Age-related differences in distraction and reorientation in an auditory task

Mismatch negativity and clinical trajectories in psychotic disorders: Five-year stability and predictive utility

BACKGROUND

Mismatch negativity (MMN) amplitude is reduced in psychotic disorders and associated with symptoms and functioning. Due to these robust associations, it is often considered a biomarker for psychotic illness. The relationship between MMN and clinical outcomes has been examined well in early onset psychotic illness; however, its stability and predictive utility in chronic samples are not clear.

METHOD

We examined the five-year stability of MMN amplitude over two timepoints in individuals with established psychotic disorders (cases; N = 132) and never-psychotic participants (NP; N = 170), as well as longitudinal associations with clinical symptoms and functioning.

RESULTS

MMN amplitude exhibited good temporal stability (cases, r = 0.53; never-psychotic, r = 0.52). In cases, structural equation models revealed MMN amplitude to be a significant predictor of worsening auditory hallucinations (β = 0.19), everyday functioning (β = -0.13), and illness severity (β = -0.12) at follow-up. Meanwhile, initial IQ (β = -0.24), negative symptoms (β = 0.23), and illness severity (β = -0.16) were significant predictors of worsening MMN amplitude five years later.

CONCLUSIONS

These results imply that MMN measures a neural deficit that is reasonably stable up to five years. Results support disordered cognition and negative symptoms as preceding reduced MMN, which then may operate as a mechanism driving reductions in everyday functioning and the worsening of auditory hallucinations in chronic psychotic disorders. This pattern may inform models of illness course, clarifying the relationships amongst biological mechanisms of predictive processing and clinical deficits in chronic psychosis and allowing us to better understand the mechanisms driving such impairments over time.

Distraction descriptor for brainprint authentication modelling using probability-based Incremental Fuzzy-Rough Nearest Neighbour

This paper aims to design distraction descriptor, elicited through the object variation, to refine the granular knowledge incrementally, using the proposed probability-based incremental update strategy in Incremental Fuzzy-Rough Nearest Neighbour (IncFRNN) technique. Most of the brainprint authentication models were tested in well-controlled environments to minimize the influence of ambient disturbance on the EEG signals. These settings significantly contradict the real-world situations. Thus, making use of the distraction is wiser than eliminating it. The proposed probability-based incremental update strategy is benchmarked with the ground truth (actual class) incremental update strategy. Besides, the proposed technique is also benchmarked with First-In-First-Out (FIFO) incremental update strategy in K-Nearest Neighbour (KNN). The experimental results have shown equivalence discriminatory performance in both high distraction and quiet conditions. This has proven that the proposed distraction descriptor is able to utilize the unique EEG response towards ambient distraction to complement person authentication modelling in uncontrolled environment. The proposed probability-based IncFRNN technique has significantly outperformed the KNN technique for both with and without defining the window size threshold. Nevertheless, its performance is slightly worse than the actual class incremental update strategy since the ground truth represents the gold standard. In overall, this study demonstrated a more practical brainprint authentication model with the proposed distraction descriptor and the probability-based incremental update strategy. However, the EEG distraction descriptor may vary due to intersession variability. Future research may focus on the intersession variability to enhance the robustness of the brainprint authentication model.

The Effects of Total Sleep Deprivation on Attention Capture Processes in Young and Older Adults: An ERP Study

BACKGROUND

The present study investigated whether sleep deprivation affects attention capture in young and older adults using event-related potentials (ERPs).

METHODS

Eleven young adults (20-30 y) and nine older adults (60-70 y) were tested following both normal sleep (NS) and total sleep deprivation (TSD). ERPs were recorded during an auditory discrimination task consisting of standard and deviant stimuli.

RESULTS

Deviant stimuli elicited the MMN, P3a, and RON ERPs. TSD attenuated the differences in reaction times between standards and deviants in young adults but not older adults. The P3a was attenuated in older adults compared to young adults. Older adults had a larger RON amplitude compared to young adults following NS, but not TSD.

CONCLUSIONS

The reduced P3a and the absence of behavioral performance alteration in the older group suggests that older adults may utilize different neural processing strategies compared to younger adults to compensate for age-related declines in neural resources for attention capture. Sleep loss influenced age-related differences on the RON, suggesting that older adults may have reduced access to compensatory strategies following sleep loss.

Attentional impairment in Parkinson's disease is modulated by side of onset: Neurophysiological evidence

OBJECTIVE

Neurophysiological studies exploring involuntary attention have reported that electroencephalographic (EEG) measures can indicate impaired neural processing from initial stages of Parkinson's disease (PD). Since involuntary attention is regulated by right hemisphere networks and PD generally initiates its motor symptomatology unilaterally, whether involuntary attention is impaired depending on the onset side of PD remains unknown.

METHODS

We compared the neurophysiological correlates of involuntary attention among a PD group with left-side onset (L-PD), a PD group with right-side onset (R-PD) symptomatology, and a healthy control group (HC). All participants performed an auditory involuntary attention task while a digital EEG was recorded.

RESULTS

Our main finding was a reduction both in the P3a amplitude and evoked delta-theta phase alignment in the L-PD group compared to the HC. Further, there was a significant correlation between P3a amplitude and disease duration in the R-PD, but not in the L-PD group. Behaviorally, both clinical groups, and in particular L-PD, showed reduced orientation towards novel stimuli, and no reduction of distraction effects during the experiment.

CONCLUSIONS

Our results indicate that involuntary attention is differentially impaired in patients with left side onset of symptoms. Involuntary attention impairment might be present from initial stages of left onset PD and become progressively compromised in patients with right onset PD.

SIGNIFICANCE

The onset side of symptomatology should be considered for attentional impairment in PD.

Attentional control in middle childhood is highly dynamic-Strong initial distraction is followed by advanced attention control

The ability to shield against distraction while focusing on a task requires the operation of executive functions and is essential for successful learning. We investigated the short-term dynamics of distraction control in a data set of 269 children aged 4-10 years and 51 adults pooled from three studies using multilevel models. Participants performed a visual categorization task while a task-irrelevant sequence of sounds was presented which consisted of frequently repeated standard sounds and rarely interspersed novel sounds. On average, participants responded slower in the categorization task after novel sounds. This distraction effect was more pronounced in children. Throughout the experiment, the initially strong distraction effects declined to the level of adults in the groups of 6- to 10-year-olds. Such a decline was neither observed in the groups of the 4- and 5-year-olds, who consistently showed a high level of distraction, nor in adults, who showed a constantly low level of distraction throughout the experimental session. Results indicate that distraction control is a highly dynamic process that qualitatively and quantitatively differs between age groups. We conclude that the analysis of short-term dynamics provides valuable insights into the development of attention control and might explain inconsistent findings regarding distraction control in middle childhood. In addition, models of attention control need to be refined to account for age-dependent rapid learning mechanisms. Our findings have implications for the design of learning situations and provide an additional source of information for the diagnosis and treatment of children with attention deficit disorders.

