Beruflich Dokumente
Kultur Dokumente
Shu-Chen Li
Lars Backman
Karolinska Institutet
Increased intraindividual variability (IIV), reflecting within-person fluctuations in behavioral performance, is commonly observed in aging as well as in select disorders including traumatic brain injury,
schizophrenia, attention-deficit hyperactivity disorder (ADHD), and dementia. Much recent progress has
been made toward understanding the functional significance of IIV in cognitive performance (MacDonald,
Nyberg, & Backman, 2006) and biological information processing (Stein, Gossen, & Jones 2005), with
parallel efforts devoted to investigating the links between older adults deficient neuromodulation and
their more variable neuronal and cognitive functions (Backman, Nyberg, Lindenberger, Li, & Farde,
2006). Despite these advances in the study of IIV, there has been little empirical examination of
underlying neural correlates and virtually no synthesis of extant findings. The present review summarizes
the accumulating empirical evidence linking age-related increases in IIV in cognitive performance to
neural correlates at anatomical, functional, neuromodulatory, and genetic levels. Computational theories
of neural dynamics (e.g., Li, Lindenberger, & Sikstrom, 2001) are also introduced to illustrate how
age-related neuromodulatory deficiencies may contribute to increased neuronal noise and render information processing in aging neurocognitive systems to be less robust. The potential benefits of stochastic
resonance and external noise are also discussed with respect to processing subthreshold stimuli (e.g., Li,
von Oertzen, & Lindenberger, 2006). We conclude by highlighting important challenges and outstanding
research issues that remain to be answered in the study of IIV.
Keywords: cognition, aging, within-person variability, brain, neuromodulation
Time Scales
One dichotomy that is fundamental to the study of variability
concerns differentiating ontogenetic versus microgenetic forms of
within-person change according to two criteria: permanence of
change and time scale (Nesselroade, 1991). Intraindividual change
represents a relatively slow and enduring process that unfolds
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across months, years, or decades (e.g., progressive changes associated with development and aging, long-term learning, and skill
acquisition) and has been referred to as becoming (Ford, 1987) or
developing (Li, Huxhold, & Schmiedek, 2004). In contrast, IIV
represents relatively rapid and transient short-term change indexed
across minutes, days, or weeks for various types of behavior (e.g.,
shifts in emotional state, variability in cognitive accuracy or processing speed, fluctuations in physical performance). The shorter
time frame is said to reflect being (Ford, 1987) or functioning (Li,
Huxhold, & Schmiedek, 2004), with indices of IIV variously
referred to as inconsistency, lack of processing robustness, wobble,
and lability (for a review, see Hultsch et al., 2008). IIV can be
distinguished from more enduring intraindividual change. Although both variants of within-person change represent important
developmental phenomena, recent research has been focused on
IIV as a common component of aging-related cognitive decline, as
well as in relation to behavioral changes associated with neurodegenerative diseases (e.g., Alzheimers disease) and other brainrelated disorders (e.g., traumatic brain injury, schizophrenia). Considering the diverse populations that exhibit increasing IIV and
concomitant cognitive deficits, more variable cognitive functioning likely reflects a behavioral proxy for endogenous neural
changes underlying impairment.
The time scale for measuring IIV itself is also important. For
example, IIV indexed from moment to moment (e.g., fluctuations
in reaction time [RT] trials) versus day to day or week to week
(e.g., fluctuations in mood) likely reflects different underlying
sources (e.g., Martin & Hofer, 2004; Rabbitt, Osman, Moore, &
Stollery, 2001; Ram, Rabbitt, Stollery, & Nesselroade, 2005;
Rocke, Li, & Smith, in press). In several studies, IIV has even been
examined across different retest intervals for the same task in the
same sample. Rabbitt and colleagues (2001) found that RT variability from trial to trial versus week to week was related, although
individual differences in within-session variability did not account
for all the variance in between-session variability. Similarly,
Hultsch and colleagues (Fuentes, Hunter, Strauss, & Hultsch,
2001; Hultsch et al., 2000) reported that the magnitude of IIV
across trials is approximately twice as large as IIV across weeks.
If a theoretical model assumes that endogenous sources underlie
cognitive variability (e.g., neural correlates such as changes in the
efficiency of neurotransmitters), then IIV may be better captured
over short intervals (e.g., trial-to-trial fluctuations in RT tasks). In
contrast, exogenous modulators of variability (e.g., fatigue, perceived stress) may be better indexed over days or weeks.
