplifying mainly sensory responses, and acute fear increasing activity in brainstem, thalamus, amygdala and cingulate cortices.
TL;DR: In healthy young men, exercise training reduced sleep pressure at baseline and protected against sustained attention deficits induced by TSD with persistent effect after one night of recovery sleep.
TL;DR: The findings suggest that confinement and relative isolation of up to 2 weeks in this environment do not induce a significant negative impact on cognitive performance in any of the domains examined by Cognition, although the concurrent practice effect may have masked some of the mission’s effects.
Abstract: Maintaining optimal cognitive performance in astronauts during spaceflight is critical to crewmember safety and mission success. To investigate the combined effects of confinement, isolation, and sleep deprivation on cognitive performance during spaceflight, we administered the computerized neurobehavioral test battery "Cognition" to crew members of simulated spaceflight missions as part of NASA's ground-based Human Exploration Research Analog project. Cognition was administered to N = 32 astronaut-like subjects in four 1-week missions (campaign 1) and four 2 weeks missions (campaign 2), with four crewmembers per mission. In both campaigns, subjects performed significantly faster on Cognition tasks across time in mission without sacrificing accuracy, which is indicative of a learning effect. On an alertness and affect survey, subjects self-reported significant improvement in several affective domains with time in mission. During the sleep restriction challenge, subjects in campaign 1 were significantly less accurate on a facial emotion identification task during a night of partial sleep restriction. Subjects in campaign 2 were significantly slower and less accurate on psychomotor vigilance, and slower on cognitive throughput and motor praxis tasks during a night of total sleep deprivation. On the survey, subjects reported significantly worsening mood during the sleep loss challenge on several affective domains. These findings suggest that confinement and relative isolation of up to 2 weeks in this environment do not induce a significant negative impact on cognitive performance in any of the domains examined by Cognition, although the concurrent practice effect may have masked some of the mission's effects. Conversely, a night of total sleep deprivation significantly decreased psychomotor vigilance and cognitive throughput performance in astronaut-like subjects. This underscores the importance of using cognitive tests designed specifically for the astronaut population, and that survey a range of cognitive domains to detect the differential effects of the wide range of stressors common to the spaceflight environment.
TL;DR: Children with ADHD are particularly sensitive to the cost of task engagement, but nonspecific slower drift rate may ultimately provide a better conceptualization of the cognitive atypicalities commonly observed in that group.
Abstract: Objective Whether children with attention deficit hyperactivity disorder (ADHD) have deficits in sustained attention remains unresolved due to the ongoing use of cognitive paradigms that are not optimized for studying vigilance and the fact that relatively few studies report performance over time. Method In three independent samples of school-age children with (total N = 128) and without ADHD (total N = 59), we manipulated event rate, difficulty of discrimination, and use signal detection (SDT) and diffusion models (DM) to evaluate the cause of the vigilance decrement during a continuous performance task. Results For both groups of children, a bias toward "no-go" over time (as indexed by the SDT parameter B″ and the DM parameter z/a) was responsible for generating the vigilance decrement. However, among children with ADHD, the rate at which information accumulated to make a no-go decision (vNoGo) also increased with time on task, representing a possible secondary mechanism that biases children against engagement. At all time points, children with ADHD demonstrated reduced sensitivity to discriminate targets from nontargets. Conclusion Children with ADHD are particularly sensitive to the cost of task engagement, but nonspecific slower drift rate may ultimately provide a better conceptualization of the cognitive atypicalities commonly observed in that group. Results are interpreted in the context of updated conceptualizations of sustained attention and vigilance. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
TL;DR: The results showed that neither the vigilance classifier nor the task demands classifier could predict mind‐wandering above‐chance level, while a classifier trained on self‐reports of mind-wandering was able to do so, suggesting that mind‐Wandering is a mental state different from low vigilance or performing tasks with low demands—both which could be discriminated from the EEG above chance.
