When false recognition is unopposed by true recognition: gist-based memory distortion in Alzheimer's disease

The authors examined false recognition of semantic associates in patients with probable Alzheimer's disease (AD), older adults, and young adults using a paradigm that provided rates of false recognition after single and multiple exposures to word lists. Using corrected false recognition scores to control for unrelated false alarms, the authors found that (a) the level of false recognition after a single list exposure was lower in AD patients than in controls; (b) across 5 trials, false recognition increased in AD patients, decreased in young adults, and showed a fluctuating pattern in older adults; and (c) all groups showed an increase in true recognition over the 5 trials. Analyses suggested that AD patients built up semantic gist across trials, whereas both control groups were able to use increased item-specific recollection and more conservative response criteria to suppress gist-based false alarms.     

Comparing source-based and gist-based false recognition in aging and Alzheimer's disease

This study examined 2 factors contributing to false recognition of semantic associates: errors based on confusion of source and errors based on general similarity information or gist. The authors investigated these errors in patients with Alzheimer's disease (AD), age-matched control participants, and younger adults, focusing on each group's ability to use recollection of source information to suppress false recognition. The authors used a paradigm consisting of both deep and shallow incidental encoding tasks, followed by study of a series of categorized lists in which several typical exemplars were omitted. Results showed that healthy older adults were able to use recollection from the deep processing task to some extent but less than that used by younger adults. In contrast, false recognition in AD patients actually increased following the deep processing task, suggesting that they were unable to use recollection to oppose familiarity arising from incidental presentation.     

False recognition of pictures versus words in Alzheimer's disease: the distinctiveness heuristic

False recognition of semantic associates can be reduced when older adults also study pictures representing each associate. D. L. Schacter, L. Israel, and C. Racine (1999) attributed this reduction to the operation of a distinctiveness heuristic: a response mode in which participants demand access to detailed recollections to support a positive recognition decision. The authors examined patients with probable Alzheimer's disease (AD) and older adults with this paradigm. Half of the participants studied pictures and auditory words; the other half studied visual and auditory words. Older adults who studied pictures were able to reduce their false alarms compared with those who studied words only. AD patients who studied pictures were unable to reduce their false alarms compared with those who studied words only and, in fact, exhibited trends toward greater false recognition. Implications for understanding semantic memory in AD patients are discussed.     

Loss of distinctive features and a broader pattern of priming in Alzheimer's disease

The results of 2 experiments support the contention that patients with Alzheimer's disease (AD) show a relative loss of the semantic features that distinguish concepts from one another and that the representations of pairs of concepts consequently share a larger proportion of their associated features in AD than in normal aging. In Experiment 1, AD patients listed fewer features for a set of concepts than did healthy older adults and were more deficient at listing features if the features were distinctive to particular concepts than if they were shared by multiple concepts. In Experiment 2, AD patients showed online priming at levels of relatedness at which healthy older adults did not.     

Evidence for intact selective attention in Alzheimer's disease patients using a location priming task

Researchers examining selective attentional mechanisms in patients with Alzheimer's disease (AD) often report impairment in patients' ability to inhibit irrelevant or distracting information. However, in many studies reporting such failures, researchers used tasks that require semantic processing, which a large body of literature documents to be disrupted in AD. The authors of this study used a spatial location-priming task that minimized semantic processing to examine the phenomena of negative priming and facilitative priming in 13 AD patients and 13 healthy older adults. AD patients demonstrated facilitative and negative priming proportionately equivalent to that of older adults. These findings suggest that both the facilitative and inhibitory mechanisms involved in selective attention are preserved in patients with AD and can be revealed in tasks that minimize semantic processing.     

Task Complexity and Signal Detection Analyses of Lexical Decision Performance in Alzheimer's Disease

This experiment addressed the issue of whether the changes in semantic memory performance associated with Alzheimer's disease (AD) could be distinguished from a generalized cognitive slowing. Young adults, healthy older adults, and AD patients performed 3 different reaction time (RT) tasks involving yes-no responses to visually presented letter strings. Task complexity analyses indicated that performance in the semantic task (lexical decision) was consistent with a generalized slowing of cognitive function that was greater in magnitude for AD than for normal aging. Signal detection analyses of the lexical decision data demonstrated AD-related changes in word-nonword discrimination, response bias, and the relation between discrimination and RT. The general cognitive slowing associated with AD was accompanied by additional changes specific to the performance of this semantic memory task.     

