Deficits in selective attention in symptomatic Huntington disease: assessment using an attentional blink paradigm

Nellie Georgiou-Karistianis1, Maree Farrow, Michelle Wilson-Ching

  • 1Experimental Neuropsychology Research Unit, School of Psychology and Psychiatry, Monash University, Clayton, Victoria, Australia. nellie.georgiou-karistianis@monash.edu

Insights

Huntington disease (HD) patients show impaired selective attention, making it harder to identify targets in rapid visual tasks. This attentional blink deficit worsens with disease progression, impacting cognitive control.

Area of Science:

  • Neuroscience
  • Cognitive Psychology
  • Neurology

Background:

  • Huntington disease (HD) is associated with impaired selective attention.
  • Difficulty identifying targets among distractors is a key symptom in rapid serial visual presentation (RSVP) tasks.

Purpose of the Study:

  • To investigate attentional control deficits in symptomatic Huntington disease (HD) using an attentional blink (AB) paradigm.
  • To assess the impact of HD on the ability to identify targets in RSVP tasks.

Main Methods:

  • Employed an attentional blink (AB) paradigm with 14 HD patients and 13 healthy controls.
  • Participants performed an RSVP task, identifying two targets (T1 and T2) amidst distractors.
  • Measured T1 identification accuracy and the AB effect (impaired T2 detection after T1).

Main Results:

  • HD patients exhibited significantly impaired T1 identification accuracy.
  • A significantly larger attentional blink (AB) was observed in HD patients, indicating reduced T2 detection.
  • HD patients made more random errors compared to controls.

Conclusions:

  • Frontostriatal or frontoparietal dysfunction in HD compromises attentional control, hindering target detection, especially with increased task difficulty.
  • Progressive frontoparietal cortical changes in manifest HD significantly impair attentional control mechanisms, unlike in presymptomatic stages.
Abstract