Differential effects of phasic and tonic alerting on the efficiency of executive attention

Features of attention network impairment in patients with temporal lobe epilepsy: Evidence from eye-tracking and electroencephalogram

AIM

To explore multiple features of attention impairments in patients with temporal lobe epilepsy (TLE).

METHODS

A total of 93 patients diagnosed with TLE at Xiangya Hospital during May 2022 and December 2022 and 85 healthy controls were included in this study. Participants were asked to complete neuropsychological scales and attention network test (ANT) with recording of eye-tracking and electroencephalogram.

RESULTS

All means of evaluation showed impaired attention functions in TLE patients. ANT results showed impaired orienting (p < 0.001) and executive control (p = 0.041) networks. Longer mean first saccade time (p = 0.046) and more total saccadic counts (p = 0.035) were found in eye-tracking results, indicating abnormal alerting and orienting networks. Both alerting, orienting and executive control networks were abnormal, manifesting as decreased amplitudes (N1 & P3, p < 0.001) and extended latency (P3, p = 0.002). The energy of theta, alpha and beta were all sensitive to the changes of alerting and executive control network with time, but only beta power was sensitive to the changes of orienting network.

CONCLUSION

Our findings are helpful for early identification of patients with TLE combined with attention impairments, which have strong clinical guiding significance for long-term monitoring and intervention.

Alerting effects require the absence of surprise

Ongoing actions are interrupted for a brief period of time whenever salient and expectancy-discrepant stimuli (surprise stimuli) interfere with the present task set. By contrast, salient stimuli (alerting cues) preceding targets can facilitate behaviour by reducing time to initiate actions. Both phenomena seem to be at odds with each other as actions are either impaired or facilitated. Therefore, in the present study, we asked how surprise and alerting effects interact. In two experiments, participants performed choice reaction tasks without any prior knowledge of the impending alerting cue. After a baseline period of trials without an alerting cue, the alerting cue was presented for the first time. It was found that the initial presentation of the alerting cue significantly slowed down reaction times. However, after just a single trial this impairment went away. This reveals that the beneficial effects of alerting for action presuppose that alerting cues are expected and represented in the top-down task set. As such, the present findings challenge the standard view of phasic alerting as a bottom-up and entirely stimulus-driven phenomenon.

On the Relevance of Posterior and Midfrontal Theta Activity for Visuospatial Attention

The aim of this study was to examine whether oscillatory activity in the theta-band is relevant for selective visuospatial attention when there is a need for the suppression of interfering and distracting information. A variant of the Eriksen flanker task was employed with bilateral arrays: one array consisting of a target and congruent or incongruent flankers and the second array consisting of neutral distractors. The bilateral arrays were preceded either by a 100% valid spatial cue or by a neutral cue. In the cue-target interval, a major burst in medial frontal theta power was observed, which was largest in the spatial cue condition. In the latter condition, additionally a posterior theta increase was observed that was larger over sites ipsilateral to the forthcoming target array. Functional connectivity analyses revealed that this pretarget posterior theta was related to the midfrontal theta. No such effects were observed in the neutral cue condition. After onset of the bilateral arrays, a major burst in posterior theta activity was observed in both cue conditions, which again was larger above sites ipsilateral to the target array. Furthermore, this posterior theta was in all cases related to the midfrontal theta. Taken together, the findings suggest that a fronto-posterior theta network plays an important role in the suppression of irrelevant and conflicting visual information. The results also suggest that the reciprocal relation between visuospatial attention and executive response control may be closer than commonly thought.

Warning signals only support the first action in a sequence

Acting upon target stimuli from the environment becomes faster when the targets are preceded by a warning (alerting) cue. Accordingly, alerting is often used to support action in safety-critical contexts (e.g., honking to alert others of a traffic situation). Crucially, however, the benefits of alerting for action have been established using laboratory tasks assessing only simple choice reactions. Real-world actions are considerably more complex and mainly consist of sensorimotor sequences of several sub-actions. Therefore, it is still unknown if the benefits of alerting for action transfer from simple choice reactions to such sensorimotor sequences. Here, we investigated how alerting affected performance in a sequential action task derived from the Trail-Making-Test, a well-established neuropsychological test of cognitive action control (Experiment 1). In addition to this task, participants performed a classic alerting paradigm including a simple choice reaction task (Experiment 2). Results showed that alerting sped up responding in both tasks, but in the sequential action task, this benefit was restricted to the first action of a sequence. This was the case, even when multiple actions were performed within a short time (Experiment 3), ruling out that the restriction of alerting to the first action was due to its short-lived nature. Taken together, these findings reveal the existence of an interface between phasic alertness and action control that supports the next action.

