Developmental changes in attentional performance in urban children from eight to thirteen years

Abstract

In an earlier study of an epidemiological sample of 435 urban 8-year-old children, factor analytically-derived components of attention, as assessed by neuropsychological tests, were identified and were found to be significantly related to adaptive functioning. In this study we followed that cohort longitudinally and assessed developmental changes in specific aspects of attentional function into early adolescence. Significant reductions in omission errors and improvements in reaction times were found from ages 8 to 13 years on different versions of the Continuous Performance Task, a measure of sustained attention, with the effects varying by task difficulty level and subjects' gender. Significant improvements across age also were found on measures of the ability to focus attention and execute a response, shift attentional focus, and encode information in memory. In general, the most rapid changes in attention occurred between ages 8 to 10 years with more gradual changes occurring between ages 10 to 13. The results highlight the importance of developmental epidemiological approaches for assessing and predicting the normal evolution of attentional function in school-aged children.     

Performance-based and parent ratings of attention in children treated for a brain tumor: The significance of radiation therapy and tumor location on outcome

Children are at increased risk for cognitive difficulties following the diagnosis and treatment of a brain tumor. Radiation therapy (RT) and tumor location are commonly-cited predictors of neurocognitive functioning. Disruptions to foundational neurocognitive processes such as attention, working memory, and processing speed underlie declines on measures of general intellectual functioning. While several studies have examined visual sustained attention in pediatric brain tumor patients, auditory sustained attention has yet to be examined. This study employs a longitudinal design to examine performance-based and parent ratings of attention in children undergoing surgical resection of a brain tumor (n = 29) and treated with (n = 11) or without (n = 18) RT at 6.79 months post-surgery (baseline) and then again at 30.56 months post-surgery (follow-up). The measures include an auditory continuous performance test (CPT) and parent ratings of attention and hyperactivity on a behavior rating scale. Ultimately, children treated with and without RT performed similarly on performance-based and parent ratings of attention. However, the performance on the auditory CPT differed according to tumor location, with children with infratentorial tumors committing more inattention and inhibitory control errors compared to children with supratentorial tumors. Parent ratings did not differ according to tumor location, and parent ratings and auditory sustained attention performance are not significantly correlated. The findings are interpreted in the context of neurocognitive and brain development.     

Sustained attention, attentional selectivity, and attentional capacity across the lifespan

Changes in sustained attention, attentional selectivity, and attentional capacity were examined in a sample of 113 participants between the ages of 12 and 75. To measure sustained attention, we employed the sustained-attention-to-response task (Robertson, Manly, Andrade, Baddeley, & Yiend, Neuropsychologia 35:747?C58, 1997), a short continuous-performance test designed to capture fluctuations in sustained attention. To measure attentional selectivity and capacity, we employed a paradigm based on the theory of visual attention (Bundesen, Psychological Review 97:523?C547, 1990), which enabled the estimation of parameters related to attentional selection, perceptual threshold, visual short-term memory capacity, and processing capacity. We found evidence of age-related decline in each of the measured variables, but the declines varied markedly in terms of magnitude and lifespan trajectory. Variables relating to attentional capacity showed declines of very large effect sizes, while variables relating to attentional selectivity and sustained attention showed declines of medium to large effect sizes, suggesting that attentional control is relatively preserved in older adults. The variables relating to sustained attention followed a U-shaped, curvilinear trend, and the variables relating to attentional selectivity and capacity showed linear decline from early adulthood, providing further support for the differentiation of attentional functions.     

Developmental Changes in Visual and Auditory Inhibition in Early Childhood

The development of executive functions in the preschool years is not fully understood. Although there exists a large body of research investigating the maturation of executive functioning in school‐aged children, little is known about the emergence of such skills, in particular inhibition, among preschool‐aged children. Understanding developmental changes of inhibition proficiencies and deficiencies early in childhood is important for charting typical and atypical developmental trajectories. Using an adapted computerized paradigm, the present study examined age‐related changes in visual and auditory inhibition in 68 typically developing children aged 3 to 6 years. The results indicated that although similar age‐related gains in performance occurred across both visual and auditory inhibition tasks, certain modality‐specific differences emerged in terms of accuracy and reaction time. These results suggest that the newly adapted measures used are sensitive enough to capture developmental variations in inhibition. Copyright © 2012 John Wiley & Sons, Ltd.     

