Effect of Exogenous Cues on Covert Spatial Orienting in Deaf and Normal Hearing Individuals

Research of visual attention networks in deaf individuals: a systematic review

The impact of deafness on visual attention has been widely discussed in previous research. It has been noted that deficiencies and strengths of previous research can be attributed to temporal or spatial aspects of attention, as well as variations in development and clinical characteristics. Visual attention is categorized into three networks: orienting (exogenous and endogenous), alerting (phasic and tonic), and executive control. This study aims to contribute new neuroscientific evidence supporting this hypothesis. This paper presents a systematic review of the international literature from the past 15 years focused on visual attention in the deaf population. The final review included 24 articles. The function of the orienting network is found to be enhanced in deaf adults and children, primarily observed in native signers without cochlear implants, while endogenous orienting is observed only in the context of gaze cues in children, with no differences found in adults. Results regarding alerting and executive function vary depending on clinical characteristics and paradigms used. Implications for future research on visual attention in the deaf population are discussed.

Effects of exogenous and endogenous cues on attentional orienting in deaf adults

Adults who are deaf have been shown to have better visual attentional orienting than those with typical hearing, especially when the target is located in the periphery of the visual field. However, most studies in this population have assessed exogenous visual attention orienting (bottom-up processing of external cues) rather than endogenous visual attention orienting (top-down processing of internal cues). We used a target detection task to assess both types of visual attention orienting. A modified cue-target paradigm was adopted to assess the facilitation effects of exogenous and endogenous cues during short and long inter-stimulus intervals (ISI), using a 2 (Group: deaf/typically hearing) * 2 (Location: central/peripheral) * 2 (Cue Type: exogenous/endogenous) mixed factorial design. ANOVAs showed that both exogenous cues and endogenous cues can facilitate deaf adults’ visual attentional orienting, and the facilitation effect of exogenous cues on attention orienting was significantly stronger for deaf participants than hearing participants. When the ISI was long, the effect was significantly stronger when the exogenous cue appeared in the periphery of the visual field. In the periphery, deaf adults benefited most from exogenous cues, whereas hearing adults benefited most from endogenous cues. The results suggest that not only exogenous cues but also endogenous cues can facilitate deaf adults’ visual attentional orienting. However, the effect of exogenous cues appears to be greater, especially when the stimulus appears in the peripheral visual field.

Attention capture by brief abrupt-onset cues in deaf individuals

Auditory loss in deaf individuals has been associated with an enhancement in the visual modality. Visual attention is one domain where such plasticity-induced changes have been observed, although which specific attentional mechanisms are improved is still not clear. Using a modified spatial cueing paradigm, we examined attention capture in deaf and normal-hearing participants. Brief abrupt-onset cues were presented for 16 ms either in attended or ignored locations. The to-be-attended locations for each trial were indicated by a horizontal or a vertical bar at the centre of the screen. These were presented either in vertical- or horizontal-only blocks or mixed together. We observed greater negative cueing effects in the NH group compared to deaf. Additionally, people with deafness showed greater capture by cues at ignored locations in the slower responses. These findings shed further light on orienting mechanisms in deaf and help in understanding the specificity of the differences in visual processing between deaf and normal-hearing individuals.

Congenital Deafness Leads to Altered Overt Oculomotor Behaviors

The human brain is highly cross-modal, and sensory information may affect a wide range of behaviors. In particular, there is evidence that auditory functions are implicated in oculomotor behaviors. Considering this apparent auditory-oculomotor link, one might wonder how the loss of auditory input from birth might have an influence on these motor behaviors. Eye movement tracking enables to extract several components, including saccades and smooth pursuit. One study suggested that deafness can alter saccades processing. Oculomotor behaviors have not been examined further in the deaf. The main goal of this study was to examine smooth pursuit following deafness. A pursuit task paradigm was used in this experiment. Participants were instructed to move their eyes to follow a target as it moved. The target movements have a possibility of four different trajectories (horizontal, vertical, elliptic clockwise, and elliptic counter-clockwise). Results indicate a significant reduction in the ability to track a target in both elliptical conditions showing that more complex motion processing differs in deaf individuals. The data also revealed significantly more saccades per trial in the vertical, anti-clockwise, and, to a lesser extent, the clockwise elliptic condition. This suggests that auditory deprivation from birth leads to altered overt oculomotor behaviors.