Abstract: Mind-wandering is a ubiquitous mental phenomenon that is defined as self-generated thought irrelevant to the ongoing task. Mind-wandering tends to occur when people are in a low-vigilance state or when they are performing a very easy task. In the current study, we investigated whether mind-wandering is completely dependent on vigilance and current task demands, or whether it is an independent phenomenon. To this end, we trained support vector machine (SVM) classifiers on EEG data in conditions of low and high vigilance, as well as under conditions of low and high task demands, and subsequently tested those classifiers on participants' self-reported mind-wandering. Participants' momentary mental state was measured by means of intermittent thought probes in which they reported on their current mental state. The results showed that neither the vigilance classifier nor the task demands classifier could predict mind-wandering above-chance level, while a classifier trained on self-reports of mind-wandering was able to do so. This suggests that mind-wandering is a mental state different from low vigilance or performing tasks with low demands-both which could be discriminated from the EEG above chance. Furthermore, we used dipole fitting to source-localize the neural correlates of the most import features in each of the three classifiers, indeed finding a few distinct neural structures between the three phenomena. Our study demonstrates the value of machine-learning classifiers in unveiling patterns in neural data and uncovering the associated neural structures by combining it with an EEG source analysis technique.
TL;DR: Caffeine and acute exercise seems to moderate executive and arousal vigilance in different ways, with caffeine intake generally improved arousal vigilance and exercise at moderate intensity generally improved executive vigilance.
Abstract: During physical efforts and sport practice, vigilance is responsible for maintaining an optimal state of activation, guaranteeing the ability to quickly respond and detect unexpected, but critical, stimuli over time. Caffeine and physical exercise are able to modulate the activation state, affecting vigilance performance. The aim of the present work was to assess the specific effects and modulations of caffeine intake and two physical intensities on vigilance components. Participants performed an attentional task (ANTI-Vea) to measure the executive and arousal components of vigilance, in six double-blinded counterbalanced sessions combining caffeine, placebo, or no-ingestion, with light vs. moderate cyclergometer exercise. Exercise at moderate intensity improved executive vigilance with faster overall reaction time (RT), without impairing error rates. Instead, caffeine intake generally improved arousal vigilance. In conclusion, caffeine and acute exercise seems to moderate executive and arousal vigilance in different ways.
TL;DR: Findings show for the first time that preferred background music can enhance task-focused attentional states on a low-demanding sustained-attention task and are compatible with arousal mediating the relationship between background music and task-performance.
Abstract: Although many people listen to music while performing tasks that require sustained attention, the literature is inconclusive about its effects. The present study examined performance on a sustained-attention task and explored the effect of background music on the prevalence of different attentional states, founded on the non-linear relationship between arousal and performance. Forty students completed a variation of the Psychomotor Vigilance Task—that has long been used to measure sustained attention—in silence and with their self-selected or preferred music in the background. We collected subjective reports of attentional state (specifically mind-wandering, task-focus and external distraction states) as well as reaction time (RT) measures of performance. Results indicated that background music increased the proportion of task-focus states by decreasing mind-wandering states but did not affect external distraction states. Task-focus states were linked to shorter RTs than mind-wandering or external distraction states; however, background music did not reduce RT or variability of RT significantly compared to silence. These findings show for the first time that preferred background music can enhance task-focused attentional states on a low-demanding sustained-attention task and are compatible with arousal mediating the relationship between background music and task-performance.
TL;DR: The results suggest that the OSA patients manifest deficits in both intensive and selective attention processes and that reaction time (RT) alone is ineffective for detecting and characterizing their problems, for which error analysis and stability of performance also have to be considered.
