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Covert attention is tightly coupled with the control of eye movements, but there is controversy about how tight this coupling is. The premotor theory of attention proposes that activation of the eye movement system is necessary to produce shifts of attention. In this study, we experimentally prevented healthy participants from planning or executing eye movements and observed the effect on exogenous attention, inhibition of return (IOR), and endogenous attention. The participants experienced a deficit of exogenous attentional facilitation that was specific to locations that were inaccessible by saccade. In contrast, their ability to endogenously orient attention was preserved, as was IOR. These results show that (a) exogenous attention depends on motor preparation, (b) IOR is independent of motor preparation and exogenous attention, and (c) endogenous attention is independent of motor preparation. Although these data are consistent with a weak version of the premotor theory, we believe they can be better explained by a biased competition account of visual attention. (Contains 4 figures.)

Patients with homonymous visual field defects experience disabling functional impairments as a consequence of their visual loss. Compensatory visual exploration training aims to improve the searching skills of these patients in order to help them to cope more effectively. However, until now the efficacy of this training has not been compared to that of a control intervention. Given that exploration training uses the visual search paradigm, which is known to require visual attention, in this study the efficacy of the technique was compared with training that requires visual attention but not exploration. Participants completed either exploration training (n = 21), or attention training followed by exploration training (n = 21). Assessment of the visual field, visual search, reading and activities of daily living were performed before and after each intervention that the participants completed. The results revealed that both the exploration training and the attention training led to significant improvements in most of the visual tasks. For most of the tasks exploration training did not prove superior to attention training, and for reading both types of intervention failed to yield any benefits. The results indicate that attention plays a large role in the rehabilitation of homonymous visual field defects.

Salient peripheral events trigger fast, "exogenous" covert orienting. The influential premotor theory of attention argues that covert orienting of attention depends upon planned but unexecuted eye-movements. One problem with this theory is that salient peripheral events, such as offsets, appear to summon attention when used to measure covert attention (e.g., the Posner cueing task) but appear not to elicit oculomotor preparation in tasks that require overt orienting (e.g., the remote distractor paradigm). Here, we examined the effects of peripheral offsets on covert attention and saccade preparation. Experiment 1 suggested that transient offsets summoned attention in a manual detection task without triggering motor preparation planning in a saccadic localisation task, although there were a high proportion of saccadic capture errors on "no-target" trials, where a cue was presented but no target appeared. In Experiment 2, "no-target" trials were removed. Here, transient offsets produced both attentional facilitation and faster saccadic responses on valid cue trials. A third experiment showed that the permanent disappearance of an object also elicited attentional facilitation and faster saccadic reaction times. These experiments demonstrate that offsets trigger both saccade programming and covert attentional orienting, consistent with the idea that exogenous, covert orienting is tightly coupled with oculomotor activation. The finding that no-go trials attenuates oculomotor priming effects offers a way to reconcile the current findings with previous claims of a dissociation between covert attention and oculomotor control in paradigms that utilise a high proportion of catch trials. [ABSTRACT FROM AUTHOR]

The authors find that the market's underreaction to good news is a driver of Gutierrez and Kelly's [2008] weekly momentum returns. By employing a dataset of 10.1 million news items in 4 regions (the U.S., Europe, Japan, and Asia Pacific), they find that stocks having important and positive news exhibit stronger return continuation. The study findings suggest that investors in international markets have similar underreaction to the same news characteristics. [ABSTRACT FROM PUBLISHER]

Visual perception can be influenced by the content of working memory. Previous studies have shown this influence can be enough to improve unconscious visual discrimination in healthy participants and conscious visual discrimination in neuropsychological patients with extinction. Here, these findings are extended by examining the effects of holding an object in working memory on unconscious visual perception in a person with hemianopia. The results revealed significantly enhanced detection accuracy when there was an exact match between the colour and orientation of the discrimination target and the item in working memory. However, the facilitatory effect was greatly reduced when only colour or orientation was matched with the item being held in memory. A control experiment confirmed these effects were not due to visual priming. These results are consistent with the proposal that working memory guided perceptual facilitation is driven by signal enhancement. More broadly, the data are interpreted in terms of a biased competition account of visual perception. [ABSTRACT FROM AUTHOR]

