Neuroanatomical substrates of age-related cognitive decline.

There are many reports of relations between age and cognitive variables and of relations between age and variables representing different aspects of brain structure and a few reports of relations between brain structure variables and cognitive variables. These findings have sometimes led to inferences that the age-related brain changes cause the age-related cognitive changes. Although this conclusion may well be true, it is widely recognized that simple correlations are not sufficient to warrant causal conclusions, and other types of correlational information, such as mediation and correlations between longitudinal brain changes and longitudinal cognitive changes, also have limitations with respect to causal inferences. These issues are discussed, and the existing results on relations of regional volume, white matter hyperintensities, and diffusion tensor imaging measures of white matter integrity to age and to measures of cognitive functioning are reviewed. It is concluded that at the current time the evidence that these aspects of brain structure are neuroanatomical substrates of age-related cognitive decline is weak. The final section contains several suggestions concerning measurement and methodology that may lead to stronger conclusions in the future. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Computational explorations of the influence of structured knowledge on age-related cognitive decline.

Experience in a domain can sometimes offset cognitive declines that occur with aging. Using a series of neural network simulations of learning chess opening positions, the authors investigated how structured knowledge in a distributed representation may influence age-related declines. Aging manipulations implemented as modulations of neural noise showed increased knowledge as being protective of performance on a chess memory span task, whereas changes in neural plasticity and neural loss lead to main effects without interactions and steeper declines for the initially more able. The models could also simulate the increase in variability in older groups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Robust and conventional neuropsychological norms: Diagnosis and prediction of age-related cognitive decline.

The aim of the study was to compare the performance of Robust and Conventional neuropsychological norms in predicting clinical decline among healthy adults and in mild cognitive impairment (MCI). The authors developed Robust baseline cross sectional and longitudinal change norms from 113 healthy participants retaining a normal diagnosis for at least 4 years. Baseline Conventional norms were separately created for 256 similar healthy participants without follow-up. Conventional and Robust norms were tested in an independent cohort of longitudinally studied healthy (n=223), MCI (n=136), and Alzheimer's disease (AD, n=162) participants; 84 healthy participants declined to MCI or AD (NL→DEC), and 44 MCI declined to AD (MCI→AD). Compared to Conventional norms, baseline Robust norms correctly identified a higher proportion of NL→DEC with impairment in delayed memory and attention-language domains. Both norms predicted decline from MCI→AD. Change norms for delayed memory and attention-language significantly incremented baseline classification accuracies. These findings indicate that Robust norms improve identification of healthy individuals who will decline and may be useful for selecting at-risk participants for research studies and early interventions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Individual variation for cognitive decline: Quantitative methods for describing patterns of change.

What are the best quantitative methods for studying cognitive decline? This question was investigated in a sample of 638 individuals aged 50 years and older from the Swedish Adoption/Twin Study of Aging. A battery of cognitive tests tapping multiple domains was administered to each individual from 2 to 7 times over a span of 10 years. Four methods of operationalizing cognitive decline were compared: change scores, a criterion-based method, least squares, and random effects regression (RER). The RER results were most consistent with a significant decline across measures and differences between demented and nondemented individuals. Predicted slopes from the RER model also showed the strongest interrelationships within and across cognitive domains as indicated by factor analysis results and stronger associations with demographic, health, and psychosocial predictors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Multiple combinations of co-factors produce variants of age-related cognitive decline: A theory.

A theory concerning the etiology of age-related cognitive decline, like Alzheimer's disease (AD), is presented. The view utilizes the idea that this form of dementia is a etiologically complex and heterogeneous brain disorder that is caused by various co-factors. A particular patient with AD would have some combination of these co-factors present but the exact type and combinations might be different from another patient. This theory could also be used to explain other forms of dementia and age-related cognitive decline and the differences in severity of memory impairments associated with each. The co-factors in the present model include genes, neurotransmitter changes, vascular abnormalities, stress hormones, circadian rhythms, head trauma, and seizures. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Goal-directed memory: The role of cognitive control in older adults' emotional memory.

