Effects of a neutral warning signal under increased temporal uncertainty.

Han and Proctor (2022a, Quarterly Journal of Experimental Psychology, 75[4], 754-764) reported that in a visual two-choice task, compared with a no-warning condition, a neutral warning tone caused shorter reaction times (RTs) but at the expense of an increase in error percentages (a speed-accuracy trade-off) at a constant 50-ms foreperiod but shorter RTs without an increase in error percentages at a 200-ms foreperiod. Also, the spatial compatibility of stimulus-response mappings was found to interact with the foreperiod effect on RT. We conducted three experiments to investigate whether these findings can be replicated without the constancy of foreperiod within a trial block. In Experiments 1 and 2, participants performed the same two-choice task as in Han and Proctor's study but with the foreperiod randomly varied among 50, 100, and 200 ms and RT feedback provided after each response. Results showed that as the foreperiod increased, RT decreased while EP increased, demonstrating a consistent speed-accuracy trade-off. Also, the mapping effect was found to be largest at the 100-ms foreperiod. In Experiment 3, RT feedback was not provided, and the warning tone speeded responses without evidence of an increase in error percentage. We conclude that the enhanced information processing at a 200-ms foreperiod depends on constancy of foreperiod within a trial block, whereas the mapping-foreperiod interaction found in Han and Proctor is relatively unaffected by increased temporal uncertainty.

Phasic alerting effects on visual processing speed are associated with intrinsic functional connectivity in the cingulo-opercular network.

Phasic alertness refers to short-lived increases in the brain's "state of readiness", and thus to optimized performance following warning cues. Parametric modelling of whole report task performance based on the computational theory of visual attention (TVA) has demonstrated that visual processing speed is increased in such cue compared to no-cue conditions. Furthermore, with respect to the underlying neural mechanisms, individual visual processing speed has been related to intrinsic functional connectivity (iFC) within the cingulo-opercular network, suggesting that this network's iFC is relevant for the tonic maintenance of an appropriate readiness or alertness state. In the present study, we asked whether iFC in the cingulo-opercular network is also related to the individual ability to actively profit from warning cues, i.e. to the degree of phasic alerting. We obtained resting-state functional magnetic resonance imaging (rs-fMRI) data from 32 healthy young participants and combined an independent component analysis of rs-fMRI time courses and dual regression approach to determine iFC in the cingulo-opercular network. In a separate behavioural testing session, we parametrically assessed the effects of auditory phasic alerting cues on visual processing speed in a TVA-based whole report paradigm. A voxel-wise multiple regression revealed that higher individual phasic alerting effects on visual processing speed were significantly associated with lower iFC in the cingulo-opercular network, with a peak in the left superior orbital gyrus. As phasic alertness was neither related to iFC in other attention-relevant, auditory, or visual networks nor associated with any inter-network connectivity pattern, the results suggest that the individual profit in visual processing speed gained from phasic alerting is primarily associated with iFC in the cingulo-opercular network.

Phasic alerting in visual search tasks.

Many tasks require one to search for and find important objects in the visual environment. Visual search is strongly supported by cues indicating target objects to mechanisms of selective attention, which enable one to prioritise targets and ignore distractor objects. Besides selective attention, a major influence on performance across cognitive tasks is phasic alertness, a temporary increase of arousal induced by warning stimuli (alerting cues). Alerting cues provide no specific information on whose basis selective attention could be deployed, but have nevertheless been found to speed up perception and simple actions. It is still unclear, however, how alerting affects visual search. Therefore, in the present study, participants performed a visual search task with and without preceding visual alerting cues. Participants had to report the orientation of a target among several distractors. The target saliency was low in Experiment 1 and high in Experiment 2. In both experiments, we found that visual search was faster when a visual alerting cue was presented before the target display. Performance benefits occurred irrespective of how many distractors had been presented along with the target. Taken together, the findings reveal that visual alerting supports visual search independently of the complexity of the search process and the demands for selective attention.

Warning signals only support the first action in a sequence.

