Terminal decline and cognitive performance in very old age: does cause of death matter?

Cross-sectional differences and longitudinal changes in cognitive functioning in relation to mortality across a 7-year follow-up period, with 3 times of measurement, were examined in a population-based sample of very old adults. The authors also sought to determine whether cause of death (cerebro/cardiovascular disease [CVD]; non-CVD) modified the magnitude of mortality-related cognitive deficits. Cognitive performance was indexed by tests of general cognitive ability, episodic memory, primary memory, verbal fluency, and visuospatial ability. Results indicated cross-sectional differences on all domains of functioning, with persons who would die within 3 years after baseline testing performing more poorly. Longitudinally, greater decrements were observed on all domains for persons who would die after the first follow-up period, as compared with survivors. Cause of death failed to modify the magnitude of the cross-sectional and longitudinal deficits. The pattern of results point to the general nature of this phenomenon.     

Episodic memory change in late adulthood: Generalizability across samples and performance indices

Younger adults recall more information from episodic memory tasks than do older adults. Because longitudinal studies are rare and often incompatible, the extent of actual late-life memory change is not well established. We assemble two different longitudinal samples of normal older adults, each of which is tested twice at a 3-year interval, using a large battery of episodic memory indicators. Together, two-wave data from both the Victoria Longitudinal Study in Canada (n = 400) and the Kungsholmen Project in Sweden (n = 168) cover a 40-year span of adulthood, ranging from 54 to 94 years of age. Principal memory tasks include categorizable word lists, story recall, and random word lists, as well as indicators of cognitive support. Overall, an examination of performance on sets of common and complementary episodic tasks reveals that, for both samples, actual 3-year changes are modest and that, when decline occurs, it is gradual. The exception-greater decline for more supported tasks-suggests that these may be especially sensitive to late-life changes.     

Sex differences in cognition are stable over a 10-year period in adulthood and old age

Sex differences in declarative memory and visuospatial ability are robust in cross-sectional studies. The present longitudinal study examined whether sex differences in cognition were present over a 10-year period, and whether age modified the magnitude of sex differences. Tests assessing episodic and semantic memory, and visuospatial ability were administered to 625 nondemented adults (initially aged 35-80 years), participating in the population-based Betula study at two follow-up occasions. There was stability of sex differences across five age groups and over a 10-year period. Women performed at a higher level than men on episodic recall, face and verbal recognition, and semantic fluency, whereas men performed better than women on a task-assessing, visuospatial ability. Sex differences in cognitive functions are stable over a 10-year period and from 35 to 90 years of age.     

Sex Differences in Cognition are Stable Over a 10-Year Period in Adulthood and Old Age

ABSTRACT

Sex differences in declarative memory and visuospatial ability are robust in cross-sectional studies. The present longitudinal study examined whether sex differences in cognition were present over a 10-year period, and whether age modified the magnitude of sex differences. Tests assessing episodic and semantic memory, and visuospatial ability were administered to 625 nondemented adults (initially aged 35–80 years), participating in the population-based Betula study at two follow-up occasions. There was stability of sex differences across five age groups and over a 10-year period. Women performed at a higher level than men on episodic recall, face and verbal recognition, and semantic fluency, whereas men performed better than women on a task-assessing, visuospatial ability. Sex differences in cognitive functions are stable over a 10-year period and from 35 to 90 years of age.     

Examination of the processing speed account in a population-based longitudinal study with narrow age cohort design

The processing speed account suggests that general slowing of mental processing speed results in an overall decline, especially age-related decline, in other cognitive domains. Support for the speed account comes mainly from cross-sectional studies with participants that vary in age (age-heterogeneous samples). This study investigated how well variations in processing speed predict change of episodic recall in a longitudinal framework and examined with the Narrow Age Cohort (NAC) design. Data were obtained from Betula, a population-based longitudinal study. Both 5-year (n= 490; Time 3 - Time 4) and 10-year follow-up results (n= 608; Time 1 - Time 3) were used. In both samples, which were subjected to prospective dementia screening, we found considerably weaker associations in longitudinal data compared to cross-sectional, and also weaker associations in age-homogeneous than in age-heterogeneous samples. The results provide little support for the speed account.     