The present study revealed that older adults recruit cognitive control processes to strengthen positive and diminish negative information in memory. In Experiment 1, older adults engaged in more elaborative processing when retrieving positive memories than they did when retrieving negative memories. In Experiment 2, older adults who did well on tasks involving cognitive control were more likely than those doing poorly to favor positive pictures in memory. In Experiment 3, older adults who were distracted during memory encoding no longer favored positive over negative pictures in their later recall, revealing that older adults use cognitive resources to implement emotional goals during encoding. In contrast, younger adults showed no signs of using cognitive control to make their memories more positive, indicating that, for them, emotion regulation goals are not chronically activated. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cohort differences in cognitive aging and terminal decline in the Seattle Longitudinal Study.

Life span researchers have long been interested in how and why fundamental aspects of human ontogeny differ between cohorts of people who have lived through different historical epochs. When examined at the same age, later born cohorts are often cognitively and physically fitter than earlier born cohorts. Less is known, however, about cohort differences in the rate of cognitive aging and if, at the very end of life, pervasive mortality-related processes overshadow and minimize cohort differences. We used data on 5 primary mental abilities from the Seattle Longitudinal Study (Schaie, 2005) to compare both age-related and mortality-related changes between earlier born cohorts (1886–1913) and later born cohorts (1914–1948). Our models covary for several individual and cohort differences in central indicators of life expectancy, education, health, and gender. Age-related growth models corroborate and extend earlier findings by documenting level differences at age 70 of up to 0.50 SD and less steep rates of cognitive aging on all abilities between 50 and 80 years of age favoring the later born cohort. In contrast, mortality-related models provide limited support for positive cohort differences. The later born cohort showed steeper mortality-related declines. We discuss possible reasons why often reported positive secular trends in age-related processes may not generalize to the vulnerable segment of the population that is close to death and suggest routes for further inquiry. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The specificity of age-related decline in interpretation of emotion cues from prosody.

Older adults are not as good as younger adults at decoding prosodic emotions. We sought to determine the specificity of this finding. Performance of older and younger adults was compared on a prosodic emotion task, a “pure” prosodic emotion task, a linguistic prosody task, and a “pure” linguistic prosody task. Older adults were less accurate at interpreting prosodic emotion cues and nonemotional contours, concurrent semantic processing worsened interpretation, and performance was further degraded when identifying negative emotions and questions. Older adults display a pervasive problem interpreting prosodic cues, but further study is required to clarify the stage at which performance declines. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Aging minds and twisting attitudes: An fMRI investigation of age differences in inhibiting prejudice.

Cognitive capacity is believed to decline with age, but it is not known whether this decline extends to tasks involving social cognition. In the current study, social neuroscience methodologies were used to examine the effects of age-related cognitive decline on older adults’ abilities to engage regulatory mechanisms (which are typically impaired by normal aging) to inhibit negative reactions to stigmatized individuals. Older and young adults were presented with images of stigmatized individuals (e.g., individuals with amputations, substance abusers) and of normal controls while they underwent functional magnetic resonance imaging. All participants were also given a battery of tests to assess their executive function capacity. Young adults showed more activity in areas associated with empathy (i.e., medial prefrontal cortex) than did older adults when viewing stigmatized faces. By contrast, older adults with relatively preserved levels of executive function had heightened activity in areas previously implicated in emotion regulation (i.e., lateral prefrontal cortex) as compared to other groups. These results suggest that although cognitive decline may interfere with older adults’ attitudes toward stigmatized individuals, older adults with relatively preserved cognitive function may utilize different strategies to compensate for these deficits. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Exploring effects of type 2 diabetes on cognitive functioning in older adults.

Type 2 diabetes may be associated with exacerbated aging-related declines in cognitive neuropsychological performance. The authors examined whether such effects are systematic (i.e., broadly distributed across domains or domain-specific) or moderated by age (i.e., varying across age within older adults). The authors assembled recent cross-sectional data from the Victoria Longitudinal Study (VLS) Sample 3 (Wave 1; initial n = 570; initial age = 53-90 years). Using a comprehensive, multidimensional spectrum of cognitive neuropsychological tests, the authors examined performance differences by diabetes status (diabetes group vs. healthy controls) and age (young-old vs. old-old). Our results showed that healthy controls significantly outperformed the diabetes group only on markers of executive functioning and speed. Notably, the diabetes-related effects were robust across the two late-life age groups. Future research examining longitudinal changes is recommended. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Older adults' configural processing of faces: Role of second-order information.