Acting upon target stimuli from the environment becomes faster when the targets are preceded by a warning (alerting) cue. Accordingly, alerting is often used to support action in safety-critical contexts (e.g., honking to alert others of a traffic situation). Crucially, however, the benefits of alerting for action have been established using laboratory tasks assessing only simple choice reactions. Real-world actions are considerably more complex and mainly consist of sensorimotor sequences of several sub-actions. Therefore, it is still unknown if the benefits of alerting for action transfer from simple choice reactions to such sensorimotor sequences. Here, we investigated how alerting affected performance in a sequential action task derived from the Trail-Making-Test, a well-established neuropsychological test of cognitive action control (Experiment 1). In addition to this task, participants performed a classic alerting paradigm including a simple choice reaction task (Experiment 2). Results showed that alerting sped up responding in both tasks, but in the sequential action task, this benefit was restricted to the first action of a sequence. This was the case, even when multiple actions were performed within a short time (Experiment 3), ruling out that the restriction of alerting to the first action was due to its short-lived nature. Taken together, these findings reveal the existence of an interface between phasic alertness and action control that supports the next action.

Vision rivals audition in alerting humans for fast action.

Successful behaviour requires that humans act promptly upon the ubiquitous rapid changes in the environment. Prompt actions are supported by phasic alertness, the increased readiness for perception and action elicited by warning stimuli (alerting cues). Audition is assumed to induce phasic alertness for action faster and more strongly than other senses. Here, we show that vision can be equally effective as audition. We investigated the temporal evolution and the effectiveness of visual and auditory alerting for action in a speeded choice task, while controlling for basic sensitivity differences between the modalities that are unrelated to action control (by matching auditory and visual stimuli according to reaction times in a prior simple detection task). Results revealed that alerting sped up responses, but this happened equally fast and equally strong for visual and auditory alerting cues. Thus, these findings argue that vision rivals audition in phasic alerting for prompt actions, and suggest that the underlying mechanisms work across both modalities.

Testing the saliency-based account of phasic alertness.

As an essential component of the human attention system, the effect of phasic alertness refers to the change of performance with the presence of a preceding warning signal. Weinbach and Henik (Cognition, 133 (2), 414-419, 2014) argued that phasic alertness is an adaptive mechanism that diverts attention to salient events. This mechanism enhances selective attention when the critical event is more salient than others. When selective attention to less salient details is required, phasic alertness can lead to more interference from task-irrelevant information. The experiment on which this saliency-based account of phasic alertness is based has not been replicated. In two experiments, the present study attempted to replicate the alertness-related findings of Weinbach and Henik. Although we used a similar design, the results did not reveal evidence for an interaction between phasic alertness and response congruency in the global/local processing task. Our results do not support the saliency-based account of phasic alertness. We argue that more systematic investigation is needed for this phasic alertness account.

Phasic Alertness and Multisensory Integration Contribute to Visual Awareness of Weak Visual Targets in Audio-Visual Stimulation under Continuous Flash Suppression.

Multisensory stimulation is associated with behavioural benefits, including faster processing speed, higher detection accuracy, and increased subjective awareness. These effects are most likely explained by multisensory integration, alertness, or a combination of the two. To examine changes in subjective awareness under multisensory stimulation, we conducted three experiments in which we used Continuous Flash Suppression to mask subthreshold visual targets for healthy observers. Using the Perceptual Awareness Scale, participants reported their level of awareness of the visual target on a trial-by-trial basis. The first experiment had an audio-visual Redundant Signal Effect paradigm, in which we found faster reaction times in the audio-visual condition compared to responses to auditory or visual signals alone. In two following experiments, we separated the auditory and visual signals, first spatially (experiment 2) and then temporally (experiment 3), to test whether the behavioural benefits in our multisensory stimulation paradigm could best be explained by multisensory integration or increased phasic alerting. Based on the findings, we conclude that the largest contributing factor to increased awareness of visual stimuli accompanied by auditory tones is a rise in phasic alertness and a reduction in temporal uncertainty with a small but significant contribution of multisensory integration.

Attentional asymmetry in orienting and alertness and its relationship to temperament: A longitudinal study of infants aged 6-24 months.

