Relationships Among Education,Age, and Cognitive Functioning in Older African Americans: The Impact of Desegregation

The current study sought to examine whether there were differences in the structure of specific cognitive abilities and their association with age and education in a sample of African American elders with two different early educational experiences. The study was conducted with a sample of 197 community dwelling older adults ranging in age from 50 to 79 years (mean age = 61.50 years, SD = 7.30 years). The sample included 79 individuals who attended a desegregated school at anytime during their formal education, while 118 participants completed their schooling without ever attending a desegregated school. Major results included: (1) typical patterns among cognitive abilities and age as well as years of education were found in the full sample of participants; (2) the pattern of age differences in cognition differed between the two groups. Regarding the latter, the desegregated sample exhibited significant negative age differences for some cognitive abilities, while the segregated group did not. Discussion focuses on the importance of considering the nature of the educational experience when examining cognitive aging in African American elders.     

Probing the Brain Substrates of Cognitive Processes Responsible for Context Effects on Recognition Memory

ABSTRACT

Context effects on episodic recognition memory involve separable contributions of target-context binding, additive familiarity, and configural constancy. Here we examine whether these factors reflect contributions of processes attributed to different brain substrates. First, we challenged frontal and medial temporal lobe-based cognitive capacities in healthy young adults, employing divided attention tasks at encoding and retrieval, and extended retrieval delay, respectively. Target-context binding effects were specifically attenuated by delay, but not by divided attention. In a second experiment, older adults were identified by neuropsychological testing as having different levels of frontal and medial temporal lobe-dependent cognitive functions. Consistent with Experiment 1, older adults with low medial temporal lobe function exhibited reduced target-context binding effects, but levels of frontal function did not modulate binding effects. These findings indicate that unlike source memory, context effects on memory are associated with the integrity of medial temporal lobe-based processes but not with the integrity of frontal lobe-based processes. Our findings also emphasize the importance of discriminating between functional subgroups in the attempt to characterize memory processes in older adults.     

Visual scanning patterns and executive function in relation to facial emotion recognition in aging

ABSTRACT

Objective: The ability to perceive facial emotion varies with age. Relative to younger adults (YA), older adults (OA) are less accurate at identifying fear, anger, and sadness, and more accurate at identifying disgust. Because different emotions are conveyed by different parts of the face, changes in visual scanning patterns may account for age-related variability. We investigated the relation between scanning patterns and recognition of facial emotions. Additionally, as frontal-lobe changes with age may affect scanning patterns and emotion recognition, we examined correlations between scanning parameters and performance on executive function tests. Methods: We recorded eye movements from 16 OA (mean age 68.9) and 16 YA (mean age 19.2) while they categorized facial expressions and non-face control images (landscapes), and administered standard tests of executive function. Results: OA were less accurate than YA at identifying fear (p < .05, r = .44) and more accurate at identifying disgust (p < .05, r = .39). OA fixated less than YA on the top half of the face for disgust, fearful, happy, neutral, and sad faces (p values < .05, r values ≥ .38), whereas there was no group difference for landscapes. For OA, executive function was correlated with recognition of sad expressions and with scanning patterns for fearful, sad, and surprised expressions. Conclusion: We report significant age-related differences in visual scanning that are specific to faces. The observed relation between scanning patterns and executive function supports the hypothesis that frontal-lobe changes with age may underlie some changes in emotion recognition.     

Gait and risk of falls associated with frontal cognitive functions at different stages of Alzheimer's disease

ABSTRACT

The decline in frontal cognitive functions contributes to alterations of gait and increases the risk of falls in patients with dementia, a category which included Alzheimer's disease (AD). The objective of the present study was to compare the gait parameters and the risk of falls among patients at different stages of AD, and to relate these variables with cognitive functions. This is a cross-sectional study with 23 patients with mild and moderate AD. The Clinical Dementia Rating was used to classify the dementia severity. The kinematic parameters of gait (cadence, stride length, and stride speed) were analyzed under two conditions: (a) single task (free gait) and (b) dual task (walking and counting down). The risk of falls was evaluated using the Timed Up-and-Go test. The frontal cognitive functions were evaluated using the Frontal Assessment Battery (FAB), the Clock Drawing Test (CDT) and the Symbol Search Subtest. The patients who were at the moderate stage suffered reduced performance in their stride length and stride speed in the single task and had made more counting errors in the dual task and still had a higher fall risk. Both the mild and the moderate patients exhibited significant decreases in stride length, stride speed and cadence in the dual task. Was detected a significant correlation between CDT, FAB, and stride speed in the dual task condition. We also found a significant correlation between subtest Similarities, FAB and cadence in the dual task condition. The dual task produced changes in the kinematic parameters of gait for the mild and moderate AD patients and the gait alterations are related to frontal cognitive functions, particularly executive functions.     