Influences of preclinical dementia and impending death on the magnitude of age-related cognitive deficits

The authors examined the influence of preclinical dementia and impending death on the cross-sectional relationship between age and performance in tasks assessing episodic memory, visuospatial skill, and verbal fluency. Increasing age was associated with a general decrease in cognitive performance. In addition, those who were to be diagnosed with dementia or had died by a 3-year follow-up, were older, and performed at a lower level than the remaining sample across all cognitive tasks at baseline. Nevertheless, removal of the preclinical dementia and impending death groups from the original sample affected the cross-sectional age-cognition relations relatively little. This pattern of findings suggests that the biological aging process exerts negative influences on cognitive functioning beyond those resulting from disease and mortality.     

Episodic Memory in Adult Age and Effects of Sibship Size and Birth Order: Longitudinal Data

This study examined the effects of sibship size and birth order on episodic memory performance in adulthood and old age. Participants were 1,141 healthy individuals aged 35–80 years, who took part in a longitudinal project on age, health, and memory. Episodic memory measurements over a 5-year interval included tests of recognition (recognition of faces, family names, first names, and nouns) and tests of recall (free recall of sentences, free recall and cued recall of nouns, and recall of activities). Results showed significant effects for both recall and recognition, that is, the smaller the sibship size is for an individual and the earlier born, the better memory performance. These results demonstrate that the effects of sibship size and birth order previously shown in children and adolescents (Belmont and Marolla, Science 182:1096–1101, 1973; Zajonc and Markus, Psych Rev 82:74–88, 1975; Zajonc, Am Psychol 56:490–496, 2001) are robust over time and hold over a large adult range.     

Differential effects of alcohol on associative versus item memory

Alcohol has detrimental effects on a range of cognitive processes, the most prominent being episodic memory. These deficits appear functionally similar to those observed within the normal aging population. We investigated whether an associative memory deficit, as found in older adults, would also be evident in young adults moderately intoxicated by alcohol. Participants were shown unrelated word pairs and then tested on both their item recognition (old/new item?) and associative recognition (intact/recombined pair?). Half the participants were under the influence of alcohol whereas the other half were sober. Alcohol impaired memory performance but significantly more so for associative than for item memory. Moreover, within the alcohol group, the associative memory deficit was significantly related to the amount of alcohol consumed. The findings suggest that not all aspects of episodic memory are equally impaired by alcohol, which may have practical implications for criminal investigations involving eye witnesses who have consumed alcohol.     

The fate of cognition in very old age: six-year longitudinal findings in the Berlin Aging Study (BASE)

The authors report full-information longitudinal age gradients in 4 intellectual abilities on the basis of 6-year longitudinal changes in 132 individuals (mean age at T1 = 78.27, age range = 70-100) from the Berlin Aging Study. Relative to the cross-sectional parent sample (N = 516, mean age at T1 = 84.92 years), this sample was positively selected because of differential mortality and experimental attrition. Perceptual speed, memory, and fluency declined with age. In contrast, knowledge remained stable up to age 90, with evidence for decline thereafter. Age gradients were more negative in old old (n = 66, mean age at T1 = 83.04) than in old (n = 66, mean age at T1 = 73.77) participants. Rates of decline did not differ reliably between men and women or between participants with high versus low life-history status. They conclude that intellectual development after age 70 varies by distance to death, age, and intellectual ability domain.     

Category specificity in normal episodic learning: applications to object recognition and category-specific agnosia

Studies of patients with category-specific agnosia (CSA) have given rise to multiple theories of object recognition, most of which assume the existence of a stable, abstract semantic memory system. We applied an episodic view of memory to questions raised by CSA in a series of studies examining normal observers' recall of newly learned attributes of familiar objects. Subjects first learned to associate arbitrarily assigned colors or textures to objects in a training phase, and then attempted to report the newly learned attribute of each object in a recall task. Our subjects' pattern of recall errors was similar both quantitatively and qualitatively to the identification deficits among patients with CSA for biological objects. Furthermore, errors tended to reflect conceptually and structurally based confusions. We suggest that object identification involves recruitment and integration of information across distributed episodic memories and that this process is susceptible to interference from objects that are structurally similar and conceptually related.     

