Executive function outcomes of children with traumatic brain injury sustained before three years

Traumatic brain injury (TBI) is a common cause of disability in childhood. While the outcomes of TBI sustained in school years has been heavily researched, very little is known about the impact of TBI in infants and young children. The aim of this study was to investigate the impact of TBI on executive function (EF) in children who sustained a TBI before 3 years of age. A group of 55 children, 19 with a mild TBI, 16 children with a moderate-severe TBI, and 20 uninjured comparison children participated. The EF of children aged 3 to 6 years were compared using child-based measures of attentional control and information processing. Parents completed questionnaires rating their child's EF. Severity groups differed on the child-based EF measure of attentional control with children with TBI performing below the control group. There were no significant group differences for information processing or parent-rated EF. It appears that children who sustain a TBI before the age of 3 years display impairments in some areas of attentional control 3–4 years postinjury. The findings fit with the existing EF literature for older children.     

A Developmental Investigation of Prospective Memory: Effects of Interruption

The effects of interrupting an event-based prospective memory (PM) task and its associated ongoing task were compared for two groups of children: 8- to 9-year-olds (n?=?35) and 12- to 13-year-olds (n?=?28). Additionally, PM performance was examined as a function of attainment on a battery of tests of executive functioning (viz., Controlled Oral Word Association Test, Letter Number Sequencing Test, Stroop Color and Word Test, and Trail Making Test). A significant main effect of age indicated that the older children correctly carried out intended actions more often than the younger children. Consistent with the prefrontal model of PM, interruption had no impact on PM accuracy in the older group but produced reliable decrements to the accuracy of the younger group. Whereas IQ showed no association with PM performance, reliable relations between PM skills and aspects of their executive functioning were found.     

The differential contribution of executive functions to temporal generalisation,reproduction and verbal estimation

Evidence from dual-task studies suggests that executive resources are recruited during timing. However, there has been little exploration of whether executive recruitment is universal across temporal tasks, or whether different temporal tasks recruit different executive resources. The current study explored this further by examining how individual differences in updating, switching, inhibition and access affected performance on temporal generalisation, reproduction and verbal estimation tasks. It was found that temporal tasks differentially loaded onto different executive resources. Temporal generalisation performance was related to updating and access ability. Reproduction performance was related to updating, access and switching. Verbal estimation performance was only related to access. The results suggest that executive resources may be recruited when monitoring and maintaining multiple durations in memory at the same time, and when retrieving duration representations from long-term memory. The findings emphasise the need to consider timing behaviour as the product of a wide range of complex, integrated, cognitive systems, rather than as the output of a clock in isolation.     

Traumatic Brain Injury Outcome in Older Adults: A Critical Review of the Literature

This paper is a critical overview of the literature on older adults' outcome after traumatic brain injury (TBI). Eighteen outcome studies were reviewed. Results indicated that older patients demonstrated an increased risk for negative outcome following TBI when compared to younger patients with similar injury severity. Poorer outcome was characterized by higher mortality rates, decreased likelihood of returning to preinjury living arrangement, and declines in cognitive and affective functioning. In the studies reviewed, discharge destination, global outcome scales, and standardized neuropsychological tests were the primary measures of outcome from elderly TBI. Conceptual and methodological difficulties including variability in the definition of and inadequate measures of recovery from elderly TBI, inadequate control groups, and poor follow-up were discussed. Recommendations for future outcome research to increase uniformity in defining recovery in order to enhance comparability between studies and to tailor cognitive rehabilitation to the special needs of the older TBI patient were provided.     

