Effects of memory training on the subjective memory functioning and mental health of older adults: A meta-analysis.

The effectiveness of memory training on the subjective memory functioning and mental health of older adults was examined in a meta-analysis. Effect sizes indicated that memory training led to improved subjective memory functioning (d++?=?.19), but the magnitude of the improvement was less than that obtained on objective memory measures (d++?=?.66) in the meta-analysis of P. Verhaeghen, A. Marcoen, and L. Goossens (1992). However, no differences in effectiveness were found among mnemonic training, expectancy modification, or placebo procedures such as unstructured practice. Improvement of subjective memory functioning was enhanced by including pretraining in skills such as the use of imagery and by including interventions to improve participants' attitudes toward the effects of aging on memory functioning. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Targeting latent function: Encouraging effective encoding for successful memory training and transfer.

Cognitive training programs for older adults often result in improvements at the group level. However, there are typically large age and individual differences in the size of training benefits. These differences may be related to the degree to which participants implement the processes targeted by the training program. To test this possibility, we tested older adults in a memory-training procedure either under specific strategy instructions designed to encourage semantic, integrative encoding, or in a condition that encouraged time and attention to encoding but allowed participants to choose their own strategy. Both conditions improved the performance of old-old adults relative to an earlier study (D. Bissig & C. Lustig, 2007) and reduced self-reports of everyday memory errors. Performance in the strategy-instruction group was related to preexisting ability; performance in the strategy?choice group was not. The strategy-choice group performed better on a laboratory transfer test of recognition memory, and training performance was correlated with reduced everyday memory errors. Training programs that target participants' latent but inefficiently used abilities while allowing flexibility in bringing those abilities to bear may best promote effective training and transfer. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Well- and ill-defined measures of everyday cognition: Relationship to older adults' intellectual ability and functional status.

The present study examined 2 approaches to the measurement of everyday cognition in older adults. Measures differing in the degree of structure offered for solving problems in the domains of medication use, financial management, and food preparation and nutrition were administered to a sample of 130 community-dwelling older adults ranging in age from 60 to 90 (M=73 years, SD=7.02 years). Well-defined and ill-defined everyday problem-solving measures, which varied in the amount of means--end-related information provided to participants, were used. The study found that (a) well- and ill-defined measures were moderately interrelated, (b) the 2 approaches were differentially related to basic cognitive abilities, and (c) together the 2 approaches explained over half of the variance in older adults' everyday instrumental functioning and were in fact better predictors of everyday functioning than traditional psychometric cognitive measures. Discussion focuses on the differential importance of both methods for assessing older adults' everyday cognitive functioning. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A three-year follow-up of older adult participants in a memory-skills training program.

This study examined the long-term effects of participation in a self-taught memory training program. In all, 27 memory training and 13 nontraining participants were assessed at approximately 3-year follow-ups. Assessment of these groups prior to the introduction of training had revealed nonsignificant differences in memory performance but marked differences in level of memory complaints, with training participants evidencing higher levels of complaints. The current assessment again demonstrated overall nonsignificant differences in memory performance but significant differences in memory complaints between the two groups. More specifically, the training group evidenced significant decreases in memory performance over the 3-year interval, but no significant changes in memory complaints were observed for either group. Thus, memory training appeared to have little long-term effect on memory functioning. Future research should explore long-term maintenance strategies in memory training with older adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Plasticity of executive functioning in young and older adults: Immediate training gains, transfer, and long-term maintenance.

The authors investigated immediate training gains, transfer effects, and 18-month maintenance after 5 weeks of computer-based training in updating of information in working memory in young and older subjects. Trained young and older adults improved significantly more than controls on the criterion task (letter memory), and these gains were maintained 18 months later. Transfer effects were in general limited and restricted to the young participants, who showed transfer to an untrained task that required updating (3-back). The findings demonstrate substantial and durable plasticity of executive functioning across adulthood and old age, although there appear to be age-related constraints in the ability to generalize the acquired updating skill. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Correlates of memory decline: A 4-year longitudinal study of older adults with memory complaints.

