Shifts of attention in the early blind: an ERP study of attentional control processes in the absence of visual spatial information

To investigate the role of visual spatial information in the control of spatial attention, event-related brain potentials (ERPs) were recorded during a tactile attention task for a group of totally blind participants who were either congenitally blind or had lost vision during infancy, and for an age-matched, sighted control group who performed the task in the dark. Participants had to shift attention to the left or right hand (as indicated by an auditory cue presented at the start of each trial) in order to detect infrequent tactile targets delivered to this hand. Effects of tactile attention on the processing of tactile events, as reflected by attentional modulations of somatosensory ERPs to tactile stimuli, were very similar for early blind and sighted participants, suggesting that the capacity to selectively process tactile information from one hand versus the other does not differ systematically between the blind and the sighted. ERPs measured during the cue–target interval revealed an anterior directing attention negativity (ADAN) that was present for the early blind group as well as for the sighted control group. In contrast, the subsequent posterior late direction attention negativity (LDAP) was absent in both groups. These results suggest that these two components reflect functionally distinct attentional control mechanisms which differ in their dependence on the availability of visually coded representations of external space

The role of visual experience in the emergence of cross-modal correspondences

Cross-modal correspondences describe the widespread tendency for attributes in one sensory modality to be consistently matched to those in another modality. For example, high pitched sounds tend to be matched to spiky shapes, small sizes, and high elevations. However, the extent to which these correspondences depend on sensory experience (e.g. regularities in the perceived environment) remains controversial. Two recent studies involving blind participants have argued that visual experience is necessary for the emergence of correspondences, wherein such correspondences were present (although attenuated) in late blind individuals but absent in the early blind. Here, using a similar approach and a large sample of early and late blind participants (N=59) and sighted controls (N=63), we challenge this view. Examining five auditory-tactile correspondences, we show that only one requires visual experience to emerge (pitch-shape), two are independent of visual experience (pitch-size, pitch-weight), and two appear to emerge in response to blindness (pitch-texture, pitch-softness). These effects tended to be more pronounced in the early blind than late blind group, and the duration of vision loss among the late blind did not mediate the strength of these correspondences. Our results suggest that altered sensory input can affect cross-modal correspondences in a more complex manner than previously thought and cannot solely be explained by a reduction in visually-mediated environmental correlations. We propose roles of visual calibration, neuroplasticity and structurally-innate associations in accounting for our findings

The effect of perceptual load on tactile spatial attention:Evidence from event related potentials

To investigate whether tactile spatial attention is modulated by perceptual load, behavioural and electrophysiological measures were recorded during two spatial cuing tasks in which the difficulty of the target/non-target discrimination was varied (High and Low load tasks). Moreover, to study whether attentional modulations by load are sensitive to the availability of visual information, the High and Low load tasks were carried out under both illuminated and darkness conditions. ERPs to cued and uncued non-targets were compared as a function of task (High vs. Low load) and illumination condition (Light vs. Darkness). Results revealed that the locus of tactile spatial attention was determined by a complex interaction between perceptual load and illumination conditions during sensory-specific stages of processing. In the Darkness, earlier effects of attention were present in the High load than in the Low load task, while no difference between tasks emerged in the Light. By contrast, increased load was associated with stronger attention effects during later post-perceptual processing stages regardless of illumination conditions. These findings demonstrate that ERP correlates of tactile spatial attention are strongly affected by the perceptual load of the target/non-target discrimination. However, differences between illumination conditions show that the impact of load on tactile attention depends on the presence of visual information. Perceptual load is one of the many factors that contribute to determine the effects of spatial selectivity in touch

Hands behind your back: effects of arm posture on tactile attention in the space behind the body

Previous research has shown that tactile-spatial information originating from the front of the body is remapped from an anatomical to an external-spatial coordinate system, guided by the availability of visual information early in development. Comparably little is known about regions of space for which visual information is not typically available, such as the space behind the body. This study tests for the first time the electrophysiological correlates of the effects of proprioceptive information on tactile-attentional mechanisms in the space behind the back. Observers were blindfolded and tactually cued to detect infrequent tactile targets on either their left or right hand and to respond to them either vocally or with index finger movements. We measured event-related potentials (ERPs) to tactile probes on the hands in order to explore tactile-spatial attention when the hands were either held close together or far apart behind the observer's back. Results show systematic effects of arm posture on tactile-spatial attention different from those previously found for front space. While attentional selection is typically more effective for hands placed far apart than close together in front space, we found that selection occurred more rapidly for close than far hands behind the back, during both covert attention and movement preparation tasks. This suggests that proprioceptive space may ‘wrap’ around the body, following the hands as they extend horizontally from the front body midline to the centre of the back

Virtual environments as memory training devices in navigational tasks for older adults.

Cognitive training approaches using virtual environments (VEs) might counter age-related visuospatial memory decline and associated difficulties in wayfinding. However, the effects of the visual design of a VE in route learning are not fully understood. Therefore, we created a custom-designed VE optimized for route learning, with adjusted levels of realism and highlighted landmark locations (MixedVE). Herein we tested participants' route recall performance in identifying direction of turn at the intersection with this MixedVE against two baseline alternatives (AbstractVE, RealisticVE). An older vs. a younger group solved the tasks in two stages (immediate vs. delayed recall by one week). Our results demonstrate that the MixedVE facilitates better recall accuracy than the other two VEs for both age groups. Importantly, this pattern persists a week later. Additionally, our older participants were mostly overconfident in their route recall performance, but the MixedVE moderated this potentially detrimental overconfidence. Before the experiment, participants clearly preferred the RealisticVE, whereas after the experiment, most of the younger, and many of the older participants, preferred the MixedVE. Taken together, our findings provide insights into the importance of tailoring visualization design in route learning with VEs. Furthermore, we demonstrate the great potential of the MixedVE and by extension, of similar VEs as memory training devices for route learning, especially for older participants

Long-term maintenance and effects of exercise in early psychosis

© 2016 The Authors Early Intervention in Psychiatry Published by John Wiley & Sons Australia, Ltd Aim: The aims of this study were to examine if people with first-episode psychosis (FEP) are able to continue adhering to exercise after a supervised intervention and to explore if the benefits of exercise can be sustained. Methods: Twenty-eight persons with FEP took part in a 10-week exercise intervention that provided each participant with twice-weekly accompaniment to exercise activities of their own choice, of whom 20 were re-assessed 6 months after the intervention. Long-term adherence to exercise was assessed, and measures of psychiatric symptoms, physical health, neurocognition and social functioning were administered at baseline, post-intervention and 6-month follow-up. Results: During the supervised intervention, participants achieved 124.4 min of moderate-to-vigorous exercise per week. After 6 months, physical activity levels had decreased significantly (P = 0.025) and only 55% of participants had continued to exercise weekly. Repeated-measures analysis of variance found that the significant improvements in psychiatric symptoms and social functioning observed immediately after the intervention were maintained at 6 months (P = 0.001). However, post hoc analyses showed that symptomatic reductions were only maintained for those who continued to exercise, whereas symptom scores increased among those who had ceased exercising. Previously observed improvements in waist circumference and verbal memory were lost by 6 months. Conclusion: Long-term exercise participation is associated with significant benefits for symptoms, cognition and social functioning in FEP. However, adherence to unsupervised exercise is low. Future research should explore the effectiveness of ‘step-down’ support following supervised interventions, and aim to establish sustainable methods for maintaining regular exercise in order to facilitate functional recovery and maintain physical health