Depression does not aggravate the episodic memory deficits associated with Alzheimer's disease.

In a population-based study of persons between 75 and 96 years of age, normal old adults (n?=?296), patients with Alzheimer"s disease (AD; n?=?45), and patients with concomitant AD and depression (AD-D; n?=?9) were compared on free recall and recognition of slowly and rapidly presented words and digit span. With the exception of forward digit span, the normal old group outperformed the 2 AD groups across all tasks. In free recall, only the normal old group performed better as task pacing decreased; however, all groups benefited from more study time in recognition. This suggests that both AD and AD-D patients have deficits in the ability to use more study time for remembering. Of most importance, the 2 AD groups were indistinguishable for all task variables. This lack of comorbidity effects is discussed relative to the view that depression, much like many other individual-difference variables that affect memory performance in normal aging, may be overshadowed by the influence of the process in AD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

EMG biofeedback training of Type A and Type B behavior pattern subjects.

Assessed the relative efficacy of EMG biofeedback training to reduce tension levels in Ss characterized either by the presence of the coronary-prone behavior pattern (Type A) or by its absence (Type B). 55 college students, classified as Type A or B on the basis of Jenkins Activity Survey (Form T) scores, were randomly assigned to either a biofeedback or a control group. Ss met for 6 training sessions, then returned for a 7th session to perform without biofeedback a series of easy (4-digit recall) and difficult (7-digit recall) tasks. Biofeedback Ss attained a greater degree of relaxation during training than did control Ss, regardless of A/B status. Also, biofeedback Ss maintained greater relaxation during task performance than did control Ss. Across groups, Type A's performed significantly better than Type B's on difficult tasks, and although Type A biofeedback Ss had EMG levels as high as Type B controls for the actual duration of performance tasks, they maintained significantly lower EMG levels than either group prior to, between, and after performance tasks. (22 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Performance of paranoid schizophrenics on a dichotic listening task.

Used 15 adult normals and 15 institutionalized paranoid schizophrenics in a dichotic listening task within a 2 (Groups) * 2 (Associated or Unassociated Word List) * 2 (Presentation Rate) design, with repeated measures on the last 2 variables. Presentation rates were either 1 or 3 sec. Dependent variables were word recall, intrusion errors, and strategy use and accuracy. Normals recalled significantly more information than paranoid schizophrenics under all memory conditions and had significantly fewer total intrusion errors. For both groups, information recall was significantly better under the associative conditions (particularly associative structure, 3-sec presentation rate). Under the varying structure conditions, paranoid schizophrenics did not employ optimal strategies with the same frequency or degree of accuracy as normals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Verbal memory in drug-naive, newly diagnosed Parkinson's disease. The retrieval deficit hypothesis revisited.

Objective: The retrieval deficit hypothesis on memory impairment in patients with Parkinson's disease (PD) implies a selective impairment in recall of learned material with normal encoding, retention, and recognition. This hypothesis has been challenged by new data. We have therefore investigated verbal memory and learning in a large sample of newly diagnosed, drug na?ve, non-demented patients with PD. Method: From a sample of patients with PD from the Norwegian ParkWest study, 133 PD patients and 133 controls matched on sex, age, and education were included. The California Verbal Learning Test-2 (CVLT-2) was used to assess verbal memory. Results: Patients performed significantly worse than controls on free and cued recall as well as on recognition memory. Patients used the semantic clustering learning strategy significantly less extensively than the controls and the learning slope of the PD patients was significantly less steep. There was no difference in retention when controlling for encoding. Patients did not perform better on the recognition measure or on cued recall (d-prime), as compared to free recall. Executive functions explained a substantial part of the memory deficits. Conclusions: This study suggests that memory impairment in drug na?ve early PD to a large degree is a deficit of learning/ encoding and not of retention or retrieval. An implication is that the retrieval deficit hypothesis should be moderated in its general form. Executive deficits and less extensive use of the efficient semantic clustering learning strategy had a strong impact on learning and memory. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Episodic memory and metamemory in Parkinson’s disease patients.

This study investigated episodic memory and metamemory for verbs and nouns in patients who have cognitive impairments associated with Parkinson’s disease (PD). PD patients and healthy control participants were asked to recall word pairs and provide feeling-of-knowing (FOK) judgments for the items they were unable to recall. This was followed by a 4-alternative recognition test. PD patients were impaired in both recall and recognition, compared with controls. In terms of metamemory, PD patients were less confident in their ability to recognize the unrecalled items in a future recognition test. Most important, accuracy of PD patients’ FOK judgments was not above chance and was lower than that of control participants. The PD group correctly recognized fewer verbs than nouns, but type of material (verb vs. noun) had no impact on recall or FOK judgments. In addition, contribution of executive functions to FOK accuracy was different in PD patients and controls. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Is There a Specific Executive Capacity for Dual Task Coordination? Evidence From Alzheimer's Disease.

