Explicit Memory Function Research Articles

Application of the Japanese Verbal Learning Test to Patients With Alzheimer's Disease in the Early Stage.

This study aimed to investigate the mechanism of memory function in the context of explicit memory in early-stage Alzheimer's disease (AD) using the short-form Japanese Verbal Learning Test (JVLT-9). Participants were 20 patients with early-stage AD and a control group of 23 healthy older adults (normal controls: NC), each of whom was administered the JVLT-9, which is a verbal list learning task used to assess explicit memory comprehensively. Between-group differences for each score were investigated using the Mann-Whitney U test. A two-way analysis of variance (ANOVA) was performed for the number of correct recalls by group (AD/NC) × JVLT-9 task. In addition, the AD group was divided into a CDR 0.5 group and a CDR 1.0 group, and it was performed as a group (CDR 0.5/1.0) × JVLT-9 task two-way ANOVA. The results demonstrated that the AD group had lower immediate recall, learning rate, semantic clustering, and recognition discrimination and significantly higher intrusion errors compared to the NC group. Further, JVLT-9 recall and recognition rates were found to be lower with higher CDR (an index of dementia severity). These results are largely consistent with the features of explicit memory in AD reported in the English version, confirming the clinical utility of the JVLT-9 as a test of explicit memory function.

Beyond the hippocampus: Amygdala and memory functioning in older adults

BackgroundMedial temporal lobe atrophy has been linked to decline in neuropsychological measures of explicit memory function. While the hippocampus has long been identified as a critical structure in learning and memory processes, less is known about contributions of the amygdala to these functions. We sought to investigate the relationship between amygdala volume and memory functioning in a clinical sample of older adults with and without cognitive impairment. MethodsA serial clinical sample of older adults that underwent neuropsychological assessment at an outpatient neurology clinic was selected for retrospective chart review. Patients were included in the study if they completed a comprehensive neuropsychological assessment within six months of a structural magnetic resonance imaging scan. Regional brain volumes were quantified using Neuroreader® software. Associations between bilateral hippocampal and amygdala volumes and memory scores, derived from immediate and delayed recall conditions of a verbal story learning task and a visual design reconstruction task, were examined using mixed-effects general linear models, controlling for total intracranial volume, scanner model, age, sex and education. Partial correlation coefficients, adjusted for these covariates, were calculated to estimate the strength of the association between volumes and memory scores. ResultsA total of 68 (39 F, 29 M) participants were included in the analyses, with a mean (SD) adjusted age of 80.1 (6.0) and educational level of 15.9 (2.5) years. Controlling for age, sex, education, and total intracranial volume, greater amygdala volumes were associated with better verbal and visual memory performance, with effect sizes comparable to hippocampal volume. No significant lateralized effects were observed. Partial correlation coefficients ranged from 0.47 to 0.33 (p<.001). ConclusionThese findings contribute to a growing body of knowledge identifying the amygdala as a target for further research in memory functioning. This highlights the importance of considering the broader functioning of the limbic system in which multiple subcortical structures contribute to memory processes and decline in older adults.

