Iris W. Schmidt

Relations between subjective evaluations of memory and objective memory performance.

Several explanations for the weak relations between subjective memory judgments and objective memory performance were investigated in two groups of normal older adults. Group 1 sampled a general population (mean age 61.6 yr., range 46–89), while Group 2 sampled subjects who were on a waiting list for memory training (mean age 63.0 yr., range 45–85 years). In both groups, subjective memory judgments were assessed with global ratings of memory capacity and with ratings of frequency of forgetting in specific memory situations. Memory performance was assessed with several well-known tests and with recently developed tests for domain-specific aspects of memory. Most tests concerned episodic memory. Study 1 also included measures of semantic, incidental, and working memory. Study 2 further examined the influence of the domain-specificity of objective and subjective measures for remembering names, intentions, and texts. Relations between memory self-reports and performance were weak in both groups and for all kinds of tests. Against expectations, the low correlations could not be explained by differences between ecological and laboratory tests or incidentally and intentionally remembered information, or by differences between specific failures compared to global, stereotyped judgments. Surprisingly, correlations did not increase when subjective and objective measures assessed the same ability, like remembering names. Also noncognitive variables (mood and lifestyle) did not influence the relations. The (weak) relations between subjective and objective memory measures were comparable for subjects over and under 65 years of age. Furthermore, relations were comparable for the general population sample and the memory compliant group.

PROSPECTIVE MEMORY TRAINING IN OLDER ADULTS

This study evaluates the results of a training program for prospective remembering. The goal of the training was to improve prospective memory by associating cues from the retrieval situation with the to be remembered information. The training group consisted of 20 participants, aged between 45 and 81 years. The effects of strategy training were compared with those of an educational training group (N = 23 , age range 45-84) directed at reducing worries about forgetfulness, and a retest control group (N = 22 , age range 46-74). The educational training and retest control groups did not differ in demographic characteristics and test performance and were combined into one control group. Subjective evaluations revealed that subjects were very satisfied with the effects of training. This also was true for subjects in the educational training condition. The objective effects of training were evaluated with a telephone task which had to be performed in the daily life situation, and a prospective categorization task performed in the laboratory. Despite the low reliabilities of the prospective tasks, a significant but small effect of training compared to the combined control group was found on the sum score of prospective tests. The training effect was not related to age or pretraining performance level. At the three months follow-up, however, performance of the control group had increased to the level of the trained group. As expected, training effects did not generalize to other memory measures (assessed with tests for remembering names) or control measures (assessed with visuo-motor reaction time tests).This study evaluates the results of a training program for prospective remembering. The goal of the training was to improve prospective memory by associating cues from the retrieval situation with the to be remembered information. The training group consisted of 20 participants, aged between 45 and 81 years. The effects of strategy training were compared with those of an educational training group (N = 23 , age range 45-84) directed at reducing worries about forgetfulness, and a retest control group (N = 22 , age range 46-74). The educational training and retest control groups did not differ in demographic characteristics and test performance and were combined into one control group. Subjective evaluations revealed that subjects were very satisfied with the effects of training. This also was true for subjects in the educational training condition. The objective effects of training were evaluated with a telephone task which had to be performed in the daily life situation, and a prospective categorization t...

Recovery of speed of information processing in closed-head-injury patients

After severe traumatic brain injury, patients almost invariably demonstrate a slowing of reaction time, reflecting a slowing of central information processing. Methodological problems associated with the traditional method for the analysis of longitudinal data (MANOVA) severely complicate studies on cognitive recovery. It is argued that multilevel models are often better suited for the analysis of improvement over time in clinical settings. Multilevel models take into account individual differences in both overall performance level and recovery. These models enable individual predictions for the recovery of speed of information processing. Recovery is modelled in a group of closed-head-injury patients (N = 24). Recovery was predicted by age and severity of injury, as indicated by coma duration. Over a period up to 44 months post trauma, reaction times were found to decrease faster for patients with longer coma duration.

Evaluation of an intervention directed at the modification of memory beliefs in older adults

In clinical practice, memory interventions often aim to improve negative beliefs and expectations about memory in the elderly. The (implicit or explicit) assumption is often that changing beliefs and expectations about memory does not only improve subjective memory judgments, but leads to improved memory performance as well. Surprisingly few studies, however, have evaluated these objectives effects. The present study describes an intervention directed at reducing negative stereotypes and worries about memory. Both subjective and objective effects were assessed in an intervention group (N = 22, mean age 63 years) and compared to a no - treatment control group (N = 23, mean age 61 years). Subjects were very satisfied with the effect of the intervention . The intervention had a positive effect on subjective reports on knowledge and worries about forgetfulness. The positive subjective effects, however, were not accompanied by an improved performance on memory tests. Age and initial memory performance were not...

Flexible adaptation to changing task demands in severe closed head injury patients: a driving simulator study

The assessment of fitness to drive in patients with closed head injury (CHI) does not usually include executive functioning. Executive functions may be particularly important for the tactical (e.g. anticipatory adaptation of speed) and strategical (e.g. choice of route and time) aspects of driving. The literature lacks evidence on the tactical aspects, which are critical in the assessment of actual driving. Executive functioning was therefore assessed in a task context relevant to tactical decision making in driving. Twenty very severe chronic CHI patients and 20 healthy control subjects were tested with a driving simulator test and an extended neuropsychological test battery. In the driving simulator test, executive function was operationally defined as the flexible adaptation to changing task demands. A specific feature of the test was the experimental control for slow information processing, a persistent sequel of severe CHI. Given this control for slow information processing, it was found that patients were unimpaired in their flexible adaptations. Similar findings were obtained with a neuropsychological test battery. Patients were consistently slower, but planning and flexibility were found to be unimpaired.

Behandeling van geheugenproblemen

SamenvattingGeheugenproblemen komen veel voor. Het zijn niet alleen de meest voorkomende gevolgen van allerlei soorten hersenaandoeningen, maar ook gezonde ouderen en zelfs jonge mensen hebben last van vergeetachtigheid. Aangezien geheugenproblemen een ernstige handicap kunnen vormen in het dagelijks leven, kan een geheugenbehandeling uitkomst bieden. In dit artikel worden verschillende methoden van geheugenbehandeling beschreven.