Visual Memory Task Research Articles

Working Memory as the Focus of the Bilingual Effect in Executive Functions

The bilingual effect on executive functions (EFs) has garnered considerable attention, with most studies focusing on the visual domain and largely overlooking the auditory domain. Furthermore, research has predominantly concentrated on specific subcomponents of executive functions, with few studies systematically examining all three key subcomponents. This raises two important questions: (a) Is the bilingual effect specific to certain modalities (modality-specific), or a more general phenomenon (modality-general)? (b) Is the bilingual effect concentrated in a specific component of executive functions (process-specific), or does it extend to all three components (process-general)? To explore these questions, this study recruited monolingual Chinese and bilingual Chinese–English participants, using matched visual and auditory Stroop, N-back, and task-switching tasks to assess inhibitory control, working memory, and cognitive flexibility in both groups. The results showed that, after controlling for variables like intelligence, socioeconomic status, and age, bilingualism significantly predicted performance in both auditory and visual working memory tasks, explaining 34% and 19% of the variance, respectively. However, no evidence was found to support a bilingual effect in inhibitory control or cognitive flexibility. In conclusion, these results suggest that bilingual effects are not only process-specific (affecting only working memory) but also modality-general (providing advantages in both visual and auditory modalities).

Representational geometry explains puzzling error distributions in behavioral tasks

Measuring and interpreting errors in behavioral tasks is critical for understanding cognition. Conventional wisdom assumes that encoding/decoding errors for continuous variables in behavioral tasks should naturally have Gaussian distributions, so that deviations from normality in the empirical data indicate the presence of more complex sources of noise. This line of reasoning has been central for prior research on working memory. Here, we reassess this assumption and find that even in ideal observer models with Gaussian encoding noise, the error distribution is generally non-Gaussian, contrary to the commonly held belief. Critically, we find that the shape of the error distribution is determined by the geometrical structure of the encoding manifold via a simple rule. In the case of a high-dimensional geometry, the error distributions naturally exhibit flat tails. Using this insight, we apply our theory to visual short-term memory tasks, and find that it can account for a large array of experimental data with only two free parameters. Our results challenge the dominant view in the mechanisms and capacity constraints of working memory systems. They instead suggest that the Bayesian framework, which explains various aspects of perceptual behavior, also provides an excellent account of working memory. Overall, our results establish a direct connection between neural manifold geometry and behavior, and call attention to the geometry of the representation as a critically important, yet underappreciated factor in determining the character of errors in human behavior.

Dual-Task Interference in the Assessment of Listening Effort Before and After Cochlear Implantation in Adults: A Longitudinal Study.

This study aimed to assess the magnitude and direction of dual-task interference in a listening effort dual-task paradigm in individuals with severe-to-profound hearing loss before and in the short- and long-term after cochlear implantation. The study sample consisted of 26 adult candidates for cochlear implantation with severe-to-profound hearing loss. The dual-task paradigm consisted of a primary speech understanding task, conducted in a quiet condition, and a favorable and unfavorable noise condition on the one hand and a secondary visual memory task on the other hand. The dual-task effect for both tasks and the derived patterns of dual-task interference were determined. Participants were evaluated at four test moments: before cochlear implantation and at 3 months, 6 months, and 12 months after implantation. Across all listening conditions, a shift was observed from patterns of dual-task interference with worse and stable scores for the primary speech understanding task in the dual-task condition compared to the baseline condition before implantation, toward patterns in which stable or better scores were obtained, respectively, for the primary task in the dual-task condition after implantation. This indicates that more attention could be allocated to the primary speech understanding task during the dual-task condition after implantation, implying a decreased listening effort. A decreased listening effort was found after cochlear implantation. This study provides additional insights into the evolution of dual-task interference after cochlear implantation. It highlights the importance of interpreting both the primary and secondary tasks using a dual-task paradigm in the assessment of listening effort.

