Marinke J Hokken, Ymie J Van Der Zee, Rob Rodrigues Pereira, Ingrid G I J G Rours, Maarten A Frens, Johannes van der Steen, Johan J M Pel, Marlou J G Kooiker
{"title":"Gestalt, Navon and Kanizsa illusion processing in CVI, ADHD, and dyslexia Children with Normal verbal IQ.","authors":"Marinke J Hokken, Ymie J Van Der Zee, Rob Rodrigues Pereira, Ingrid G I J G Rours, Maarten A Frens, Johannes van der Steen, Johan J M Pel, Marlou J G Kooiker","doi":"10.3389/fnhum.2024.1496796","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Global Visual Selective Attention (VSA) is the ability to integrate multiple visual elements of a scene to achieve visual overview. This is essential for navigating crowded environments and recognizing objects or faces. Clinical pediatric research on global VSA deficits primarily focuses on autism spectrum disorder (ASD). However, in children with cerebral visual impairment (CVI) and other neurodevelopmental disorders (ADHD, dyslexia) similar deficits are reported. The aim of this study was to investigate global VSA performance in children with CVI, ADHD, dyslexia and neurotypical children by combing gaze-based measures with conventional neuropsychological tasks.</p><p><strong>Methods: </strong>We included children aged 6-12 years with CVI (<i>n</i> = 20), ADHD (<i>n</i> = 30), dyslexia (<i>n</i> = 34) and neurotypical development (<i>n</i> = 37), all with normal verbal IQ. Eye tracking measurements were stepwise introduced within three global VSA tasks: Gestalt Closure (no eye tracking), Navon stimuli (eye tracking-based qualitative analysis) and Kanizsa Illusory Contours (KIC; eye tracking-based quantitative analysis). Verbal responses were compared with non-verbal gaze behavior.</p><p><strong>Results: </strong>Children with CVI had significantly lower success rates on Gestalt Closure recognition, prolonged verbal response times on Navon stimuli, and decreased verbal and gaze performance on the KIC task compared to all other groups, irrespective of visual acuity. Children with ADHD and dyslexia performed similar to neurotypical children on all tasks.</p><p><strong>Discussion: </strong>The results suggest а distinct global VSA deficit in children with CVI, which aligns with clinical observations of symptoms in daily life. Incorporating gaze-based analyses provided new information about search strategies beyond verbal answers and made the KIC task more inclusive for children with language and motor disabilities. Assessing global VSA within clinical CVI assessments could improve the differential diagnostic evaluations among children with CVI, ADHD and dyslexia, leading to more personalized treatment approaches.</p>","PeriodicalId":12536,"journal":{"name":"Frontiers in Human Neuroscience","volume":"18 ","pages":"1496796"},"PeriodicalIF":2.4000,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11703968/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in Human Neuroscience","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3389/fnhum.2024.1496796","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Global Visual Selective Attention (VSA) is the ability to integrate multiple visual elements of a scene to achieve visual overview. This is essential for navigating crowded environments and recognizing objects or faces. Clinical pediatric research on global VSA deficits primarily focuses on autism spectrum disorder (ASD). However, in children with cerebral visual impairment (CVI) and other neurodevelopmental disorders (ADHD, dyslexia) similar deficits are reported. The aim of this study was to investigate global VSA performance in children with CVI, ADHD, dyslexia and neurotypical children by combing gaze-based measures with conventional neuropsychological tasks.
Methods: We included children aged 6-12 years with CVI (n = 20), ADHD (n = 30), dyslexia (n = 34) and neurotypical development (n = 37), all with normal verbal IQ. Eye tracking measurements were stepwise introduced within three global VSA tasks: Gestalt Closure (no eye tracking), Navon stimuli (eye tracking-based qualitative analysis) and Kanizsa Illusory Contours (KIC; eye tracking-based quantitative analysis). Verbal responses were compared with non-verbal gaze behavior.
Results: Children with CVI had significantly lower success rates on Gestalt Closure recognition, prolonged verbal response times on Navon stimuli, and decreased verbal and gaze performance on the KIC task compared to all other groups, irrespective of visual acuity. Children with ADHD and dyslexia performed similar to neurotypical children on all tasks.
Discussion: The results suggest а distinct global VSA deficit in children with CVI, which aligns with clinical observations of symptoms in daily life. Incorporating gaze-based analyses provided new information about search strategies beyond verbal answers and made the KIC task more inclusive for children with language and motor disabilities. Assessing global VSA within clinical CVI assessments could improve the differential diagnostic evaluations among children with CVI, ADHD and dyslexia, leading to more personalized treatment approaches.
期刊介绍:
Frontiers in Human Neuroscience is a first-tier electronic journal devoted to understanding the brain mechanisms supporting cognitive and social behavior in humans, and how these mechanisms might be altered in disease states. The last 25 years have seen an explosive growth in both the methods and the theoretical constructs available to study the human brain. Advances in electrophysiological, neuroimaging, neuropsychological, psychophysical, neuropharmacological and computational approaches have provided key insights into the mechanisms of a broad range of human behaviors in both health and disease. Work in human neuroscience ranges from the cognitive domain, including areas such as memory, attention, language and perception to the social domain, with this last subject addressing topics, such as interpersonal interactions, social discourse and emotional regulation. How these processes unfold during development, mature in adulthood and often decline in aging, and how they are altered in a host of developmental, neurological and psychiatric disorders, has become increasingly amenable to human neuroscience research approaches. Work in human neuroscience has influenced many areas of inquiry ranging from social and cognitive psychology to economics, law and public policy. Accordingly, our journal will provide a forum for human research spanning all areas of human cognitive, social, developmental and translational neuroscience using any research approach.