Attentional disengagement deficit in nondemented elderly over 75 years of age

Healthy older adults in the age range of 60-75 years are moderately deficient in visuospatial attention when central location cues are used to shift attention, but not when peripheral cues are used. In contrast, older adults with dementia of the Alzheimer's type (DAT) exhibit an attention shifting (disengagement) deficit for both central and peripheral cues. If the effects of dementia and normal aging on visuospatial attention differ qualitatively, then peripherally cued shifts of attention should be unaffected even in very old nondemented persons. to examine this possibility, subjects in six age groups (17-24, 35-44, 45-54, 55-64, 65-74, and 75-85 years) were tested on a visuospatial attention task. Valid, invalid and neutral location cues preceded a letter target requiring, in separate conditions, either speeded detection or discrimination. Combined costs and benefits of cue validity on reaction time (RT) increased with age in the discrimination but not in the detection task. the oldest group (75-85) showed significantly larger RT costs and benefits than the next oldest group (65-74), for both central and peripheral cues. the 75-85 year-olds were significantly slower than the 65-75 year-olds on invalid trials (costs) but not on valid trials (benefits), pointing to a disengagement deficit, as reported previously for patients with either parietal lobe damage or DAT. the results suggest that in healthy nondemented subjects of advanced age (over 75 years), visuospatial attention is affected similarly to younger patients in the early, mild stages of Alzheimer's disease.     

Assessment of associative relations in alzheimer's disease: Evidence for preservation of semantic memory

Abstract

Semantic priming was assessed in Alzheimer's disease (AD), elderly control, and young control subjects with three lexical decision, continuous priming experiments. the stimuli were intracategory, associated pairs in Experiments 1 and 2 and varied types of associated pairs in Experiment 3. AD priming effects were equal to those of elderly control subjects; elderly and young control priming effects were also equal. We interpret this as evidence for the relative preservation of the semantic memory network in early AD, as in normal aging, at least to the extent necessary for normal access of concept nodes and normal automatic spreading activation between concept nodes. In a final study (Experiment 4) knowledge of the associations between the targets and related primes used in Experiments 1 and 2 was explicitly assessed; 20 out of 22 AD subjects showed perfect or close to perfect performance.     

Inferential processing of context: Studies of cognitively impaired subjects

Language comprehension tasks involving pronoun coreference were administered to a group of demented patients, a group of patients with cardiac disease, and groups of normal elderly persons and young adults. Pronoun coreference was constrained by either lexical, syntactic, or contextual cues. No differences were found between old and young subjects for any task. While the demented patients were impaired on all tasks, the cardiac patients were specifically impaired in the inferential processing of context.     

Implicit Memory and the Formation of New Associations in Nondemented Parkinson′s Disease Individuals and Individuals with Senile Dementia of the Alzheimer Type: A Serial Reaction Time (SRT) Investigation

Using the serial reaction time (SRT) task developed by Nissen and Bullemer (1987, Cognitive Psychology, 19, 1–32), implicit memory performance was examined in four groups of subjects: nondemented healthy aged individuals; nondemented Parkinson"s disease individuals; very mildly demented senile dementia of the Alzheimer type (SDAT) individuals; and mildly demented SDAT individuals. The SRT task involved four blocks of a repeated 10-item keypress sequence that tapped general skill development along with a fifth block of a nonrepeated sequence that presumably reflected the impact of switching from a learned set of associations (developed during the first four blocks) to a novel sequence. The increase in response latency from the fourth repeated block to the fifth nonrepeated block was used as the reflection of implicit learning. The results revealed preserved implicit memory performance in the very mildly demented individuals compared to that of the age-matched control individuals. However, the mildly demented SDAT individuals and the nondemented Parkinson"s disease individuals showed reliably less implicit learning, compared to the age-matched control individuals. Differences between the past studies using the SRT task to tap implicit memory performance in SDAT individuals and the present study are discussed in some detail. We conclude that nondemented Parkinson"s disease individuals and mildly demented SDAT individuals produce some deficit in the formation of new associations in implicit memory, as measured by the SRT task.     

