Working memory training in older adults: Evidence of transfer and maintenance effects.

Few studies have examined working memory (WM) training-related gains and their transfer and maintenance effects in older adults. This present research investigates the efficacy of a verbal WM training program in adults aged 65–75 years, considering specific training gains on a verbal WM (criterion) task as well as transfer effects on measures of visuospatial WM, short-term memory, inhibition, processing speed, and fluid intelligence. Maintenance of training benefits was evaluated at 8-month follow-up. Trained older adults showed higher performance than did controls on the criterion task and maintained this benefit after 8 months. Substantial general transfer effects were found for the trained group, but not for the control one. Transfer maintenance gains were found at follow-up, but only for fluid intelligence and processing speed tasks. The results are discussed in terms of cognitive plasticity in older adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of environmental support and strategy training on older adults' use of context.

Age-related cognitive differences may be due, in part, to difficulties using task-relevant context in a proactive manner. Two studies evaluated different methods for increasing older adults' use of context in the AX-Continuous Performance Task (H. E. Rosvold, A. F. Mirsky, I. Sarason, E. D. Bransome, & L. H. Beck, 1956), which evaluates components of context processing. The results suggest that (a) age differences in the use of context are not due to reduced access to cue information, (b) directed strategy training made older adults' context processing performance more like that of young adults, and (c) similar performance changes could be observed with less directed instruction and extended practice. These results suggest that age-related differences in context processing can be ameliorated by directed strategy training or extended practice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relative success of a self-help and a group-based memory training program for older adults.

This study evaluates self-help and group-based memory training programs to test for their differential impact on memory beliefs and performance. Self-help participants used a manual that presented strategies for name, story, and list recall and practice exercises. Matched content from that same manual was presented by the trainer in 2-hr weekly group sessions for the group-based trainees. Relative to a wait-list control group, most memory measures showed significant gains for both self-help and group-based training, with no significant training condition differences, and these gains were maintained at follow-up. Belief measures showed that locus of control was significantly higher for the self-help and group-based training than the control group; memory self-efficacy significantly declined for controls, increased for group-trained participants, and remained constant in the self-help group. Self-efficacy change in a self-help group may require more opportunities for interacting with peers and/or an instructor emphasizing one’s potential for memory change. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive consequences of expressive regulation in older adults.

Previous research has suggested that older and young adults are equally able to regulate their outward expressions of emotion and that the regulation of emotional expression in younger adults results in decreased memory for the emotional stimulus. In the current study, we examined whether older adults show this same memory effect. Older and young adults viewed positive and negative emotional pictures under instructions to view the pictures naturally, enhance their facial expressions, or suppress their facial expressions. Older and young adults showed equivalent outward regulation of expression, but suppressing their emotional expressions led to reduced memory for emotional stimuli only in the young adults. The results suggest that older and young adults are achieving control of their expressions through different mechanisms or strategies. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Primary versus secondary insomnia in older adults: Subjective sleep and daytime functioning.

Most psychological research on insomnia has centered on primary insomnia (PI). Secondary insomnia (SI), though more common than PI, has received little attention because of its presumed unresponsiveness to treatment. The present study recruited older adults with PI, SI, and a comparison group of older adults with no insomnia (NI). Self-report assessments of sleep revealed no significant difference between the 2 insomnia groups. Daytime functioning measures found significant differences in impairment between the 3 groups with SI having the worst daytime functioning, followed by PI, which was worse than NI. Further analyses found substantial independence between sleep and daytime functioning. Implications of these findings for the clinical management of SI are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychologists in practice with older adults: Current patterns, sources of training, and need for continuing education.

Rapid population growth among older adults means an increased need for psychologists prepared to provide mental health services to this population. A representative survey of 1,227 practitioner members of the American Psychological Association yielded information about current patterns of practice with older adults, sources of training in geropsychology, perceived need for continuing education (CE) in geropsychology, and preferred CE formats. Most respondents provided some services to older adults, but typically very little. The services provided are inadequate to meet projected demand. Most respondents lacked formal training in geropsychology and perceived themselves as needing additional training. CE workshops at the regional level and distance education were the most popular formats. These data serve as a call to the field to expand training opportunities at all levels of training, with an emphasis on the need for empirically based, broadly accessible CE offerings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Preferences for emotional information in older and younger adults: A meta-analysis of memory and attention tasks.

The authors conducted a meta-analysis to determine the magnitude of older and younger adults' preferences for emotional stimuli in studies of attention and memory. Analyses involved 1,085 older adults from 37 independent samples and 3,150 younger adults from 86 independent samples. Both age groups exhibited small to medium emotion salience effects (i.e., preference for emotionally valenced stimuli over neutral stimuli) as well as positivity preferences (i.e., preference for positively valenced stimuli over neutral stimuli) and negativity preferences (i.e., preference for negatively valenced stimuli to neutral stimuli). There were few age differences overall. Type of measurement appeared to influence the magnitude of effects; recognition studies indicated significant age effects, where older adults showed smaller effects for emotion salience and negativity preferences than younger adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The structure of verbal abilities in young and older adults.

