13:30 - 15:00
Tue-B16-Talk V-
Tue-Talk V-
Room: B16
Chair/s:
Jan Tünnermann, Adriana L Ruiz-Rizzo, Ingrid Scharlau
Bundesen’s Theory of Visual Attention (TVA) has been around for approximately half a century. Its basic idea is that visual perception is biased competition of visual categorizations that race visual short-term memory. The biases stem from attentional and perceptual influences. TVA links observable data to theoretical concepts with mathematical rigor and helps to explain phenomena with quantitatively precise concepts. Progress in TVA might not be fast, but it is continuous and robust. This symposium covers recent developments in topics of basic and applied research. In the first session, Scharlau & Tünnermann survey recent advances with new stimuli and recording
settings. Connecting to this, Biermeier & Scharlau investigate attention capacity in mixed-reality settings. Poth & Schneider disentangle the speed of location and object processing. Tünnermann et al. show how simulations of visual foraging depend on dynamically adjusting spatial attention, and Blurton et al. discuss improvements in modeling cognitive control. The second session focuses on recent applications of TVA in clinical contexts: Ruiz-Rizzo et al. present the relationship between visual processing speed and cognitive complaints in older adults. Kattlun et al. investigate the role of visual-short-term memory in cognitive deficits of patients who survived severe sepsis. Martin et
al. demonstrate how fatigue relates to visual processing speed and pupillary unrest in post-COVID patients. Srowig et al. close by showing how visual short-term memory is associated with neuropsychological performance in patients at a high-risk for dementia.
Persistent neurocognitive deficits in sepsis survivors can be explained by reductions in working memory capacity
Tue-B16-Talk V-02
Presented by: Fabian Kattlun
Fabian Kattlun 1, 5, Elizabeth Hertel 1, 5, Christian Geis 2, 5, André Scherag 3, 5, Tilo Strobach 4, Jonathan Wickel 2, 5, Kathrin Finke 1, 5
1 Hans Berger Department of Neurology, University Hospital Jena, 2 Section Translational Neuroimmunology, Hans Berger Department of Neurology, University Hospital Jena, 3 Institute of Medical Statistics, Computer and Data Sciences, University Hospital Jena, 4 General Psychology, Medical School Hamburg, 5 Center for Sepsis Control and Care, University Hospital Jena
Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection. Mounting evidence suggests that many sepsis survivors show long-term neurocognitive deficits in neuropsychological tasks. The underlying mechanisms of these cognitive deficits are not well understood. We utilized psychophysical whole and partial report measures based on the theory of visual attention (TVA) to estimate basic parameters of visual attention and working memory in intensive care-treated survivors of sepsis and sociodemographically matched healthy controls. The study goals were to determine i) whether sepsis survivors show changes in parameters of visual attention and working memory, ii) whether the affected parameters are related to neuropsychological test results in a standard battery, iii) whether between-group differences in these basic parameters of visual attention could account for the underperformance of sepsis survivors in the neuropsychological tests, when adjusting for relevant clinical variables. Results showed a reduction (M = 3.0 for sepsis survivors, M = 3.4 for healthy controls) in working memory capacity parameter K for sepsis survivors. Moreover, K explained variance in neurocognitive outcomes – precisely, attentional and executive functions – in a standard neuropsychological battery. The association remained stable when adjusting for clinical variables, such as anxiety and depression. Thus, a reduction in the number of items to be maintained in a given instant seems to be a critical determinant of the neurocognitive sequelae in sepsis survivors. The working memory storage capacity should be subject of future work on mechanisms but may also serve as surrogate outcome measure in interventions.
Keywords: Sepsis, Neurocognitive Impairment, Visual Attention, Working Memory