Chromatic vision and structural assessment in primary congenital glaucoma.

Primary congenital glaucoma is a rare disease that occurs in early birth and can lead to low vision. Evaluating affected children is challenging and there is a lack of studies regarding color vision in pediatric glaucoma patients. This cross-sectional study included 21 eyes of 13 children with primary congenital glaucoma who were assessed using the Farnsworth D-15 test to evaluate color vision discrimination and by spectral domain optical coherence tomography to measure retinal fiber layer thickness. Age, visual acuity, cup-to-disc ratio and spherical equivalent data were also collected. Global and sectional circumpapillary and macular retinal fiber layer thicknesses were measured and compared based on color vision test performance. Four eyes (19%) failed the color vision test with diffuse dyschromatopsia patterns. Only age showed statistical significance in color vision test performance. Global and sectional circumpapillary and macular retinal fiber layer thicknesses were similar between the color test outcomes dyschromatopsia and normal. While the color vision test could play a role in assessing children with primary congenital glaucoma, further studies are needed to correlate it with damage to retinal fiber layer thickness.

Cerebral cortical networking for mental workload assessment under various demands during dual-task walking.

While several studies have examined attentional reserve (via event-related potentials) and mental effort (via EEG spectral content) from various cortical regions during dual-task walking, none have assessed changes in the magnitude of interregional (cortico-cortical) communication as a measure of mental workload. Therefore, by deploying a traditional montage of electrode sites centered over the motor planning region as well as a more comprehensive graph theory-based approach encompassing the entire scalp, this study aimed to systematically examine changes in the magnitude of functional connectivity underlying cortico-cortical communication to assess changes in mental workload under various levels of challenge. Specifically, the Weighted Phase Lag Index (WPLI) was computed to assess the changes in magnitude of functional connectivity as participants performed a cognitive task under two demands (low and high) and two conditions (seated and walking). The results revealed enhanced fronto-centro-temporo-parietal theta connectivity during dual-task walking relative to being seated as well as a reduced inhibition of fronto-centro-temporo-parieto-occipital alpha networking as the demand on the secondary cognitive task increased. Collectively, these findings may reflect greater recruitment of task relevant processes to respond to increased cognitive-motor demands and thus an elevation of mental workload in an effort to maintain performance under varying levels of challenge. This work has the potential to inform future mental workload assessment applications in patient populations, including those who employ prostheses during cognitive-motor performance under various task demands.

Is there a burden attached to synaesthesia? Health screening of synaesthetes in the general population.

Synaesthesia has long been considered a benign alternative form of perception most often associated with positive rather than negative outcomes. The condition has been associated with a variety of cognitive and perceptual advantages, including benefits in memory, processing speed, and creativity. It is not currently recognized in the DSM-IV. Recently, however, several studies have raised the question of a possible link between synaesthesia and clinical conditions. Here, we present the first large-scale screening of the general population in which we (1) objectively identified grapheme-colour synaesthetes and (2) elicited information from our participants about a range of clinical conditions. We compared the prevalence rates of these conditions in synaesthetes versus non-synaesthetes to establish whether any conditions were found at a higher rate among synaesthetes. In our initial study, screening 3,742 people (95 synaesthetes and 3,647 controls), we found initially that grapheme-colour was significantly comorbid with two conditions (anxiety disorder and obsessive compulsive disorder). In our second study, screening a new population of 120 synaesthetes and 166 non-synaesthetes, we replicated our finding that grapheme-colour synaesthesia is comorbid with anxiety disorder. At the same time, we also addressed a methodological concern that likely elevated rates of OCD in Study 1. We consider the aetiology of synaesthesia to determine whether there may be a shared genetic or neurological basis with anxiety disorder, and we question the status of synaesthesia within a mental health framework.

Vision assessment in persons with intellectual disabilities.

