Sustained attention was assessed in 20 patients with severe closed hea
d injury (CHI) and 20 normal matched controls. Participants were prese
nted with a visual continuous performance task (CPT) with 3 levels of
complexity. Performance was assessed by examining response latencies a
nd error rates. Across all levels of complexity, the CHI patients demo
nstrated a vigilance decrement, whereas the performance of the matched
controls was stable across time. The vigilance decrement was not diff
erentially affected by the manipulation of task complexity in the CHI
patients. However, findings suggest that the overall vigilance perform
ance of CHI patients was differentially affected by increasing the com
plexity of the task.