The Role of Environmental Distractions in the Experience of Fibrofog in Real‐World Settings

Kratz, Anna L.; Whibley, Daniel; Kim, Samsuk; Williams, David A.; Clauw, Daniel J.; Sliwinski, Martin J.

doi:10.1002/acr2.11130

Cited by 8 publications

(13 citation statements)

References 36 publications

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“…Moreover, it seems unreasonable to assume that individuals lower in WMC would infrequently or never exhibit successful patterns of behavior. Moment-to-moment and day-to-day variation in cognitive function may be driven by a wide-range of contextual factors including, but not limited to, stress, fatigue, pain and negative affect (Brose et al, 2012;Brose, Schmiedek, Lövdén, Molenaar, & Lindenberger, 2010;Kratz et al, 2020;Schmitter-Edgecombe, Sumida, & Cook, 2020;Sliwinski et al, 2006). Future research should leverage intensive repeated designs to reveal whether, how, and when short-term variation in WMC impacts behavioral processes and the potential mechanisms through which higher/lower WMC confers an advantage.…”

Section: Ambulatory Cognitive Assessment Of Wmc In Applied Researchmentioning

confidence: 99%

Ultra-brief Ambulatory Assessment of Working Memory Capacity via Smart Phones

Hakun¹,

Roque²,

Cr³

et al. 2021

Preprint

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The development of mobile technology with substantial computing power (i.e. smart phones) has enabled the adaptation of performance-based cognitive assessments to remote administration and novel intensive longitudinal study designs (e.g. measurement burst designs). While an “ambulatory” cognitive assessment paradigm provides new opportunities to extend current psychological theories, the adaptation of conventional measures to a mobile format conducive to intensive repeated measurement involves balancing measurement precision, administration time, and procedural consistency. Across 3 studies, we developed mobile adaptations of computerized ‘complex span’ tasks to assess working memory capacity (WMC) and examined their validity, reliability, and sufficiency. Study 1 examined the convergent and criterion validity of a single administration of 3 ultra-brief complex span tasks on smart phones in a laboratory setting (ambulatory Operation Span, Symmetry Span, and Rotation Span tasks). Study 2 adapted the ultra-brief tasks to a 4-day measurement burst design where between- and within-person reliability was assessed over 16 repeated administrations (4 assessments/day). Study 3 involved the implementation of a single ultra-brief complex span task into a 7-day measurement burst design field study involving college students (5 assessments/day). Results of these 3 studies suggest that valid and highly reliable estimates of WMC can be obtained via smart phones, in the absence of intensive onboarding/training, in 3-6 minutes of total testing time (2 ultra-brief, mobile administrations). Considerations for future mobile cognitive assessment design and parameterization are discussed.

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Section: Ambulatory Cognitive Assessment Of Wmc In Applied Researchmentioning

confidence: 99%

Ultra-brief Ambulatory Assessment of Working Memory Capacity via Smart Phones

Hakun¹,

Roque²,

Cr³

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…One study (1/23, 4%) utilized a goggle system, the NordicNeuroLab goggle system for the presentation of distraction stimuli (Harrington et al, 2019). One study (1/23, 4%) monitored environmental distractions that naturally occurred in the participants' environments (Kratz et al, 2019;Kratz et al, 2020). The included studies did not report on distraction caused by external distraction in the testing environment such as auditory or visual stimuli beyond the computer monitor display or outside of the HMD.…”

Section: Distractions Distraction Displaymentioning

confidence: 99%

“…Baseline measures for internal distractions such as simulator sickness, pain, anxiety, and fatigue were completed for eight articles (7/23, 30%) (Dockree et al, 2004;Harrington et al, 2020; Adams et al, 2009;Potvin et al, 2011;Biss et al, 2020;Kratz et al, 2020;Park et al, 2020). In the Dockree et al ( 2004) study statistically significant differences were detected in persons with TBI and healthy controls on the Cognitive Failures Questionnaire (CFQ) (Broadbent et al, 1982) but not on the Hospital Anxiety Depression Scale (HADS) (Zigmond and Snaith, 1983).…”

Section: Internal Distractionmentioning

confidence: 99%

“…Park et al (2020) assessed depression by the Japanese version of Geriatric Depression Scale (GDS-S-J) (Yesavage et al, 1986;Sugishita et al, 2009) and results were higher for the PD group than healthy control group however scores did not statistically correlate memory encoding dysfunction. (Kratz et al, 2020).…”