Beyond the hippocampus: amygdala and memory functioning in older adults

AbstractBackgroundMedial temporal lobe atrophy has been linked to decline in neuropsychological measures of explicit memory function. While the hippocampus has long been identified as a critical structure in learning and memory processes, less is known about contributions of the amygdala to these functions. We sought to investigate the relationship between amygdala volume and memory functioning in a clinical sample of older adults.MethodsA serial clinical sample of older adults that underwent neuropsychological assessment at an outpatient neurology clinic was selected for retrospective chart review. Patients were included in the study if they completed a comprehensive neuropsychological assessment within six months of a volumetric MRI scan. Each subject underwent scans conducted on a GE 3.0 Tesla scanner, and volumetric analyses were performed using imaging software which quantifies regional brain volumes. We used bilateral hippocampal and amygdala volumes in our analyses. Associations between these volumes and memory scores, derived from immediate and delayed recall conditions of a verbal story learning task and a nonverbal design reconstruction task [1], were examined using mixed‐effects general linear models, controlling for total intracranial volume, age, sex and education. Partial correlation coefficients, controlling for these covariates, were calculated to estimate the strength of the association between volumes and memory scores.ResultsA total of 68 (38F, 29M) participants were included in the analyses, with a mean (SD) age of 80.1 (6.0) and educational level of 15.9 (2.5) years. Controlling for age, sex, education, and total intracranial volume, greater amygdala volumes were associated with better verbal and nonverbal memory performance (p&lt;.001), comparable to hippocampal volume. The interaction term of hemisphere and memory was not significant for any of the models, indicating no lateralized effects. Partial correlation coefficients ranged from 0.45 to 0.31.ConclusionThese findings contribute to a growing body of knowledge highlighting the amygdala as a target for further research in memory functioning through the adult lifespan, supporting a holistic understanding of limbic system operations in which multiple subcortical structures contribute synergistically to memory processes and decline in older adults.

Cognitive Impairments, Neuroinflammation and Blood-Brain Barrier Permeability in Mice Exposed to Chronic Sleep Fragmentation during the Daylight Period.

Obstructive sleep apnea (OSA) is a chronic condition characterized by intermittent hypoxia (IH) and sleep fragmentation (SF). In murine models, chronic SF can impair endothelial function and induce cognitive declines. These deficits are likely mediated, at least in part, by alterations in Blood-brain barrier (BBB) integrity. Male C57Bl/6J mice were randomly assigned to SF or sleep control (SC) conditions for 4 or 9 weeks and in a subset 2 or 6 weeks of normal sleep recovery. The presence of inflammation and microglia activation were evaluated. Explicit memory function was assessed with the novel object recognition (NOR) test, while BBB permeability was determined by systemic dextran-4kDA-FITC injection and Claudin 5 expression. SF exposures resulted in decreased NOR performance and in increased inflammatory markers and microglial activation, as well as enhanced BBB permeability. Explicit memory and BBB permeability were significantly associated. BBB permeability remained elevated after 2 weeks of sleep recovery (p < 0.01) and returned to baseline values only after 6 weeks. Chronic SF exposures mimicking the fragmentation of sleep that characterizes patients with OSA elicits evidence of inflammation in brain regions and explicit memory impairments in mice. Similarly, SF is also associated with increased BBB permeability, the magnitude of which is closely associated with cognitive functional losses. Despite the normalization of sleep patterns, BBB functional recovery is a protracted process that merits further investigation.

Progress towards MAC-amnesia

Prevention of explicit memory function for intraoperative events (i.e., awareness with recall [AWR]) is a key deliverable for every general anaesthetic. Development of monitoring technologies, drugs, and anaesthetic techniques to achieve this objective is an important priority of contemporary anaesthesia research. The volatile anaesthetic concentrations associated with lack of memory function in the unstimulated state (i.e. MAC-amnesia) are not well known. This pilot study aimed to estimate MAC-amnesia using a variation of the continuous recognition memory task (CRMT). We hypothesised that MAC-amnesia would be slightly lower than MAC-awake.1

Impaired intrinsic functional connectivity among medial temporal lobe and sub-regions related to memory deficits in intracranial dural arteriovenous fistula.