Three experiments compared groups of Alzheimer's disease (AD) patients and healthy older and younger participants on visuospatial tracking and digit sequence recall, as single tasks and performed concurrently. In Experiment 1, tasks were performed concurrently with very low demand relative to span. Only the AD patients showed a dual task deficit. In Experiment 2, single task demand was manipulated on each task from below span to above span for each individual. All groups showed the same performance reductions with increasing demand. In Experiment 3, demand on 1 task was constant, whereas demand on the concurrent task was varied. AD patients showed a clear dual task deficit but were no more sensitive than control groups to varying demand. Results suggest an identifiable cognitive resource for dual task coordination within a multiple component working memory system. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Item-specific encoding produces an additional benefit of directed forgetting: Evidence from intrusion errors.

List-method directed forgetting involves encoding 2 lists, between which half of the participants are told to forget List 1. When participants are free to study however they want, directed forgetting impairs List 1 recall and enhances List 2 recall in the forget group compared with a control remember group. In a large-scale experiment, the current work demonstrated that when item-specific encoding instructions were enforced during learning, directed forgetting impaired List 1 recall, but it did not enhance List 2 recall. This pattern was found regardless of whether encoding was incidental or intentional. Whenever directed forgetting did not enhance List 2 recall, it nevertheless reduced cross-list intrusions. These results indicate that directed forgetting can help differentiate memories from one another, thereby reducing intrusions from irrelevant competing memories. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differential effects of aging and Alzheimer's disease on conceptual implicit and explicit memory.

The effects of aging and Alzheimer's disease (AD) on conceptual explicit and implicit memory were examined. Three groups of participants patients with AD; age-matched, older control participants; and younger control participants made deep (semantic) or shallow (nonsemantic) judgments about low-dominant category exemplars. Explicit memory was measured by category cued recall and implicit memory was measured by priming on a category-exemplar generation task. Younger participants had enhanced cued recall and priming following deep, relative to shallow, encoding; this indicated that both memory measures were conceptually driven. Aging reduced explicit, but not implicit, test performance, and it did not reduce conceptually driven processes for either test. In contrast, AD reduced explicit and implicit test performance, and it impaired conceptually driven memory processes for both tests. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Feeling-of-knowing in fact retrieval: further evidence for preservation in early Alzheimer's disease

The ability to retrieve and monitor factual information varying in datedness (i.e., dated vs. contemporary) was examined in healthy older adults and patients in an early phase of Alzheimer's disease (AD). Subjects were given free recall and multiple-choice recognition tests of 48 general knowledge questions. For all questions not responded to in recall, subjects made feeling-of-knowing (FOK) judgments. Results indicated dementia-related deficits in both recall and recognition, although both groups showed better recall and recognition with the dated compared with the contemporary questions. Importantly, despite deficits in fact retrieval, the AD patients showed intact monitoring of stored knowledge, as indicated by equivalent FOK accuracy for both groups. In addition, FOK accuracy was similar for the dated and the contemporary information in both groups, suggesting independence between level of general knowledge and the ability to supervise information stored in memory.     

Asymmetries in Global-Local Processing Ability in Elderly People With the Apolipoprotein E-ε4 Allele.

Previous studies have identified cognitive asymmetries in elderly people at increased risk for Alzheimer's disease (AD) by comparing standardized neuropsychological tests of verbal and spatial abilities in both preclinical AD and apolipoprotein ε4+ elderly groups. This prospective study investigated cognitive asymmetries within a single test by comparing cognitively intact elderly (with and without the ε4+ allele) on a learning and memory measure that uses global and local visuospatial stimuli. Both groups demonstrated comparable overall learning and recall. But the ε4+ group had a significantly larger discrepancy between their global and local learning scores and had a greater proportion of individuals with more than a one standard deviation difference between their immediate recall of the global and local elements, relative to the ε4- group. These findings build on previous studies identifying subgroups of elderly people at greater risk for AD who often demonstrate increased cognitive asymmetries relative to groups without significant risk factors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Is autism an amnesic disorder? Evidence from the California Verbal Learning Test.