Previous research suggests that difficulties in orienting to visual stimuli directed by the right hemisphere are related to parental reports of distress and may be an early sign of autism spectrum disorder (ASD). One possible reason for this difficulty is infants' ability to achieve high levels of alertness, which also depends on the right hemisphere. This study examines the relationship between phasic alertness and asymmetry in visual orienting in typically-developing 6-24-month-old infants using the overlap paradigm. Participants were given a spatially non-directive warning signal shortly before the onset of the peripheral target. The signal reduced latencies in both overlap and no-overlap conditions. No main effects of age and visual field or interaction were found. However, results confirm the negative association between temperamental soothability and disengagement difficulty toward the left visual field at 6 months. This is discussed from the viewpoint of early left visual field attentional bias in relation to social cognition.

Phasic alertness boosts representational momentum.

The final location of a moving object is always misremembered in the direction of the object's motion; this occurrence is called representational momentum. Three experiments were conducted to investigate the effects of phasic alertness on representational momentum by presenting a visual or auditory warning cue. In experiment 1, the mouse pointer paradigm was used, and the results showed that external warning cues increased forward displacement. Experiment 2 indicated that the effects of phasic alertness and speed of motion on representational momentum were independent. In experiment 3, the probe paradigm was used, and the results showed that external warning cues increased forward displacement as well as participants' sensitivity to the difference between the target and probe positions. These findings prove that phasic alertness boosts rather than reduces representational momentum. We propose that phasic alertness might influence representational momentum by modulating the process of executive control in the retention interval.

Phasic alerting increases visual processing speed in amnestic mild cognitive impairment.

External warning cues temporarily increase the brain's sensitivity for upcoming events, helping individuals to flexibly adapt their reactions to the requirements of complex visual environments. Previous studies reported that younger and cognitively normal older adults profit from phasic alerting cues. Such an intact phasic alerting mechanism could be even more relevant in individuals with Alzheimer's disease who are characterized by reduced processing capacities. The present study employed a theory of visual attention based verbal whole report paradigm with auditory cues in order to investigate phasic alerting effects in amnestic mild cognitive impairment (aMCI). Patients with aMCI were also compared to a previously reported sample of cognitively normal older adults. In patients with aMCI, visual processing speed was higher in the cue compared to the no-cue condition. Further, visual processing speed was reduced in patients with aMCI compared to cognitively normal older adults. Taken together, the results suggest that the processing system of patients with aMCI exhibits general declines but can still integrate auditory warning signals on a perceptual level.

Phasic and tonic alertness in preterm 5-year-old healthy children.

Preterm delivery may interrupt the intrauterine brain development and implies a risk factor for the developing brain. In the long term, most frequently particular forms of attention deficits are described which refer to the basic aspects of attention i.e., arousal or tonic alertness. As this reflects top-down processes, the current study focuses on bottom-up processed phasic alertness in preschool aged preterm children. Additionally, we made a division of response times into decision and movement time to quantify more exactly the contribution of cognitive and motor performance to reaction times. We investigated basic aspects of attention functioning and contrasted phasic and tonic alertness in 31 low-risk healthy preterm (28-36 weeks of gestation) and 22 term children of five to 6 years of age by using a self-designed computerized test. Preterm children exhibited delayed decision and reaction time in the tonic non-cued alertness condition but not in the phasic cued alertness condition compared to term children. Current results suggest that preterm birth, even when clinically relevant symptoms are absent, may have long-term consequences on basic aspects of attention functioning. Results further suggest that preterm children may profit from auditory cues to overcome these deviations, which yield evidence for a clear distinction between impaired top-down and intact bottom-up controlled processes. These findings might provide a promising groundwork for the development of therapeutical interventions and prevention strategies, whose use and impact to support preterm children should be addressed in further investigations.

Evaluating the Feasibility and Effects of a Short-Term Task Specific Power Training With and Without Cognitive Training Among Older Adults With Slow Gait Speed: A Pilot Study.