Production and Identification Repetition Priming in AmnesticMild Cognitive Impairment

ABSTRACT

The experiment reported here examined implicit memory function, as measured through repetition priming, in amnestic mild cognitive impairment (MCI) to examine whether impairments exist in this aspect of memory function. Young adults, healthy older controls, Alzheimer's disease patients, and MCI participants were asked to perform two types of implicit memory tests (word stem completion and threshold identification repetition priming tasks), as well as a recognition test for studied items. As expected, young adults performed better than the other participants on the recognition test and the word stem completion task; there was equivalent priming across groups on the word identification task. While both the older control and MCI participants showed lower levels of priming on the word stem completion task relative to the young adults, the magnitude of priming was equivalent for these two groups, and reliably greater than that of the dementia participants. These results suggest that not all aspects of memory function are impaired in MCI relative to healthy aging.     

Short- and Long-Term Implicit Memory in Aging and Alzheimer's Disease

ABSTRACT

Implicit memory processes were investigated via picture naming in healthy young and older adults and in persons with mild Alzheimer's disease (AD). Repetition priming in picture-naming was intact in all groups over the course of a short retention interval (seconds), and only the AD group revealed a deficit over a longer interval (72 hours). In addition, the AD group showed impaired procedural memory, with no benefit of practice on picture-naming. Impaired long-term priming was related to severity of AD. Both theoretical and methodological implications are discussed.     

The Role of Recollection and Familiarity in Nondemented Parkinson's Patients

The aim of the current study was to examine if recollection and familiarity decline in nondemented Parkinson's patients. To do so we compared a sample of older people with Parkinson's disease (n = 32) to a control sample of healthy older people (n = 32) on an associative recognition task in which we manipulated the repetition of the pairs during the study phase (half of the pairs were presented once and half twice) to obtain corrected estimates of recollection, familiarity, and false recognition based on the logic of the process-dissociation procedure. The results clearly show that recollection is impaired but familiarity is preserved in nondemented Parkinson's patients. The results show that memory for pairs in Parkinson's patients relies largely on the familiarity of each item and not on a precise recollection of associative information, supporting the idea that recollection-based monitoring processes are impaired in these patients.     

Semantic facilitation across sensory modalities in the processing of individual words and sentences

The effect of semantic priming upon lexical decisions made for words in isolation (Experiment 1) and during sentence comprehension (Experiment 2) was investigated using a cross-modal lexical decision task. In Experiment 1, subjects made lexical decisions to both auditory and visual stimuli. Processing auditorily presented words facilitated subsequent lexical decisions on semantically related visual words. In Experiment 2, subjects comprehended auditorily presented sentences while simultaneously making lexical decisions for visually presented stimuli. Lexical decisions were facilitated when a visual word appeared immediately following a related word in the sentential material. Lexical decisions were also facilitated when the visual word appeared three syllables following closure of the clause containing the related material. Arguments are made for autonomy of semantic priming during sentence comprehension.     

To the influence of general slowing and medication on identity‐ and location‐based priming effects in patients with Parkinson's disease

Previous studies on inhibitory mechanisms assessed by negative priming (NP) paradigms in patients suffering from Parkinson's disease (PD) have yielded highly ambiguous results. The present study examined two possible reasons for this heterogeneity: general slowing and anti‐Parkinsonian medication. Their effects on identity and location NP and positive priming (PP) were investigated. Twenty medicated PD patients and 20 PD patients after drug withdrawal were compared to 20 sex‐ and age‐matched healthy controls. The influence of PD patients' general slowing on priming effects was statistically controlled. Location NP was found not to be affected by PD, whereas identity NP was reduced in medicated PD patients compared to non‐medicated PD patients and healthy controls. At first, identity and location PP appeared to be enhanced in both PD groups. After controlling for general slowing, however, differences between PD patients and healthy controls disappeared. These findings endorse the notion that uncontrolled effects of both, PD‐related general slowing and anti‐Parkinsonian medication may have contributed to previously conflicting results on priming effects in PD patients.     

