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A tale of two ages: fluid reasoning as a predictor of working memory training efficacy in middle-aged and older adults. 两个年龄的故事:流动推理作为中老年人工作记忆训练效果的预测因子。
IF 1.6 4区 心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-01-21 DOI: 10.1080/13825585.2025.2452496
Luka Juras, Marina Martincevic, Andrea Vranic

Research on working memory (WM) training reveals significant variability in training effects, indicating that pretraining cognitive abilities might account for these differences. However, consensus on whether higher (magnification account) or lower (compensation account) pretraining abilities predict greater training effects remains elusive. Our study aimed to clarify the role of fluid reasoning in predicting training performance (i.e. training scores at each session) and gains on near transfer WM tasks. We conducted two studies: Study 1 focused on middle-aged adults (47-65 years) and Study 2 on older adults (65-83 years). Participants in both studies were randomly assigned to either adaptive n-back training or an active control group and have all completed three WM tasks before and after 20 training sessions - the trained n-back task and two structurally different untrained tasks. Generally, greater average training scores were found in individuals with higher fluid reasoning for both age groups, although this trend did not reach statistical significance in older adults. Similarly, higher fluid reasoning predicted greater training gains only in the sample of middle-aged adults. Further analysis showed that both, middle-aged and older participants in the training groups exhibited higher gains on the trained n-back task but not on two other WM tasks. Additionally, fluid reasoning predicted n-back gains in both the training and control group. Consistent with a growing body of research, our results show limited generalization of training effects across untrained tasks. It seems that factors beyond pretraining ability should be considered when explaining between-participant differences in training performance.

对工作记忆(WM)训练的研究揭示了训练效果的显著差异,表明预训练认知能力可能解释了这些差异。然而,关于更高(放大解释)或更低(补偿解释)的预训练能力预测更大的训练效果的共识仍然难以捉摸。我们的研究旨在阐明流体推理在预测训练表现(即每次训练的分数)和近迁移WM任务的收益中的作用。我们进行了两项研究:研究1针对中年人(47-65岁),研究2针对老年人(65-83岁)。两项研究的参与者都被随机分配到适应性n-back训练组或积极对照组,并且在20次训练之前和之后都完成了三个WM任务——经过训练的n-back任务和两个结构不同的未训练任务。一般来说,在两个年龄组中,具有较高流动推理能力的个体的平均训练分数更高,尽管这种趋势在老年人中没有统计学意义。同样,只有在中年人的样本中,更高的流动推理能力预示着更大的训练收益。进一步的分析表明,训练组的中老年参与者在训练后的n-back任务中表现出更高的收益,但在其他两个WM任务中却没有。此外,流体推理预测了训练组和对照组的n-back收益。与越来越多的研究一致,我们的研究结果表明,在未经训练的任务中,训练效果的泛化程度有限。在解释参与者之间训练表现的差异时,似乎应该考虑训练前能力之外的因素。
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引用次数: 0
Neighborhood-level socioeconomic disadvantage is associated with multiple cognitive domains in a community sample of older adults. 在社区老年人样本中,社区水平的社会经济劣势与多个认知领域有关。
IF 1.6 4区 心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-01-18 DOI: 10.1080/13825585.2025.2454517
Rebecca G Reed, Abby R Hillmann

Greater neighborhood disadvantage is associated with poorer global cognition. However, less is known about the variation in the magnitude of neighborhood effects across individual cognitive domains and whether the strength of these associations differs by individual-level factors. The current study investigated these questions in a community sample of older adults (N = 166, mean age = 72.5 years, 51% women), who reported current addresses, linked to state-level Area Deprivation Index rankings, and completed remote and validated neuropsychological tests of verbal intelligence (North American Adult Reading Test), verbal fluency (Controlled Oral Word Association Test), attention (Digit Span Forward), and working memory (Digit Span Backward and Sequencing, Letter-Number Sequencing). Linear regressions tested associations between neighborhood disadvantage and each cognitive test, controlling for individual-level factors (age, sex, education). Exploratory analyses tested moderation by each individual-level factor. Independent of individual-level factors, greater neighborhood disadvantage was associated with lower cognitive performance across domains: verbal intelligence (β = 0.30, p < .001), verbal fluency (β = -0.19, p = .014), attention (β = -0.19, p = .024), and two of three tests of working memory (β = -0.17- -0.22, ps = .004-.039). Results were robust to correction for multiple comparisons and tests of spatial autocorrelation. In addition, higher neighborhood disadvantage was associated with lower verbal fluency for older - but not younger-older adults (p = .035) and with poorer working memory in women but not men (p < .001). Education did not moderate associations. Findings suggest that older adults living in more disadvantaged neighborhoods exhibit lower cognitive performance, particularly in the domain of verbal intelligence. Continued investigation of effect modification may be fruitful for uncovering for whom associations are strongest.

