Previous studies of covert orienting in Alzheimer's disease (AD) have
investigated exogenous and endogenous processes separately. We aimed t
o investigate how the 2 modes of orienting interact to control attenti
on in healthy older participants and patients with AD. The covert orie
nting of visual attention task (COVAT) with abrupt onset cues was used
in all experiments. In Experiments 1 and 2, predictive information wa
s added to cues to initiate an endogenous orienting response. Results
showed that healthy older participants were able to use endogenous pro
cesses to inhibit exogenous orienting. In contrast, patients with AD w
ere unable tp inhibit exogenous orienting to cues even when targets ra
rely appeared there. Experiment 3 investigated inhibition of return (I
OR) in patients with AD. Both healthy older controls and patients with
AD showed a normal IOR, suggesting that exogenous orienting processes
are relatively unaffected by the normal aging process or in patients
with AD. A model of covert orienting in which exogenous and endogenous
orienting processes interact to control attentional behaviors is disc
ussed.