PURPOSE: To investigate the degree of visual acuity in workers with intellectual disabilities and the impact of vision on their working conditions. METHODS: We recruited 224 workers (mean age 43.77 years, SD ± 12.96; range, 19-72 years) from a workshop for those with intellectual disabilities, to participate in a vision examination program. The assessment consisted of objective refraction, visual acuity, ocular motility, near-point of convergence, cover/uncover test, stereo acuity and colour perception. Individuals with vision deficits were fitted with spectacles following the screening program. RESULTS: Within the past three years, 38.9 per cent of the participants received eye care, 14.3 per cent of participants had not received eye care in more than three years, and 6.7 per cent had not received any eye care. As many as 39.7 per cent of participants did not know whether they had ever received eye care. Entering visual acuity for far vision was 0.52 dec (-0.29 logMAR) and 0.42 dec (-0.38 logMAR) for near vision. Only 14.9 per cent, 11 of all participants aged ≥50 years, owned spectacles for near vision before the examination. After subjective determination of refraction, best corrected visual acuity for far vision was 0.61 dec (-0.22 logMAR) and 0.56 dec (-0.25 logMAR) for near vision (in both cases with p < 0.001). After the examination, 44.6 per cent (33) of all workers aged ≥50 years received a recommendation for reading or bifocal spectacles. In 46 per cent of workers, the threshold of stereopsis was higher than 63 arc seconds, and some form of colour vision deficiency was measured in 12.5 per cent of participants. CONCLUSIONS: Workers with intellectual disabilities are often unaware of their visual deficits. We found that some of their abnormalities can be solved by appropriate optical means and that they could benefit from regular eye care. These workers should be encouraged to be tested and to improve their vision with appropriate lenses.

Lack of Free Choice Reveals the Cost of Having to Search for More Than One Object.

It is debated whether people can actively search for more than one object or whether this results in switch costs. Using a gaze-contingent eye-tracking paradigm, we revealed a crucial role for cognitive control in multiple-target search. We instructed participants to simultaneously search for two target objects presented among distractors. In one condition, both targets were available, which gave the observer free choice of what to search for and allowed for proactive control. In the other condition, only one of the two targets was available, so that the choice was imposed, and a reactive mechanism would be required. No switch costs emerged when target choice was free, but switch costs emerged reliably when targets were imposed. Bridging contradictory findings, the results are consistent with models of visual selection in which only one attentional template actively drives selection and in which the efficiency of switching targets depends on the type of cognitive control allowed for by the environment.

Female brain size affects the assessment of male attractiveness during mate choice.

Mate choice decisions are central in sexual selection theory aimed to understand how sexual traits evolve and their role in evolutionary diversification. We test the hypothesis that brain size and cognitive ability are important for accurate assessment of partner quality and that variation in brain size and cognitive ability underlies variation in mate choice. We compared sexual preference in guppy female lines selected for divergence in relative brain size, which we have previously shown to have substantial differences in cognitive ability. In a dichotomous choice test, large-brained and wild-type females showed strong preference for males with color traits that predict attractiveness in this species. In contrast, small-brained females showed no preference for males with these traits. In-depth analysis of optomotor response to color cues and gene expression of key opsins in the eye revealed that the observed differences were not due to differences in visual perception of color, indicating that differences in the ability to process indicators of attractiveness are responsible. We thus provide the first experimental support that individual variation in brain size affects mate choice decisions and conclude that differences in cognitive ability may be an important underlying mechanism behind variation in female mate choice.

The Role of the Human Visual Cortex in Assessment of the Long-Term Durability of Retinal Gene Therapy in Follow-on RPE65 Clinical Trial Patients.

PURPOSE: Gene therapy (GT) has offered immense hope to individuals who are visually impaired because of RPE65 mutations. Although GT has shown great success in clinical trials enrolling these individuals, evidence for stability and durability of this treatment over time is still unknown. Herein we explored the value of functional magnetic resonance imaging (fMRI) as an objective measure to assess independently the longevity of retinal GT. DESIGN: Individuals with RPE65 mutations who underwent GT in their worse-seeing eye in a phase 1 clinical trial received a second subretinal injection in their contralateral eye in a follow-on clinical trial. Functional magnetic resonance imaging (MRI) was performed longitudinally to assess brain responses of patients with RPE65 mutations after stimulation of their most recently treated eye before and 1 to 3 years after GT. PARTICIPANTS: Seven participants with RPE65 mutations who were part of the follow-on clinical trial gave informed consent to participate in a longitudinal neuroimaging fMRI study. METHODS: All participants underwent fMRI using a 3-Tesla MRI system and a 32-channel head coil. Participants' cortical activations were assessed using a block design paradigm of contrast reversing checkerboard stimuli delivered using an MRI-compatible video system. MAIN OUTCOME MEASURES: The primary parameters being measured in this study were the qualitative and quantitative fMRI cortical activations produced by our population in response to the visual task. RESULTS: Functional MRI results showed minimal or no cortical responses before GT. Significant increase in cortical activation lasting at least 3 years after GT was observed for all participants. Repeated measures analysis showed significant associations between cortical activations and clinical measures such as full-field light sensitivity threshold for white, red, and blue colors; visual field; and pupillary light reflex. CONCLUSIONS: Participants with RPE65 mutations showed intact visual pathways, which became responsive and strengthened after treatment. Functional MRI results independently revealed the efficacy and durability of a 1-time subretinal injection. The fMRI results paralleled those recently reported during the long-term clinical evaluations of the same patients. Results from this study demonstrated that fMRI may play an important role in providing complementary information to patients' ophthalmic clinical evaluation and has usefulness as an outcome measure for future retinal intervention studies.

