Young and older adults' beliefs about effective ways to mitigate age-related memory decline

This study investigated whether young and older adults vary in their beliefs about the impact of various mitigating factors on age-related memory decline. Eighty young (ages 18-23) and 80 older (ages 60-82) participants reported their beliefs about their own memory abilities and the strategies that they use in their everyday lives to attempt to control their memory. Participants also reported their beliefs about memory change with age for hypothetical target individuals who were described as using (or not using) various means to mitigate memory decline. There were no age differences in personal beliefs about control over current or future memory ability. However, the two age groups differed in the types of strategies they used in their everyday life to control their memory. Young adults were more likely to use internal memory strategies, whereas older adults were more likely to focus on cognitive exercise and maintaining physical health as ways to optimize their memory ability. There were no age differences in rated memory change across the life span in hypothetical individuals. Both young and older adults perceived strategies related to improving physical and cognitive health as effective means of mitigating memory loss with age, whereas internal memory strategies were perceived as less effective means for controlling age-related memory decline.     

Decomposing the relationship between cognitive functioning and self-referent memory beliefs in older adulthood: what’s memory got to do with it?

With advancing age, episodic memory performance shows marked declines along with concurrent reports of lower subjective memory beliefs. Given that normative age-related declines in episodic memory co-occur with declines in other cognitive domains, we examined the relationship between memory beliefs and multiple domains of cognitive functioning. Confirmatory bi-factor structural equation models were used to parse the shared and independent variance among factors representing episodic memory, psychomotor speed, and executive reasoning in one large cohort study (Senior Odyssey, N = 462), and replicated using another large cohort of healthy older adults (ACTIVE, N = 2802). Accounting for a general fluid cognitive functioning factor (comprised of the shared variance among measures of episodic memory, speed, and reasoning) attenuated the relationship between objective memory performance and subjective memory beliefs in both samples. Moreover, the general cognitive functioning factor was the strongest predictor of memory beliefs in both samples. These findings are consistent with the notion that dispositional memory beliefs may reflect perceptions of cognition more broadly. This may be one reason why memory beliefs have broad predictive validity for interventions that target fluid cognitive ability.     

Cognitive Performance and the Role of Control Beliefs in Midlife

Midlife has been touted as being a time of peak performance in many different areas of functioning. In the present study, we investigated whether this was true for cognitive functioning on tasks assessing speed, reasoning, short-term memory, and vocabulary. We also explored the extent to which levels of cognitive functioning could be attributed to individual differences in general control beliefs. Middle-aged adults showed little or no cognitive declines on speed, reasoning, and short-term memory measures relative to the young and outperformed the young on vocabulary. Relative to the elderly, middle-aged adults scored higher on all tasks except vocabulary, for which there were no differences. Adults in midlife, on the other hand, had lower scores on measures of general control beliefs compared to younger adults. Thus, although midlife is a time of high cognitive functioning, it is also a time of lower beliefs about control. To investigate the relationship between control beliefs and cognitive performance, we used structural equation modeling. The models showed that for adults in midlife, control beliefs were predictive of performance but only for the reasoning task after background variables were considered. Specifically, high levels of control beliefs were associated with better cognitive performance. More work is needed to identify mediational processes linking control beliefs and cognitive performance for various age groups and to determine whether some cognitive processes are more controllable than others.     

Cognitively impaired older adults exhibit comparable difficulties on naturalistic and laboratory prospective memory tasks

Prospective memory, or remembering future intentions, is critical for independent living for all ages, but especially older adults. Previous laboratory research has found that cognitively impaired older adults may have particular difficulties with prospective memory, but previous studies have not examined whether these difficulties occur in everyday life. In normal ageing, a dissociation between settings has been observed, with older adults selectively impaired in laboratory (but not naturalistic) contexts. Consequently, in the present study 15 cognitively impaired older adults were compared to demographically matched controls on laboratory and naturalistic measures of prospective memory. The results indicated that the cognitively impaired group performed more poorly on both measures, with the magnitude of the deficit comparable across setting. These results indicate that for older adults who present with cognitive impairment prospective memory deficits observed in laboratory settings may be a valid indicator of difficulties experienced executing delayed intentions in everyday life. Copyright © 2008 John Wiley & Sons, Ltd.     

