Memory complaint and memory performance in the elderly: The effects of memory-skills training and expectancy change

While the incidence of memory complaint has always been high among the elderly, recent research has demonstrated that there is often a discrepancy between subjective memory complaint and actual memory performance in this population. Four experimental groups were established to examine the relationship and the factors that may affect changes in memory complaint and memory performance. The groups consisted of a memory training condition, an expectancy change condition, an art discussion control condition, and an evaluation control condition. It was hypothesized that memory training sessions would be the most effective in increasing memory performance scores, and that the expectancy change sessions would significantly reduce the incidence of memory complaint. The findings provide support for these predictions and indicate that memory training programmes should teach strategies to facilitate memory while addressing older adults' expectations about memory performance.     

Memory anxiety and memory performance in adulthood

The present study examined the contribution of general and domain-specific anxiety to the prediction of memory performance in a sample of 350 young, middle-aged and old adults. In a preliminary stage of this investigation, psychometric analyses revealed that the predictive validity of the Anxiety scale of the Metamemory in Adulthood questionnaire, used to assess memory-related anxiety, could be improved by using an abbreviated version of the scale. This Memory Anxiety subscale predicted level of state anxiety experienced by middle-aged and older subjects in anticipation of a memory-demanding task. It was superior to the general state measures in predicting actual memory performance, but only for the oldest age group. Results thus provide support for domain- and age-specificity in the assessment of anxiety performance relationships.     

Autobiographical recall training in elderly adults with subjective memory complaint: a pilot study

Subjective memory complaint is a self-reported memory impairment which affects elderly people. This problem does not interfere with daily living activities but could decrease quality of life. This study's purpose was to verify whether a specific, newly developed, autobiographical recall training could modify self-perception of memory of subjects with subjective memory complaint. Seven elderly subjects (4 women and 3 men; mean age 65.5 yr., SD=11) with such complaint, evidenced through a specific questionnaire, attended the training course and were prospectively assessed on standard neuropsychological tests, depressive symptomatology, and self-perception of memory. Self-perception of memory, as assessed by scores on a formalized questionnaire, improved significantly after the training, while depressive symptoms did not change. Neuropsychological performances were normal before and after the training, but a statistically significant improvement was observed only on the phonological fluency test. Thus the present pilot study suggested that the training may be effective in improving self-perception of memory and metamnestic capacity in elderly people with subjective memory complaints but not in changing subjects' depressive symptoms. This requires replication of this work with a much larger sample so statistical power is adequate.     

Memory Functioning Questionnaire: concurrent validity with memory performance and self-reported memory failures

Concurrent validity of factor scores from the Memory Functioning Questionnaire (MFQ; Gilewski, Zelinski, & Schaie, in press) with memory performance was investigated in 2 studies. Study 1 involved 198 adults aged 55-85; Study 2, 89 adults aged 50-87. After effects of depression, education, and health were partialed out, MFQ scores predicted performance on laboratory memory tests in Study 1 and performance on clinical memory tests and diaries of memory failures over 2 weeks in Study 2. Additional variance in predicting performance and failures recorded in diaries is accounted for by MFQ scores after partialing out subjects' responses to a yes-no question about whether they have memory problems. Results suggest that the MFQ has moderate concurrent validity with memory measures and is preferable to responses to a single question about memory self-perception in assessing memory complaints in normal adults.     

Interactive effects of subjective memory complaints and hypertension on learning and memory performance in the elderly

This study evaluated whether the relation between subjective memory complaints and cognitive performance is influenced by the presence of hypertension in the elderly. One hundred and five healthy older adults, 70–89 years of age, with and without hypertension treatment or diagnosis, completed a scale of subjective memory complaints. Participants were divided into those with mild memory concerns and those with minimal or no complaints. All participants completed a battery of neuropsychological tests including measures of verbal and nonverbal memory. After controlling for differences in age, gender, education, and overall intellectual ability, there were significant main effects for memory concerns and significant interactions for memory complaints and hypertension on several measures of memory performance. There were no main effects for hypertension on memory performance. Simple effects analyses of the interactions showed that the hypertensive complainers demonstrated poorer performance on measures of long-term memory and greater reliance on short-term recall than the hypertensive non-complainers. There were no differences in memory performance for the non-hypertensive groups. Among healthy elderly community-dwelling adults, those with mild subjective memory complaints in the context of hypertension demonstrated greater objective cognitive difficulties than those without hypertension as well as a greater reliance on a less efficient learning strategy. These findings suggest that memory concerns in the presence of hypertension may be important when evaluating treatment efficacy in these individuals and for identifying differences in cognitive aging.     