Attentional control in patients with temporal lobe epilepsy

Across different studies, patients with temporal lobe epilepsy (TLE) demonstrate impairments on numerous measures of attentional control that are classically associated with frontal lobe functioning. One aspect of attentional control that has not been examined in TLE is the ability to execute two modality‐specific tasks concurrently. We sought to examine the status of dual‐task coordination in TLE. We further examined the cohorts' performance on a range of traditional measures of attentional control. Eighteen TLE patients and 22 healthy controls participated in the study. Dual‐task performance involved comparing the capacity to execute a tracking and a digit recall task simultaneously with the capacity to execute the tasks separately. We also administered measures of: set shifting (odd‐man‐out test), sustained attention (elevator counting), selective attention (elevator counting with distraction), and divided attention (trail making test). We found that the proportional decrement in dual‐task performance relative to single‐task performance did not vary between the groups (TLE = 92.48%; controls = 93.70%), nor was there a significant difference in sustained attention (p > .10). Patients with TLE did demonstrate marked deficits in selective attention (p < .0001), divided attention (p < .01), and set shifting (p < .01). These findings add to the knowledge about cognitive dysfunction in TLE, indicating that impairments in attentional control in TLE tend to be selective. The greatest deficits appear to be on tasks that invoke a high level of processing resources. In contrast, sustained attention is less compromised and the capacity to allocate cognitive resources appears to be normal in patients with TLE.     

Auditory and visual differences in time perception? An investigation from a developmental perspective with neuropsychological tests

Adults and children (5- and 8-year-olds) performed a temporal bisection task with either auditory or visual signals and either a short (0.5-1.0s) or long (4.0-8.0s) duration range. Their working memory and attentional capacities were assessed by a series of neuropsychological tests administered in both the auditory and visual modalities. Results showed an age-related improvement in the ability to discriminate time regardless of the sensory modality and duration. However, this improvement was seen to occur more quickly for auditory signals than for visual signals and for short durations rather than for long durations. The younger children exhibited the poorest ability to discriminate time for long durations presented in the visual modality. Statistical analyses of the neuropsychological scores revealed that an increase in working memory and attentional capacities in the visuospatial modality was the best predictor of age-related changes in temporal bisection performance for both visual and auditory stimuli. In addition, the poorer time sensitivity for visual stimuli than for auditory stimuli, especially in the younger children, was explained by the fact that the temporal processing of visual stimuli requires more executive attention than that of auditory stimuli.     

Shared and distinct factors driving attention and temporal processing across modalities

In addition to the classic finding that “sounds are judged longer than lights,” the timing of auditory stimuli is often more precise and accurate than is the timing of visual stimuli. In cognitive models of temporal processing, these modality differences are explained by positing that auditory stimuli more automatically capture and hold attention, more efficiently closing an attentional switch that allows the accumulation of pulses marking the passage of time (Penney, Gibbon, & Meck, 2000). However, attention is a multifaceted construct, and there has been little attempt to determine which aspects of attention may be related to modality effects. We used visual and auditory versions of the Continuous Temporal Expectancy Task (CTET; O'Connell et al., 2009) a timing task previously linked to behavioral and electrophysiological measures of mind-wandering and attention lapses, and tested participants with or without the presence of a video distractor. Performance in the auditory condition was generally superior to that in the visual condition, replicating standard results in the timing literature. The auditory modality was also less affected by declines in sustained attention indexed by declines in performance over time. In contrast, distraction had an equivalent impact on performance in the two modalities. Analysis of individual differences in performance revealed further differences between the two modalities: Poor performance in the auditory condition was primarily related to boredom whereas poor performance in the visual condition was primarily related to distractibility. These results suggest that: 1) challenges to different aspects of attention reveal both modality-specific and nonspecific effects on temporal processing, and 2) different factors drive individual differences when testing across modalities.     