Abstract: Introduction: Patients with obstructive sleep apnea (OSA) suffer from several neurocognitive disturbances. One of the neuropsychological processes most investigated in OSA patients is attention, but the results have been controversial. Here, we update the attention profile of OSA patients with the final aim to improve attention assessment, with a possible impact on clinical and medical-legal practices, in terms of which attention subdomains and parameters need consideration and which one is a high-risk OSA phenotype for attention dysfunctions. Method: For this purpose, we assessed 32 previously untreated OSA patients (26 men and 6 women) under 65 years of age (mean age 53.2 ± 7.3; mean education level 10.4 ± 3.4 years) suffering from moderate to severe sleep apnea and hypopnea (mean apnea-hypopnea index (AHI) 45.3 ± 22.9, range 16.1–69.6). A control group of 34 healthy participants matched with OSA patients for age, education level, and general cognitive functioning were also enrolled. The OSA patients and healthy participants were tested through an extensive computerized battery (Test of Attentional Performance, TAP) that evaluated intensive (i.e., alertness and vigilance) and selective (i.e., divided and selective) dimensions of attention and returned different outcome parameters (i.e., reaction time, stability of performance, and various types of errors). Data analysis: The data were analyzed by ANCOVA which compared the speed and accuracy performance of the OSA and control participants (cognitive reserve was treated as a covariate). The possible mechanisms underlying attention deficits in OSA patients were examined through correlation analysis among AHI, oxygenation parameters, sleepiness scores, and TAP outcomes and by comparing the following three phenotypes of patients: severe OSA and severe nocturnal desaturators (AHI++D+), severe OSA nondesaturators (AHI++D−), and moderate OSA nondesaturators (AHI+D−). Results: The results suggest that the OSA patients manifest deficits in both intensive and selective attention processes and that reaction time (RT) alone is ineffective for detecting and characterizing their problems, for which error analysis and stability of performance also have to be considered. Patients with severe OSA and severe hypoxemia underperformed on alertness and vigilance attention subtests. Conclusions: The data suggest the importance of evaluating attention deficits among OSA patients through several parameters (including performance instability). Moreover, the data suggest a multifaceted mechanism underlying attention dysfunction in OSA patients.
TL;DR: It is hypothesized that many of the actions typically characterized as anxiety behaviors begin to emerge during this time as strategies for navigating more complex social structures and greater integration between human and animal models will aid the development of more effective strategies for treating social anxiety.
Abstract: Social vigilance is a behavioral strategy commonly used in adverse or changing social environments. In animals, a combination of avoidance and vigilance allows an individual to evade potentially dangerous confrontations while monitoring the social environment to identify favorable changes. However, prolonged use of this behavioral strategy in humans is associated with increased risk of anxiety disorders, a major burden for human health. Elucidating the mechanisms of social vigilance in animals could provide important clues for new treatment strategies for social anxiety. Importantly, during adolescence the prevalence of social anxiety increases significantly. We hypothesize that many of the actions typically characterized as anxiety behaviors begin to emerge during this time as strategies for navigating more complex social structures. Here, we consider how the social environment and the pubertal transition shape neural circuits that modulate social vigilance, focusing on the bed nucleus of the stria terminalis and prefrontal cortex. The emergence of gonadal hormone secretion during adolescence has important effects on the function and structure of these circuits, and may play a role in the emergence of a notable sex difference in anxiety rates across adolescence. However, the significance of these changes in the context of anxiety is still uncertain, as not enough studies are sufficiently powered to evaluate sex as a biological variable. We conclude that greater integration between human and animal models will aid the development of more effective strategies for treating social anxiety.
TL;DR: In this paper, the authors used resting-state functional magnetic resonance imaging to study the relationship between the changes of the precuneus functional connectivity and alertness decline after total sleep deprivation.
