The role of control functions in mentalizing: dual-task studies of theory of mind and executive function

Conflicting evidence has arisen from correlational studies regarding the role of executive control functions in Theory of Mind. The current study used dual-task manipulations of executive functions (inhibition, updating and switching) to investigate the role of these control functions in mental state and non-mental state tasks. The 'Eyes' pictorial test of Theory of Mind showed specific dual-task costs when concurrently performed with an inhibitory secondary task. In contrast, interference effects on a verbal 'Stories' task were general, occurring on both mental state and non-mental state tasks, and across all types of executive function. These findings from healthy functioning adults should help to guide decisions about appropriate methods of assessing ToM in clinical populations, and interpreting deficits in performance in such tasks in the context of more general cognitive dysfunction.     

Executive abilities in children with congenital visual impairment in mid-childhood

The role of vision and vision deprivation in the development of executive function (EF) abilities in childhood is little understood; aspects of EF such as initiative, attention orienting, inhibition, planning and performance monitoring are often measured through visual tasks. Studying the development and integrity of EF abilities in children with congenital visual impairment (VI) may provide important insights into the development of EF and also its possible relationship with vision and non-visual senses. The current study investigates non-visual EF abilities in 18 school-age children of average verbal intelligence with VI of differing levels of severity arising from congenital disorders affecting the eye, retina, or anterior optic nerve. Standard auditory neuropsychological assessments of sustained and divided attention, phonemic, semantic and switching verbal fluency, verbal working memory, and ratings of everyday executive abilities by parents were undertaken. Executive skills were compared to age-matched typically-sighted (TS) typically-developing children and across levels of vision (mild to moderate VI [MVI] or severe to profound VI [SPVI]). The results do not indicate significant differences or deficits on direct assessments of verbal and auditory EF between the groups. However, parent ratings suggest difficulties with everyday executive abilities, with the greatest difficulties in those with SPVI. The findings are discussed as possibly reflecting increased demands of behavioral executive skills for children with VI in everyday situations despite auditory and verbal EF abilities in the typical range for their age. These findings have potential implications for clinical and educational practices.     

The interleaving of actions in everyday life multitasking demands

It has been argued that executive tests should capture central aspects of executive functions in everyday life such as initiating and monitoring parallel actions in low-structured environments (so-called multitasking; see Burgess, 2000). We present a cooking task in order to assess executive function impairments in brain-damaged patients, which focuses on a central feature of multitasking, the interleaving of tasks (Burgess, 2000). Behavioural performance of 21 brain-damaged patients (stroke, traumatic brain injury) and of a group of matched controls was analysed on the basis of a standardized protocol. In comparison to controls, the patients explored less, were less successful in monitoring their actions and corrected errors less efficiently. Interleaving of actions was observed less frequently in patients, with respect to both cooking itself as well as to subordinate goals (e.g., cleaning up). Interleaving proved efficient, as it was associated with less time to complete the task. Patients' scores in the cooking task correlated with performance in both the Behavioural Assessment of the Dysexecutive Syndrome (BADS) Zoo Map Test and the BADS Six Elements Test, but not with tests of attention, verbal memory, or figural fluency, thus demonstrating convergent and discriminant validity. In summary, our task demonstrates that cooking can provide a valid testing ground for assessing a central aspect of everyday multitasking demands, namely, the interleaving of actions.     

Executive functions predict conceptual learning of science

We examined the relationship between executive functions and both factual and conceptual learning of science, specifically chemistry, in early adolescence. Sixty‐three pupils in their second year of secondary school (aged 12–13 years) participated. Pupils completed tasks of working memory (Spatial Working Memory), inhibition (Stop‐Signal), attention set‐shifting (ID/ED), and planning (Stockings of Cambridge), from the CANTAB. They also participated in a chemistry teaching session, practical, and assessment on the topic of acids and alkalis designed specifically for this study. Executive function data were related to (1) the chemistry assessment which included aspects of factual and conceptual learning and (2) a recent school science exam. Correlational analyses between executive functions and both the chemistry assessment and science grades revealed that science achievements were significantly correlated with working memory. Linear regression analysis revealed that visuospatial working memory ability was predictive of chemistry performance. Interestingly, this relationship was observed solely in relation to the conceptual learning condition of the assessment highlighting the role of executive functions in understanding and applying knowledge about what is learned within science teaching.     

