Virtual Reality Stroop Task for neurocognitive assessment.

Given the prevalence of traumatic brain injury (TBI), and the fact that many mild TBIs have no external marker of injury, there is a pressing need for innovative assessment technology. The demand for assessment that goes beyond traditional paper-and-pencil testing has resulted in the use of automated cognitive testing for increased precision and efficiency; and the use of virtual environment technology for enhanced ecological validity and increased function-based assessment. To address these issues, a Virtual Reality Stroop Task (VRST) that involves the subject being immersed in a virtual Humvee as Stroop stimuli appear on the windshield was developed. This study is an initial validation of the VRST as an assessment of neurocognitive functioning. When compared to the paper-and-pencil, as well as Automated Neuropsychological Assessment Metrics versions of the Stroop, the VRST appears to have enhanced capacity for providing an indication of a participant's reaction time and ability to inhibit a prepotent response while immersed in a military relevant simulation that presents psychophysiologically arousing high and low threat stimuli.

Arousal, working memory, and conscious awareness in contingency learning.

There are wide individual differences in the ability to detect a stimulus contingency embedded in a complex paradigm. The present study used a cognitive masking paradigm to better understand individual differences related to contingency learning. Participants were assessed on measures of electrodermal arousal and on working memory capacity before engaging in the contingency learning task. Contingency awareness was assessed both by trial-by-trial verbal reports obtained during the task and by a short post-task recognition questionnaire. Participants who became aware had fewer non-specific skin conductance responses and tended to score higher on a digit span assessment. Skin conductance level was not significantly lower in the aware group than in the unaware group. These findings are consistent with studies showing that lower arousal and greater cognitive processing capacity facilitate conscious perception of a greater breadth of information within a scene or a task.

An initial validation of the Virtual Reality Paced Auditory Serial Addition Test in a college sample.

BACKGROUND: Numerous studies have demonstrated that the Paced Auditory Serial Addition Test (PASAT) has utility for the detection of cognitive processing deficits. While the PASAT has demonstrated high levels of internal consistency and test-retest reliability, administration of the PASAT has been known to create undue anxiety and frustration in participants. As a result, degradation of performance may be found on the PASAT. The difficult nature of the PASAT may subsequently decrease the probability of their return for follow up testing. NEW METHOD: This study is a preliminary attempt at assessing the potential of a PASAT embedded in a virtual reality environment. The Virtual Reality PASAT (VR-PASAT) was compared with a paper-and-pencil version of the PASAT as well as other standardized neuropsychological measures. The two modalities of the PASAT were conducted with a sample of 50 healthy university students, between the ages of 19 and 34 years. Equivalent distributions were found for age, gender, education, and computer familiarity. RESULTS: Moderate relationships were found between VR-PASAT and other putative attentional processing measures. The VR-PASAT was unrelated to indices of learning, memory, or visuospatial processing. COMPARISON WITH EXISTING METHOD(S): Comparison of the VR-PASAT with the traditional paper-and-pencil PASAT indicated that both versions require the examinee to sustain attention at an increasingly demanding, externally determined rate. CONCLUSIONS: Results offer preliminary support for the construct validity (in a college sample) of the VR-PASAT as an attentional processing measure and suggest that this task may provide some unique information not tapped by traditional attentional processing tasks.

Virtual reality Stroop task for assessment of supervisory attentional processing.

The current project is a preliminary attempt at assessing the potential of a three-dimensional virtual reality Stroop task (VRST) for investigation of supervisory attentional processing. The VRST was compared with paper-and-pencil and computer automated (two-dimensional) versions of the Stroop. Psychophysiological measures were also used to assess varying levels of user arousal. The three versions of the Stroop task were conducted with a sample of 50 healthy university students, between the ages of 18 and 28 years, which included equivalent distributions of men and women from ethnically diverse populations. No significant differences were found for age, gender, or education. Results indicated that the typical Stroop effect pattern found in the Delis-Kaplan Executive Function System (D-KEFS) and Automated Neuropsychological Assessment Metrics (ANAM) occurs in the VRST; the complexity condition of the VRST offers potential for assessment of exogenous and endogenous attentional processing; the two single-item presentation formats of the Stroop are comparable; there is a psychophysiological difference in arousal between low- and high-threat zones; and while there is a learning effect present in the VRST across conditions, it is limited by the arousal conditions in the high-threat zones. Additionally, no negative side effects were associated with use of the virtual environment. We conclude that the VRST has the potential to offer a novel approach to assessment of supervisory attentional processing within an ecologically relevant environment.

Can human autonomic classical conditioning occur without contingency awareness? The critical importance of the trial sequence.

