Global and Selective Effects of Auditory Attention on Arousal: Insights From Pupil Dilation.

Theoretical models of attention propose that norepinephrine (NE) can induce both a global boost of arousal and selective amplification of high-priority stimuli, yet few tasks have tested these dual effects in humans. Here, we used pupillometry in an auditory detection task, the Competitive Attention Test (CAT), previously performed in large cohort studies, to examine how task engagement (active vs. passive) and stimulus relevance (informative vs. uninformative cues) modulate arousal. Results showed that both relevant and irrelevant sounds elicited larger pupil dilation under active conditions, indicating a global arousal effect. Crucially, only relevant sounds benefited from an additional dilation when preceded by an informative cue, demonstrating a selective arousal mechanism associated to top-down attention. These findings illustrate the NE's dual role in boosting overall alertness while selectively enhancing high-priority stimuli. Beyond theoretical implications, this work highlights that the CAT captures measurable arousal components, reinforcing its utility for clinical assessments of attention-arousal clinical disruptions.