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A double-blind crossover comparison of antiparkinson drug therapy: amantadine versus anticholinergics in 90 normal volunteers, with an emphasis on differential effects on memory function.

Anticholinergic antiparkinson drugs administered orally at standard clinically prescribed doses impaired new memory acquisition and mood in normal volunteer subjects, based on tests of free recall, recognition memory, and time production, self-rating of memory function, and an evaluation of mood states. Elderly subjects were more severely impaired than were young adults. Amantadine did not impair new memory acquisition, and on self-report measures, it was significantly better tolerated than were anticholinergics. Among patients being treated for psychotic illness, there are two groups in which an effort to avoid anticholinergic therapy is especially worthwhile because of the severe consequences of memory dysfunction. These individuals are young neuroleptic-responsive patients who are in an early stage of their disease and elderly patients. For these two groups, amantadine should be considered as the initial mode of treatment, with low-dose anticholinergics being used for those patients who do not achieve adequate relief from extrapyramidal side effects with amantadine.

Adult↗

Memory for the process of constructing an integrated mental model.

We report two experiments in which people read descriptions of integrated spatial configurations, together with comparable descriptions that did not describe integrated spatial configurations. The integrated spatial descriptions, but not the comparable descriptions, thus supported the construction of a coherent mental model. In Experiment 1, each sentence of the comparable descriptions described the spatial relation between two objects that were not mentioned elsewhere in the description. In Experiment 2, the comparable descriptions were nonspatial, having been constructed by replacing the spatial relations with nonspatial relations. In both experiments, participants were given a surprise recognition test in which they had to identify each of the original descriptions--of both integrated spatial configurations and nonspatial configurations--among a set of distractors. When the sentences in the original description were reordered (and participants were instructed to ignore sentence order), recognition memory was reliably depressed, but only for the integrated spatial descriptions. Reordering descriptions does not change their propositional content, nor does it change the described situation; however, it does change the process of constructing a mental model of that situation. These findings thus suggest that memory for the descriptions retains a trace of the process of constructing an integrated mental model and that reordering the sentences disrupts this memory because the reordering reduces the similarity of the processing of the descriptions at recognition.

Cognition↗

The effect of ageing on the recollection of emotional and neutral pictures.

This study investigated age-related differences in recognition memory for emotional and neutral pictures. Younger and older participants were asked to rate pictures according to their emotional valence, arousal, and visual complexity. Two weeks later they had to recognise these pictures and the states of awareness associated with memory were assessed with the "remember/know/guess" paradigm. We found that, although the influence of emotion on recognition accuracy (as assessed by d') was similar in both age groups, the tendency for positive and negative pictures to create a rich recollective experience was weaker in older adults. In addition, "remember" responses were more often based on a recollection of emotional reactions in older than in younger participants. We suggest that the elderly tend to focus on their feelings when confronted with emotional pictures, which could have impaired their memory for the contextual information associated with these stimuli.

Adolescent↗

Memory for actions: self-performed tasks and the reenactment effect.

Encoding action phrases by enactment (self-performed tasks, or SPTs) leads to better memory than does observing actions (experimenter-performed tasks, or EPTs) or hearing action phrases (Engelkamp, 1998). In addition, recognition memory for SPTs is enhanced when test items are reenacted. Experiment 1 demonstrated a reenactment effect for EPTs, as well as for SPTs, indicating that the effect can be based on visual, as well as motoric, feedback. However, the reenactment effect in SPTs was found even when the participants were blindfolded at test (Experiment 2), indicating that the basis for the reenactment effect differs across SPTs and EPTs. Experiments 3 and 4 provided additional evidence that visual feedback is not critical for reenactment recognition in the case of SPTs. In addition, these experiments failed to show a hand congruency effect (enhanced recognition when the same hand enacts at study and at test), indicating that this effect is not as generalizable as the reenactment effect. These results have important implications for the motor-encoding hypothesis of the enactment effect.

Feedback↗

The effects of perceptual interference at encoding on implicit memory, explicit memory, and memory for source.

