Validation study of the apathy motivation index in French adults.

Objective: Apathy is present in many brain disorders, but it is also prevalent to varying degrees in healthy people. While many tools have been developed to assess levels of apathy in pathology, no standardized measure of apathy in healthy people exists. Method: Therefore, this study aimed to validate the French version of the Apathy Motivation Index (f-AMI). The results of 729 participants were analyzed using an exploratory factorial analysis. Results: Preliminary analyses suggested that the three domains of apathy extracted in the original AMI scale-behavioral activation (BA), social motivation (SM), and emotional sensitivity (ES)-could be found also in the f-AMI. A further exploratory analysis showed that a higher number of factors could be extracted, particularly for women. Specifically, both social and emotional factors could be divided into two sub-factors: (1) social motivation toward strangers or toward an acquaintance and (2) self-directed emotional sensitivity directed toward others. Regarding construct validity, the scores of f-AMI were correlated with the French Dimensional Apathy Scale results. Concerning the divergent validity, emotional sensitivity in apathy is different from depression, anhedonia, and fatigue levels. Conclusion: These results suggest that the f-AMI can be used to assess levels of apathy in healthy adults.

Visuo-Tactile Congruence Leads to Stronger Illusion Than Visuo-Proprioceptive Congruence: a Quantitative and Qualitative Approach to Explore the Rubber Hand Illusion.

The Rubber Hand Illusion (RHI) arises through multisensory congruence and informative cues from the most relevant sensory channels. Some studies have explored the RHI phenomenon on the fingers, but none of them modulated the congruence of visuo-tactile and visuo-proprioceptive information by changing the posture of the fingers. This study hypothesizes that RHI induction is possible despite a partial visuo-proprioceptive or visuo-tactile incongruence. With quantitative and qualitative measures, we observed that gradual induction of the sense of body ownership depends on the congruence of multisensory information, with an emphasis on visuo-tactile information rather than visuo-proprioceptive signals. Based on the overall measures, the RHI observed went from stronger to weaker with full congruence; visuo-proprioceptive incongruence and visuo-tactile congruence; visuo-proprioceptive congruence and visuo-tactile incongruence; full incongruence. Our results confirm that congruent visual and tactile mapping is important, though not mandatory, to induce a strong sense of ownership. By changing index finger and thumb postures rather than the rotation of the whole hand, our study investigates the contribution of visuo-proprioception and postural congruence in the field of RHI research. The results are in favor of a probabilistic multisensory integration theory and do not resonate with rules and constraints found in internal body models. The RHI could be illustrated as a continuum: the more multisensory information is congruent, the stronger the RHI.

Effects of a developmental dyslexia remediation protocol based on the training of audio-phonological cognitive processes in dyslexic children with high intellectual potential: study protocol for a multiple-baseline single-case experimental design.

BACKGROUND: The significant prevalence of children with high intellectual potential (HIP) in the school-age population and the high rate of comorbidity with learning disabilities such as dyslexia has increased the demand for speech and language therapy and made it more complex. However, the management of dyslexic patients with high intellectual potential (HIP-DD) is poorly referenced in the literature. A large majority of studies on HIP-DD children focus on the screening and diagnosis of developmental dyslexia, but only a few address remediation. Developmental dyslexia is a severe and persistent disorder that affects the acquisition of reading and implies the impairment of several underlying cognitive processes. These include deficits in Categorical Perception, Rapid Automatized Naming, and phonological awareness, particularly phonemic awareness. Some authors claim that HIP-DD children's underlying deficits mainly concern rapid automatized naming and phonological awareness. Thus, the purpose of this study is to present a remediation protocol for developmental dyslexia in HIP-DD children. This protocol proposes to compare the effects on reading skills of an intensive intervention targeting categorical perception, rapid automatized naming, and phonemic analysis versus standard speech therapy remediation in HIP-DD children. METHODS: A multiple-baseline single-case experimental design (A1BCA2) will be proposed to 4 French HIP-DD patients for a period of 30 weeks. Intervention phases B and C correspond to categorical perception training and rapid automatized naming training. During phases B and C, each training session will be associated with phonemic analysis training and a reading and writing task. At inclusion, a speech and language, psychological, and neuropsychological assessment will be performed to define the four patients' profiles. Patients will be assigned to the different baseline lengths using a simple computerized randomization procedure. The duration of the phases will be counterbalanced. The study will be double blinded. A weekly measurement of phonological and reading skills will be performed for the full duration of the study. DISCUSSION: The purpose of this protocol is to observe the evolution of reading skills with each type of intervention. From this observation, hypotheses concerning the remediation of developmental dyslexia in HIP-DD children can be tested. The strengths and limitations of the study are discussed. TRIAL REGISTRATION: ClinicalTrials.gov, NCT04028310 . Registered on July 18, 2019. Version identifier is no. ID RCB 2019-A01453-54, 19-HPNCL-02, 07/18/2019.

