Prospective remembering in younger and older adults: role of the prospective cue

In these studies, adult age differences in event-based prospective memory were examined using an adapted version of G.O. Einstein and M.A. McDaniel's (1990) task. In Experiments 1-3, we varied prospective cue specificity by assigning a specific target word or an unspecified word drawn from a given taxonomic category. In Experiment 3, we manipulated cue typicality by presenting low or high typicality target words. Results yielded positive effects of cue specificity on prospective performance. Age effects occurred when high typicality target words served as prospective cues (Exps. 1 and 3), but younger and older adults performed comparably with moderate and low typicality words (Exps. 2 and 3). Hierarchical regression analyses indicated that age accounted for a small but significant amount of variance in prospective memory, although the contribution of age was substantially reduced after statistically controlling for recognition memory. Implications of these data for current views on prospective remembering are discussed.

Characteristics of schizophrenia among persons with severe or profound mental retardation

The symptoms of schizophrenia were examined in a residential sample of adults with severe or profound mental retardation. Three groups were compared: those with a significant elevation on the schizophrenia subscale of the Diagnostic Assessment for the Severely Handicapped (DASH-II) and a psychiatric diagnosis of schizophrenia; those with a significant elevation on the same subscale but no formal diagnosis of schizophrenia; and those with no elevation on any of the DASH-II subscales. A one-way analysis of variance showed statistically significant differences between the groups. Symptoms of schizophrenia among those in the first group were found to fall mainly into the categories of reality distortion and disorganization, with less evidence of negative symptoms.

Effects of verbal elaborations on memory for sentences in adults with mental retardation

We examined the effects of verbal elaborations on memory for verbal material in adults with mental retardation and a control group of adults of normal intelligence. During acquisition, three types of sentences were presented that differed in elaboration of the subject-adjective relationship: a) non-elaborated base sentences; b) base sentences with arbitrary verbal elaborations; and c) base sentences with explanatory verbal elaborations that clarified the significance of the subject-adjective relationship. At test, we varied the retrieval context by presenting either base sentences alone or base sentences with the verbal elaborations. A three-alternative, forced-choice recognition procedure was used to test memory for the target adjectives. Results yielded a positive effect of retrieval support (elaborations present at study and test) on recognition performance for adults with mental retardation. These data imply that the retrieval context plays an important role in recognition memory for adults with mental retardation.

The relationship of self-injurious behavior and aggression to social skills in persons with severe and profound learning disability

In this study, we investigated differences in social skills among four groups of individuals with severe and profound learning disabilities. The comparison groups were composed of individuals engaging in self-injurious behavior, aggression, both behaviors, or neither of the behaviors. We measured social skills using the Matson Evaluation of Social Skills for Individuals with Severe Retardation, a standardized assessment of social skills in persons with severe or profound learning disability. The results indicated that individuals displaying maladaptive behaviors exhibited a restricted range of social behaviors compared to controls. Also, group membership based on self-injury and aggression was predicted based on profiles of scores on the Matson Evaluation of Social Skills for Individuals with Severe Retardation. These findings are consistent with reports in other studies that note social skills deficits in aggressive and self-injurious persons with learning disabilities. However, in this case a standardized assessment of these deficits was possible and specific skills problems were identified. Implications of the findings for identification and treatment of self-injury and aggression are discussed.

Factor structure of the Matson Evaluation of Social Skills for Individuals with Severe Retardation (MESSIER)

OBJECTIVE

A factor analysis of the Matson Evaluation of Social Skills for Individuals with Severe Retardation (MESSIER) was conducted to determine if there was an underlying factor structure which supported a distinction between positive and negative social skills.

DESIGN

Principal Axis Factoring with oblimin rotation was used to determine if a two-factor solution was valid. This method was selected to account for shared variance between the items and for correlation between the factors.

METHOD

The MESSIER was administered by trained staff to 805 individuals with severe and profound intellectual disability residing in a state residential facility.

RESULTS

Results of the factor analysis yielded two categories (positive and negative behaviours) that corresponded to the general division of the clinically derived subscales.

CONCLUSIONS

The psychometric research on the MESSIER was extended with an examination of the factor structure. The results of the factor analysis, corresponding with the general division of the clinically derived subscales, are promising. Future research should be conducted to determine if factor scores can be used to determine norms.