The functional changes concerning memory deficits in dural arteriovenous fistula (dAVF) brain are inadequately understood. This study aimed to understand the functional connectivity alterations of brain regions widely affirmed for explicit and implicit memory functions in dAVF patients (DP) and look into the frequency effects of the altered functional networks. Resting-state functional magnetic resonance imaging (rsfMRI) analysis was done in the memory-associated regions of 30 DP and 30 healthy controls (HC). Frequency decomposition was used to determine potential frequency-dependent functional connectivity changes. They underwent neuropsychological tests and were correlated with changes in memory networks compared with HC. The results showed weaker functional connectivity among the medial temporal lobe and sub-regions in DP suggestive of dysfunction of explicit and implicit memory functions, which corroborated with the positive correlation between memory scores and hippocampal-parahippocampal connectivity of DP, along with a significant group difference of lower memory and cognitive performance in DP assessed by neuropsychological tests. A frequency-dependent study of the altered rsFC revealed lower functional connectivity strength and impaired neural coupling manifested at some sub-band frequencies indicative of disturbed cortical rhythm in DP. This pilot study gives insights into significant intrinsic functional connectivity changes in the memory regions of the dAVF brain. The results may have clinical implications in the choice of interventional management of dAVF and can impact clinical decision making for realizable prevention of progressive memory impairment and irreversible brain damage in such patients.

Effects of Exercise on Explicit Memory Function: Incidental and Intentional Encoding May Depend on Exercise Timing.

The present experiment evaluated the effects of self-reported exercise behavior and an acute bout of high-intensity exercise on explicit memory function. The memory tasks were encoded either incidentally or intentionally; for intentional encoding, participants were told to focus on memorizing the stimuli (words), whereas for incidental encoding, participants were unaware that they would be subsequently asked to complete an object recognition task. Among a sample of 150 adults (Mage = 20 years), randomly assigned experimental participants engaged in the following task sequence: (a) incidentally encoded a series of objects, (b) engaged in 20 minutes of high-intensity exercise, (c) intentionally encoded a word list, and (d) completed explicit memory retrieval tasks. Control group participants viewed a time matched video in lieu of high intensity exercise. We measured self-reported exercise behavior via an exercise questionnaire. We did not observe convincing evidence of an effect of high-intensity acute exercise, when occurring during the early consolidation period, on memory function, for either incidental or intentional encoding tasks. However, self-reported engagement in moderate-to-vigorous physical activity was favorably associated with explicit memory performance.

Memory and Executive Dysfunction Predict Complex Activities of Daily Living Impairment in Amnestic Multi-Domain Mild Cognitive Impairment.

Specific cognitive alterations could be one of the predictors that lead to the complex activities of daily living (CADL) impairment in mild cognitive impairment (MCI) and, hence, help to explain the continuum between MCI and dementia. We aimed to reevaluate the existing uncertainty regarding the impact of memory and executive functions on CADL in patients with MCI. Caregivers of 161 patients with amnestic multi-domain MCI and of 150 patients with incipient Alzheimer's disease as well as 100 age-, sex-, and education-matched controls, completed the Interview for Deterioration in Daily Living Activities in Dementia, a suitable instrument for the description and discrimination of CADL. In addition, all patients and controls were assessed with a neuropsychological battery to measure explicit memory and executive functions performance. Multiple regression analyses showed that in the group of patients with amnestic multi-domain MCI, 67.4% of the variability of the CADL impairment was explained by worse performance on executive functions tests (p < 0.0001) and 41.8% by different explicit memory components impairment (p < 0.0001). Further, in patients with incipient AD, 44.0% of the variability of CADL impairment was explained by worse performance on executive functions tests (p < 0.0001) and 39.9% by different explicit memory components worsening (p < 0.0001). Memory and executive functions alterations impact similarly on the CADL in both amnestic multi-domain MCI and incipient Alzheimer's disease. Given the continuum that exists between both conditions, we conclude that CADL impairment may be an important early step in the evolution towards Alzheimer's disease from amnestic multi-domain MCI.

