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This: Conflict in everyday use

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Executive dysfunctions constitute a significant public health problem due to their high impact on everyday life and personal independence. Therefore, the identification of early strategies to assess and rehabilitate these impairments appears to be a priority.

Introduction

In this way, the clinicians can obtain quickly more ecologically valid information about several aspects of EFs e. Moreover, the multimodal approach allows completing the assessment of EFs by integrating verbal responses, reaction times, and physiological data eye movements and brain activation.

conflict in everyday use

The executive dysfunctions in psychiatric and neurological pathologies constitute significant public health problems due to their high impact on personal independence, ability to work, educational success, social relationships, and cognitive and psychological development Goel et al. Consequently, the assessment and the rehabilitation of these deficits must be early and adequate Van der Linden et al. However, the evaluation of executive functions EFs represents a challenge due not only to the complexity of the construct Stuss and Alexander, but also to the methodological difficulties Chaytor and Schmitter-Edgecombe, ; Barker et al.

In the following paragraphs, we will briefly analyze the complex construct of EFs and the main tools for their evaluation. Conflict in everyday use in EFs may have adverse effects in performing instrumental activities of daily living IADL including preparing meals, managing money, shopping for groceries or personal items, doing housework, and ih a telephone Chevignard et al.

conflict in everyday use

An ecological assessment appeared crucial to understand how executive deficits affect daily functioning Burgess et al. For this reason, clinicians and researchers paid attention to develop tests capable of evaluating the different executive functioning components in real-life scenarios, such as the Multiple Errands Test Shallice and Burgess, ; Alderman et al. Still, it showed further limitations, such as long times, high economic costs, difficulty of organization, conflict in everyday use poor controllability of experimental condition or applicability in patients with motor deficits Bailey et al.

All these problems have led to the increasing use of technological tools and virtual reality VR for an ecologically valid evaluation of EFs in real life. Virtual reality enables designing and confllict realistic spatial and temporal scenarios, situations, or objects that, reproducing daily life conditions, allow an ecologically valid evaluation of EFs Campbell et al. VR-based tools allowed clinicians to observe their patients while performing everyday executive tasks in everysay controlled environments e.

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Finally, several studies showed the feasibility of VR-based tool as assessment for EFs in neurological [e. This technology allows participants to be immersed in everyday scenarios that they experience from a first-person perspective. Moreover, it enables for sequential focusing upon several elements and portions of the rveryday conflict in everyday use different times.

For example, patients with PD took longer to provide a correct interpretation of the scene proposed, gave significantly more detailed descriptions of the scene, and appeared more prone to distractor interference.

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evryday Thus, it would be interesting to integrate this technology with other portable devices, such as eye tracker ET. Several studies have tried to integrate the assessment of EFs by identifying new indices and non-verbal response using ET and electroencephalograms EEG.

Eye tracker conflict in everyday use for tracking and recording online the eye movements such as fixations or saccadic and antisaccadic movements. The combination of VR advantages e. Over the years, several studies showed ln antisaccade AS eye movements obtained with an AS task AST can be considered a good indicator of executive dysfunction e. Firstly, Mirsky and colleagues showed that AST is a sensitive marker of executive dysfunction and frontal lobe structure in cognitively and functionally healthy elders Mirsky et al. Results showed a correlation between the percentage of correct AS responses and neuropsychological measures of executive functioning e. Moreover, a significant relationship appeared between the severity of AS impairment and the degree of structural alterations conflict in everyday use frontal inhibitory control network in healthy elders. Thus, AST is sensitive to subtle frontal lobe dysfunction that may indicate an increased risk of future cognitive decline.

Visit web page studies showed the same good relationship between the AS responses and neuropsychological measures of EFs in clinical populations Hutton, ; Heuer et al.

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Recently, Ferreira and colleagues showed that patients with MS have higher error rates and prolonged latency than controls in the AS parameters Ferreira et al. AS performance was a good predictor of decision-making and visual memory abilities in all samples and of visual search performance in clinical ones. The crucial role of EEG in the study of neural ij is well known Abiri et al.]

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