Task Characteristics
Recent reviews have chiefly focused on the negative association
between IIV and cognitive performance (e.g., Hultsch et al., 2008;
Luszcz, 2004; MacDonald, Nyberg, & Backman, 2006). However,
variability is not always a harbinger of maladaptive functioning;
rather, variability can be adaptive depending on specific task
characteristics. For example, performance variability in the child
development literature is related to cognitive development (not
impairment), with such variability reflecting diverse strategy exploration for complex tasks. Children who try a variety of strategies for complex tasks exhibit greater success. In contrast, more
constrained tasks (including many of the response latency measures examined in the cognitive aging literature on variability) are
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less amenable to multiple response strategies, and varying strategies to such tasks could be maladaptive. Siegler (1994) has referred to such fluctuations in performance as the ebbing and
flowing of new and old ways of thinking. Similar positive associations between increased IIV and cognitive functioning have been
reported for older adults. Allaire and Marsiske (2005), for example, computed IIV across performance accuracy trials for three
cognitive tasks that permitted implementation of new performance
strategies with practice. Results indicated that increased IIV was
positively correlated with level of task performance and the magnitude of practice-related gains. In contrast, IIV estimates derived
from cognitive tasks that provide little opportunity for strategic
processing or practice-related gains (e.g., sensorimotor or perceptual processing speed) are typically associated with maladaptive
outcomes (e.g., Hultsch & MacDonald, 2004, Hultsch et al., 2008).
Furthermore, depending on the domains of functioning (e.g., cognitive vis a vis affective), aging is not always associated with
increasing within-person variability. For instance, recently Rocke
et al. (in press) reported that older adults exhibited less daily
fluctuations in positive and negative affect than young adults.
Subtypes of Variability
It is important to emphasize that variation could be operationalized in numerous forms, even for the most basic cognitive
information processing tasks. Indices of variability can be indexed
across trials versus sessions or across all response latency trials
versus only correct responses and could even be examined in the
Figure 1. Varieties of intraindividual dynamics. Adaptive forms of variability are typically observed for tasks
amenable to strategy use. Adaptive subtypes include plasticity (the ability to exhibit learning gains following task
exposure), diversity (exploratory strategy use when performing a complex task), and adaptability (capacity to
quickly recover peak functioning despite challenging task conditions). As a maladaptive form of variability, lack
of processing robustness reflects continued performance fluctuations and diminished stability subsequent to
mastering a given level of functioning. This form of maladaptive variability characterizes most findings reported
in the present review. From Aging and Processing Robustness: Evidence From Cognitive and Sensorimotor
Functioning, by S.-C. Li, O. Huxhold, and F. Schmiedek, 2004, Gerontology, 50, p. 30. Copyright 2004 by
Karger. Adapted with permission.
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Assessment Occasion
Figure 2. (a) Hypothetical depiction of level of intraindividual variability (IIV) as a precursor of cognitive
change for several individuals. (b) Longitudinal change in category fluency plotted as a function of performance
variability. At baseline, three variability groups (high, median, and low) were formed on the basis of individual
differences in IIV across reaction time trials of a perceptual speed task. Individuals with IIV scores greater than
0.5 standard deviations (SDs) above the mean were coded in the high-variability group, those with IIV scores
0.5 SDs of the mean were coded in the median-variability group, and those with IIV scores more than 0.5 SDs
below the mean were coded in the low-variability group. Individuals who exhibited the most variability in
perceptual speed at baseline also showed steeper longitudinal decline in category fluency, relative to individuals
in the low- or median-IIV groups. From Within-Person Trial-by-Trial Variability Precedes and Predicts
Cognitive Decline in Old and Very Old Age: Longitudinal Data from the Berlin Aging Study, by M. Lovden,
S.-C. Li, Y. L. Shing, and U. Lindenberger, 2007, Neuropsychologia, 45, p. 12. Copyright 2007 by Elsevier.
Adapted with permission.