The development of change blindness: children's attentional priorities whilst viewing naturalistic scenes

Change blindness describes the surprising difficulty of detecting large changes in visual scenes when changes occur during a visual disruption. In order to study the developmental course of this phenomenon, a modified version of the flicker paradigm, based on Rensink, O’Regan & Clark (1997 ), was given to three groups of children aged 6–12 years and to a group of adults. This paradigm tested the ability to detect single colour, presence/absence and location changes of both high and low semantic importance in a complex scene. Semantically important changes were detected more quickly and accurately than less semantically important changes, by all age groups, indicating that children had the same attentional priorities as adults. Older children achieved more efficient and accurate detection of changes than younger children and reached almost adult level at 10–12 years old. These improvements parallel age‐related developments in attention and visual perception.     

Attention in Williams syndrome and Down's syndrome: Performance on the new early childhood attention battery

Attentional problems are commonly reported as a feature of the behavioural profile in both Williams syndrome (WS) and Down's syndrome (DS). Recent studies have begun to investigate these impairments empirically, acknowledging the need for an approach that considers cross‐syndrome comparisons and developmental changes across the different component functions of attention. The present study assessed children with WS and DS using a new preschool attention battery (ECAB: early childhood attention battery), designed to be suitable for mental age 3–6 years including groups with developmental disorders. The ECAB has the advantage of giving an individual profile of attentional abilities for each child, covering different components of attention. In relation to test norms for their mental age, both groups showed a profile of strengths and weaknesses in the attention domain. Both syndrome groups performed relatively well on tests of sustained attention and poorly on aspects of selective attention and attentional control (executive function). The DS group showed a specific strength in auditory sustained attention, whilst the WS group showed a particular deficit in visuo‐spatial response control. There was also evidence for considerable differences in the developmental trajectory of these abilities across the two groups. The results provide evidence for syndrome‐specific patterns of impairment, and distinct profiles of strengths and weaknesses that may be useful in understanding the nature of everyday attention difficulties in these groups and tailoring interventions to meet these needs.     

Lack of correlation between hypnotic susceptibility and various components of attention

The purpose of our study was to measure the relationship between performance on various attentional tasks and hypnotic susceptibility. Healthy volunteers (N = 116) participated in a study, where they had to perform several tasks measuring various attention components in a waking state: sustained attention, selective or focused attention, divided attention and executive attention in task switching. Hypnotic susceptibility was measured in a separate setting by the Waterloo-Stanford Groups Scale of Hypnotic Susceptibility, Form C (WSGC).We found no significant correlation between any of the attentional measures and hypnotic susceptibility. Highly hypnotizables did not prove to be superior to or worse than the other individuals in any of the tests.These results do not support the neuropsychophysiological model of hypnosis, as they show no consistent relationship between hypnotic susceptibility and waking attentional performance.     

The relationship between sustained attention,attentional selectivity,and capacity

The Theory of Visual Attention (TVA; Bundesen, 1990) provides a quantitative account of visual attentional selectivity and capacity but does not include a parameter relating to sustained attention. We conducted two studies to examine the relationship between sustained attention and the TVA parameters relating to selectivity and capacity. In the first study (n=46; mean age=41, SD=10), we investigated the effects of self alerting during a combined whole and partial report task (CombiTVA). In the second study, 70 participants (aged 20–69), performed the CombiTVA and the Sustained Attention to Response Task (Robertson, Manly, Andrade, Baddeley, & Yiend, 1997). The results indicated that attentional selectivity and capacity were unaffected by self alerting, unrelated to sustained attention ability and robust to the adverse effects of time-on-task. These findings are in keeping with the idea of independent functions relating to sustained attention and attentional selectivity and capacity.     

Now you see it, now you don't: evidence for age-dependent and age-independent cross-modal distraction

Age-related deficits in selective attention have often been demonstrated in the visual modality and, to a lesser extent, in the auditory modality. In contrast, a mounting body of evidence has suggested that cross-modal selective attention is intact in aging, especially in visual tasks that require ignoring the auditory modality. Our goal in this study was to investigate age-related differences in the ability to ignore cross-modal auditory and visual distraction and to assess the role of cognitive control demands thereby. In a set of two experiments, 30 young (mean age = 23.3 years) and 30 older adults (mean age = 67.7 years) performed a visual and an auditory n-back task (0 ≤ n ≤ 2), with and without cross-modal distraction. The results show an asymmetry in cross-modal distraction as a function of sensory modality and age: Whereas auditory distraction did not disrupt performance on the visual task in either age group, visual distraction disrupted performance on the auditory task in both age groups. Most important, however, visual distraction was disproportionately larger in older adults. These results suggest that age-related distraction is modality dependent, such that suppression of cross-modal auditory distraction is preserved and suppression of cross-modal visual distraction is impaired in aging.     