Problems with face recognition are frequent in older adults. However, the mechanisms involved have only been partially discovered. In particular, it is unknown to what extent these problems may be related to changes in configural face processing. Here, we investigated the face inversion effect (FIE) together with the ability to detect modifications in the vertical or horizontal second-order relations between facial features. We used a same/different unfamiliar face discrimination task with 33 young and 33 older adults. The results showed dissociations in the performances of older versus younger adults. There was a lack of inversion effect during the recognition of original faces by older adults. However, for modified faces, older adults showed a pattern of performance similar to that of young participants, with preserved FIE for vertically modified faces and no detectable FIE for horizontally modified faces. Most importantly, the detection of vertical modifications was preserved in older relative to young adults whereas the detection of horizontal modifications was markedly diminished. We conclude that age has dissociable effects on configural face-encoding processes, with a relative preservation of vertical compared to horizontal second-order relations processing. These results help to understand some divergent results in the literature and may explain the spared familiar face identification abilities in the daily lives of older adults. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Visual function and cognitive aging: Differential role of contrast sensitivity in verbal versus spatial tasks.

Cognitive and sensory function are correlated in older adults. Sensory function may provide an index of neurological integrity (common-cause hypothesis). Declining sensory input may also directly impair cognition (direct-cause hypothesis). Accordingly, sensory function should more strongly predict cognitive performance and should account for more age-related variability in tasks with higher sensory demands. In a cross-sectional adult life span sample, visual contrast sensitivity was a better predictor and accounted for more of the age-related variability in high sensory-demand tasks, compared with low sensory-demand tasks, consistent with the direct-cause hypothesis. The results suggest a direct role for sensory function in cognitive aging when task conditions place heavy demands on sensory processing. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychometrically matched measures of global cognition, memory, and executive function for assesment of cognitive decline in older persons.

Item response theory methods were used to derive psychometrically sophisticated measures of global cognition, memory, and executive function. Goals were that these measures (a) could be derived from commonly used neuropsychological tests, (b) would have linear measurement properties, and (c) would be psychometrically matched. Scale development was based on a sample of 400 older individuals with cognitive function ranging from normal to demented. Scales were reasonably matched with linear measurement over an ability range relevant to many important clinical applications. Cognitively normal, mild impairment and dementia participant groups differed on baseline measures and rate of decline. Association of measures with quantitative structural magnetic resonance imaging variables followed expected patterns. This approach to scale development may have applications for other neuropsychological assessment problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The cognitive reserve hypothesis: A longitudinal examination of age-associated declines in reasoning and processing speed.

The term cognitive reserve is frequently used to refer to the ubiquitous finding that, during later life, those higher in experiential resources (e.g., education, knowledge) exhibit higher levels of cognitive function. This observation may be the result of either experiential resources playing protective roles with respect to the cognitive declines associated with aging or the persistence of differences in functioning that have existed since earlier adulthood. These possibilities were examined by applying accelerated longitudinal structural equation (growth curve) models to 5-year reasoning and speed data from the no-contact control group (N = 690; age 65–89 years at baseline) of the Advanced Cognitive Training for Independent and Vital Elderly study. Vocabulary knowledge and years of education, as markers of cognitive reserve, were related to levels of cognitive functioning but unrelated to rates of cognitive change, both before and after the (negative) relations between levels and rates were controlled for. These results suggest that cognitive reserve reflects the persistence of earlier differences in cognitive functioning rather than differential rates of age-associated cognitive declines. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Integrating advice and experience: Learning and decision making with social and nonsocial cues.

