• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.34 no.4
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• pp.275-282
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• 2023

Objectives: This study aimed to identify the psychiatric comorbidity status of adult patients diagnosed with attention-deficit hyperactivity disorder (ADHD) and determine the impact of comorbidities on neuropsychological outcomes in ADHD. Methods: The study participants were 124 adult patients with ADHD. Clinical psychiatric assessments were performed by two board-certified psychiatrists in accordance with the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. All participants were assessed using the Mini-International Neuropsychiatric Interview Plus version 5.0.0 to evaluate comorbidities. After screening, neuropsychological outcomes were assessed using the Comprehensive Attention Test (CAT) and the Korean version of the Wechsler Adult Intelligence Scale, Fourth Edition (K-WAIS-IV). Results: Mood disorders (38.7%) were the most common comorbidity of ADHD, followed by anxiety (18.5%) and substance use disorders (13.7%). The ADHD with comorbidities group showed worse results on the Perceptual Organization Index and Working Memory Index sections of the K-WAIS than the ADHD-alone group (p=0.015 and p=0.024, respectively). In addition, the presence of comorbidities was associated with worse performance on simple visual commission errors in the CAT tests (p=0.024). Conclusion: These findings suggest that psychiatric comorbidities are associated with poor neuropsychological outcomes in adult patients with ADHD, highlighting the need to identify comorbidities in these patients.

• Journal of Korean Neurosurgical Society
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• v.47 no.3
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• pp.191-198
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• 2010

Objective : This study is planned to determine the neurocognitive difficulties of hydrocephalic adults. Methods : The research group contained healthy adults (control group, n : 15), and hydrocephalic adults (n : 15). Hydrocephalic group consisted of patients with idiopathic aquaduct stenosis and post-meningitis hydrocephalus. All patients were followed with shunted hydrocephalus and not gone to shunt revision during last two years. They were chosen from either asymptomatic or had only minor symptoms without motor and sensorineural deficit. A neuropsychological test battery (Raven Standart Progressive Matrices, Bender-Gestalt Test, Cancellation Test, Clock Drawing Test, Facial Recognition Test, Line Orientation Test, Serial Digit Learning Test, Stroop Color Word Interference Test-TBAG Form, Verbal Fluency Test, Verbal Fluency Test, Visual-Aural Digit Span Test-B) was applied to all groups. Results : Neuropsychological assessment of hydrocephalic patients demonstrated that they had poor performance on visual, semantic and working memory, visuoconstructive and frontal functions, reading, attention, motor coordination and executive function of parietal lobe which related with complex and perseverative behaviour. Eventually, these patients had significant impairment on the neurocognitive functions of their frontal, parietal and temporal lobes. On the other hand, the statistical analyses performed on demographic data showed that the aetiology of the hydrocephalus, age, sex and localization of the shunt (frontal or posterior parietal) did not affect the test results. Conclusion : This prospective study showed that adult patients with hydrocephalus have serious neuropsychological problems which might be directly caused by the hydrocephalus; and these problems may cause serious adaptive difficulties in their social, cultural, behavioral and academic life.

• Korean Journal of Cognitive Science
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• v.34 no.4
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• pp.299-314
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• 2023

This study aimed to examine whether there are differences in reading performance between digital and print media by measuring reading speed of paragraphs on print materials and tablet PC. To investigate whether the physical characteristics of the media influence reading performance, the format of text was kept as similar as possible between print and digital media. We also compared conditions in which paragraphs consisted of either long or short sentences to explore if there were differential effects on reading performance based on sentence length across different media. Additionally, reading speed was analyzed based on reading span to investigate whether there were differences in reading performance according to participants' working memory capacity. As a result, reading speed was faster when reading print media compared to digital media. However, there was no difference in reading speed based on the length of sentences composing the paragraphs. Participants with a higher reading span exhibited faster reading speed compared to participants with a lower reading span. Moreover, participants with a higher reading span read paragraphs composed of long sentences faster on print media than on digital media. The findings of this study suggest that visual fatigue induced by tablet PCs and participants' working memory capacity may impact reading speed.