Interfering with stimulus identification can enhance later explicit memory performance. This counterintuitive (and theoretically unexpected) phenomenon was investigated in 5 experiments. Perceptual interference enhanced category-cued recall (a conceptually driven explicit test) but had no effect on a comparable implicit memory test, category-exemplar production. This dissociation was obtained across higher levels of priming and with high-frequency as well as low-frequency exemplars. Furthermore, although perceptual interference enhanced old-new recognition memory, it did not enhance rhyme recognition (a data-driven explicit test) or source discriminability. Explanations based on enhanced semantic elaboration or enhanced encoding of spatio-temporal context do not account for the perceptual-interference effect. An account based on compensatory processing of higher level perceptual representations remains viable and is discussed in terms of the transfer-appropriate processing framework and the item-specific-relational distinction.

Adult↗

Are all subcortical dementias alike? Verbal learning and memory in Parkinson's and Huntington's disease patients.

The utility of the concept of 'subcortical dementia' was investigated by comparing the verbal learning and memory abilities of Parkinson's disease (PD) patients with those of Huntington's disease (HD) patients. Many similarities between the PD and HD groups emerged, including impaired immediate memory spans, inconsistency of recall across learning trials, deficient use of a semantic clustering learning strategy, elevated intrusion rates on delayed recall, impaired recognition memory performance, normal retention of information over delay periods, normal vulnerability to proactive or retroactive interference, and normal types of intrusion errors. The HD subjects, however, displayed inferior free recall, deficient improvement across learning trials, abnormal serial position recall effects, higher perseveration rates, and supranormal improvement on recognition testing compared with free recall. Implications of these results for characterizing memory deficits associated with subcortical system dysfunction are discussed.

Adult↗

The role of decision processes in remembering and knowing.

Participants in recognition memory studies are now often asked to partition recognized items into ones that are accompanied by some recollective experience (those they remember) and ones that are not so accompanied (but which they know were previously encountered). Rather than detecting separate memory systems, such attempts to distinguish between remembering and knowing are better understood as a division of positive recognition responses into those that lie above a second decision criterion (remember) and those that do not (know). As such, the amount of memory associated with knowing is strongly dependent on the placement of the decision criteria. A meta-analysis of published data and a simple experiment tested predictions from the decision process analysis of remember/know responses.

Adult↗

Dissociable correlates of recollection and familiarity within the medial temporal lobes.

Regions in the medial temporal lobes (MTL) have long been implicated in the formation of new memories for events, however, it is unclear whether different MTL subregions support different memory processes. Here, we used event-related functional magnetic resonance imaging (fMRI) to examine the degree to which two recognition memory processes-recollection and familiarity-were supported by different MTL subregions. Results showed that encoding activity in the rhinal cortex selectively predicted familiarity-based recognition, whereas, activity in the hippocampus and posterior parahippocampal cortex selectively predicted recollection. Collectively, these results support the view that different subregions within the MTL memory system implement unique encoding processes that differentially support familiarity and recollection.

Adolescent↗

Methylphenidate restores visual memory, but not working memory function in attention deficit-hyperkinetic disorder.

RATIONALE: Dysfunction of executive neuropsychological performance, mediated by the prefrontal cortex, has been the central focus of recent attention deficit/ hyperkinetic disorder (AD-HKD) research. The role of other potential neuropsychological "risk factors", such as recognition memory, remains understudied. Further, the impact of methylphenidate (MPH) on key neuropsychological processes in AD-HKD remains poorly understood. OBJECTIVES: To compare the performance of boys with AD-HKD on a spatial working memory (SWM) task and on two non-working memory tasks [a simultaneous and delayed matching-to-sample task (DMtS) and a pattern-recognition task] with that of healthy boys, and to investigate the impact of acute and chronic MPH on performance of these tasks. METHODS: Baseline performance of 75 stimulant-naive boys with AD-HKD was compared with that of 70 healthy boys. The AD-HKD boys were then re-tested following the administration of acute and chronic challenges with MPH (0.3 mg/kg and 0.6 mg/kg) under randomised double-blind placebo controlled conditions. RESULTS: Compared with healthy boys, the AD-HKD boys demonstrated performance deficits on all neuropsychological tasks. A single dose of MPH restored performance on the DMtS task but had no impact on the SWM or pattern-recognition tasks. Chronic MPH administration did not alter performance on the SWM task but did improve performance on both the pattern-recognition and DMtS tasks. However, the acute restorative effect of MPH on DMtS diminished with repeated administration. CONCLUSIONS: Our results suggest that current conceptualisations of the neuropsychological basis of AD-HKD and the proposed therapeutic mechanisms of MPH require broadening.

