Using a response competition paradigm, we investigated the ability to ignore target responsecompatible, target response-incompatible, and neutral visual and auditory distractors presented during a visual search task. The perceptual load model of attention (e.g., Lavie & Tsal, 1994) states that task-relevant processing load determines irrelevant distractor processing in such a way that increasing processing load prevents distractor processing. In three experiments, participants searched sets of one (easy search) or six (hard search) similar items. In Experiment 1, visual distractors influenced reaction time (RT) and accuracy only for easy searches, following the perceptual load model. Surprisingly, auditory distractors yielded larger distractor compatibility effects (median RT for incompatible trials minus median RT for compatible trials) for hard searches than for easy searches. In Experiments 2 and 3, during hard searches, consistent RT benefits with response-compatible and RT costs with response-incompatible auditory distractors occurred only for hard searches. We suggest that auditory distractors are processed regardlessof visual perceptual load but that the ability to inhibit cross-modal influence from auditory distractors is reduced under high visual load.

Two studies explored whether sustained attention during infants' object exploration, or examining, reflects more active processing than do other components of attention. In Experiment 1, infants examined complex objects more than simple ones and novel objects more than familiar ones. In addition, 7-month-olds examined objects more than did 10-month-olds. Looking that did not involve examining did not vary systematically with either complexity or age. These findings suggest that infants' examining is related to the amount of information to be processed. Experiment 2 tested this hypothesis more directly by evaluating how distractible 7-and 10-month-olds were during examining as compared with nonexamining phases of attention. Infants were less distractible during examining, supporting the assumption that examining involves more active cognitive processing than other aspects of visual attention.

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The interactive effects of stimulus characteristics and attentional state on infants' distraction latency were studied. As 7-month-old infants explored initial stimuli that were composed of either a single nonmoving component or multiple moving components, one of several types of distractors was presented in the periphery. Infants' distraction latencies (the amount of time they took to turn from the initial stimulus to the distractor) vaned as a hnction of the interaction between the infants' attentional state at distractor onset and the characteristics of the stimuli. Variations in the visual characteristics of the distractor stimulus (solid rectangle vs. checkerboard) had a larger effect on distraction latency when infants were in a focused attentional state than when they were in a casual attentional state. Similarly, variations in the auditory characteristic of the distractor stimulus (1 intermittent tone vs. 2 alternating tones) had a larger Requests for reprints should be sent to Lisa M. Oakes,

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BackgroundThe causes of the underutilization of disease modifying anti-rheumatic drugs (DMARDS) for rheumatoid arthritis (RA) are not fully known, but may in part, relate to individual patient factors including risk perception. Our objective was to identify the determinants of risk perception (RP) in RA patients and predictors of their willingness to take a proposed DMARD (DMARD willingness).MethodsA cross-sectional mail survey of RA patients in a community rheumatology practice. Patients were presented a hypothetical decision scenario where they were asked to consider switching DMARDs. They evaluated how risky the proposed medication was and how likely they would be to take it.ResultsThe completed sample included 1009 RA patients. The overall survey response rate was 71%. Patient characteristics: age 61.6 years (range 18-93), 75% female, minority 6.5%, low or marginal health literacy 8.8%, depression 15.0%, duration RA 13.1 years (range 0.5 – 68). Regression models demonstrated that health literacy, independent of low educational achievement or other demographic (including race), was a common predictor of both RP and DMARD willingness. There was partial mediation of the effects of HL on DMARD willingness through RP. Depression and happiness had no significant effect on RP or DMARD willingness. RP was influenced by negative RA disease and treatment experience, while DMARD willingness was affected mainly by perceived disease control.ConclusionsRisk aversion may be the result of potentially recognizable and correctable cognitive defect. Heightened clinician awareness, formal screening for low health literacy or cognitive impairment in high-risk populations, may identify patients could benefit from additional decision support.

This experiment examined the effects of age on processing resource capacity using an endogenous visuospatial precuing task and four levels of resource demands. Younger and older adults made speeded two-choice responses to dim and bright targets that required a line-orientation or a lexical decision. An arrow preceding target onset served as an attentional cue to affect the spatial distribution of resources. It provided accurate information about the target's location on most trials and inaccurate or neutral information on the remaining trials. Although older adults were slower than younger adults under all conditions and were more affected by the resource demand manipulations, they exhibited a pattern of precuing effects across conditions that was similar to that of the younger adults. Results are consistent with the idea that the visuospatial attention system remains relatively unaffected by aging. However, the data speak against the idea that capacity reduction is the primary contributor to age-related slowing.One of the most pervasive findings in cognitive aging research is that there is an increased slowness of behavior with increased age. As Wickens, Braune, and Stokes (1987) noted; the evidence appears unambiguous that there is a slowing in speed of performance for individuals above the age of 25 on information-processing tasks in which response latency (RT) is the dependent measure. This slowing has been attributed to age effects at nearly all stages of information processing (see Kausler,