Gaze Dispersion During a Sustained-Fixation Task as a Proxy of Visual Attention in Children with ADHD.

IF 1.8 Q2 Medicine
Lionel Moiroud, Ana Moscoso, Eric Acquaviva, Alexandre Michel, Richard Delorme, Maria Pia Bucci
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Abstract

Aim: The aim of this preliminary study was to explore the visual attention in children with ADHD using eye-tracking, and to identify a relevant quantitative proxy of their attentional control.

Methods: Twenty-two children diagnosed with ADHD (aged 7 to 12 years) and their 24 sex-, age-matched control participants with typical development performed a visual sustained-fixation task using an eye-tracker. Fixation stability was estimated by calculating the bivariate contour ellipse area (BCEA) as a continuous index of gaze dispersion during the task.

Results: Children with ADHD showed a significantly higher BCEA than control participants (p < 0.001), reflecting their increased gaze instability. The impairment in gaze fixation persisted even in the absence of visual distractors, suggesting intrinsic attentional dysregulation in ADHD.

Conclusions: Our results provide preliminary evidence that eye-tracking coupled with BCEA analysis, provides a sensitive and non-invasive tool for quantifying visual attentional resources of children with ADHD. If replicated and extended, the increased use of gaze instability as an indicator of visual attention in children could have a major impact in clinical settings to assist clinicians. This analysis focuses on overall gaze dispersion rather than fine eye micro-movements such as microsaccades.

Abstract Image

Abstract Image

持续注视任务中的凝视分散是ADHD儿童视觉注意的代表。
目的:本初步研究的目的是利用眼动追踪技术探讨ADHD儿童的视觉注意,并确定其注意力控制的相关定量代理。方法:22名被诊断为多动症的儿童(7 - 12岁)和24名性别、年龄相匹配的正常发育的对照者使用眼动仪进行视觉持续注视任务。通过计算双变量轮廓椭圆面积(BCEA)作为任务中注视分散的连续指标来估计注视稳定性。结果:ADHD儿童的BCEA显著高于对照组(p < 0.001),反映出他们的凝视不稳定性增加。即使在没有视觉干扰物的情况下,注视注视的损害仍然存在,这表明ADHD存在内在的注意力失调。结论:本研究结果为眼动追踪结合BCEA分析提供了一种灵敏且无创的工具来量化ADHD儿童的视觉注意力资源提供了初步证据。如果复制和推广,更多地使用凝视不稳定作为儿童视觉注意力的指标,可能会在临床环境中产生重大影响,以协助临床医生。这种分析侧重于整体的凝视分散,而不是精细的眼球微运动,如微扫视。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Vision (Switzerland)
Vision (Switzerland) Health Professions-Optometry
CiteScore
2.30
自引率
0.00%
发文量
62
审稿时长
11 weeks
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