Experimental Evaluation of Near‐ and Far‐Transfer Effects of an Adaptive Multicomponent Working Memory Training

An important question in cognitive science today is whether working memory training leads to transfer effects. Training studies reported no transfer as well as far transfer to untrained abilities (e.g., reasoning), but different methodological problems have not allowed reliable conclusions to be drawn. Furthermore, most samples have consisted of young adults, whereas older adults have rarely been included. This study attempted to address these limitations. Ninety‐one older adults were randomly assigned to a training group or an active or passive control group. Short‐term memory, speed, and reasoning were assessed as far‐transfer criteria. In addition, transfer to everyday life was investigated using an ambulatory assessment method. Although there were significant training effects, no transfer effects were found. Instead, the active control group showed the same increase in the near‐transfer tasks (i.e., working memory) as the experimental group indicating that unspecific factors explain the training gains of older adults. Copyright © 2015 John Wiley & Sons, Ltd.     

Sensitive performance-based assessment of everyday action in older and younger adults

Everyday function is compromised by mild cognitive changes in aging. These changes predict risk for future decline and dementia but remain poorly characterized, largely due to a scarcity of sensitive, objective measures.Twenty-seven younger adults and 25 non-demented older adults completed the Naturalistic Action Test (NAT), a performance-based measure of everyday action involving simple and complex tasks. Performance was coded for overt errors and subtle inefficiencies. Participants also completed self-report functional measures and cognitive tests. Mixed ANOVAs revealed that older adults made more subtle NAT errors with high task demands; groups did not differ in overt errors. Correlations did not reveal significant relations between self-report and NAT errors, but NAT performance was correlated with learning and recall.The NAT provides a promising tool for detecting subtle age-related changes and examining decline across levels of impairment. Self-report may lack sensitivity to subtle changes, and episodic memory changes underlie early functional disruption.     

Memory training and strategy use in older adults: results from the ACTIVE study

Little is known about the long-term effects of memory training in later life on strategy use. Data from the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) study (n = 1,401) were used to describe strategy use in a community-dwelling sample of older adults. Strategy clustering scores on verbal list learning tasks of episodic memory were used to test the impact of memory training on strategy use and study longitudinal associations between strategy clustering, memory performance, and everyday functioning. Results suggested that younger, female, white, healthier, and more educated participants show higher strategy clustering scores initially but no characteristics were consistently associated with different trajectories in strategy clustering across all strategy clustering measures together. Memory training had significant immediate effects on all measures of strategy use that were maintained through five years of follow-up. With respect to longitudinal mediation, pre-post training changes in most strategy clustering scores mediate changes in objective memory performance and everyday functioning, implying that strategies can be modified and are closely related to both memory ability and the ability to function independently. This study provides evidence that older adults can be trained to use cognitive strategies, the effects are durable, and strategies are associated with memory and everyday functioning.     

Altruism and health outcomes in multiple sclerosis: The effect of cognitive reserve

Despite age-associated decreases in cognitive and physical abilities, age is not associated with a decrease in ratings of well-being; this phenomenon is termed the ‘paradox of well-being.’ One potential explanation for this paradox may be that older adults place less value on cognitive abilities that have been shown to decrease with age (e.g., memory) and more value on cognitive abilities shown to increase with age (e.g., knowledge). Using online methods, 358 individuals between the ages of 18 and 88 completed a survey assessing the values placed on everyday cognitive abilities, self-ratings for those same abilities, and life satisfaction. Results indicated that there were minimal age-related differences in values placed on everyday cognitive abilities and that values generally did not moderate the relationship between perceptions of cognitive functioning and life satisfaction. Of note, values placed on cognition significantly predicted life satisfaction in younger adults, but not in middle-aged and older adults.     

Effects of Age and Control Beliefs on Resource Allocation During Reading Abstract

Past work suggests that a strong sense of control over one's cognitive ability is associated with higher levels of cognitive performance and that control beliefs may be even more important in later life, due to age-related declines in cognitive processes. However, less is known about the effects of control beliefs on encoding strategies, and whether these effects are comparable for younger and older adults. Participants were divided into high- (HC) and low- control (LC) beliefs groups based on their scores on the Personality in Intellectual-Aging Contexts Inventory. Participants then read relatively easy and difficult passages word-by-word on a computer for subsequent recall. The data suggest that among older, but not younger adults, control beliefs are particularly important when reading difficult passages. Findings as they relate to models of self-regulation and to implications for everyday functioning are discussed.     

