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Phasic and tonic alerting in mild cognitive impairment: A preliminary study.

Diana Martella1, Salvadora Manzanares2, Guillermo Campoy3

  • 1Basque Center on Cognition, Brain and Language, Paseo Miketelegi, 20009 Donostia-San Sebastián, Spain.

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Summary

Mild cognitive impairment (MCI) patients show impaired alerting networks, particularly vigilance. Enhancing alerting improves executive network function, suggesting attention deficits contribute to MCI.

Keywords:
Attention Network TestMild cognitive impairmentSensitivityTonic alertingVigilance

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Area of Science:

  • Cognitive Neuroscience
  • Neuropsychology
  • Gerontology

Background:

  • Mild cognitive impairment (MCI) is a transitional stage between normal aging and dementia.
  • Attentional network dysfunction is increasingly recognized as a potential contributor to cognitive decline in MCI.
  • Posner's cognitive neuroscience framework provides a model for understanding attentional processes.

Purpose of the Study:

  • To assess attentional network functioning in different subtypes of MCI patients.
  • To investigate the specific deficits within the alerting, orienting, and executive networks in MCI.
  • To explore the role of vigilance and phasic alerting in MCI attentional performance.

Main Methods:

  • Utilized the Attention Network Test (ANTI-V) to evaluate orienting, executive, and alerting networks.
  • Included 20 MCI patients (amnestic, non-amnestic, multiple-domain) and 18 healthy controls (HC).
  • Measured tonic alerting (vigilance) and the impact of phasic alerting (warning tone) on network performance.

Main Results:

  • All MCI subtypes demonstrated a selective impairment in the tonic component of alerting (vigilance), indicated by decreased d' sensitivity.
  • MCI patients' executive network performance improved to healthy control levels when facilitated by phasic alerting.
  • These findings highlight a specific deficit in endogenous alerting within the attentional system of MCI patients.

Conclusions:

  • A core attentional deficit, particularly in the endogenous component of alerting, significantly contributes to the cognitive and behavioral impairments observed in MCI.
  • Targeting and improving alerting network function may be a potential therapeutic strategy for MCI.
  • This study underscores the importance of attentional network analysis in understanding the pathophysiology of MCI.