A comparison of social skills in adults with autistic disorder, pervasive developmental disorder not otherwise specified, and mental retardation

We examined the social skills of adults with autism, PDDNOS, and mental retardation. All participants were diagnosed with profound mental retardation. Participants in the autism and PDDNOS groups had been previously diagnosed using the Childhood Autism Rating Scale (CARS) and record review. These diagnoses were confirmed by readministering the CARS by one author and an independent rater. Social skills were assessed by using the Vineland Adaptive Behavior Scales and the Matson Evaluation of Social Skills in the Severely Retarded. Significant differences between the autism and mental retardation groups were found on both measures. The PDDNOS group demonstrated better positive nonverbal social skills than the autism group but not the mental retardation group. Special treatment needs of institutionalized adults with autism appear warranted along with a need to clarify further the differences between PDDNOS and mental retardation.

Age and individual differences influence prospective memory

The influence of age and individual ability differences on event-based prospective memory was examined using an adapted version of G. O. Einstein and M. A. McDaniel's (1990) task. Two samples of younger and older adults who differed in educational attainment, occupational status, and verbal ability were compared. Results yield comparable prospective performance for the younger groups and higher ability older adults; lower ability older adults performed more poorly by comparison. Hierarchical regression analyses indicated that working memory span and recognition accounted for small but significant proportions of variance in prospective performance. The contribution of ability level to prospective memory remained significant even after statistically controlling for self-reported health and social activity characteristics. Implications for current views on prospective memory aging are discussed.

An evaluation of functional variables affecting severe problem behaviors in adults with mental retardation by using the Questions about Behavioral Function Scale (QABF)

We examined the functions of five severe problem behaviors in a sample of 417 institutionalized persons with mental retardation by using the Questions About Behavior Function Scale. The behaviors we examined included self-injurious behavior, aggression, stereotypies, pica, and rumination. The most common function for all behaviors except aggression was nonsocial. Aggression, however, was maintained by external environmental contingencies. Particular items of the Questions About Behavior Function Scale were identified as more frequently occurring and critical in ascertaining behavioral function. Implications of these results for developing more effective treatment plans are discussed.

Age and individual differences influence prospective memory

The influence of age and individual ability differences on event-based prospective memory was examined using an adapted version of G. O. Einstein and M. A. McDaniel's (1990) task. Two samples of younger and older adults who differed in educational attainment, occupational status, and verbal ability were compared. Results yield comparable prospective performance for the younger groups and higher ability older adults; lower ability older adults performed more poorly by comparison. Hierarchical regression analyses indicated that working memory span and recognition accounted for small but significant proportions of variance in prospective performance. The contribution of ability level to prospective memory remained significant even after statistically controlling for self-reported health and social activity characteristics. Implications for current views on prospective memory aging are discussed.

A validity study on the Questions About Behavioral Function (QABF) Scale: predicting treatment success for self-injury, aggression, and stereotypies

We investigated the validity of the Questions About Behavioral Function (QABF), a checklist designed to assess antecedent behavior, using a sample of 398 persons with mental retardation and a targeted maladaptive behavior of self-injurious behavior, aggression, or stereotypies. The QABF was used successfully to derive clear behavioral functions for most individuals (84%) across all three target behaviors. Further, subjects with treatments developed from functional assessment (QABF results) improved significantly when compared to controls receiving standard treatments not based on functional analysis. Implications of the present findings for assessing and treating maladaptive behaviors are discussed.

Age-related differences in spatial memory: effects of structural and organizational context

The authors examined effects of structural and organizational spatial context on younger and older adults' memory for an arrangement of dollhouse furniture pieces. For half of the participants, landmark objects (Experiment 1) and a floor plan beneath the array (Experiment 2) served as structural context during study and replacement. Organizational context was varied by grouping items randomly or as 6 rooms in a prototypical house. Two study and replacement trials were given. In Experiment 1, landmark structural cues improved younger adults' performance, whereas both age groups benefited from the floor plan in Experiment 2. In both experiments, positive effects of organizational context and trial occurred. Higher order interactions further revealed that structural and organizational context effects varied in size across trials, suggesting that both age groups used spatial contextual cues more effectively with practice. Implications of these results for current views on cognitive compensation in adulthood are discussed.

An analysis of maladaptive behaviors in persons with autism, PDD-NOS, and mental retardation

In this study, we examined three maladaptive behaviors, self-injurious behavior (SIB), stereotypies, and aggression in adults with autism, pervasive developmental disorder, not otherwise specified (PDD-NOS), and mental retardation. We used a brief functional analysis rating scale. The Questions About Behavioral Functions (QABF), to examine the function of each behavior. Across the three groups, our results indicated that aggression was primarily maintained for attentional reasons and stereotypies for nonsocial reasons. No specific function(s) were found to maintain SIB. These results suggest that the function of a maladaptive behavior may be associated more with the particular maladaptive behavior displayed rather than inclusion in a certain diagnostic group. Implications of findings for assessment and treatment issues are discussed.