Executive Function in Pediatric Bipolar Disorder and Attention-Deficit Hyperactivity Disorder: In Search of Distinct Phenotypic Profiles

Often, there is diagnostic confusion between bipolar disorder (BD) and attention-deficit hyperactivity disorder (ADHD) in youth due to similar behavioral presentations. Both disorders have been implicated as having abnormal functioning in the prefrontal cortex; however, there may be subtle differences in the manner in which the prefrontal cortex functions in each disorder that could assist in their differentiation. Executive function is a construct thought to be a behavioral analogy to prefrontal cortex functioning. We provide a qualitative review of the literature on performance on executive function tasks for BD and ADHD in order to determine differences in task performance and neurocognitive profile. Our review found primary differences in executive function in the areas of interference control, working memory, planning, cognitive flexibility, and fluency. These differences may begin to establish a pediatric BD profile that provides a more objective means of differential diagnosis between BD and ADHD when they are not reliably distinguished by clinical diagnostic methods.     

Individual Differences in Early Executive Functions: A Longitudinal Study from 12 to 36 Months

It has been proposed that executive functions develop in a hierarchical fashion, such that early, simple abilities seen already during the first year of life become increasingly coordinated with development, thereby enabling the emergence of more complex abilities. Although this hierarchical model has received support from empirical studies comparing executive function task performance across age groups, necessary support from longitudinal studies taking an individual differences perspective on development is missing. In addition, the model stresses the importance of attention in executive function development, but we do not know in what way attention contributes to the continued development once the earliest forms of simple functions have emerged. Using a longitudinal design, the present study investigated the relations between individual differences in simpler forms of executive functions as well as sustained attention at age 12 months and more complex executive functions at 24 and 36 months. The results indicated partial support for the hierarchical model, with infant inhibition being predictive of working memory in toddlerhood. In addition, at 12 months, sustained attention contributed to the development of toddler executive functions via the simple executive functions. This suggests that by this age, sustained attention has become an integrated part of early, simple executive functions. Copyright © 2015 John Wiley & Sons, Ltd.     

Time perception in severe traumatic brain injury patients: A study comparing different methodologies

In this study, we investigated time perception in patients with traumatic brain injury (TBI). Fifteen TBI patients and 15 matched healthy controls participated in the study. Participants were tested with durations above and below 1 s on three different temporal tasks that involved time reproduction, production, and discrimination tasks. Data variables analyzed included amount of errors, relative errors, and coefficient of variation. Both groups completed a neuropsychological battery that included measures of attention, working memory, and executive functions. Results revealed significant differences between groups on the time reproduction and discrimination tasks, whereas groups showed similar performance on the time production task. Correlation analyses showed involvement of attention, working memory and executive functions on the time reproduction and time discrimination tasks, but there was no involvement on the time production task. These findings suggest that TBI does not impact specific temporal function. Rather, impairments in attention, working memory and executive function abilities may explain lower temporal performance in people with TBI.     

The interruptive effect of pain on attention

Pain is known to disrupt attentional performance in both healthy adults and patients with chronic pain. Exactly which aspects of attentional function are affected are, however, still to be determined. The primary aim of this investigation was to systematically examine the effects of experimentally induced pain on a range of attentional performance tasks. Following a review of tests of attentional disruption, seven best candidate tasks were selected and examined across seven experiments. The tasks were: continuous performance, flanker, endogenous precueing, n-back, inhibition, attentional switching, and divided attention. Healthy adult participants performed each of these tasks under three different conditions: a painful heat sensation, a warm heat sensation, and a nonheat control. Pain differentially affected attentional performance across these tasks; pain-related attentional impairment was found on the n-back, attentional switching, and divided attention tasks, but not on the other tasks. This finding suggests that the aspects of attention most affected by pain are those essential for the completion of complex tasks that require the processing of multiple cues and control over attentional deployment. These results are discussed in the context of an emerging view of pain as a demand for executive control and the development of measures that could be used to examine attentional disruption in the context of pain.     

The interruptive effect of pain on attention

Pain is known to disrupt attentional performance in both healthy adults and patients with chronic pain. Exactly which aspects of attentional function are affected are, however, still to be determined. The primary aim of this investigation was to systematically examine the effects of experimentally induced pain on a range of attentional performance tasks. Following a review of tests of attentional disruption, seven best candidate tasks were selected and examined across seven experiments. The tasks were: continuous performance, flanker, endogenous precueing, n-back, inhibition, attentional switching, and divided attention. Healthy adult participants performed each of these tasks under three different conditions: a painful heat sensation, a warm heat sensation, and a nonheat control. Pain differentially affected attentional performance across these tasks; pain-related attentional impairment was found on the n-back, attentional switching, and divided attention tasks, but not on the other tasks. This finding suggests that the aspects of attention most affected by pain are those essential for the completion of complex tasks that require the processing of multiple cues and control over attentional deployment. These results are discussed in the context of an emerging view of pain as a demand for executive control and the development of measures that could be used to examine attentional disruption in the context of pain.     