Change in memory performance and its correspondence to change in speed of performance and self-reported memory functioning were investigated longitudinally in 30 older adults with memory complaints. Ss were assessed by self-report questionnaires and cognitive tests 3 times, at near 2-yr intervals. A significant decline in word-recall scores was found, which was accompanied at the group level by significant self-reported decline in everyday memory functioning and nonsignificant decline in Wechsler Adult Intelligence Scale (WAIS) Digit Symbol scores (α?=?.05). The oldest Ss showed the most substantial declines in memory performance. At the individual level, however, memory change did not significantly correlate with either change in self-reports or change in Digit Symbol scores. Although these results do not support a cognitive slowing model of decline at the intraindividual level, they do have implications for intervention of age-related memory decline. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neuropsychological mediators of the links among age, chronic illness, and everyday problem solving.

Reductions in everyday problem solving (EPS) are often reported in older age, although the underlying mechanisms remain unclear. The authors examined the role of 2 variables predicted to mediate (neuropsychological abilities and health status) or moderate (health status) the relationship between age and EPS performance. Toward these ends, they compared EPS and neuropsychological performance in 50 functionally independent adults with chronic kidney disease (CKD) and 64 control participants matched on age and education. Both older age and CKD were associated with worse performance on measures of EPS and memory/executive abilities. Neuropsychological abilities were positively associated with EPS performance. In both the full sample and control participants only, memory/executive functioning mediated the association between presence of chronic illness and EPS. Furthermore, memory/executive functioning partially mediated the link between age and EPS. Findings indicate that relations among age, health status, and EPS are not straightforward. Although performance on neuropsychological measures appeared to underlie EPS declines in chronic illness, increasing age remained independently associated with reduced EPS. The authors discuss implications for models of adult developmental changes in everyday cognition. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Serological findings obtained in cattle herds immunised with the Brucella melitensis Rev.1 and the B. abortus B19 vaccine in Mongolia

To characterize selective uses of external memory aids, 42 younger and 38 older adults made decisions and then completed individual difference measures. Experimental manipulation of the availability of a memory aid allowed examination of the effects of having a memory aid available as opposed to the spontaneous use of that aid. Use of the memory aid resulted in longer decision times, more requests for information, and less rechecking of already viewed information. Younger and older adults with high abstraction scores and older adults with high vocabulary scores were more likely to use the aid. Patterns of use differed in that younger adults used the aid in the middle of their information gathering and older adults used the aid toward the end. Making a memory aid available for use during decision making affected decision-making processes of older adults; use of the aid was associated with greater crystallized and fluid intelligence.     

Distinguishing Age Differences in Knowledge, Strategy Use, and Confidence During Strategic Skill Acquisition.

The authors examined how age differences in strategy selection are related to associative learning deficits and metacognitive variables, including memory ability confidence. In Experiment 1, increases in memory reliance for performance of the noun-pair lookup task were compared with increases in noun-pair memory ability. In Experiment 2, memory reliance was assessed for noun pairs memorized prior to the task. In each experiment, older adults manifested a substantial delay in transition to a retrieval-based strategy despite comparable noun-pair knowledge. In Experiment 3, young and older adults reported comparable confidence ratings for the accuracy of each memory probe response. However, older adults reported lower confidence in their general ability to use the memory retrieval strategy, which correlated with avoidance of the retrieval strategy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neurocognitive functions and everyday functions change together in old age.

Objective: Although neurocognitive functions are known to decline normatively with adult age, there is a common belief that everyday functions (e.g., paying bills, following medication instructions, making change, looking up telephone numbers in a phone book) are unaffected by these changes. Method: This hypothesis was examined by applying longitudinal growth models to data from a community-based sample of 698 adults (ages 65 to 94 years and living independently at baseline) who were repeatedly measured over five years on neurocognitive tests of executive reasoning, episodic memory, and perceptual speed, and on a number of tasks that adults should be reasonably expected to be able to perform in their day-to-day lives. Results: Individual differences in changes in neurocognitive performance were strongly correlated with individual differences in changes in performance on the everyday tasks. Alternatively, changes in self-reports of everyday functions were only weakly correlated with changes in performance on the neurocognitive tests and the everyday tasks. Conclusions: These results together suggest that normative neurocognitive aging has substantial consequences for the daily lives of older adults and that both researchers and clinicians should be cautious when interpreting self-reports of everyday functioning. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Everyday memory failure: Age differences in appraisal and attribution.

