Janet M. Duchek

VERIDICAL AND FALSE MEMORIES IN HEALTHY OLDER ADULTS AND IN DEMENTIA OF THE ALZHEIMER'S TYPE

Five groups of participants (young, healthy old, healthy old-old, very mild Dementia of the Alzheimers Type, Mild Dementia of the Alzheimers Type) studied and were tested on six 12-item lists of words selected from the DRM (Deese, 1959; Roediger & McDermott, 1995) materials. These lists of words strongly converged semantically on a nonpresented critical word. The results indicated that both veridical recall and recognition performance decreased both as a function of age of the participants and as a function of dementia severity. However, the recall and recognition of the highly related nonpresented items actually increased as a function of age, and only slightly decreased as a function of DAT. When false memory was considered as a proportion of veridical memory, there was a clear increase as a function of both age of the participants and as a function of disease severity. The results are discussed in terms of (a) age and DAT-related changes in attention and memory performance, and (b) the underlying mec...

LONGITUDINAL DRIVING PERFORMANCE IN EARLY-STAGE DEMENTIA OF THE ALZHEIMER TYPE

Objectives: To longitudinally assess on‐road driving performance in healthy older adults and those with early‐stage dementia of the Alzheimer type (DAT).

Semantic Priming Effects, Lexical Repetition Effects, and Contextual Disambiguation Effects in Healthy Aged Individuals and Individuals with Senile Dementia of the Alzheimer Type

An experiment is reported that addresses semantic priming effects, lexical repetition effects, and the influence of context on meaning selection for ambiguous words in 32 healthy aged individuals and 32 individuals with Senile Dementia of the Alzheimer Type (SDAT). On each of 232 trials, subjects pronounced each of three words. The four major conditions were concordant (music-organ-piano), discordant (kidney-organ-piano), neutral (ceiling-organ-piano), and unrelated (kidney-ceiling-piano). In order to address lexical repetition effects, target words were repeated across Blocks 1 and 2 but not in Block 3. Analyses of naming latencies indicated that semantic priming effects and lexical repetition effects were slightly larger in SDAT individuals than in healthy aged individuals. More importantly, healthy aged individuals produced normal selective access of the contextually biased meaning whereas SDAT individuals produced evidence consistent with nonselective meaning access. These results are discussed within both an attentional and a connectionist account of homograph disambiguation.

Age-related differences in lexical access, spreading activation, and simple pronunciation.

An experiment was conducted to address age-related differences in lexical access, spreading activation, and pronunciation. Both young and older adults participated in a delayed pronunciation task to trace the time course of lexical access and a semantic priming task to trace the time course of spreading activation. In the delayed pronunciation task, subjects were presented a word and then, after varying delays, were presented a cue to pronounce the word aloud. Older adults benefited considerably more from the preexposure to the word than did the younger adults, suggesting an age-related difference in lexical access time. In the semantic priming pronunciation task, semantic relatedness (related vs. neutral), strength of the relationship (high vs. low), and prime-target stimulus onset asynchrony (200 ms, 350 ms, 500 ms, 650 ms, and 800 ms) were factorially crossed with age to investigate age-related differences in the buildup of semantic activation across time. The results from this task indicated that the activation pattern of the older adults closely mimicked that of the younger adults. Finally, the results of both tasks indicated that older adults were slower at both their onset to pronounce and their actual production durations (i.e., from onset to offset) in the pronunciation task. The results were interpreted as suggesting that input and output processes are slowed with age, but that the basic retrieval mechanism of spreading activation is spared by age.

Characteristics of motor vehicle crashes of drivers with dementia of the Alzheimer type.

OBJECTIVE: To determine whether there is a difference in crash rates and characteristics between drivers with dementia of the Alzheimer type (DAT) and nondemented older persons who were controls.

Effects of Healthy Aging and Early Stage Dementia of the Alzheimer's Type on Components of Response Time Distributions in Three Attention Tasks