Differential recruitment of executive resources during mind wandering

Recent research has shown that mind wandering recruits executive resources away from the external task towards inner thoughts. No studies however have determined whether executive functions are drawn away in a unitary manner during mind wandering episodes, or whether there is variation in specific functions impacted. Accordingly, we examined whether mind wandering differentially modulates three core executive functions—response inhibition, updating of working memory, and mental set shifting. In three experiments, participants performed one of these three executive function tasks and reported their attentional state as either on-task or mind wandering at random intervals. We found that mind wandering led to poorer performance in the response inhibition and working memory tasks, but not the set-shifting task. These findings suggest that mind wandering does not recruit executive functions in a monolithic manner. Rather, it appears to selectively engage certain executive functions, which may reflect the adaptive maintenance of ongoing task performance.     

The Vigilance,Orienting, and Executive Attention Networks in 4-Year-Old Children

The present study examined the development of lower and higher order forms of attention during the preschool years. Lower forms of attention were assessed with tasks that primarily engaged the attention functions of vigilance and orienting. Higher, executive forms of attention were assessed with tasks that involved inhibition and working memory. The findings revealed that performance improved significantly with age on measures of inhibition and orienting. Results are discussed in the context of the development of attentional networks.     

The vigilance, orienting, and executive attention networks in 4-year-old children.

The present study examined the development of lower and higher order forms of attention during the preschool years. Lower forms of attention were assessed with tasks that primarily engaged the attention functions of vigilance and orienting. Higher, executive forms of attention were assessed with tasks that involved inhibition and working memory. The findings revealed that performance improved significantly with age on measures of inhibition and orienting. Results are discussed in the context of the development of attentional networks.     

Creative Thinking in an Emotional Context: Specific Relevance of Executive Control of Emotion-Laden Representations in the Inventiveness in Generating Alternative Appraisals of Negative Events

Although divergent thinking ability in different domains may largely rely on the same basic executive functions, domain-specific functions may also be important, in particular when it comes to more real-life creativity demands. This study investigated if functional executive control of emotion-laden representations may be specifically relevant in cognitive reappraisal, which implies being creative in an affective context. In a sample of 88 healthy individuals, the relation between the participants’ inventiveness in generating positive reappraisals of adverse events (Reappraisal Inventiveness Test) and in generating novel ideas without emotional component (conventional divergent thinking test) to their executive functioning in tasks without (Mittenecker Pointing Test) and with emotional contribution (humor processing task) was studied. In line with hybrid models of creative thinking, poorer basic inhibition skills were found to be associated with poorer fluency performance in both divergent thinking tasks. Relations applied more specifically to reappraisal inventiveness when it came to executive processes with a more prominent emotional component. Creative performance in both tasks may have been hampered by time limits. The results support the notion that, in addition to basic executive functioning, more specific cognitive control functions are implicated in more real-life creative performance, according to related domain-specific demands.     

Identification and Description of New Tests of Executive Functioning in Children

The understanding of executive functioning in pediatric neuropsychological evaluation is of clinical significance, yet there are few developmentally appropriate executive function measures that have been adequately normed in this population. The present study provides normative data, collected on a sample of 89 normal children from ages 7-12, for several measures thought to be appropriate for assessing executive functioning in children. Executive function measures were selected and/or modified to be developmentally appropriate, to tap less complex and integrative aspects of executive function, and to assess fundamental working memory (Self-Ordered Pointing: Delayed Alternation/Non-alternation) and inhibitory control (Developmental Stroop tasks: Go/No Go) dimensions of executive functioning. The results supported the potential utility of these measures in assessing those abilities in children.     

Previous reward decreases errors of commission on later ‘No‐Go’ trials in children 4 to 12 years of age: evidence for a context monitoring account

Inhibitory control is widely hypothesized to be the cornerstone of executive function in childhood and the central deficit in a number of developmental disorders, including attention‐deficit/hyperactivity disorder (ADHD). However, recent evidence from adults indicates that performance on response inhibition tasks may primarily reflect non‐inhibitory attentional control (context monitoring) processes. Yet it may be that inhibition plays a more central role in childhood – a time when the architecture of cognitive processes might be more transparent due to wide variability in skill level. Here we directly test inhibitory and context monitoring explanations of task performance on a Go/No‐Go task in a large group of children 4–12 years of age. We conclude that traditional inhibitory conceptualizations of task performance on the Go/No‐Go task cannot account for our findings, calling into question evidence supporting a central role for inhibitory control in cognitive development or developmental psychopathology.     