Sequential Memory: A Developmental Perspective on Its Relation to Frontal Lobe Functioning

The multidimensional nature of the frontal lobes serves to organize and coordinate brain functionings playing a central and pervasive role in human cognition. The executive processes implicated in complex cognition such as novel problem solving, modifying behavior as appropriate in response to changes in the environment, inhibiting prepotent or previous responses, and the implementation of schemas that organize behavior over time are believed to be mediated by the frontal regions of the brain. Overall, the functioning of the frontal lobes assists individuals in goal directed and self-regulatory behavior. Additional theories of frontal lobe functioning have focused on its involvement in temporal, or time-related domains. The organizational and strategic nature of frontal lobe functioning affects memory processes by enhancing the organization of to-be-remembered information. Among the specific memory systems presumed to be based on anterior cerebral structures is the temporal organization of memory. An essential component of memory that involves temporal organization is sequential ordering entailing the ability to judge which stimuli were seen most recently and the temporal ordering of events in memory. Focal lesion studies have demonstrated the importance of the frontal lobes on retrieval tasks in which monitoring, verification, and placement of information in temporal and spatial contexts of critical importance. Similarly, frontal lobe damage has been associated with deficits in memory for the temporal ordering, or sequencing, of events. The acquisition of abilities thought to be mediated by the frontal lobes, including sequential memory, unfolds throughout childhood, serving to condition patterns of behavior for the rest of the brain. Development of the frontal regions of the brain is known to continue through late adolescence and into early adulthood, in contrast to the earlier maturation of other cortical regions. The developmental patterns of the frontal lobes are thought to involve a hierarchical, dynamic, and multistage process.     

Spatial Working Memory in Aging and Mild Cognitive Impairment: Effects of Task Load and Contextual Cueing

ABSTRACT

Mild Cognitive Impairment (MCI) is characterized by episodic memory deficits, while aspects of working memory may also be implicated, but studies into this latter domain are scarce and results are inconclusive. Using a computerized search paradigm, this study compares 25 young adults, 25 typically aging older adults and 15 amnestic MCI patients as to their working-memory capacities for object-location information and potential differential effects of memory load and additional context cues. An age-related deficit in visuospatial working-memory maintenance was found that became more pronounced with increasing task demands. The MCI group additionally showed reduced maintenance of bound information, i.e., object-location associations, again especially at elevated memory load. No effects of contextual cueing were found. The current findings indicate that working memory should be considered when screening patients for suspected MCI and monitoring its progression.     

When knowledge is not enough: the phenomenon of goal neglect in preschool children

We argue that the concept of goal neglect can be fruitfully applied to understand children's potential problems in experimental tasks and real-world settings. We describe an assessment of goal neglect developed for administration to preschool children and report data on two measures derived from this task alongside the Dimensional Change Card Sort (DCCS) and an opposite color response inhibition task. The propensity to neglect initial task cues was uniquely linked to response inhibition, whereas neglect of a later cue was uniquely linked to the DCCS. Additional evidence suggests that recovery from neglect can occur and shows that goal neglect varies with the cognitive transparency of the signifying cue. Data demonstrate the importance of, and place constraints on, current theories of information regulation and foreground the notion of graded representations in working memory and executive functioning.     

Implicit Learning of Affective Responses in Dementia Patients: A Face-Emotion-Association Paradigm

ABSTRACT

Young and older adults performed verbal and spatial storage-only and storage-plus-processing working memory tasks while performing a secondary finger tapping task, and the effects on both the maximum capacity (measured as the longest series correct) and the reliability (measured as the proportion of items correct) of working memory were assessed. Tapping tended to produce greater disruption of working memory tasks that place greater demands on executive processes (i.e., storage-plus-processing tasks compared to storage-only span tasks). Moreover, tapping produced domain-general interference, disrupting both verbal and spatial working memory, providing further support for the idea that tapping interferes with the executive component of the working memory system, rather than domain-specific maintenance processes. Nevertheless, tapping generally produced equivalent interference effects in young and older adults. Taken together, these findings are inconsistent with the hypothesis that age-related declines in working memory are primarily attributable to a deficit in the executive component.     