Implicit and explicit memory bias in depressed and non depressed subjects

Abstract

Two experiments were carried out to investigate a possible mood-congruent memory bias in explicit memory (free-recall test) and implicit memory (word-stem completion task) for positive and negative words in depressed and non depressed college students. A comparison of implicit and explicit mood-congruent memory bias should help to reveal cognitive processes involved in this effect. The results of both studies indicated that depressed subjects showed a memory bias not only on the traditional explicit memory task, but on the implicit memory task as well. The theoretical implications of these results are discussed.     

Hippocampal region-specific contributions to memory performance in normal elderly

To investigate the relationship between regional hippocampal volume and memory in healthy elderly, 147 community-based volunteers, aged 55–83 years, were evaluated using magnetic resonance imaging, the Groton Maze Learning Test, Visual Reproduction and the Rey Auditory Verbal Learning Test. Hippocampal volumes were determined by interactive volumetry. We found greater age-related reduction in the volume of the hippocampal head relative to the tail. Right hippocampal tail volume correlated with spatial memory on the Groton Maze Learning Test while left hippocampal body volume was associated with delayed verbal memory. These associations were independent of age, sex, education and speed of processing and support the notion of functional differentiation along the long axis of the hippocampus.     

Memory organization of action events and its relationship to memory performance

Previous research yielded inconsistent results regarding the memory organization of self-performed actions. The authors propose that task performance changes the very basis of memory organization. Enactment during study and test (Experiment 1) yielded stronger enactive clustering (based on motor-movement similarities), whereas verbal encoding yielded stronger conceptual clustering (based on semantic-episodic similarities). Enactment enhanced memory quantity and memory accuracy. Both measures increased with enactive clustering under self-performance instructions but with conceptual clustering under verbal instructions. Enactment only during study (Experiment 2) or only during testing (Experiment 3) also enhanced enactive clustering. It is proposed that different conditions affect the relative salience of different types of memory organization and their relative contribution to recall.     

Autobiographical memory specificity, psychopathology, depressed mood and the use of the Autobiographical Memory Test: a meta-analysis

Reviewing the literature on autobiographical memory overgenerality, as measured by a cueing task like the Autobiographical Memory Test (AMT), gives a diffuse view of the moderating role of depression. This meta-analysis is an attempt to investigate the role of depression in the specificity of autobiographical memory, while accounting for the role of patient and task variables as possible moderators. Meta-analytic techniques are used to synthesize data from 14 studies on the recall of specific autobiographical memories in psychiatric and non-psychiatric samples. The results confirm the relationship between overgenerality and depression. The psychiatric patients are less specific than their non-clinical controls. It is not possible to establish that this result is solely due to a (co-morbid) diagnosis of depression. Self-reported depressed mood is also related to an impairment of autobiographical memory specificity. The way of presenting cues, audio taping responses and the maximum available amount of time to respond, are moderators of AMT performance.     

Trauma and autobiographical memory specificity in depressed inpatients

Research on autobiographical memory has shown that clinical depression is associated with a difficulty in retrieving specific autobiographical memories in response to cue words. This study examined the relation between lack of autobiographical memory specificity and self-reported trauma in a group of depressed adults (N = 23). In addition to the Autobiographical Memory Test (AMT; Williams & Broadbent, 1986) participants completed a number of questionnaires assessing the presence of traumatic experiences in the past, level of depression and neuroticism. The number of specific responses was not related to depression severity, but was significantly associated with the presence and severity of reported physical abuse. Participants who had been victim of physical abuse were less specific than participants who had not been confronted with such physical adversities. The results are discussed in the context of a functional hypothesis about the developmental relations between memory specificity, trauma and depression.     

