Visual imagery refers to the ability to create voluntary mental representations in the absence of corresponding visual stimuli, and current evidence suggests that it shares common neural mechanisms with visual perception. Cerebral visual impairment (CVI) is a brain-based visual disorder caused by early neurological injury and maldevelopment of central visual processing pathways and areas. Individuals with CVI often present with a complex visual profile, including deficits related to higher-order visual processing. However, the impact of visual maldevelopment on imagery abilities in this population has not been extensively characterized. We used the Vividness of Visual Imagery Questionnaire (VVIQ) to investigate visual imagery abilities in a cohort of CVI participants (n = 25, mean age = 22.48 years ± 12.31 SD) compared to controls with neurotypical vision and development (n = 25, mean age = 22.88 years ± 4.94 SD). We found that individuals with CVI had significantly lower VVIQ scores (mean = 41.84 ± 18.61 SD) than controls (mean = 62.48 ± 13.07 SD), after controlling for age and verbal IQ level. Within the CVI group, visual imagery abilities were not significantly different when separated by baseline visual acuity, gestational status, or co-occurrence of autism spectrum disorder. These results suggest that impaired visual imagery may represent an important feature characterizing the complex visual profile of CVI.
Andrews-HannaJ. R.GrilliM. D. (2021). Mapping the imaginative mind: Charting new paths forward. Current Directions in Psychological Science, 30, 82–89. https://doi.org/10.1177/0963721420980753
2.
BainbridgeW. A.PounderZ.EardleyA. F.BakerC. I. (2021). Quantifying aphantasia through drawing: Those without visual imagery show deficits in object but not spatial memory. Cortex, 135, 159–172. https://doi.org/10.1016/j.cortex.2020.11.014
3.
BauerC. M.MerabetL. B. (2024). Aberrant white matter development in cerebral visual impairment: A proposed mechanism for visual dysfunction following early brain injury. Journal of Integrative Neuroscience, 23, 1. https://doi.org/10.31083/j.jin2301001
4.
BennettC. R.BauerC. M.BexP. J.BottariD.MerabetL. B. (2021). Visual search performance in cerebral visual impairment is associated with altered alpha band oscillations. Neuropsychologia, 161, 108011. https://doi.org/10.1016/j.neuropsychologia.2021.108011
5.
BeranM. J.JamesB. T.FrenchK.HaseltineE. L.Kleider-OffuttH. M. (2023). Assessing aphantasia prevalence and the relation of self-reported imagery abilities and memory task performance. Consciousness and Cognition, 113, 103548. https://doi.org/10.1016/j.concog.2023.103548
BootF. H.PelJ. J.van der SteenJ.EvenhuisH. M. (2010). Cerebral visual impairment: Which perceptive visual dysfunctions can be expected in children with brain damage? A systematic review. Research in Developmental Disabilities, 31, 1149–1159. https://doi.org/10.1016/j.ridd.2010.08.001
8.
CamposA. (2004). The vividness of imagery in a person who has been blind for three years. Journal of Visual Impairment & Blindness, 98, 309–313. https://doi.org/10.1177/0145482X0409800506
9.
CamposA.MayoE. (2023). What mental images remain after 23 years of blindness?British Journal of Visual Impairment, 43(1), 3–11. https://doi.org/10.1177/02646196231198437
10.
ChandnaA.GhahghaeiS.FosterS.KumarR. (2021). Higher visual function deficits in children with cerebral visual impairment and good visual acuity. Frontiers in Human Neuroscience, 15, 711873. https://doi.org/10.3389/fnhum.2021.711873
11.
ChangM.MerabetL.GroupC. W. (2024). Special commentary: Cerebral/cortical visual impairment working definition: A report from the national institutes of health CVI. Ophthalmology, 132, 1359–1365. https://doi.org/10.1016/j.ophtha.2024.09.017
12.
ChokronS.DuttonG. N. (2016). Impact of Cerebral Visual Impairments on Motor Skills: Implications for Developmental Coordination Disorders. Frontiers in Psychology, 7, 1471. https://doi.org/10.3389/fpsyg.2016.01471
13.
ChokronS.DuttonG. N. (2023). From vision to cognition: Potential contributions of cerebral visual impairment to neurodevelopmental disorders. Journal of Neural Transmission, 130, 409–424. https://doi.org/10.1007/s00702-022-02572-8
14.
DanceC. J.IpserA.SimnerJ. (2022). The prevalence of aphantasia (imagery weakness) in the general population. Consciousness and Cognition, 97, 103243. https://doi.org/10.1016/j.concog.2021.103243
15.
DanceC. J.JaquieryM.EaglemanD. M.PorteousD.ZemanA.SimnerJ. (2021). What is the relationship between aphantasia, synaesthesia and autism?Consciousness and Cognition, 89, 103087. https://doi.org/10.1016/j.concog.2021.103087
16.