tion (e.g., Bunce, Warr, & Cochrane, 1993) and failure to maintain
executive control (e.g., West et al., 2002). Such accounts imply a
disproportionately high number of very slow responses in the RT
distribution, a proposition supported by recent findings (e.g., Williams et al., 2005). Although most extant research on IIV has relied
on such behavioral data, brain correlates have begun to be delineated in recent neuroscientific investigations. Closer inspection of
related literatures (life span developmental psychology, neuropsychology, neuroscience) reveals that increased IIV shares definitive
links to numerous age- and non-age-related conditions, including
increasing adult age, cognitive decline, impending death, ADHD,
Parkinsons disease, frontotemporal dementia, traumatic brain injury, and a specific allele (Val) of the catechol-O-methyl transferase (COMT) gene (for reviews, see Hultsch et al., 2008;
MacDonald, Nyberg, & Backman, 2006). Converging evidence
indicates that IIV in cognitive functioning is linked to these aforementioned outcomes independent of mean-level performance, underscoring the unique importance of variability (e.g., for promoting early detection of impending disease and improving
differential diagnosis). Thus, IIV is not solely the province of
aging at the behavioral level but rather reflects multiple endogenous brain correlates. For example, rapid changes in IIV from one
moment to the next in a cognitive task may reflect brain mechanisms, such as fluctuations in the connectivity of neuronal pathways (e.g., Kelly, Uddin, Biswal, Castellanos, & Milham, 2008),
and the efficacy of neurotransmitter systems (e.g., Backman et al.,
2006). In the remaining sections of this review, we focus on links
between increased IIV in cognitive performance and key brain
correlates and speculate as to mechanisms underlying increased
variability in behavior and brain alike.
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PFC that may, in turn, give rise to attentional deficits and increased
IIV (Andres, Parmentier, & Escera, 2006; Raz, Gunning-Dixon,
Head, Dupuis, & Acker, 1998). Such an interpretation is consistent
with previous research showing that increased executive demands
result in increased IIV in response latency (West et al., 2002).
Individuals in the mild cognitive disorders group who were the
most variable also had the most diminished brain reserve (in the
form of a smaller CC area, likely indicating pathological white
matter alterations). This groups increased IIV in response latency
for a simple RT task could reflect such constraints to brain reserve
but may also reflect lessened cognitive reserve (the greater burden
of structural brain changes may lead to failures of task-relevant
processing or to deficiencies in basic cognitive resources). Either
diminished brain or cognitive reserve could exacerbate IIV in
cognitive performance.
A related study by Bunce and colleagues (2007) examined the
association between white matter hyperintensities (WMHs) in various brain regions (e.g., frontal, temporal, parietal) and increased
IIV across RT trials for 469 healthy community-dwelling adults
(60 64 years old). Findings indicated that frontal WMHs were
linked to increased IIV but not to performance on other cognitive
measures including global cognition, perceptual speed, and episodic memory. In contrast, WMH in other brain regions did not
share a significant association with IIV. These patterns imply that
increased WMH and the associated deterioration of neural pathways in the frontal cortex play a key role in increased IIV observed
for older adults and those at risk of cognitive impairment.
In summary, lesions to frontal gray and white matter share a
robust association with increased IIV. The developmental evolution and involution of gray and white matter corresponds, at least
grossly, to increasing and then decreasing intellectual functioning
(Kray et al., 2004; Li, Lindenberger, et al., 2004) as well as to
decreasing and then increasing IIV (MacDonald et al., 2003;
Williams et al., 2005) across the life span. For example, the
reported decreases in IIV from early childhood through adolescence (cf. Williams et al., 2005) may reflect systematic changes in
brain morphology, particularly in the frontal cortex (Gogtay et al.,
2004). The reductions in gray matter density and synaptic pruning
that occur during adolescence and young adulthood (Sowell et al.,
2003) may promote increased neural efficiency and decreased
noise in cognitive functioning that underlie the concomitant decreases in IIV during development (Williams et al., 2005, 2007).
Similarly, gray matter atrophy and increased neural noise in older
adults may underlie increased IIV (Raz et al., 2004; Sowell et al.,
2003).
Life span changes in white matter volume, approximating an
inverted U-shaped function, mirror closely the U-shaped life span
changes observed for patterns of IIV (Gogtay et al., 2004; Sowell
et al., 2003). Disconnectivity in associative pathways, whether
caused by immature or degraded white matter tracts, can also
increase variability. Such structural changes in performance may
result in increased neural noise (e.g., due to white matter disconnectivity), leading to less distinct cortical representations, poorer
cognitive performance, and increased performance variability. Effectively, the neural system matures, levels off, and declines with
a direct correspondence between increasing and then decreasing
intellectual functioning to decreasing and then increasing IIV in
cognitive performance (MacDonald, Nyberg, & Backman, 2006).
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Figure 3. (a) Correlation between time series of blood oxygen level dependent (BOLD) activations for the
default mode network (activations at rest) and the dorsal attentional network (activations during the flankers
task). Competition between the default mode and dorsal attentional networks is represented in the brain as an
antiphase association, with larger negative correlations reflecting better activity regulation between the two
networks. TRs repetition times. (b) Correlation between antiphase time series (see Figure 3a) and intraindividual variability (IIV; coefficient of variation) for incongruent reaction time (RT) trials on the flankers task. As
IIV for incongruent RT trials increases, the strong negative association between activations in the default mode
versus attentional network is weakened. These results suggest that IIV is associated with compromised regulation
and coordination of neural networks. CV coefficient of variation. From Competition Between Functional
Brain Networks Mediates Behavioral Variability, by C. A. M. Kelly, L. Q. Uddin, B. B. Biswal, F. X.