社区劣势越大,整体认知能力越差。然而,对于个体认知领域的邻域效应的大小变化以及这些关联的强度是否因个体水平因素而异,我们所知甚少。目前的研究调查了这些问题的社区老年人样本(N = 166,平均年龄= 72.5岁,51%的女性),他们报告了目前的地址,与国家级区域剥夺指数排名相关,并完成了远程和有效的语言智力(北美成人阅读测试),语言流畅性(控制口语单词联想测试),注意力(数字广度前向)和工作记忆(数字广度后向和排序)的神经心理测试。Letter-Number排序)。线性回归测试了邻里劣势与每个认知测试之间的联系,控制了个人层面的因素(年龄、性别、教育)。探索性分析测试了每个个体水平因素的适度性。独立于个人水平的因素,更大的邻里劣势与认知表现较低有关,包括言语智力(β = 0.30, p = 0.014),注意力(β = -0.19, p = 0.024)和三项工作记忆测试中的两项(β = -0.17- -0.22, ps = 0.004 - 0.039)。结果对多重比较和空间自相关检验的校正是稳健的。此外,较高的邻里劣势与老年人较低的语言流畅性有关,但与年轻老年人无关(p = 0.035),与女性较差的工作记忆有关,但与男性无关(p = 0.035)
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引用次数: 0
Disfluency across the lifespan: an individual differences investigation. 一生中的不流利现象:个体差异调查。
IF 1.6 4区 心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-01-01 Epub Date: 2024-05-20 DOI: 10.1080/13825585.2024.2354958
Paul E Engelhardt, Ioanna Markostamou

This study had two research objectives. The first was to examine age-related differences in the fluency of speech outputs, as prior research contains conflicting findings concerning whether older adults produce more disfluency than younger adults. The second was to examine cognitive individual differences, and their relationship with the production of disfluency. One hundred and fifty-four adults completed a story re-telling task, and a battery of cognitive measures. Results showed that younger adults produced more um's and fewer repetitions. For individual differences, results showed that inhibition and set shifting were related to the production of repetitions, and inhibition and working memory were related to uh production. Our results provide clarification about mixed findings with respect age and disfluency production. The individual differences provide clarification on theoretical arguments for disfluent speech in aging (e.g. Inhibition Deficit Hypothesis), and also sheds light on the role of executive functions in models of language production.

本研究有两个研究目标。首先是研究语音输出流畅性方面与年龄有关的差异,因为之前的研究在老年人是否比年轻人产生更多的不流畅方面存在相互矛盾的结论。其次是研究认知上的个体差异及其与不流利现象产生的关系。154 名成年人完成了一项故事重述任务和一系列认知测量。结果表明,年轻的成年人产生更多的 "嗯 "和更少的重复。就个体差异而言,结果显示抑制和集合转移与重复的产生有关,而抑制和工作记忆与嗯的产生有关。我们的研究结果澄清了关于年龄和不流利语产生的混合研究结果。个体差异澄清了老龄失言的理论依据(如抑制缺陷假说),也揭示了执行功能在语言生成模型中的作用。
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引用次数: 0
Memory and automatic processing of valuable information in younger and older adults. 年轻人和老年人对有价值信息的记忆和自动处理。
IF 1.6 4区 心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-01-01 Epub Date: 2024-05-29 DOI: 10.1080/13825585.2024.2360226
Dillon H Murphy, Kara M Hoover, Alan D Castel, Barbara J Knowlton

People often engage in the selective remembering of valuable or important information, whether strategic and/or automatic. We examined potential age-related differences in the automatic processing of value during encoding on later remembering by presenting participants with words paired with point values (range: 1-10 twice or 1-20) to remember for a later test. On the first three lists, participants were told that they would receive the points associated with each word if they recalled it on the test (their goal was to maximize their score). On the last three lists, we told participants that all words were worth the same number of points if recalled on the tests, thus making the point value paired with each word meaningless. Results revealed that selective memory may be impaired in older adults using procedures with larger value ranges. Additionally, we demonstrated that the automatic effects of value may have a greater effect on younger adults relative to older adults, but there may be instances where older adults also exhibit these automatic effects. Finally, strategic and automatic processes may not be related within each learner, suggesting that these processes may rely on different cognitive mechanisms. This indicates that these processes could be underpinned by distinct cognitive mechanisms: strategic processes might engage higher-level cognitive operations like imagery, while automatic processes appear to be more perceptually driven.

