White matter integrity in brain structures supporting semantic processing is associated with value-directed remembering in older adults

Improving memory through choice and deliberation in decision-making: Evidence from ERPs

The goal of decision-making is to select one option and disregard the others. However, deliberation can also create a memory association between the chosen and unchosen options. This study aims to investigate how choice and deliberation affect the memory of postdecision options and the underlying mechanisms. Using event-related potentials (ERPs), we examined item recognition (Experiment 1) and associative recognition (Experiment 2) following certain and uncertain decisions. In Experiment 1, items that were chosen in certain decisions were remembered better than unchosen items. There was no difference between chosen and unchosen items in uncertain decisions. Moreover, a late recollection-related LPC (a late positive component) old/new effect was larger for chosen items than unchosen items in certain decisions. The early familiarity-related FN400 and the late recollection-related LPC old/new effects were significant for chosen and unchosen items in uncertain decisions. In Experiment 2, there was no difference in performance on associative memory. A FN400 old/new effect (an index of integration) in certain or uncertain decisions was not observed. Although significant LPC old/new effects were found in both certain and uncertain decisions, no difference was found between them. These results propose that decision-making can enhance item memory performance through two distinct processes: value and elaboration. Elaboration involves focusing on the details within items rather than integrating items into a cohesive whole.

Memory selectivity in older age

Memory often declines with age, but older adults can off-set memory challenges by selectively remembering important information. When encountering large amounts of information and knowing that memory is limited, older adults may choose to focus on what is most important and forget less relevant details. Prioritizing what to remember becomes essential when memory is limited, and influences what information can be off-loaded. While forgetting can be frustrating and consequential, a lifetime of these experiences may help older adults learn to focus on strategically remembering important information and life events. Curiosity and emotion may also guide what older adults remember, such that selective remembering can be an adaptive way to use memory efficiently in older age.

Phonological and Semantic Fluency in Alzheimer's Disease: A Systematic Review and Meta-Analysis

BACKGROUND

Semantic and Phonological fluency (SF and PF) are routinely evaluated in patients with Alzheimer's disease (AD). There are disagreements in the literature regarding which fluency task is more affected while developing AD. Most studies focus on SF assessment, given its connection with the temporoparietal amnesic system. PF is less reported, it is related to working memory, which is also impaired in probable and diagnosed AD. Differentiating between performance on these tasks might be informative in early AD diagnosis, providing an accurate linguistic profile.

OBJECTIVE

Compare SF and PF performance in healthy volunteers, volunteers with probable AD, and patients with AD diagnosis, considering the heterogeneity of age, gender, and educational level variables.

METHODS

A total of 8 studies were included for meta-analysis, reaching a sample size of 1,270 individuals (568 patients diagnosed with AD, 340 with probable AD diagnosis, and 362 healthy volunteers).

RESULTS

The three groups consistently performed better on SF than PF. When progressing to a diagnosis of AD, we observed a significant difference in SF and PF performance across our 3 groups of interest (p = 0.04). The age variable explained a proportion of this difference in task performance across the groups, and as age increases, both tasks equally worsen.

CONCLUSION

The performance of SF and PF might play a differential role in early AD diagnosis. These tasks rely on partially different neural bases of language processing. They are thus worth exploring independently in diagnosing normal aging and its transition to pathological stages, including probable and diagnosed AD.

Value-directed remembering in first-episode schizophrenia

OBJECTIVE

Memory deficits in individuals with schizophrenia are well-established, but less is known about how schizophrenia affects metacognitive processes such as metamemory. We investigated metamemory ability using the value-directed remembering task, which assesses the degree to which participants use value cues to guide their learning of a list of items (i.e., their memory selectivity).

METHOD

Participants were patients undergoing treatment following a recent first episode of schizophrenia (n = 20) and demographically comparable healthy controls (n = 18). Participants viewed six lists of 24 words where each word was paired with either a low value (1-3 points) or a high value (10-12 points), and they were instructed to maximize their score on free recall tests given after each list. After the final free recall test, participants completed a recognition test where they gave remember/know judgments.

RESULTS

On tests of free recall, patients showed reduced memory selectivity relative to healthy controls. On the recognition test, patients failed to show an effect of value on recognition of nonrecalled words, in contrast to healthy controls, who showed a significant value effect that was characterized by greater "remember" judgments. Patients initially overestimated their memory capacity but were able to adjust their estimates to be more accurate based on task experience. Patients' self-reports of memory selectivity were unrelated to their actual memory selectivity.

