Is implicit memory associated with the hippocampus?

According to the traditional memory-systems view, the hippocampus is critical during explicit (conscious) long-term memory, whereas other brain regions support implicit (nonconscious) memory. In the last two decades, some fMRI studies have reported hippocampal activity during implicit memory tasks. The aim of the present discussion paper was to identify whether any implicit memory fMRI studies have provided convincing evidence that the hippocampus is associated with nonconscious processes without being confounded by conscious processes. Experimental protocol and analysis parameters included the stimulus type(s), task(s), measures of subjective awareness, explicit memory accuracy, the relevant fMRI contrast(s) or analysis, and confound(s). A systematic review was conducted to identify implicit memory studies that reported fMRI activity in the hippocampus. After applying exclusion criteria, 13 articles remained for analysis. We found that there were no implicit memory fMRI studies where subjective awareness was absent, explicit memory performance was at chance, and there were no confounds that could have driven the observed hippocampal activity. The confounds included explicit memory (including false memory), imbalanced attentional states between conditions (yielding activation of the default-mode network), imbalanced stimuli between conditions, and differential novelty. As such, not a single fMRI study provided convincing evidence that implicit memory was associated with the hippocampus. Neuropsychological evidence was also considered, and implicit memory deficits were caused by factors known to disrupt brain regions beyond the hippocampus, such that the behavioral effects could not be attributed to this region. The present results indicate that implicit memory is not associated with the hippocampus.

Dismissing the role of the hippocampus in implicit memory is special pleading

Steinkrauss and Slotnick (this issue) argue against hippocampal involvement in implicit memory, bringing up some important considerations. Their critique, however, exhibits significant flaws. The argumentation is based on an ill-defined key concept of 'implicit memory,' and important theoretical context is missed. Potential confounds are brought to bear against a rather narrow selection of studies, often without explaining how exactly the studies are biased. Refining the conceptual scope, including a broader range of literature, and arguing more inclusively would provide more nuanced insights into the hippocampus's role in implicit memory.

Some young adults hyper-bind too: Attentional control relates to individual differences in hyper-binding

Hyper-binding - the erroneous encoding of target and distractor information into associative pairs in memory - has been described as a unique age effect caused by declines in attentional control. Previous work has found that, on average, young adults do not hyper-bind. However, if hyper-binding is caused by reduced attentional control, then young adults with poor attention regulation should also show evidence of hyper-binding. We tested this question with an individual differences approach, using a battery of attentional control tasks and relating this to individual differences in hyper-binding. Participants (N = 121) completed an implicit associative memory test measuring memory for both target-distractor (i.e., hyper-binding) and target-target pairs, followed by a series of tasks measuring attentional control. Our results show that on average, young adults do not hyper-bind, but as predicted, those with poor attentional control show a larger hyper-binding effect than those with good attentional control. Exploratory analyses also suggest that individual differences in attentional control relate to susceptibility to interference at retrieval. These results support the hypothesis that hyper-binding in older adults is due to age-related declines in attentional control, and demonstrate that hyper-binding may be an issue for any individual with poor attentional control, regardless of age.

Age differences in priming as a function of processing at encoding

It is unclear whether implicit memory (priming) is affected by aging. Some studies have reported no difference between young and older adults, while others have uncovered reliable reductions. An important factor that may explain these discrepancies is the manner of encoding. Processing requirements (perceptual/conceptual) have varied considerably between studies, yet processing abilities are not equally affected by aging. This study examined whether processing during encoding moderates age effects on priming. Young and older participants studied object-word pairs and made natural/manufactured (conceptual) and left/right rotation (perceptual) judgements in relation to the word or object. Objects served as targets on a subsequent continuous identification with recognition task to assess priming and recognition. Priming and recognition were greater in young than older adults for attended items, with a larger effect size in the conceptual than the perceptual condition. Findings suggest that age differences in priming may be a function of processing at encoding.

Learning during sleep in humans - A historical review

Sleep helps to consolidate previously acquired memories. Whether new information such as languages and other useful skills can also be learned during sleep has been debated for over a century, however, the sporadic studies' different objectives and varied methodologies make it difficult to draw definitive conclusions. This review provides a comprehensive overview of the history of sleep learning research conducted in humans, from its empirical beginnings in the 1940s to the present day. Synthesizing the findings from 51 research papers, we show that several studies support the notion that simpler forms of learning, such as habituation and conditioning, are possible during sleep. In contrast, the findings for more complex, applied learning (e.g., learning a new language during sleep) are more divergent. While there is often an indication of processing and learning during sleep when looking at neural markers, behavioral evidence for the transfer of new knowledge to wake remains inconclusive. We close by critically examining the limitations and assumptions that have contributed to the discrepancies in the literature and highlight promising new directions in the field.