Memory and consciousness: trace distinctiveness in memory retrievals

The aim of this article was to provide experimental evidence that classical dissociation between levels of consciousness associated with memory retrieval (i.e., implicit or explicit) can be explained in terms of task dependency and distinctiveness of traces. In our study phase, we manipulated the level of isolation (partial vs. global) of the memory trace by means of an isolation paradigm (isolated words among non-isolated words). We then tested these two types of isolation in a series of tasks of increasing complexity: a lexical decision task, a recognition task, and a free recall task. The main result of this study was that distinctiveness effects were observed as a function of the type of isolation (level of isolation) and the nature of the task. We concluded that trace distinctiveness improves subsequent access to the trace, while the level of trace distinctiveness also appears to determine the possibility of conscious or explicit retrieval.     

Investigating the links between the subcomponents of executive function and academic achievement: a cross-cultural analysis of Chinese and American preschoolers

Little is known about how components of executive function (EF) jointly and uniquely predict different aspects of academic achievement and how this may vary across cultural contexts. In the current study, 119 Chinese and 139 American preschoolers were tested on a battery of EF tasks (i.e., inhibition, working memory, and attentional control) as well as academic achievement tasks (i.e., reading and mathematics). Results demonstrate that although working memory performance in both cultures was comparable, Chinese children outperformed American children on inhibition and attentional control tasks. In addition, the relation between components of EF and achievement was similar in the two countries. Working memory uniquely predicted academic achievement, with some intriguing patterns in regard to tasks requiring complex processing. Inhibition uniquely predicted counting but did not uniquely predict calculation. Attentional control predicted most aspects of achievement uniformly and was the most robust predictor for reading in both countries. In sum, the data provide insight into both cultural variability and consistency in the development of EF during early childhood.     

内隐记忆研究综述

近年来,内隐记忆逐渐成为心理学研究的热点。本文概述了内隐记忆研究中两种主要的实验研究范式;任务分离范式和加工分离范式。同时,归纳与评价了四种主要的内隐记忆模型：阈限说、激活扩散理论、多重记忆系统理论和迁移恰当加工理论最后提出了四点内隐记忆研究对于教学的启发。     

Lingering effects of inattention on the recognition of novel forms

Two experiments are reported in which participants were instructed to attend to one of two overlapping figures and report how distinctive it was (Experiment 1), or how angular it was or what it resembled (Experiment 2). Tests of recognition memory indicated that recognition of the unattended figures was below chance, consistent with the conclusion that an implicit memory of the unattended figures and an “action tag” to not respond to the figures combine at recognition to suppress positive identification. Furthermore, participants that scored high on an index of working memory ability showed worse memory for the unattended shapes, suggesting that the ability to control attention not only enhances memory for attended items, but also leads to greater suppression of unattended distractors.     

Age-Related Differences in Memory Illusions: Revelation Effect

Older adults are often more susceptible to various illusions and distortions of memory than young adults. In the experiments reported here, we explored the question of whether normal aging was associated with a larger revelation effect, an illusion of memory in which items that are revealed gradually during a recognition test are more likely to be called old than unrevealed items that are shown in their entirety. Contrary to expectations, older adults were not susceptible to this memory illusion. A revelation effect occurred for young but not older adults, even when older adults were similar to young adults on measures of recognition and repetition priming. When data across experiments were combined, there was evidence for a negative revelation effect in older adults in which revealed items were less likely called old than unrevealed items. These results place boundary conditions on the claim that older adults are more susceptible than young adults to memory illusions, and imply that one or more mechanisms underlying the revelation effect are age sensitive.     