人们经常会对有价值或重要的信息进行选择性记忆,无论是策略性记忆还是自动记忆。我们通过向受试者提供与分值(范围:1-10 两次或 1-20)配对的单词,让他们在以后的测试中记住这些单词,从而研究了在编码过程中价值的自动处理对以后记忆可能产生的与年龄有关的差异。在前三个列表中,参与者被告知,如果他们在测试中回忆起每个单词,就会得到与之相关的分数(他们的目标是最大限度地提高分数)。在后三份单词表中,我们告诉受试者,如果在测试中回忆起所有单词,那么所有单词的分值都是一样的,这样一来,每个单词所对应的分值就变得毫无意义了。结果表明,使用分值范围较大的程序可能会损害老年人的选择性记忆。此外,我们还证明,相对于老年人,价值的自动效应对年轻人的影响可能更大,但在某些情况下,老年人也可能表现出这些自动效应。最后,策略过程和自动过程在每个学习者内部可能并不相关,这表明这些过程可能依赖于不同的认知机制。这表明,这些过程可能是由不同的认知机制支撑的:策略过程可能涉及更高层次的认知操作,如想象,而自动过程似乎更多是由知觉驱动的。
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引用次数: 0
Ask how they did it: untangling the relationships between task-specific strategy use, everyday strategy use, and associative memory. 问问他们是怎么做到的:理清特定任务策略使用、日常策略使用和联想记忆之间的关系。
IF 1.6 4区 心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-01-01 Epub Date: 2024-05-08 DOI: 10.1080/13825585.2024.2345408
Caitlin M Terao, Sara Pishdadian, Morris Moscovitch, R Shayna Rosenbaum

Objective: Past research has shown that self-reported everyday strategy use and task-specific strategy use are related to associative memory performance in aging. Understudied is the relationship between these types of strategy use, whether they predict associative memory performance, and how this may differ across genders.

Method: A sample of older adults (N = 566, 53% female, ages 60-80) completed this online study. Study measures included 1. Multifactorial Memory Questionnaire (MMQ) Strategy Use subscale, a self-report measure of everyday strategy use, 2. Face-Name Task (FNT), a measure of associative memory, and 3. self-initiated number and types of strategies used on the FNT. Analyses examined the interrelationships among all study measures and their relative contributions to FNT performance while accounting for intraindividual factors.

Results: Participants who reported using more strategies on the FNT performed better than those who used fewer or no strategies; those who reported using at least three strategies and relating FNT to past experience performed best. Women outperformed men on the FNT but did not differ in task-specific strategy use. Participants who reported using no strategies on the FNT had lower MMQ Strategy Use scores. A multiple regression analysis indicated that female gender and using at least two task strategies were significant predictors of greater FNT performance.

Conclusions: The results indicate that task-specific strategy use relates more to associative memory performance than to everyday strategy use, but neither accounts for the female advantage in FNT performance. Findings encourage querying task-specific strategy use to contextualize age-related associative memory decline.