Four language sample measures as well as measures of vocabulary, verbal fluency, and memory span were obtained from a sample of young adults and a sample of older adults. Factor analysis was used to analyze the structure of the vocabulary, fluency, and span measures for each age group. Then an "extension" analysis was performed by using structural modeling techniques to determine how the language sample measures were related to the other measures. The measure of grammatical complexity was associated with measures of working memory including reading span and digit span. Two measures, sentence length in words and a measure of lexical diversity, were associated with the vocabulary measures. The fourth measure, propositional density, was associated with the fluency measures as a measure of processing efficiency. The structure of verbal abilities in young and older adults is somewhat different, suggesting age differences in processing efficiency. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interference effects from divided attention during retrieval in younger and older adults.

The authors examined how retrieval, under divided attention (DA) conditions, is affected by the type of material in a concurrent task, and whether aging produces larger interference effects on memory. Young and old adults studied a list of unrelated words under full attention, and recalled them while performing either an animacy decision task to words or an odd-digit identification task to numbers. The animacy-distracting task interfered substantially with retrieval, and the size of the effect was not amplified in older compared with younger adults. DA using the odd-digit task did not produce as large an interference effect. These findings support the component-process model of memory, and pose problems for resource models of interference from DA at retrieval. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Patterns and predictors of mental health service use and mental illness among older and younger adults in the United States.

The present study examined patterns of serious mental illness (SMI), specific mental health syndromes, and service use among older (65+) and younger (18-64) adults throughout the United States, and the extent to which various factors predict SMI and the use and magnitude of mental health treatment. Despite recent developments designed to improve mental healthcare access and treatment for older adults, older individuals were found to receive outpatient mental healthcare at very low rates. Compared to younger adults, older adults were three times less likely to report receiving treatment. Although prevalence estimates for SMI and specific syndromes were markedly lower among older than younger adults, older individuals most in need of care were highly unlikely to report receiving treatment. Findings point to the importance of perceived need in mental healthcare use. Significantly, however, those older adults that made it into services typically reported benefiting considerably from treatment, at least as much as all other age groups. Several predisposing, enabling, and need factors related to mental illness and service use were identified that have important implications for how we plan for, design, and deliver mental health services to older and younger Americans. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Influences on the efficiency of prospective memory in younger and older adults.

The influence of 4 factors on age-related declines in prospective memory (PM) was considered in 2 experiments. The results of the experiments reveal that age-related differences in PM were not moderated by the degree of match between the nature of processing required in the ongoing activity and the defining features of the PM cue. Age-related differences in the accuracy of PM responses were primarily attributable to an increase in the number of omission errors committed by older adults. Age-related differences in PM were somewhat independent of the ability to recall the PM cues and intentions following task performance and were mediated by the cognitive resources of processing speed, inhibitory control, and working memory. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Goals and everyday problem solving: Manipulating goal preferences in young and older adults.

In the present study, we examined the link between goal and problem-solving strategy preferences in 130 young and older adults using hypothetical family problem vignettes. At baseline, young adults preferred autonomy goals, whereas older adults preferred generative goals. Imagining an expanded future time perspective led older adults to show preferences for autonomy goals similar to those observed in young adults but did not eliminate age differences in generative goals. Autonomy goals were associated with more self-focused instrumental problem solving, whereas generative goals were related to more other-focused instrumental problem solving in the no-instruction and instruction conditions. Older adults were better at matching their strategies to their goals than young adults were. This suggests that older adults may become better at selecting their strategies in accordance with their goals. Our findings speak to a contextual approach to everyday problem solving by showing that goals are associated with the selection of problem-solving strategies. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Inhibitory deficits in older adults: List-method directed forgetting revisited.

In list-method directed forgetting, participants are cued to intentionally forget a previously studied list while remembering a subsequently presented 2nd list. Results from prior research are inconclusive on whether older adults show deficits in this type of task. In 3 experiments, the authors reexamined the issue and compared younger and older adults' responsiveness to the forget cue. Across the experiments, the forget cue was varied within and between participants, the 2 lists were unrelated and related to each other, and recall of the lists was required simultaneously and successively. In none of the 3 experiments did any age-related difference in directed forgetting performance emerge. List-method directed forgetting is assumed to reflect retrieval inhibition. The present results thus challenge the proposal of a general inhibitory deficit in older adults' memory performance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceived self-efficacy and everyday problem solving among young and older adults.

This research tested the hypothesis that age differences in both self-efficacy perceptions and problem-solving performance would vary as a function of the ecological relevance of problems to young and older adults. The authors developed novel everyday problem-solving stimuli that were ecologically representative of problems commonly confronted by young adults (young-adult problems), older adults (older adult problems), or both (common problems). Performance on an abstract problem solving task lacking in ecological representativeness (the Tower of Hanoi problem) also was examined. Although young persons had higher self-efficacy beliefs and performance levels on the Tower of Hanoi task problem and the young-adult problems, this pattern reversed in the domain of older adult problems, where the self-efficacy beliefs and performance of older persons exceeded those of the young. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive resources, valence, and memory retrieval of emotional events in older adults.