Castellanos, and M. P. Milham, 2008, NeuroImage, 39, p. 11. Copyright 2008 by Elsevier. Adapted with
permission.
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1969), to old age and morbidity (Kugler, Taghavy, & Platt, 1993).
More recently, increased prefrontal broadband noise in the thetafrequency band (6.0 8.0 Hz) for patients with schizophrenia was
associated with increased BOLD signal in the dorsolateral PFC
during a working memory task, a pattern interpreted to reflect
inefficient neural processing (Winterer & Weinberger, 2004). The
link between increases in prefrontal EEG noise (i.e., activity not
time-locked to stimuli) during information processing and impaired working memory in those with schizophrenia may reflect
asynchronous field potential oscillations by cortical pyramidal
neurons (Callicott et al., 2000).
In a recent study, Fjell, Rosquist, and Walhovd (in press) examined instability at both the electrophysiological and behavioral
levels. Variability in P3a and P3b ERPs was indexed for a group
of 133 adults (20 88 years old) for a simple visual task measuring
response latency (a visual oddball task composed of 210 stimuli
with a 10% probability for both targets and distractors). The P3a
and P3b potentials are putative indicators of different attentional
processes; the former is related to attention switching and voluntary allocation of attention as elicited by distractor stimuli (but see
Sutton, 1969, who discussed numerous functional interpretations
of P3 potentials), with the latter thought to reflect stimulus evaluation and controlled attentional processes (elicited by target stimuli). IIV in response latencies for the simple visual task represents
a third distinct source of information characterizing response selection and execution. The focus of this investigation was to
identify the locus of age-related cognitive instability in the information processing stream (e.g., at the level of stimulus evaluation
vs. response execution). With increasing age of the participants,
significant increases in variability were observed across RT trials
but not in variability in P3a or P3b latency. In light of the patterns
observed, Fjell and colleagues (in press) concluded that age-related
increases in IIV seem to be localized to later stages of processing
(e.g., response decision or execution, as indicated by age-related
increases in IIV) as opposed to earlier stages in the response
decision stream (e.g., stimulus evaluation as indexed by P3b). This
interpretation is consistent with findings by West and colleagues
(2002); in that study, young and older adults showed the same
level of IIV for a low executive demand condition of the n-back
task, with the older group showing increased IIV as a function of
increased executive demands.
Neuromodulatory Correlates
In addition to structural and functional brain changes, alterations
in select neurotransmitters, including those in the catecholamine
and acetylcholine systems, may give rise to increased neural noise
(see Backman et al., 2006, for review) that undergirds increased
IIV in cognitive performance. In particular, alterations in dopamine (DA) neuromodulation have been documented for select
populations who also exhibit increased behavioral IIV; these populations include not only older adults (Hultsch et al., 2002; Rabbitt
et al., 2001) but also children with ADHD (Castellanos & Tannock, 2002; Bellgrove, Gill, Hawi, Kirley, & Robertson, 2005) and
patients with schizophrenia (Manoach, 2003) and Parkinsons disease (Burton, Strauss, Hultsch, Moll, & Hunter, 2006). One working hypothesis is that reduced DA activity increases neural noise,
resulting in less distinct cortical representations manifest as decreases in cognitive performance and increases in behavioral IIV
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Future Research
With regard to IIV in behavior for select cognitive outcomes,
most of the extant research is based upon an evaluation of
between-person differences in within-person performance fluctuations. Future researchers clearly would benefit from additional
within-person analyses of the intraindividual covariation between
change in IIV for a given task and mean level change for other
cognitive outcomes (cf. Lovden et al., 2007). Such analyses will
provide a more stringent methodological assessment of whether
change in IIV is temporally linked to change in mean performance.
Future studies may explore within-person associations between
relevant features of a given task, such as the coupling between
response accuracy (correct vs. incorrect trials) and the vicissitudes
of response latency. As interest for this topic continues to grow, it
is imperative to move from univariate to multivariate conceptualizations of variability, which is akin to examining alterations in a
single local function versus alterations in the global organization
of numerous functions (e.g., how IIV across trials of a given RT
task is affected by, or may influence, shifts in cognitive resource
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