Distraction by violation of sensory predictions: Functional distinction between deviant sounds and unexpected silences

It has been established that participants performing a continuous categorization task respond significantly slower following the presentation of unexpected, task-irrelevant, auditory stimuli, compared to a repetitive (standard) sound. Evidence indicates that such distraction emerges because of the violation of sensory predictions. This has typically been studied by measuring the impact of replacing the repeated sound by a different sound on rare and unpredictable trials. Here, we examine the impact of a different type of violation: the mere omission of the standard sound. Capitalizing upon the recent finding that deviant sounds exert distinct effects on response times as a function of whether participants produced or withheld a response on the previous trial, we present the results of an experiment seeking to disentangle two potential effects of sound omission: deviance distraction and the removal of an unspecific warning signal. The results indicate that deviant sound and the unexpected omission of the standard sound impact response times through, at least partially, distinct mechanisms. Deviant sounds affect performance by triggering the orienting of attention towards a new sensory input. Sound omissions, in contrast, appear to affect performance in part because responses no longer benefit from an unspecific warning signal to prepare for action.

Age-related differences in bottom-up and top-down attention: Insights from EEG and MEG

Attention operates through top‐down and bottom‐up processes, and a balance between these processes is crucial for daily tasks. Imperilling such balance could explain ageing‐associated attentional problems such as exacerbated distractibility. In this study, we aimed to characterize this enhanced distractibility by investigating the impact of ageing upon event‐related components associated with top‐down and bottom‐up attentional processes. MEG and EEG data were acquired from 14 older and 14 younger healthy adults while performing a task that conjointly evaluates top‐down and bottom‐up attention. Event‐related components were analysed on sensor and source levels. In comparison with the younger group, the older mainly displayed (1) reduced target anticipation processes (reduced CMV), (2) increased early target processing (larger P50 but smaller N1) and (3) increased processing of early distracting sounds (larger N1 but reduced P3a), followed by a (4) prolonged reorientation towards the main task (larger RON). Taken together, our results suggest that the enhanced distractibility in ageing could stem from top‐down deficits, in particular from reduced inhibitory and reorientation processes.

When long appears short: Effects of auditory distraction on event-related potential correlates of time perception

Attentional models of time perception assume that the perceived duration of a stimulus depends on the extent to which attentional resources are allocated to its temporal information. Here, we studied the effects of auditory distraction on time perception, using a combined attentional-distraction duration-discrimination paradigm. Participants were confronted with a random sequence of long and short tone stimuli, most of which having a uniform (standard) pitch and only a few a different (deviant) pitch. As observed in previous studies, pitch-deviant tones impaired the discrimination of tone duration and triggered a sequence of event-related potentials (ERPs) reflecting a cycle of deviance detection, involuntary attentional distraction and reorientation (MMN, P3a, RON). Contrasting ERPs of short and long tone durations revealed that long tones elicited a more pronounced fronto-central contingent negative variation (CNV) in the time interval after the expected offset of the short tone as well as a more prominent centro-parietal late positive complex (LPC). Relative to standard-pitch tones, deviant-pitch tones especially impaired the correct discrimination of long tones, which was associated with a reduction of the CNV and LPC. These results are interpreted within the theoretical framework of resource-based models of time perception, in which involuntary distraction due to a deviant event led to a withdrawal of attentional resources from the processing of time information.

Predictability-Based Source Segregation and Sensory Deviance Detection in Auditory Aging

When multiple sound sources are present at the same time, auditory perception is often challenged with disentangling the resulting mixture and focusing attention on the target source. It has been repeatedly demonstrated that background (distractor) sound sources are easier to ignore when their spectrotemporal signature is predictable. Prior evidence suggests that this ability to exploit predictability for foreground-background segregation degrades with age. On a theoretical level, this has been related with an impairment in elderly adults’ capabilities to detect certain types of sensory deviance in unattended sound sequences. Yet the link between those two capacities, deviance detection and predictability-based sound source segregation, has not been empirically demonstrated. Here we report on a combined behavioral-EEG study investigating the ability of elderly listeners (60–75 years of age) to use predictability as a cue for sound source segregation, as well as their sensory deviance detection capacities. Listeners performed a detection task on a target stream that can only be solved when a concurrent distractor stream is successfully ignored. We contrast two conditions whose distractor streams differ in their predictability. The ability to benefit from predictability was operationalized as performance difference between the two conditions. Results show that elderly listeners can use predictability for sound source segregation at group level, yet with a high degree of inter-individual variation in this ability. In a further, passive-listening control condition, we measured correlates of deviance detection in the event-related brain potential (ERP) elicited by occasional deviations from the same spectrotemporal pattern as used for the predictable distractor sequence during the behavioral task. ERP results confirmed neural signatures of deviance detection in terms of mismatch negativity (MMN) at group level. Correlation analyses at single-subject level provide no evidence for the hypothesis that deviance detection ability (measured by MMN amplitude) is related to the ability to benefit from predictability for sound source segregation. These results are discussed in the frameworks of sensory deviance detection and predictive coding.

Aging Increases Cross-Modal Distraction by Unexpected Sounds: Controlling for Response Speed

It is well-established that task-irrelevant sounds deviating from an otherwise predictable auditory sequence capture attention and disrupt ongoing performance by delaying responses in the ongoing task. In visual tasks, larger distraction by unexpected sounds (deviance distraction) has been reported in older than in young adults. However, past studies based this conclusion on the comparisons of absolute response times (RT) and did not control for the general slowing typically observed in older adults. Hence, it remains unclear whether this difference in deviance distraction between the two age groups reflects a genuine effect of aging or a proportional effect of similar size in both groups. We addressed this issue by using a proportional measure of distraction (PMD) to reanalyze the data from four past studies and used Bayesian estimation to generate credible estimates of the age-related difference in deviance distraction and its effect size. The results were unambiguous: older adults exhibited greater deviance distraction than young adults when controlling for baseline response speed (in each individual study and in the combined data set). Bayesian estimation revealed a proportional lengthening of RT by unexpected sounds that was about twice as large in older than in young adults (corresponding to a large statistical effect size). A similar analysis was carried out on the proportion of correct responses (PC) and produced converging results. Finally, an additional Bayesian analysis comparing data from cross-modal and uni-modal studies confirmed the selective effect of aging on distraction in the first and not the second. Overall, our study shows that older adults performing a visual categorization task do exhibit greater distraction by unexpected sounds than young adults and that this effect is not explicable by age-related general slowing.