Attentional Performance in Children and Adolescents with Tic Disorder and Co-Occurring Attention-Deficit/Hyperactivity Disorder: New Insights from a 2 × 2 Factorial Design Study

The aim of the present study was to investigate the effect of both tic disorder (TD) and attention-deficit/hyperactivity disorder (ADHD) on attentional functions. N = 96 children and adolescents participated in the study, including n = 21 subjects with TD, n = 23 subjects with ADHD, n = 25 subjects with TD+ADHD, and n = 27 controls. Attentional performance was tested based on four computerized attention tasks (sustained attention, divided attention, go/nogo and set shifting). The effect of TD as well as ADHD on attentional performance was tested using a 2 × 2 factorial approach. A diagnosis of TD had no negative impact on attentional functions but was associated with improved performance in the set shifting task. By contrast, regardless of a diagnosis of TD, subjects with ADHD were found to perform worse in the sustained attention, divided attention and go/nogo task. No interaction effect between the factors TD and ADHD was revealed for any of the attention measures. Our results add to findings from other areas of research, showing that in subjects with TD and ADHD, ADHD psychopathology is often the main source of impairment, whereas a diagnosis of TD has little or no impact on neuropsychological performance in most cases and even seems to be associated with adaptive mechanisms.     

Visual attention and academic performance in children with developmental disabilities and behavioural attention deficits

Despite well‐documented attention deficits in children with intellectual and developmental disabilities (IDD), distinctions across types of attention problems and their association with academic attainment has not been fully explored. This study examines visual attention capacities and inattentive/hyperactive behaviours in 77 children aged 4 to 11 years with IDD and elevated behavioural attention difficulties. Children with autism spectrum disorder (ASD; n = 23), Down syndrome (DS; n = 22), and non‐specific intellectual disability (NSID; n = 32) completed computerized visual search and vigilance paradigms. In addition, parents and teachers completed rating scales of inattention and hyperactivity. Concurrent associations between attention abilities and early literacy and numeracy skills were also examined. Children completed measures of receptive vocabulary, phonological abilities and cardinality skills. As expected, the results indicated that all groups had relatively comparable levels of inattentive/hyperactive behaviours as rated by parents and teachers. However, the extent of visual attention deficits varied as a result of group; namely children with DS had poorer visual search and vigilance abilities than children with ASD and NSID. Further, significant associations between visual attention difficulties and poorer literacy and numeracy skills were observed, regardless of group. Collectively the findings demonstrate that in children with IDD who present with homogenous behavioural attention difficulties, at the cognitive level, subtle profiles of attentional problems can be delineated.     

Aging and visual search: Generalized cognitive slowing or selective deficit in attention?

Abstract

Selective attention in normal aging was investigated using simple and conjoined feature visual search tasks. the effects of varying the location of the target (central vs. peripheral, left vs. right hemifield) and the complement of distractors, together with variability in task performance across subject groups, were also examined. the findings indicated that the feature extraction stage of visual search was preserved in older aged subjects. However, there was a differential age-related impairment in the feature integration stage of visual processing in the two older groups (66-75 years, 76-85 years). This was greater than the magnitude of decline predicted on the basis of generalized cognitive slowing. There was no evidence of a speed-accuracy trade-off in the performance of either search task. the findings of this study contribute towards the delineation of age-dependent and -independent processes subserving visual selective attention. the performance of older individuals may be relatively well preserved on more automatic, less demanding tasks such as simple feature search. By contrast, there may be differential age-related impairments on visual search tasks such as conjoined feature search, which may require more effortful or controlled attentional processing.     