Neural Underpinnings of Proactive and Preemptive Adjustments of Action Control

This study aimed to trace the neural basis of proactive and preemptive adjustments of executive control and their effects on online processing of response conflict. In two EEG experiments, participants performed the flanker task with predictive cueing of conflict. The following questions were addressed: "Does conflict cueing improve performance?" We observed improved behavioral performance in the predictive condition, suggesting that participants proactively utilized the cues to prepare for the upcoming demands. "How is conflict processing affected by predictive cueing?" Conflict-related modulations of midfrontal N2 and theta power were smaller in the predictive than in the neutral condition. This suggests that proactive control suppressed the impact of incongruent flankers so that the conflict was reduced, and so was the involvement of online control. "Is proactive control implemented through preactivation of online control?" Conflict cueing increased midfrontal theta power also before target onset, suggesting preactivation of the control processes beforehand. "Do proactive and reactive control depend on common or unique processes?" Unlike the online control, the proactive control triggered a burst of theta power in the right hemisphere's dorsal and ventral lateral prefrontal cortices, connected with the midfrontal area via theta phase coherence. This indicates that the two control modes involve partially unique but coordinated neural processes. "Is preemptive control implemented through modulations of visual processing?" Predictive cueing modulated both the pretarget preparatory alpha desynchronization and the target selection-related posterior contralateral negativity (N2pc and sustained posterior contralateral negativity), in line with the hypothesis of preemptive tuning of sensory selection aimed at reducing the impact of conflicting stimuli.

The Effect of Safety Signs on the Monitoring of Conflict and Erroneous Response

The safety sign is important in our daily life and workplace to prevent potential safety issues. However, it remains undetermined whether the safety signs would influence the cognitive control ability of the people, which serves to guide the behaviors in a goal-directed manner. Therefore, this study aimed to examine the effect of safety signs on cognitive control by uncovering the behavioral performance and neural manifestations underlying the monitoring of conflict and error. The participants performed a flanker task after watching low- and high-hazard safety signs with the electroencephalogram (EEG) data recorded continually. The behavioral results indicated a classic congruency effect with higher accuracy rate and faster response time under a congruent condition compared to an incongruent condition. However, no hazard effect on behavioral performances was observed. The results of event-related potentials (ERPs) demonstrated a more negative N2 elicited by the incongruent trials and an increased (error-related negativity) ERN difference between the error and correct responses in the high-hazard condition compared to those in the low-hazard condition, implying that the monitoring of the conflict and error were both enhanced after watching the high-hazard safety signs. This study contributes to the understanding of the relationship between safety signs and cognitive control, and further expand the measurements that can be applied to assess the effectiveness of safety signs design.

Comparing saccadic and manual responses in the attention network test

Attention is proposed to be a system of multiple functional networks, including alertness, orienting and executive control. A popular experimental paradigm for testing these networks and their interactions within a single design is the Attentional Networks Test (ANT) (Fan et al., 2002). The role of the oculomotor system in these various networks, however, has not been tested despite the strong link between attention and eye movements. We modified the executive control component of the manual response ANT version (ANTm) that allows testing the networks' involvement with oculomotor responses. Specifically, we used a central target to signal pro or anti-saccades that allows us to match the saccadic response compatibility of the original ANTm. We conducted three experiments to compare interactions of the networks between the traditional ANTm that used a flanker task response, our new ANTs with saccadic responses signalled with a fixation arrow, and a manual response version with the response arrow at fixation (ANTf). Results for all three experiments showed typical main effects of all three attention networks, but we observed differences in their interactions. The ANTm showed only an interaction of alerting enhancing the orienting; ANTs showed a congruency by orienting interaction with the orienting effect only observed for pro-saccades. The ANTf showed both alerting by orienting, and orienting by congruency. Although the saccadic response did differ from the original ANTm, key differences were also highlighted by the switch from peripheral to central target. Overall the proposed ANTf is a valid tool to test main effects of attentional networks. Further investigation of interaction differences between manual and oculomotor systems is required.