Perception and Production of Statement-Question Intonation in Autism Spectrum Disorder: A Developmental Investigation

Prosody or “melody in speech” in autism spectrum disorder (ASD) is often perceived as atypical. This study examined perception and production of statements and questions in 84 children, adolescents and adults with and without ASD, as well as participants’ pitch direction discrimination thresholds. The results suggested that the abilities to discriminate (in both speech and music conditions), identify, and imitate statement-question intonation were intact in individuals with ASD across age cohorts. Sensitivity to pitch direction predicted performance on intonation processing in both groups, who also exhibited similar developmental changes. These findings provide evidence for shared mechanisms in pitch processing between speech and music, as well as associations between low- and high-level pitch processing and between perception and production of pitch.

Altered mismatch response of inferior parietal lobule in amnestic mild cognitive impairment: A magnetoencephalographic study

Background

Mismatch negativity (MMN) reflects the functional integrity of sensory memory function. With the advantages of independence of individual's focused attention and behavioral cooperation, this neurophysiological signal is particularly suitable for investigating elderly with cognitive decline such as amnestic mild cognitive impairment (aMCI). However, the existing results remain substantially inconsistent whether these patients show deficits of MMN. In order to reconcile the previous disputes, the present study used magnetoencephalography combined with distributed source imaging methods to determine the source‐level magnetic mismatch negativity (MMNm) in aMCI.

Methods

A total of 26 healthy controls (HC) and 26 patients with aMCI underwent an auditory oddball paradigm during the MEG recordings. MMNm amplitudes and latencies in the bilateral superior temporal gyrus, inferior frontal gyrus, and inferior parietal lobule (IPL) were compared between HC and aMCI groups. The correlations of MMNm responses with performance of auditory/verbal memory tests were examined. Finally, MMNm and its combination with verbal/auditory memory tests were submitted to receiver operating characteristic (ROC) curve analysis.

Results

Compared to HC, patients with aMCI showed significantly delayed MMNm latencies in the IPL. Among the patients with aMCI, longer MMNm latencies of left IPL were associated with lower scores of Chinese Version Verbal Learning Test (CVVLT). The ROC curve analysis revealed that the combination of MMNm latencies of left IPL and CVVLT scores yielded a moderate accuracy in the discrimination of aMCI from HC at an individual level.

Conclusions

Our data suggest dysfunctional MMNm in patients with aMCI, particularly in the IPL.

Neuromagnetic evidence of abnormal automatic inhibitory function in subjective memory complaint

Subjective memory complaint (SMC), a self-perceived worsening in memory capacity concurrent with normal performance on standardized cognitive assessments, is considered a risk factor for the development of Alzheimer's disease (AD). Deficient sensory gating (SG), referring to the lack of automatic inhibition of neural responses to the second identical stimulus, has been documented in prodromal and incident AD patients. However, it remains unknown whether the cognitively normal elderly with SMC demonstrate alterations of SG function compared with those without SMC. A total of 19 healthy controls (HC) and 16 SMC subjects were included in the present study. Neural responses to the auditory paired-stimulus paradigm were recorded by the magnetoencephalography and analyzed by the distributed source imaging method of minimum norm estimate. The SG of M50 and M100 components were measured using the amplitude ratio of the second response over the first response at the cortical level. Compared to HC, subjects with SMC showed significantly increased M50 SG ratios in the inferior parietal lobule (IPL). Furthermore, M50 SG ratios in the right IPL yielded an acceptable discriminative ability to distinguish SMC from HC. However, we did not find a significant association between SG ratios and cognitive function requiring inhibitory control either in the HC or SMC group. In conclusion, although SMC subjects have intact cognitive functioning revealed by objective neuropsychological tests, their deficits in automatic inhibitory function could be detected through neurophysiological recordings. Our results suggest that altered brain function occurs in SMC prior to the obvious decline of cognitive performance.

Why Are Children So Distractible? Development of Attention and Motor Control From Childhood to Adulthood

Distractibility is the propensity to behaviorally react to irrelevant information. Although children are more distractible the younger they are, the precise contribution of attentional and motor components to distractibility and their developmental trajectories have not been characterized yet. We used a new behavioral paradigm to identify the developmental dynamics of components contributing to distractibility in a large cohort of French participants balanced, between age groups, in gender and socioeconomic status (N = 352; age: 6-25). Results reveal that each measure of these components, namely voluntary attention, distraction, impulsivity, and motor control, present a distinct maturational timeline. In young children, increased distractibility is mostly the result of reduced sustained attention capacities and enhanced distraction, whereas in teenagers, it is the result of decreased motor control and increased impulsivity.

Age Effects on Distraction in a Visual Task Requiring Fast Reactions: An Event-Related Potential Study

We investigated the effects of distractors in older and younger participants in choice and simple reaction time tasks with concurrent registration of event-related potentials. In the task the participants had to prevent a disk from falling into a bin after a color or luminosity change (target stimuli). Infrequently, task-irrelevant stimuli (schematic faces or threatening objects) were superimposed on the target stimuli (distractors), or the bin disappeared which required no response (Nogo trials). Reaction time was delayed to the distractors, but this effect was similar in the two age groups. As a robust age-related difference, in the older group a large anterior positivity and posterior negativity emerged to the distractors within the 100-200 ms post-stimulus range, and these components were larger for schematic faces than for threatening objects. sLORETA localized the age-specific effect to the ventral stream of the visual system and to anterior structures considered as parts of the executive system. The Nogo stimuli elicited a late positivity (Nogo P3) with longer latency in the older group. We interpreted the age-related differences as decreased but compensated resistance to task-irrelevant change of the target stimuli.

Does working memory protect against auditory distraction in older adults?

BACKGROUND

Past research indicates that when younger adults are engaged in a visual working memory task, they are less distracted by novel auditory stimuli than when engaged in a visual task that does not require working memory. The current study aimed to determine whether working memory affords the same protection to older adults.

METHOD

We examined behavioral and EEG responses in 16 younger and 16 older adults to distractor sounds when the listeners performed two visual tasks; one that required working memory (W1) and the other that did not (W0). Auditory distractors were presented in an oddball paradigm, participants were exposed to either standard tones (600 Hz: 80%) or various novel environmental sounds (20%).

RESULTS

It was found that: 1) when presented with novel vs standard sounds, older adults had faster correct response times in the W1 visual task than in the W0 task, indicating that they were less distracted by the novel sound; there was no difference in error rates. Younger adults did not show a task effect for correct response times but made slightly more errors when a novel sound was presented in the W1 task compared to the W0 task. 2) In older adults (but not the younger adults), the amplitude of N1 was smaller in the W1 condition compared to the W0 condition. 3) The working memory manipulation had no effect on MMN amplitude in older adults. 4) For the W1 compared to W0 task, the amplitude of P3a was attenuated for the older adults but not for the younger adults.

