Specific Computerized Attention Training in Stroke and Traumatic Brain-Injured Patients

2003 ◽  
Vol 14 (4) ◽  
pp. 283-292 ◽  
Author(s):  
W. Sturm ◽  
B. Fimm ◽  
A. Cantagallo ◽  
N. Cremel ◽  
P. North ◽  
...  

Abstract: In a multicenter European approach, the efficacy of the AIXTENT computerized training programs for intensity aspects (alertness and vigilance) and selectivity aspects (selective and divided attention) of attention was studied in 33 patients with brain damage of vascular and traumatic etiology. Each patient received training in one of two most impaired of the four attention domains. Control tests were performed by means of a standardized computerized attention test battery (TAP) comprising tests for the four attention functions. Assessment was carried out at the beginning and at the end of a four week baseline period and after the training period of 14 one-hour sessions. At the end of the baseline phase, there was only slight but significant improvement for the most complex attention function, divided attention (number of omissions). After the training, there were significant specific training effects for both intensity aspects (alertness and vigilance) and also for the number of omissions in the divided attention task. The application of inferential single case procedures revealed a high number of significant improvements in individual cases after specific training of alertness and vigilance problems. On the other hand, a non specific training addressing selectivity aspects of attention lead either to improvement or deterioration of alertness and vigilance performance. The results corroborate the findings of former studies with the same training instrument but in patients with different lesion etiologies.

2005 ◽  
Vol 16 (4) ◽  
pp. 235-242 ◽  
Author(s):  
Astrid von Bueren Jarchow ◽  
Bogdan P. Radanov ◽  
Lutz Jäncke

Abstract: The aim of the present study was to examine to what extent chronic pain has an impact on various attentional processes. To measure these attention processes a set of experimental standard tests of the “Testbatterie zur Aufmerksamkeitsprüfung” (TAP), a neuropsychological battery testing different levels of attention, were used: alertness, divided attention, covert attention, vigilance, visual search, and Go-NoGo tasks. 24 chronic outpatients and 24 well-matched healthy control subjects were tested. The control subjects were matched for age, gender, and education. The group of chronic pain patients exhibited marked deficiencies in all attentional functions except for the divided attention task. Thus, the data supports the notion that chronic pain negatively influences attention because pain patients` attention is strongly captivated by the internal pain stimuli. Only the more demanding divided attention task has the capability to distract the focus of attention to the pain stimuli. Therefore, the pain patients are capable of performing within normal limits. Based on these findings chronic pain patients' attentional deficits should be appropriately evaluated and considered for insurance and work related matters. The effect of a successful distraction away from the pain in the divided attention task can also open new therapeutic aspects.


2015 ◽  
Vol 47 (5) ◽  
pp. 378-385 ◽  
Author(s):  
Sheila de Melo Borges ◽  
Márcia Radanovic ◽  
Orestes Vicente Forlenza

2007 ◽  
Vol 23 (4) ◽  
pp. 231-240 ◽  
Author(s):  
Shutaro Nakaaki ◽  
Yoshie Murata ◽  
Junko Sato ◽  
Yoshihiro Shinagawa ◽  
Hiroshi Tatsumi ◽  
...  

2006 ◽  
Vol 14 (7S_Part_10) ◽  
pp. P582-P582
Author(s):  
Sheila de Melo Borges ◽  
Marcia Radanovic ◽  
Orestes Vicente Forlenza

2008 ◽  
Vol 109 (2) ◽  
pp. 213-224 ◽  
Author(s):  
Robert A. Veselis ◽  
Kane O. Pryor ◽  
Ruth A. Reinsel ◽  
Meghana Mehta ◽  
Hong Pan ◽  
...  