Associations, overlaps and dissociations between apathy and fatigue.

Apathy and fatigue have a high prevalence in many pathological populations, but they are also present in healthy adults. The relationship between apathy and fatigue, which are both multidimensional, is still poorly understood. This study aims to describe the associations between the subdimensions of both apathy and fatigue and to investigate their overlaps and dissociations in healthy people. 729 participants (mean age = 30.8 ± 10.7 years) completed online self-assessment questionnaires. The Apathy Motivation Index and Dimensional Apathy Scale were used to assess apathy. The Multidimensional Fatigue Inventory was used to assess fatigue. The executive dimension of apathy showed the strongest correlations with mental fatigue and the two appeared to be underpinned by the same latent factor, according to exploratory factor analysis (EFA). The factor structure of EFA showed overlaps between behavioral apathy and both reduced motivation and activity in fatigue. Emotional and social dimensions of apathy were separately underpinned by a latent factor that comprised no items of fatigue. Apathy and fatigue have reduced activity and mental difficulties in common, whereas emotional and social disorders distinguish apathy from fatigue. This has important implications for assessing apathy and fatigue in the general population, and may be relevant for clinical practice.

In-Person and Remote Workshops for People With Neurocognitive Disorders: Recommendations From a Delphi Panel.

Workshops using arts and board games are forms of non-pharmacological intervention widely employed in seniors with neurocognitive disorders. However, clear guidelines on how to conduct these workshops are missing. The objective of the Art and Game project (AGAP) was to draft recommendations on the structure and content of workshops for elderly people with neurocognitive disorders and healthy seniors, with a particular focus on remote/hybrid workshops, in which at least a part of the participants is connected remotely. Recommendations were gathered using a Delphi methodology. The expert panel (N = 18) included experts in the health, art and/or board games domains. They answered questions via two rounds of web-surveys, and then discussed the results in a plenary meeting. Some of the questions were also shared with the general public (N = 101). Both the experts and the general public suggested that organizing workshops in a hybrid format (some face-to-face sessions, some virtual session) is feasible and interesting for people with neurocognitive disorders. We reported guidelines on the overall structure of workshops, practical tips on how to organize remote workshops, and a SWOT analysis of the use of remote/hybrid workshops. The guidelines may be employed by clinicians to decide, based on their needs and constraints, what interventions and what kind of workshop format to employ, as well as by researcher to standardize procedures to assess the effectiveness of non-pharmacological treatments for people with neurocognitive disorders.

A Saccadic Choice Task for Target Face Detection at Large Visual Eccentricities in Patients with Glaucoma.