Shifting Attention Between Visual Dimensions as a Source of Switch Costs.

Task-switching experiments have documented a puzzling phenomenon: Advance warning of the switch reduces but does not eliminate the switch cost. Theoretical accounts have posited that the residual switch cost arises when one selects the relevant stimulus-response mapping, leaving earlier perceptual processes unaffected. We put this assumption to the test by seeking electrophysiological markers of encoding a perceptual dimension. Participants categorized a colored letter as a vowel or consonant or its color as "warm" or "cold." Orthogonally to the color manipulation, some colors were eight times more frequent than others, and the letters were in upper- or lowercase. Color frequency modulated the electroencephalogram amplitude at around 150 ms when participants repeated the color-classification task. When participants switched from the letter task to the color task, this effect was significantly delayed. Thus, even when prepared for, a task switch delays or prolongs encoding of the relevant perceptual dimension.

Variations in normal color vision. VI. Factors underlying individual differences in hue scaling and their implications for models of color appearance.

Observers with normal color vision vary widely in their judgments of color appearance, such as the specific spectral stimuli they perceive as pure or unique hues. We examined the basis of these individual differences by using factor analysis to examine the variations in hue-scaling functions from both new and previously published data. Observers reported the perceived proportion of red, green, blue or yellow in chromatic stimuli sampling angles at fixed intervals within the LM and S cone-opponent plane. These proportions were converted to hue angles in a perceptual-opponent space defined by red vs. green and blue vs. yellow axes. Factors were then extracted from the correlation matrix using PCA and Varimax rotation. These analyses revealed that inter-observer differences depend on seven or more narrowly-tuned factors. Moreover, although the task required observers to decompose the stimuli into four primary colors, there was no evidence for factors corresponding to these four primaries, or for opponent relationships between primaries. Perceptions of "redness" in orange, red, and purple, for instance, involved separate factors rather than one shared process for red. This pattern was compared to factor analyses of Monte Carlo simulations of the individual differences in scaling predicted by variations in standard opponent mechanisms, such as their spectral tuning or relative sensitivity. The observed factor pattern is inconsistent with these models and thus with conventional accounts of color appearance based on the Hering primaries. Instead, our analysis points to a perceptual representation of color in terms of multiple mechanisms or decision rules that each influence the perception of only a relatively narrow range of hues, potentially consistent with a population code for color suggested by cortical physiology.

Hearing in color: How expectations distort perception of skin tone.

Previous research has found that the perceived brightness of a face can be distorted by the social category of race. Thus, Levin and Banaji (2006) found, in a U.S. sample, that faces of identical brightness were perceived to be lighter if they had stereotypical White American features than if they had Black American features. Here, we present 2 experiments conducted in Natal, Brazil, that extend this line of research. Experiment 1 tested if the brightness distortion effect would generalize to a Brazilian population. Experiment 2 tested if speech accent would have a similar effect on brightness perception. In Experiment 1, we found that the brightness distortion effect clearly replicated in the Brazilian sample: Faces with Black racial features were perceived to be darker than faces with White racial features, even though their objective brightness was identical. In Experiment 2, we found that speech accent influenced brightness perception in a similar manner: Faces were perceived to be darker when paired with an accent associated with low socioeconomic status than when they were paired with an accent associated with high socioeconomic status. Whereas racial concepts in Brazil are often claimed to be much more fluid compared with the United States, our findings suggest that the populations are quite similar with respect to associations between facial features and skin tone. Our findings also demonstrate speech accent as an additional source of category information that perceptual cognition can take into account when modeling the world. (PsycINFO Database Record

Quantification of visual function assessment using remote eye tracking in children: validity and applicability.

