Memory and metamemory in obsessive-compulsive disorder

Studies on the link between checking and memory problems have produced equivocal results regarding a general memory deficit in patients with obsessive-compulsive disorder and subclinical checkers. However, there is clear and consistent evidence that patients with obsessive-compulsive disorder (OCD) show lack of confidence in their memory performance. The purpose of the present study was to investigate memory and metamemory performance (feeling-of-knowing judgments) for neutral and threat-related material in three groups: OCD patients (OCs), subclinical checkers (SCs), and normal controls (NCs). Participants studied a list of neutral and threat word pairs. After an initial cued-recall test, they provided feeling-of-knowing (FOK) judgments for unrecalled word pairs, followed by a recognition test. The results showed that OCs but not SCs were impaired in both recall and recognition compared to NCs. OCs were also less confident about their future memory performance than the other two groups, as reflected in their lower FOK ratings. Moreover, FOK judgments of the OCs were not reliable predictors of their recognition performance. Finally, neither OCs nor SCs showed any evidence of memory bias for threat-relevant information. The results support the idea of a general memory and a metamemory deficit in OCs.     

Age invariance in semantic and episodic metamemory: Both younger and older adults provide accurate feeling-of-knowing for names of faces

Age differences in feeling-of-knowing (FOK) accuracy were examined for both episodic memory and semantic memory. Younger and older adults either viewed pictures of famous faces (semantic memory) or associated non-famous faces and names (episodic memory) and were tested on their memory for the name of the presented face. Participants viewed the faces again and made a FOK prediction about future recognition of the name associated with the presented face. Finally, four-alternative forced-choice recognition memory for the name, cued by the face, was tested and confidence judgments (CJs) were collected for each recognition response. Age differences were not obtained in semantic memory or the resolution of semantic FOKs, defined by within-person correlations of FOKs with recognition memory performance. Although age differences were obtained in level of episodic memory, there were no age differences in the resolution of episodic FOKs. FOKs for correctly recognized items correlated reliably with CJs for both types of materials, and did not differ by age group. The results indicate age invariance in monitoring of retrieval processes for name–face associations.     

Memory and metamemory for semantic information in obsessive-compulsive disorder

Several studies have been conducted on OCD patients' memory and metamemory performance in episodic tasks. However, there is a clear lack of research addressing these issues for semantic memory (i.e., retrieval of information from long-term memory). Although findings regarding a memory deficit is somewhat equivocal, the empirical evidence clearly demonstrates that OCD patients with primarily checking compulsions show reduced confidence in their memory performance. The purpose of the present study was to investigate memory and metamemory performance of checkers in semantic memory domain. We compared checker OCD patients, non-checker OCD patients and normal controls on their ability to retrieve answers to general knowledge questions with a recall as well as a recognition test. We also investigated prospective (feeling-of-knowing (FOK)) and retrospective (confidence) metamemory judgments. Checker OCs were not poorer in retrieving semantic information from long-term memory. Neither were they less confident about their ability to remember currently unrecallable information in the future (FOK judgments) or about the accuracy of retrieved information (confidence judgments). Moreover, accuracy of metamemory judgments were comparable across groups. Overall, our results revealed that checker OCs do not show a memory or metamemory deficit when semantic memory was concerned, suggesting that any memory and metamemory deficit may be special to recently experienced materials.     

Memory development in adolescence: Relationships between metamemory,strategy use,and performance

Eighth and tenth grade students were asked to study and recall a list of paired associates. The word pairs were available either throughout an 8 sec per word study period or only at the beginning and were composed of either high frequency or low frequency words. After recall, students were asked to indicate which of several study strategies they had used with each word pair (read pair carefully, rehearsal, visual elaboration, verbal elaboration). In addition, they were asked which of these strategies would have had the best effect on recall. Knowledge of appropriate memory strategies (metamemory) was positively related to strategy use, and strategy use was positively related to recall performance at both ages. Improved performance with materials available throughout study and with high frequency word pairs was explained by increased use of elaborative strategies. Age differences in performance were explained by increased strategy effectiveness. These results are discussed in relation to changing relationships among metamemory, strategy use, and performance with age.     

Memory and metamemory for inverted words: illusions of competency and desirable difficulties

Research regarding how people monitor their learning has shown that ease of processing strongly guides people’s judgments of learning (JOLs). However, the desirable difficulties concept (Bjork, 1994) suggests that studying information that is less fluent can result in greater learning. Currently, it is unclear whether people are aware of the potential benefits of desirable difficulties during learning. To address this, in Experiment 1, participants studied inverted and upright words and also made JOLs. While participants’ JOLs did not differ for inverted and upright words, recall was greater for inverted words. Experiment 2 used several study–test cycles in which participants could potentially learn about the beneficial effects of processing inverted words with task experience, and similar results were obtained. Thus, reading inverted words requires processing that enhances recall, but memory predictions do not differentiate between upright and inverted words. We interpret these results in terms of processing fluency, desirable difficulties, and theories of metacognitive monitoring.     