Eye movement suppression interferes with construction of object-centered spatial reference frames in working memory

The brain’s frontal eye fields (FEF), responsible for eye movement control, are known to be involved in spatial working memory (WM).In a previous fMRI experiment (Wallentin, Roepstorff & Burgess, Neuropsychologia, 2008) it was found that FEF activation was primarily related to the formation of an object-centered, rather than egocentric, spatial reference frame. In this behavioral experiment we wanted to demonstrate a causal relationship between eye movement control and manipulation of spatial reference frames. Sixty-two participants recalled either spatial (“Was X in front of Y?”) or non-spatial (“Was X darker than Y?”) relations in a previously shown image containing two to four objects, each with an intrinsic orientation and unique luminance. During half of all recall trials a moving visual stimulus was presented, which participants had to ignore, thus suppressing eye movement. Response times were significantly slower for spatial relations with distraction while there was no effect on non-spatial relations. There was no effect on accuracy, i.e. WM maintenance. This is consistent with the hypothesis that in spatial representations the FEFs are involved in WM content manipulation, such as establishing an object-centered spatial frame of reference.     

The contribution of the inferior parietal cortex to spoken language production

This functional MRI study investigated the involvement of the left inferior parietal cortex (IPC) in spoken language production (Speech). Its role has been apparent in some studies but not others, and is not convincingly supported by clinical studies as they rarely include cases with lesions confined to the parietal lobe. We compared Speech with non-communicative repetitive tongue movements (Tongue). The data were analyzed with both univariate contrasts between conditions and probabilistic independent component analysis (ICA). The former indicated decreased activity of left IPC during Speech relative to Tongue. However, the ICA revealed a Speech component in which there was correlated activity between left IPC, frontal and temporal cortices known to be involved in language. Therefore, although net synaptic activity throughout the left IPC may not increase above baseline conditions during Speech, one or more local systems within this region are involved, evidenced by the correlated activity with other language regions.     

Thinking ahead or not? Natural aging and anticipation during reading

Despite growing evidence of young adults neurally pre-activating word features during sentence comprehension, less clear is the degree to which this generalizes to older adults. Using ERPs, we tested for linguistic prediction in younger and older readers by means of indefinite articles (a’s and an’s) preceding more and less probable noun continuations. Although both groups exhibited cloze probability-graded noun N400s, only the young showed significant article effects, indicating probabilistic sensitivity to the phonology of anticipated upcoming nouns. Additionally, both age groups exhibited prolonged increased frontal positivities to less probable nouns, although in older adults this effect was prominent only in a subset with high verbal fluency (VF). This ERP positivity to contextual constraint violations offers additional support for prediction in the young. For high VF older adults, the positivity may indicate they, too, engage in some form of linguistic pre-processing when implicitly cued, as may have occurred via the articles.     

Exceptional lexical skills but executive language deficits in school starters and young adults with Turners syndrome: implications for X chromosome effects on brain function

TS school starters had enhanced receptive and expressive language on standardised assessment (CELF-P) and enhanced rhyme judgements, spoonerisms, and lexical decision, indicating enhanced phonological skills and word representations. There was marginal but consistent advantage across lexico-semantic tasks. On executive tasks, speeded naming of numbers was impaired but not pictures. Young TS adults had enhanced naming and receptive vocabulary, indicating enhanced semantic skills. There were consistent deficits in executive language: phonemic oral fluency, rhyme fluency, speeded naming of pictures, numbers and colours; sentence completion requiring supression of prepotent responses.Haploinsufficiency of X-chromosome drives mechanisms that affect the anatomical and neurochemical development of the brain, resulting in enhanced temporal lobe aspects of language. These strengths co-exist with impaired development of frontal lobe executive language systems. This means not only that these elements of language can decouple in development but that their very independence is driven by mechanisms linked to the X-chromosome.     

Selective spatial processing deficits in an at-risk subgroup of the fragile X premutation

Until a decade ago, it was assumed that males with the fragile X premutation were unaffected by any cognitive phenotype. Here we examined the extent to which CGG repeat toxicity extends to visuospatial functioning in male fragile X premutation carriers who are asymptomatic for a late-onset neurodegenerative disorder, fragile X-associated tremor/ataxia syndrome (FXTAS). Thirty-three premutation males aged 20-68 years [divided into two groups: 16 low-repeat carriers (CGG ≥ 55 ≤ 100) and 17 high-repeat carriers (CGG>100)] with a family history of fragile X syndrome and 62 non-affected adult males with normal FMR1 alleles were recruited. Subjects underwent neuropsychological tests of visuospatial and visual working memory functioning and visuoperceptual processing. On measures of visuospatial processing, the high-repeat carriers performed significantly worse than the normal allele group when age and IQ were covaried out. With increasing age and only in carriers of a larger (>100 repeats) premutation allele was there a greater decrement in visuospatial working memory functioning. Performance on spatial and perceptual judgement tasks failed to show similar specificity in males within the upper premutation range. We conclude that identification of selective visuospatial impairments in carriers of a larger premutation allele indicates greater CGG repeat toxicity in specific neural regions. Longitudinal follow-up studies will be needed to determine whether subtle decline in visuospatial functioning is associated with the later onset of motor symptoms of FXTAS.