Experimental Investigation Examining the Effects of Acute Exercise on Implicit Memory Function

Emerging work suggests that acute exercise can enhance explicit memory function. Minimal research, however, has examined whether acute exercise is associated with implicit memory, which was the purpose of this study. Three separate experimental studies were computed (N = 120; Mean age = 21). In Experiment 1, participants were randomly assigned to either a moderate-intensity bout of acute exercise (15-minute) or engaged in a seated control task (15-minute), followed by the completion of a word-fragmentation implicit memory task. Experiment 2 replicated Experiment 1, but instead employed a higher-intensity exercise protocol. For Experiment 3, participants were randomly assigned to either a moderate-intensity bout of acute exercise (15-minute) or engaged in a seated control task (15-minute), followed by the completion of a real world, 3-dimensional implicit memory task. For Experiment 1, the exercise and control groups, respectively, had an implicit memory score of 7.0 (0.5) and 7.5 (0.6) (t(38) = 0.67, p = .51). For Experiment 2, the exercise and control groups, respectively, had an implicit memory score of 6.9 (1.9) and 7.8 (2.4) (t(38) = 1.27, p = .21). These findings suggest that exercise, and the intensity of exercise, does not alter implicit memory from a word fragmentation task. For Experiment 3, the exercise and control groups, respectively, had a discrimination implicit memory index score of 0.48 (0.18) and 0.29 (0.32) (t(38) = 2.16, p = .03). In conclusion, acute exercise does not influence a commonly used laboratory-based assessment of implicit memory but may enhance real world-related implicit memory function.

Exercise and Implicit Memory: A Brief Systematic Review.

Emerging work demonstrates that acute exercise may enhance explicit memory function. No published systematic reviews have evaluated the totality of research examining the effects of exercise on implicit memory function, which was the purpose of this systematic review. Databases (PubMed, PsychInfo, and Sports Discus) were searched to evaluate animal and human experimental studies evaluating the effects of exercise on implicit memory function. Among the 10 evaluated studies that met inclusionary criteria for this systematic review, 7 were conducted in animal models (rats or mice), with 3 utilizing human samples. Among the seven animal model studies, all employed a fear conditioning paradigm to evaluate implicit memory performance. All six animal studies employing a chronic exercise paradigm demonstrated evidence for associations between chronic exercise and enhanced fear conditioning. The one animal study evaluating a high-intensity acute bout of exercise showed that high-intensity acute exercise worsened implicit memory retrieval. Among the three human studies, one demonstrated a beneficial effect of acute exercise on implicit memory function. There is consistent evidence in animal models that chronic exercise enhances implicit memory, as assessed by fear conditioning. However, there have been too few human studies investigating this topic to render any meaningful conclusions regarding the relationship between exercise and cognitive-based implicit memory among humans.

Modification of Automatic Alcohol-Approach Tendencies in Alcohol-Dependent Patients with Mild or Major Neurocognitive Disorder.

To examine the applicability of an alcohol-avoidance training procedure in patients with alcohol dependence and alcohol-induced neurocognitive disorders (NDs), we trained 2 groups that differed in the degree of cognitive impairment: One group fulfilled the DSM-5 criteria for alcohol-induced mild ND, and 1 group was diagnosed with Korsakoff's syndrome (KS) (alcohol-induced major ND, confabulatory/amnesic subtype; DSM-5). The intervention is assumed to match the preserved cognitive capacity for implicit learning in both groups. Fifty-one inpatients with a mild ND and 54 inpatients with KS were trained. Six training sessions (including pre- and posttests) of a computerized implicit alcohol approach-avoidance task were applied. Neurocognitive variables were available from the standard assessment procedure of the clinic. Training of alcohol-avoidance tendencies is feasible in a population with alcohol-related NDs. The alcohol-approach bias decreased for both groups in each session. Better learning results over time were obtained in participants with a larger baseline alcohol-approach tendency. Learning effects were positively related to age and implicit (nondeclarative) memory functioning. No relation between training effects and executive or explicit memory functions was found. Training of an alcohol-avoidance tendency can be successfully applied in patients with alcohol dependence including those with alcohol-induced NDs.