PURPOSE: Measurements of visual and oculomotor functions are essential for providing tailored support to visually impaired children. In young or intellectually disabled children these measurements can be difficult or even impossible to perform. Recordings of orienting gaze in response to specific visual information, made with eye tracking, may offer a solution. The aim of this study was to observe and quantify eye tracking (ET)-based gaze responses to provide information about visual and oculomotor functioning, and to compare this information with standard visual function assessments (VFA). METHODS: One hundred and twenty-six visually impaired children from 1-14 years underwent a VFA. Next they underwent a remote ET test. Four aspects of oculomotor control (nystagmus, fixation, saccades, pursuit) and three visual functions (visual field, contrast, colour) were selected to compare both methods. Performance was assessed (1) during VFA using standard behavioural observation and test scores and (2) after ET by observing and scoring the eye movement recordings. Validity, in terms of agreement between results, was measured by correlation analyses. From the orienting gaze responses, quantitative parameters (gain, fixation duration and directional saccades) were calculated to characterize visual performance. RESULTS: Good agreement between the two test methods was found for observational assessment of oculomotor control and visual functions (correlations ranging from rs  = 0.39 to rs  = 0.69). The quantitative parameters of visual performance showed distinct results between children with and without specific functional impairments, both in children aged 1-6 and 7-14 years. CONCLUSION: Eye tracking-based gaze recordings are a promising tool to assess oculomotor and visual performance in a communication-free manner. Calculating quantitative parameters from specific gaze responses could assist in the characterization of functional visual performance in children, independent of age. Gaze responses are a useful addition to standard VFA in clinical practice.

Disparate bilingual experiences modulate task-switching advantages: A diffusion-model analysis of the effects of interactional context on switch costs.

Drawing on the adaptive control hypothesis (Green & Abutalebi, 2013), we investigated whether bilinguals' disparate interactional contexts modulate task-switching performance. Fifty-eight bilinguals within the single-language context (SLC) and 75 bilinguals within the dual-language context (DLC) were compared in a typical task-switching paradigm. Given that DLC bilinguals switch between languages within the same context, while SLC bilinguals speak only one language in one environment and therefore rarely switch languages, we hypothesized that the two groups' stark difference in their interactional contexts of conversational exchanges would lead to differences in switch costs. As predicted, DLC bilinguals showed smaller switch costs than SLC bilinguals. Our diffusion-model analyses suggest that DLC bilinguals' benefits in switch costs are more likely driven by task-set reconfiguration than by proactive interference. Our findings underscore the modulating role of the interactional context of conversational exchanges in task switching.

Interdigitated Color- and Disparity-Selective Columns within Human Visual Cortical Areas V2 and V3.

In nonhuman primates (NHPs), secondary visual cortex (V2) is composed of repeating columnar stripes, which are evident in histological variations of cytochrome oxidase (CO) levels. Distinctive "thin" and "thick" stripes of dark CO staining reportedly respond selectively to stimulus variations in color and binocular disparity, respectively. Here, we first tested whether similar color-selective or disparity-selective stripes exist in human V2. If so, available evidence predicts that such stripes should (1) radiate "outward" from the V1-V2 border, (2) interdigitate, (3) differ from each other in both thickness and length, (4) be spaced ∼3.5-4 mm apart (center-to-center), and, perhaps, (5) have segregated functional connections. Second, we tested whether analogous segregated columns exist in a "next-higher" tier area, V3. To answer these questions, we used high-resolution fMRI (1 × 1 × 1 mm(3)) at high field (7 T), presenting color-selective or disparity-selective stimuli, plus extensive signal averaging across multiple scan sessions and cortical surface-based analysis. All hypotheses were confirmed. V2 stripes and V3 columns were reliably localized in all subjects. The two stripe/column types were largely interdigitated (e.g., nonoverlapping) in both V2 and V3. Color-selective stripes differed from disparity-selective stripes in both width (thickness) and length. Analysis of resting-state functional connections (eyes closed) showed a stronger correlation between functionally alike (compared with functionally unlike) stripes/columns in V2 and V3. These results revealed a fine-scale segregation of color-selective or disparity-selective streams within human areas V2 and V3. Together with prior evidence from NHPs, this suggests that two parallel processing streams extend from visual subcortical regions through V1, V2, and V3. SIGNIFICANCE STATEMENT: In current textbooks and reviews, diagrams of cortical visual processing highlight two distinct neural-processing streams within the first and second cortical areas in monkeys. Two major streams consist of segregated cortical columns that are selectively activated by either color or ocular interactions. Because such cortical columns are so small, they were not revealed previously by conventional imaging techniques in humans. Here we demonstrate that such segregated columnar systems exist in humans. We find that, in humans, color versus binocular disparity columns extend one full area further, into the third visual area. Our approach can be extended to reveal and study additional types of columns in human cortex, perhaps including columns underlying more cognitive functions.