Salient peripheral cues produce a transient shift of attention which is superseded by a sustained inhibitory effect. Cueing part of an object produces an inhibitory cueing effect (ICE) that spreads throughout the object. In dynamic scenes the ICE stays with objects as they move. We examined object-centred attentional facilitation and inhibition in a patient with visual form agnosia. There was no evidence of object-centred attentional facilitation. In contrast, object-centred ICE was observed in 3 out of 4 tasks. These inhibitory effects were strongest where cues to objecthood were highly salient. These data are evidence of a neuropsychological dissociation between the facilitatory and inhibitory effects of attentional cueing. From a theoretical perspective the findings suggest that ‘grouped arrays’ are sufficient for object-based inhibition, but insufficient to generate object-centred attentional facilitation. [ABSTRACT FROM AUTHOR]

Salient peripheral cues produce a transient shift of attention which is superseded by a sustained inhibitory effect. Cueing part of an object produces an inhibitory cueing effect (ICE) that spreads throughout the object. In dynamic scenes the ICE stays with objects as they move. We examined object-centred attentional facilitation and inhibition in a patient with visual form agnosia. There was no evidence of object-centred attentional facilitation. In contrast, object-centred ICE was observed in 3 out of 4 tasks. These inhibitory effects were strongest where cues to objecthood were highly salient. These data are evidence of a neuropsychological dissociation between the facilitatory and inhibitory effects of attentional cueing. From a theoretical perspective the findings suggest that ‘grouped arrays’ are sufficient for object-based inhibition, but insufficient to generate object-centred attentional facilitation. [ABSTRACT FROM AUTHOR]

Attentional control settings have an important role in guiding visual behaviour. Previous work within cognitive psychology has found that the deployment of general attentional control settings can be modulated by training. However, research has not yet established whether long-term modifications of one particular type of attentional control setting can be induced. To address this, we investigated persistent alterations to feature search mode, also known as an attentional bias, towards an arbitrary stimulus in healthy participants. Subjects were biased towards the colour green by an information sheet. Attentional bias was assessed using a change detection task. After an interval of either 1 or 2 weeks, participants were then retested on the same change detection task, tested on a different change detection task where colour was irrelevant, or were biased towards an alternative colour. One experiment included trials in which the distractor stimuli (but never the target stimuli) were green. The key finding was that green stimuli in the second task attracted attention, despite this impairing task performance. Furthermore, inducing a second attentional bias did not override the initial bias toward green objects. The attentional bias also persisted for at least two weeks. It is argued that this persistent attentional bias is mediated by a chronic change to participants’ attentional control settings, which is aided by long-term representations involving contextual cueing. We speculate that similar changes to attentional control settings and continuous cueing may relate to attentional biases observed in psychopathologies. Targeting these biases may be a productive approach to treatment. [ABSTRACT FROM AUTHOR]

Highlights: [•] We tested oculomotor involvement in covert attention using covert search tasks. [•] Eye-abduction disrupts saccade preparation to targets in the temporal hemispace. [•] Exogenous orienting into the temporal hemispace was impaired during eye-abduction. [•] Endogenous orienting into the temporal hemispace was unaffected by eye-abduction. [•] Optimal exogenous orienting limited to the range of possible saccadic eye-movements. [Copyright &y& Elsevier]

Autism is a complex spectrum of disorders characterized by core behavioral deficits in social interaction, communication, repetitive stereotyped behaviors and restricted interests. Autism frequently presents with additional cognitive symptoms, including attentional deficits and intellectual disability. Preclinical models are important tools for studying the behavioral domains and biological underpinnings of autism, and potential treatment targets. The inbred BTBR T+tf/J (BTBR) mouse strain has been used as an animal model of core behavioral deficits in autism. BTBR mice exhibit repetitive behaviors and deficits in sociability and communication, but other aspects of their cognitive phenotype, including attentional performance, are not well characterized. We examined the attentional abilities of BTBR mice in the 5-choice serial reaction time task (5-CSRTT) using an automated touchscreen testing apparatus. The 5-CSRTT is an analogue of the human continuous performance task of attention, and so both the task and apparatus have translational relevance to human touchscreen cognitive testing. We also measured basal extracellular levels of a panel of neurotransmitters within the medial prefrontal cortex, a brain region critically important for performing the 5-CSRTT. We found that BTBR mice have increased impulsivity, defined as an inability to withhold responding, and decreased motivation, as compared to C57Bl/6J mice. Both of these features characterize attentional deficit disorders in humans. BTBR mice also display decreased accuracy in detecting short stimuli, lower basal levels of extracellular acetylcholine and higher levels of kynurenic acid within the prefrontal cortex. Intact cholinergic transmission in prefrontal cortex is required for accurate performance of the 5-CSRTT, consequently this cholinergic deficit may underlie less accurate performance in BTBR mice. Based on our findings that BTBR mice have attentional impairments and alterations in a key neural substrate of attention, we propose that they may be valuable for studying mechanisms for treatment of cognitive dysfunction in individuals with attention deficits and autism. [ABSTRACT FROM AUTHOR]