Di NuovoA.ContiD.TrubiaG.BuonoS.Di NuovoS. (2018). Deep learning systems for estimating visual attention in robot-assisted therapy of children with autism and intellectual disability. Robotics, 7, 25. https://doi.org/10.3390/robotics7020025
17.
DijkstraN.BoschS. E.van GervenM. A. J. (2019a). Shared neural mechanisms of visual perception and imagery. Trends in Cognitive Sciences, 23, 423–434. https://doi.org/10.1016/j.tics.2019.02.004
18.
DijkstraN.HinneM.BoschS. E.van GervenM. A. J. (2019b). Between-subject variability in the influence of mental imagery on conscious perception. Scientific Reports, 9, 15658. https://doi.org/10.1038/s41598-019-52072-1
19.
FarahM. J. (1989). The neural basis of mental imagery. Trends in Neurosciences, 12(10), 395–399.
20.
FazziE.SignoriniS. G.BovaS. M.La PianaR.OndeiP.BertoneC.BianchiP. E. (2007). Spectrum of visual disorders in children with cerebral visual impairment. Journal of Child Neurology, 22, 294–301. https://doi.org/10.1177/08830738070220030801
IsaacA. R.MarksD. F. (1994). Individual differences in mental imagery experience: Developmental changes and specialization. British Journal of Psychology, 85, 479. https://doi.org/10.1111/j.2044-8295.1994.tb02536.x
McKelvieS. J. (1995). The VVIQ as a psychometric test of individual differences in visual imagery vividness: A critical quantitative review and plea for direction. Journal of Mental Imagery, 19, 1–106.
34.
MonzelM.ReuterM. (2024). Where’s wanda? The influence of visual imagery vividness on visual search speed measured by means of hidden object pictures. Attention, Perception, & Psychophysics, 86, 22–27. https://doi.org/10.3758/s13414-022-02645-6
35.
PalermoL.BocciaM.PiccardiL.NoriR. (2022). Congenital lack and extraordinary ability in object and spatial imagery: An investigation on sub-types of aphantasia and hyperphantasia. Consciousness and Cognition, 103, 103360. https://doi.org/10.1016/j.concog.2022.103360
36.
PamirZ.BauerC. M.BennettC. R.KranB. S.MerabetL. B. (2021). Visual perception supported by verbal mediation in an individual with cerebral visual impairment (CVI). Neuropsychologia, 160, 107982. https://doi.org/10.1016/j.neuropsychologia.2021.107982
37.
PamirZ.ManleyC. E.BauerC. M.BexP. J.DilksD. D.MerabetL. B. (2024). Visuospatial processing in early brain-based visual impairment is associated with differential recruitment of dorsal and ventral visual streams. Cerebral Cortex, 34, 5. https://doi.org/10.1093/cercor/bhae203
38.
PhilipS. S.DuttonG. N. (2014). Identifying and characterising cerebral visual impairment in children: A review. Clinical and Experimental Optometry, 97, 196–208. https://doi.org/10.1111/cxo.12155
TakahashiJ.SaitoG.OmuraK.YasunagaD.SugimuraS.SakamotoS.GyobaJ. (2023). Diversity of aphantasia revealed by multiple assessments of visual imagery, multisensory imagery, and cognitive style. Frontiers in Psychology, 14, 1174873. https://doi.org/10.3389/fpsyg.2023.1174873
41.
TeohL. J.AmeenatL. S.RahiJ. S. (2023). Temporal trends in the epidemiology of childhood severe visual impairment and blindness in the UK. British Journal of Ophthalmology, 107, 717–724. https://doi.org/10.1136/bjophthalmol-2021-320119
42.
VanlierdeA.De VolderA. G.Wanet-DefalqueM.-C.VeraartC. (2003). Occipito-parietal cortex activation during visuo-spatial imagery in early blind humans. NeuroImage, 19, 698–709. https://doi.org/10.1016/S1053-8119(03)00153-8
43.
WilliamsC.PeaseA.GoodenoughT.BrehenyK.GauntD.SinaiP.WatanabeR. (2021). Improving outcomes for primary school children at risk of cerebral visual impairment (the CVI project): Protocol of a feasibility study for a cluster-randomised controlled trial and health economic evaluation. BMJ Open, 11, e044830. https://doi.org/10.1136/bmjopen-2020-044830
44.
ZemanA. (2024). Aphantasia and hyperphantasia: Exploring imagery vividness extremes. Trends in Cognitive Sciences, 28, 467–480. https://doi.org/10.1016/j.tics.2024.02.007
ZihlJ.DuttonG. N. (2015). Cerebral Visual Impairment in Children: Visuoperceptive and Visuocognitive Disorders. Springer Vienna.
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