A child-focused version of the Attention Network Task designed to investigate interactions between the attention networks, including the endogenous orienting network

A digital intervention to support childhood cognition after the COVID-19 pandemic: a pilot trial

Difficulties in executive functioning (EF) can result in impulsivity, forgetfulness, and inattention. Children living in remote/regional communities are particularly at risk of impairment in these cognitive skills due to reduced educational engagement and poorer access to interventions. This vulnerability has been exacerbated by the COVID-19 pandemic and strategies are needed to mitigate long-term negative impacts on EF. Here we propose a pilot trial investigating the benefits, feasibility, and acceptability of a school-based EF intervention for primary school students (6-8 years) living in regional, developmentally vulnerable, and socio-economically disadvantaged communities. Students were randomised to a digital intervention or teaching as usual, for 7 weeks. Children completed measures of EF and parents/educators completed ratings of everyday EF and social/emotional wellbeing at pre-intervention, post-intervention, and 3-month follow-up. Change in EFs (primary outcome), everyday EF, and social/emotional wellbeing (secondary outcomes) from pre- to post-intervention and pre-intervention to 3-month follow-up were examined. Feasibility and acceptability of the intervention was assessed through educator feedback and intervention adherence.Protocol Registration: The stage 1 protocol for this Registered Report was accepted in principle on 20 April 2023. The protocol, as accepted by the journal, can be found at: https://doi.org/10.17605/OSF.IO/WT3S2 . The approved Stage 1 protocol is available here: https://osf.io/kzfwn .

Quicker Exogenous Orienting and Slower Endogenous Orienting in Autistic People

Research is equivocal on whether attention orienting is atypical in autism. This study investigated two types of attention orienting in autistic people and accounted for the potential confounders of alerting level, co-occurring symptoms of attention-deficit/hyperactivity disorder (ADHD) and anxiety, age, and sex. Twenty-seven autistic participants (14 males; 9-43 years) and 22 age- and sex-matched non-autistic participants (13 males; 9-42 years) completed the exogenous and endogenous Posner tasks. Response time and pupillometric data were recorded. Autistic participants were faster at orienting attention to valid cues in the exogenous task and slower at disengaging from invalid cues in the endogenous task compared to non-autistic participants. With increasing age, autistic participants showed faster exogenous and endogenous orienting, whereas non-autistic participants showed faster exogenous orienting but stable speed of endogenous orienting. Higher ADHD symptoms were associated with slower exogenous orienting in both groups, whereas higher anxiety symptoms were associated with faster exogenous orienting only in autistic participants. No group differences were noted for alerting levels, sex, or pupillary responses. This study provides new evidence of superior exogenous orienting and inefficient endogenous orienting in autistic people and suggests that age and co-occurring symptoms are important to consider when assessing attention orienting in autism.

Neuropsychological correlates of ADHD: indicators of different attentional profiles among youth with sluggish cognitive tempo

Objective

This study examined the distinctiveness of Attention Deficit Hyperactivity Disorder-Inattentive (ADHD-I) and ADHD in context of Sluggish Cognitive Tempo (ADHD + SCT) utilizing the Attention Network Test (ANT) and Continuous Performance Test (CPT) as external validators. Due to the SCT characteristics of being sluggish, spacey, and slow to arouse, we hypothesized that SCT behavioral descriptors would be uniquely related to alerting/arousal mechanisms that the ANT is uniquely designed to capture, and that ADHD symptoms would be more highly associated with cognitive control on the CPT.

Method

We examined associations between baseline ANT and CPT scores for N = 137 well-characterized, culturally and racially diverse youth with ADHD (n = 107) either medication naïve or washed out prior to testing and typically developing controls (n = 30) ages 6-17 years.

Results

Presence and severity of SCT were associated with ANT Alerting (r 2 = -.291, p = .005), but not with ANT Orienting, ANT Executive Control, or any CPT measures. There was a distinct association between the presence and severity of ADHD inattention symptoms with CPT T-scores for Commission Errors (r 2 = .282, p = .002), Omission Errors (r 2 = .254, p = .005), Variability (r 2 = .328, p < .001), and Hit Rate SE (r 2 = .272, p = .002), but not with other CPT or any ANT domain measures. All associations remained significant after Bonferroni correction.