Covert attention is tightly coupled with the control of eye movements, but there is controversy about how tight this coupling is. The premotor theory of attention proposes that activation of the eye movement system is necessary to produce shifts of attention. In this study, we experimentally prevented healthy participants from planning or executing eye movements and observed the effect on exogenous attention, inhibition of return (IOR), and endogenous attention. The participants experienced a deficit of exogenous attentional facilitation that was specific to locations that were inaccessible by saccade. In contrast, their ability to endogenously orient attention was preserved, as was IOR. These results show that (a) exogenous attention depends on motor preparation, (b) IOR is independent of motor preparation and exogenous attention, and (c) endogenous attention is independent of motor preparation. Although these data are consistent with a weak version of the premotor theory, we believe they can be better explained by a biased competition account of visual attention. [ABSTRACT FROM AUTHOR]

Efficient visual exploration requires the ability to select possible target locations via spatial attention and to deselect previously inspected locations via inhibition of return (IOR). Although a great deal is known about the effects of spatial attention on processing in visual cortex, much less is known about the effects of IOR on early visual areas. One possibility is that IOR acts in an opposite way to spatial attention, such that, whereas spatial attention enhances target related neural signals in visual cortex, IOR suppress target-related signals. Using a novel dual-coil TMS protocol, we found that IOR reduced the probability of detecting a TMS-induced phosphene in extrastriate cortex (V5). Specifically, a nonpredictive spatial precue presented 500 or 800 msec before stimulation significantly reduced the probability of detecting a phosphene when the precue appeared contralaterally to the site of stimulation (i.e., ipsilaterally to the potential location of the phosphene), compared with ipsilaterally or centrally presented cues. This result demonstrates that IOR facilitates visual exploration by directly affecting the strength of target-related signals in extrastriate visual cortex. This result is consistent with neurophysiological models of attention, which postulate that IOR modulates perception by biasing competition between sensory representations. [ABSTRACT FROM AUTHOR]

Abstract: Spatial attention and eye-movements are tightly coupled, but the precise nature of this coupling is controversial. The influential but controversial Premotor theory of attention makes four specific predictions about the relationship between motor preparation and spatial attention. Firstly, spatial attention and motor preparation use the same neural substrates. Secondly, spatial attention is functionally equivalent to planning goal directed actions such as eye-movements (i.e. planning an action is both necessary and sufficient for a shift of spatial attention). Thirdly, planning a goal directed action with any effector system is sufficient to trigger a shift of spatial attention. Fourthly, the eye-movement system has a privileged role in orienting visual spatial attention. This article reviews empirical studies that have tested these predictions. Contrary to predictions one and two there is evidence of anatomical and functional dissociations between endogenous spatial attention and motor preparation. However, there is compelling evidence that exogenous attention is reliant on activation of the oculomotor system. With respect to the third prediction, there is correlational evidence that spatial attention is directed to the endpoint of goal-directed actions but no direct evidence that this attention shift is dependent on motor preparation. The few studies to have directly tested the fourth prediction have produced conflicting results, so the extent to which the oculomotor system has a privileged role in spatial attention remains unclear. Overall, the evidence is not consistent with the view that spatial attention is functionally equivalent to motor preparation so the Premotor theory should be rejected, although a limited version of the Premotor theory in which only exogenous attention is dependent on motor preparation may still be tenable. A plausible alternative account is that activity in the motor system contributes to biased competition between different sensory representations with the winner of the competition becoming the attended item. [Copyright &y& Elsevier]

Background: Right posterior parietal cortex (rPPC) and frontal eye fields (FEF) are known to be involved in processing visuospatial attention. However, the functional involvement of these areas in spatial priming in complex conjunction visual search has yet to be determined. Objective: This study aimed to examine the roles of rPPC and bilateral FEF in conjunction search when spatial ambiguity was reduced by priming the target location. Methods: Participants completed a conjunction search task whereby the target location was random or else repeated from the previous trial. Transcranial magnetic stimulation was delivered to each one of the three sites of interest at a time, and task performance was compared with a sham condition. Results: Spatial priming occurred for all conditions: search times were faster for primed relative to nonprimed trials. When the target appeared at a nonprimed location, stimulation over any of the three sites increased reaction times relative to the sham condition. However, when the target location was repeated, reaction time was only significantly increased by stimulation over the right FEF. Conclusions: rPPC and left FEF are only involved when the target location is random, suggesting that these areas are essential for resolving spatial ambiguity to localize targets. Conversely, right FEF contributes equally to visual search regardless of spatial priming. We propose that right FEF has a role in the integration of bottom up saliency and top down expectancy signals and is the node at which rPPC and/or left FEF is either recruited or not. [ABSTRACT FROM AUTHOR]