OBJECTIVE: To investigate the feasibility and efficacy of short-term functional power training and further examine whether the addition of cognitive training targeting sustained attention and inhibitory control would augment the effect on the outcomes. DESIGN: Randomized pilot study. SETTING: Clinical research facility. PARTICIPANTS: Community-dwelling primary care patients (N=25) aged >65 years with mobility limitation within the VA Boston Healthcare System. INTERVENTIONS: Participants were randomly assigned to either functional power training (n=14) or functional power+cognitive training (n=11), offered 3 times a week for 6 weeks. Session durations were either 70 minutes (functional power+cognitive training) or 40 minutes (functional power training). MAIN OUTCOME MEASURES: We evaluated feasibility (dropouts, attendance), mobility performance (Short Physical Performance Battery [SPPB]), leg power [stair climb test]), dynamic balance [figure-of-8], and gait characteristics [gait speed, stance time, step width, swing time, step length, variabilities under single-task and dual-task conditions]). Nonparametric analyses were used to compare overall pre-post changes and between-group differences. RESULTS: Of the 39 veterans screened, 25 were randomized and enrolled. Twenty-one men with a mean age 76±7 years completed the study; 86% were white. Participants had a mean SPPB score of 8.3±1.6 out of 12. For those completing the study, overall attendance was 79%. Among all participants, clinically relevant and/or statistically significant median change in mobility performance (∆1 point), leg power (∆25.0W), dynamic balance (∆-1.1s), and gait characteristics (gait speed [∆0.08s, ∆0.09s], step length [∆1.9cm, ∆3.8cm], and stance time [∆-0.02s, ∆-0.05s] under single- and dual-task, respectively) were observed after 6 weeks of training. There were no statistically significant group differences in dropouts, attendance rate, or any of the outcomes based on cognitive training status. CONCLUSIONS: Short-term functional power training with or without a cognitive training led to clinically meaningful improvements in mobility performance, leg power, dynamic balance, and gait characteristics. These findings add to the body of evidence supporting the benefits of functional power training on clinically relevant outcomes. Additional cognitive training did not have an added effect on the study outcomes from our study. Further research is needed.

Fatigue in brain tumor patients, towards a neuronal biomarker.

BACKGROUND: Many brain tumor patients suffer from fatigue which severely affects their quality of life. There is a lack of objective measurements for fatigue in brain tumor patients. We aimed to find a neurophysiological correlate for fatigue in brain tumor patients. For this purpose, we correlated brain activity associated with phasic alertness with self-reported ratings of fatigue. METHODS: Patients with a meningioma, a low-grade glioma or a high-grade glioma (N = 63) participated in this fMRI study. Brain activity in the central executive network (CEN) and default mode network (DMN) associated with phasic alertness was correlated with self-reported fatigue measured with the multidimensional fatigue inventory (MFI-20). Follow-up analyses were performed for MFI-20 domain scores, individual regions within CEN and DMN, and the tumor sub-groups separately. RESULTS: MFI-20 scores correlated significantly with DMN activity associated with phasic alertness, but not with CEN activity. These results were consistent for each tumor sub-group. Within the DMN, the correlations were strongest in left and right lingual cortex, left and right cuneus, and right precuneus. DISCUSSION: Self-reported fatigue in brain tumor patients was associated with objective measurements of brain activity, specifically the DMN activity related to phasic alertness. This association represents an important step in the development of a biomarker for fatigue in brain tumor patients, and possibly for other patients that suffer from fatigue.

A High-Definition tDCS and EEG study on attention and vigilance: Brain stimulation mitigates the executive but not the arousal vigilance decrement.