Conclusions

The small but enduring double dissociation, with ADHD-I symptom severity related to measures of cognitive and behavioral control measures on the CPT, and SCT symptom severity related to attentional processes underlying tonic arousal in preparation for cue detection on the ANT-provides the first objective evidence suggestive of partial neurocognitive independence of SCT from ADHD. Moreover, it points to possibly distinguishable neurobiological neurocognitive underpinnings of the two conditions.

Endogenous control is insufficient for preventing attentional capture in children and adults

Adults are known to have developed the ability to selectively focus their attention in a goal-driven (endogenous) manner but it is less clear at what stage in development (5-6 & 9-11 years) children can endogenously control their attention and whether they behave similarly to adults when managing distractions. In this study we administered a child-adapted cued visual search task to three age-groups: five- to six-year-olds (N = 45), nine- to eleven-year-olds (N = 42) and adults (N = 42). Participants were provided with a cue which either guided their attention towards or away from an upcoming target. On some trials, a singleton distracter was presented which participants needed to ignore. Participants completed three conditions where the cues were: 1) usually helpful (High Predictive), 2) usually unhelpful (Low Predictive) and 3) never helpful (Baseline) in guiding attention towards the target. We found that endogenous cue-utilisation develops with increasing age. Overall, nine- to eleven-year-olds and adults, but not five- to six-year-olds, utilised the endogenous cues in the High Predictive condition. However, all age-groups were unable to ignore the singleton distracter even when using endogenous control. Moreover, we found better cue-maintenance ability was related to poorer distracter-inhibition ability in early-childhood, but these skills were no longer related further on in development. We conclude that overall endogenous control is still developing in early-childhood, but an adult-like form of this skill has been acquired by mid-childhood. Furthermore, endogenous cue-utilisation was shown as insufficient for preventing attentional capture in both children and adults.

Memory Complaints in Healthy Middle-Aged Adults Are Not Associated with Memory or Sustained Attention Performance

OBJECTIVE

To examine the associations between the number and type of memory complaints with memory and sustained attention performance in healthy middle-aged adults.

METHOD

Sixty-six healthy individuals aged 35-64 years (M_age = 47.73 years) were administered the seven Questions, Rey Auditory Verbal Learning Test, Sustained Attention to Response Task, and Depression Anxiety Stress Scales 21.

RESULTS

The number of memory complaints was not associated with memory or sustained attention performance but was associated with anxiety symptoms. The type of memory complaint was likewise not associated with memory or sustained attention performance. The complaints "recent change in ability to remember things" and "trouble remembering things from one second to the next" were associated with anxiety symptoms.

CONCLUSION

Complaints about memory in otherwise healthy middle-aged adults do not reliably indicate memory or sustained attention performance. Rather, these complaints are more likely to be associated with heightened, but nevertheless subclinical, anxiety.

Higher Tablet Use Is Associated With Better Sustained Attention Performance but Poorer Sleep Quality in School-Aged Children

There are growing concerns that increased screen device usage may have a detrimental impact on classroom behaviour and attentional focus. The consequences of screen use on child cognitive functioning have been relatively under-studied, and results remain largely inconsistent. Screen usage may displace the time usually spent asleep. The aim of this study was to examine associations between screen use, behavioural inattention and sustained attention control, and the potential modifying role of sleep. The relations between screen use, behavioural inattention, sustained attention and sleep were investigated in 162 6- to 8-year-old children, using parent-reported daily screen use, the SWAN ADHD behaviour rating scale, The sustained attention to response task and the children’s sleep habits questionnaire. Tablet use was associated with better sustained attention performance but was not associated with classroom behavioural inattention. Shorter sleep duration was associated with poorer behavioural inattention and sustained attention. Sleep quality and duration did not act as mediators between screen usage and behavioural inattention nor sustained attention control. These findings suggest that careful management of the amount of time spent on electronic screen devices could have a beneficial cognitive impact on young children. The results also highlight the critical role of sleep in enhancing both behavioural attention and sustained attention, which are essential for supporting cognitive development and learning.

Body Mobility and Attention Networks in 6- to 7-Year-Old Children

Learning in 6- to 7-year-old children is strongly influenced by three functions of attention: alertness, orienting, and executive control. These functions share a close relationship with body mobility, such as the posture adopted or a request to stay still during tasks. The aim of this study (ClinicalTrials.gov) was to analyze the influence of body posture (standing versus sitting) and the influence of these imposed postures compared to a free body mobility on attention functions in 6- to 7-year-old children. Twenty-one children (11 girls) with a mean age of 6.7±0.6years performed the Attention Network Test for Children in three-body mobility conditions: sitting still, standing still, and free to move. Three attentional scores were calculated which would separately reflect performance of alertness, orienting, and executive control. Overall, no difference in alertness performance was found between the three bodily mobility conditions. In addition, our results suggest a general poor orienting performance in children, whatever the body mobility condition, which might be related to their young age. Finally, children improved their executive control performance when they stood still, probably due to an improvement in arousal and mental state.