Moderate-intensity cardiovascular exercise performed before motor practice attenuates offline implicit motor learning in stroke survivors but not age-matched neurotypical adults

The acute impact of cardiovascular exercise on implicit motor learning of stroke survivors is still unknown. We investigated the effects of cardiovascular exercise on implicit motor learning of mild-moderately impaired chronic stroke survivors and neurotypical adults. We addressed whether exercise priming effects are time-dependent (e.g., exercise before or after practice) in the encoding (acquisition) and recall (retention) phases. Forty-five stroke survivors and 45 age-matched neurotypical adults were randomized into three sub-groups: BEFORE (exercise, then motor practice), AFTER (motor practice, then exercise), and No-EX (motor practice alone). All sub-groups practiced a serial reaction time task (five repeated and two pseudorandom sequences per day) on three consecutive days, followed 7 days later by a retention test (one repeated sequence). Exercise was performed on a stationary bike, (one 20-min bout per day) at 50% to 70% heart rate reserve. Implicit motor learning was measured as a difference score (repeated-pseudorandom sequence response time) during practice (acquisition) and recall (delayed retention). Separate analyses were performed on the stroke and neurotypical groups using linear mixed-effects models (participant ID was a random effect). There was no exercise-induced benefit on implicit motor learning for any sub-group. However, exercise performed before practice impaired encoding in neurotypical adults and attenuated retention performance of stroke survivors. There is no benefit to implicit motor learning of moderately intense cardiovascular exercise for stroke survivors or age-matched neurotypical adults, regardless of timing. Practice under a high arousal state and exercise-induced fatigue may have attenuated offline learning in stroke survivors.

What sticks after statistical learning: The persistence of implicit versus explicit memory traces

Statistical learning is a powerful mechanism that extracts even subtle regularities from our information-dense worlds. Recent theories argue that statistical learning can occur through multiple mechanisms-both the conventionally assumed automatic process that precipitates unconscious learning, and an attention-dependent process that brings regularities into conscious awareness. While this view has gained popularity, there are few empirical dissociations of the hypothesized implicit and explicit forms of statistical learning. Here we provide strong evidence for this dissociation in two ways. First, we show in healthy adults (N = 60) that implicit and explicit traces have divergent consolidation trajectories, with implicit knowledge of structure strengthened over a 24-h period, while precise explicit representations tend to decay. Second, we demonstrate that repeated testing strengthens the retention of explicit representations but that implicit statistical learning is uninfluenced by testing. Together these dissociations provide much needed support for the reconceptualization of statistical learning as a multi-component construct.

Implicit processes enhance cognitive abilities in mild cognitive impairment

Previous work has shown that older adults with typical age-related memory changes (i.e., without cognitive impairment) pick up irrelevant information implicitly, and unknowingly use that information when it becomes relevant to a later task. Here, we address the possibility that implicit processes play a similarly beneficial role in the cognitive abilities of individuals with amnestic mild cognitive impairment (aMCI). Twenty-two individuals with aMCI and 22 matched controls participated in a picture judgment task while instructed to ignore distractions in the form of word/non-word letter strings. Memory for the distracting words was later tested with a word-fragment completion task. Both groups showed a priming effect, that is, they were significantly more likely to solve fragments of previously presented than non-presented words. However, the aMCI group had significantly higher scores than the older adults without cognitive impairment, t(42) = 2.16, p < .05, Cohen's d = 0.67. Our findings suggest that individuals with aMCI can enhance their performance on an explicit cognitive task, in this case, word-fragment completion, if previously exposed to the relevant information implicitly, opening up possible interventions aimed at this population.