In 2 studies with older adults, the authors investigated the effect of executive attention resources on the retrieval of emotional public events. Participants completed a battery of working memory tasks, as a measure of executive attention, and a battery of tasks assessing memory, as well as subjective experiences associated with the retrieval of remote public events. Participants also rated the valence of each public event story. The group-rated valence of the public event stories predicted retrieval and the quality of experiences associated with them, such that emotionally arousing events elicited the highest memory rates and the richest experiences. Furthermore, positive public events elicited the highest memory rates. Executive attention moderated only the relationship between event valence and how participants' associated memories are experienced at retrieval, such that superior executive attention resources predicted richer experiences associated with positive relative to neutral and negative stories. The current results extend previous findings on the effects of aging on emotion regulation, suggesting that cognitive control resources modulate subjective experiences associated with retrieved memories for remote real life events, but not memory retrieval itself. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of goal-setting and feedback on memory performance and beliefs among older and younger adults.

This research examined the impact of goal-setting conditions on memory beliefs and performance among older and younger adults. After baseline recall and assessment of beliefs, participants were assigned to goal-setting, goals plus feedback, or control. Then, additional recall trials were followed by repeated memory beliefs assessments. For both younger and older adults, performance, motivation, and self-efficacy were affected positively by goal-setting. The impact of goals plus feedback was mixed and varied as a function of age and dependent measure. Success rates for reaching memory goals, which were low for the older adults, may have been a factor in these results. Adults' self-set recall goals were predicted initially by baseline performance and self-efficacy. On the final trial, goals were predicted by last trial performance, self-efficacy, and control beliefs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The benefits and costs of repeated memory tests for young and older adults.

Repeated and prolonged searches of memory can lead to an increase in how much is recalled, but they can also lead to memory errors. These 3 experiments addressed the costs and benefits of repeated and prolonged memory tests for both young and older adults. Participants saw and imagined pictures of objects, some of which were physically or conceptually similar, and then took a series of repeated or prolonged recall tests. Both young and older adults recalled more on later tests than on earlier ones, though the increase was less marked for older adults. In addition, despite recalling less than did young adults, older adults made more similarity-based source misattributions (i.e., claiming an imagined item was seen if it was physically or conceptually similar to a seen item). Similar patterns of fewer benefits and more costs for older adults were seen on both free and forced recall tests and on timed and self-paced tests. Findings are interpreted in terms of age-related differences in binding processes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Verbosity and emotion recognition in older adults.

Previous research suggests that older adults are more verbose than young adults and that general inhibitory difficulties might play a role in such tendencies. In the present study of 60 young adults and 61 older adults, the authors examined whether verbosity might also be related to difficulty deciphering emotional expressions. Measures of verbosity included total talking time, percentage of time spent on-topic, and extremity of off-topic verbosity. Over all 3 measures, older men and women were significantly more verbose than young men and women. Older men's (but not older women's) verbosity was related to poorer emotion recognition, which fully mediated the age effect. The results are consistent with the idea that older men who talk more do so, in part, because they fail to decipher the emotional cues of a listener. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Polypharmacy and older adults: A role for psychology and psychologists.

The literature and clinical experience confirm polypharmacy as an important contributor to avoidable morbidity and mortality among older adults. Sociocultural factors, along with the interplay among aging, physiology, chronic disease, and the medicines that seniors take play important roles in clinical presentations, conclusions drawn, interventions planned and implemented, and health care outcomes. Knowledgeable psychologists can help reduce the number and severity of common geriatric syndromes (e.g., falls and mental status changes) that our nation's elders suffer due to inappropriate polypharmacy. Providing high quality psychological services includes developing collaborative relationships with medication prescribers and participating in interdisciplinary teams, even if loosely defined (as is often the case at the community-based, independent practitioner level of care). Informed psychological interventions (including dynamic, cognitive, and/or behavioral) can effectively modify many older adults' medical and other health concerns, reducing the need for and risks associated with taking multiple medications. Participating in research, public education, and advocacy efforts in order to enhance the quality and effectiveness of the health care and services that older adults receive are also vital roles for psychology and psychologists. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychosocial functioning of adults who experienced substance use disorders as adolescents.

The authors examined whether substance use disorder (SUD) before age 19 was associated with functioning at age 30. Participants (N = 773) were assessed twice during adolescence and at ages 24 and 30. Eight of 14 adult measures were associated with adolescent SUD: education, unemployment, income, risky sexual behavior, suicide attempt, coping, stressful life events, and global adjustment. After adolescent comorbidity and functioning and adult SUD were controlled for, education and unemployment remained associated, and three variables emerged as significant: being a parent (significant only for participants without adult SUD), being currently married, and having decreased life satisfaction (significant only for participants with adult SUD). Adolescent SUD is associated with numerous functioning difficulties at age 30, some of which appear to be related to recurrent SUD, comorbid adolescent disorders, or functioning problems already evident in adolescence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)