Assessing the Relationship Between the Flicker Test and Cognitive Performance

An individual's ability to process flickering light is expressed by critical flicker fusion frequency (CFFF), tested with the flicker test. CFFF is used to assess visual processing, arousal, and cognitive functioning, among other things, although it is unclear how it reflects these processes. Due to possible differences between CFFF values obtained in trials with increasing and decreasing frequency, it also remains questionable to use only averaged CFFF values in research. The main objective of the present study was to assess how CFFF is related to cognitive functions (attention, short-term and working memory, and executive functions), and psychomotor speed. The research objectives also included assessing the stability of CFFF and its variability with age and comparing CFFF between men and women. Thirty-six participants (17 women and 19 men) completed computerized cognitive tests (Simon and flanker tasks, the Corsi block-tapping task, and the digit span task) three times, along with the flicker test. We found that CFFF scores were stable across sessions but differed between fusion and flicker thresholds, with age significantly correlating only with the fusion frequency. Given that, we suggest that future studies analyze not only the averaged CFFF, but also examine flicker and fusion thresholds separately to better understand their distinct contributions. Our results also revealed generally weak correlations between CFFF and neuropsychological test scores, with significant associations found only in women, suggesting that CFFF may not be a reliable indicator of cognitive functioning.