Behavioral evidence for two distinct memory systems in rats

Serial reaction time tasks, in which subjects have to match a target to a cue, are used to explore whether non-human animals have multiple memory systems. Predictable sub-sequences embedded in the sequence of cues are responded to faster, demonstrating incidental learning, often considered implicit. Here, we used the serial implicit learning task (SILT) to determine whether rats' memory shows similar effects. In SILT, subjects must nose-poke into a sequence of two lit apertures, S1 and S2. Some S1 are always followed by the same S2, creating predictable sequences (PS). Across groups, we varied the proportion of PS trials, from 10 to 80%, and show that rats with more PS experience do better on them than on unpredictable sequences, and better than rats with less experience. We then introduced test trials in which no S2 was cued. Rats with more PS experience did better on test trials. Finally, we reversed some sequences (from predictable to unpredictable and vice versa) and changed others. We find that rats with more PS experience perseverate on old (now incorrect) responses more than those with less PS experience. Overall, we find a discontinuity in performance as the proportion of PS increases, suggesting a switch in behavioral strategies or memory systems, which we confirm using a Process Dissociation Procedure analysis. Our data suggest that rats have at least two distinct memory systems, one of which appears to be analogous to human implicit memory and is differentially activated by varying the proportion of PS in our task.

Simple statistical regularities presented during sleep are detected but not retained

In recent years, there has been growing interest and excitement over the newly discovered cognitive capacities of the sleeping brain, including its ability to form novel associations. These recent discoveries raise the possibility that other more sophisticated forms of learning may also be possible during sleep. In the current study, we tested whether sleeping humans are capable of statistical learning - the process of becoming sensitive to repeating, hidden patterns in environmental input, such as embedded words in a continuous stream of speech. Participants' EEG was recorded while they were presented with one of two artificial languages, composed of either trisyllabic or disyllabic nonsense words, during slow-wave sleep. We used an EEG measure of neural entrainment to assess whether participants became sensitive to the repeating regularities during sleep-exposure to the language. We further probed for long-term memory representations by assessing participants' performance on implicit and explicit tests of statistical learning during subsequent wake. In the disyllabic-but not trisyllabic-language condition, participants' neural entrainment to words increased over time, reflecting a gradual gain in sensitivity to the embedded regularities. However, no significant behavioural effects of sleep-exposure were observed after the nap, for either language. Overall, our results indicate that the sleeping brain can detect simple, repeating pairs of syllables, but not more complex triplet regularities. However, the online detection of these regularities does not appear to produce any durable long-term memory traces that persist into wake - at least none that were revealed by our current measures and sample size. Although some perceptual aspects of statistical learning are preserved during sleep, the lack of memory benefits during wake indicates that exposure to a novel language during sleep may have limited practical value.

Predicting explicit memory for meaningful cartoons from visual paired comparison in infants and toddlers

We tested the memory of 18-, 33-, and 39-month-olds (N = 120) for dynamic stimulus material (simple cartoons) after 6 months in a visual paired comparison (VPC) task. We also tested the explicit recognition memory (ERM) for the same material. Only the oldest age group (39-month-olds) showed a significant visual (familiarity) preference at the test. Similarly, only the oldest group reliably chose the correct cartoon in the ERM test. Data from the VPC and ERM tasks did not correlate in any age group. However, we suggested a novel score (coined ΔVPC) measuring how much visual preference changes during the test phase in the VPC task. We found that this ΔVPC score (and vocabulary) predicted children's performance in the ERM task, whereas other potential predictors such as age and conventional novelty preference did not. We discuss the impact of these findings in relation to the development of implicit and explicit memory. Furthermore, we propose that VPC measures are associated with explicit memory only when the participants processed the stimuli conceptually. In such cases, we suggest that the ΔVPC score is an approximation of how demanding it is to construct the mental representation of the familiar stimulus during the test phase.

Temporal dynamics of implicit memory underlying serial dependence

Serial dependence is the effect in which the immediately preceding trial influences participants' responses to the current stimulus. But for how long does this bias last in the absence of interference from other stimuli? Here, we had 20 healthy young adult participants (12 women) perform a coincident timing task using different inter-trial intervals to characterize the serial dependence effect as the time between trials increases. Our results show that serial dependence abruptly decreases from 0.1 s to 1 s inter-trial interval, but it remains pronounced after that for up to 8 s. In addition, participants' response variability slightly decreases over longer intervals. We discuss these results in light of recent models suggesting that serial dependence might rely on a short-term memory trace kept through changes in synaptic weights, which might explain its long duration and apparent stability over time.