Semantic Fluency Performance of Patients with Cortical and Subcortical Neurodegenerative Diseases

Previous studies using the Animals Fluency Test have shown that dementia patients with Alzheimer's disease (AD), Huntington's disease (HD), or Parkinson's disease (PD) produce fewer correct words and have smaller semantic cluster sizes than controls or PD patients without dementia (PDND). Although the number of correct words generated by the patients with AD was positively correlated with mental status, cluster size, surprisingly, was not. To increase word output and increase the reliability of estimates of cluster size, semantic fluency was reexamined using the Supermarket Fluency Task. Overall, patients with HD or PD with dementia (PDD) exhibited reduced cluster sizes compared to older controls or PDND patients, but cluster sizes were only marginally reduced for patients with AD. These effects were evident only for female participants, because the cluster sizes for elderly control men were substantially smaller than those of elderly women. For the female patients with AD, cluster size was correlated with mental status, but the relationship was nonlinear. Cluster size was normal for mildly demented patients with AD, but much reduced for moderately or severely demented participants. In contrast to a previous report, in the present study the proportion of category labels generated was increased for patients with HD with dementia but not for patients with AD. This finding questions one line of evidence that semantic memory stores undergo “bottom-up” degradation in AD. Together with previous results, these findings indicate that semantic cluster size reflects efficiency of access to semantic knowledge which is similarly compromised in subcortical and cortical diseases.     

Explicit and implicit memory in dementia and normal ageing

Summary In two experiments, young subjects, healthy elderly subjects (spouses), and highly intelligent elderly subjects (elite elderly), were compared with dementia patients in a variety of explicit and implicit memory tasks, to investigate two issues: whether priming in Alzheimer-type dementia is contingent upon the presence of pre-existing representations, and whether intelligence modulates performance in explicit memory tasks in healthy ageing. Dementia patients performed as well as spouses in a homophone-spelling task. Moreover, they established new contextual associations when memory was tested by word-stem completion. The hypothesis that priming in dementia is contingent upon pre-existing memory representations was not supported. Spouses, elite elderly, and young subjects did not differ in their ability to recognize correctly recently heard stimuli or to complete word stems. However, recall of lists of words and paired associates was better in both young and elite elderly subjects than in spouses. It is concluded that intellectual capacity rather than chronological age in healthy subjects modulates performance in explicit-memory tasks.Now at The Social Psychiatry Unit, Australian National University, Canberra, ACT, Australia     

Memory Scanning Performance in Healthy Young Adults,Healthy Older Adults,and Individuals with Dementia of the Alzheimer Type

A memory scanning (Sternberg, 1966, 1975) task was administered to healthy young adults, older adults, and two groups of individuals with dementia of the Alzheimer's type (DAT) to determine age- and disease-related changes in the retrieval of information from short-term memory. Healthy older adults, in comparison to healthy young adults, displayed increases in both slopes and intercepts in memory scanning. Individuals at various stages of DAT (very mild, mild, moderate) displayed increases in both slopes and intercepts compared to nondemented age-matched control individuals. There was also some evidence that DAT individuals are more likely to engage in a self-terminating search instead of an exhaustive search of short-term memory.     

Priming and semantic memory loss in Alzheimer's disease

Semantic memory (SM) was investigated in six patients with probable Alzheimer's disease (AD) by on-line measurement of semantic priming in a lexical decision task, and off-line tests of comprehension. Detailed assessment was carried out on naming, name comprehension, and probes of semantic knowledge with a battery of 150 items. The patients performed normally on perceptual tests and displayed an item-specific loss of knowledge on the semantic tests. In a primed lexical decision task, greater semantic priming was found relative to age-matched normals. The priming was substantially greater for items with "degraded" representations as determined by the off-line tests. Lexical decision was also performed more slowly on these items. These unexpected results demand a reevaluation of the concepts of the lexicon and semantic memory structure and their possible alteration in dementia.     