Assessing absentmindedness: Prospective memory complaint and impairment in middle-aged adults

In two experiments, metamemorial differences between prospective and retrospective memory performance were examined. Participants in Experiment 1 were recruited through newspaper advertisements and comprised middle-aged women who experienced exceptional problems in prospective remembering. Experiment 2 involved self-reporters and nonreporters of retrospective memory problems, who were selected from a large population-based sample of middle-aged adults. In both experiments, memory performance was assessed by using a variety of tasks, including five retrospective memory tasks and three prospective memory tasks that varied in level of realism and retrieval support. In both experiments, there were selective differences in memory performance, so that participants who experienced (retrospective or prospective) memory problems showed impaired performance in prospective, but not in retrospective, memory tasks. These findings suggest that memory for future intentions provides a more sensitive task criterion than does memory for past events for assessing individual differences in self-reports of episodic memory problems. Task-specific differences in reliance on frontally mediated executive processes might underlie these differences.     

Memory for memory

Participants read short passages and 1 day later they answered questions via telephone about the passages (text facts) and about the experimental session (event facts). They were telephoned again 6 weeks later and answered the same questions about text and event facts. They also answered new questions about whether they remembered the answers they had given in the initial telephone interview (recall for prior memory performance). Although participants accurately remembered the majority of past memory successes, they were poor at remembering past memory failures. After being provided with the correct answer and tested again, the participants' performance improved somewhat, especially for memory failures. This suggests that some errors in recalling past forgetting might have been due to correctly remembering the answer previously given, but failing to realize that it had been wrong. These findings have implications for a variety of situations in which people are queried about past memory performance.     

Cognitive complaints in elderly depressed and pseudodemented patients

The cognitive complaints of 11 patients with depressive pseudodementia were compared with those of 22 patients with depression alone. Pseudodemented subjects were defined as depressed inpatients showing reversible cognitive impairment as measured by the Mini-Mental State Examination (MMSE); subjects with depression alone had no such impairment. For each group, cognitive complaints were highly correlated with depressive symptoms and were not related to MMSE scores. The pseudodemented group had significantly higher cognitive complaint scores, complaining more of difficulties with concentration and recent memory. Groups did not differ significantly in complaints of difficulties with remote memory.     

Memory for emotional stories in high and low depressed children

Cognitive theories of depression emphasise a vicious circle linking depressed mood and biased recall towards negative information. In line with this, depressed adults show selectively enhanced recall for negative information. This recall bias is held to be mediated by increased accessibility of negative self-referent schemas formed as a result of adverse early experiences. Given this, surprisingly few studies have examined depression-related recall biases from a developmental perspective. Clinically depressed children have been found to show enhanced recall of negative adjectives, particularly when self-referent, but to date there is no evidence for similar recall biases in non-clinically depressed groups. The current study addressed this by investigating high and low non-clinically depressed children's (aged 5-11 years) recall of emotional stories. High depressed children showed enhanced recall of negative stories, relative to positive stories, compared to the low depressed group. This did not vary with age group. We conclude that, when child-oriented materials are used, depression-related biases in recall towards negative information are observable even in a non-clinical sample of children from 5 years of age.     

Memory for emotional stories in high and low depressed children

Cognitive theories of depression emphasise a vicious circle linking depressed mood and biased recall towards negative information. In line with this, depressed adults show selectively enhanced recall for negative information. This recall bias is held to be mediated by increased accessibility of negative self‐referent schemas formed as a result of adverse early experiences. Given this, surprisingly few studies have examined depression‐related recall biases from a developmental perspective. Clinically depressed children have been found to show enhanced recall of negative adjectives, particularly when self‐referent, but to date there is no evidence for similar recall biases in non‐clinically depressed groups. The current study addressed this by investigating high and low non‐clinically depressed children's (aged 5–11 years) recall of emotional stories. High depressed children showed enhanced recall of negative stories, relative to positive stories, compared to the low depressed group. This did not vary with age group. We conclude that, when child‐oriented materials are used, depression‐related biases in recall towards negative information are observable even in a non‐clinical sample of children from 5 years of age.     