Memory deficits in early infantile autism: some similarities to the amnesic syndrome.

Autistic children were compared with control children on tasks in which retention was tested by different methods. In three tests of recall, using named pictures, written words and spoken words as test stimuli, autistic children were impaired in comparison with age-matched normal children and with controls matched for verbal ability. In one test of forced-choice recognition of pictures, autistic children were impaired in comparison with ability-matched controls. In three tests of cued recall, using named pictures, written words and spoken words as test stimuli, and acoustic, graphemic and semantic cues, autistic children were not impaired in comparison with normal age-matched controls. In one test of paired-associate learning using non-related word pairs as test stimuli autistic children were not impaired in comparison with normal age-matched controls. These experimental paradigms were similar to some that have been used to investigate the amnesic syndrome in man. Thus findings on paired-associate learning differ in autistic and amnesic subjects, but findings on recall, recognition and cued recall are comparable. A possible parallel between autism and amnesia is discussed.     

Part-list cuing in amnesic patients: evidence for a retrieval deficit

Part-list cuing--the detrimental effect of the presentation of a subset of learned items on recall of the remaining items--was examined in amnesic patients and healthy control subjects. Subjects studied two types of categorized item lists: lists in which each category consisted of strong and moderate items and lists in which each category consisted of weak and moderate items. The subjects recalled a category's strong and weak items in either the presence of or absence of the moderate items serving as retrieval cues. In healthy subjects, part-list cuing impaired recall of the strong items but not of the weak items; in amnesics, part-list cuing impaired recall of both types of items. Part-list cuing is often attributed to a change in the retrieval process from a more effective one when cues are absent to a less effective one when they are present. On the basis of this view, our results indicate that part-list cuing causes a stronger retrieval inefficiency in amnesic patients than in healthy people.     

Memory without awareness: pigeons do not show metamemory in delayed matching to sample

Metamemory, the ability to report on memory strength, is clearly established in rhesus macaques (Macaca mulatta) by converging evidence from several paradigms. In contrast, A. Inman and S. J. Shettleworth (1999) found no conclusive evidence of metamemory in pigeons. The authors studied pigeons further in 3 paradigms, with multiple tests of metamemory in each. Pigeons encountered a safe alternative to a matching-to-sample test either before (Experiment 2) or concurrently with (Experiment 3) the matching test. Choices of the safe option did not vary consistently with matching accuracy or change in trials with omitted samples in the way predicted for an animal with metamemory. In Experiment 4, confidence ratings following completion of the matching test also did not vary consistently as predicted by metamemory.     

Memory as a state dependent phenomenon: role of ACTH and epinephrine

Rats received an ip injection of saline, epinephrine HCl (5.0 micrograms/kg), or ACTH1--24(0.2 microgram/kg) immediately after training in a step-down inhibitory avoidance task, and an ip injection of saline, or epinephrine (0.5, 1.0, 2.0, 3.0, 5.0, or 10.0 mu/kg), or ACTH (0.02, 0.04 0.08, 0.12, 0.2, or 0.4 microgram/kg) 6 min prior to a test session of the same task 24 hr after training. Retention was excellent in the groups treated with saline after training, and poor in those treated with ACTH or epinephrine after training and tested under saline. The amnestic effect of the drugs was counteracted by their administration prior to testing, and there was a dose-response curve for this effect: partial recovery from amnesia was obtained with 20 or 40% of the amnestic dose and full recovery was obtained with 60 to 100% of that dose when the same drug was given after training and prior to testing; if the drugs given after training and prior to testing were not the same, full recovery was obtained only with twice the amnestic dose of the latter. These findings are consistent with the hypothesis that learning depends on the relation between the endogenous levels of these two hormones in the post-training period and during testing. The animals seem capable of discriminating between the two drugs only partially.     

Monitoring processes and metamemory experience in patients with dysexecutive syndrome

The aim of the present study was to determine whether monitoring measures are differentially disturbed in dysexecutive patients after frontal lesions. Twelve dysexecutive patients and 12 healthy controls were administered a paired-associates learning task. Their performances on recall prediction, judgment-of-learning (JOL), and feeling-of-knowing judgment (FOK) were then compared. The results revealed that the two groups differed only on accuracy measures of the FOK paradigm. The study of the overall correlations between the three measures of metamemory revealed a significant relation between recall prediction and accuracy measures of the JOL. We failed to find any significant correlation with the accuracy measures of the FOK. Taken together, our data confirm that metamemory experience is not a unitary construct but rather a group of distinct and quite independent mechanisms.     

Memory for between‐list and within‐list information in amnesic patients with temporal lobe and diencephalic lesions

Patients with medial temporal lobe damage and diencephalic damage were compared on two tests of verbal temporal order memory: between‐list discrimination and within‐list discrimination. Both patient groups were impaired relative to a group of healthy control participants. In addition, despite comparable levels of item recognition, the diencephalic group was impaired relative to the medial temporal lobe group on both within‐list and between‐list discrimination. Temporal order memory for between‐list information showed a significant correlation with a composite measure of recognition memory, and the results are discussed in terms of the patients' reliance on familiarity and distance‐based processes to make temporal order judgments.     