An amnesic disorder has been postulated as an important etiological consideration in autism. A comparison was therefore made between 21 matched pairs of high-functioning autistic Ss and controls on 33 variables derived from the California Verbal Learning Test (CVLT). 27 of these variables did not discriminate between the autistic Ss and controls. The 6 discriminating variables were free recall of Trial 5 of List A, free recall of List B, total intrusions for List A during the immediate- and short-delay recall trials, and the semantic-cluster and global-cluster ratios for List B. However, the mean scores for the autistic Ss were worse than those of the controls on 30 of the 33 CVLT variables. These findings fail to support the amnesic theory of autism but are consistent with reduced neural connectivity and deficits in information processing involved in the formation of cognitive strategies for efficient organization of information. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Verbal and nonverbal short-term memory impairment in untreated Parkinson's disease.

Extended previous research (J. A. Cooper et al, 1991) and examined whether the impairment in verbal and nonverbal short-term memory (STM) documented in chronically treated patients with Parkinson's disease (PD) is attributable to the pathology of the disease or to antiparkinsonian drug therapy. Verbal recall by a group of 58 never-treated PD patients was virtually perfect when the retention intervals were distractor free but was impaired, as compared with a matched group of 34 healthy control Ss, following distractor-filled intervals. Nonverbal recall by the PD group showed significant forgetting after distractor-free but not distractor-filled intervals. Recall was not related to depressive symptoms, motor disability, or distractor task performance. Thus, STM impairment in PD occurs for both verbal and nonverbal material and arises directly from the disease pathology rather than from antiparkinsonian medication. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Fluency and memory differences between ischemic vascular dementia and Alzheimer's disease.

This study compared 32 patients with ischemic vascular dementia (IVD) to 32 patients with probable Alzheimer's disease (AD) on select language and verbal memory tests. The IVD and AD patients were individually matched on the basis of age, dementia severity, years of education, and gender. The IVD patients had poorer verbal fluency, but better free recall, fewer recall intrusions, and better recognition memory than the AD patients. Relationships between the neuropsychological measures and radiological indexes of cortical and subcortical pathology were also examined. Number of infarcts, white-matter lucency, and ventricular enlargement correlated with some of the neuropsychological measures; cortical atrophy correlated with most of the measures. The findings suggest that neuropsychological deficits in IVD may be related to dysfunction of frontal-subcortical circuits, although an associated degenerative cortical process may also be involved. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Memory encoding and retrieval in frontotemporal dementia and Alzheimer's disease.

Memory encoding and retrieval strategies were assessed in patients with behavior-executive variant frontotemporal dementia (FTD), language variant FTD, and Alzheimer's disease (AD) using verbal and visuospatial supraspan learning tests. FTD patients obtained higher free recall, cued recall, and recognition scores than AD patients. Comparison of free recall scores with cued recall and recognition scores was similar in the 3 dementia groups. Groups did not differ in semantic clustering strategies during learning, but serial-order recall was more common in FTD patients. These data do not support the idea that FTD patients' poor memory is due to a selective retrieval disorder, though FTD patients may fail to implement sophisticated organizational strategies during learning. FTD patients' retained capacity for encoding new information into long-term declarative memory is likely due to relatively spared medial temporal lobe involvement. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Visuoconstructional problems in dementia: Contribution of executive systems functions.

Visuoconstructional ability was assessed by asking patients diagnosed with Alzheimer's disease (AD), ischaemic vascular dementia (IVD), and Parkinson's disease (PD) and a normal control group (NC) to copy a modification of the Rey–Osterrieth Complex Figure (M–ROCF). The drawings of the NC group were superior to all dementia participants. AD patients generally outperformed LVD and PD patients; however, there were few differences between LVD and PD groups. Nonetheless, the drawings of LVD and PD patients were very fragmented and contained numerous perseverations and omissions. Despite these errors, patients with LVD and PD obtained higher delayed recognition memory scores than AD patients. Correlational analyses among dementia patients between neuropsychological tests and the copy of the M–ROCF found that accurate figure copy was most consistently correlated with tests of working memory, that is, tests requiring patients to monitor their behavior and sustain a complex mental set while performing mental manipulations. By contrast, no relationship between executive function tests related to measures of response selection/inhibition or other domains of neuropsychological functioning was found. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The differentiation of semantic dementia and frontal lobe dementia (temporal and frontal variants of frontotemporal dementia) from early Alzheimer's disease: A comparative neuropsychological study.