Approach to equilibrium of a quantum system and generalization of the Montroll–Shuler equation for vibrational relaxation of a molecular oscillator

The approach to equilibrium of a quantum mechanical system in interaction with a bath is studied from a practical as well as a conceptual point of view. Explicit memory functions are derived for given models of bath couplings. If the system is a harmonic oscillator representing a molecule in interaction with a reservoir, the generalized master equation derived becomes an extension into the coherent domain of the well-known Montroll–Shuler equation for vibrational relaxation and unimolecular dissociation. A generalization of the Bethe–Teller result regarding energy relaxation is found for short times. The theory has obvious applications to relaxation dynamics at ultra-short times as in observations on the femtosecond time scale and to the investigation of quantum coherence at those short times. While vibrational relaxation in chemical physics is a primary target of the study, another system of interest in condensed matter physics, an electron or hole in a lattice subjected to a strong DC electric field that gives rise to well-known Wannier–Stark ladders, is naturally addressed with the theory. Specific system–bath interactions are explored to obtain explicit details of the dynamics. General phenomenological descriptions of the reservoir are considered rather than specific microscopic realizations.

20 years after “The ontogeny of human memory: A cognitive neuroscience perspective,” where are we?

In 1995, Nelson published a paper describing a model of memory development during the first years of life. The current article seeks to provide an update on the original work published 20 years ago. Specifically, we review our current knowledge on the relation between the emergence of explicit memory functions throughout development and the maturation of associated brain regions. It is now well established that the brain regions subserving explicit memory functions (i.e. the hippocampal formation) are far from mature at birth, and exhibit important and gradual structural changes during childhood and beyond. Accordingly, explicit memory functions develop progressively. While some functions are present shortly after birth (formerly proposed as pre-explicit memory), others exhibit protracted developmental profiles during the first years of life. We examine the link between the emergence of different memory functions and the maturation of specific hippocampal circuits.

Episodic memories in anxiety disorders: clinical implications.

The aim of this review is to summarize research on the emerging role of episodic memories in the context of anxiety disorders (AD). The available literature on explicit, autobiographical, and episodic memory function in AD including neuroimaging studies is critically discussed. We describe the methodological diversity of episodic memory research in AD and discuss the need for novel tests to measure episodic memory in a clinical setting. We argue that alterations in episodic memory functions might contribute to the etiology of AD. We further explain why future research on the interplay between episodic memory function and emotional disorders as well as its neuroanatomical foundations offers the promise to increase the effectiveness of modern psychological treatments. We conclude that one major task is to develop methods and training programs that might help patients suffering from AD to better understand, interpret, and possibly actively use their episodic memories in a way that would support therapeutic interventions and counteract the occurrence of symptoms.

White matter integrity in highly traumatized adults with and without post-traumatic stress disorder.

Prior structural imaging studies of post-traumatic stress disorder (PTSD) have observed smaller volumes of the hippocampus and cingulate cortex, yet little is known about the integrity of white matter connections between these structures in PTSD samples. The few published studies using diffusion tensor imaging (DTI) to measure white matter integrity in PTSD have described individuals with focal trauma rather than chronically stressed individuals, which limits generalization of findings to this population; in addition, these studies have lacked traumatized comparison groups without PTSD. The present DTI study examined microstructural integrity of white matter tracts in a sample of highly traumatized African-American women with (n=25) and without (n=26) PTSD using a tract-based spatial statistical approach, with threshold-free cluster enhancement. Our findings indicated that, relative to comparably traumatized controls, decreased integrity (measured by fractional anisotropy) of the posterior cingulum was observed in participants with PTSD (p<0.05). These findings indicate that reduced microarchitectural integrity of the cingulum, a white matter fiber that connects the entorhinal and cingulate cortices, appears to be associated with PTSD symptomatology. The role of this pathway in problems that characterize PTSD, such as inadequate extinction of learned fear, as well as attention and explicit memory functions, are discussed.

Effects of handedness and depth of processing on the explicit and implicit memory

In this research the effects of handedness and depth of processing on the explicit and implicit memory was evaluated. An experimental research was carried out individually on 80 students using computerized measurement tools and Edinburgh Handedness Inventory. The data were analyzed through Variance Analysis Method. Results showed that the difference between examinees under different depths of processing is significant in explicit memory. Moreover, there was also a significant difference in explicit memory between the three groups. Mixed-handed and left-handed participants had better recall performance but there was no significant difference in implicit memory. Better performance of the mixed-handed in explicit memory recall test indicates that explicit memory function is dependent on the interrelation between the two hemispheres.