SIGNIFICANCE: Little is known about the perception of glaucomatous patients at large visual eccentricities. We show that the patients' performance drops beyond 40° eccentricity even for large images of scenes, suggesting that clinical tests should assess the patients' vision at larger eccentricities than 24 or 30°. PURPOSE: Daily activities such as visual search, spatial navigation, and hazard detection require rapid scene recognition on a wide field of view. We examined whether participants with visual field loss at standard automated perimetry 30-2 were able to detect target faces at large visual eccentricities. METHODS: Twelve patients with glaucoma and 14 control subjects were asked to detect a face in a two-alternative saccadic forced choice task. Pairs of scenes, one containing a face, were randomly displayed at 10, 20, 40, 60, or 80° eccentricity on a panoramic screen covering 180° horizontally. Participants were asked to detect and to saccade toward the scene containing a face. RESULTS: Saccade latencies were significantly slower in patients (264 milliseconds; confidence interval [CI], 222 to 306 milliseconds) than in control subjects (207 milliseconds; CI, 190 to 226 milliseconds), and accuracy was significantly lower in patients (70% CI, 65 to 85%) than in control subjects (75.7% CI, 71.5 to 79.5%). Although still significantly above chance at 60°, the patients' performance dropped beyond 40° eccentricity. The control subjects' performance was still above chance at 80° eccentricity. CONCLUSIONS: In patients with various degrees of peripheral visual field defect, performance dropped beyond 40° eccentricity for large images at a high contrast. This result could reflect reduced spread of exploration in glaucoma.

What is the Nature of the Reach-and-Grasp Deficit in Glaucoma?

PRéCIS:: In a reach-and-grasp task, patients with glaucoma exhibited a motor disorder, even when they had time to explore their environment. The motor performance of glaucoma patients should be taken into account in rehabilitation. PURPOSE: Vision plays an important role in planning and executing manual prehension (reaching and grasping). We assess the impact of glaucoma on motor production, as a function of the visual exploration time available to the patients. METHODS: We compared performance in 2 reach-and-grasp tasks determined by whether or not the participants (16 glaucoma patients, 14 age-matched and 18 young controls) had time to explore the objects before reaching and grasping a target object defined by its color. RESULTS: Differences were observed between glaucoma patients and age-matched controls on movement duration and peak velocity (reaching phase) only when participants were not provided time to look at the objects before the movement (immediate condition). CONCLUSIONS: Glaucoma patients exhibited a motor disorder (grasping phase) only when they had no time to explore their environment before performing the reach-and-grasp task. The motor abnormalities in reaching phase observed in glaucoma patients in previous studies seem to result from difficulties in target identification rather than from visuomotor deficits. From a clinical point of view, motor performances of glaucoma patients could be modulated by task, especially by temporal constraints of task.

Does the motor system contribute to the perception of changes in objects visual attributes? The neural dynamics of sensory binding by action.

The contribution of the motor system to perception has been highlighted in research investigating the effect of performing an action on the conscious processing of information received from the sensory systems. For example, the perceptual temporal asynchrony observed when passively reporting changes in visual object attributes (e.g., colour and position) was found to disappear virtually when the changes resulted from a voluntary motor action. Although the spatio-temporal constraints of sensory binding by action have been broadly investigated, the underlying neural correlates are still largely unknown. In the present study, participants performed temporal order judgments of changes in the colour and position of a visual stimulus, while adapting to a 750 ms delay between a sound (perceptual condition) or the end of a manual reaching action (motor condition), and the visual changes. Behavioural observations indicated that temporal asynchrony (-30.2 ms) decreased in the motor condition (2.7 ms), as a result of sensorimotor adaptation, but not in the perceptual condition (-29.6 ms). EEG-evoked potentials on posterior visual regions showed that early components were altered by sensorimotor adaptation, with in particular a broad reduction in the amplitude of the early P1 component. Furthermore, time-frequency analysis of EEG signals during the 350 ms period preceding the visual changes revealed an increase of the 15-25 Hz frequency band amplitude in the central region and a decrease of the 8-12 Hz frequency band amplitude in the posterior region. Overall the results suggest that sensory binding by action depends on an early top-down modulation of the visual regions by the motor system - in agreement with the pre-activation theory of action-perception coupling - associated with an increase of attentional resources.

Attentional capture by incongruent object/background scenes in patients with Alzheimer disease.

