Top-down, Bottom-up, and History-driven Processing of Multisensory Attentional Cues in Intellectual Disability: Cognitive Experiment in Virtual Reality (Preprint)

BACKGROUND Models of attention demonstrated the existence of top-down, bottom-up, and history-driven attentional mechanisms, controlled by partially segregated networks of brain areas. However, few studies have examined the specific deficits in those attentional mechanisms in intellectual disability within the same experimental setting. OBJECTIVE The aim of the study was to specify the attentional deficits in intellectual disability in top-down, bottom-up, and history-driven processing of multisensory stimuli, and gain insight into effective attentional cues that could be utilized in cognitive training programs for intellectual disability. METHODS The performance of adults with mild to moderate intellectual disability (n=20) was compared with that of typically developing controls (n=20) in a virtual reality visual search task. The type of a spatial cue that could aid search performance was manipulated to be either endogenous or exogenous in different sensory modalities (visual, auditory, tactile). RESULTS The results identified that attentional deficits in intellectual disability are more pronounced in top-down rather than in bottom-up processing, but with different magnitudes across sensory modalities: The top-down processing in the visual modality was relatively preserved, whereas that in the auditory and tactile modalities was severely impaired. Moreover, the history-driven processing in intellectual disability was altered, such that a reversed priming effect was observed for immediate repetitions of the same cue type. CONCLUSIONS These results suggest that the impact of intellectual disability on attentional processing is specific to attentional mechanisms and sensory modalities, which has theoretical as well as practical implications for developing effective cognitive training programs for the target population.