Assessment of Nondeclarative Learning in Severe Alzheimer Dementia

Although patients with Alzheimer dementia (AD) have impaired explicit memory, more automatic, implicit aspects of learning and memory may be relatively preserved. However, neuropsychological tests for the assessment of implicit memory are lacking. This study examines a newly developed test, the Implicit Memory Test, in 28 patients with severe AD (mini-mental state examination 5 to 12) and 22 cognitively unimpaired matched controls (mini-mental state examination 25 to 29). The Implicit Memory Test consists of visually presented word (stem-completion) and picture (fragmented picture identification) subtests, each comprising 3 learning trials and a delayed test. Explicit memory was also assessed, using the verbal paired-associate learning subtest from the Wechsler Memory Scale and the Visual Association Test. Patients with AD obtained a floor performance on both explicit memory tests, whereas a significant learning curve was found for both the stem-completion and the fragmented pictures subtests of the Implicit Memory Test. Delayed testing on the fragmented pictures subtest showed a preserved performance that may have been mediated by implicit learning. Delayed performance on the stem-completion subtest, however, showed clear memory decay that suggests contamination by explicit memory function, at least in the controls. These findings extend the earlier results on word-stem completion and fragmented picture identification in patients with mild-to-moderate AD and indicate that residual learning capacity can be assessed in severe AD.

S41-01 - The neural organization of the hippocampus and schizophrenia

The disturbances of explicit memory functions in schizophrenia are widely recognized. More precisely the mechanisms related to the episodic memory subsystem seem to play a significant role in the pathophysiology of the disease. Errors during the encoding phase could be responsible for this dysfunction even if retrieval per se is not totally spared. The main process in encoding episodic memory is contextual binding as evidenced by numerous neuropsychological studies. Since the hippocampal formation is considered to be the central element for contextual binding the neural support of this last mechanism is most likely rooted in the hippocampus. This assumption is confirmed by numerous neuroanatomical, neurodevelopmental, biochemical and genetic studies reporting a significant disorganization of the neural network and its scaffolding structure at the level of the hippocampus. More precisely a synaptic disorganization within the CA3 and CA1 regions (pyramidal cells and neurons) could explain for which reason episodic memory processes are impaired in schizophrenia. Associative binding occurred at the CA3 the level of the hippocampus. This corresponds to the crucial role of this region for acquiring representations of stimulus conjunction. In particular the spatial characteristics of a stimulus are probably bound thanks to the activity of the CA3 area. We hypothesize that separated CA3 representations are not correctly formed in schizophrenia. Consequently the flow which comes to the cortex into the entorhinal pathway and then to the dentate gyrus and CA3 does not result in a pattern of separated representations. Evidences supporting this hypothesis will be presented.

Memory for Music in Alzheimer’s Disease: Unforgettable?

The notion that memory for music can be preserved in patients with Alzheimer's Disease (AD) has been raised by a number of case studies. In this paper, we review the current research examining musical memory in patients with AD. In keeping with models of memory described in the non-musical domain, we propose that various forms of musical memory exist, and may be differentially impaired in AD, reflecting the pattern of neuropathological changes associated with the condition. Our synthesis of this literature reveals a dissociation between explicit and implicit musical memory functions. Implicit, specifically procedural musical memory, or the ability to play a musical instrument, can be spared in musicians with AD. In contrast, explicit musical memory, or the recognition of familiar or unfamiliar melodies, is typically impaired. Thus, the notion that music is unforgettable in AD is not wholly supported. Rather, it appears that the ability to play a musical instrument may be unforgettable in some musicians with AD.

Using the Process Dissociation Procedure: The Meaning and Value of Comparable Base Rates

Using the Process Dissociation Procedure: The Meaning and Value of Comparable Base Rates