CONCLUSIONS

These results suggest that during the working memory manipulation older adults were able to engage working memory to reduce the processing of task-irrelevant sounds.

Effect of Age in Auditory Go/No-Go Tasks: A Magnetoencephalographic Study

Response inhibition is frequently examined using visual go/no-go tasks. Recently, the auditory go/no-go paradigm has been also applied to several clinical and aging populations. However, age-related changes in the neural underpinnings of auditory go/no-go tasks are yet to be elucidated. We used magnetoencephalography combined with distributed source imaging methods to examine age-associated changes in neural responses to auditory no-go stimuli. Additionally, we compared the performance of high- and low-performing older adults to explore differences in cortical activation. Behavioral performance in terms of response inhibition was similar in younger and older adult groups. Relative to the younger adults, the older adults exhibited reduced cortical activation in the superior and middle temporal gyrus. However, we did not find any significant differences in cortical activation between the high- and low-performing older adults. Our results therefore support the hypothesis that inhibition is reduced during aging. The variation in cognitive performance among older adults confirms the need for further study on the underlying mechanisms of inhibition.

Glutamatergic modulation of auditory cortex connectivity with attentional brain networks in unpredictable perceptual environment

In a stable environment the brain can minimize processing required for sensory input by forming a predictive model of the surrounding world and suppressing neural response to predicted stimuli. Unpredicted stimuli lead to a prediction error signal propagation through the perceptual network, and resulting adjustment to the predictive model. The inter-regional plasticity which enables the model-building and model-adjustment is hypothesized to be mediated via glutamatergic receptors. While pharmacological challenge studies with glutamate receptor ligands have demonstrated impact on prediction-error indices, it is not clear how inter-individual differences in the glutamate system affect the prediction-error processing in non-medicated state. In the present study we examined 20 healthy young subjects with resting-state proton MRS spectroscopy to characterize glutamate + glutamine (rs-Glx) levels in their Heschl’s gyrus (HG), and related this to HG functional connectivity during a roving auditory oddball protocol. No rs-Glx effects were found within the frontotemporal prediction-error network. Larger rs-Glx signal was related to stronger connectivity between HG and bilateral inferior parietal lobule during unpredictable auditory stimulation. We also found effects of rs-Glx on the coherence of default mode network and frontoparietal network during unpredictable auditory stimulation. Our results demonstrate the importance of Glx in modulating long-range connections and wider networks in the brain during perceptual inference.

Modulation of attention networks serving reorientation in healthy aging

Orienting attention to behaviorally relevant stimuli is essential for everyday functioning and mainly involves activity in the dorsal and ventral frontoparietal networks. Many studies have shown declines in the speed and accuracy of attentional reallocation with advancing age, but the underlying neural dynamics remain less understood. We investigated this age-related decline using magnetoencephalography (MEG) and a Posner task in 94 healthy adults (22-72 years old). MEG data were examined in the time-frequency domain, and significant oscillatory responses were imaged using a beamformer. We found that participants responded slower when attention reallocation was needed (i.e., the validity effect) and that this effect was positively correlated with age. We also found age-related validity effects on alpha activity in the left parietal and beta in the left frontal-eye fields from 350-950 ms. Overall, stronger alpha and beta responses were observed in younger participants during attention reallocation trials, but this pattern was reversed in the older participants. Interestingly, this alpha validity effect fully mediated the relationship between age and behavioral performance. In conclusion, older adults were slower in reorienting attention and exhibited age-related alterations in alpha and beta responses within parietal and frontal regions, which may reflect increased task demands depleting their compensatory resources.

Neural Indices of Vowel Discrimination in Monolingual and Bilingual Infants and Children

OBJECTIVES

To examine maturation of neural discriminative responses to an English vowel contrast from infancy to 4 years of age and to determine how biological factors (age and sex) and an experiential factor (amount of Spanish versus English input) modulate neural discrimination of speech.

DESIGN

Event-related potential (ERP) mismatch responses (MMRs) were used as indices of discrimination of the American English vowels [ε] versus [I] in infants and children between 3 months and 47 months of age. A total of 168 longitudinal and cross-sectional data sets were collected from 98 children (Bilingual Spanish-English: 47 male and 31 female sessions; Monolingual English: 48 male and 42 female sessions). Language exposure and other language measures were collected. ERP responses were examined in an early time window (160 to 360 msec, early MMR [eMMR]) and late time window (400 to 600 msec, late MMR).

RESULTS

The eMMR became more negative with increasing age. Language experience and sex also influenced the amplitude of the eMMR. Specifically, bilingual children, especially bilingual females, showed more negative eMMR compared with monolingual children and with males. However, the subset of bilingual children with more exposure to English than Spanish compared with those with more exposure to Spanish than English (as reported by caretakers) showed similar amplitude of the eMMR to their monolingual peers. Age was the only factor that influenced the amplitude of the late MMR. More negative late MMR was observed in older children with no difference found between bilingual and monolingual groups.

CONCLUSIONS

Consistent with previous studies, our findings revealed that biological factors (age and sex) and language experience modulated the amplitude of the eMMR in young children. The early negative MMR is likely to be the mismatch negativity found in older children and adults. In contrast, the late MMR amplitude was influenced only by age and may be equivalent to the Nc in infants and to the late negativity observed in some auditory passive oddball designs.

The impact of novelty and emotion on attention-related neuronal and pupil responses in children

Focusing on relevant and ignoring irrelevant information is essential for many learning processes. The present study investigated attention-related brain activity and pupil dilation responses, evoked by task-irrelevant emotional novel sounds. In the framework of current theories about the relation between attention and the locus coeruleus-norepinephrine (LC-NE) system, we simultaneously registered event-related potentials (ERPs) in the EEG and changes in pupil diameter (PDR). Unexpected emotional negative and neutral environmental novel sounds were presented within a sequence of repeated standard sounds to 7-10-year-old children and to adults, while participants focused on a visual task. Novel sounds evoked distinctive ERP components, reflecting attention processes and a biphasic PDR in both age groups. Amplitudes of the novel-minus-standard ERPs were increased in children compared to adults, indicating immature neuronal basis of auditory attention in middle childhood. Emotional versus neutral novel sounds evoked increased responses in the ERPs and in the PDR in both age groups. This demonstrates the increased impact of emotional sounds on attention mechanisms and indicates an advanced level of emotional information processing in children. The similar pattern of novel-related PDR and ERPs is conforming to recent theories, emphasizing the role of the LC-NE system in attention processes adding a developmental perspective.