A person perception paradigm was used to test 86 young and 84 older Ss for evidence of a double standard in appraising everyday memory failures of young and older targets. Vignettes were judged on separate Likert scales for possible attributions for the failure (ability, effort, task difficulty, chance, and 2 measures of attention), signs of mental difficulty, need for memory training, and indications of need for professional evaluation. Results confirmed a double standard used by young and old: The failures of older targets were judged as signifying greater mental difficulty and greater need for memory training than were the identical failures of young targets. Older Ss were more lenient overall than young Ss in their appraisals. Young Ss judged target persons' memory failures as signifying more mental difficulty, and they more readily recommended professional evaluation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Does a time-monitoring deficit influence older adults' delayed retrieval shift during skill acquisition?

The authors evaluated age-related time-monitoring deficits and their contribution to older adults' reluctance to shift to memory retrieval in the noun-pair lookup (NP) task. Older adults (M = 67 years) showed slower rates of response time (RT) improvements than younger adults (M = 19 years), because of a delayed strategy shift. Older adults estimated scanning latencies as being faster than they actually were and showed poor resolution in discriminating short from long RTs early in practice. The difference in estimated RT for retrieval and scanning strategies predicted retrieval use, independent of actual RT differences. Separate scanning and recognition memory tasks revealed larger time-monitoring differences for older adults than in the NP task. Apparently, the context of heterogeneous RTs as a result of strategy use in the NP task improved older adults' accuracy of RT estimates. RT feedback had complex effects on time-monitoring accuracy, although it generally improved absolute and relative accuracy of RT estimates. Feedback caused older adults to shift more rapidly to the retrieval strategy in the NP task. Results suggest that deficient time monitoring plays a role in older adults' delayed retrieval shift, although other factors (e.g., confidence in the retrieval strategy) also play a role. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Everyday problem solving in older adults: Observational assessment and cognitive correlates.

Older adults' ability to solve practical problems in 3 domains of daily living was assessed using a new measure of everyday problem solving, the Observed Tasks of Daily Living (OTDL). Findings showed that the OTDL formed internally consistent scales representing 3 distinct factors of everyday problem solving. Moreover, the OTDL showed convergent validity with related scales of a paper-and-pencil test. Older adults' performance on the OTDL was significantly correlated with their scores on measures of basic mental abilities. Path analysis showed that age affected older adults' performance on the OTDL directly and indirectly via cognitive abilities. Participants' education and health affected their everyday competence indirectly through cognitive abilities. The effects of perceptual speed and memory span were mediated by fluid and crystallized intelligence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Causal attributions of hyperactive children: Implications for teaching strategies and self-control.

The combined influence of attribution and self-control training on the short- and long-term maintenance of strategic behavior, impulsivity, and beliefs about self-efficacy was assessed in 77 underachieving, hyperactive children. During 4 sessions, children in a self-control condition received self-management training and instructions in the use of interrogative and clustering rehearsal strategies. Children in a self-control plus attribution condition received the same instructions plus training designed to enhance general and program-specific beliefs about the importance of effort in improving performance. Children in a control condition were given strategy training but received no self-control or attribution instructions. Analysis of short-term treatment effects showed that children who received attribution training used more complex strategies, demonstrated higher personal causality scores endorsing effort, and displayed reduced impulsivity. Ten months following training, children in the self-control plus attribution condition persisted in their use of acquired strategies, maintained beliefs about the importance of effort, and displayed more mature memory knowledge. Severely hyperactive children, who had received the attributional boost, showed decreased hyperactivity in the classroom and improved self-control. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Influence of age on practice effects in longitudinal neurocognitive change.

