The Attention Network Test in Parkinson and Lewy Body Disease: A Systematic Review

IF 1.3 4区 医学 Q4 BEHAVIORAL SCIENCES Cognitive and Behavioral Neurology Pub Date : 2022-03-01 DOI:10.1097/WNN.0000000000000292
Jihyun Yang, Dana Pourzinal, T. Rheinberger, D. Copland, K. Mcmahon, G. Byrne, N. Dissanayaka
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引用次数: 1

Abstract

Background: The Attention Network Test (ANT) is a well-established measure of efficiency for the alerting, orienting, and executive attentional networks. However, its novel application in Parkinson disease (PD) and Lewy body dementia (LBD) research more broadly has yet to be evaluated systematically. Objective: To compare and consolidate the outcomes of studies reporting use of the ANT in PD and LBD groups and to identify the methodological considerations for the conduct of such studies. Method: We performed a systematic literature search for articles exploring attention in PD and LBD groups using the ANT. We excluded articles on the basis of irrelevant scope, non-English, and groups other than PD and LBD. Once the full text articles were identified, we extracted the data and assessed the studies’ quality. Results: The final sample included 16 articles ranging from low to moderate quality. Behavioral findings suggested a general slowing of responses yet preserved accuracy from the PD group compared with controls. Overall, the evidence was inconclusive regarding the state of the alerting network in the PD and LBD groups, mostly supportive of an intact orienting network, and strongly suggestive of an impaired executive network. Differences in sample stratification, patient symptomatology, and dopaminergic medication levels were identified as influential factors in the attentional results across studies. Conclusion: Although sparse, the existing evidence indicates that the ANT is a viable option for measuring attention in PD; it can also be harnessed to explore the impact of symptoms and medications on attentional networks in PD and LBD groups.
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帕金森和路易体病的注意网络测试:系统回顾
背景:注意力网络测试(ANT)是一种公认的衡量警报、定向和执行注意力网络效率的方法。然而,它在帕金森病(PD)和路易体痴呆(LBD)研究中的新应用尚待系统评估。目的:比较和巩固报告在帕金森病和LBD组中使用ANT的研究结果,并确定进行此类研究的方法考虑因素。方法:我们使用ANT对PD和LBD组的注意力进行了系统的文献检索。我们根据不相关的范围、非英语以及PD和LBD以外的群体排除了文章。一旦全文文章被确定,我们提取数据并评估研究的质量。结果:最终样本包括16篇质量从低到中等的文章。行为研究结果表明,与对照组相比,PD组的反应普遍放缓,但仍保持了准确性。总的来说,关于PD和LBD组的警报网络状态的证据是不确定的,主要支持完整的定向网络,并强烈暗示执行网络受损。样本分层、患者症状和多巴胺能药物水平的差异被确定为研究中注意力结果的影响因素。结论:虽然稀少,但现有证据表明,ANT是测量PD注意力的可行选择;它还可以用来探索症状和药物对PD和LBD组注意力网络的影响。
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来源期刊
CiteScore
2.40
自引率
7.10%
发文量
68
审稿时长
>12 weeks
期刊介绍: Cognitive and Behavioral Neurology (CBN) is a forum for advances in the neurologic understanding and possible treatment of human disorders that affect thinking, learning, memory, communication, and behavior. As an incubator for innovations in these fields, CBN helps transform theory into practice. The journal serves clinical research, patient care, education, and professional advancement. The journal welcomes contributions from neurology, cognitive neuroscience, neuropsychology, neuropsychiatry, and other relevant fields. The editors particularly encourage review articles (including reviews of clinical practice), experimental and observational case reports, instructional articles for interested students and professionals in other fields, and innovative articles that do not fit neatly into any category. Also welcome are therapeutic trials and other experimental and observational studies, brief reports, first-person accounts of neurologic experiences, position papers, hypotheses, opinion papers, commentaries, historical perspectives, and book reviews.
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