How age affects memory task performance in clinically normal hearing persons

The main objective of this study is to investigate memory task performance in different age groups, irrespective of hearing status. Data are collected on a short-term memory task (WAIS-III Digit Span forward) and two working memory tasks (WAIS-III Digit Span backward and the Reading Span Test). The tasks are administered to young (20–30 years, n = 56), middle-aged (50–60 years, n = 47), and older participants (70–80 years, n = 16) with normal hearing thresholds. All participants have passed a cognitive screening task (Montreal Cognitive Assessment (MoCA)). Young participants perform significantly better than middle-aged participants, while middle-aged and older participants perform similarly on the three memory tasks. Our data show that older clinically normal hearing persons perform equally well on the memory tasks as middle-aged persons. However, even under optimal conditions of preserved sensory processing, changes in memory performance occur. Based on our data, these changes set in before middle age.     

A non-auditory measure of interference predicts distraction by competing speech in older adults

ABSTRACT

In this study, older adults monitored for pre-assigned target sounds in a target talker's speech in a quiet (no noise) condition and in a condition with competing-talker noise. The question was to which extent the impact of the competing-talker noise on performance could be predicted from individual hearing loss and from a cognitive measure of inhibitory abilities, i.e., a measure of Stroop interference. The results showed that the non-auditory measure of Stroop interference predicted the impact of distraction on performance, over and above the effect of hearing loss. This suggests that individual differences in inhibitory abilities among older adults relate to susceptibility to distracting speech.     

Coping strategies used by middle-aged males with noise-induced hearing loss,with and without tinnitus

Abstract

The aim of this study was to examine the relationship between general coping strategies and specific communication strategies, adopted by males with noise-induced hearing loss (NIHL) in order to deal with stressful events and demanding auditory situations. The sample included 72 males with NIHL; 22 without tinnitus, 26 with mild tinnitus, and 24 with severe tinnitus. The following variables were measured: “active coping” “escape coping” and “passive acceptance” (general coping strategies), and “maladaptive behaviours”, “verbal strategies” and “nonverbal strategies” (specific communication strategies). The results showed that males without tinnitus or with mild tinnitus combined “active coping” and “passive acceptance”, whereas males with severe tinnitus supplemented these strategies with “escape coping”. The relationship between general coping and specific communication strategies was weak, although giving a significant correlation between “escape coping” and “maladaptive behaviours”. The results indicate that the hypothesis that a person's general pattern of coping has influence on his/her ability to cope effectively with a hearing impairment can not be supported. Further research should concentrate on the contribution of personality factors as well as environmental factors to the variance in coping with NIHL and tinnitus.     

Visuomotor binding in older adults

Action integration is the process through which actions performed on a stimulus and perceptual aspects of the stimulus become bound as a unitary object. This process appears to be controlled by the dopaminergic system in the prefrontal cortex, an area that is known to decrease in volume and dopamine functioning in older adults. Although the decline should lead to reduced action integration in older adults, we found equivalent integration in both young and older adults. This indicates that older adults may be able to compensate for their dopaminergic deficiencies by activating additional neural networks that are not used by young adults.     

COMT gene polymorphisms,cognitive performance,and physical fitness in older adults

ObjectiveIt is well known that genetic predispositions might influence cognitive performance, particularly in older adults. One gene related to executive functioning is the COMT gene with met/met carriers outperforming val/val carriers in cognitive tasks. Further, it has been shown that fitness is positively related to cognitive functioning in older adults. As both, the COMT genotype and physical exercise have been shown to influence dopamine availability and as changes in dopamine metabolism seem to play a key role in cognitive aging, the aim of this study was to analyze the association of the COMT gene polymorphisms with the relationship between fitness and cognition.DesignWe used a cross-sectional design.MethodSixty-eight healthy older adults between 62 and 79 years of age were analyzed in this study. DNA was extracted from capillary blood samples. Participants performed a modified version of the Flanker Task as an indicator of executive control and a battery of motor and physical tests as indicators of fitness.ResultsHierarchical regression analyses revealed a positive influence of overall fitness and an interactive effect of fitness and COMT polymorphisms on Flanker accuracy performance. Val/val carriers revealed the highest positive correlation between fitness and cognition.ConclusionsOur data suggest that particularly val/val allele carriers benefit from exercise by improved cognitive functioning whereas met/met carriers already perform closer at their optimum level.     

老年人群的韵律感知

老龄化导致听觉系统、认知功能有所衰退。老年人群的言语理解能力减弱, 韵律信息解析存在困难。老年人对重音、语调、语速等语言韵律感知能力退化, 对情感韵律的加工也出现问题, 特别是消极情绪韵律加工减退较快。老年疾病进一步加深韵律加工难度, 韵律感知呈现出与特定疾病的相关性。未来研究需考察不同语言背景老年人群的韵律感知表现与机制、复杂交流环境的影响、韵律感知障碍对老年疾病的预测、韵律感知的早期干预与复健等问题。     

Representational momentum in older adults

Humans have a tendency to perceive motion even in static images that simply “imply” movement. This tendency is so strong that our memory for actions depicted in static images is distorted in the direction of implied motion - a phenomenon known as representational momentum (RM). In the present study, we created an RM display depicting a pattern of implied (clockwise) rotation of a rectangle. Young adults viewers’ memory of the final position of the test rectangle was biased in the direction of continuing rotation, but older adults did not show a similar memory bias. We discuss several possible explanations for this group difference, but argue that the failure of older adults to shown an RM effect most likely reflects age-related changes in areas of the brain involved in processing real and implied motion.     

