Controlled attention and storage: An investigation of the relationship between working memory, short-term memory, scope of attention, and intelligence in children

Methylphenidate improves cognitive function and health-related quality of life in survivors of childhood brain tumours

OBJECTIVES

The growing population of survivors of childhood brain tumors present the challenge of long-term quality of survival. The domains most affected by tumor and treatment are those implicated in development of typical intellectual functions: attention, working memory, and processing speed, with consequent effects upon function and quality of life. In this paper we present service evaluation data on the 12-month effect upon processing speed, visual and auditory attentional domains in 29 patients receiving methylphenidate aged 5-16 years (Mean=10.6).

METHODS

Patients received immediate-release methylphenidate and were converted to modified-release as appropriate. Mean optimal dose of immediate-release methylphenidate was 0.34 mg/kg per dose (range 0.2-0.67).

RESULTS

Patients showed a significant positive impact of methylphenidate on attention in all tests of selective visual attention from the Test of Everyday Attention for Children 2. A significant improvement was also shown on response time. Significant change was not found on psychometric measures of sustained auditory or visual attention, or selective auditory attention. Ratings of Health-Related Quality of Life showed a positive benefit of methylphenidate at 12 months. Side effects were minimal and not statistically significant.

CONCLUSIONS

Survivors of childhood brain tumor with attentional and processing speed deficit show clinical benefit from methylphenidate.

Individual differences in working memory and general intelligence indexed by P200 and P300: A latent variable model

A robust relationship between working memory (WM) and general intelligence (g) has been well established. Nevertheless, explanations for this relationship in terms of underlying neurocognitive processes are still inadequate. This study addresses this issue using an individual differences approach in which Central Executive System (CES) and Short-Term Storage (STS) components of WM are measured comprehensively and examined for their relationship with g via event-related potentials components (P200 and P300) as mediators. Participants (n = 115) completed tests of the WM, CES and STS, as well as g. P200 and P300 components were recorded during 3-back WM task performance. Structural equation modelling showed significant negative associations between the P200 latency for target stimuli and CES shifting processes, and between the P300 amplitude for target stimuli and CES inhibition and updating processes. The relationship between CES processes and g was mediated in a localized fashion by the P300 amplitude. These findings further support the notion that the CES has a multidimensional structure and, importantly, reveal that the inhibition and updating functions of the CES are crucial in explaining the relationship between WM and g. Negative relations between ERP indices (P200 latency and P300 amplitude for target stimuli) and g support a neural efficiency hypothesis related to high intelligence.

Short-Term Storage and Executive Working Memory Processing Predict Fluid Intelligence in Primary School Children

Working memory (WM) includes short-term storage and executive processing of information. WM has been suggested to be one of the key concepts to explain individual differences in fluid intelligence (Gf). However, only a few studies have investigated the association of the two different aspects of WM in relation to Gf. Furthermore, even fewer studies have included children. Therefore, we first investigated the inter-relations between the WM aspects (verbal and visual-spatial storage, verbal and visual-spatial executive processing). Second, we explored the relation between a general WM factor and Gf. Third, we analyzed the relations between the different WM aspects and Gf while we controlled for common variance among all WM tasks. Nine- to 11-year olds had to solve simple and complex span tasks. Correlations and structural equation modeling techniques were used to examine these relations. Most inter-relations among simple and complex spans were found to be substantial and positive. The general WM factor was related to Gf. Furthermore, after controlling for common variance among all WM tasks, individual differences in verbal storage, visual-spatial storage and verbal processing still uniquely related to Gf. Visual-spatial processing, however, was not related to Gf. Results are discussed in terms of underlying mechanisms.

The Structure of Working Memory in Young Children and Its Relation to Intelligence

This study investigated the structure of working memory in young school-age children by testing the fit of three competing theoretical models using a wide variety of tasks. The best fitting models were then used to assess the relationship between working memory and nonverbal measures of fluid reasoning (Gf) and visual processing (Gv) intelligence. One hundred sixty-eight English-speaking 7-9 year olds with typical development, from three states, participated. Results showed that Cowan's three-factor embedded processes model fit the data slightly better than Baddeley and Hitch's (1974) three-factor model (specified according to Baddeley, 1986) and decisively better than Baddeley's (2000) four-factor model that included an episodic buffer. The focus of attention factor in Cowan's model was a significant predictor of Gf and Gv. The results suggest that the focus of attention, rather than storage, drives the relationship between working memory, Gf, and Gv in young school-age children. Our results do not rule out the Baddeley and Hitch model, but they place constraints on both it and Cowan's model. A common attentional component is needed for feature binding, running digit span, and visual short-term memory tasks; phonological storage is separate, as is a component of central executive processing involved in task manipulation. The results contribute to a zeitgeist in which working memory models are coming together on common ground (cf. Cowan, Saults, & Blume, 2014; Hu, Allen, Baddeley, & Hitch, 2016).