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