Dysfunction of Inferior Parietal Lobule During Sensory Gating in Patients With Amnestic Mild Cognitive Impairment

Patients with amnestic mild cognitive impairment (aMCI) demonstrate significant cognitive deficits, especially in the memory aspect. The memory deficiency might be attributed to the difficulties in the inhibitory function to suppress redundant stimuli. Sensory gating (SG) refers to the attenuation of neural responses to the second identical stimulus in a paired-click paradigm, in which auditory stimuli are delivered in pairs with inter-stimulus intervals (ISI) of 500 ms and inter-pair intervals of 6-8 s. It is considered as an electrophysiological signal to reflect the brain's automatic response to gate out repetitive sensory inputs. However, there has been no study systematically investigating SG function in aMCI patients. Thus, the present study used magnetoencephalography (MEG) to record neuromagnetic responses to a paired-click paradigm in 23 healthy controls (HC) and 26 aMCI patients. The Stimulus 2/Stimulus 1 (S2/S1) amplitude ratio was used to represent the SG function. Compared to HC, aMCI patients showed M50 SG deficits in the left inferior frontal gyrus (IFG) and right inferior parietal lobule (IPL). M100 SG defects were also observed in the right IPL. Based on the ROIs showing significant between-group SG differences, we found that a more deficient M50 SG function in the right IPL was associated with poorer performance in the immediate recall of Logic Memory (LM), Chinese Version Verbal Learning Test (CVVLT) and Digit Span Backward (DSB) Test. Furthermore, the M50 SG ratios of the right IPL together with the neuropsychological performance of LM and CVVLT demonstrated very good accuracy in the discrimination of aMCI from HC. In conclusion, compared to HC, aMCI patients showed a significant SG deficit in the right IPL, which was correlated with the auditory short-term memory function. We suggest the combination of SG in the right IPL, LM and CVVLT to be sensitive indicators to differentiate aMCI patients from HC.

Task difficulty modulates voluntary attention allocation, but not distraction in an auditory distraction paradigm

Keeping task-relevant sensory events in the focus of attention while ignoring irrelevant ones is crucial for optimizing task behavior. This attention-distraction balance might change with the perceptual demands of the ongoing task: while easy tasks might be performed with low attentional effort, difficult ones require enhanced attention. The goal of the present study was to investigate how task difficulty affected allocation of attention and distractibility in an auditory distraction paradigm. Participants performed a tone duration discrimination task in which tones were rarely, occasionally presented at a rare pitch (distracters), and task difficulty was manipulated by the duration difference between short and long tones. Short tones were consistently 200 ms long, while long tone duration was 400 ms in the easy, and 260 ms in the difficult condition. Behavioral results and deviant-minus-standard event-related potential (ERP) waveforms suggested similar magnitudes of distraction in both conditions. ERPs without such a subtraction showed that tone onsets were preceded by a negative-going trend, suggesting that participants prepared for tone onsets. In the difficult condition, N1 amplitudes to tone onsets were enhanced, indicating that participants invested more attentional resources. Increased difficulty also slowed down tone offset processing as reflected by significantly delayed offset-related P1 and N1/N2 waveforms. These results suggest that although task difficulty compels participants to attend the tones more strongly, this does not have significant impact on distraction-related processing.

Employee-workplace alignment

Purpose

This paper aims to identify the employee characteristics which are most strongly associated with perceived requirements for different aspects of the workplace environment.

Design/methodology/approach

A questionnaire was completed by 364 employees from a large private-sector organisation. Respondents were surveyed on different work-related, personality and demographic characteristics. They then completed a series of items measuring perceived requirements for four aspects of the workplace environment (workspace segregation, workspace territoriality, individual environmental control and aesthetic quality). Associations between employee characteristics and perceived workplace requirements were explored using multiple regression analyses.

Findings

Numerous significant associations emerged. For example, the requirement for more segregated workspaces was associated with higher susceptibility to distraction, and the requirement for higher workspace territoriality was associated with less positive perceptions regarding the impact of flexible working on work effectiveness.

Originality/value

The individual difference factors which moderate satisfaction with the workplace environment have received relatively little attention in past research. The present study addresses this knowledge gap by including a wider range of employee characteristics and comprehensively investigating which of these most strongly predict differences in perceived requirements for the workplace.

Acoustic comfort in open-plan offices: the role of employee characteristics

Purpose

This paper aims to determine the extent to which employees’ experiences of acoustic comfort, well-being and productivity in open-plan offices are determined by specific characteristics (including demographic information, task characteristics, and personality traits).

Design/methodology/approach

A questionnaire was distributed to the occupants of three open-plan office sites and was completed by 166 employees in total.

Findings

The results indicated that acoustic comfort in open-plan offices is largely determined by noise sensitivity. Higher noise sensitivity was associated with more negative ratings of acoustical quality, more perceived disturbance by speech and more difficulties in concentration. More negative experiences were also reported by employees with lower interactivity with colleagues.

Practical implications

There is significant inter-individual variability in experiences of acoustic comfort, well-being and productivity in open-plan offices. As such, workplace practitioners should consider acoustic and behavioural solutions for introducing a greater diversity of functional workspaces within the office, so that employees can choose the most suitable working area for their requirements.

Originality/value

Whereas the majority of past acoustics research has been laboratory-based, this study is conducted in real office environments with a representative sample of knowledge workers.

Effects of Visual and Acoustic Distraction on Driving Behavior and EEG in Young and Older Car Drivers: A Driving Simulation Study

Driving safety depends on the drivers' attentional focus on the driving task. Especially in complex situations, distraction due to secondary stimuli can impair driving performance. The inhibition of distractors or inadequate prepotent responses to irrelevant stimuli requires cognitive control, which is assumed to be reduced with increasing age. The present EEG study investigated the effects of secondary acoustic and visual stimuli on driving performance of younger and older car drivers in a driving simulator task. The participants had to respond to brake lights of a preceding car under different distraction conditions and with varying task difficulties. Overall, the anticipation of high demanding tasks affected braking response behavior in young and especially in older adults, who showed reduced cognitive control to task-relevant braking stimuli, as reflected by a smaller P3b. In a more easy (perception only) task, simultaneously presented acoustic stimuli accelerated braking response times (RTs) in young and older adults, which was associated with a pronounced P2. In contrast, secondary visual stimuli increased braking RTs in older adults, associated with a reduced P3b. In a more difficult (discrimination) task, braking response behavior was impaired by the presence of secondary acoustic and visual stimuli in young and older drivers. Braking RT increased (and the P3b decreased), especially when the responses to the secondary stimuli had to be suppressed. This negative effect was more pronounced with visual secondary stimuli, and especially so in the older group. In sum, the results suggest an impaired resistance to distractor interference and a reduced inhibition of prepotent responses in older drivers. This was most pronounced when the processing of task-relevant and irrelevant stimuli engage the same mental resources, for example, by sharing the same stimulus modality.