The authors compared age-matched groups of patients with the frontal and temporal lobe variants of frontotemporal dementia (FTD; dementia of frontal type [DFT] and semantic dementia), early Alzheimer's disease (AD), and normal controls (n?=?9 per group) on a comprehensive neuropsychological battery. A distinct profile emerged for each group: Those with AD showed a severe deficit in episodic memory with more subtle, but significant, impairments in semantic memory and visuospatial skills; patients with semantic dementia showed the previously documented picture of isolated, but profound, semantic memory breakdown with anomia and surface dyslexia but were indistinguishable from the AD group on a test of story recall; and the DFT group were the least impaired and showed mild deficits in episodic memory and verbal fluency but normal semantic memory. The frontal and temporal presentations of FTD are clearly separable from each other and from early AD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The influence of directional associations on directed forgetting and interference.

Two experiments examined how cross-list directional associations influenced list-method directed forgetting and the degree of interference observed on each list. Each List 1 item had a (a) bidirectionally related item on List 2 (chip ←→ potato), (b) forward association with an item on List 2 (chip → wood), (c) backward association from an item on List 2 (chip ← chisel), or (d) no relationship with List 2 items. The results revealed that associative relationships that eliminated retroactive interference in the baseline condition also eliminated the directed forgetting costs. In contrast, associative relationships did not affect List 2 recall in the forget group, which remained unchanged across experimental conditions. However, certain conditions reduced proactive interference in the remember group, thereby eliminating the benefits of directed forgetting. The directed forgetting costs and benefits were observed independently of each other. The authors propose that these effects emerged from a combination of item and context strengthening induced by different associative directions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Working memory in mild Alzheimer's disease and early Parkinson's disease.

Alzheimer's disease (AD) and Parkinson's disease (PD) impair working memory (WM). It is unclear, however, whether the deficits seen early in the course of these diseases are similar. To address this issue, the authors compared the performance of 22 patients with mild AD, 20 patients with early PD and without dementia, and 112 control participants on tests of inhibition, short-term memory, and 2 commonly administered tests of WM. The results suggest that although mild AD and early PD both impair WM, the deficits may be related to the interruption of different processes that contribute to WM performance. Early PD disrupted inhibitory processes, whereas mild AD did not. The WM deficits seen in patients with AD may be secondary to deficits in other cognitive capacities, including semantic memory. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Retrieval during learning facilitates subsequent memory encoding.

In multiple-list learning, retrieval during learning has been suggested to improve recall of the single lists by enhancing list discrimination and, at test, reducing interference. Using electrophysiological, oscillatory measures of brain activity, we examined to what extent retrieval during learning facilitates list encoding. Subjects studied 5 lists of items in anticipation of a final cumulative recall test and did either a retrieval or a no-retrieval task between study of the lists. Retrieval was from episodic memory (recall of the previous list), semantic memory (generation of exemplars from an unrelated category), or short-term memory (2-back task). Behaviorally, all 3 forms of retrieval enhanced recall of both previously and subsequently studied lists. Physiologically, the results showed an increase of alpha power (8–14 Hz) from List 1 to List 5 encoding when no retrieval activities were interpolated but no such increase when any of the 3 retrieval activities occurred. Brain–behavior correlations showed that alpha-power dynamics from List 1 to List 5 encoding predicted subsequent recall performance. The results suggest that, without intermittent retrieval, encoding becomes ineffective across lists. In contrast, with intermittent retrieval, there is a reset of the encoding process for each single list that makes encoding of later lists as effective as encoding of early lists. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Naming in dementia secondary to Parkinson's, Huntington's, and Alzheimer's diseases

Confrontation naming problems have been found in patients with dementia secondary to Alzheimer's (AD), Huntington's (HD), and in a subset of Parkinson's disease (PD) patients with dementia. The source of the naming deficit has not been established. The "Perception" and the "Semantic Feature" theories have been proposed to explain this naming dysfunction. Subjects with dementia secondary to AD, HD, and PD were given three tasks to determine which theory best explained the source of confrontation naming problems. The three tasks including picture matching, visual recognition, and confrontation naming were given to 42 subjects with dementia secondary to AD, HD, and PD controlled for severity of dementia, and to age-matched controls. Subjects with dementia did not have significantly more difficulty matching pictures but did have more difficulty associating pictures through semantic features. Subjects with mild dementia secondary to AD and HD had significantly more confrontation naming errors than subjects with mild dementia secondary to PD and normal controls. All subjects with moderate dementia had significantly more confrontation naming errors than normal controls. Statistical power may have been limited due to the small number of subjects in each group. The source of the reduction in confrontation naming performance in subjects with dementia secondary to AD, HD, and PD originated in the deterioration of semantic fields. The perception theory was rejected as findings were consistent with the semantic feature theory.