Smith Kevin J, Valentino Dominic A, Arruda James E
University of Rhode Island, Kingston, RI 02881, USA.
J Clin Exp Neuropsychol. 2002 Sep;24(6):828-39. doi: 10.1076/jcen.24.6.828.8394.
In this study the authors developed and explored measures of short-term variations in accuracy on a test of sustained attention, a departure from traditional measures of average performance over long periods. The study participants were normal young adults, actively engaged in a continuous performance test (CPT). Both correct (hits) and incorrect (misses) responses to CPT targets appeared to aggregate in runs (2 or more consecutive hits or misses). Results of a Monte-Carlo procedure indicated that these runs were longer and fewer than would occur if hits and misses were randomly distributed. Average accuracy decreased between the first and second 5-min quarter of the test, then remained level. The length of hit runs followed the same pattern. However, other aspects of performance continued to change. The amount of time participants spent in miss runs began to increase significantly in the third quarter, and the frequency of miss runs did not increase until the fourth quarter. Explanations of these findings based upon changes in perceptual sensitivity or upon phasic increases in arousal caused by hits were rejected by further analysis. There was evidence that the length of miss runs was limited by a target-expectancy effect created by the specific parameters of our CPT. The authors conclude that measures of variations in performance reveal aspects of vigilance that are not tapped by traditional measures, and that factors that initiate, sustain and terminate both hit and miss runs are important targets of future research. Additional research is needed to determine whether or not the particular measures developed in this study may contribute to the understanding of attention problems in clinical populations.
在本研究中,作者开发并探讨了在持续注意力测试中准确性的短期变化指标,这与传统的长期平均表现指标有所不同。研究参与者为正常的年轻成年人,他们积极参与连续作业测试(CPT)。对CPT目标的正确(命中)和错误(未命中)反应似乎会聚集成序列(连续2次或更多次命中或未命中)。蒙特卡洛程序的结果表明,这些序列的长度比命中和未命中随机分布时更长且数量更少。测试的前5分钟和第二个5分钟之间,平均准确率下降,然后保持稳定。命中序列的长度遵循相同模式。然而,表现的其他方面仍在继续变化。参与者在未命中序列中花费的时间在第三季度开始显著增加,而未命中序列的频率直到第四季度才增加。基于感知敏感性变化或命中引起的唤醒阶段性增加对这些发现的解释被进一步分析否定。有证据表明,未命中序列的长度受到我们的CPT特定参数产生的目标预期效应的限制。作者得出结论,表现变化指标揭示了传统指标未涉及的警觉方面,并且启动、维持和终止命中和未命中序列的因素是未来研究的重要目标。需要进一步研究以确定本研究中开发的特定指标是否有助于理解临床人群的注意力问题。