In multiple situational light settings, visual observation for skin colour assessment is comparable with colorimeter measurement.

BACKGROUND: Finding inexpensive and reliable techniques for assessing skin colour is important, given that it is related to several adverse human health outcomes. Visual observation is considered a subjective approach assessment and, even when made by trained assessor, concern has been raised about the need for controlled lighting in the study venue. The aim of this study is to determine whether visual skin colour assessments correlate with objective skin colour measurements in study venues with different lighting types and configurations. METHODS: Two trained investigators, with confirmed visual acuity, visually classified the inner, upper arm skin colour of 556 adults using Munsell(®) colour classifications converted to Individual Typology Angle (°ITA) values based on published data. Skin colour at the same anatomic site was also measured using a colorimeter. Each participant was assessed in one of 10 different buildings, each with a different study day. Munsell(®) -derived °ITA values were compared to colorimeter °ITA values for the full sample and by building/day. RESULTS: We found a strong positive, monotonic correlation between Munsell(®) derived °ITA values and colorimeter °ITA values for all participants (Spearman ρ = 0.8585, P < 0.001). Similar relationships were found when Munsell(®) and colorimeter °ITA values were compared for participants assessed in the same building for all 10 buildings (Spearman ρ values ranged from 0.797 to 0.934, all correlations were statistically significant at P < 0.001). CONCLUSION: It is possible to visually assess individual skin colour in multiple situational lighting settings and retrieve results that are comparable with objective measurements of skin colour. This was true for individuals of varying population groups and skin pigmentation.

Costs of storing colour and complex shape in visual working memory: Insights from pupil size and slow waves.

We investigated the impact of perceptual processing demands on visual working memory of coloured complex random polygons during change detection. Processing load was assessed by pupil size (Exp. 1) and additionally slow wave potentials (Exp. 2). Task difficulty was manipulated by presenting different set sizes (1, 2, 4 items) and by making different features (colour, shape, or both) task-relevant. Memory performance in the colour condition was better than in the shape and both condition which did not differ. Pupil dilation and the posterior N1 increased with set size independent of type of feature. In contrast, slow waves and a posterior P2 component showed set size effects but only if shape was task-relevant. In the colour condition slow waves did not vary with set size. We suggest that pupil size and N1 indicates different states of attentional effort corresponding to the number of presented items. In contrast, slow waves reflect processes related to encoding and maintenance strategies. The observation that their potentials vary with the type of feature (simple colour versus complex shape) indicates that perceptual complexity already influences encoding and storage and not only comparison of targets with memory entries at the moment of testing.

An experimental method for the assessment of color simulation tools.

The Simulcheck method for evaluating the accuracy of color simulation tools in relation to dichromats is described and used to test three color simulation tools: Variantor, Coblis, and Vischeck. A total of 10 dichromats (five protanopes, five deuteranopes) and 10 normal trichromats participated in the current study. Simulcheck includes two psychophysical tasks: the Pseudoachromatic Stimuli Identification task and the Minimum Achromatic Contrast task. The Pseudoachromatic Stimuli Identification task allows determination of the two chromatic angles (h(uv) values) that generate a minimum response in the yellow­blue opponent mechanism and, consequently, pseudoachromatic stimuli (greens or reds). The Minimum Achromatic Contrast task requires the selection of the gray background that produces minimum contrast (near zero change in the achromatic mechanism) for each pseudoachromatic stimulus selected in the previous task (L(R) values). Results showed important differences in the colorimetric transformations performed by the three evaluated simulation tools and their accuracy levels. Vischeck simulation accurately implemented the algorithm of Brettel, Viénot, and Mollon (1997). Only Vischeck appeared accurate (similarity in huv and L(R) values between real and simulated dichromats) and, consequently, could render reliable color selections. It is concluded that Simulcheck is a consistent method because it provided an equivalent pattern of results for huv and L(R) values irrespective of the stimulus set used to evaluate a simulation tool. Simulcheck was also considered valid because real dichromats provided expected huv and LR values when performing the two psychophysical tasks included in this method.