• Science of Emotion and Sensibility
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• v.16 no.3
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• pp.341-350
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• 2013

The present study aimed to understand the sensory characteristic of change detection by comparing the experience of detecting a salient visual change against the experience of detecting a sensory conflict evoked by a binocular mismatch. In Experiment 1, we used the change detection task where 2, 4, or 6 items were short-term remembered in visual working memory and were compared with following test items. The half of change-present trials were manipulated to elicit a binocular rivalry on the test item with the change by way of monocular inputs across the eyes. The results showed that change detection accuracy without the rivalry manipulation declined evidently as the display setsize increased whereas no such setsize effect was observed with the rivalry manipulation. Experiment 2 tested search efficiency for the search array where the target was designated as an item with the rivalry manipulation, and found the search was very efficient regardless of the rivalry manipulation. The results of Experiment 1 and 2 showed that when the given memory load varies, the experience of detecting a salient visual change become similar to the experience of detecting a sensory conflict by a binocular rivalry.

• Korean Journal of Cognitive Science
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• v.29 no.1
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• pp.39-59
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• 2018

To elucidate the effect of working memory (WM) load on negative facial emotion processing, we examined ERP components (P1 and N170) elicited by fearful and neutral expressions each of which was presented during 0-back (low-WM load) or 2-back (high-WM load) tasks. During N-back tasks, visual objects were presented one by one as targets and each of facial expressions was presented as a passively observed stimulus during intervals between targets. Behavioral results showed more accurate and fast responses at low-WM load condition compared to high-WM load condition. Analysis of mean amplitudes of P1 on the occipital region showed significant WM load effect (high-WM load > low-WM load) but showed nonsignificant facial emotion effect. Analysis of mean amplitudes of N170 on the posterior occipito-temporal region showed significant overall facial emotion effect (fearful > neutral), but, in detail, significant facial emotion effect was observed only at low-WM load condition on the left hemisphere, but was observed at high-WM load condition as well as low-WM load condition on the right hemisphere. To summarize, facial emotion effect observed by N170 amplitudes was modulated by WM load only on the left hemisphere. These results show that early emotional processing of negative facial expression could be eliminated or reduced by high load of WM on the left hemisphere, but could not be eliminated by high load on the right hemisphere, and suggest right hemispheric lateralization of negative facial emotion processing.

• The Journal of Korean Physical Therapy
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• v.30 no.5
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• pp.193-198
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• 2018

Purpose: The purpose of this study was to analysis of effectiveness between cognitive function assessment scores and gaming cognitive rehabilitation system in children with intellectual impairment. Methods: Five children (male=5, $age=10.00{\pm}0.80$) with intellectual impairment participated in this study and were randomly assigned to the experiment that played (received) gaming cognitive rehabilitation system (Neuroworld). The children were applied 2 times a week for 30 minutes during 3 months. The children were assessed K-WSIC-VI (Korean-Wechsler intelligence scale for children-fourth edition) and recorded that gained score in gaming cognitive rehabilitation system before and after intervention. K-WSIC-VI contained five primary index scores: verbal comprehension index, visual spatial index, fluid reasoning index, working memory index, and processing speed index. Gaming cognitive rehabilitation system scoring was composed visual recall, target recall, sequence recall, selective attention, continuous attention, and exploration. Results: In the intelligence quotient (IQ) of K-WSIC-VI, there were significant increased in all children. The visual recall item was highest effective in all children. However, sequential recall showed the lowest improvement in all children. The performance speed of selective attention item was decreased, this means that children's skills have improved. Also, their ability to explore has improved significantly. Conclusion: In conclusion, gaming cognitive rehabilitation system was significant effectiveness in cognitive function in some categories for children with intellectual impairment. However, the visual recall and performance speed don't represent of all cognitive function. Therefore, further studies will need to verify by applying more subject and longer duration.

• The Journal of Korean Institute of Communications and Information Sciences
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• v.38C no.11
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• pp.1000-1009
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• 2013

This study investigated changes in behavioral performance before and after watching a multi-view 3D content by using auditory stimuli based on the selective attention theory in order to quantitatively evaluate 3D visual fatigue. Twenty-one undergraduates were asked to report on their current visual and physical condition both in the pre- and post-experiment. A selective attention task was conducted before and after mobile 3D viewing to compare the changes in performance. After performing a Wilcoxon's matched-pairs signed-ranks test on the subjective ratings of 3D visual fatigue, participants were categorized into two groups, unfatigued and fatigued group with a definite criterion. For the unfatigued group, no significant fatigue effects were found in behavioral response times and accuracies to specific auditory targets. In sharply contrast to the unfatigued group, the fatigued group showed significantly delayed response times and less response accuracies. However, no significant changes in accuracies for a working memory task were observed in both groups.