Selective attention modulates visual and haptic repetition priming: effects in aging and Alzheimer's disease

In two experiments, we examined the effect of selective attention at encoding on repetition priming in normal aging and Alzheimer's disease (AD) patients for objects presented visually (experiment 1) or haptically (experiment 2). We used a repetition priming paradigm combined with a selective attention procedure at encoding. Reliable priming was found for both young adults and healthy older participants for visually presented pictures (experiment 1) as well as for haptically presented objects (experiment 2). However, this was only found for attended and not for unattended stimuli. The results suggest that independently of the perceptual modality, repetition priming requires attention at encoding and that perceptual facilitation is maintained in normal aging. However, AD patients did not show priming for attended stimuli, or for unattended visual or haptic objects. These findings suggest an early deficit of selective attention in AD. Results are discussed from a cognitive neuroscience approach.     

FALSE RECALL AND FALSE RECOGNITION: AN EXAMINATION OF THE EFFECTS OF SELECTIVE AND COMBINED LESIONS TO THE MEDIAL TEMPORAL LOBE/DIENCEPHALON AND FRONTAL LOBE STRUCTURES

The present experiment examined the false recall and false recognition of nonstudied words that are preceded by a list of strong associates in patients with amnesia due to damage restricted to medial temporal lobe or diencephalic regions (MTL/D amnesics), in nonamnesic patients with damage restricted to the frontal lobes (FL nonamnesics), and in amnesic patients with damage to the frontal lobes in addition to medial temporal lobe damage (FL amnesics). We used the Deese/Roediger and McDermott paradigm (Deese, 1959; Roediger & McDermott, 1995) in which people frequently claim that nonstudied words appeared on a presented list. At immediate free recall, the results taken together showed that MTL/D amnesic patients and FL nonamnesic patients produced higher levels of false memory than did controls. At recognition both types of amnesic patients produced less false recognition than either frontal-lobe patients or controls. The results are consistent with the hypothesis that abnormally high levels of false memories are related to the following three conditions: (1) partial memory for the word lists, (2) the ability to extract the semantic gist of the list, and (3) a deficit in strategic monitoring processes.     

Failing to get the gist: reduced false recognition of semantic associates in semantic dementia

In 2 experiments involving patients with semantic dementia, the authors investigated the impact of semantic memory loss on both true and false recognition. Experiment 1 involved recognition memory for categories of everyday objects that shared a predominantly semantic relationship. The patients showed preserved item-specific recollection for the pictorial stimuli but, compared with control participants, exhibited significantly reduced utilization of gist information regarding the categories of objects. The latter result is consistent with the patients' degraded semantic knowledge. Experiment 2 involved categories of abstract objects that were related to one another perceptually rather than semantically. Patients with semantic dementia obtained item-specific recollection and gist memory scores that were indistinguishable from those of control participants. These results suggest that the reduction in gist memory in semantic dementia is largely specific to semantic representations and cannot be attributed to general difficulty with abstracting and/or utilizing gistlike commonalities between stimuli.     

Effects of Alzheimer's disease on the recognition of novel versus familiar words: neuropsychological and clinico-metabolic data

This study explored recognition memory performance for novel versus familiar words in Alzheimer's disease (AD) patients and normal controls (NCs), using an adaptation of E. Tulving and N. Kroll's (1995) procedure. Results showed that both groups exhibited more hits and more false alarms for familiar than for novel words. The groups did not differ in the recognition of familiar words, reflecting preserved familiarity processes in AD. However, AD patients made more false alarms than NCs in the recognition of novel words, reflecting impairment of recollection processes in AD. A positron emission tomography analysis of clinico-metabolic correlations in AD patients showed a correlation between recognition of novel words and right hippocampal activity, whereas recognition of familiar words was more related to metabolic activity in the left posterior orbitofrontal cortex.     

Age-related functional recruitment for famous name recognition: an event-related fMRI study

Recent neuroimaging research shows that older adults exhibit recruitment, or increased activation on various cognitive tasks. The current study evaluated whether a similar pattern also occurs in semantic memory by evaluating age-related differences during recognition of Recent (since the 1990s) and Enduring (1950s to present) famous names. Fifteen healthy older and 15 healthy younger adults performed the name recognition task with a high and comparable degree of accuracy, although older adults had slower reaction time in response to Recent famous names. Event-related functional MRI showed extensive networks of activation in the two groups including posterior cingulate, right hippocampus, temporal lobe and left prefrontal regions. The Recent condition produced more extensive activation than the Enduring condition. Older adults had more extensive and greater magnitude of activation in 15 of 20 regions, particularly for the Recent condition (15 of 15; 7 of 15 also differed for Enduring); young adults did not show greater activation magnitude in any region. There were no group differences for non-famous names, indicating that age differences are task-specific. The results support and extend the existing literature to semantic memory tasks, indicating that older adult brains use functional recruitment to support task performance, even when task performance accuracy is high.     

