On the distinction between value-driven attention and selection history: Evidence from individuals with depressive symptoms.

When predictive of extrinsic reward as targets, stimuli rapidly acquire the ability to automatically capture attention. Attentional biases for former targets of visual search also can develop without reward feedback but typically require much longer training. These learned biases towards former targets often are conceptualized within a single framework and might differ merely in degree. That is, both are the result of the reinforcement of selection history, with extrinsic reward for correct report of the target providing greater reinforcement than correct report alone. A direct test of this shared mechanisms hypothesis is lacking, however. Recent evidence demonstrates that depressed individuals present with blunted value-driven attentional biases. Based on the shared mechanisms hypothesis, we predicted that depressed individuals would similarly show blunted attentional biases for former targets following unrewarded training. To the contrary, however, we found that the effects of selection history on attention were robust and equivalent between individuals experiencing depressive symptoms and control participants, whereas attentional capture by previously reward-associated stimuli was blunted in depressed individuals. Our results suggest a qualitative distinction between the effects of reward history and the effects of selection history on attention, with depressive symptoms impairing the former while leaving the latter unaffected.

Impact of obstructive sleep apnea syndrome on cognition in early postmenopausal women.

PURPOSE: Obstructive sleep apnea syndrome (OSAS) has a higher prevalence in postmenopausal women who are not on hormone replacement therapy (HRT), as compared to premenopausal women. Cognitive impairment (CI) is associated with OSAS and the early postmenopausal state. We hypothesized that compared to postmenopausal women at low risk for OSAS, postmenopausal women at high risk for OSAS would report worse cognitive function. METHODS: Early postmenopausal women not on HRT between the ages of 45 and 60 years, within 5 years of natural menopause, were enrolled. Participants completed a REDCap survey which collected information on demographics and risk factors, Berlin questionnaire to screen subjects for OSAS risk, and the Mail-In Cognitive Function Screening Instrument (MCFSI) score which was used to assess CI. RESULTS: Of 381 respondents, 127 were omitted due to missing/duplicate data or not meeting inclusion criteria. One hundred fifty-four women were classified as high risk for OSAS (OSAS+), and 100 were classified as low risk for OSAS (OSAS-). OSAS- women reported lifetime smoking, lifetime drinking, and recreational drug use more often than OSAS+ women, while OSAS+ women reported a depression diagnosis more often. The mean MCFSI score in the OSAS+ group was significantly higher (worse cognition) than in the OSAS- group after controlling for covariates (5.59, 95 % CI 5.08-6.11 vs. 4.29, 95 % CI 3.64-4.93, p < 0.05). CONCLUSION: Early postmenopausal women at high risk for OSAS report more CI than those at low risk for OSAS. Future studies should identify biomarkers of this CI and define the degree of reversibility of CI with OSAS treatment.