Characterizing PTSD Using Electrophysiology: Towards A Precision Medicine Approach

Objective. Resting-state EEG measures have shown potential in distinguishing individuals with PTSD from healthy controls. ERP components such as N2, P3, and late positive potential have been consistently linked to cognitive abnormalities in PTSD, especially in tasks involving emotional or trauma-related stimuli. However, meta-analyses have reported inconsistent findings. The understanding of biomarkers that can classify the varied symptoms of PTSD remains limited. This study aimed to develop a concise set of electrophysiological biomarkers, using neutral cognitive tasks, that could be applied across psychiatric conditions, and to identify biomarkers associated with the anxiety and depression dimensions of PTSD. Approach. Continuous simultaneous recordings of EEG and electrocardiogram (ECG) were obtained in veterans with PTSD (n = 29) and healthy controls (n = 62) during computerized tasks. EEG, ERP, and heart rate measures were evaluated in terms of their ability to discriminate between the groups or correlate with psychological measures. Results. The PTSD cohort exhibited faster alpha oscillations, reduced alpha power, and a flatter power spectrum. Furthermore, stronger reduction in alpha power was associated with higher trait anxiety, while a flatter slope was related to more severe depression symptoms in individuals with PTSD. In ERP tasks of visual memory and sustained attention, the PTSD cohort demonstrated delayed and exaggerated early components, along with attenuated LPP amplitudes. The three tasks revealed distinct and complementary EEG signatures PTSD. Significance. Multimodal individualized biomarkers based on EEG, cognitive ERPs, and ECG show promise as objective tools for assessing mood and anxiety disturbances within the PTSD spectrum.

Verbal Encoding Strategies in Visuo-Spatial Working Memory.

Visual working memory and verbal storage are often investigated independently of one another. However, a growing body of evidence suggests that naming visual stimuli can provide an advantage in performance during visual working memory tasks. On the other hand, there is also evidence that labeling could lead to biases in recall. Here, we present an exploratory investigation of verbal labels associated with the memorization of simple visuo-spatial stimuli, and how the use of these labels informs recall behavior of the same stimuli in a separate working memory task. English-speaking participants performed a working memory task with orientation and location stimuli, followed by a separate naming task featuring the same stimuli. We found a diverse set of labels employed frequently and with a consistent distribution across stimulus types, the stimulus space, and among participants. The use of individual spatial words, predicted class 1 cardinal biases in memory (i.e. the observation that cardinal stimuli are more accurately recalled than non-cardinal ones). Conversely, words expressing uncertainty (e.g. 'slightly', 'near') predicted class 2 cardinal bias (i.e. recall biases away from the cardinal planes). This relationship between word use and recall biases is consistent with shared representational resources that are used for both visuo-spatial and verbal working memory.

Dysfunctional oscillatory bursting patterns underlie working memory deficits in adolescents with ADHD.

Identifying neural markers of clinical symptom fluctuations is prerequisite to developing more precise brain-targeted treatments in psychiatry. We have recently shown that working memory (WM) in healthy adults is dependent on the rise and fall interplay between alpha/beta and gamma bursts within frontoparietal regions, and that deviations in these patterns lead to WM performance errors. However, it is not known whether such bursting deviations underlie clinically relevant WM-related symptoms or clinical status in individuals with WM deficits. In adolescents (n=27) with attention deficit hyperactivity disorder (ADHD), we investigated WM-related dynamics between alpha/beta and gamma bursts in relation to clinical status fluctuations. Participants repeatedly completed a visual Sternberg spatial working memory task during EEG recording as part of their participation in two research studies (n=224 person-sessions). Source localizing EEG data to each participant's structural MRI, the rate and volume of alpha, beta, and gamma bursts were examined within the dorsolateral prefrontal cortex (DLPFC) and posterior parietal cortex (PPC). Alpha/beta and gamma bursts at the DLPFC and PPC displayed complimentary roles in WM processes. Alpha/beta bursting decreased during stimuli encoding and increased during the delay, while gamma bursting was elevated during encoding and decreased during the delay. Deviations in bursting patterns were associated with WM errors and clinical symptoms. We conclude that dysfunctional alpha/beta and gamma burst dynamics within the frontoparietal region underlie both intra-individual WM performance and WM symptom fluctuations in adolescents with ADHD. Such burst dynamics reflect a novel target and biomarker for WM-related treatment development.