The effects of marital status on episodic and semantic memory in healthy middle-aged and old individuals

The present study examined the influences of marital status on different episodic and semantic memory tasks. A total of 1882 adult men and women participated in a longitudinal project (Betula) on memory, health and aging. The participants were grouped into two age cohorts, 35-60 and 65-85, and studied over a period of 5 years. Episodic memory tasks concerned recognition and recall, whereas semantic memory tasks concerned knowledge and fluency. The results showed, after controlling for education, some diseases, chronological age and leisure activity as covariates, that there were significant differences between married and single individuals in episodic memory, but not in semantic memory. Married people showed significantly better memory performances than singles in both subsystems of episodic memory, that is, recall and recognition. Also, the rate of decline in episodic memory was significantly larger for singles and widowed than other groups over the 5-year time period in both age groups. The findings demonstrate that the positive relation found between marriage and health can be extended to the relation between marriage and cognitive performance. This effect might be explained by the role played by cognitive stimulation in memory and cognition.     

Proactive interference in working memory is related to adult age and cognitive factors: cross-sectional and longitudinal evidence from the Betula study

ABSTRACT

In working memory (WM), successful maintenance of information is affected by interference. Older adults may be especially susceptible to the effects of interference, which may cause age-related cognitive impairments. A relative score of IC was derived from cross-sectional (n = 869) and longitudinal (n = 443) data to investigate (1) if IC is reduced in normal aging, (2) if individual differences in IC related to individual performance in other cognitive domains, and (3) if 5-year change in IC is related to change in general cognition. Older age was associated with reduced IC, but no decline in IC occurred over 5 years. Also, the ability to control interference in WM was related to performance in episodic memory, verbal fluency, and block design. We also found that IC mediates the relationship between age and cognition, suggesting that age-related cognitive decline is linked to IC. Finally, we demonstrate that change in IC was related to decline in episodic memory.     

A ten-year longitudinal examination of repetition priming, incidental recall, free recall, and recognition in young and elderly

The effects of age and time on nondeclarative and declarative memory in young and elderly were examined in a 10-year longitudinal study using tests of word-stem priming, incidental recall, free recall, and recognition. The elderly were significantly impaired on all tests, but no reliable longitudinal decrement by the elderly was detected for priming, incidental recall,or recognition. The elderly demonstrated a significant longitudinal decline in declarative memory as assessed by a test of free recall. While nondeclarative memory declines with age, the longitudinal findings are consistent with the view that declarative memory is more susceptible to the effects of aging.     

Simulating episodic memory deficits in semantic dementia with the TraceLink model

Although semantic dementia is primarily characterised by deficits in semantic memory, episodic memory is also impaired. Patients show poor recall of old autobiographical and semantic memories, with better retrieval of recent experiences; they can form new memories, and normal performance on pictorial recognition memory has been demonstrated. As these abnormalities in episodic memory are virtually a mirror image of those seen in the amnesic syndromes, semantic dementia poses a challenge to extant models of remote memory and amnesia. Here, we show that one such model, TraceLink, can reproduce some of the principal findings on episodic memory in semantic dementia. A loss of nodes and connections within the trace system, which can be identified with the temporal neocortical memory storage sites implicated in semantic dementia, simulates without further assumptions the findings reported above.     

Simulating episodic memory deficits in semantic dementia with the TraceLink model

Although semantic dementia is primarily characterised by deficits in semantic memory, episodic memory is also impaired. Patients show poor recall of old autobiographical and semantic memories, with better retrieval of recent experiences; they can form new memories, and normal performance on pictorial recognition memory has been demonstrated. As these abnormalities in episodic memory are virtually a mirror image of those seen in the amnesic syndromes, semantic dementia poses a challenge to extant models of remote memory and amnesia. Here, we show that one such model, TraceLink, can reproduce some of the principal findings on episodic memory in semantic dementia. A loss of nodes and connections within the trace system, which can be identified with the temporal neocortical memory storage sites implicated in semantic dementia, simulates without further assumptions the findings reported above.     