Age-related differences in pictorial implicit memory: role of perceptual and conceptual processes

This study examined the effects of perceptual and conceptual encoding processes on younger and older adults' implicit and explicit memory for pictures. During acquisition, participants studied simple line drawings under varying encoding task conditions. Half of the participants judged the orientation of the central object, a perceptual encoding task. The other half indicated the taxonomic category to which the object belonged, a conceptual encoding task. Implicit memory measures were priming in picture-fragment and word-fragment completion. Explicit measures were free recall and recognition. Results showed that the magnitude of age differences in primed picture completion varied across encoding task conditions. Age deficits occurred on both explicit tasks. Implications of these results for current views on implicit memory aging are discussed.

Psychopathology in older adults with severe and profound mental retardation

The prevalence of psychopathology in younger and older adults with severe and profound mental retardation was examined. Participants were evaluated by direct-care staff using the Diagnostic Assessment for the Severely Handicapped (DASH), which measures the frequency, duration, and severity of symptoms associated with 13 major psychiatric disorders derived from the DSM-III-R. The frequency of disorders was comparable for younger and older adults. Age group differences favoring the older adults were revealed in the analyses of duration and severity on 4 of the DASH subscales. Implications of these findings for research and practice were discussed.

Implicit learning of a nonverbal sequence in younger and older adults

Two experiments examined age-related differences in implicit serial learning using the M. J. Nissen and P. Bullemer (1987) task. Younger adults and 2 samples of older adults who differed in educational attainment, occupational status, and verbal ability were given a 10-trial repeating sequence embedded in 100-trial blocks. On each trial, participants pressed a key that matched a designated spatial location. Implicit learning was inferred from the difference in RT between a random sequence trial block and the immediately preceding block with the repeating sequence. Results indicated that negative transfer effects were comparable for the younger and higher ability older adults, but lower ability older adults showed less evidence of implicit learning. On an explicit task, younger and higher ability older adults were more accurate than the lower ability older adults. The implications of these findings for current views on implicit learning in adulthood are discussed.

Individual difference and contextual variables influence spatial memory in younger and older adults

This study examined the influence of individual difference and contextual variables on the magnitude of age differences in memory for spatial location. Younger adults and 2 samples of older adults that differed in educational attainment, verbal intelligence, and working memory ability were compared. Ss studied and later recreated an arrangement of small objects that were placed on a plain map or a visually distinctive model. The objects were either unrelated or categorically related items. The results indicated that distinctive context enhanced spatial memory, and the magnitude of the benefit was generally comparable across age groups and stimulus sets. Hierarchical regression analyses confirmed that working memory resources accounted for a sizable proportion of age-related variance in memory for spatial location. The implications of these results for current views on age-related differences in memory for spatial location are discussed.

Individual difference and contextual variables influence spatial memory in younger and older adults

This study examined the influence of individual difference and contextual variables on the magnitude of age differences in memory for spatial location. Younger adults and 2 samples of older adults that differed in educational attainment, verbal intelligence, and working memory ability were compared. Ss studied and later recreated an arrangement of small objects that were placed on a plain map or a visually distinctive model. The objects were either unrelated or categorically related items. The results indicated that distinctive context enhanced spatial memory, and the magnitude of the benefit was generally comparable across age groups and stimulus sets. Hierarchical regression analyses confirmed that working memory resources accounted for a sizable proportion of age-related variance in memory for spatial location. The implications of these results for current views on age-related differences in memory for spatial location are discussed.

The effect of verbal elaborations on memory in young and older adults

The Stein paradigm was used to examine the circumstances under which verbal elaborations enhance memory in young and older adults. Subjects studied target adjectives that were embedded in one of three sentence contexts that varied in elaboration of the subject-adjective relationship: (1) nonelaborated base sentences; (2) base sentences with semantically consistent, but arbitrary verbal, elaborations; and (3) base sentences with explanatory verbal elaborations that clarified the significance of the subject-adjective relationship. The presence of the elaborations was varied at encoding and retrieval, and cued recall of the target adjectives was tested with incidental and intentional learning procedures. In Experiments 1A and 1B, explanatory elaborations at encoding and retrieval yielded the largest memorial facilitation for both young and older adults, and the benefit was comparable for the incidental and intentional learning measures. In Experiment 2, age-related differences in recall were minimal with explanatory elaborations at encoding and retrieval, but larger age differences occurred in the nonelaborated comparison conditions. In Experiment 3, explanatory elaborations present at encoding but not at retrieval enhanced recall when the original Stein stimuli were used, but not with the present stimuli. The implications of these results with regard to the mnemonic efficacy of verbal elaborations for young and older adults are discussed.