Retrospective cues based on object features improve visual working memory performance in older adults

Research with younger adults has shown that retrospective cues can be used to orient top-down attention toward relevant items in working memory. We examined whether older adults could take advantage of these cues to improve memory performance. Younger and older adults were presented with visual arrays of five colored shapes; during maintenance, participants were presented either with an informative cue based on an object feature (here, object shape or color) that would be probed, or with an uninformative, neutral cue. Although older adults were less accurate overall, both age groups benefited from the presentation of an informative, feature-based cue relative to a neutral cue. Surprisingly, we also observed differences in the effectiveness of shape versus color cues and their effects upon post-cue memory load. These results suggest that older adults can use top-down attention to remove irrelevant items from visual working memory, provided that task-relevant features function as cues.     

A comparison of visual working memory and episodic memory performance in younger and older adults

Working memory and episodic memory decline with age. However, as they are typically studied separately, it is largely unknown whether age-associated differences are similar. A task design was developed in which visual working memory and episodic memory performances were measured using the same stimuli, with both tasks involving context binding. A 2-back working memory task was followed by a surprise subsequent recognition memory task that assessed incidental encoding of object locations of the 2-back task. The study compared performance of younger (N=30; M_age=23.5, SD_age=2.9, range=20-29) and older adults (N=29; M_age=72.1, SD_age=6.8, range=62-90). Older adults performed worse than younger adults, without an interaction effect. In younger, but not in older adults, performance on the two tasks was related. We conclude that although age differences (Young>Older) are similar in the working memory and incidental associative memory tasks, the relationship between the two memory systems differs as a function of age group.     

Deaf hearing: Implicit discrimination of auditory content in a patient with mixed hearing loss

We describe a patient LS, profoundly deaf in both ears from birth, with underdeveloped superior temporal gyri. Without hearing aids, LS displays no ability to detect sounds below a fixed threshold of 60 dBs, which classifies him as clinically deaf. Under these no-hearing-aid conditions, when presented with a forced-choice paradigm in which he is asked to consciously respond, he is unable to make above-chance judgments about the presence or location of sounds. However, he is able to make above-chance judgments about the content of sounds presented to him under forced-choice conditions. We demonstrated that LS has faint sensations from auditory stimuli, but questionable awareness of auditory content. LS thus has a form of type-2 deaf hearing with respect to auditory content. As in the case of a subject with acquired deafness and deaf hearing reported on a previous occasion, LS’s condition of deaf hearing is akin in some respects to type-2 blindsight. As for the case of type 2 blindsight the case indicates that a form of conscious hearing can arise in the absence of a fully developed auditory cortex.     

Dynamic postural stability is not impaired by moderate-intensity physical activity in healthy or balance-impaired older people

Older people are increasingly being encouraged to be more physically active but this may lead to physiological fatigue, tiredness and other effects, which, at high levels, can adversely alter postural stability. However, older adults rarely perform physical activity at high intensities. This study aimed to determine whether a single bout of moderate-intensity physical activity, similar to that experienced during daily living, alters dynamic postural stability, particularly among those at risk of falling. Thirty-one healthy young, 33 healthy older and 21 balance-impaired older, adults performed a rapid, voluntary step-up task before and immediately after a 14 min, self-paced, moderate-intensity physical activity protocol. Timing of step components from vertical ground reaction forces, mediolateral displacement of center of pressure, and onset and amplitude of hip abductor muscle activity were recorded during the step task. All groups demonstrated the same changes after the activity, with slightly shorter weight-shift phase duration, smaller displacement of the center of pressure towards the stance leg during weight shifting, and earlier onset of stance leg gluteus medius activity. These changes indicate improved coordination of the step task after activity. Thus this study showed that dynamic postural stability is not adversely affected immediately following moderate-intensity physical activity, even among balance-impaired elderly.     

Training attentional control in older adults

ABSTRACT

Recent research has demonstrated benefits for older adults from training attentional control using a variable priority strategy, but the construct validity of the training task and the degree to which benefits of training transfer to other contexts are unclear. The goal of this study was to characterize baseline performance on the training task in a sample of 105 healthy older adults and to test for transfer of training in a subset (n?=?21). Training gains after 5 days and extent of transfer was compared to another subset (n?=?20) that served as a control group. Baseline performance on the training task was characterized by a two-factor model of working memory and processing speed. Processing speed correlated with the training task. Training gains in speed and accuracy were reliable and robust (ps <.001, η²?=?.57 to .90). Transfer to an analogous task was observed (ps <.05, η²?=?.10 to .17). The beneficial effect of training did not translate to improved performance on related measures of processing speed. This study highlights the robust effect of training and transfer to a similar context using a variable priority training task. Although processing speed is an important aspect of the training task, training benefit is either related to an untested aspect of the training task or transfer of training is limited to the training context.     