AIM: Object/background association is critical to understand the context of visual scenes but also in daily life tasks like object search. Patients with Alzheimer disease (AD) exhibit impairment in scene processing at different levels: perception, recognition, memory and spatial navigation. We explored whether patients with AD make use of contextual information in congruent and incongruent target/background conditions in three different saccadic choice tasks. EXPERIMENT: We recruited 36 participants (12 young, 12 patients with AD at a moderate stage and 12 age-matched controls). Pairs of scenes (one congruent and one incongruent object/background) were displayed. In a free viewing task we recorded whether the participants spontaneously direct their gaze (eye tracker recordings) toward the congruent or the incongruent scene. In a task referred as "implicit", the participants had to saccade toward a pre-defined target (animal or piece of furniture) in a scene (congruent or not with the target). In a task, called "explicit", participants had to saccade towards the congruent scene. RESULTS: In contrast with both young and older controls patients with AD showed difficulties to refrain a first saccade toward incongruent scenes in the free viewing and the implicit tasks. They were at chance level in the explicit task. When given time to explore the two scenes, in a manual response condition, they were able to accomplish the implicit and explicit tasks with good accuracy. CONCLUSION: In contrast to healthy controls patients with AD exhibited a strong, significant, bias towards incongruent object/background scenes, even in the free viewing task, suggesting that unfamiliar or deviant stimuli attract their attention spontaneously. This result is in line with studies showing impairments in filtering out irrelevant distractors in visual search tasks and with studies suggesting inefficient top-down control to select relevant information at early stage of the disease.

What Is the Nature of the Reach and Grasp Deficit in Wet Age-related Macular Degeneration?

SIGNIFICANCE: Vision is paramount for motor actions directed toward objects. Vision allows not only the identification of objects and their shape and spatial location, but also the adaptation of our movement when it arrives on the object. These findings show that vision deficits, as in age-related macular degeneration (AMD), can lead to reaching and grasping deficits. PURPOSE: Few studies have investigated reaching and grasping in patients with AMD. They showed a deficit in the execution of motor actions in people with AMD, even though these people do not mention difficulties in their daily lives. The purpose of this study was to understand the nature of impairments in motor actions in patients. METHODS: We compared performance in two reach-and-grasp tasks determined by whether the participants (16 people with wet AMD and 17 age-matched control subjects) had time to look at the object before reaching and grasping it. RESULTS: The results show that the kinematic parameters of reach-and-grasp movements do not differ between groups when participants are provided time to look at the object before the movement. In contrast, performance in terms of movement duration, acceleration time, time to reach the maximum grip aperture, and the maximum velocity differ between patients and control subjects when the object is displayed immediately before the movement. CONCLUSIONS: The motor perturbations observed in people with AMD in previous studies seem to result from difficulties in target identification rather than from visuomotor deficits.

Body-centred and Object-centred Motor Imagery in Alzheimer's Disease.

OBJECTIVE: Autonomy in patients with Alzheimer's disease (AD) in daily life depends on the preservation of neurocognitive and motor abilities, which decline over time. So far, very few studies have investigated motor representations and their contribution to perception and cognition in AD. METHODS: In the present study, we compared the performance of AD patients to age-matched healthy participants in perceptual and cognitive tasks involving motor imagery. Experiment 1 tested explicit motor and visual imagery through an imagined movement task. Experiment 2 tested body-centred implicit motor imagery through a mental rotation of visual hand task. Finally, Experiment 3 tested object-centred implicit motor imagery through a reachability judgment task. RESULTS: The results showed that, compared to age-matched controls, conscious imagination of a body movement or the movement of a visual stimulus was much longer in AD patients, with no specific difficulty in the motor condition (Experiment 1). Furthermore, response time in AD patients was strongly affected by the angle of rotation of the visual stimuli in the mental rotation of hand task (Experiment 2). Likewise, response time in AD patients increased substantially in the reachability judgment task, but predominantly for stimuli located at the boundary of peripersonal space (Experiment 3). CONCLUSION: As a whole, the data suggested a decline in AD of implicit, but not explicit, motor imagery capacities affecting processing time, but not performance accuracy, in motor-related perceptual and cognitive tasks.

Temporal and spatial constraints of action effect on sensory binding.