Section: Internal Distractionmentioning

confidence: 99%

“…Thirteen articles combined both auditory and visual distractions for attention and memory assessment (13/23, 57%) (Knight et al, 2006;Parsons et al, 2007;Adams et al, 2009;Nolin et al, 2009;Potvin et al, 2011;Schnabel and Kydd, 2012;Krch et al, 2013;Díaz-Orueta et al, 2014;Parsons and Carlew, 2016;Ansado et al, 2018;Ouellet et al, 2018;Kratz et al, 2020;Yeh et al, 2020). Auditory distractions included background music, broadcasted news, chatter, cars, horns, pencils dropping, and bells from a cash register.…”

Section: Audiovisual Distractionmentioning

confidence: 99%

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Computer- Assessment of Attention and Memory Utilizing Ecologically Valid Distractions: A Scoping Review

Pinnow

Hubbard

Meulenbroek

2021

Front. Virtual Real.

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Introduction: Deficits in the cognitive domains of attention and memory leave a large impact on everyday activities that are not easily captured in the clinical environment. Therefore, clinicians are compelled to utilize assessment tools that elicit everyday functioning that include real-world contexts and distractions. As a result, the use of computer-assisted assessment has emerged as a tool for capturing everyday functioning in a variety of environments. The purpose of this scoping review is to map how virtual reality, augmented reality, and computer-based programs have implemented distractions for clinical populations.Methods: A scoping review of peer reviewed publications was conducted by searching Pubmed, PsychInfo, Web of Science, Rehabdata, and Scopus databases (1960-October 20, 2020). Authors completed hand-searches for additional published and unpublished studies.Results: Of 616 titles screened, 23 articles met inclusion criteria to include in this review. Primary distraction display modalities included computer monitor displays (n = 12) and head mounted displays (HMD) (n = 7). While computer-assisted assessments included distractions, no systematic approach was utilized to implement them. Primary distractions included both auditory and visual stimuli that were relevant to the task and/or simulated environment. Additional distraction characteristics emerged including location, timing, and intensity that can contribute to overall noticeability.Conclusion: From this review, the authors examined the literature on the implementation of distractions in simulated programming. The authors make recommendations regarding identification, measurement, and programming with suggestions that future studies examining metrics of attention to implement distraction in measurable and meaningful ways. Further, the authors propose that distraction does not universally impact performance negatively but can also enhance performance for clinical populations (e.g. additional sensory stimuli to support focused attention).

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Mind the Mood: Momentary Depression and Anxiety Moderate the Correspondence Between Subjective and Objective Cognitive Functioning in Fibromyalgia

Kairys

Valentine

Whibley

et al. 2023

Arthritis Care & Research

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ObjectiveSubjective cognitive dysfunction (SCD) affects 55–75% of individuals with fibromyalgia (FM), but those reporting cognitive difficulties often lack corresponding objective deficits. Symptoms of depression and anxiety are prevalent in FM and may account for part of this discrepancy. This study was undertaken to investigate whether momentary (within‐day, across 7 days) changes in mood moderate the relationship between within‐the‐moment SCD and mental processing speed performance.MethodsA total of 50 individuals with FM (mean age 44.8 years, mean education 15.7 years, 88% female, 86% White) completed momentary assessments of subjective cognitive functioning, depressive and anxious symptoms, and a test of processing speed. Assessments were completed 5 times per day for 8 consecutive days on a study‐specific smartphone application.ResultsMomentary ratings of SCD were positively associated with mean reaction time (P < 0.001) and variability of processing speed (P = 0.02). Depressive symptoms moderated the relationship between SCD and processing speed, with lower correspondence when depressive symptoms were higher (P = 0.03). A similar moderating effect was demonstrated for both depression (P = 0.02) and anxiety (P = 0.03) on the association between SCD and variability in processing speed performance.ConclusionIndividuals with FM may have more accurate self‐perception of momentary changes in mental processing speed during periods of less pronounced mood symptoms based on their corresponding objective processing speed performance. However, during moments of heightened depression and anxiety, we found increasingly less correspondence between SCD and objective performance, suggesting that psychological symptoms may play an important role in self‐perception of cognitive dysfunction in FM as it relates to mental processing speed.

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The Role of Environmental Distractions in the Experience of Fibrofog in Real‐World Settings

Cited by 8 publications

References 36 publications

Ultra-brief Ambulatory Assessment of Working Memory Capacity via Smart Phones

Ultra-brief Ambulatory Assessment of Working Memory Capacity via Smart Phones

Computer- Assessment of Attention and Memory Utilizing Ecologically Valid Distractions: A Scoping Review

Mind the Mood: Momentary Depression and Anxiety Moderate the Correspondence Between Subjective and Objective Cognitive Functioning in Fibromyalgia

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