Can't Ignore-Distraction by Task-Irrelevant Sounds in Early and Middle Childhood

Attention control abilities are relevant for learning success. Little is known about the development of audio-visual attention in early childhood. Four groups of children between the ages of 4 and 10 years and adults performed an audio-visual distraction paradigm (N = 106). Multilevel analyses revealed increased reaction times in a visual categorization task when task-irrelevant novel sounds were presented, demonstrating involuntary distraction of attention. This distraction effect decreased with age and significantly differed between age groups. In addition, the two youngest age groups responded with a delay in trials following a distractor trial, indicating delayed reallocation of attention to the task at hand. Results indicate a significant maturation of audio-visual attention control within a few years during early childhood that continues throughout middle childhood.

Equivalent auditory distraction in children and adults

There is an ongoing debate about whether children have more problems ignoring auditory distractors than adults. This is an important empirical question with direct implications for theories making predictions about the development of selective attention. In two experiments, the disruptive effect of to-be-ignored speech on short-term memory performance of third graders, fourth graders, fifth graders, younger adults, and older adults was examined. Three auditory conditions were compared: (a) steady state sequences in which the same distractor was repeated, (b) changing state sequences in which different distractors were presented, and (c) auditory deviant sequences in which a deviant distractor was presented in a sequence of repeated distractors. According to the attentional resource view, children should exhibit larger disruption by changing and deviant sounds due to their poorer attentional control abilities compared with adults. The duplex-mechanism account proposes that the auditory deviant effect is under attentional control, whereas the changing state effect is not, and thus predicts that children should be more susceptible to auditory deviants than adults but equally disrupted by changing state sequences. According to the renewed view of age-related distraction, there should be no age differences in cross-modal auditory distraction because some of the irrelevant auditory information can be filtered out early in the processing stream. Children and adults were equally disrupted by changing and deviant speech sounds regardless of whether task difficulty was equated between age groups or not. These results are consistent with the renewed view of age-related distraction.

Individual differences in satisfaction with activity-based work environments

Satisfaction with activity-based work environments (ABW environments) often falls short of expectations, with striking differences among individual workers. A better understanding of these differences may provide clues for optimising satisfaction with ABW environments and associated organisational outcomes. The current study was designed to examine how specific psychological needs, job characteristics, and demographic variables relate to satisfaction with ABW environments. Survey data collected at seven organizations in the Netherlands (N = 551) were examined using correlation and regression analyses. Significant correlates of satisfaction with ABW environments were found: need for relatedness (positive), need for privacy (negative), job autonomy (positive), social interaction (positive), internal mobility (positive), and age (negative). Need for privacy appeared to be a powerful predictor of individual differences in satisfaction with ABW environments. These findings underline the importance of providing work environments that allow for different work styles, in alignment with different psychological need strengths, job characteristics, and demographic variables. Improving privacy, especially for older workers and for workers high in need for privacy, seems key to optimizing satisfaction with ABW environments.

Increased Amplitude of the P3a ERP Component as a Neurocognitive Marker for Differentiating Amnestic Subtypes of Mild Cognitive Impairment

The event-related potential (ERP) technique has been shown to be useful for evaluating changes in brain electrical activity associated with different cognitive processes, particularly in Alzheimer's disease (AD). Longitudinal studies have shown that a high proportion of people with amnestic mild cognitive impairment (aMCI) go on to develop AD. aMCI is divided into two subtypes according to the presence of memory impairment only (single-domain aMCI: sdaMCI) or impairment of memory and other cognitive domains (multi-domain aMCI: mdaMCI). The main aim of this study was to examine the effects of sdaMCI and mdaMCI on the P3a ERP component associated with the involuntary orientation of attention toward unattended infrequent novel auditory stimuli. Participants performed an auditory-visual distraction-attention task, in which they were asked to ignore the auditory stimuli (standard, deviant, and novel) and to attend to the visual stimuli (responding to some of them: Go stimuli). P3a was identified in the Novel minus Standard difference waveforms, and reaction times (RTs) and hits (in response to Go stimuli) were also analyzed. Participants were classified into three groups: Control, 20 adults (mean age (M): 65.8 years); sdaMCI, 19 adults (M: 67 years); and mdaMCI, 11 adults (M: 71 years). In all groups, the RTs were significantly longer when Go stimuli were preceded by novel (relative to standard) auditory stimuli, suggesting a distraction effect triggered by novel stimuli; mdaMCI participants made significantly fewer hits than control and sdaMCI participants. P3a comprised two consecutive phases in all groups: early-P3a (e-P3a), which may reflect the orienting response toward the irrelevant stimuli, and late-P3a (l-P3a), which may be a correlate of subsequent evaluation of these stimuli. The e-P3a amplitude was significantly larger in mdaMCI than in sdaMCI participants, and the l-P3a amplitude was significantly larger in mdaMCI than in sdaMCI and Control participants, indicating greater involuntary capture of attention to unattended novel auditory stimuli and allocation of more attentional resources for the subsequent evaluation of these stimuli in mdaMCI participants. The e-P3a and l-P3a components showed moderate to high sensitivity and specificity for distinguishing between groups, suggesting that both may represent optimal neurocognitive markers for differentiating aMCI subtypes.

Cortical responses to tone and phoneme mismatch as a predictor of dyslexia? A systematic review

Evidence from event-related-potential (ERP) studies has repeatedly shown differences in the perception and processing of auditory stimuli in children with dyslexia compared to control children. The mismatch negativity (MMN) - an ERP component reflecting passive auditory change detection ability - has been found to be reduced, not only in children with a diagnosis of dyslexia, but also in infants and preschool children at risk of developing dyslexia. However, the results are controversial due to the different methods, age of the children and stimuli used. The aim of the present review is to summarize and evaluate the MMN research about at-risk children in order to identify risk factors that discriminate between children with and without dyslexia risk and to analyze if the MMR (the abbreviation refers to positive and negative mismatch responses) correlates with later reading and spelling ability. A literature search yielded 17 studies reporting MMR to speech or non-speech stimuli in children at risk of dyslexia. The results of the studies were inconsistent. Studies measuring speech MMR often found attenuated amplitudes in the at-risk group, but mainly in very young children. The results for older children (6-7years) and for non-speech stimuli are more heterogeneous. A moderate positive correlation of MMR amplitude size with later reading and spelling abilities was consistently found. Overall, the findings of this review indicate that the MMR can be a valuable part of early dyslexia identification, which can enable efficient support and intervention for a child before the first problems appear.