Study-test congruence of response levels in item stimulus-response priming

We investigated stimulus-response (S-R) memory links during object priming using a binary associative size judgement paradigm. At study, participants decided which of two objects was bigger in real life and, at test, made the same or the reverse judgement. We examined the effects of response congruence on item S-R priming in the associative paradigm. In Experiment 1, a task reversal manipulation had minimal impact on RT priming when classifications were congruent for both recombined objects between study and test. Experiment 2 found that RT priming was more disrupted by classification incongruence of the selected than of the nonselected item alone, with incongruence of the nonselected object having no effect on RTs. Experiment 3, however, found that classification incongruence of both items eliminated RT priming, indicating that a significant effect of classification incongruence for the nonselected item is only evident if both items are classification-incongruent. Finally, across all experiments, we found that accuracy was more sensitive than RTs to decision/action incongruence. We interpret these findings in light of a two-stream account of S-R priming, and suggest a few extensions to account for interactions between S-R links of recombined items.

Contextual cueing is not flexible

Target detection is faster when search displays repeat, but properties of the memory representations that give rise to this contextual cueing effect remain uncertain. We adapted the contextual cueing task using an ABA design and recorded the eye movements of healthy young adults to determine whether the memory representations are flexible. Targets moved to a new location during the B phase and then returned to their original locations (second A phase). Contextual cueing effects in the first A phase were reinstated immediately in the second A phase, and response time costs eventually gave way to a repeated search advantage in the B phase, suggesting that two target-context associations were learned. However, this apparent flexibility disappeared when eye tracking data were used to subdivide repeated displays based on B-phase viewing of the original target quadrant. Therefore, memory representations acquired in the contextual cueing task resist change and are not flexible.

From incidental learning to explicit memory: The role of sleep after exposure to a serial reaction time task

This laboratory study explores whether sleep has different effects on explicit (recognition-based) and implicit (priming-based) memory. Eighty-nine healthy participants were randomly assigned to one of two experimental conditions: sleep or wake. All participants were previously exposed to an incidental learning session involving a 12-element deterministic second-order conditional sequence embedded in a serial reaction time task. The participants' explicit and implicit knowledge was assessed both immediately after the learning session (pretest) and after 12 h (posttest). For the sleep group, participants had a night of normal sleep between pretest and posttest, whereas the wake group spent 12 h awake during the day. The measures involved an explicit recognition test and an implicit priming reaction-time test with old fragments from a previously learned sequence and new fragments of a different control sequence. The sleep group showed statistically significant improvement between the pretest and the posttest in the explicit memory measure, whereas the wake group did not. In the implicit task, both groups improved similarly after a 12-h retention interval. These results suggest that throughout sleep, implicitly acquired information is processed offline to yield an explicit representation of knowledge incidentally acquired the night before.

Left lateral parietal rTMS improves cognition and modulates resting brain connectivity in patients with Alzheimer's disease: Possible role of BDNF and oxidative stress

Repetitive Transcranial Magnetic Stimulation (rTMS) is a non-invasive neuromodulation technique which is increasingly used for cognitive impairment in Alzheimer's Disease (AD). Although rTMS has been shown to modify Brain-Derived Neurotrophic Factor (BDNF) and oxidative stress levels in many neurological and psychiatric diseases, there is still no study evaluating the relationship between memory performance, BDNF, oxidative stress, and resting brain connectivity following rTMS in Alzheimer's patients. Furthermore, there are increasing clinical data showing that the stimulation of strategic brain regions may lead to more robust improvements in memory functions compared to conventional rTMS. In this study, we aimed to evaluate the possible disease-modifying effects of rTMS on the lateral parietal cortex in AD patients who have the highest connectivity with the hippocampus. To fill the mentioned research gaps, we have evaluated the relationships between resting-state Functional Magnetic Resonance Imaging (fMRI), cognitive scores, blood BDNF levels, and total oxidative/antioxidant status to explain the therapeutic and potential disease-modifying effects of rTMS which has been applied at 20 Hz frequencies for two weeks. Our results showed significantly increased visual recognition memory functions and clock drawing test scores which were associated with elevated peripheral BDNF levels, and decreased oxidant status after two weeks of left lateral parietal TMS stimulation. Clinically our findings suggest that the left parietal region targeted rTMS application leads to significant improvement in familiarity-based cognition associated with the network connections between the left parietal region and the hippocampus.