Abstract: Objectives: Acute sleep deprivation seriously affects cognitive functions such as attention, memory, and response inhibition. Previous neuroimaging studies have demonstrated a close relationship between the functional activities of the precuneus and the function of alert attention. However, the specific effect of the precuneus on attention decline after acute sleep deprivation has not been elucidated. In this study, we used resting-state functional magnetic resonance imaging to study the relationship between the changes of the precuneus functional connectivity and alertness decline after total sleep deprivation. Methods: Thirty healthy, right-handed adult men participated in the experiment. Alert attention and functional connectivity were assessed by the Psychomotor Vigilance Test and a resting-state fMRI scan before and after total sleep deprivation. The “ROI to ROI” correlation was employed to analyse the relationship between the precuneus and other brain regions after acute sleep deprivation. Results: Participants showed decreased alert attention after total sleep deprivation. In addition, sleep deprivation induced decreased functional connectivity between the right precuneus and the right middle frontal gyrus. Moreover, there was a significant correlation between the decreased precuneus functional connectivity and alertness decline after total sleep deprivation. Conclusion: Our findings suggest that the interruption of the connection between the right precuneus and the right middle frontal gyrus is related to the observed decline in alert attention after acute sleep deprivation. These results provide evidence further elucidating the cognitive impairment model of sleep deprivation.
TL;DR: The findings support the argument that the development of affect-biased attention is associated with multiple temperament processes that potentially interact over time.
Abstract: Affect-biased attention reflects the prioritization of attention to stimuli that individuals deem to be motivationally and/or affectively salient. Normative affect-biased attention is early-emerging, providing an experience-expectant function for socioemotional development. Evidence is limited regarding how reactive and regulatory aspects of temperament may shape maturational changes in affect-biased attention that operate at the earliest stages of information processing. This study implemented a novel eye-tracking paradigm designed to capture attention vigilance in infants. We assessed temperamental negative affect (NA) and attention control (AC) using laboratory observations and parent-reports, respectively. Among infants (N = 161 in the final analysis) aged 4 to 24 months (Mean = 12.05, SD = 5.46; 86 males), there was a significant age effect on fixation latency to emotional versus neutral faces only in infants characterized with high NA and high AC. Specifically, in infants with these temperament traits, older infants showed shorter latency (i.e., greater vigilance) toward neutral faces, which are potentially novel and unfamiliar to infants. The age effect on vigilance toward emotional faces was not significant. The findings support the argument that the development of affect-biased attention is associated with multiple temperament processes that potentially interact over time.
TL;DR: Using a well-validated method for data-driven parsing of neural connectivity to reveal connectivity-based subgroups among 60 adults with transdiagnostic anxiety revealed an atypicals, limbic-driven pattern of connectivity in a subset of anxious patients that generalized to atypical patterns of selective attention.
Abstract: On average, anxious patients show altered attention to threat-including early vigilance towards threat and later avoidance of threat-accompanied by altered functional connectivity across brain regions. However, substantial heterogeneity within clinical, neural, and attentional features of anxiety is overlooked in typical group-level comparisons. We used a well-validated method for data-driven parsing of neural connectivity to reveal connectivity-based subgroups among 60 adults with transdiagnostic anxiety. Subgroups were externally compared on attentional patterns derived from independent behavioral measures. Two subgroups emerged. Subgroup A (68% of patients) showed stronger executive network influences on sensory processing regions and a paradigmatic "vigilance-avoidance" pattern on external behavioral measures. Subgroup B was defined by a larger number of limbic influences on sensory regions and exhibited a more atypical and inconsistent attentional profile. Neural connectivity-based categorization revealed an atypical, limbic-driven pattern of connectivity in a subset of anxious patients that generalized to atypical patterns of selective attention.
TL;DR: This is the first study that investigates the relationships among sleepiness/vigilance and specific driving-related cognitive skills on a sufficiently large sample and does not allow us to understand how specific changes in sleep architecture impact performances in the elders' everyday life and, specifically, on driving skills.