Peripheral cues trigger attention shifts, which facilitate perceptual processing and enhance visual awareness. However, this facilitation is superseded by an inhibition of return (IOR) effect, which biases attention away from the cued location. While the link between facilitatory effects of visual attention and awareness is well established, no study has reported negative effects of spatial cueing on visual awareness. This failure is puzzling, given the claim that attention is a necessary precondition for awareness. If attention is necessary for awareness, inhibiting attention should also inhibit awareness. This leads to a slightly counterintuitive prediction: Spatial cueing will inhibit awareness at long cue-target latencies. This study shows that subliminal peripheral cues exaggerate change blindness at long cue-change latencies, demonstrating that IOR can suppress visual awareness of changes and suggesting that IOR can directly affect the contents of consciousness. [ABSTRACT FROM AUTHOR]

Abstract: Attention mediates access of sensory events to higher cognitive systems and can be driven by either top-down voluntary mechanisms or in a bottom-up, reflexive fashion by the sensory properties of a stimulus. The exact mechanisms underlying these different modes of attention are controversial, but both types of attention appear to be tightly coupled to the systems used for the control of eye-movements. Indeed, recent data indicates that patients with opthalmoplegia (paralysis of the eyes) have difficulty voluntarily attending to locations to which saccades cannot be made () and experimentally induced opthalmoplegia disrupts voluntary attention in normal participants. However, the extent to which reflexive attention is mediated by the ability to make eye-movements in normal participants remains unclear. Here, we address this issue by investigating the effect of an experimentally induced opthalmoplegia on voluntary and reflexive attentional orienting during visual search. We observed that abducting the eye into the temporal hemifield elicited deficits of both voluntary and reflexive attention for targets that appeared beyond the oculomotor range. This result confirms the link between oculomotor control and voluntary attention observed in opthalmoplegic patients and demonstrates for the first time that reflexive attention is mediated by the ability to make eye-movements in normal participants. [Copyright &y& Elsevier]

Abstract: One of the most common and debilitating consequences of stroke is the loss of vision in the contralesional visual field. Clinicians typically regard this loss as irreversible and attempts at visual restoration have delivered only small and unreliable improvements. However, Schendel and Robertson [Schendel, K., & Robertson, L. C. (2004). Reaching out to see: Arm position can attenuate human visual loss. Journal of Cognitive Neuroscience, 16(6), 935–943] reported that the visual abilities of a hemianopic patient (WM) were significantly improved when the left arm was extended into the blind field. They suggest that visual stimuli near the arm recruited bimodal visual-tactile neurons, and this activity was sufficient to bring the stimulus into awareness. This result has enormous potential therapeutic value, but given that it is a single case study there are a number of reasons to be cautious about interpreting the data. Here, we investigate the effects of manipulating arm position on visual loss in a sample of five patients with homonymous field deficits. None of our patients showed any evidence of improved implicit or explicit visual ability in the blind field as a consequence of moving the arm. We suggest that WMs improvement was the consequence of a spatial bias towards the space containing his extended arm rather than the recruitment of bimodal neurons, and conclude that manipulating arm position is of little therapeutic value to patients with dense hemianopia. [Copyright &y& Elsevier]