Exogeneous Spatial Cueing beyond the Near Periphery: Cueing Effects in a Discrimination Paradigm at Large Eccentricities

Although visual attention is one of the most thoroughly investigated topics in experimental psychology and vision science, most of this research tends to be restricted to the near periphery. Eccentricities used in attention studies usually do not exceed 20° to 30°, but most studies even make use of considerably smaller maximum eccentricities. Thus, empirical knowledge about attention beyond this range is sparse, probably due to a previous lack of suitable experimental devices to investigate attention in the far periphery. This is currently changing due to the development of temporal high-resolution projectors and head-mounted displays (HMDs) that allow displaying experimental stimuli at far eccentricities. In the present study, visual attention was investigated beyond the near periphery (15°, 30°, 56° Exp. 1) and (15°, 35°, 56° Exp. 2) in a peripheral Posner cueing paradigm using a discrimination task with placeholders. Interestingly, cueing effects were revealed for the whole range of eccentricities although the inhomogeneity of the visual field and its functional subdivisions might lead one to suspect otherwise.

The Cross-Modal Effects of Sensory Deprivation on Spatial and Temporal Processes in Vision and Audition: A Systematic Review on Behavioral and Neuroimaging Research since 2000

One of the most significant effects of neural plasticity manifests in the case of sensory deprivation when cortical areas that were originally specialized for the functions of the deprived sense take over the processing of another modality. Vision and audition represent two important senses needed to navigate through space and time. Therefore, the current systematic review discusses the cross-modal behavioral and neural consequences of deafness and blindness by focusing on spatial and temporal processing abilities, respectively. In addition, movement processing is evaluated as compiling both spatial and temporal information. We examine whether the sense that is not primarily affected changes in its own properties or in the properties of the deprived modality (i.e., temporal processing as the main specialization of audition and spatial processing as the main specialization of vision). References to the metamodal organization, supramodal functioning, and the revised neural recycling theory are made to address global brain organization and plasticity principles. Generally, according to the reviewed studies, behavioral performance is enhanced in those aspects for which both the deprived and the overtaking senses provide adequate processing resources. Furthermore, the behavioral enhancements observed in the overtaking sense (i.e., vision in the case of deafness and audition in the case of blindness) are clearly limited by the processing resources of the overtaking modality. Thus, the brain regions that were previously recruited during the behavioral performance of the deprived sense now support a similar behavioral performance for the overtaking sense. This finding suggests a more input-unspecific and processing principle-based organization of the brain. Finally, we highlight the importance of controlling for and stating factors that might impact neural plasticity and the need for further research into visual temporal processing in deaf subjects.

Inhibition of return (IOR) in patients with schizophrenia and cannabis use

Research concerning the spatial orientation in patients with schizophrenia has demonstrated a state independent deficit in inhibition of return (IOR), which has been discussed as a vulnerability marker for schizophrenia. Other recent investigations on brain structure and cognitive processing have revealed less deficits in schizophrenia patients with comorbid cannabis use (SCH + CUD) compared to abstinent schizophrenia patients (SCH). It was hypothesized that these results may reflect a premorbid lower vulnerability in at least a subgroup of comorbid patients. The aim of the present study is to extend previous work by investigating IOR functioning in patients with schizophrenia and cannabis use. This in turn should supplement the existing studies on the vulnerability of this patient group. Therefore, we compared IOR functioning in four groups: 62 patients with schizophrenia and 46 healthy controls, both with and without cannabis use. Participants underwent a covert orienting of attention task (COVAT) with peripheral cues and three stimulus onset asynchronies (SOAs: 200 ms, 400 ms and 800 ms). Both schizophrenia groups displayed delayed IOR with a more pronounced IOR effect in SCH + CUD compared to SCH. In healthy controls, IOR did not seem to be significantly affected by cannabis use. Significant IOR-differences between groups were only seen between SCH patients without cannabis use and both healthy groups at SOA 400 ms. Patterns of cannabis use as well as clinical parameters of psychoses did not affect IOR. Our results may support the hypothesis of IOR as a vulnerability marker for schizophrenia and of a lower biological vulnerability in at least a subgroup of SCH + CUD.

Cross-modal plasticity in the deaf enhances processing of masked stimuli in the visual modality

Compensatory changes as a result of auditory deprivation in the deaf lead to higher visual processing skills. In two experiments, we explored if such brain plasticity in the deaf modulates processing of masked stimuli in the visual modality. Deaf and normal-hearing participants responded to targets either voluntarily or by instruction. Masked primes related to the response were presented briefly before the targets at the center and the periphery. In Experiment 1, targets appeared only at the foveal region whereas, in Experiment 2, they appeared both at the fovea and the periphery. The deaf showed higher sensitivity to masked primes in both the experiments. They chose the primed response more often and also were faster during congruent responses compared to the normal hearing. These results suggest that neuroplasticity in the deaf modulates how they perceive and use information with reduced visibility for action selection and execution.