Action observation produces motor resonance in Parkinson's disease

Observation of movement activates the observer's own motor system, influencing the performance of actions and facilitating social interaction. This motor resonance is demonstrated behaviourally through visuomotor priming, whereby response latencies are influenced by the compatibility between an intended action and an observed (task‐irrelevant) action. The impact of movement disorders such as Parkinson's disease (PD) on motor resonance is unclear, as previous studies of visuomotor priming have not separated imitative compatibility (specific to human movement) from general stimulus‐response compatibility effects. We examined visuomotor priming in 23 participants with mild‐to‐moderate PD and 24 healthy older adults, using a task that pitted imitative compatibility against general stimulus‐response compatibility. Participants made a key press after observing a task‐irrelevant moving human finger or rectangle that was either compatible or incompatible with their response. Imitative compatibility effects, rather than general stimulus‐response compatibility effects, were found specifically for the human finger. Moreover, imitative compatibility effects did not differ between groups, indicating intact motor resonance in the PD group. These findings constitute the first unambiguous demonstration of imitative priming in both PD and healthy ageing, and have implications for therapeutic techniques to facilitate action, as well as the understanding of social cognition in PD.     

Inhibitory control and affective valence processing in dementia of the alzheimer type

Emotional and traditional Stroop effects were contrasted in individuals with Alzheimer's disease (AD) and age‐equated, non‐demented individuals to examine (a) differences in the speed of processing emotional versus neutral words; and (b) the extent to which the emotional valence influences interference effects. Individuals with moderate AD experienced larger traditional Stroop interference effects than did healthy elderly or individuals with mild AD. Emotional Stroop effects were evident among individuals with moderate AD and significantly greater than elderly and individuals with mild AD who exhibited minimal effects. For negative words, significant differences were only observed between individuals with moderate AD and healthy elderly. Emotional Stroop effects among individuals with AD were not statistically different for positive and negative words. The impact of stimulus intensity level and AD‐associated changes to the prefrontal cortex and amygdala on emotional Stroop effects requires further investigation.     

Use of semantic context by patients with Alzheimer's disease

In this study we used semantic-priming procedures to examine limitations in the use of semantic context by patients with Alzheimer's disease. We also tried to determine whether any such contextual effects were mediated solely through automatic processes or whether attentional processes were also involved. Three tasks were applied to examine the effect of semantic context on the performance of 18 normal elderly and 18 normal young subjects, and on 18 patients with Alzheimer's disease. When normal and demented subjects were asked to decide whether a given item was a member of a certain category, results showed that their response times were equally affected by the item's dominance in the category. The time that demented patients took to recognize a word was actually affected more by the semantic context provided by a priming sentence than was that of normal subjects. When asked to generate the final word of an incomplete sentence, demented subjects performed very poorly unless potential responses were highly constrained by sentence context.     

Semantic facilitation and translation priming effects in Chinese-English bilinguals

In two experiments, semantic facilitation and translation priming effects in Chinese-English bilingual speakers were demonstrated with a lexical decision task. A 300-msec stimulus-onset asynchrony (SOA) was used between display of the prime and the target item. Experiment 1 showed that subjects' lexical decision responses were facilitated to a greater extent when primed by a translation equivalent than a semantically related between-language word. In Experiment 2, we found that pictorial, between-language, and within-language primes produced comparable effects of semantic facilitation. These results are in line with the hypothesis that lexical items in different languages and pictures are processed by means of an amodal conceptual system.     

Age-related trends of stroop-like interference in animal size tests in 5- to 12-year-old children and young adults

Few studies have examined the development of Prepotent Response Inhibition (Nigg's interference control) from childhood to adulthood. This cross-sectional study examined differences in Prepotent Response Inhibition among children of 5 age groups: twenty 5- to 6-year-olds, twenty-one 7- to 8-year-olds, twenty-two 9- to 10-year-olds, eighteen 11- to 12-year-olds, and 24 young adults (18- to 24-year-olds). Participants were administered two Stroop-like tasks: the Real Animal Size Test described in 2009 by Catale and Meulemans, which requires that participants decide the real size of animals (big vs. small) displayed in a mismatching pictorial size; and the Pictorial Animal Size Test (an original test), which requires that participants report the pictorial size of the animals. Results showed clear differences between the tests. The Pictorial Animal Size Test elicited robust interference whereas the Real Animal Size Test elicited no interference. The Pictorial Animal Size Test also revealed the development of Prepotent Response Inhibition in children of 5–12 years and between children and young adults. These results were discussed with respect to differences in strengths of processing. The Pictorial Animal Size Test can be a useful tool for assessment of Prepotent Response Inhibition in children older than 5 years of age.