Adult age differences in spatial memory: effects of structural context and practice

We examined the effect of structural context on memory for spatial location in young and elderly women in two studies. Subjects studied and later reconstructed an array of visually identical objects that were positioned in a three-dimensional Plexiglas matrix. For half the subjects, small household objects were interspersed in the array to serve as spatial landmark cues during encoding and replacement. All subjects received two study and replacement trials. The results indicated that (a) older women remembered fewer locations than younger women but benefited more from landmark cues to location, (b) performance improved on the second replacement trial for the young but not for the older women, and (c) both age groups appeared to use similar processing strategies that were based on the vertical dimension of space. These results suggest that structural context enhances older adults' retention of three-dimensional spatial information. The implications of these data for the conceptual distinction between structural and organizational aspects of spatial context are discussed.

Effects of distinctive context on memory for objects and their locations in young and elderly adults

Sharps and Gollin (1987, 1988) reported that older adults' memory for both objects and their spatial location is more facilitated than that of young adults when items are studied in a distinctive visual context. They also reported that age differences in spatial memory and item memory can be ameliorated if the items are studied in a distinctive context. The goal of this study was to verify and extend these findings by examining memory for everyday objects when the objects were studied on a (a) plain surface, (b) black-and-white schematic map, or (c) colored model. In Experiment 1, item memory was examined, and in Experiment 2, spatial memory was studied. The results indicated that spatial memory improved with the addition of distinctive context but item memory did not. Moreover, there was no evidence that elderly adults were more facilitated by the distinctive context than were the young.

Effects of distinctive context on memory for objects and their locations in young and elderly adults

Sharps and Gollin (1987, 1988) reported that older adults' memory for both objects and their spatial location is more facilitated than that of young adults when items are studied in a distinctive visual context. They also reported that age differences in spatial memory and item memory can be ameliorated if the items are studied in a distinctive context. The goal of this study was to verify and extend these findings by examining memory for everyday objects when the objects were studied on a (a) plain surface, (b) black-and-white schematic map, or (c) colored model. In Experiment 1, item memory was examined, and in Experiment 2, spatial memory was studied. The results indicated that spatial memory improved with the addition of distinctive context but item memory did not. Moreover, there was no evidence that elderly adults were more facilitated by the distinctive context than were the young.

Drug sensitivity in older adults: the role of physiologic and pharmacokinetic factors

Age-related changes in physiology and pharmacokinetics (how drugs are used in the body) lead to increased drug sensitivity and potentially harmful drug effects. This report addresses the heightened sensitivity to drug effects seen in older adults. The first section of the report presents three examples of physiologic decline: a) decreased plasma protein binding affects drug distribution, b) declining liver function affects drug metabolism, and c) impaired kidney function delays drug elimination. The next section illustrates by example the risks associated with altered physiology: a) decline in plasma protein binding may result in an intensified effect of the drug Phenytoin, b) altered liver function increases the sedative effects of Diazepam, and c) declining kidney function results in accumulation of the drug Gentamicin, where toxic effects include kidney failure and deafness. The last section is a discussion of some broad considerations for geriatric pharmacology. Adverse drug reactions can largely be avoided by carefully weighing the needs and clinical status of older persons on an individual basis both prior to and throughout the course of a given drug therapy.

Age-related differences in three-dimensional spatial memory

This study focused on understanding age differences in spatial memory within a framework relating stimulus qualities to performance. It was hypothesized that elderly adults' spatial memory would be more disadvantaged, relative to young adults, with abstract, meaningless objects than with everyday objects. The study examined differences in memory for the horizontal, vertical, and depth dimensional planes of space in a 4 x 4 x 4 plexiglass cube. College students and community-dwelling adults studied and later reconstructed a three-dimensional arrangement of common or abstract objects located in a compartmentalized cube so that relocation errors could be independently measured within the horizontal, vertical, and depth dimensions. The principal findings were that (a) the magnitude of object displacement in the relocation task was greater for older adults; (b) young and elderly adults differed primarily in terms of large rather than small displacement errors; (c) the locations of meaningless items were more difficult to remember for both age groups; and (d) displacement errors in the vertical dimension were greater than the horizontal and depth dimensions, although this effect was only significant with meaningful items.