Assessing the Three Attentional Networks and Vigilance in the Adolescence Stages

Attention involves three functionally and neuroanatomically distinct neural networks: alerting, orienting, and executive control. This study aimed to assess the attentional networks and vigilance in adolescents aged between 10 and 19 years using the attentional network test for interaction and vigilance (ANTI-V). One hundred and eighty-two adolescents divided into three groups (early adolescents, middle adolescents, late adolescents) participated in the study. The results indicate that after age 15, adolescents adopt a more conservative response strategy and increase the monitoring of self-errors. All the attentional networks seem to continue to develop during the age range considered in this study (10–19 y). Performance improved from early adolescence to middle adolescence and began to stabilize in late adolescence. Moreover, a low level of vigilance seems to harm alerting and orienting abilities.

On the origins and evolution of the Attention Network Tests

Attention is a pivotal cognitive function and efforts to understand its properties and operations are fundamental. Building upon the best known taxonomy of attention put forward by Posner and colleagues, the Attention Network Test (ANT) was designed to efficiently provide scores that reflect the efficacy of alerting, orienting and executive control. The ANT has not only been very widely adopted by scholars around the world, it has inspired a wide range of variants, the ANTs, - each with its own purpose. This review will describe the origin of the ANT in the taxonomic contributions of Posner and the evolution of the ANTs with some discussion of the nature and rationale for each major variant described here. We briefly allude to minor modifications of the ANT and present some suggestions related to data reporting and data analysis. We end with some projections about the future use of the original ANT and its notable variants.

Rethinking attention in time: Expectancy violations reconcile contradictory developmental evidence

Temporal expectations critically influence perception and action. Previous research reports contradictory results in children's ability to endogenously orient attention in time as well as the developmental course. To reconcile this seemingly conflicting evidence, we put forward the hypothesis that expectancy violations-through the use of invalid trials-are the source of the mixed evidence reported in the literature. With the aim of offering new results that could reconcile previous findings, we tested a group of young children (4- to 7-year-olds), an older group (8- to 12-year-olds), and a group of adults. Temporal cues provided expectations about target onset time, and invalid trials were used such that the target appeared at the unexpected time in 25% of the trials. In both experiments, the younger children responded faster in valid trials than in invalid trials, showing that they benefited from the temporal cue. These results show that young children rely on temporal expectations to orient attention in time endogenously. Importantly, younger children exhibited greater validity effects than older children and adults, and these effects correlated positively with participants' performance in the invalid (unexpected) trials. We interpret the reduction of validity effects with age as an index of better adaptation to the invalid (unexpected) condition. By using invalid trials and testing three age groups, we demonstrate that previous findings are not inconsistent. Rather, evidence converges when considering the presence of expectancy violations that require executive control mechanisms, which develop progressively during childhood. We propose a distinction between rigid and flexible mechanisms of temporal orienting to accommodate all findings.

The arrow of time: Advancing insights into action control from the arrow version of the Eriksen flanker task

Since its introduction by B. A. Eriksen and C. W. Eriksen (Perception & Psychophysics, 16, 143-49, 1974), the flanker task has emerged as one of the most important experimental tasks in the history of cognitive psychology. The impact of a seemingly simple task design involving a target stimulus flanked on each side by a few task-irrelevant stimuli is astounding. It has inspired research across the fields of cognitive neuroscience, psychophysiology, neurology, psychiatry, and sports science. In our tribute to Charles W. ("Erik") Eriksen, we (1) review the seminal papers originating from his lab in the 1970s that launched the paradigmatic task and laid the foundation for studies of action control, (2) describe the inception of the arrow version of the Eriksen flanker task, (3) articulate the conceptual and neural models of action control that emerged from studies of the arrows flanker task, and (4) illustrate the influential role of the arrows flanker task in disclosing developmental trends in action control, fundamental deficits in action control due to neuropsychiatric disorders, and enhanced action control among elite athletes.