Background Propofol may produce amnesia by affecting encoding. The hypothesis that propofol weakens encoding was tested by measuring regional cerebral blood flow during verbal encoding. Methods Seventeen volunteer participants (12 men; aged 30.4 +/- 6.5 yr) had regional cerebral blood flow measured using H2O positron emission tomography during complex and simple encoding tasks (deep vs. shallow level of processing) to identify a region of interest in the left inferior prefrontal cortex (LIPFC). The effect of either propofol (n = 6, 0.9 microg/ml target concentration), placebo with a divided attention task (n = 5), or thiopental at sedative doses (n = 6, 3 microg/ml) on regional cerebral blood flow activation in the LIPFC was tested. The divided attention task was expected to decrease activation in the LIPFC. Results Propofol did not impair encoding performance or reaction times, but impaired recognition memory of deeply encoded words 4 h later (median recognition of 35% [interquartile range, 17-54%] of words presented during propofol vs. 65% [38-91%] before drug; P < 0.05). Statistical parametric mapping analysis identified a region of interest of 6.6 cm in the LIPFC (T = 7.44, P = 0.014). Regional cerebral blood flow response to deep encoding was present in this region of interest in each group before drug (T > 4.41, P < 0.04). During drug infusion, only the propofol group continued to have borderline significant activation in this region (T = 4.00, P = 0.063). Conclusions If the amnesic effect of propofol were solely due to effects on encoding, activation in the LIPFC should be minimal. Because LIPFC activation was not totally eliminated by propofol, the amnesic action of propofol must be present in other brain regions and/or affect other memory processes.


PLoS ONE ◽  
2018 ◽  
Vol 13 (5) ◽  
pp. e0197309
Author(s):  
Róbert Adrian Rill ◽  
Kinga Bettina Faragó ◽  
András Lőrincz

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Blake L. Elliott ◽  
Gene A. Brewer

In the present study, we examined the effect of value-directed encoding on recognition memory and how various divided attention tasks at encoding alter value-directed remembering. In the first experiment, participants encoded words that were assigned either high or low point values in multiple study-test phases. The points corresponded to the value the participants could earn by successfully recognizing the words in an upcoming recognition memory task. Importantly, participants were instructed that their goal was to maximize their score in this memory task. The second experiment was modified such that while studying the words participants simultaneously completed a divided attention task (either articulatory suppression or random number generation). The third experiment used a non-verbal tone detection divided attention task (easy or difficult versions). Subjective states of recollection (i.e., “Remember”) and familiarity (i.e., “Know”) were assessed at retrieval in all experiments. In Experiment 1, high value words were recognized more effectively than low value words, and this difference was primarily driven by increases in “Remember” responses with no difference in “Know” responses. In Experiment 2, the pattern of subjective judgment results from the articulatory suppression condition replicated Experiment 1. However, in the random number generation condition, the effect of value on recognition memory was lost. This same pattern of results was found in Experiment 3 which implemented a different variant of the divided attention task. Overall, these data suggest that executive processes are used when encoding valuable information and that value-directed improvements to memory are not merely the result of differential rehearsal.


2015 ◽  
Vol 19 (3) ◽  
pp. 621-629 ◽  
Author(s):  
NATALIE H. BRITO ◽  
ERIC R. MURPHY ◽  
CHANDAN VAIDYA ◽  
RACHEL BARR

The current study examined if bilingual advantages in cognitive control influence memory encoding during a divided attention task. Monolinguals, simultaneous bilinguals, and sequential bilinguals switched between classifying objects and words, then were tested for their recognition memory of stimuli previously seen during the classification task. Compared to bilingual groups, monolinguals made the most errors on the classification task and simultaneous bilinguals committed the fewest errors. On the memory task, however, no differences were found between the three language groups, but significant correlations were found between the number of errors during switch trials on the classification task and recognition memory for both target and non-target stimuli. For bilinguals, their age of second language acquisition partially accounted for the association between attentional control (number of switch errors) and subsequent memory for non-target stimuli only. These results contribute to our understanding of how individual differences in language acquisition influence interactions between cognitive domains.


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