Cognition and aided speech recognition in noise: Specific role for cognitive factors following nine-week experience with adjusted compression settings in hearing aids

The working memory model for Ease of Language Understanding (ELU) proposes that language understanding under taxing conditions is related to explicit cognitive capacity. We refer to this as the mismatch hypothesis, since phonological representations based on the processing of speech under established conditions may not be accessed so readily when input conditions change and a match becomes problematic. Then, cognitive capacity requirements may differ from those used for processing speech hitherto. In the present study, we tested this hypothesis by investigating the relationship between aided speech recognition in noise and cognitive capacity in experienced hearing aid users when there was either a match or mismatch between processed speech input and established phonological representations. The settings in the existing digital hearing aids of the participants were adjusted to one of two different compression settings which processed the speech signal in qualitatively different ways ("fast" or "slow"). Testing took place after a 9-week period of experience with the new setting. Speech recognition was tested under different noise conditions and with match or mismatch (i.e. alternative compression setting) manipulations of the input signal. Individual cognitive capacity was measured using a reading span test and a letter monitoring test. Reading span, a reliable measure of explicit cognitive capacity, predicted speech recognition performance under mismatch conditions when processed input was incongruent with recently established phonological representations, due to the specific hearing aid setting. Cognitive measures were not main predictors of performance under match conditions. These findings are in line with the ELU model.     

Subjective cognitive complaint in healthy older adults: Identification of major domains and relation to objective performance

This study analyzed complaints across a range of memory domains in middle-aged and older adults, as well as assessed their relationship with objective cognitive performance and personal characteristics. A total of 115 community-dwelling, healthy adults between the ages of 45 and 87 completed the Self-Evaluation Questionnaire (QAM) and were tested with a comprehensive neuropsychological battery. A principal component analysis identified seven dimensions of complaint. Difficulty inhibiting internal and external sources of interference when learning or remembering something was the main area of complaint and it was correlated with word-list recall and Digit Symbol. We identified complaints related to a set of memory failures that appear to be more detrimental to autonomy and safety. These were correlated with a measure of functional autonomy and might, therefore, indicate more severe difficulties. Overall, this study provides indications regarding the main domains of memory complaints and identifies which complaints are most reflective of objective cognitive problems.     

Linking obsessional beliefs to OCD symptoms in older and younger adults

There are many open questions about the phenomenology of obsessive-compulsive disorder (OCD) in the elderly, and theories about the development of OCD have rarely been applied to older populations. The current study uses structural equation models to evaluate the relationship between obsessional beliefs and OCD symptoms across young and older adult age groups in a large community sample (aged 18-93; N=335), and to examine whether subjective concerns about cognitive decline partially mediate this relationship. Results support partial mediation, and follow-up analyses suggest that the pattern of relationships among subjective cognitive concerns, obsessional beliefs and OCD symptoms is invariant for younger and older adults, but older adults report relatively greater levels of subjective cognitive concerns.     

Exploring interhemispheric collaboration in older compared to younger adults

Physical and Name Identity letter-matching tasks were used to explore differences in interhemispheric collaboration in younger and older adults. To determine whether other factors might also be related to across/within-hemisphere processing or visual field asymmetries, neuropsychological tests measuring frontal/executive functioning were administered, and comparisons were made for participants split into low and high efficiency groups based on performance on the letter-matching tasks. A Task by Across/Within interaction was found for both groups, but with a stronger within-hemisphere advantage for the Physical Task and a weaker across-hemisphere advantage for the Name Task for older participants. More efficient groups and better performers on several neuropsychological tasks showed a reduced across-hemisphere advantage for the Name Identity task. Findings suggest that computational complexity, specific task demands, and perhaps trade-offs between age-related changes in gray and white matter all contribute to whether processing loads are distributed across or within hemispheres as we age.     

Emotional prosody effects on verbal memory in older and younger adults

Prosody, or the way things are said, can modify the meaning of utterances making qualitatively different affective prosodies useful for understanding how auditory affective information is processed and remembered. In this study, we collected behavioral data from 225 younger (M age = 20.8 years, SD = 2.5 years; 119 males) and 225 older adults (M age = 71.6 years, SD = 6.5 years; 119 males) in order to examine age differences in emotional prosody effects on verbal memory. Participants were randomly divided into three subgroups according to different prosody listening conditions (positive, negative, and neutral) and prosody effects on a yes–no recognition memory task were investigated. The results showed how older adults who listened to the story read with a neutral prosody remembered more words than those who listened to the same story with a positive or negative prosody. Younger adults showed no valence effects. Our findings highlighted an age and affective prosody interaction that affects remembering in older adults alone.