Task-Irrelevant Novel Sounds have Antithetical Effects on Visual Target Processing in Young and Old Adults

In young adults, primary visual task processing can be either enhanced or disrupted by novel auditory stimuli preceding target events, depending on task demands. Little is known about this phenomenon in older individuals, who, in general, are more susceptible to distraction. In the current study, age-related differences in the electrophysiological effects of task-irrelevant auditory stimuli on visual target processing were examined. Under both low and high primary task loads, the categorization/updating process in response to visual targets preceded by auditory novels, as indexed by the target P3 component, was enhanced in young, but diminished in old adults. In both age groups, the alerting/orienting response to novel auditory stimuli, as measured by the P3a, was smaller under high task load, whereas redirecting attention to the visual task after a novel auditory event, as indexed by the reorienting negativity (RON), tended to be augmented under high task load. Old subjects generated a smaller P3a and RON. We conclude that task irrelevant novel auditory stimuli have the opposite effect on the processing of visual targets in young and old adults. This finding may help explain age-related increases in the disruption of primary task activity by irrelevant, but salient auditory events.

The Orienting Response in Healthy Aging: Novelty P3 Indicates No General Decline but Reduced Efficacy for Fast Stimulation Rates

Automatic orienting to unexpected changes in the environment is a pre-requisite for adaptive behavior. One prominent mechanism of automatic attentional control is the Orienting Response (OR). Despite the fundamental significance of the OR in everyday life, only little is known about how the OR is affected by healthy aging. We tested this question in two age groups (19-38 and 55-72 years) and measured skin-conductance responses (SCRs) and event-related brain potentials (ERPs) to novels (i.e., short environmental sounds presented only once in the experiment; 10% of the trials) compared to standard sounds (600 Hz sinusoidal tones with 200 ms duration; 90% of the trials). Novel and standard stimuli were presented in four conditions differing in the inter-stimulus interval (ISI) with a mean ISI of either 10, 3, 1, or 0.5 s (blocked presentation). In both age groups, pronounced SCRs were elicited by novels in the 10 s ISI condition, suggesting the elicitation of stable ORs. These effects were accompanied by pronounced N1 and frontal P3 amplitudes in the ERP, suggesting that automatic novelty processing and orientation of attention are effective in both age groups. Furthermore, the SCR and ERP effects declined with decreasing ISI length. In addition, differences between the two groups were observable with the fastest presentation rates (i.e., 1 and 0.5 s ISI length). The most prominent difference was a shift of the peak of the frontal positivity from around 300 to 200 ms in the 19-38 years group while in the 55-72 years group the amplitude of the frontal P3 decreased linearly with decreasing ISI length. Taken together, this pattern of results does not suggest a general decline in processing efficacy with healthy aging. At least with very rare changes (here, the novels in the 10 s ISI condition) the OR is as effective in healthy older adults as in younger adults. With faster presentation rates, however, the efficacy of the OR decreases. This seems to result in a switch from novelty to deviant processing in younger adults, but less so in the group of older adults.

Age-related processing delay reveals cause of apparent sensory excitability following auditory stimulation

When background auditory events lead to enhanced auditory event-related potentials (ERPs) for closely following sounds, this is generally interpreted as a transient increase in the responsiveness of the auditory system. We measured ERPs elicited by irrelevant probes (gaps in a continuous tone) at several time-points following rare auditory events (pitch glides) in younger and older adults, who watched movies during stimulation. Fitting previous results, in younger adults, gaps elicited increasing N1 auditory ERPs with decreasing glide-gap separation. N1 increase was paralleled by an ERP decrease in the P2 interval. In older adults, only a glide-gap separation dependent P2 decrease, but no N1-effect was observable. This ERP pattern was likely caused by a fronto-central negative waveform, which was delayed in the older adult group, thus overlapping N1 and P2 in the younger, but overlapping only P2 in the older adult group. Because the waveform exhibited a polarity reversal at the mastoids, it was identified as a mismatch negativity (MMN). This interpretation also fits previous studies showing that gap-related MMN is delayed in older adults, reflecting an age-related deterioration of fine temporal auditory resolution. These results provide a plausible alternative explanation for the ERP enhancement for sounds following background auditory events.

Distraction by Novel and Pitch-Deviant Sounds in Children

The control of attention is an important part of our executive functions and enables us to focus on relevant information and to ignore irrelevant information. The ability to shield against distraction by task-irrelevant sounds is suggested to mature during school age. The present study investigated the developmental time course of distraction in three groups of children aged 7–10 years. Two different types of distractor sounds that have been frequently used in auditory attention research—novel environmental and pitch-deviant sounds—were presented within an oddball paradigm while children performed a visual categorization task. Reaction time measurements revealed decreasing distractor-related impairment with age. Novel environmental sounds impaired performance in the categorization task more than pitch-deviant sounds. The youngest children showed a pronounced decline of novel-related distraction effects throughout the experimental session. Such a significant decline as a result of practice was not observed in the pitch-deviant condition and not in older children. We observed no correlation between cross-modal distraction effects and performance in standardized tests of concentration and visual distraction. Results of the cross-modal distraction paradigm indicate that separate mechanisms underlying the processing of novel environmental and pitch-deviant sounds develop with different time courses and that these mechanisms develop considerably within a few years in middle childhood.

Can an auditory multi-feature optimal paradigm be used for the study of processes associated with attention capture in passive listeners?

OBJECTIVE

A rarely occurring and highly relevant auditory stimulus occurring outside of the current focus of attention can cause a switching of attention. Such attention capture is often studied in oddball paradigms consisting of a frequently occurring "standard" stimulus which is changed at odd times to form a "deviant". The deviant may result in the capturing of attention. An auditory ERP, the P3a, is often associated with this process. To collect a sufficient amount of data is however very time-consuming. A more multi-feature "optimal" paradigm has been proposed but it is not known if it is appropriate for the study of attention capture.

METHODS

An optimal paradigm was run in which 6 different rare deviants (p=.08) were separated by a standard stimulus (p=.50) and compared to results when 4 oddball paradigms were also run.

RESULTS

A large P3a was elicited by some of the deviants in the optimal paradigm but not by others. However, very similar results were observed when separate oddball paradigms were run.

CONCLUSIONS & SIGNIFICANCE

The present study indicates that the optimal paradigm provides a very time-saving method to study attention capture and the P3a.