Abstract: Humans are able to selectively attend to specific regions of space without moving their eyes. However, there is mounting evidence that these covert shifts of attention may employ many of the same brain regions involved when executing the eye movements. For example, functional magnetic resonance imaging (fMRI) studies show that the oculomotor region known as the frontal eye fields (FEF) are activated by the covert shifts of attention. However, it remains possible that the activations seen in these studies result from actively inhibiting eye movements rather than as a direct result of modulating perceptual processing. Here we provide direct evidence for the role of this region in endogenously driven spatial attention. We show that briefly disrupting the left FEFs with transcranial magnetic stimulation (TMS) eliminated the slow response times associated with the invalid strategic cues when the target appeared in the right visual field. At first glance, our findings appear incompatible with the results reported by Grosbras and Paus (Grosbras, M. -H., & Paus, T. (2002). Transcranial magnetic stimulation of the human frontal eye field: effects on visual perception and attention. Journal of Cognitive Neuroscience, 14(7), 1109–1120) and we suggest this is likely due to the design differences. Specifically, we disrupted the FEF at the time of cue onset, rather than target onset. Taken together with the findings of Grosbras and Paus, our findings suggest that the FEF plays an early role in the inhibition of perceptual information. Furthermore, our findings complement work by Ro et al. (Ro, T., Farne, F., & Chang, E. (2003). Inhibition of return and the frontal eye fields. Experimental Brain Research, 150, 290–296) who report that stimulation of the frontal eye fields disrupts the inhibitory consequences of reflexive attention shifts. [Copyright &y& Elsevier]

A driving simulator experiment was conducted to determine the effects of entering addresses into a navigation system during driving. Participants drove on roads of varying visual demand while entering addresses. Three address entry methods were explored: word-based speech recognition, character-based speech recognition, and typing on a touch-screen keyboard. For each method, vehicle control and task measures, glance timing, and subjective ratings were examined. During driving, word-based speech recognition yielded the shortest total task time (15.3 s), followed by character-based speech recognition (41.0 s) and touch-screen keyboard (86.0 s). The standard deviation of lateral position when performing keyboard entry (0.21 m) was 60% higher than that for all other address entry methods (0.13 m). Degradation of vehicle control associated with address entry using a touch screen suggests that the use of speech recognition is favorable. Speech recognition systems with visual feedback, however, even with excellent accuracy, are not without performance consequences. Applications of this research include the design of in-vehicle navigation systems as well as other systems requiring significant driver input, such as E-mail, the Internet, and text messaging. [ABSTRACT FROM AUTHOR]

Shifts of attention can be made overtly by moving the eyes or covertly with attention being allocated to a region of space that does not correspond to the current direction of gaze. However, the precise relationship between eye movements and the covert orienting of attention remains controversial. The influential premotor theory proposes that the covert orienting of attention is produced by the programming of (unexecuted) eye movements and thus predicts a strong relationship between the ability to execute eye movements and the operation of spatial attention. Here, we demonstrate for the first time that impaired spatial attention is observed in an individual (AI) who is neurologically healthy but who cannot execute eye movements as a result of a congenital impairment in the elasticity of her eye muscles . This finding provides direct support for the role of the eye-movement system in the covert orienting of attention and suggests that whereas intact cortical structures may be necessary for normal attentional reflexes, they are not sufficient. The ability to move our eyes is essential for the development of normal patterns of spatial attention. [Copyright &y& Elsevier]

Biased competition theory assumes that shift of attention is biased towards visual stimuli that matched the content of the visual working memory (VWM) and this bias might be due to a competition between eye-movement motor plans and memory object location. Here, we measured the effect of holding an item in VWM on pre-saccadic shift of attention by measuring attention when the goal of an eye-movement is congruent or incongruent with the location of an object sharing properties with the VWM content. Participants performed an eye-movement towards a previously specified location (Saccade Target, ST) and make a discrimination decision (Discrimination Target, DT). They also had to retain a visual feature in VWM for the whole duration of the trial (Memory Target; MT). There were four different conditions: 1) MT congruent with ST and DT, 2) MT congruent with DT but incongruent with ST, 3) MT congruent with ST but incongruent with DT, 4) MT incongruent with ST and DT. As expected, pre-saccadic attentional facilitation was greatest when the VWM content, the saccade direction and the discrimination location were all congruent, and abolished when ST, DT and MT were at different locations. Critically, when the ST and DT were in the same location but the MT at a different location pre-saccadic attentional facilitation was significantly reduced, suggesting competition between the saccade goal and the MT. Our results suggest that, the attention bias linked to the content of VWM can be understand as a competition between different saccade goals in the oculomotor system. [ABSTRACT FROM AUTHOR]

Highlights: [•] Relationship between eye-movements and visuospatial working memory controversial. [•] Inability to plan eye movements disrupted performance on the Corsi Blocks task. [•] Arrow Span, Visual Patterns and Size Estimation tasks unaffected. [•] Oculomotor system only involved when spatial locations cued by a visual transient. [Copyright &y& Elsevier]