Abstract: Background: Driving performance is strongly vulnerable to drowsiness and vigilance fluctuations. Excessive sleepiness may alter concentration, alertness, and reaction times. As people age, sleep undergoes some changes, becoming fragmented and less deep. However, the effects of these modifications on daily life have not been sufficiently investigated. Recently, the assessment of sleepiness became mandatory in Europe for people at risk who need the driving license release. Moreover, considering the expectation that people around the world are rapidly aging, it is necessary to investigate the relationships between senescence sleep changes, vigilance levels, and driving-related cognitive skills. Method: 80 healthy subjects (40 young adults and 40 elders) participated in the study. Sleep quality, sleepiness, and vigilance levels were assessed through the Pittsburgh Sleep Quality Index, the Karolinska Sleepiness Scale, the Epworth Sleepiness Scale, and the Psychomotor Vigilance Task (PVT). Driving-related cognitive abilities were assessed through Vienna Test System TRAFFIC, investigating selective attention, tachistoscopic perception, and risk assumption. Results: 2 × 2 between-subject ANOVAs showed less habitual sleep efficiency and worse performances in PVT in the older group. Unexpectedly, younger subjects show higher self-rated sleepiness. Moreover, older adults have lower performance in attention and perception tests, but they appear to be more cautious in situations involving traffic. Finally, the multiple regressions show age to be the only robust predictor of cognitive driving-related abilities. Conclusions: This is the first study that investigates the relationships among sleepiness/vigilance and specific driving-related cognitive skills on a sufficiently large sample. Nevertheless, the study should be considered preliminary and does not allow us to understand how specific changes in sleep architecture impact performances in the elders' everyday life and, specifically, on driving skills.
TL;DR: It is shown that SRT increases phase angle during treatment, principally by delaying the timing of sleep attempt, and reduction in vigilance after SRT appears to be of similar magnitude to normal sleepers undergoing experimental sleep restriction, reinforcing the importance of appropriate safety advice during implementation.
Abstract: Sleep-restriction therapy (SRT) has been shown to improve insomnia symptoms by restricting sleep opportunity. Curtailment of time in bed affects the duration and consolidation of sleep, but also its timing. While recent work suggests that people with insomnia are characterised by misalignment between circadian and behavioural timing of sleep, no study has investigated if SRT modifies this relationship. The primary aim of the present study was to examine change in phase angle after 2 weeks of SRT. As a secondary aim, we also sought to assess the effect of SRT on psychomotor vigilance. Following a 1-week baseline phase, participants implemented SRT for 2 consecutive weeks. Phase angle was derived from the difference between the decimal clock time of dim light melatonin onset (DLMO) and attempted sleep time. Secondary outcomes included vigilance (assessed via hourly measurement during the DLMO laboratory protocol), sleep continuity (assessed via sleep diary and actigraphy), and insomnia severity. Eighteen participants meeting insomnia criteria (mean [SD] age 37.06 [8.99] years) took part in the study. Consistent with previous research, participants showed robust improvements in subjective and objective sleep continuity, as well as reductions in insomnia severity. The primary outcome (phase angle) was measurable in 15 participants and revealed an increase of 34.8 min (~0.58 hr; 95% confidence interval [CI] 0.01-1.15) from baseline to post-treatment (mean [SD] 2.27 [0.94] versus 2.85 [1.25] hr). DLMO remained relatively stable (20:49 versus 21:01 hours), while attempted sleep was 46.8 min later (~0.78 hr; 95%CI 0.41-1.15; 23:05 versus 23:52 hours). For psychomotor vigilance, reaction time was delayed (by 52.71 ms, 95% CI 34.44-70.97) and number of lapses increased (by 5.84, 95% CI 3.93-7.75) after SRT. We show that SRT increases phase angle during treatment, principally by delaying the timing of sleep attempt. Future studies are needed to test if an increase in phase angle is linked to clinical improvement. Finally, reduction in vigilance after SRT appears to be of similar magnitude to normal sleepers undergoing experimental sleep restriction, reinforcing the importance of appropriate safety advice during implementation.
TL;DR: The dynamics of microstate parameters are studied in two independent data sets and it is shown that the parameters of microstates are strongly associated with vigilance level assessed both by EEG power analysis and fMRI global signal and Granger-causal effects of vigilance levels on microstate sequence parameters are found.