Involuntary Capture and Voluntary Reorienting of Attention Decline in Middle-Aged and Old Participants

The main aim of this study was to examine the effects of aging on event-related brain potentials (ERPs) associated with the automatic detection of unattended infrequent deviant and novel auditory stimuli (Mismatch Negativity, MMN) and with the orienting to these stimuli (P3a component), as well as the effects on ERPs associated with reorienting to relevant visual stimuli (Reorienting Negativity, RON). Participants were divided into three age groups: (1) Young: 21-29 years old; (2) Middle-aged: 51-64 years old; and (3) Old: 65-84 years old. They performed an auditory-visual distraction-attention task in which they were asked to attend to visual stimuli (Go, NoGo) and to ignore auditory stimuli (S: standard, D: deviant, N: novel). Reaction times (RTs) to Go visual stimuli were longer in old and middle-aged than in young participants. In addition, in all three age groups, longer RTs were found when Go visual stimuli were preceded by novel relative to deviant and standard auditory stimuli, indicating a distraction effect provoked by novel stimuli. ERP components were identified in the Novel minus Standard (N-S) and Deviant minus Standard (D-S) difference waveforms. In the N-S condition, MMN latency was significantly longer in middle-aged and old participants than in young participants, indicating a slowing of automatic detection of changes. The following results were observed in both difference waveforms: (1) the P3a component comprised two consecutive phases in all three age groups-an early-P3a (e-P3a) that may reflect the orienting response toward the irrelevant stimulation and a late-P3a (l-P3a) that may be a correlate of subsequent evaluation of the infrequent unexpected novel or deviant stimuli; (2) the e-P3a, l-P3a, and RON latencies were significantly longer in the Middle-aged and Old groups than in the Young group, indicating delay in the orienting response to and the subsequent evaluation of unattended auditory stimuli, and in the reorienting of attention to relevant (Go) visual stimuli, respectively; and (3) a significantly smaller e-P3a amplitude in Middle-aged and Old groups, indicating a deficit in the orienting response to irrelevant novel and deviant auditory stimuli.

The ultra-slow NAT2*6A haplotype is associated with reduced higher cognitive functions in an elderly study group

N-Acetyltransferase 2 (NAT2) genotype is associated with age-related declines in basic sensory hearing functions. However, the possible modulatory role of NAT2 for higher cognitive functions has not yet been studied. We tested auditory goal-directed behavior and attentional control in 120 NAT2 genotyped subjects (63-88 years), using an auditory distraction paradigm in which participants responded to the duration of long and short tone stimuli. We studied involuntary shifts in attention to task-irrelevant deviant stimuli and applied event-related potentials (ERPs) to examine which cognitive subprocesses are affected by NAT2 status on a neurophysiological level. Relative to the standard stimuli, deviant stimuli decreased performance in the recently described ultra-slow acetylators (NAT2*6A and *7B): The increase in error-corrected reaction times (a combined measure of response speed and accuracy) in ultra-slow acetylators (254 ms increase) was more than twice as high as in the rapid acetylator reference group (111 ms increase; p < 0.01). The increase was still higher than in the other slow acetylators (149 ms increase, p < 0.05). In addition, clear differences were found in the ERP results: Ultra-slow acetylators showed deficits specifically in the automatic detection of changes in the acoustic environment as evidenced by reduced mismatch negativity (MMN, p < 0.005 compared to rapid acetylators). Refocussing of attention after a distracting event was also impaired in the ultra-slow acetylators as evidenced by a reduced re-orienting negativity (RON, p < 0.01 compared to rapid acetylators). In conclusion, the ultra-slow acetylation status was associated with reduced higher cognitive functions.

On the development of auditory distraction: A review

The present review focuses on the development of involuntary attention mechanisms in the context of the occurrence of unexpected events during childhood. We introduce a prevailing three-stage model of auditory involuntary attention describing the processes leading to, accompanying, and following the distraction of attention by prediction violations: (a) the automatic detection of prediction violations (associated with the event-related potential [ERP] component mismatch negativity [MMN]), (b) the involuntary orienting of attention processes towards the prediction violating sound (associated with the ERP component P3a), and (c) the reorienting back to task-relevant information (associated with the ERP components reorienting negativity [RON] or late discriminative negativity [LDN]). Within this framework we give an overview of studies investigating MMN, P3a, RON/LDN, and behavioral distraction effects in children. We discuss the development of the underlying involuntary attention mechanisms and highlight the relevance of and future perspectives for this important field of research.

Effects of emotionally charged auditory stimulation on gait performance in the elderly: a preliminary study

OBJECTIVES

To evaluate the effect of a novel divided attention task-walking under auditory constraints-on gait performance in older adults and to determine whether this effect was moderated by cognitive status.

DESIGN

Validation cohort.

SETTING

General community.

PARTICIPANTS

Ambulatory older adults without dementia (N=104).

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

In this pilot study, we evaluated walking under auditory constraints in 104 older adults who completed 3 pairs of walking trials on a gait mat under 1 of 3 randomly assigned conditions: 1 pair without auditory stimulation and 2 pairs with emotionally charged auditory stimulation with happy or sad sounds.

RESULTS

The mean age of subjects was 80.6±4.9 years, and 63% (n=66) were women. The mean velocity during normal walking was 97.9±20.6cm/s, and the mean cadence was 105.1±9.9 steps/min. The effect of walking under auditory constraints on gait characteristics was analyzed using a 2-factorial analysis of variance with a 1-between factor (cognitively intact and minimal cognitive impairment groups) and a 1-within factor (type of auditory stimuli). In both happy and sad auditory stimulation trials, cognitively intact older adults (n=96) showed an average increase of 2.68cm/s in gait velocity (F1.86,191.71=3.99; P=.02) and an average increase of 2.41 steps/min in cadence (F1.75,180.42=10.12; P<.001) as compared with trials without auditory stimulation. In contrast, older adults with minimal cognitive impairment (Blessed test score, 5-10; n=8) showed an average reduction of 5.45cm/s in gait velocity (F1.87,190.83=5.62; P=.005) and an average reduction of 3.88 steps/min in cadence (F1.79,183.10=8.21; P=.001) under both auditory stimulation conditions. Neither baseline fall history nor performance of activities of daily living accounted for these differences.

CONCLUSIONS

Our results provide preliminary evidence of the differentiating effect of emotionally charged auditory stimuli on gait performance in older individuals with minimal cognitive impairment compared with those without minimal cognitive impairment. A divided attention task using emotionally charged auditory stimuli might be able to elicit compensatory improvement in gait performance in cognitively intact older individuals, but lead to decompensation in those with minimal cognitive impairment. Further investigation is needed to compare gait performance under this task to gait on other dual-task paradigms and to separately examine the effect of physiological aging versus cognitive impairment on gait during walking under auditory constraints.