When making decisions, people typically gather information from both social and nonsocial sources, such as advice from others and direct experience. This research adapted a cognitive learning paradigm to examine the process by which people learn what sources of information are credible. When participants relied on advice alone to make decisions, their learning of source reliability proceeded in a manner analogous to traditional cue learning processes and replicated the established learning phenomena. However, when advice and nonsocial cues were encountered together as an established phenomenon, blocking (ignoring redundant information) did not occur. Our results suggest that extant cognitive learning models can accommodate either advice or nonsocial cues in isolation. However, the combination of advice and nonsocial cues (a context more typically encountered in daily life) leads to different patterns of learning, in which mutually supportive information from different types of sources is not regarded as redundant and may be particularly compelling. For these situations, cognitive learning models still constitute a promising explanatory tool but one that must be expanded. As such, these findings have important implications for social psychological theory and for cognitive models of learning. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Adult age differences in event-based prospective memory: A meta-analysis on the role of focal versus nonfocal cues.

Studies of age differences in event-based prospective memory indicate wide variation in the magnitude of age effects. One explanation derived from the multiprocess framework proposes that age differences depend on whether the cue to carry out a prospective intention is focal to ongoing task processing. A meta-analysis of 117 effect sizes from 4,709 participants provided evidence for this view, as age effects were greater when the prospective cue to the ongoing task was nonfocal compared with when it was focal. However, the results only support a weaker but not a stronger prediction of the multiprocess framework, as age impairments were reliably above zero for both types of retrieval cues. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Older adults' use of metacognitive knowledge in source monitoring: Spared monitoring but impaired control.

While episodic memory declines with age, metacognitive monitoring is spared. The current study explored whether older adults can use their preserved metacognitive knowledge to make source guesses in the absence of source memory. Through repetition, words from two sources (italic vs. bold text type) differed in memorability. There were no age differences in monitoring this difference despite an age difference in memory. Older adults used their metacognitive knowledge to make source guesses but showed a deficit in varying their source guessing based on word recognition. Therefore, older adults may not fully benefit from metacognitive knowledge about sources in source monitoring. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The role of sensory factors in cognitive aging research.

Performance on complex, cognitive tasks often is sensitive to low-level sensory and perceptual factors. These relations are particularly important for cognitive aging researchers because aging is associated with a variety of changes in sensory and perceptual function. In this article, the author first selectively outlines some relations between task performance and sensory function. Next, the author summarizes age-related changes in visual function and the implications of these changes for task performance, using the digit-symbol subtest of the Wechsler Adult Intelligence Test as an example. Then the author offers some reasons why age-related sensory decline may not be important to all cognitive tasks. Finally, several recommendations are offered for cognitive gerontologists who want to minimize the risk that the age differences they observe are sensory in nature. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Detected, selected, and sometimes neglected: cognitive processing of cues in addiction.

It is proposed that potential drug cues are evaluated preattentively, are prioritized, and subsequently trigger somatovisceral, behavioral, and cognitive responses. Throughout, this information processing is subjected to automatized attentional and interpretative biases. These processes can enhance subjective awareness of physiological arousal, action tendencies, and cognitions, but can also be inhibitory. Accordingly, different components of cue reactivity do not gain equal access to the limited processing resources necessary to generate experience of craving. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Neuroanatomical and cognitive mediators of age-related differences in episodic memory.

Aging is associated with declines in episodic memory. In this study, the authors used a path analysis framework to explore the mediating role of differences in brain structure, executive functions, and processing speed in age-related differences in episodic memory. Measures of regional brain volume (prefrontal gray and white matter, caudate, hippocampus, visual cortex), executive functions (working memory, inhibitory control, task switching, temporal processing), processing speed, and episodic memory were obtained in a sample of young and older adults. As expected, age was linked to reduction in regional brain volumes and cognitive performance. Moreover, neural and cognitive factors completely mediated age differences in episodic memory. Whereas hippocampal shrinkage directly affected episodic memory, prefrontal volumetric reductions influenced episodic memory via limitations in working memory and inhibitory control. Age-related slowing predicted reduced efficiency in temporal processing, working memory, and inhibitory control. Lastly, poorer temporal processing directly affected episodic memory. No direct effects of age on episodic memory remained once these factors were taken into account. These analyses highlight the value of a multivariate approach with the understanding of complex relationships in cognitive and brain aging. (PsycINFO Database Record (c) 2010 APA, all rights reserved)