Development of brain functional connectivity and its relation to infant sustained attention in the first year of life

The study of brain functional connectivity is crucial to understanding the neural mechanisms underlying the improved behavioral performance and amplified ERP responses observed during infant sustained attention. Previous investigations on the development of functional brain connectivity during infancy are primarily confined to the use of functional and structural MRI techniques. The current study examined the relation between infant sustained attention and brain functional connectivity and their development during infancy with high‐density EEG recordings. Fifty‐nine infants were tested at 6 (N = 15), 8 (N =14), 10 (N = 17), and 12 (N = 13) months. Infant sustained attention was defined by measuring infant heart rate changes during infants’ looking. Functional connectivity was estimated from the electrodes on the scalp and with reconstructed cortical source activities in brain regions. It was found that infant sustained attention was accompanied by attenuated functional connectivity in the dorsal attention and default mode networks in the alpha band. Graph theory analyses showed that there was an increase in path length and a decrease in clustering coefficient during infant sustained attention. The functional connectivity within the visual, somatosensory, dorsal attention, and ventral attention networks and graph theory measures of path length and clustering coefficient were found to increase with age. These findings suggest that infant sustained attention is accompanied by distinct patterns of brain functional connectivity. The current findings also suggest the rapid development of functional connectivity in brain networks during infancy.     

More than meets the eye: The attentional blink in multisensory environments. Commentary on Kranczioch and Thorne

Temporal fluctuations of attention can influence performance of cognitive tasks substantially. A common paradigm to investigate temporal fluctuations of attention is the attentional blink paradigm. Kranczioch and Thorne (2013) report new evidence for the impact of auditory stimuli on the visual attentional blink in the current issue of Advances in Cognitive Psychology.     

What children know about the source of their knowledge without reporting it as the source

We tested the development of attentional functions within Syrian and German children of pre-school and school age (n = 562, 5–12 years), using the Test of Attentional Performance for Children (KITAP). After controlling the intelligence (IQ) and socioeconomic status (SES), age-related improvements were found in all the attentional functions, with rapid improvements between 8 and 10 years. Gender differences were also found in some attention performances. More importantly, cultural differences were also evident. The performance in the activation functions “Alertness” and “Vigilance” were independent from cultural background, whereas performances in Sustained Attention, in functions of visuospatial orienting (Visual Scanning) and executive systems (Divided Attention, Flexibility and Distractibility) revealed cultural differences. In general, the Syrian children showed slower performances, higher variability of responses and more errors compared with German children. The overall results of the study supports the universal development of attention functions during school age, and show that attention performances could be influenced by characteristics of the cultural background (Arabic-Syrian: collectivistic–dependent; and Western German: individualistic–independent).     

Lifespan changes in attention: The visual search task

There are two popular frameworks for the study of visual attention. Treisman's Feature Integration Theory focuses on the effortful process of binding together the multiple attributes of an object. Posner's Visual Orienting Theory emphasizes the movement of an attentional spotlight across space. Although both aspects are undoubtedly important in any visual search task, it is not clear how each of these aspects changes with age. We tested observers aged 6, 8, 10, 22, and 72 years on visual search tasks designed to isolate these factors. No age-related differences were found in single- or double-feature discrimination, attention movement to a single item, or search for a single-feature target among distractors. Two age-related changes were found: (1) young children were less able than either young adults or seniors to search for targets defined by a conjunction of features, and (2) both children and seniors were less able than young adults to move attention voluntarily from item to item. This implies that feature integration and voluntary movement of attention have different trajectories over the lifespan.     

Auditory statistical learning: predictive frequency information affects the deployment of contextually mediated attentional resources on perceptual tasks

Statistical learning is a general phenomenon in which environmental regularities are implicitly acquired through repeated exposure to those environments. Sometimes, that information can be utilised to affect various aspects of cognitive performance (e.g. reaction time) on tasks that utilise selective attention (e.g. visual search). In the current study, we examined the effect of passively listening to predictive auditory contexts in facilitating attention to a certain frequency or frequency range. In doing so, we found that there is a general tendency for attentional resources to be negatively affected when the context sequences are made novel after context–target associations have been formed (Experiment 1), and when the context no longer reliably cues the previous target (Experiment 2). The experiments are framed to contrast Associative Learning and Memory Hypothesis perspectives.