Improving Memory Knowledge,Satisfaction, and Functioning Via an Education and Intervention Program for Older Adults

Many healthy older adults are concerned about memory change and are interested in learning techniques for enhancing memory function in their everyday lives A memory education and intervention program was developed and administered to 36 community-dwelling older adults Pretest-posttest change scores showed significant improvement on measures of knowledge (ie, general facts about memory, memory strategies), metamemory (ie, satisfaction with memory, self-rated memory ability), and objective memory performance (ie, everyday prospective memory) in comparison to 24 demographically matched control participants Findings support the effectiveness of memory education and training in improving everyday functioning, particularly for older adults whose memory concerns result from inadequate knowledge about memory and aging     

THE RELATIONSHIP BETWEEN FUTURE TIME PERSPECTIVE AND MEMORY CONTROL BELIEFS IN OLDER ADULTS

In studies with older adults, future time perspective (FTP) is most frequently assessed using the Carstensen and Lang FTP scale. However, it has been proposed that that this scale is actually composed of three interrelated subcomponents. Within a sample of 189 community-dwelling older adults (aged 60–85), we replicated a three-component structure. We also found that these subscales vary in their relationships to other measures of time perspective (i.e., future time attitudes and perceived life progress), and in their relationships to control beliefs about memory. These findings complement prior research documenting a link between FTP and control beliefs by showing that the magnitude of this association varies across FTP components. Understanding the interplay between FTP and memory control beliefs is also important as both predict important age-related outcomes and may be modifiable via intervention. The reciprocal relationship between these factors and the implications for successful aging are discussed.     

Do subjective measures of attention and memory predict actual performance? Metacognition in older couples

Older individuals who recognize their cognitive difficulties are more likely to adjust their everyday life to their actual cognitive functioning, particularly when they are able to estimate their abilities accurately. We assessed self- and spouse-ratings of memory and attention difficulties in everyday life of healthy, older individuals and compared them with the respective test performance. Eighty-four older individuals (women's age, M = 67.4 years, SD = 5.2; men's age, M = 68.5 years, SD = 4.9) completed both the self and the spouse versions of the Attention Deficit Questionnaire and the Everyday Memory Questionnaire and completed two neuropsychological tests. Using the residual score approach, subjective metacognitive measures of memory and attention were created and compared with actual test performance. Significant associations between subjective and objective scores were found only for men and only for episodic memory measures. Men who underreported memory difficulties performed more poorly; men who overreported memory difficulties performed better. Men's recognition performance was best predicted by subjective measures (R2 = .25), followed by delayed recall (R2 = .14) and forgetting rate (R2 = .13). The results indicate gender-specific differences in metacognitive accuracy and predictive validity of subjective ratings.     

Adults' Efficacy and Control Beliefs Regarding Memory and Aging: Separating General from Personal Beliefs

This study examined beliefs about memory in 307 18-93 year-old community-dwelling adults. Two new questionnaires, the General Beliefs about Memory (GBMI) and the Personal Beliefs about Memory (PBMI) Instruments, were used to compare and contrast beliefs about memory in the general population of adults from beliefs about one's own memory. Both questionnaires used a graphic rating scale format to obtain more refined responses. The GBMI showed that, on average, all age groups perceived the average adult as experiencing curvilinear decline over the adult life span for multiple aspects of memory, with the greatest changes believed to occur after age 40. Beliefs about different specific types of memory were consistent with lay beliefs and with empirical results regarding aging and memory (e.g., memory for names was perceived to decline more rapidly than memory for faces). In contrast to earlier studies, small but significant age differences between young, middle-aged, and older respondents regarding beliefs about rates of memory aging were identified. Results for the PBMI indicated that personal beliefs were strongly related to, but distinct from, general beliefs. Older adults believed themselves to be lower in memory efficacy, to have declined more than younger adults, and to have less personal control over memory, as in earlier research.     

Personal theories, intellectual ability, and epistemological beliefs: adult age differences in everyday reasoning biases

Age-related differences in everyday reasoning biases were explored. In each of 2 social domains, examination of theoretical beliefs and biases along 2 dimensions of scientific reasoning, involving the law of large numbers and the evaluation of experimental evidence, revealed that, across age groups, scientific reasoning was used to reject evidence that contradicted prior beliefs; relatively cursory reasoning was used to accept belief-consistent evidence. Biased reasoning was more common among middle-aged and older adults than among young adults. Dispositions to engage in analytic processing were negatively related to biases, but intellectual abilities and bias were not related. The findings support a 2-process view of adult cognitive development and suggest that the tendency to rely on heuristic information processing increases with age.     