Examining the relationship between performance-based and questionnaire assessments of executive function in young preterm children: Implications for clinical practice

The aim of this study was to determine whether specific performance-based executive function assessment tools were associated with executive functioning in everyday life as reported by parents and teachers of four- to five-year-old preterm and term children. At the age of 4 years, 141 preterm children born <33 weeks’ gestation and 77 term children were assessed using performance-based intelligence (WPPSI-III) and executive function (EF) assessment tools (NEPSY-II, Day-Night and Shape School tasks). The assessment results were compared with the parent and teacher completed questionnaires of EF (BRIEF-P) when the children started kindergarten at the age of 4 to 5 years. The performance-based intelligence and EF assessment results were not consistently associated with the parent and teacher reports of EF in everyday life for either preterm or term groups. Clinical implications of using and interpreting performance-based EF assessment tools and EF questionnaires are discussed with a particular focus on young preterm children at the commencement of formal schooling.     

Implicit attenuation of subsequent emotion by cognitive activity

The successful regulation of emotion relies heavily on executive function. Until very recently, however, the specific effects of executive function activity on other processes havereceived relatively little empirical attention.The link between executive function and emotional responses suggests that the activation of executive function may play an important role in the attenuation of emotional responses. We conducted twoexperiments to test the hypothesis that decrements in emotional responses following cognitive task performance might be caused, at least in part, by the activation of executive function.First, we sought to test whetherthe activation of executive function reducedemotional responsesimplicitly, without any volitional effort.Next, we sought to examine the link between prior activation of executivefunction and the attenuation of subsequent emotional responses, by comparing the effects of an executive-function-demanding task with the effects of a task that is equally effortful but does not engage executive function.We discuss our results in the context of the role of executive function in the attenuation of emotion.     

How does experience change cognition? Evaluating the evidence

Schellenberg (2011) reports the results of an experiment to determine the cause of the association between music training and intelligence quotient (IQ) in children. There was no difference between trained and untrained groups in a set of executive function tasks and no evidence that executive function mediated the effects of music training on IQ, since music training and IQ remained related after controlling for executive function performance. Therefore, he concludes that children with high IQs are more likely to take music lessons, assigning responsibility for the reported correlation to genetic differences in intelligence. The present article challenges that conclusion by discussing the nature of the experience represented by children in the two groups, the validity of the tasks used to measure executive functioning, and the logic of the conclusion from the reported data.     

The impact of task-irrelevant emotional stimuli on attention in three domains

Whether task-irrelevant emotional stimuli facilitate or disrupt attention performance may depend on a range of factors, such as emotion type, task difficulty, and stimulus duration. Few studies, however, have systematically examined the influence of these factors on attention performance. Sixty-three adults, scoring within a normative range for mood and anxiety symptoms, completed either an easy or difficult version of an attention task measuring three aspects of attention performance: alerting, orienting, and executive attention. Results showed that in the easy task only, threatening versus nonthreatening task-irrelevant emotional faces facilitated orienting regardless of stimulus duration. These effects were no longer significant during the difficult condition. When the easy and difficult conditions were examined together, duration effects emerged such that stimuli of longer durations lead to greater interference, although effects were nonlinear. Findings illustrate that threat-relevant emotional stimuli facilitate attention during tasks with low cognitive load, but underscore the importance of considering a range of task parameters. Results are discussed in the context of adaptive and maladaptive emotion-attention interactions.     

执行功能可分离性及与年龄关系的潜变量分析

应用潜变量分析研究抑制优势反应、记忆刷新和注意转换三种执行功能的可分离性,以及与年龄的关系。被试为18~85岁的健康成年人142名,完成九项执行功能任务。结果显示：本研究设计的九项执行功能任务有较好的信度;验证性因子分析显示,九项任务与对应执行功能间的因子负荷较高（汇聚性效度好）,而不同执行功能间的相关较低（鉴别性效度好）;在此基础上建立了三种执行功能及其与年龄关系的潜变量分析模型。研究结果表明,执行系统不是单一的认知结构,可以分离为若干相对独立的执行加工过程。