PERCEPTUALLY BASED FALSE RECOGNITION OF NOVEL OBJECTS IN AMNESIA: EFFECTS OF CATEGORY SIZE AND SIMILARITY TO CATEGORY PROTOTYPES

Previous research suggests that amnesics may show impaired semantically based false recognition under conditions where control participants show high levels of gist-based errors, but little or no impairment when controls show less robust false recognition. Using abstract novel objects, we examined perceptually based false recognition in amnesics under conditions designed to induce differing levels of false recognition in controls. Whereas amnesics showed significantly impaired false recognition for category prototypes, and numerically impaired false recognition when many perceptually similar exemplars were studied-conditions where controls showed high rates of illusory recognition-amnesics and controls showed lower, and comparable, levels of false recognition when few related exemplars were studied, or lures were at a far transformational distance from the prototype. Although amnesics may be able to extract some information regarding the perceptual “gist” of studied items, they appear to do so less efficiently than controls.     

Elevated brain scyllo-inositol concentrations in patients with Alzheimer's disease

in vivo (1)H MRS reveals reduced N-acetylaspartate (NAA) and elevated myo-inositol (mI) in patients with mild Alzheimer's disease (AD) and patients with amnestic mild cognitive impairment (MCI). We are unaware of studies that have documented abnormal scyllo-inositol (sI) levels in patients with AD or patients with MCI, although a previous MRS study in older adults has indicated that sI is a peak of interest to measure in AD. Fifteen patients with mild AD, 26 patients with amnestic MCI, and 19 healthy older adults were recruited to this study. All underwent (1)H MRS of the posterior cingulate gyrus of the brain using a 3 T MRI scanner. Increases in the sI/creatine (Cr) ratio were observed in patients with mild AD (P < 0.05). The mI/Cr ratio was raised in patients with mild AD (P < 0.01) and MCI (P < 0.05). Reduced NAA/Cr was detected in patients with mild AD (P < 0.05). The sI/Cr ratio correlated negatively (r = -0.60, P < 0.05) with a measure of clock drawing in patients with mild AD, indicating that impaired cognitive ability in AD is associated with higher concentrations of sI/Cr. In vivo measurement of sI/Cr in the posterior cingulate gyrus of patients with mild AD revealed increases compared with cognitively healthy older adults. Further research on the mechanisms of sI increase in AD is needed. Future studies on the longitudinal course of sI/Cr in MCI and AD appear warranted.     

Regionally specific atrophy of the corpus callosum in AD, MCI and cognitive complaints

The goal of the present study was to determine if there are global or regionally specific decreases in callosal area in early Alzheimer's disease (AD) and mild cognitive impairment (MCI). In addition, this study examined the corpus callosum of healthy older adults who have subjective cognitive complaints (CC) but perform within normal limits on neuropsychological tests. We used a semi-automated procedure to examine the total and regional areas of the corpus callosum in 22 patients with early AD, 28 patients with amnestic MCI, 28 healthy older adults with cognitive complaints, and 50 demographically matched healthy controls (HC). The AD, MCI, and CC groups all showed a significant reduction of the posterior region (isthmus and splenium) relative to healthy controls. The AD group also had a significantly smaller overall callosum than the controls. The demonstration of callosal atrophy in older adults with cognitive complaints suggests that callosal changes occur very early in the dementing process, and that these earliest changes may be too subtle for detection by neuropsychological assessments, including memory tests.     

Memory and emotions for the september 11, 2001, terrorist attacks in patients with Alzheimer's disease, patients with mild cognitive impairment, and healthy older adults

National traumatic events can produce extremely vivid memories. Using a questionnaire administered during telephone interviews, the authors investigated emotional responses to, and memory for. the September 11, 2001, terrorist attacks in patients with Alzheimer's disease (AD), patients with mild cognitive impairment (MCI), and healthy older adults in the initial weeks following the event and again 3-4 months later. There were several notable findings. First, patients with AD showed less memory than patients with MCI and older adults. Second, patients with AD, but not patients with MCI or older adults, appeared to retain more memory for personal versus factual information. Third, patients with AD and older adults did not differ in the intensity of their reported emotional responses to the attacks, whereas patients with MCI reported relatively less intense emotional responses. Last, distortions of memory for personal information were frequent for all participants but were more common in patients with AD.     