Most evidence suggests that awareness of the CS-US contingency is necessary for human autonomic conditioning. However, Schultz and Helmstetter (2010) reported unaware skin conductance conditioning using difficult-to-discriminate visual CSs. We sought to replicate these findings with procedures nearly identical to Schultz and Helmstetter among 66 participants. Results replicated the findings of significantly greater autonomic responding to CS+ than CS-; however, participants also demonstrated greater expectancy of shock to CS+ than CS- despite being classified as unaware. The differential expectancy and conditioning occurred only on trials that followed a CS+/CS- alternating sequence. On non-alternating trials, there was significantly higher expectancy and skin conductance responding to CS- compared to CS+. These results indicate that what initially appeared to be unaware differential conditioning was likely due to differential expectancy arising from a predictable trial sequence. These results underscore the critical importance of controlling for trial sequence effects in the study of learning.

Can you give me a hand? A comparison of hands and feet as optimal anatomical sites for skin conductance recording.

The fingers and feet have long been accepted as optimal anatomical recording sites for electrodermal activity. The available literature suggests that the feet are more responsive than the fingers. The present report compared skin conductance level (SCL) and responses (SCRs) from the left foot and the distal phalanges of the fingers on the nondominant hand among 19 participants. The principal results were (a) SCRs recorded from the fingers were significantly larger and more frequent with shorter latencies than SCRs from the foot, (b) SCL from the fingers was significantly higher than from the foot, (c) the fingers exhibited significantly greater discrimination conditioning than the foot, and (d) skin conductance measures recorded from the fingers and foot were significantly positively correlated. Specifically, our results demonstrate that the distal phalanges of the fingers are electrodermally more responsive than the abductor hallucis area of the foot.

Validity of the Virtual Reality Stroop Task (VRST) in active duty military.

Virtual environments provide the ability to systematically deliver test stimuli in simulated contexts relevant to real world behavior. The current study evaluated the validity of the Virtual Reality Stroop Task (VRST), which presents test stimuli during a virtual reality military convoy with simulated combat threats. Active duty Army personnel (N = 49) took the VRST, a customized version of the Automated Neuropsychological Assessment Metrics (ANAM)-Fourth Edition TBI Battery (2007) that included the addition of the ANAM Stroop and Tower tests, and traditional neuropsychological measures, including the Delis-Kaplan Executive Function System version of the Color-Word Interference Test. Preliminary convergent and discriminant validity was established, and performance on the VRST was significantly associated with computerized and traditional tests of attention and executive functioning. Valid virtual reality cognitive assessments open new lines of inquiry into the impact of environmental stimuli on performance and offer promise for the future of neuropsychological assessments used with military personnel.

Age-related affective modulation of the startle eyeblink response: older adults startle most when viewing positive pictures.

Previous studies reveal age by valence interactions in attention and memory, such that older adults focus relatively more on positive and relatively less on negative stimuli than younger adults. In the current study, eyeblink startle response was used to measure differences in emotional reactivity to images that were equally arousing to both age groups. Viewing positive and negative pictures from the International Affective Picture System had opposite effects on startle modulation for older and younger adults. Younger adults showed the typical startle blink pattern, with potentiated startle when viewing negative pictures compared to positive pictures. Older adults, on the other hand, showed the opposite pattern, with potentiated startle when viewing positive pictures compared to viewing negative and neutral pictures. Potential underlying mechanisms for this interaction are evaluated. This pattern suggests that, compared with younger adults, older adults are more likely to spontaneously suppress responses to negative stimuli and process positive stimuli more deeply.

Better than the real thing: eliciting fear with moving and static computer-generated stimuli.

As the popularity of virtual reality as an exposure therapy increases, it is important to validate the use of computer-generated stimuli in comparison to standardized images of "real" phobic objects, such as those of the International Affective Picture System (IAPS). The present study examined physiological and subjective measures of negative affect when viewing static IAPS images, static computer-generated images and moving videos of computer-generated images of feared stimuli and other negative stimuli which were not specifically feared. For example, a picture of a spider would be a "feared" stimulus for a spider fearful participant, whereas a picture of a snake would be categorized as a "negative" stimulus for that participant. Eighteen participants scoring high (high fear (HF) cohort) on questionnaires assessing specific fears of spiders or snakes and 20 participants scoring low (low fear (LF) cohort) on the questionnaires viewed the stimuli. The computer-generated videos elicited greater physiological (skin conductance and startle eyeblink potentiation) and self-report arousal responses than the IAPS images and the computer-generated static images. Computer-generated stills and IAPS images did not differ in eliciting emotional responses. Additionally, HF participants showed greater heart rate acceleration and larger skin conductance responses to their feared stimulus than to the negative stimulus, especially when viewing computer-generated moving videos. The results demonstrate the importance of motion in eliciting fear and the usefulness of computer-generated stimuli in the study of emotion.