多通道记忆模型(MEM)简评

出现于20世纪80年代末而成熟于90年代的多通道记忆模型(MEM),从横向水平结构上划分出知觉记忆系统和反映性记忆系统;从纵向垂直结构上划分出监控系统和执行系统,每个系统的功能虽有所侧重,但人的认知记忆括动却是这些系统相互作用、共同配合的结果,与其它的认知记忆模型相比,MEM不但注重了整体性、摆脱了单一线性的探讨模式,而且也强调了开放性和能动性。     

Examining the Response Competition Hypothesis of Age Effects in Implicit Memory

ABSTRACT

Age reductions in priming have been explained by differences in processing demands across implicit memory tests. According to one hypothesis, older adults show reduced priming relative to younger adults on implicit tests that require production of a response because these tests typically allow for response competition. In contrast, older adults do not show reductions in priming on identification tests that contain little response competition. The following experiments tested the specific role of response competition in mediating age effects in implicit memory. In Experiment 1, younger and older adults studied a list of words and were then given an implicit test of word stem completion. They studied a second list of words and were given an implicit test of general knowledge. Each implicit test contained items with unique solutions (the low response competition condition) and items with multiple solutions (the high response competition condition). In Experiment 2, younger and older adults were given explicit versions of the word stem completion and the general knowledge tests. Results showed an effect of age on explicit memory (Experiment 2), but no effect of age or response competition on priming (Experiment 1). Results are inconsistent with the theory that response competition leads to age effects on production tests of implicit memory.     

Executive abilities in children with congenital visual impairment in mid-childhood

The role of vision and vision deprivation in the development of executive function (EF) abilities in childhood is little understood; aspects of EF such as initiative, attention orienting, inhibition, planning and performance monitoring are often measured through visual tasks. Studying the development and integrity of EF abilities in children with congenital visual impairment (VI) may provide important insights into the development of EF and also its possible relationship with vision and non-visual senses. The current study investigates non-visual EF abilities in 18 school-age children of average verbal intelligence with VI of differing levels of severity arising from congenital disorders affecting the eye, retina, or anterior optic nerve. Standard auditory neuropsychological assessments of sustained and divided attention, phonemic, semantic and switching verbal fluency, verbal working memory, and ratings of everyday executive abilities by parents were undertaken. Executive skills were compared to age-matched typically-sighted (TS) typically-developing children and across levels of vision (mild to moderate VI [MVI] or severe to profound VI [SPVI]). The results do not indicate significant differences or deficits on direct assessments of verbal and auditory EF between the groups. However, parent ratings suggest difficulties with everyday executive abilities, with the greatest difficulties in those with SPVI. The findings are discussed as possibly reflecting increased demands of behavioral executive skills for children with VI in everyday situations despite auditory and verbal EF abilities in the typical range for their age. These findings have potential implications for clinical and educational practices.     

关联记忆的神经机制研究述评

关联记忆与来源记忆存在很多相似之处,但也存在一定的差异。与项目记忆相比,关联记忆需要参与的大脑区域相对较多,包括前额区与海马等;电生理研究、成像研究以及病人研究都为这一观点提供了可靠的证据。     

Executive Function and the Frontal Lobes: A Meta-Analytic Review

Currently, there is debate among scholars regarding how to operationalize and measure executive functions. These functions generally are referred to as “supervisory” cognitive processes because they involve higher level organization and execution of complex thoughts and behavior. Although conceptualizations vary regarding what mental processes actually constitute the “executive function” construct, there has been a historical linkage of these “higher-level” processes with the frontal lobes. In fact, many investigators have used the term “frontal functions” synonymously with “executive functions” despite evidence that contradicts this synonymous usage. The current review provides a critical analysis of lesion and neuroimaging studies using three popular executive function measures (Wisconsin Card Sorting Test, Phonemic Verbal Fluency, and Stroop Color Word Interference Test) in order to examine the validity of the executive function construct in terms of its relation to activation and damage to the frontal lobes. Empirical lesion data are examined via meta-analysis procedures along with formula derivatives. Results reveal mixed evidence that does not support a one-to-one relationship between executive functions and frontal lobe activity. The paper concludes with a discussion of the implications of construing the validity of these neuropsychological tests in anatomical, rather than cognitive and behavioral, terms.