Attention comprises a wide set of processes such as phasic alertness, orienting, executive control, and the executive (i.e., detecting infrequent targets) and arousal (i.e., sustaining a fast reaction) vigilance components. Importantly, the effects of transcranial direct current stimulation (tDCS) over attentional functioning have been mostly addressed by measuring these processes separately and by delivering offline tDCS with low precision over the stimulation region. In the current study, we examined the effects of online High-Definition tDCS (HD-tDCS) over the behavioral and electrophysiological functioning of attentional and vigilance components. Participants (N = 92) were randomly assigned to one of three stimulation groups: right dorsolateral prefrontal cortex stimulation, right posterior parietal cortex (PPC) stimulation, and sham. All of them performed - in combination with the HD-tDCS protocol - an attentional networks task (ANTI-Vea) suitable to measure the executive and arousal components of vigilance along with three typical attentional functions: phasic alertness, orienting, and executive control. In addition, EEG was registered at the baseline and at the post-stimulation period. We observed that, regardless the stimulation region, online HD-tDCS: (a) reduced phasic alertness (p = .008), but did not modulated the orienting and executive control functioning; and (b) mitigated the executive vigilance decrement (p = .011), but did not modulated arousal vigilance across time-on-task. Interestingly, only HD-tDCS over PPC reduced considerably the increment of alpha power observed across time-on-task (p = .009). The current study provides further evidence for both an empirical dissociation between vigilance components and the cortical regions underlying attentional processes. We highlight the advantages of using online HD-tDCS to examine the stimulation effects on attentional and vigilance functioning.

Early development of attentional disengagement and phasic alertness.

Attention development is a critical foundation for cognitive abilities. This study examines the relationship between phasic aspects of alertness and disengagement in infants, using the overlap paradigm. Research shows that visual disengagement in overlap condition is modulated by auditory cues in 6-year-olds. Our participants were aged 6 months (N = 20), 12 months (N = 27), and 24 months (N = 14). Phasic alertness during overlap and no-overlap tasks was manipulated using a spatially nondirective warning signal shortly before onset of the peripheral target. Responses in overlap condition were slower and fewer than in no-overlap condition. The signal showed a tendency to reduce latencies in both overlap and no-overlap conditions. While our hypothesis that the warning signal might be more effective in younger infants was not supported, we confirmed the association reported in previous studies between temperamental soothability and disengagement latencies in infancy.

Monocular channels have a functional role in phasic alertness and temporal expectancy.

The literature has long emphasized the neocortex's role in the tangled phasic-alertness and temporal-expectancy processes. In this work, we examined whether subcortical, monocular mechanisms have a functional role in these processes. This was done by assessing phasic alertness and temporal expectancy independently using a cue-target eye-of-origin manipulation. Participants performed target detection tasks in which a central cue and its ensuing peripheral target were each presented either to the same eye or to a different eye. In Experiment 1, phasic alertness, independent of temporal expectancy, was manipulated by presenting an alerting cue prior to the target presentation. The alerting effect elicited by the cue lasted for a longer duration when the cue and target were presented to the same eye than when they were presented to different eyes, indicating the involvement of subcortical regions in phasic alertness. In Experiment 2, the cue's temporal predictability regarding the target's onset time was manipulated by changing the cue-target interval's foreperiod distribution. A modulation in temporal expectancy was found when both the cue and the target were presented to the same eye, demonstrating the importance of subcortical mechanisms in temporal expectancy. Together, the results demonstrate that monocular channels are functionally involved in both phasic alertness and temporal expectancy. This study suggests that both phasic alertness and temporal expectancy are functionally dependent on monocular channels of the visual stream, and highlights the importance of direct examination of primitive, subcortical regions in higher cognitive functioning (e.g., temporal expectancy).

The moderating effects of vigilance on other components of attentional functioning.

BACKGROUND: Previous research suggested that vigilance may moderate the functioning of other attentional components. However, vigilance is usually neglected when comparing the attentional functioning between groups of clinical and/or healthy participants. NEW METHOD: We combined data from several studies using the Attention Network Test for Interactions and Vigilance (ANTI-V), which includes a vigilance measure plus phasic alertness, orienting, and executive control scores. We estimated, for the first time, the reliability of the vigilance performance indices in the ANTI-V, by analyzing split-half correlations of 10,000 permutations of the trials. In addition, we tested whether a different attentional functioning would be found across the group of healthy participants varying in their vigilance performance, by using a considerably larger sample size (226 participants) than previous studies. RESULTS: Vigilance indices were the most reliable among the different attentional scores. Regression models show an inverse relationship between vigilance and phasic alertness and executive control. COMPARISON WITH EXISTING METHODS: No previous study has analysed the reliability of the vigilance performance indices in the ANTI-V. In comparison with other ANT variations, the ANTI-V provides a reliable measure of vigilance together with the typical phasic alertness, orienting and executive control scores. In addition, we provide estimates, based on a large sample size, of the magnitude of the link between vigilance and other attentional functions. CONCLUSIONS: When assessing the multiple functions of attention, the current study highlights the importance of measuring vigilance, which may modulate the functioning of other attentional components, such as phasic alertness or executive control.