• Korean Journal of Cognitive Science
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• v.18 no.2
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• pp.159-178
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• 2007

Lee & Kang (2002) showed that simultaneous phonological rehearsal significantly delayed the performance of multiplication but not subtraction, whereas holding an image in the memory delayed subtraction but not multiplication. This result indicated that arithmetic function is related to working memory in a subsystem-specific manner. The aim of the current study was to examine the neural correlates of previous finding using fMRI. For this goal, dual task conditions that required suppression or no suppression were manipulated. In general, several areas were more activated in the interference conditions than in the less interference conditions, although both conditions were dual condition. More important finding is that the specific areas activated in the phonological suppression rendition were right inferior frontal gyrus, left angular, and inferior parietal lobule, while the areas activated in the other condition were mainly in the right superior temporal gyrus and anterior cingulate gyrus. Furthermore, the areas activated in the phonological or visual less suppression condition were right medial frontal gyrus, left middle frontal gyrus, and bilateral medial frontal gyri, anterior cingulate cortices, and parahippocampal gyri, respectively. These results revealed that sharing the processing code invokes interference, and its neural basis.

• Science of Emotion and Sensibility
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• v.20 no.2
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• pp.127-136
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• 2017

Attentional blink is observed in an identification task of multiple targets during rapid serial visual presentation (RSVP) where performance for the second target (T2) that follows within 500ms of the first (T1) shows systematic decrease although that for T1 remains highly accurate. Theories accounting for attentional blink can be classified into two broad categories of resource depletion model and disruption of input filter model. Meanwhile, visual attention capacity shows hemifield independence between left and right visual fields, and many studies reported bilateral advantage in a range of visual working memory tasks. The current research tested two major theories of attentional blink using bilateral independence of attentional capacity. To this end, we conducted two experiments where two RSVPs were presented in either bilateral or unilateral visual fields. Experiment 1 presented two RSVPs which contained both T1 and T2 in either bilateral or unilateral visual fields and tested interaction between attentional blink and bilateral advantage. Experiment 2 removed T1 in one of the two RSVPs to test whether attentional blink obtains when identification of T1 and T2 utilize independent sources of attention across two visual fields. The results showed that subjects were more accurate when two RSVPs were presented in bilateral visual fields (i.e., bilateral advantage) although there was no interaction between attentional blink and bilateral advantage (Experiment 1). In addition, attentional blink for T2 was observed in a T1-absent RSVP even when two RSVPs were presented in bilateral visual fields (Experiment 2). These results support disruption of input filter model rather than resource depletion model.

• Korean Journal of Cognitive Science
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• v.21 no.4
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• pp.559-602
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• 2010

This study examines the concepts and functional characteristics of consciousness in comparison of memory and attention from the perspective of information processing. It also provides an understanding of the relationships between the three as hypothetical constructs. Consciousness is regarded as too ambiguous a concept to be understood and accepted as a mental construct without the inclusion of memory and attention in any conceptualization. We need one criterion to count satisfactorily as an explanation of consciousness in information processing. Consciousness would be a subjective awareness of momentary experience and also have the characteristic of an operating system performing control and consolidation in information processing. This could be called cognitive consciousness which refers to a subjective awareness and an executive control system, even though those are not equivalent concepts. Consciousness, memory and attention, three mental constructs could operate dependently or independently depending on the specific tasks conditioned in many information processing levels whose modules with three mental constructs could operate in hierarchy. In this premise, working memory could not be a unitary system, contrary to those of Baddeley and Hitch(1974) and Baddeley(1992, 2000), just being a mental workplace consisting of two components: the phonological loop, and the visual-spatial sketchpad without the episodic buffer and a central executive which are the characteristics of consciousness. In the continuum of information processing, the conscious processes and the unconscious processes seem not to be totally different and contrasting processes.