The relation between level of general knowledge and feeling-of-knowing: An adult age study

Younger and older adults were examined in recall and recognition of factual information varying in datedness. It was found that younger adults performed better for questions related to the time period 1970–1983, while the older adults performed better for questions related to the time period 1930–1950. The subjects also did confidence ratings of their "feeling-of-knowing" of the actual questions. On the basis of the cross-over interaction between age and datedness, the relationship between the level of general knowledge and the ability to monitor the knowledge was investigated. Only minor differences were observed between the graphs describing recall and recognition performance as a function of feeling-of-knowing in the four age by datedness combinations. Thus, the results suggest that the ability to supervise context-free semantic information may be intact despite an inferiority in level of knowledge. Comparisons were made between the results of the present study and those of previous studies on metamemory and episodic remembering.     

Verbal retention deficits in aphasic and amnesic patients.

Five different groups of patients (aphasics, alcoholic Korsakoffs, nondominant hemisphere patients, alcoholics, and control patients) were asked to detect either repeated letters, repeated words, rhyming words, or words from the same category during the reading of a list. It was discovered that the number of intervening words had a greater effect on the aphasics for all conditions than it did for the other groups. However, when the rate of presentation was slowed, the aphasics showed considerable improvement while the other groups maintained their same level of performance. The Korsakoff patients were impaired only on the semantic task (same category inclusion) and did not improve at the slower presentation rate. An interpretation based on speed and level of information processing abilities is given.     

The use of indirect memory tests to assess malingered amnesia: a study of metamemory.

Many techniques have been suggested for identifying criminal suspects who are simulating amnesia for the events surrounding a crime. The present research focuses on indirect memory tests as a potential means of discriminating between those who genuinely suffer from amnesia and those who are simulating. Subjects studied a list of words and subsequently performed either a word completion or a fragment completion task. Under normal indirect test instructions, typical priming effects were observed. When subjects were motivated to simulate amnesia for the list, target completion rates were consistently, and sometimes reliably, below baseline completion rates. This finding is contrary to the performance of genuine amnesics, whose performance on indirect tests typically mirrors that of normal subjects. Indirect tests may prove useful in discriminating genuine and simulating amnesics.     

Metamemory and academic achievement: testing the validity of a group-administered metamemory battery

This study was designed to assess the validity of a recently introduced group-administered battery of metamemory tasks for children and to concurrently assess the relationship between performance on these tasks and academic achievement for second- and fourth-grade normal and learning-disabled (LD) children. Consistent with theoretical predictions and with results from individually administered metamemory tasks, significant age-related performance differences were found for four of the battery's five subtests. However, three of these four performance differences appeared to be due to a floor effect--that is, the second graders performed at chance levels for all but one of the subtests. Nevertheless, modest zero-order correlations between academic achievement measures and scores on metamemory subtests, which did show interpretable age-related performance differences, were found, as were significant group (normal versus LD) differences for fourth graders. In all, these results provided some support for the validity and the utility of the group-administered metamemory battery, although the performance of young children must be interpreted with caution.     

Processes leading to confidence and accuracy in sentence recognition: a metamemory approach

We propose that memory confidence is based on the processes and products of the just-completed memory task, along with the participants' metamemory beliefs about the relation of these processes and products to memory accuracy. We tested this metamemory approach to confidence by having participants carry out a simple recognition memory task with deceptive and nondeceptive items. The deceptive items were sentences that contained a possible synonym substitution, thus allowing errors based on gist memory. For nondeceptive items, high confidence was associated with high accuracy. For deceptive items the relationship reversed; high confidence was associated with low accuracy. A memory process questionnaire was developed that provided more differentiated phenomenal reports than the traditional know/remember distinction. For nondeceptive items, metamemory beliefs tended to be valid indicators of accuracy, but for deceptive items involving unconscious reconstructive memory processes, they tended to be invalid indicators of memory accuracy. The overall results lend strong support for our metamemory approach to memory confidence.     

Aging, metamemory, and high-confidence errors: a misrecollection account

Two experiments showed that older adults were worse than younger adults at judging the accuracy of their responses on source identification (i.e., who said what) and cued-recall tests. It is important to note that this age-related metamonitoring impairment occurred even after older and younger adults were matched on overall source accuracy and cued-recall accuracy. By contrast, older and younger adults showed comparable metamonitoring capacities when assessing the likely accuracy of old-new recognition judgments and responses to questions about general knowledge. These experiments are consistent with the misrecollection account of cognitive aging, which suggests that age-related memory impairments are due to older adults' vulnerability to making high-confidence errors when answering questions that require memory for specific details about recently learned events.