CONCLUSIONS

Patients with first-episode schizophrenia had substantial impairments on the value-directed remembering task, but areas of preserved metamemory ability were also observed. These findings have potential implications for cognitive training interventions. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Disrupted Value-Directed Strategic Processing in Individuals with Mild Cognitive Impairment: Behavioral and Neural Correlates

Value-directed strategic processing involves attending to higher-value information while inhibiting lower-value information. This preferential processing is relatively preserved in cognitively normal older adults but is impaired in individuals with dementia. No studies have investigated whether value-directed strategic processing is disrupted in earlier stages of cognitive decline, namely, mild cognitive impairment (MCI). The current study examined behavioral and EEG differences in value-directed strategic processing between 18 individuals with MCI and 18 cognitively normal older controls using a value-directed list learning task. Behaviorally, individuals with MCI recalled fewer total and high-value words compared to controls, but no group differences were observed in low-value word recall. Neurally, individuals with MCI had reduced theta synchronization relative to controls between 100 and 200 ms post-stimulus. Greater alpha desynchronization was observed for high- versus low-value words between 300 and 400 ms in controls but not in the MCI group. The groups showed some processing similarities, with greater theta synchronization for low-value words between 700 and 800 ms and greater alpha desynchronization for high-value words between 500 and 1100 ms. Overall, value-directed strategic processing was compromised in individuals with MCI on both behavioral and neural measures relative to controls. These findings add to the growing body of literature on differences between typical cognitive aging and MCI.

Memory and Reward-Based Learning: A Value-Directed Remembering Perspective

The ability to prioritize valuable information is critical for the efficient use of memory in daily life. When information is important, we engage more effective encoding mechanisms that can better support retrieval. Here, we describe a dual-mechanism framework of value-directed remembering in which both strategic and automatic processes lead to differential encoding of valuable information. Strategic processes rely on metacognitive awareness of effective deep encoding strategies that allow younger and healthy older adults to selectively remember important information. In contrast, some high-value information may also be encoded automatically in the absence of intention to remember, but this may be more impaired in older age. These different mechanisms are subserved by different neural substrates, with left-hemisphere semantic processing regions active during the strategic encoding of high-value items, and automatic enhancement of encoding of high-value items may be supported by activation of midbrain dopaminergic projections to the hippocampal region. Expected final online publication date for the Annual Review of Psychology, Volume 73 is January 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

Investigating EEG theta and alpha oscillations as measures of value-directed strategic processing in cognitively normal younger and older adults

Value-directed strategic processing is an ability that appears to be relatively preserved with aging, but the neurophysiological mechanisms underlying strategic processing in older adults are not well understood. The current study examined age-related spectral power differences in EEG oscillations linked to processing of high-value versus low-value information in a value-directed strategic processing task in 24 younger adults (mean age: 22.4 ± 1.2 years) and 24 older adults (mean age: 63.2 ± 6.4 years). Both groups exhibited comparable strategic processing ability behaviorally with preferential recall of high- compared to low-value words. Both groups exhibited comparable theta band power with greater synchronization for low- compared to high-value words, but age-related differences in processing were noted in alpha band power. Older adults showed more prolonged alpha desynchronization for high- compared to low-value words relative to younger adults. This neurophysiological modulation in the alpha band in older adults might reflect a compensatory neural mechanism or increased effort linked to selective engagement of neural resources, allowing them to perform similarly to younger adults behaviorally on a value-directed strategic processing task.

Blood Pressure Control and Protection of the Aging Brain

Hypertension and dementia are both common disorders whose prevalence increases with age. There are multiple mechanisms by which hypertension affects the brain and alters cognition. These include blood flow dynamics, development of large and small vessel pathology and diverse molecular mechanisms including formation of reactive oxygen species and transcriptional cascades. Blood pressure interacts with Alzheimer disease pathology in numerous and unpredictable ways, affecting both β-amyloid and tau deposition, while also interacting with AD genetic risk factors and other metabolic processes. Treatment of hypertension may prevent cognitive decline and dementia, but methodological issues have limited the ability of randomized clinical trials to show this conclusively. Recent studies have raised hope that hypertension treatment may protect the function and structure of the aging brain from advancing to mild cognitive impairment and dementia.