Effect of task set-modulating attentional capture depends on the distractor cost in visual search: evidence from N2pc.

Previous studies have confirmed that attention can be modulated by the current task set while involuntarily captured by salient items. However, little is known on which factors the modulation of attentional capture is dependent on when the same stimuli with different task sets are presented. In the present study, participants conducted two visual search tasks with the same search arrays by varying target and distractor settings (color singleton as target, onset singleton as distractor, named as color task, and vice versa). Ipsilateral and contralateral color distractors resulted in two different relative saliences in two tasks, respectively. Both reaction times (RTs) and N2-posterior-contralateral (N2pc) results showed that there was no difference between ipsilateral and contralateral color distractors in the onset task. However, both RTs and the latency of N2pc showed a delay to the ipsilateral onset distractor compared with the contralateral onset distractor. Moreover, the N2pc observed under the contralateral distractor condition in the color task was reversed, and its amplitude was attenuated. On the basis of these results, we proposed a parameter called distractor cost (DC), computed by subtracting RTs under the contralateral distractor condition from the ipsilateral condition. The results suggest that an enhanced DC might be related to the modification of N2pc in searching for the color target. Taken together, these findings provide evidence that the effect of task set-modulating attentional capture in visual search is related to the DC.

Use of spectroscopy for assessment of color discrimination in animal vision.

Animals use color vision for a number of tasks including food localization, object recognition, communication, and mate selection. For these and other specific behaviors involving the use of color cues, models that quantify color discriminability have been developed. These models take as input the photoreceptor spectral sensitivities of the animal and radiance spectra of the surfaces of interest. These spectra are usually acquired using spectroscopic instruments that collect point-by-point data and can easily yield signals contaminated with neighboring colors if not operated carefully. In this paper, I present an equation that relates the optical fiber diameter and numerical aperture to the measurement angle and distance needed to record uncontaminated spectra. I demonstrate its utility by testing the discriminability of two solid colors for the visual systems of a dichromatic ferret and a trichromatic frog in (1) a conspicuous scenario where the colors have little spectral overlap and (2) a perfect camouflage scenario where the spectra are identical. This equation is derived from geometrical optics and is applicable to spectroscopic measurements in all fields.

How do we select multiple features? Transient costs for selecting two colors rather than one, persistent costs for color-location conjunctions.

In a previous study Lo, Howard, & Holcombe (Vision Research 63:20-33, 2012), selecting two colors did not induce a performance cost, relative to selecting one color. For example, requiring possible report of both a green and a red target did not yield a worse performance than when both targets were green. Yet a cost of selecting multiple colors was observed when selection needed be contingent on both color and location. When selecting a red target to the left and a green target to the right, superimposing a green distractor to the left and a red distractor to the right impeded performance. Possibly, participants cannot confine attention to a color at a particular location. As a result, distractors that share the target colors disrupt attentional selection of the targets. The attempt to select the targets must then be repeated, which increases the likelihood that the trial terminates when selection is not effective, even for long trials. Consistent with this, here we find a persistent cost of selecting two colors when the conjunction of color and location is needed, but the cost is confined to short exposure durations when the observer just has to monitor red and green stimuli without the need to use the location information. These results suggest that selecting two colors is time-consuming but effective, whereas selection of simultaneous conjunctions is never entirely successful.

A normative study of the color trails test in the Greek population.

The Color Trails Test (CTT) is a neuropsychological test that measures perceptual tracking and sustained and divided attention. Recently, its use has been increased in neurological diseases such as Alzheimer's disease, brain injury, and subclinical infarction. The aim of the present study was to provide normative data for the CTT in the Greek population. A total of 321 native Greek speakers with various professional backgrounds took part in the study. Exclusion criteria involved the existence of neurological and psychiatric diseases, history of alcohol and/or drug dependence, traumatic brain injury, and a Mini-Mental State Examination score below 27. Our results showed that age and education are important factors to consider for the interpretation of scores in all CTT variables. Older participants took more time and exhibited more errors, more near-misses, and more prompts compared with younger participants. Also, more-educated participants took less time, made fewer errors, had fewer near-misses, and rewired fewer prompts compared with less educated participants. CTT is a promising tool for the measurement of attention in the Greek population. Further research is needed to use this test in Greek patients with various neurological diseases.