Auditory spatial attention gradients and cognitive control as a function of vigilance

Selection and effort are central to attention, yet it is unclear whether they draw on a common pool of cognitive resources, and if so, whether there are differences for early versus later stages of cognitive processing. This study assessed effort by quantifying the vigilance decrement, and spatial processing at early and later stages as a function of time-on-task. Participants performed an auditory spatial attention task, with occasional "catch" trials requiring no response. Psychophysiological measures included bilateral cerebral blood flow (transcranial Doppler), pupil dilation, and blink rate. The shape of attention gradients using reaction time indexed early processing, and did not significantly vary over time. Later stimulus-response conflict was comparable over time, except for a reduction to left hemispace stimuli. Target and catch trial accuracy decreased with time, with a more abrupt decrease for catch versus target trials. Diffusion decision modeling found progressive decreases in information accumulation rate and non-decision time, and the adoption of more liberal response criteria. Cerebral blood flow increased from baseline and then decreased over time, particularly in the left hemisphere. Blink rate steadily increased over time, while pupil dilation increased only at the beginning and then returned towards baseline. The findings suggest dissociations between resources for selectivity and effort. Measures of high subjective effort and temporal declines in catch trial accuracy and cerebral blood flow velocity suggest a standard vigilance decrement was evident in parallel with preserved selection. Different attentional systems and classes of computations that may account for dissociations between selectivity versus effort are discussed.

Beneath the surface: hyper-connectivity between caudate and salience regions in ADHD fMRI at rest

Attention-Deficit/Hyperactivity Disorder (ADHD) comprises disturbances in attention, emotional regulation, and reward-related processes. In spite of the active efforts in researching neurofunctional correlates of these symptoms, how the activity of subcortical regions-such as basal ganglia-is related to ADHD has yet to be clarified. More specifically, how age may influence the critical changes observed in functional dynamics from childhood to adulthood remains relatively unexplored. We hence selected five core subcortical regions (amygdala, caudate, putamen, pallidum and hippocampus) as regions of interest from the previous literature, measuring their whole-brain voxel-wise rsFC in a sample of 95 ADHD and 90 neurotypical children and adolescents aged from 7 to 18. The only subcortical structure showing significant differences in rsFC was the caudate nucleus. Specifically, we measured increased rsFC with anterior cingulate and right insula, two mesolimbic regions pertaining to the Salience Network. The degree of hyper-rsFC positively correlated with ADHD symptomatology, and showed different patterns of evolution in ADHD vs neurotypical subjects. Finally, the rsFC scores allowed a fair discrimination of the ADHD group (Area Under the Curve ≥ 0.7). These findings shed further light on the fundamental role covered by subcortical structures in ADHD pathogenesis and neurodevelopment, providing new evidence to fill the gap between neurofunctional and clinical expressions of ADHD.

Phasic alerting facilitates endogenous orienting of spatial attention: Evidence from event-related lateralizations of the EEG

Alerting has been hypothesized to affect spatial orienting either by accelerating the speed of attentional shift toward the cued target location (the accelerating hypothesis) or by enhancing the orienting effect without changing its time course (the enhancing hypothesis). To investigate the neural underpinnings of the effect of phasic alerting on endogenous orienting, we recorded the electroencephalogram (EEG) in a variant of the spatial cueing task with a tone presented 100 ms before the cue as a phasic alerting signal, and calculated cue-evoked event-related lateralizations (ERLs) providing a precise assessment of preparatory visuospatial attention. Behavioral results showed that the spatial orienting effect was increased under the phasic alerting condition, as expected. The EEG results showed that an orienting-related ERL component called a late directing attention positivity (LDAP) had shorter onset latency and larger amplitude in the alerting condition than in the no-alerting (no-tone) condition. In conclusion, phasic alerting seems to both accelerate and enhance orienting-related preparatory modulations within the ventral visual stream.