Episodic generation can cause semantic forgetting: Retrieval-induced forgetting of false memories

In two experiments, we tested whether false recognition and false recall were prone to retrieval-induced forgetting, using the retrieval practice paradigm (Anderson, Bjork, & Bjork, 1994). Participants encoded lists of cue-target word pairs associated with a nonpresented, critical theme word and then engaged in retrieval practice for half of the word pairs from half of the lists. As expected, unpracticed targets from practiced lists were recognized (Experiment 1) and recalled (Experiment 2) less well than those from unpracticed lists. In addition, false recognition and false recall of critical items associated with practiced lists was lower than false recognition and false recall of items associated with unpracticed lists. We argue that false memories are prone to inhibitory mechanisms engendered by the retrieval practice paradigm. The results are consistent with the claim that semantically activated critical themes interfere with the episodic retrieval of list words and that inhibition decreases the activation level of these interfering memory representations during retrieval practice.     

How many memory systems? Evidence from aging

The present research tested Tulving's (1985) ternary memory theory. Young (ages 19-32) and older (ages 63-80) adults were given procedural, semantic, and episodic memory tasks. Repetition, lag, and codability were manipulated in a picture-naming task, followed by incidental memory tests. Relative to young adults, older adults exhibited lower levels of recall and recognition, but these episodic measures increased similarly as a function of lag and repetition in both age groups. No age-related deficits emerged in either semantic memory (vocabulary, latency slopes, naming errors, and tip-of-the-tongue responses) or procedural memory (repetition priming magnitude and rate of decline). In addition to the age by memory task dissociations, the manipulation of codability produced slower naming latencies and more naming errors (semantic memory), yet promoted better recall and recognition (episodic memory). Finally, a factor analysis of 11 memory measures revealed three distinct factors, providing additional support for a tripartite memory model.     

Stability, growth, and decline in adult life span development of declarative memory: cross-sectional and longitudinal data from a population-based study

Five-year changes in episodic and semantic memory were examined in a sample of 829 participants (35-80 years). A cohort-matched sample (N=967) was assessed to control for practice effects. For episodic memory, cross-sectional analyses indicated gradual age-related decrements, whereas the longitudinal data revealed no decrements before age 60, even when practice effects were adjusted for. Longitudinally, semantic memory showed minor increments until age 55, with smaller decrements in old age as compared with episodic memory. Cohort differences in educational attainment appear to account for the discrepancies between cross-sectional and longitudinal data. Collectively, the results show that age trajectories for episodic and semantic memory differ and underscore the need to control for cohort and retest effects in cross-sectional and longitudinal studies, respectively.     

Mixed- versus strong right-handedness is associated with biases towards "remember" versus "know" judgements in recognition memory: role of interhemispheric interaction

Growing evidence supports the hypothesis that episodic versus semantic memories rely primarily on interhemispheric versus intrahemispheric processing, respectively. For example, a recent study found that individuals with presumed greater interhemispheric interaction were superior in episodic recall but inferior at semantic word fragment completion; however, tests of recognition memory yielded no group differences. Interestingly, recognition memory can be based on either explicitly remembering a stimulus or implicitly knowing that a stimulus had been presented. The current experiments administered recognition memory tests to strongly versus mixed handed participants who judged for each recognised item whether their response was based on remembering (episodic memory) or knowing (semantic memory) (Tulving, 1983). Results indicate that strong versus mixed handers are biased towards basing recognition responses on judgements of knowing versus remembering, respectively. As strong versus mixed handedness is associated with greater versus lesser interhemispheric processing, the results support the original hypothesis.     

Word frequency influences on the list length effect and associative memory in young and older adults

Many studies show that age deficits in memory are smaller for information supported by pre-experimental experience. Many studies also find dissociations in memory tasks between words that occur with high and low frequencies in language, but the literature is mixed regarding the extent of word frequency effects in normal ageing. We examined whether age deficits in episodic memory could be influenced by manipulations of word frequency. In Experiment 1, young and older adults studied short and long lists of high- and low-frequency words for free recall. The list length effect (the drop in proportion recalled for longer lists) was larger in young compared to older adults and for high- compared to low-frequency words. In Experiment 2, young and older adults completed item and associative recognition memory tests with high- and low-frequency words. Age deficits were greater for associative memory than for item memory, demonstrating an age-related associative deficit. High-frequency words led to better associative memory performance whilst low-frequency words resulted in better item memory performance. In neither experiment was there any evidence for age deficits to be smaller for high- relative to low-frequency words, suggesting that word frequency effects on memory operate independently from effects due to cognitive ageing.