Sustained Attention Maintenance is the capacity to selectively allocate and maintain cognitive resources on a specific internal or external stimulus for a prolonged duration, resisting distraction and mental fatigue. This sustained focus is a high-energy demand process reflecting optimal central nervous system function. Clinical assessment evaluates the ability to hold concentration against internal drift or external interference. This function is highly sensitive to systemic physiological stability.
Origin
While attention is a psychological construct, this definition emphasizes the physiological prerequisites for its long-term maintenance, tying it directly to neurochemistry and energy metabolism. It moves beyond simple attention to focus on endurance.
Mechanism
The underlying mechanism requires a steady supply of energy substrates, supported by healthy mitochondrial function, to fuel prefrontal cortical activity. Crucially, stable levels of norepinephrine are necessary to maintain the necessary state of arousal and focus gating. Fluctuations in blood glucose or cortisol levels can rapidly compromise this delicate neurochemical balance, leading to attention failure.
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