Association between low-frequency oscillation and cognitive compensation in high-performance group: An fNIRS mapping study

Brain lateralization is known to enhance cognitive efficiency by reducing redundant processing. Theories such as HAROLD and CRUNCH propose that cognitive decline with age can be compensated by the recruitment of additional bilateral brain regions. However, cognitive compensation is not always effective, and the underlying mechanisms remain unclear, particularly those not related to aging. Low-frequency oscillation (LFO) may be a potential factor in this process. This study investigated the relationship between LFO and cognitive compensation in the prefrontal cortex (PFC) of 28 young adults during a visual verbal working memory task, utilizing functional near-infrared spectroscopy (fNIRS). The participants were categorized into high- and low-performance groups. Changes in oxygenated hemoglobin (Δ[oxy-Hb]), deoxygenated hemoglobin (Δ[deoxy-Hb]), and total hemoglobin (Δ[tot-Hb]) were measured. Both groups exhibited reduced lateralization and increased PFC activation under cognitive load. The results show that only the high-performance group displayed enhanced Δ[oxy-Hb] LFO power, which correlated with behavioral performance. In conclusion, this study found that insufficient LFO is associated with a lack of cognitive resources, which may be due to a deficiency in cerebral autoregulation (CA). This deficiency results in an absence of low-frequency rhythms during cognitive processes, hindering effective coordination between distant brain regions. This provides new insights into the non-aging-related cognitive compensation mechanism.

Assessing spatial memory using the Brown Location Test: Lateralizing seizures in a presurgical cohort of patients with temporal lobe epilepsy

ObjectiveWhilst the dominant temporal lobe has a well-established role in memory, the functions of its nondominant counterpart remain enigmatic. We compared the lateralizing ability of a promising spatial memory task (Brown Location Test, BLT) to other commonly used verbal and visual memory tasks in a sample of patients with unilateral temporal lobe epilepsy (TLE). MethodsNeuropsychological data from 48 TLE patients (right n = 28 and left n = 20) were compared on several verbal and nonverbal memory tasks. Univariate logistic regression analyses were used to examine the relationship between test scores and the odds of being categorised as right or left TLE, while multivariable logistic regression and decision tree analyses were used to establish the optimal combination of cognitive measures for lateralizing the epileptogenic zone (EZ). ResultsRelative to normative expectations, the right TLE group was specifically impaired on BLT measures, whereas the left TLE group was impaired on verbal and nonverbal memory tasks. The combination of BLT Delayed Recall and Delayed Recall on the Rey Auditory Verbal Learning Task (RAVLT) was identified as optimal for correctly predicting EZ laterality (AUC = 0.79). These two variables were also optimal predictors in the decision tree analysis, correctly predicting 79% of the overall sample (AUC = 0.83). ConclusionsOur findings support the BLT as a measure of right temporal lobe function. They demonstrate its superior sensitivity compared to another commonly used nonverbal memory test (i.e., Visual Reproduction; VR) and highlight the added lateralizing value of combining both verbal and nonverbal memory measures in the neuropsychological evaluation of epilepsy surgery candidates.

Local and interareal alpha and low-beta band oscillation dynamics underlie the bilateral field advantage in visual working memory.