Revisiting the remember-know task: Replications of Gardiner and Java (1990)

One of the most evidential behavioral results for two memory processes comes from Gardiner and Java (Memory & Cognition, 18, 23-30 1990). Participants provided more "remember" than "know" responses for old words but more know than remember responses for old nonwords. Moreover, there was no effect of word/nonword status for new items. The combination of a crossover interaction for old items with an invariance for new items provides strong evidence for two distinct processes while ruling out criteria or bias explanations. Here, we report a modern replication of this study. In three experiments, (Experiments 1, 2, and 4) with larger numbers of items and participants, we were unable to replicate the crossover. Instead, our data are more consistent with a single-process account. In a fourth experiment (Experiment 3), we were able to replicate Gardiner and Java's baseline results with a sure-unsure paradigm supporting a single-process explanation. It seems that Gardiner and Java's remarkable crossover result is not replicable.

Explicit and implicit memory representations in cross-situational word learning

What kind of memory representations do word learners use when they learn the meaning of words cross-situationally? This study leverages the measure of the relationship between confidence and performance to explore the nature of memory representations in word learning. In the recognition memory literature, studies have shown that explicit memory can be used when subjects can semantically encode the study material. However, when the study material is chosen to be unverbalizable, implicit memory is used but is presumed to be only detectable under certain experimental conditions. In the current paper, five cross-situational word learning experiments manipulated the type of word referents with varying experimental paradigms that were designed to probe different types of memory under an implicit learning paradigm. When word referents were line drawings of familiar concepts, memory in cross situational learning was explicit. Implicit memory was found where referents were objects that cannot be encoded semantically (e.g., unverbalizable images). These findings have implications for different theoretical perspectives on early word learning, which differ in the extent to which existing semantic category information, as opposed to perceptual information, contributes to the word meaning process.

Functional dissociation of hippocampal subregions corresponding to memory types and stages

Background

The hippocampus reportedly plays a crucial role in memory. However, examining individual human hippocampal-subfield function remains challenging because of their small sizes and convoluted structures. Here, we identified hippocampal subregions involved in memory types (implicit and explicit memory) and stages (encoding and retrieval).

Methods

We modified the serial reaction time task to examine four memory types, i.e. implicit encoding, explicit encoding, implicit retrieval, and explicit retrieval. During this task, 7-T functional magnetic resonance imaging was used to compare brain activity evoked by these memory types.

Results

We found hippocampal activation according to all memory types and stages and identified that the hippocampus subserves both implicit and explicit memory processing. Moreover, we confirmed that cornu ammonis (CA) regions 1–3 were implicated in both memory encoding and retrieval, whereas the subiculum was implicated only in memory retrieval. We also found that CA 1–3 was activated more for explicit than implicit memory.

Conclusions

These results elucidate human hippocampal-subfield functioning underlying memory and may support future investigations into hippocampal-subfield functioning in health and neurodegenerative disease.

Implicit associative memory remains intact with age and extends to target-distractor pairs

In this study, we use a novel, implicit memory paradigm to test forhyper-binding, or older adults' tendency to form non-target associations. Participants viewed pictures of objects superimposed with text and made speeded categorization judgments about the objects across three blocks varying in binding demand. During the no- and some-binding blocks, participants decided if the pictured object alone could fit inside a drawer while ignoring superimposed non-words and words, respectively. During the full-binding block, participants decided if both items could fit inside a drawer together. At test, participants viewed intact and rearranged pairs from encoding and decided if both items could fit in a drawer together. Across two experiments, older adults responded faster to intact than rearranged pairs from both the some- and full-binding blocks, while young adults showed no difference in RTs. These findings suggest that implicit associative memory is preserved with age and extends to non-target information.

Forgotten but not gone: FMRI evidence of implicit memory for negative stimuli 24 hours after the initial study episode

Endel Tulving conducted pioneering work on the explicit and implicit memory systems and demonstrated that priming effects can be long-lasting. It is also well-established that emotion can amplify explicit and implicit memory. Prior work has utilized repetition suppression (RS) of the fMRI-BOLD signal-a reduction in the magnitude of activity over repeated presentations of stimuli-to index implicit memory. Using an explicit recognition memory paradigm, we examined emotional modulation of long-term implicit memory effects as revealed by repetition suppression (i.e., comparing second-exposure forgotten items to first-exposure correct rejections). Forty-seven participants incidentally encoded line-drawings of negative, positive, and neutral scenes followed by the full color image. Twenty-four hours later, participants underwent fMRI during a recognition memory test in which old and new line-drawings were presented. Implicit and explicit memory effects were defined by the contrasts of New-Correct Rejections > Old-Misses and Old-Hits > New-Correct Rejections, respectively. Wide-spread Negative RS was found in frontal and occipito-temporal cortex that was greater than Neutral RS in the right orbito-frontal cortex and inferior frontal gyri. Valence-specific Negative RS, compared to Positive RS, was observed in the left inferior occipital gyrus. There was no strong evidence for emotional modulation of amygdala RS, but functional connectivity analyses revealed valence-specificity: Negative and positive valence were associated with repetition suppression and repetition enhancement of amygdala-occipital connectivity, respectively. Negative implicit memory patterns in most frontal regions-but not occipital areas-overlapped with explicit memory effects. Thus, implicit memory effects for a single visual stimulus presentation are modulated by emotional valence, can be observed 24hours after initial exposure, and show some overlap with explicit memory.