研究目的过去的研究表明,自我报告的日常策略使用和特定任务策略使用与老年人的联想记忆表现有关。这些策略使用类型之间的关系、它们是否能预测联想记忆表现以及不同性别之间的差异均未得到充分研究:这项在线研究的样本为老年人(566 人,53% 为女性,年龄在 60-80 岁之间)。研究措施包括:1.多因素记忆问卷(MMQ)策略使用分量表,这是一项日常策略使用的自我报告测量;2.面-名任务(FNT),这是一项联想记忆测量;3.自我发起的面-名任务中使用策略的数量和类型。在考虑个体内部因素的情况下,分析检验了所有研究指标之间的相互关系及其对 FNT 成绩的相对贡献:报告在 FNT 中使用了更多策略的参与者的成绩优于使用较少策略或未使用策略的参与者;报告至少使用了三种策略并将 FNT 与过去的经验联系起来的参与者的成绩最好。女性在 FNT 上的表现优于男性,但在特定任务策略的使用上没有差异。在 FNT 中未使用任何策略的参与者的 MMQ 策略使用得分较低。多元回归分析表明,女性性别和至少使用两种任务策略可显著预测更高的 FNT 成绩:结果表明,特定任务策略的使用与联想记忆成绩的关系大于日常策略的使用,但两者都不能解释女性在 FNT 成绩上的优势。研究结果鼓励对特定任务策略的使用进行查询,以了解与年龄相关的联想记忆衰退的背景。
{"title":"Ask how they did it: untangling the relationships between task-specific strategy use, everyday strategy use, and associative memory.","authors":"Caitlin M Terao, Sara Pishdadian, Morris Moscovitch, R Shayna Rosenbaum","doi":"10.1080/13825585.2024.2345408","DOIUrl":"10.1080/13825585.2024.2345408","url":null,"abstract":"<p><strong>Objective: </strong>Past research has shown that self-reported everyday strategy use and task-specific strategy use are related to associative memory performance in aging. Understudied is the relationship between these types of strategy use, whether they predict associative memory performance, and how this may differ across genders.</p><p><strong>Method: </strong>A sample of older adults (<i>N</i> = 566, 53% female, ages 60-80) completed this online study. Study measures included 1. Multifactorial Memory Questionnaire (MMQ) Strategy Use subscale, a self-report measure of everyday strategy use, 2. Face-Name Task (FNT), a measure of associative memory, and 3. self-initiated number and types of strategies used on the FNT. Analyses examined the interrelationships among all study measures and their relative contributions to FNT performance while accounting for intraindividual factors.</p><p><strong>Results: </strong>Participants who reported using more strategies on the FNT performed better than those who used fewer or no strategies; those who reported using at least three strategies and relating FNT to past experience performed best. Women outperformed men on the FNT but did not differ in task-specific strategy use. Participants who reported using no strategies on the FNT had lower MMQ Strategy Use scores. A multiple regression analysis indicated that female gender and using at least two task strategies were significant predictors of greater FNT performance.</p><p><strong>Conclusions: </strong>The results indicate that task-specific strategy use relates more to associative memory performance than to everyday strategy use, but neither accounts for the female advantage in FNT performance. Findings encourage querying task-specific strategy use to contextualize age-related associative memory decline.</p>","PeriodicalId":7532,"journal":{"name":"Aging, Neuropsychology, and Cognition","volume":" ","pages":"29-54"},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140890565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Shift happens: aging alters the content but not the organization of memory for complex events. 转变发生了:衰老会改变复杂事件的记忆内容,但不会改变记忆的组织结构。
IF 1.6 4区 心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-01-01 Epub Date: 2024-05-30 DOI: 10.1080/13825585.2024.2360216
Can Fenerci, Emily E Davis, Sarah E Henderson, Karen L Campbell, Signy Sheldon

While cognitive aging research has compared episodic memory accuracy between younger and older adults, less work has described differences in how memories are encoded and recalled. This is important for memories of real-world experiences, since there is immense variability in which details can be accessed and organized into narratives. We investigated age effects on the organization and content of memory for complex events. In two independent samples (N = 45; 60), young and older adults encoded and recalled the same short-movie. We applied a novel scoring on the recollections to quantify recall accuracy, temporal organization (temporal contiguity, forward asymmetry), and content (perceptual, conceptual). No age-effects on recall accuracy nor on metrics of temporal organization emerged. Older adults provided more conceptual and non-episodic content, whereas younger adults reported a higher proportion of event-specific information. Our results indicate that age-related differences in episodic recall reflect distinctions in what details are assembled from the past.

虽然认知老化研究对年轻人和老年人的外显记忆准确性进行了比较,但描述记忆编码和回忆方式差异的研究较少。这对于真实世界经历的记忆非常重要,因为在获取细节并将其组织成叙述方面存在巨大的差异。我们研究了年龄对复杂事件记忆的组织和内容的影响。在两个独立样本(N = 45;60)中,年轻人和老年人编码并回忆了相同的短片。我们对回忆进行了新颖的评分,以量化回忆的准确性、时间组织(时间连续性、正向不对称性)和内容(感知、概念)。回忆的准确性和时间组织指标都没有出现年龄效应。老年人提供了更多的概念性和非情节性内容,而年轻人则报告了更多的特定事件信息。我们的研究结果表明,记忆性回忆中与年龄有关的差异反映了从过去回忆起的细节的不同。
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引用次数: 0
Development of the Telephone-based Daily Instrumental Activities of Living (T-DIAL) to assess financial management remotely in older adults. 开发基于电话的日常生活工具活动(T-DIAL),以远程评估老年人的财务管理。
IF 1.6 4区 心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-01-01 Epub Date: 2024-05-10 DOI: 10.1080/13825585.2024.2352900
Jennifer L Thompson, Steven Paul Woods, Troy A Webber, Luis D Medina, Kenneth Podell, Hanako Yoshida, Darrian Evans, Natalie C Ridgely, Michelle A Babicz, Elliott M Gomez, Andrea Mustafa

