Executive function performance in children and adolescent patients with narcolepsy type 1.

OBJECTIVE: The executive function profile in patients with narcolepsy type 1 (NT1) has been mentioned; however, limited research exists on children and adolescent patients with NT1.This study aims to assess executive function in children and adolescent patients with NT1 in China, examine potential influencing factors and evaluate the short-term treatment effect on executive function. METHODS: 53 NT1 patients (36 males, age 12.2 ± 3.4 years) and 37 healthy controls (23 males, age 12.2 ± 2.5 years) underwent self-reported measures assessing subjective sleepiness, depression, anxiety and sleep quality. A comprehensive neuropsychological test was administered to assess executive function domains, including processing speed, inhibitory control, cognitive flexibility and working memory. These assessments were repeated in NT1 patients after three-day regular drug treatment. RESULTS: NT1 patients exhibited higher levels of excessive daytime sleepiness, depression, anxiety, and poor sleep quality compared to healthy controls. Patients showed impaired processing speed, inhibitory control and cognitive flexibility (p < 0.05), whereas working memory was unaffected (p > 0.05). Regression analysis revealed that parameters from sleep monitoring, such as sleep efficiency and sleep latency, were correlated with executive function performance after controlling for age, gender, and education years. The short-term treatment led to improvements in inhibitory control, cognitive flexibility, and working memory. CONCLUSION: The findings showed that executive function was impaired among children and adolescent patients with NT1, which was associated with objective sleep parameters. Furthermore, this study emphasizes the necessity of neuropsychological assessments and early interventions among children and adolescent NT1 patients.

Mental Numerosity Line in the Human's Approximate Number System.

Previous studies have demonstrated existence of a mental line for symbolic numbers (e.g., Arabic digits). For nonsymbolic number systems, however, it remains unresolved whether a spontaneous spatial layout of numerosity exists. The current experiment investigated whether SNARC-like (Spatial-Numerical Association of Response Codes) effects exist in approximate processing of numerosity, as well as of size and density. Participants were asked to judge whether two serially presented stimuli (i.e., dot arrays, pentagons) were the same regarding numbers of dots, sizes of the pentagon, or densities of dots. Importantly, two confounds that were overlooked by most previous studies were controlled in this study: no ordered numerosity was presented, and only numerosity in the approximate number system (beyond the subitizing range) was used. The results demonstrated that there was a SNARC-like effect only in the numerosity-matching task. The results suggest that numerosity could be spontaneously aligned to a left-to-right oriented mental line according to magnitude information in human's approximate number system.