The effect of phasic alertness on temporal precision.

Many previous studies have found that there is a close relationship between attention and temporal precision. As a mechanism that regulates the intensity of attention, alertness has beneficial influences on perceptual processing. However, little is known regarding whether and how phasic alertness affects temporal precision. Experiment 1 and Experiment 2 used visual and auditory warning cues in a visual temporal order judgment (TOJ) task and a simultaneity judgment (SJ) task to investigate the phasic alerting effect on temporal precision. Participants in the TOJ and SJ tasks were required to make judgments of two successive and synchronous stimuli at various stimulus onset asynchronies (SOAs). Because of dissension regarding the SJ task, Experiment 3 adopted a dual SJ and TOJ task to create a new indicator of participant performance. Although these tasks may differ in the cognitive mechanism they involve, they all produced consistently decreased just noticeable difference (JND) scores and unaltered point of subjective simultaneity (PSS). This suggests that phasic alertness could significantly improve participants' temporal precision (reduced JNDs) of visual perception, without affecting temporal accuracy (unaltered PSS). We then discuss that the alerting effect on temporal sensitivity might be attributed mainly to transient arousal rather than temporal expectancy. Furthermore, the analysis of response ratios at each SOA could distinguish a heightened temporal precision from a reduction of attentional lapses. According to the previous and present studies, phasic alertness might simultaneously benefited the early perceptual processing and late motor execution of responses.

Behavioral and Brain Measures of Phasic Alerting Effects on Visual Attention.

In the present study, we investigated effects of phasic alerting on visual attention in a partial report task, in which half of the displays were preceded by an auditory warning cue. Based on the computational Theory of Visual Attention (TVA), we estimated parameters of spatial and non-spatial aspects of visual attention and measured event-related lateralizations (ERLs) over visual processing areas. We found that the TVA parameter sensory effectiveness a, which is thought to reflect visual processing capacity, significantly increased with phasic alerting. By contrast, the distribution of visual processing resources according to task relevance and spatial position, as quantified in parameters top-down control α and spatial bias windex, was not modulated by phasic alerting. On the electrophysiological level, the latencies of ERLs in response to the task displays were reduced following the warning cue. These results suggest that phasic alerting facilitates visual processing in a general, unselective manner and that this effect originates in early stages of visual information processing.

Fatigue and Sleep in Multiple Sclerosis Patients: A Comparison of Self-Report and Performance-Based Measures.

BACKGROUND: Multiple sclerosis (MS) patients suffer very often from MS fatigue and sleep problems. Despite the detrimental impact on the activities of daily living, a short and objective quantification of fatigue and sleep problems is currently lacking. OBJECTIVE: The objective of the study was to systematically investigate tonic, intrinsic, and phasic alertness and the relationship of these performance-based measures with self-report measures of fatigue and quality of sleep. METHODS: Thirty-three MS patients without (MS-) and 26 with selected comorbid disorders (MS+) and 43 healthy controls (HCs) performed the pupillographic sleepiness test (measuring tonic alertness) and the alertness subtest of the Test of Attentional Performance (measuring intrinsic and phasic alertness). RESULTS: Self-reported and performance-based measures revealed poorer performance for both MS groups compared to HC. MS+ patients presented higher rates of MS fatigue, sleep problems and depressive symptoms but similar alertness scores compared to MS- patients. However, tonic alertness was only higher in MS- patients compared to HC. Intrinsic and phasic alertness correlated moderately with fatigue ratings. CONCLUSION: In the diagnostic process of MS fatigue and quality of sleep comorbid disorders (depression, anemia, thyroid dysfunction) and performance-based measures such as alertness should be considered in daily clinical practice.