Perceptual identification task points to continuity between implicit memory and recall

Adopting a continuous identification task (CID-R) with embedded questions about prior occurrence, recent research has proposed that implicit and explicit memory are underpinned by a single memory system, since there is a systematic relationship between implicit memory (measured by identification) and explicit memory (measured by subjective report of recognition; for an example, see Berry, Shanks, & Henson, 2008). We were interested in whether this pattern would extend to recall of information from a study phase (Experiment 1) or recall from semantic memory (Experiment 2). We developed a degraded face identification version of the CID-R task using Gaussian blur. We reproduced previous results regarding the relationship between explicit responses on the recognition task (old/new) and stimuli identification, pointing to a continuity between explicit and implicit memory. Critically, we also found that the strength of the implicit effect (i.e., stimuli identification) was predicted by the accuracy in recall (retrieval of context in Experiment 1 and correct responses to general knowledge questions about the face in Experiment 2). Our results support the idea that memory is unidimensional and related to memory trace strength; both for recall and recognition, and interestingly, for semantic and episodic recall.

Reconsidering unconscious persistence: Suppressing unwanted memories reduces their indirect expression in later thoughts

When we seek to forget unwelcome memories, does the suppressed content still exert an unconscious influence on our thoughts? Although intentionally stopping retrieval of a memory reduces later episodic retention for the suppressed trace, it remains unclear the extent to which suppressed content persists in indirectly influencing mental processes. Here we tested whether inhibitory control processes underlying retrieval suppression alter the influence of a memory's underlying semantic content on later thought. To achieve this, across two experiments, we tested whether suppressing episodic retrieval of to-be-excluded memories reduced the indirect expression of the unwanted content on an apparently unrelated test of problem solving: the remote associates test (RAT). Experiment 1 found that suppressed content was less likely than unsuppressed content to emerge as solutions to RAT problems. Indeed, suppression abolished evidence of conceptual priming, even when participants reported no awareness of the relationship between the memory and the problem solving tasks. Experiment 2 replicated this effect and also found that directing participants to use explicit memory to solve RAT problems eliminated suppression effects. Experiment 2 thus rules out the possibility that suppression effects reflect contamination by covert explicit retrieval strategies. Together, our results indicate that inhibitory control processes underlying retrieval suppression not only disrupt episodic retention, but also reduce the indirect influence of suppressed semantic content during unrelated thought processes. Considered with other recent demonstrations of implicit suppression effects, these findings indicate that historical assumptions about the persisting influence of suppressed thoughts on mental health require closer empirical scrutiny and need to be reconsidered.

Priming effect in children with Type 1 Diabetes Mellitus

Previous studies have evidenced cognitive difficulties across various domains in Type 1 Diabetes Mellitus (T1DM) children, but the implicit memory system has not yet been systematically explored.Taking into account that the interplay between memory and perception may be modulated by the semantic category of the stimuli and their salience, we explored explicit and implicit memory using both object and food stimuli to verify whether for T1DM children there is a feebleness in performing the function of memory as a function of the stimuli used.Eighteen T1DM children and 47 healthy children performed an explicit recognition task in which they were requested to judge whether the presented image had already been shown ("old") or not ("new") and an identification priming task in which they were asked to name new and old pictures presented at nine ascending levels of spatial filtering.Results did not reveal any differences between controls and T1DM children in the explicit memory recognition task, whereas some differences between the two groups were found in the identification priming task. In T1DM children, the priming effect was observed only for food images.The dissociation between implicit and explicit memory observed in children with diabetes seems to be modulated by the category of the stimuli, and these results underscore the relevance of taking into account this variable when exploring cognitive functions.