Adolescent↗

Memory changes with normal aging: behavioral and electrophysiological measures.

We examined performance in young and elderly on an implicit (lexical decision) and an explicit (recognition) memory test. The difference in lexical decision times between old and new words was equivalent in the two groups, although the elderly were slower. In both groups, recognition accuracy (lower in the elderly) was higher following semantic than nonsemantic encoding, whereas lexical decision times were unaffected. Divergent brain potentials for old and new words during lexical decisions constituted a repetition effect, which reflected greater positivity (200-800 ms) for old words, particularly over the left hemisphere; this effect was smaller and later in the elderly. An electrophysiological marker of enhanced recollection for words from the semantic encoding task took the form of a left-sided positivity (500-800 ms). The effect was smaller in the elderly than the young, providing an additional index of their impaired recognition processes.

Adolescent↗

Memory for pictures: a life-span study of the role of visual detail.

This experiment assessed the effect of the amount of physical detail in pictures on picture recognition memory for 7-year-olds, 9-year-olds, young adults, and older adults over 68. Subjects were presented simple and complex line drawings, factorially combined in a "same-different" recognition test with simple or complex forms of each. For each age group, recognition accuracy was significantly higher for pictures presented in the simple than in the complex form. This effect was due to differences between simple and complex pictures in the correct rejection rate but not the hit rate; subjects were less accurate detecting deletions from changed complex pictures than additions to changed simple pictures. The older adults were no better than chance at correctly rejecting changed complex pictures. Although increasing the presentation duration from 5 sec to 15 sec increased overall accuracy, it did not increase subjects' ability to correctly reject changed complex pictures. Results are interpreted in terms of schematic encoding and storage of pictures. Accordingly, visual information that communicates the central schema of each picture is more likely to be encoded and retained in memory than information that does not communicate this schema.

Adolescent↗

Adult age differences in memory for explicit and implicit sentence information.

Adult age differences in the processing of implicit sentence information were examined by testing recognition memory for stated and implied information. The effects of organization on such processing also were examined by presenting test sentences in a structured (story) or unstructured (unrelated sentences) format. No age differences were observed in memory for implied instruments-suggesting that aging has little effect on the processing and storage of such implicational information. In addition, structure had little effect on memory for implied information but interacted with age in determining memory for explicity stated instruments: Young adults remembered more explicit information in the structured condition.

Adult↗

Infant learning and long-term memory at 6 months: a confirming analysis.

In three experiments, we tested the generality and validity of prior evidence of delayed recognition, memory reactivation, and retrieval specificity at 6 months of age using a new operant task. In Experiment 1, the forgetting function was found to be 2 weeks but not 3, the same as previously obtained using the mobile conjugate reinforcement task. In Experiment 2, a reactivation treatment with the original cue (train set) in the original context (room in the home) recovered the memory but was ineffective when either was changed. These results also confirmed prior findings but expanded the manipulation of context to include the place where training occurred. Following a reactivation treatment, infants in Experiment 3a failed to recognize the original cue in a different context, as before, but generalized to a different cue in the original context. Because the latter test condition was novel, a comparison group was trained in the mobile task and tested with a different mobile in the original context 1 day after a reactivation treatment (Experiment 3b); this group failed to recognize the mobile. The disparity in these outcomes was attributed to the salience of features common to the two train sets. Taken together, these findings demonstrate that, for the same parameters of training and testing, memory performance at 6 months is task-independent.

Association Learning↗

Neural correlates of retrieval processing in the prefrontal cortex during recognition and exclusion tasks.