Previous studies have shown that asynchrony in perceived changes in the visual attributes of an object is attenuated when the object is the target of a manual reaching action (e.g. Corveleyn et al. in J Vis, 2012. doi: 10.1167/12.11.20 ). In the present study, we examined the temporal and spatial constraints associated with the effect of action on sensory binding. Participants performed a temporal order judgment task which required them to judge which changed first, the position or the colour of a visual stimulus, either while performing a concurrent motor task (manual acquisition of a visual target) or not (perceptual task). In Experiment 1, the fixed-attribute change (colour or position) occurred 0, 250, 500 or 1000 ms following the end of the motor action or the presentation of an auditory cue, while the variable-attribute change (position or colour) occurred randomly within an interval of ±200 ms from the fixed-attribute change. In Experiment 2, the visual stimulus was presented at a distance of 0, 2, 4 or 8 cm from a central fixation cross which was the target in the motor task. The fixed attribute (colour or position) changed 700 ms after an auditory cue (perceptual task) or when the hand reached the visual target (motor task). The variable-attribute change (position or colour) again occurred within an interval of ±200 ms from the fixed-attribute change. Statistical analysis of the point of subjective simultaneity revealed that performing a motor action reduced the perceived temporal asynchrony in the perceptual task, but only when the visual changes occurred less than 500 ms (for the fixed attribute) following movement execution (Exp. 1) and at a distance of less than 4 cm from the movement endpoint (Exp. 2). These results indicate that action-induced sensory binding requires temporal contiguity and spatial congruency between the endpoint of the action and its visual consequences.

Sensorimotor adaptation modifies action effects on sensory binding.

Previous studies have shown that performing a motor action toward a target decreases the perceptual asynchrony observed in a temporal order judgment (TOJ) of a change in the target's visual attributes. We examined the temporal limit of this effect and whether this temporal limit can be extended through sensorimotor adaptation. Participants performed a TOJ task related to changes of the position and color of a visual stimulus in a perceptual and a motor task. A fixed change (color or position) occurred 250 or 500 ms following an auditory cue (perceptual task) or the end of a manual reaching action (motor task), whereas the variable change (position or color) occurred randomly within a time window of ±200 ms locked to the fixed change. The points of subjective simultaneity (PSSs) revealed that performing a voluntary action decreased the temporal asynchrony observed in the perceptual task, but only in the 250-ms delay condition. In Experiment 2, the fixed change occurred 1 s after either an auditory cue or the end of a manual reaching action, and the variable change occurred either simultaneously (new sensorimotor contingencies, 60 % of trials) or within a time window of ±200 ms (40 % of trials). The PSSs revealed that temporal asynchrony decreased in the motor task, but only after adaptation to the 1-s delay. Taken together, these data show that voluntary motor action affects the temporal binding of visual attributes for a period of less than 500 ms after the end of the action. Sensorimotor adaptation can nevertheless extend this time interval, at least up to 1 s.

Motor action reduces temporal asynchrony between perceived visual changes.

Perceiving a visual object requires binding sensory estimates of its various physical attributes. This process can be facilitated if changes of different attributes are perceived with little asynchronies when they are physically aligned, which is not always the case as revealed by temporal order judgment or perceptual synchronization tasks of visual attributes changes. In this study, we analyzed the effect of performing a motor action on the perceived relative timing between changes of position and color of a visual target by using a temporal order judgment (TOJ) task. Results showed that in the perceptual condition, the change of color must precede (-37.9 ms) the change of position in order to perceive a synchronous change of both target's visual attributes. This physical asynchrony vanished when the same changes took place near the end of a manual reaching action executed towards the visual target (-3.3 ms). The reduction of asynchrony was, however, not observed when participants performed TOJ of visual attributes change in the presence of concomitant tactile information (-36 ms) but with no action. The perceptual relative timing between visual changes was also unaffected when the timing was obtained by comparing each visual change to tactile information resulting from motor action (-33.5 ms) or external stimulation (-27.8 ms). Altogether, these results suggest that signals associated with the organization of a motor action, but not sensory information itself, contribute to reduce the differential delays when processing visual attributes of a single object. Furthermore, the effect of action was not observed when judging relative timing of object-related (visual) versus object-unrelated (tactile) sensory information.