Objective: Longitudinal comparisons of neurocognitive functioning often reveal stability or age-related increases in performance among adults under about 60 years of age. Because nearly monotonic declines with increasing age are typically evident in cross-sectional comparisons, there is a discrepancy in the inferred age trends based on the two types of comparisons. The current research investigated the role of practice effects in longitudinal comparisons on the discrepancy. Method: Longitudinal data over an average interval of 2.5 years were available on five abilities (i.e., reasoning, spatial visualization, episodic memory, perceptual speed, vocabulary) in a sample of 1,616 adults ranging from 18 to over 80 years of age. Practice effects were estimated from comparisons of the performance of people of the same age tested for either the first or second time, after adjusting for the possibility of selective attrition. Results: Increased age was associated with significantly more negative longitudinal changes with each ability. All of the estimated practice effects were positive, but they varied in magnitude across neurocognitive abilities and as a function of age. After adjusting for practice effects the longitudinal changes were less positive at younger ages and slightly less negative at older ages. Conclusions: It was concluded that some, but not all, of the discrepancy between cross-sectional and longitudinal age trends in neurocognitive functioning is attributable to practice effects positively biasing the longitudinal trends. These results suggest that the neurobiological substrates of neurocognitive functioning may change across different periods in adulthood. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

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)     

Characterizing multiple memory deficits and their relation to everyday functioning in individuals with mild cognitive impairment.

The authors evaluated multiple memory processes and explored their contributions to everyday functional limitations in persons with mild cognitive impairment (MCI). Participants included individuals with amnestic MCI, nonamnestic MCI, and healthy older adults. As expected, the amnestic MCI group performed more poorly than the control and nonamnestic MCI groups on a content memory measure. Both MCI groups, however, performed more poorly than controls on the noncontent memory measures of prospective memory, temporal order memory, and source memory. Informants also reported that the MCI groups were experiencing greater difficulty than controls completing instrumental activities of daily living (IADLs). Noncontent memory measures were found to make an independent contribution to IADL performances over and above that of content memory. These findings demonstrate that impairments in memory beyond the traditionally assessed content memory are present in individuals with amnestic MCI and with nonamnestic MCI. The results further show that these noncontent memory processes, which have been linked with executive functioning, play a role in supporting IADLs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictors of perceived memory impairment: do they differ in Alzheimer's disease versus normal aging?

Predictors of perceived memory impairment were investigated in 40 elderly normal adults and 28 individuals with Alzheimer's disease. Measures of perceived memory impairment, global cognitive functioning, memory, use of memory strategies, memory strategy efficacy, and depressive symptomatology were obtained for all participants. The elderly normal and Alzheimer's disease groups did not differ in the extent to which they reported perceived memory impairment. For both participant groups, more frequent use of memory strategies and lower perceived memory strategy efficacy were significant predictors of perceived memory impairment. Depressive symptomatology was an additional, significant determinant of perceived memory impairment for the elderly normal group.     

A test of the frontal lobe functioning hypothesis of age deficits in production priming.

Older adults have been hypothesized to show reduced priming relative to younger adults on implicit memory tests that require production of a response because these tasks place high demands on attentional processes associated with frontal lobe function, which are often reduced with age (see D. A. Fleischman & J. D. E. Gabrieli, 1998). The current study directly tested this frontal lobe hypothesis of age effects in production priming. Younger adults and older adults who differed in their attentional abilities as measured by a battery of neuropsychological tests were given two production priming tasks, word stem completion and category production, followed by explicit free recall tests. Results showed that explicit memory performance was reduced by age and older adults' frontal functioning. Age and frontal functioning influenced category production priming but not word stem completion priming. Results failed to support the frontal account of age reductions in production priming. Instead, results implicate the influence of other processes often involved in production priming tasks, such as explicit memory strategies and response competition, as critical for understanding age effects in implicit memory performance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)