The current study evaluated the reliability and validity of a novel, performance-based banking task in 60 younger (18-34 years) and 60 older (50-85 years) adults. All participants completed the Telephone-based Daily Instrumental Activities of Living (T-DIAL) using interactive voice response technology to complete a series of mock actions with a financial institution via telephone. The T-DIAL showed strong inter-rater reliability and internal consistency. T-DIAL accuracy was significantly and independently related to better self-reported instrumental activities of daily living and executive functions at a large effect size. Findings from this study provided preliminary supportive evidence for the reliability and validity of the T-DIAL, which had robust associations with manifest everyday functioning and higher-order cognitive ability. Future work is needed on the psychometrics (e.g. test-retest reliability, normative standards), and construct validity (e.g. diagnostic accuracy) of the T-DIAL in neurocognitive disorders and under-served communities for whom remote evaluations might be particularly relevant.

本研究对 60 名年轻人(18-34 岁)和 60 名老年人(50-85 岁)进行了一项新颖的、基于表现的银行业务任务的可靠性和有效性评估。所有参与者都使用交互式语音应答技术完成了基于电话的日常生活工具活动(T-DIAL),通过电话与金融机构完成了一系列模拟操作。T-DIAL显示出很强的评分者间可靠性和内部一致性。T-DIAL 的准确性与自我报告的日常生活工具性活动和执行功能的改善有明显的独立相关性,且效应大小较大。这项研究的结果为T-DIAL的可靠性和有效性提供了初步的支持性证据,T-DIAL与日常功能和高阶认知能力有着密切的联系。未来还需要对 T-DIAL 在神经认知障碍和服务不足群体中的心理测量学(如测试再测可靠性、常模标准)和构建有效性(如诊断准确性)进行研究,远程评估可能与这些群体特别相关。
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引用次数: 0
Neighborhood disadvantage is associated with working memory and hippocampal volumes among older adults. 邻里关系不利与老年人的工作记忆和海马体积有关。
IF 1.6 4区 心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2025-01-01 Epub Date: 2024-04-24 DOI: 10.1080/13825585.2024.2345926
Regina S Wright, Alexa C Allan, Alyssa A Gamaldo, Adrienne A Morgan, Anna K Lee, Guray Erus, Christos Davatzikos, Desirée C Bygrave

It is not well understood how neighborhood disadvantage is associated with specific domains of cognitive function and underlying brain health within older adults. Thus, the objective was to examine associations between neighborhood disadvantage, brain health, and cognitive performance, and examine whether associations were more pronounced among women. The study included 136 older adults who underwent cognitive testing and MRI. Neighborhood disadvantage was characterized using the Area Deprivation Index (ADI). Descriptive statistics, bivariate correlations, and multiple regressions were run. Multiple regressions, adjusted for age, sex, education, and depression, showed that higher ADI state rankings (greater disadvantage) were associated with poorer working memory performance (p < .01) and lower hippocampal volumes (p < .01), but not total, frontal, and white matter lesion volumes, nor visual and verbal memory performance. There were no significant sex interactions. Findings suggest that greater neighborhood disadvantage may play a role in working memory and underlying brain structure.

目前还不太清楚邻里劣势与老年人认知功能的特定领域和潜在的大脑健康之间的关系。因此,这项研究的目的是考察邻里劣势、大脑健康和认知表现之间的关联,并考察这种关联在女性中是否更为明显。这项研究包括 136 名接受认知测试和核磁共振成像的老年人。使用地区贫困指数(ADI)来描述邻里劣势。研究采用了描述性统计、二元相关和多元回归等方法。根据年龄、性别、教育程度和抑郁程度进行调整后得出的多元回归结果显示,ADI 州排名越高(贫困程度越高),工作记忆能力越差(P P
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引用次数: 0
Computational modeling of selective attention differentiates subtypes of amnestic mild cognitive impairment. 选择性注意的计算模型可区分健忘轻度认知障碍亚型。
IF 1.6 4区 心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-12-26 DOI: 10.1080/13825585.2024.2442786
Rahel Rabi, Ricky Chow, James A Grange, Lynn Hasher, Claude Alain, Nicole D Anderson