Memory and memory confidence in obsessive-compulsive disorder

Pathological doubt, often found in individuals with obsessive-compulsive disorder (OCD), has been theoretically linked to memory deficits, but empirical evidence for such deficits has been mixed. In contrast, many studies suggest that individuals with OCD have low confidence in their memories. The present study aimed to build upon previous research by measuring memory accuracy and confidence in OCD using ecologically valid, idiographically-selected stimuli. Individuals with OCD (OCs), anxious controls (ACs), and nonanxious controls (NACs) were exposed to a set of objects that the OCs had identified as safe, unsafe, or neutral. Participants were then asked to recall as many objects as possible and to rate their confidence in each memory. This process was repeated 6 times, using the same stimuli for each trial. Contrary to hypothesis, no group differences emerged in memory accuracy. However, OCs' memory confidence for unsafe objects showed a progressive decline over repeated trials. This pattern was not observed among NACs or ACs. Furthermore, OCs with primary checking reported lower confidence in long-term memory than did OCs without primary checking. These results suggest that when OCs are repeatedly exposed to threat-related stimuli (such as repeated checking), their level of confidence in remembering these stimuli paradoxically decreases.     

Topographic electroencephalographic alpha in recovered depressed elderly

Late-middle-aged and elderly normal volunteers with past histories of Major Depression according to the Diagnostic and Statistical Manual of Mental Disorders (third edition-revised) criteria were compared with sex- and age-matched control subjects using topographic electroencephalographic (EEG) indices. Healthy, euthymic recovered depressed subjects showed greater alpha amplitudes than controls. Delta, theta, and beta amplitudes did not reliably distinguish the groups. Considered in the context of previous research indicating that actively depressed subjects exhibit elevated EEG alpha compared to controls, these findings raise questions concerning state and trait conceptualizations of depression and EEG alpha.     

Memory strength and the decision process in recognition memory

We investigated the role that memory strength plays in the decision process by examining the extent to which strength is used as a cue to dynamically modify recognition criteria. The study list consisted of strong and weak items, with strength a function of study duration or repetition. The recognition test list was divided into two consecutive blocks; strong items appeared in one block, weak items in the other. If the change in item strength across blocks leads to a shift in criterion, the false alarm rate should change accordingly. In four experiments, the false alarm rates did not change across blocks, even when the difference between the strong and the weak items was magnified and marked with semantic cues. However, the strength of the items in the first test block affected the false alarm rate. Thus, strength cues influence initial criterion placement but fail to induce criterion shifts following permanent and even dramatic changes in item strength. These null findings are contrasted with those in a fifth experiment, in which accuracy feedback produced dynamic criterion shifts.     

Group therapy for depressed elderly women

We describe and evaluate a group therapy program targeting depression among elderly residents (N=303) of subsidized high-rise apartments in Nashville, TN. This eclectic program was comprised of 12 sessions (a total of 24 hours) that included modules on exercise and preventive health behaviors, cognitive and re-motivation therapy, reminiscence and grief therapy, and social skills development. Our multivariate regression analyses of pre-post measures using the Geriatric Depression Scale (GDS) showed that the effects of the group therapy varied by race, age, and level of initial depression among the participants. The program was effective in reducing depression, but only among Caucasian women who reported at least moderate depression prior to the program, and it yielded greater benefits for women between 55 and 75 years of age.     

Memory self-efficacy predicts memory performance: results from a 6-year follow-up study

The purpose of this study was to examine the relationship between memory self-efficacy (MSE) and a 6-year follow-up assessment of memory functioning in a sample of Dutch older adults. MSE was assessed by a Dutch abridged version of the Metamemory in Adulthood questionnaire (MIA; R. A. Dixon, D. F. Hultsch, & C. Hertzog, 1988; C. Hertzog, D. F. Hultsch, & R. A. Dixon, 1989; R. W. H. M. Ponds & J. Jolles, 1996). The total MSE score predicted memory performance at 6 years, as measured by the Visual Verbal Learning Task (VVLT; N. Brand & J. Jolles, 1985). A separate analysis of the different MSE subscales indicated that the MIA Change score was the most salient domain-specific MSE predictor of subsequent memory performance after 6 years. An extreme groups analysis of the MIA Change score revealed a pattern of performance for those who perceived that their memory was worsening, performing less well on the 3 trials of the VVLT when these were readministered at the 6-year follow-up.