Wednesday, April 17, 2013

Attention Across the Lifespan


Research attention across an individual’s lifespan presents several significant challenges such as establishing a controlled environment in which to measure subjects’ attention and minimizing the presence of confounding factors. Researchers have arisen to the task, however, and have developed several techniques to overcome these challenges; yet, while these strategies have greatly addressed several important challenges, many still remain to be overcome. This week’s papers shed light on both the challenges facing researching attention across lifespans and the methods researchers have developed to overcome them.



Lin et. al. (1999) studied the development of sustained attention as a function of age and sex via administering the Continuous Performance Test (CPT)  to 341 children between the ages of six and fifteen. I found the author’s choice of CPT as a measure of sustained attention development very interesting since it’s not the standard test for studies of “normal” attention. Rather, it has been primarily employed as a measure of deficits in sustained attention in children with attention disorders such as ADHD and for identifying children with high risk of developing schizophrenia. Along this vein, however, the usage of CPT in this study does make the results much more clinically relevant, which may be one reason why CPT is used instead of more conventional measures such as SART. Briefly, CPT requires the subject to respond to targets embedded in background stimuli that’s presented at a rapid, fixed rate. However, in this discrimination task, the target can be either a single stimulus or a set of two successive stimuli, thus allowing the researchers to alter the difficulty of the task. Furthermore, relative targets and stimuli blurring can also be employed to further heighten the challenge of the task.


     





The researchers employed two versions of CPT, namely undegraded and (25%) degaded, in this study and analyzed the relationships between age/sex of the subjects and the corresponding hit rate, false alarm rate, and sensitivity. Through performing multiple regression analyses, the authors found that all three variables (hit rate, false alarm rate, and sensitivity) of both the degraded and undegraded CPT shared a quadratic relationship with age, as shown in the above figure. Furthermore, the age-development curves for the hit rate and sensitivity were both convex, whereas the false alarm rate curve was concave. These results suggest that sustained attention develops during “the primary school ages,” well before age 15.

One thing I found especially interesting is the authors’ claim that this study’s results can be very important in identifying children with neurological conditions characterized by deficits in sustained attention, such as ADHD and schizophrenia. While I think that it’s absolutely wonderful that this study could contribute to early detection of devastating disease such as schizophrenia, I still stand by what I said in previous posts, namely that researchers and doctors should be extremely careful in prescribing medicine to young children. Sometimes, deficits in sustained attention, especially slight deficits, are just that, and don’t necessarily warrant prescriptions of anti-psychotic drugs, which may do more harm than good for still developing children. All in all, however, I think this was a well carried out study with many important areas for development and possible clinical applications.





Carriere et. al. (2010)’s study truly fit the description of researching attention across the lifespan. In contrast to natural expectations, previous studies have shown an “age-related reduction” in errors on sustained tasks, a result that suggest sustained attention abilities improves with age. This is a paradoxical result at best given what we know about the aging brain and decreases in working memory that oftentimes accompany age. It would not be surprising if a confounding variable were present; as such, this is a great example of the difficulty and challenges embedded in researching attention across lifespans. Carriere and his team investigated this phenomenon, in particular failures in sustained attention as a function of age, via measuring SART (sustained attention to response task) performance of 638 individuals with ages ranging from 14 to 77 years old. The results provide a sound explanation of the perplexing finding reported in previous studies.





Whereas older subjects made fewer errors on SART tasks to be sure, they also exhibited slower responses. Indeed, the reduction in SART errors demonstrated by older subjects can be at least partially attributed to their slower response rates, as they have more time to think and analyze before answering. Furthermore, in accordance with previous findings, the reduction in sustained attention errors decreased in a linear fashion with increasing age; the more novel finding was a similar linear decrease in response speed as a function of increasing age. These trends are shown in the above figure. On the other hand, the authors fond that task disengagement (as measured by anticipations and omissions, etc.) decreased in early adulthood and then remained stable for the remaining (older) ages. These results indicate that the seeming increase in sustained attention ability suggested by previous research is actually the result of two factors that determine performance on sustained attention tasks: response rate and actual sustained attention. Specifically, while sustained attention (measured by task engagement and disengagement) definitely improves with age early on in life, it reaches a stable point in young adulthood and then remains relatively unchanged. Furthermore, as the authors themselves note, these improvements can be attributed to “maturation rather than aging” in the older subjects. In addition to sustained attention changes, response rates also decrease with increasing age, which may lead to reduction in SART errors associated with task disengagement or mind wandering.

I think this report does a really good job of addressing a possible confounding factor (response time) present in previous studies on sustained attention across a wide range of ranges. I would be extremely interested to see this study replicated using a test with greater working memory capacity demands to asses the balance between reduction in sustained attention errors and decrease in working memory capacity in the older subjects. At what point do potential reductions in working memory associated with age balance out improvements in sustained attention task performance associated with maturation and response time?

Jackson et. al. (2011) compared mind wandering tendencies and patterns in younger and older adults. In contrast to Carriere et. al. and similar reports, which reported “increased sustained attention” as a function of age, Jackson et. al. notes “goal neglect” may be one explanation of the changes associated with older adults’ cognitive performances. Method-wise, the authors used three versions of SART and a reading comprehension task. Specifically, the authors measured response latencies on GO trails both immediately before and after NOGO errors. For the reading comprehension task, subjects were asked to read an excerpt from War and Peace with both probe-caught and self-caught mind-wandering.



Results were in accordance with previous literature; findings indicated that older adults do not exhibit more mind wandering than younger adults, and even exhibit less mind-wandering on certain trails. For instance, both younger and older adults produced comparable pre-error speeding, a measure of mind-wandering and task-disengagement. However, analysis with probe-caught mind wandering revealed older adults consistently reported less mind wandering than younger adults. Whereas younger adults reported mind-wandering at a rate of 44%, older adults only reported mind-wandering 16% of the time. One possible explanation for older adults’ reduction in mind wandering could be attributed to the fact that older adults found the reading more interesting and difficult than the younger adults. Thus, they were more motivated to stay on-task than young adults.

A particular interesting pattern that emerged from these experiments was a clear “disproportionate” post-error slowing exhibited by older adults. Classically, post error slowing has been attributed to “the process of redirecting attention to the primary task after an error is detected.”  The authors suggest two possible explanations for this phenomenon. For one, this slowing may be due to older adults’ impairment in task re-engagement, and thus the post-error slowing may reflect a decline of cognitive control reestablishment in older adults. On the other hand, this post-error slowing could also reflect “task-related mind-wandering.” In brief, supporters of this view maintain subjects engage in a type of self-evaluation upon making an error, which lead to internal and task-relevant mind-wandering. Since older adults found the task more interesting than younger adults, it makes sense that they would be more likely to engage in task-related mind wandering and self-evaluation following an error.

This report further illustrates the challenges of researching attention across lifespans. Probably one of the most pressing hurdles is the extreme difficulty in performing a true experiment under ideally controlled conditions in studies on attention across a lifespan. Clearly, one can’t alter subjects’ age to their will anymore than they can control confounding factors that often come with age and experience. Yet, despite these significant challenges, I think the papers that we read for this week are testaments to the creative methods researchers have developed to address these challenges.

References





Lifespan Developmental Psychology Laboratory. http://www.brandeis.edu/departments/psych/lachman/index.html

http://www.therpf.com/f9/question-time-turner-harry-potter-80022/

http://thebluebookcase.blogspot.com/2010/11/post-reading-war-and-peace.html

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