Abstract: The momentary global functional state of the brain is reflected in its electric field configuration and cluster analytical approaches have consistently shown four configurations, referred to as EEG microstate classes A to D. Changes in microstate parameters are associated with a number of neuropsychiatric disorders, task performance, and mental state establishing their relevance for cognition. However, the common practice to use eye-closed resting state data to assess the temporal dynamics of microstate parameters might induce systematic confounds related to vigilance levels. Here, we studied the dynamics of microstate parameters in two independent data sets and showed that the parameters of microstates are strongly associated with vigilance level assessed both by EEG power analysis and fMRI global signal. We found that the duration and contribution of microstate class C, as well as transition probabilities towards microstate class C were positively associated with vigilance, whereas the sign was reversed for microstate classes A and B. Furthermore, in looking for the origins of the correspondence between microstates and vigilance level, we found Granger-causal effects of vigilance levels on microstate sequence parameters. Collectively, our findings suggest that duration and occurrence of microstates have a different origin and possibly reflect different physiological processes. Finally, our findings indicate the need for taking vigilance levels into consideration in resting-sate EEG investigations.
TL;DR: Enhanced N1 in patients with schizophrenia predicted greater perceptual sensitivity, and a schizophrenia specific N2 deficit may reflect impaired visual object recognition.
TL;DR: To understand patients’ experiences of ankle reconstruction for treatment of end‐stage ankle osteoarthritis, a large number of patients underwent ankle reconstruction in the second half of the 1990s.
Abstract: OBJECTIVE To understand patients' experiences of ankle reconstruction for treatment of end-stage ankle osteoarthritis. METHODS Individuals were recruited from a cohort of individuals who had undergone total ankle replacement or ankle fusion. English-speaking individuals who had surgery at least 1 year prior were invited to participate. Semistructured, face-to-face interviews relying on a phenomenological approach were conducted in a private hospital clinic room. RESULTS A total of 25 adults (12 women, 13 men), ages 25-82 years, were interviewed for 1-2 hours. Participants commonly described a state of having to keep careful watch for potential environmental challenges. Vigilance was related to ongoing symptoms (i.e., pain, stiffness) and concerns regarding balance, stability, and potential damage to the fused ankle or implant. Vigilance was described along a continuum, with higher levels associated with stress and mental exhaustion. Vigilance affected participants' perception of their surgical outcome, with high vigilance levels linked to negative perceptions of outcome. The degree to which individuals perceived the need for vigilance was influenced by environmental factors like uneven ground or crowds. Contrary to descriptions of vigilance in the coping literature, vigilance related to ankle reconstruction constituted a situational, rather than dispositional, response. CONCLUSION Vigilance and its associated burden are not captured by current instruments. The mental load and worry associated with vigilance was important to patients, distinct from related pain or functional status. Thus, reducing high levels of vigilance appears to be an appropriate target for patient-centered treatment outcomes. A thorough battery of outcome measures for ankle reconstruction should consider this domain.
TL;DR: The results suggest that TSD may impair a range of higher-order cognitive processes directly, not just fundamental processes such as attention, and that interventions that benefit attention may have limited scope.
Abstract: Total sleep deprivation (TSD) impairs attention as well as higher-order cognitive processes. Because attention is a core component of many tasks, it may fully mediate the effect of sleep deprivation on higher-order processes. We examined this possibility using the Psychomotor Vigilance Task as a measure of attention and the UNRAVEL task as a measure of placekeeping, a higher-order process that involves memory operations and supports performance in a wide range of complex tasks. A large sample of participants (N = 138 contributing data) performed the Psychomotor Vigilance Task and UNRAVEL under rested or sleep-deprived conditions. TSD impaired placekeeping generally and memory maintenance processes specifically, above and beyond the effect of participants' attentional state. The results suggest that TSD may impair a range of higher-order cognitive processes directly, not just fundamental processes such as attention, and that interventions that benefit attention may have limited scope. (PsycINFO Database Record (c) 2020 APA, all rights reserved).