Event-related fMRI was employed to contrast the neural activity elicited in prefrontal cortex during recognition memory and exclusion tests. The study phases preceding each memory test were identical, involving the presentation of study items (visually presented words) in one of two study contexts. For the recognition test subjects were required to respond positively to all old items regardless of study context, and to respond negatively to new items. For the exclusion task, positive responses were required to old items presented in one of the study contexts only; negative responses were required both to unstudied items and studied items from the alternative context (non-targets). No prefrontal region demonstrated greater activity for new items in the exclusion task. Thus, there was no evidence that retrieval cues were processed differently according to the specificity of the sought-for information. In several regions, most notably bilateral anterior prefrontal cortex, activity was greater for old than for new items regardless of task. Activity in right dorsolateral prefrontal cortex was also greater for old than for new items; these effects however were larger in the exclusion task. The findings are consistent with previous reports that activity in anterior prefrontal cortex elicited by recognition retrieval cues is sensitive to retrieval success, and extend these findings to the exclusion task. The findings for the right dorsolateral cortex add further weight to the proposal that this region supports post-retrieval monitoring of retrieved information.

Adult↗

Comprehension of algebraic expressions by experienced users of mathematics.

Little is known about how people comprehend mathematical expressions. In the present study we investigate the internal representations used by experienced users of mathematics to encode algebraic expressions. Initially, a memory recognition task was conducted that examined the role of mathematical syntax in the encoding of algebraic expressions. The results indicate that participants could more readily identify those parts of a previously seen expression that were syntactically well formed than those that were not well formed, suggesting that syntax plays an important role. To determine the level of syntactic structure involved, a second recognition task was conducted. The results indicate that algebraic expressions are encoded into components that represent the phrasal constituents of the expression. However, the results of these experiments did not rule out the possibility that the visual processes of perceptual organization were used to encode the expressions, or that the data were a consequence of a mathematical "lexicon" of common mathematical "phrases". Three further experiments were conducted to examine this, the results of which indicate that the encoding of algebraic expressions is based primarily on processes that occur beyond the level of visual or "lexical" processing. This is consistent with our finding that syntactic structure plays a key role.

Adolescent↗

Patterns of performance in amnesic subjects.

Patients with Korsakoff's syndrome, dementia, alcoholism, right and left temporal lobectomy, and normal subjects were compared on verbal learning and picture recognition memory tasks. Alcoholics and right lobectomy patients were similar on all measures, but the other groups had a characteristic pattern, particularly on hit and false positive rates in picture recognition.

Adult↗

Temporal and cerebellar brain regions that support both declarative memory formation and retrieval.

Using event-related fMRI, we scanned young healthy subjects while they memorized real-world photographs and subsequently tried to recognize them within a series of new photographs. We confirmed that activity in the medial temporal lobe (MTL) and inferior prefrontal cortex correlates with declarative memory formation as defined by the subsequent memory effect, stronger responses to subsequently remembered than forgotten items. Additionally, we confirmed that activity in specific regions within the parietal lobe, anterior prefrontal cortex, anterior cingulate and cerebellum correlate with recognition memory as measured by the conventional old/new effect, stronger responses for recognized old items (hits) than correctly identified new items (correct rejections). To obtain a purer measure of recognition success, we introduced two recognition effects by comparing brain responses to hits and old items misclassified as new (misses). The positive recognition effect (hits > misses) revealed prefrontal, parietal and cerebellar contributions to recognition, and in line with electrophysiological findings, the negative recognition effect (hits < misses) revealed an anterior medial temporal contribution. Finally, by inclusive masking, we identified temporal and cerebellar brain areas that support both declarative memory formation and retrieval. For matching operations during recognition, these areas may re-use representations formed and stored locally during encoding.

Adult↗

Directed forgetting in schizophrenia: prefrontal memory and inhibition deficits.

Schizophrenia is associated with cognitive deficits in the domains of working memory, strategic memory and other executive functions. In the current study we used a computerised and item-cued variant of the directed forgetting (DF) task to assess inhibitory processes in verbal memory. Twenty-five patients with schizophrenia and a group of matched controls were tested. Recognition memory was better for to-be-remembered (TBR) than for to-be-forgotten (TBF) words in both patients and controls. As compared to healthy controls the patients with schizophrenia showed overall memory deficits and difficulties to inhibit memories as indicated by a significant group by cue interaction and a smaller DF effect. The DF effect was associated with disease duration but not with symptom severity. Memory-related inhibition problems are difficult to assess in patients with schizophrenia and might be related to fronto-temporal disconnection.

Adult↗