OBJECTIVE The characteristics of response time (RT) distributions beyond measures of central tendency were explored in 3 attention tasks across groups of young adults, healthy older adults, and individuals with very mild dementia of the Alzheimers type (DAT). METHOD Participants were administered computerized Stroop, Simon, and switching tasks, along with psychometric tasks that tap various cognitive abilities and a standard personality inventory (NEO-FFI). Ex-Gaussian (and Vincentile) analyses were used to capture the characteristics of the RT distributions for each participant across the 3 tasks, which afforded 3 components: mu and sigma (mean and standard deviation of the modal portion of the distribution) and tau (the positive tail of the distribution). RESULTS The results indicated that across all 3 attention tasks, healthy aging produced large changes in the central tendency mu parameter of the distribution along with some change in sigma and tau (mean etap(2) = .17, .08, and .04, respectively). In contrast, early stage DAT primarily produced an increase in the tau component (mean etap(2) = .06). tau was also correlated with the psychometric measures of episodic/semantic memory, working memory, and processing speed, and with the personality traits of neuroticism and conscientiousness. Structural equation modeling indicated a unique relation between a latent tau construct (-.90), as opposed to sigma (-.09) and mu constructs (.24), with working memory measures. CONCLUSIONS The results suggest a critical role of attentional control systems in discriminating healthy aging from early stage DAT and the utility of RT distribution analyses to better specify the nature of such change.

The Utility of Intraindividual Variability in Selective Attention Tasks as an Early Marker for Alzheimer's Disease

This study explored differences in intraindividual variability in 3 attention tasks across a large sample of healthy older adults and individuals with very mild dementia of the Alzheimers type (DAT). Three groups of participants (healthy young adults, healthy older adults, very mild DAT) were administered 3 experimental measures of attentional selection and switching (Stroop, Simon, task switching). The results indicated that a measure of intraindividual variability, coefficient of variation (CoV; SD/M), increased across age and early stage DAT. The CoV in Stroop discriminated the performance of epsilon4 carriers from noncarriers in healthy older controls and the CoV in task switching was correlated with cerebrospinal fluid (CSF) biomarkers predictive of DAT.

Predicting conversion to dementia of the Alzheimer's type in a healthy control sample: the power of errors in Stroop color naming.

In the present study, we investigated which cognitive functions in older adults at Time A are predictive of conversion to dementia of the Alzheimers type (DAT) at Time B. Forty-seven healthy individuals were initially tested in 1992-1994 on a trial-by-trial computerized Stroop task along with a battery of psychometric measures that tap general knowledge, declarative memory, visual-spatial processing, and processing speed. Twelve of these individuals subsequently developed DAT. The errors on the color incongruent trials (along with the difference between congruent and incongruent trials) and changes in the reaction time distributions were the strongest predictors of conversion to DAT, consistent with recent arguments regarding the sensitivity of these measures. Notably in the psychometric measures, there was little evidence of a difference in declarative memory between converters and nonconverters, but there was some evidence of changes in visual-spatial processing. Discussion focuses on the accumulating evidence suggesting a role of attentional control mechanisms as an early marker for the transition from healthy cognitive aging to DAT.

Does expanded retrieval produce benefits over equal-interval spacing? Explorations of spacing effects in healthy aging and early stage Alzheimer's disease.

Three experiments explored different schedules of retrieval practice in young adults, older adults, and individuals with dementia of the Alzheimer type. In each experiment, an initial acquisition phase was presented in which participants studied or attempted to retrieve response words to cues, followed by a later cued-recall test. Experiment 1 produced a benefit of expanded retrieval over equal-interval retrieval during acquisition, but this benefit was lost in final cued recall. In Experiments 2 and 3, participants received corrective feedback during acquisition and modified spacing schedules. There was again no evidence of a difference between expanded and equal-interval conditions in final cued recall. Discussion focuses on the potential benefits and costs of expanded retrieval on a theoretical and applied level.

A dissociative word-frequency X levels-of-processing interaction in episodic recognition and lexical decision tasks

The effects of levels-of-processing and word frequency were directly compared in three different memory tests. In the episodic recognition test, the subjects decided whether or not a word or a pronounceable nonword had been previously studied. In the two lexical decision tests with either pronounceable or unpronounceable nonwords as distractors, the subjects decided whether a test item was a word or a nonword. There were four main results: (1) in all three tests, reaction times (RTs) in response to studied words were faster if they had received semantic rather than rhyme processing during study; (2) in the episodic recognition test, RTs were faster for low- than for high-frequency words; in both lexical decision tests, RTs were faster for high- than for low-frequency words, though less so when the non word distractors were unpronounceable; (3) prior study facilitated lexical decisions more in response to low- than to high-frequency words, thereby attenuating the word-frequency effect, but more so when the nonword distractors were pronounceable; (4) in the lexical decision test with pronounceable nonword distractors, relative to prior rhyme processing, prior semantic processing facilitated performance more for high- than for low-frequency words, whereas the opposite was the case in the episodic recognition test. Discussion focused on the relationship of these results to current views of the mechanisms by which (1) word frequency and depth of processing affect performance in implicit and explicit memory tests, and (2) repetition priming attenuates word-frequency effects for lexical decisions.