Abstract The present research assessed the nature of endogenous shifts of attention based on internally generated expectations (i.e., target location probability) and involuntary attention shifts following eye-gaze cues from line-drawings of schematic faces (Experiment 1) and photographs of real neutral faces (Experiment 2) and fearful faces (Experiment 3). The time-course of these two forms of attention was explored by manipulating the gaze-target SOA (i.e., 100 ms, 200 ms, 300 ms). In all three experiments, target location probability influenced responding at each SOA with faster responses to high probability than low probability targets. However, the time-course of involuntary attention shifts was dependent on the gaze-cueing stimulus employed. For photographs of neutral gaze, endogenous orienting of attention was most efficient at the briefest SOA with involuntary attention shifts emerging later. However, both schematic and fearful gaze-cues influenced responding across all SOAs, which is indicative of stronger gaze-cueing effects from these cues. At 200 ms there was an additive effect as responses were slowest when the target had been invalidly cued by neutral gaze and also appeared in the low probability location. Taken together these findings suggest that these forms of involuntary and endogenous attention can operate in parallel and relatively independently, but can show potentially differing levels of influence, dependent on the time course in which they take to operate. Highlights • Target location probability influenced responding at each SOA. • Time-course of gaze-cueing was dependent on the gaze-cue stimulus employed. • Attention shifts to schematic and fearful gaze emerged earlier than to neutral gaze. • Endogenous attention and gaze-cueing operate in parallel and relatively independently. [ABSTRACT FROM AUTHOR]

Background: There is limited understanding of the symptomatic development of bipolar disorder from childhood to early adulthood.Aims: We assessed whether borderline personality disorder traits, ADHD, and emotional, behavioural and social difficulties during childhood were associated with hypomania assessed in young adulthood.Method: We used data from the Avon Longitudinal Study of Parents and Children (ALSPAC), to examine associations between measures of childhood psychopathology and lifetime hypomanic features assessed at age 22-23 years using the Hypomania Checklist-32 (HCL-32; n = 3372). We also conducted a factor analysis of the HCL to identify latent constructs underlying hypomania, and the extent to which childhood psychopathology was associated with these.Results: We identified two factors of the HCL corresponding to energy/mood and risk-taking/irritability. There was evidence of association between childhood borderline personality disorder traits and both hypomania factors, with evidence that the association was stronger with the risk-taking/irritability factor. All individual borderline traits, with the exception of fear of abandonment, were associated with hypomania. There was also evidence of association between most other measures of childhood psychopathology (ADHD, hyperactivity, conduct problems, peer relationship problems and reduced prosocial behaviour) and the risk-taking/irritability factor, but much less consistent evidence of association with the energy/mood factor.Limitations: The HCL cannot diagnose bipolar disorder and may be subject to reporting bias.Conclusions: A broad range of childhood psychopathologies may represent early markers of risk for hypomania. Further studies are required to understand the mechanisms underlying these associations, and to inform earlier detection of bipolar disorder. [ABSTRACT FROM AUTHOR]

Background: Previous reviews have identified medium-large group differences in cognitive performance in adults with bipolar disorder (BD) compared to healthy peers, but the proportion with clinically relevant cognitive impairment has not yet been established. This review aimed to quantify the prevalence of cognitive impairment in euthymic adults with BD, and to describe sociodemographic, clinical and other factors that are significantly associated with cognitive impairment.Methods: Systematic literature review. The population was euthymic community-dwelling adults with BD, aged 18-70 years, and recruited consecutively or randomly. The outcome was cognitive impairment, relative to healthy population norms. Electronic databases and reference lists of relevant articles were searched, and authors were contacted. Original cross-sectional studies published in peer-reviewed English-language journals from January 1994 to February 2015 were included. Methodological bias and reporting bias were assessed using standard tools. A narrative synthesis is presented together with tables and forest plots.Results: Thirty articles were included, of which 15 contributed prevalence data. At the 5th percentile impairment threshold, prevalence ranges were: executive function 5.3-57.7%; attention/working memory 9.6-51.9%; speed/reaction time 23.3-44.2%; verbal memory 8.2-42.1%; visual memory 11.5-32.9%. More severe or longstanding illness and antipsychotic medication were associated with greater cognitive impairment.Limitations: The synthesis was limited by heterogeneity in cognitive measures and impairment thresholds, precluding meta-analysis.Conclusions: Cognitive impairment affects a substantial proportion of euthymic adults with BD. Future research with more consistent measurement and reporting will facilitate an improved understanding of cognitive impairment burden in BD. [ABSTRACT FROM AUTHOR]