Categorization of novel animals by patients with Alzheimer's disease and corticobasal degeneration

We taught a novel animal category by rule-based and similarity-based processes to participants with Alzheimer's disease (AD), corticobasal degeneration (CBD), and healthy age-matched participants. Healthy participants successfully categorized by either process. AD patients' rule-based categorization was impaired, while their similarity-based categorization resembled that of healthy participants. Correlations of AD patients' performance with measures of executive functioning suggested a deficit in the cognitive resources necessary for engaging rule-based categorization. The contribution of limited executive resources to categorization difficulty in AD was further demonstrated in a second experiment in which features determining category membership were of lower salience. CBD patients were relatively impaired at similarity-based processing, suggesting that qualitatively distinct categorization processes can be selectively compromised in patients with focal neurodegenerative diseases. Moreover, AD patients' impaired categorization correlated with performance on a measure of semantic memory, implicating this categorization deficit in AD patients' semantic memory difficulty.     

A within-modality test of semantic knowledge: The Size/Weight Attribute Test

Individuals with semantic dementia (SD; n=12) or Alzheimer's disease (AD; n=20) and healthy volunteers (n=40) were tested on tasks probing attribute rather than associative knowledge of animals and objects in the visual and verbal domains. The tasks were within modality, in that they probed knowledge in a single presentation modality (pictures or written words) and did not require cross-modal matching. Participants were required to make the same simple judgment about triads of animal stimuli ("Which is the largest and smallest?") and object stimuli ("Which is the heaviest and lightest?"). Control participants scored at ceiling on this simple task. Overall, the SD patients were significantly more impaired on this task than were the AD patients, who in turn were significantly more impaired than the controls. There was a strong trend for SD but not AD patients to show worse performance with verbal than visual material. However, no significant effects of category were found in either patient group. The Size/Weight Attribute Test has the potential to assess modality-specific deficits of semantic knowledge.     

The role of color in the implicit memory performance of healthy older adults and individuals with Alzheimer's disease

Although the Alzheimer's disease (AD) patients in this study were severely impaired in recognition performance, their naming performance demonstrated normal priming across transformations in object color. This is evidence for preserved implicit shape-based memory performance in AD patients. For colored-object decision, healthy older adult control participants but not AD patients showed priming for new associations between previously encountered object shapes and colors. The author argues, on the basis of this colored object decision performance, that the deficits present in AD do not allow shape and color to be integrated to form a novel unitized representation that can be used to benefit cognitive performance.     

Age-related changes in word retrieval: role of bilateral frontal and subcortical networks

Healthy older adults frequently report word-finding difficulties, yet the underlying cause of these problems is not well understood. This study examined whether age-related changes in word retrieval are related to changes in areas of the frontal lobes thought to subserve word retrieval or changes in areas of the inferior temporal lobes thought to be involved in semantic knowledge. Twenty younger and 20 older healthy adults named aloud photographs during event-related fMRI. Results showed that in the face of equivalent naming accuracy, older adults activated a larger frontal network than younger adults during word retrieval, but there were no activity differences between groups in the fusiform gyrus, suggesting that the substrates for word retrieval but not for semantic knowledge change with aging. Additionally, correlations between BOLD response and naming accuracy and response latency were found in several frontal and subcortical regions in older adults. Findings are discussed in the context of possible compensatory mechanisms invoked to maintain performance in healthy aging, and suggest that increased involvement of the right hemisphere is not universally beneficial to performance.     

False memory and schizophrenia: evidence for gist memory impairment

BACKGROUND: In this study we examined patients' false memory, that is memory for a non-presented event, to search for a further source of converging evidence for the impairment of semantic memory in individuals with schizophrenia. In two experiments we compared the pattern of false memory created by the Deese-Roediger-McDermott (DRM) paradigm between individuals with schizophrenia and those of a normal control group. METHOD: Experiment 1 tested participants on both recall and recognition of lists of semantically related words. Experiment 2 adopted the meaning recognition test, in addition to the standard recognition test, to assess the participants' gist memory. RESULTS: Individuals with schizophrenia performed worse than normal controls on both recall and recognition of studied words. The schizophrenia patients had higher rates of false recall and false recognition for semantically unrelated words than did the normal controls, suggesting an abnormal pattern of semantic activation in the former group. More importantly, no differences were found between the two groups with regard to false recall and false recognition of semantically related words. When the participants were tested for meaning recognition, however, the schizophrenia patients gave fewer 'old' responses to non-studied semantically related words than did the control group, indicating an impaired gist memory in schizophrenia patients. CONCLUSIONS: When asked to consciously retrieve word lists, individuals with schizophrenia showed impairment not only in item-specific memory but also in gist memory. The pattern of results is consistent with the storage deficit view of semantic memory in schizophrenia.