Individuals with amnestic mild cognitive impairment (aMCI), a prodromal stage of Alzheimer's disease and other dementias, show inhibition deficits in addition to episodic memory. How the latent processes of selective attention (i.e., from perception to motor response) contribute to these inhibition deficits remains unclear. Therefore, the present study examined contributions of selective attention to aMCI-related inhibition deficits using computational modeling of attentional dynamics. Two models of selective attention - the dual-stage two-phase model and the shrinking spotlight model - were fitted to individual participant data from a flanker task completed by 34 individuals with single-domain aMCI (sdaMCI, 66-86 years), 20 individuals with multiple-domain aMCI (mdaMCI, 68-88 years), and 52 healthy controls (64-88 years). Findings showed greater commission errors in the mdaMCI group compared to controls. Final-fitting model parameters indicated inhibitory and early perceptual deficits in mdaMCI , and impaired spatial allocation of attention in both MCI groups. Model parameters differentiated mdaMCI from sdaMCI and controls with moderate-to-high sensitivity and specificity. Impairments in perception and selective attention may contribute to inhibition deficits in both aMCI subtypes.

患有遗忘性轻度认知障碍(aMCI)的个体,阿尔茨海默病和其他痴呆症的前驱阶段,除了情景记忆外,还表现出抑制缺陷。选择性注意的潜在过程(即从感知到运动反应)如何导致这些抑制缺陷尚不清楚。因此,本研究使用注意动力学的计算模型来检验选择性注意对amci相关抑制缺陷的贡献。选择性注意的两种模型-双阶段两阶段模型和收缩聚光灯模型-拟合了34个单域aMCI个体(66-86岁),20个多域aMCI个体(68-88岁)和52个健康对照(64-88岁)完成的侧卫任务的个体参与者数据。结果显示,与对照组相比,mdaMCI组的委托错误更大。最终拟合模型参数显示,两组MCI均存在抑制性和早期知觉缺陷,以及注意空间分配受损。模型参数区分mdaMCI与sdaMCI和对照具有中等至高的灵敏度和特异性。知觉和选择性注意的损伤可能导致两种aMCI亚型的抑制缺陷。
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引用次数: 0
Subjective cognitive complaints and future risk of dementia and cognitive impairment, which matters most. 主观认知抱怨和未来痴呆和认知障碍的风险,这是最重要的。
IF 1.6 4区 心理学 Q3 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-12-18 DOI: 10.1080/13825585.2024.2443059
Jaclyn M Fox, Danielle J Harvey, Jagnoor Randhawa, Michelle Chan, Alyssa Weakley, Brandon Gavett, John Olichney, Charles DeCarli, Rachel A Whitmer, Sarah Tomaszewski Farias

Many older adults report subjective cognitive decline (SCD); however, the specific types of complaints most strongly associated with early disease detection remain unclear. This study examines which complaints from the Everyday Cognition Scales (ECog) are associated with progression from normal cognition to mild cognitive impairment (MCI)/dementia. 415 older adults were monitored annually for 5 years, on average. Cox proportional hazards models assessed associations between ECog complaints and progression to MCI/dementia. Follow-up models included depression as a covariate. Numerous Memory (5 items), Language (3 items), Visuospatial (1 item), Planning (2 items), and Organization (1 item) complaints were associated with diagnostic progression. After covarying for depression, remembering appointments and understanding spoken instructions remained significant predictors of diagnostic progression. While previous work has focused largely on memory-based SCD complaints, the current findings support a wider assessment of complaints may be useful in identifying those at risk for a neurodegenerative disease.

许多老年人报告主观认知能力下降(SCD);然而,与早期疾病检测最密切相关的具体类型的抱怨仍不清楚。本研究调查了日常认知量表(ECog)中的哪些抱怨与从正常认知到轻度认知障碍(MCI)/痴呆的进展有关。415名老年人平均每年接受5年的监测。Cox比例风险模型评估了ECog主诉与MCI/痴呆进展之间的关系。随访模型包括抑郁作为协变量。大量记忆(5项)、语言(3项)、视觉空间(1项)、计划(2项)和组织(1项)抱怨与诊断进展相关。在抑郁共变后,记住约会和理解口头指示仍然是诊断进展的重要预测因素。虽然以前的工作主要集中在基于记忆的SCD主诉上,但目前的研究结果支持对主诉进行更广泛的评估,这可能有助于识别那些有神经退行性疾病风险的人。
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引用次数: 0
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Aging, Neuropsychology, and Cognition
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