Social support,physical functioning,and cognitive functioning among older African American adults

ABSTRACT

Social support and functional ability are related to a number of outcomes in later life among African Americans, including cognitive performance. This study examined how providing and receiving social support was related to fluid and crystallized cognitive abilities among aging African American adults after accounting for functional limitations, age, education, sex, income, and self-reported health. Data from 602 African American adults (M?=?69.08, SD?=?9.74; 25% male) were analyzed using latent variable modeling. Fluid ability was a second-order factor indicated by measures that assessed verbal memory, working memory, perceptual speed, and inductive reasoning. Crystallized ability was a first-order factor indicated by three measures that assessed vocabulary (Shipley Verbal Meaning Test and parts A and B of the ETS Vocabulary Test). Results indicated that the receipt of social support was negatively related to both fluid and crystallized abilities, while the provision of support was positively related to fluid and crystallized ability. Follow-up tests found that the receipt of support was more strongly related to fluid ability than crystallized ability. There was no significant difference regarding the relationship of provision of support with fluid ability compared to crystallized ability. Results discuss the importance of considering the social context of older adults when examining cognitive ability.     

Age differences in proactive interference, working memory, and abstract reasoning

It has been hypothesized that older adults are especially susceptible to proactive interference (PI) and that this may contribute to age differences in working memory performance. In young adults, individual differences in PI affect both working memory and reasoning ability, but the relations between PI, working memory, and reasoning in older adults have not been examined. In the current study, young, old, and very old adults performed a modified operation span task that induced several cycles of PI buildup and release as well as two tests of abstract reasoning ability. Age differences in working memory scores increased as PI built up, consistent with the hypothesis that older adults are more susceptible to PI, but both young and older adults showed complete release from PI. Young adults' reasoning ability was best predicted by working memory performance under high PI conditions, replicating M. Bunting (2006). In contrast, older adults' reasoning ability was best predicted by their working memory performance under low PI conditions, thereby raising questions regarding the general role of susceptibility to PI in differences in higher cognitive function among older adults. (PsycINFO Database Record (c) 2008 APA, all rights reserved).     

Relationship of cognitive strategy use to prospective memory performance in a diverse sample of nondemented older adults with varying degrees of cognitive complaints and impairment

Although older adults typically have better performance on prospective memory (PM) tasks carried out in naturalistic settings, a paucity of research directly assesses older adults’ use of compensatory strategies on such tasks. The current study investigates external memory strategy use during performance of a clinical PM test that features both short-term (in laboratory) and long-term (out of laboratory) subtasks (i.e., the Royal Prince Alfred Prospective Memory Test – RPA-ProMem. Nondemented, community-dwelling older adults (n = 214; mean age = 80.5; 68.2% female; 39.7% non-white) with mild cognitive impairment, subjective cognitive decline, and healthy controls completed the RPA-ProMem while external strategy use was permitted and recorded. Overall, participants utilized external strategies 41% of the time on the RPA-ProMem. Increased utilization of external memory strategies was significantly associated with better PM performance. Additionally, better performance on executive functioning tasks was associated with increased use of external memory strategies. Results are discussed in relation to how memory strategy use can be enhanced to improve everyday memory ability in older adults at risk for dementia.     

Working memory training and transfer in older adults

There has been a great deal of interest, both privately and commercially, in using working memory training exercises to improve general cognitive function. However, many of the laboratory findings for older adults, a group in which this training is of utmost interest, are discouraging due to the lack of transfer to other tasks and skills. Importantly, improvements in everyday functioning remain largely unexamined in relation to WM training. We trained working memory in older adults using a task that encourages transfer in young adults (Chein & Morrison, 2010). We tested transfer to measures of working memory (e.g., Reading Span), everyday cognitive functioning [the Test of Everyday Attention (TEA) and the California Verbal Learning Test (CVLT)], and other tasks of interest. Relative to controls, trained participants showed transfer improvements in Reading Span and the number of repetitions on the CVLT. Training group participants were also significantly more likely to self-report improvements in everyday attention. Our findings support the use of ecological tasks as a measure of transfer in an older adult population.     

Efficacy of a group memory training method for older adults based on visualization and association techniques: A randomized,controlled trial with a placebo group

The aim of this trial has been to determine the efficacy of a group memory training method. The experimental group was compared to a placebo group (health education) or to a control group (waiting list). Forty‐five adults between the ages of 60 and 70 years (M = 66.9) were recruited by placing notices in senior citizen community centres, which encouraged people with memory problems to participate in the study. Data were collected at baseline, 1 week, and 6 months after the intervention. The efficacy of the training was evaluated by measures of objective and subjective everyday memory performance. After intervention, the experimental group participants showed an increase in objective memory performance (d = 1.95). The effect size was even higher at 6 months after intervention (d = 2.88). Further, their subjective experience related to everyday memory slips decreased (d = ?0.52). The memory training method was effective in improving everyday memory in older people with some cognitive decline. Copyright © 2009 John Wiley & Sons, Ltd.