Visual working memory has a limited maximum capacity, which can be larger if stimuli are presented bilaterally vs. unilaterally. However, the neuronal mechanisms underlying this bilateral field advantage are not known. Visual working memory capacity is predicted by oscillatory delay-period activity, specifically, by a decrease in alpha (8 to 12Hz) band amplitudes in posterior brain regions reflecting attentional deployment and related shifts in excitation, as well as a concurrent increase of prefrontal oscillation amplitudes and interareal synchronization in multiple frequencies reflecting active maintenance of information. Here, we asked whether posterior alpha suppression or prefrontal oscillation enhancement explains the bilateral field advantage. We recorded brain activity with high-density electroencephalography, while subjects (n= 26, 14 males) performed a visual working memory task with uni- and bilateral visual stimuli. The bilateral field advantage was associated with early suppression of low-alpha (6 to 10Hz) and alpha-beta (10 to 17Hz) band amplitudes, and a subsequent alpha-beta amplitude increase, which, along with a concurrent load-dependent interareal synchronization in the high-alpha band (10 to 15Hz), correlated with hit rates and reaction times and thus predicted higher maximum capacities in bilateral than unilateral visual working memory. These results demonstrate that the electrophysiological basis of the bilateral field advantage in visual working memory is both in the changes in attentional deployment and enhanced interareal integration.

Motor-related oscillations reveal the involvement of sensorimotor processes during recognition memory

Certain object properties may render an item as more memorable than others. One such property is manipulability, or the extent to which an object can be interacted with using our hands. This study sought to determine if the manipulability of an item modulates memory task performance on both a behavioural and neural level. We recorded electroencephalography (EEG) from a large sample of right-handed individuals (N = 53) during a visual item recognition memory task. The task contained stimuli of both high and low manipulability. Analysis focused on activity in the theta rhythm (3.5–7 Hz), which has been implicated in sensorimotor integration, and the mu rhythm (8–14 Hz), the primary oscillation associated with sensorimotor related behaviours. At both encoding and retrieval, theta oscillations were greater over the left motor region for high manipulability stimuli, suggesting that an item’s sensorimotor properties are assessed immediately upon presentation. Manipulability did not affect activity in the mu rhythm. However, mu oscillations over the left motor region were lower during the retrieval of old versus new items and response time was faster for old items, aligning with the cortical reinstatement hypothesis. These results collectively reveal an association between motor oscillations and memory processes, highlight the involvement of sensorimotor processing at both encoding and retrieval.

Brain volume loss after cranial irradiation: a controlled comparison study between photon vs proton radiotherapy for WHO grade 2-3 gliomas.

Radiation therapy (RT) is an integral treatment component in patients with glioma but associated with neurotoxicity. Proton RT (PRT), as compared with photon RT (XRT), reduces excess radiation to nontarget tissue. We used a retrospective method to evaluate brain imaging metrics of neurotoxicity after treatment with PRT and XRT for glioma. We analyzed brain volume change in thirty-four patients with WHO grade 2-3 gliomas treated with either PRT (n = 17) or XRT (n = 17). Both groups were carefully matched by demographic/clinical criteria and assessed longitudinally for two years post-radiotherapy. Brain volume change was measured as ventricular volume expansion in the tumor free hemisphere (contralateral to RT target) as a proxy indicator of brain volume loss. We further assessed the impact of volumetric changes on cognition in PRT patients, who completed neuropsychological testing as part of an outcome study. We found significant ventricular volume increases in the contralesional hemisphere in both groups at two years post-RT (F(1, 31) = 18.45, p < 0.000, partial η2 = 0.373), with greater volume change observed in XRT (26.55%) vs. PRT (12.03%) (M = 12.03%, SD = 16.26; F(1,31) = 4.26, p = 0.048, partial η2 = 0.121). Although, there was no group-level change on any cognitive test in PRT treated patients, individual changes on cognitive screening, working memory, processing speed and visual memory tasks correlated with contralesional brain volume loss. This study suggests progressive brain volume loss following cranial irradiation, with greater severity after XRT vs. PRT. Radiation-induced brain volume loss appears to be associated with measurable cognitive changes on an individual level. Prospective studies are warranted to validate these findings and their impacts on long-term cognitive function and quality of life. An improved understanding of the structural and functional consequences of cranial radiation is essential to develop neuroprotective strategies.

Characterizing representational drift via a context-dependent visual working memory task

Characterizing representational drift via a context-dependent visual working memory task

Improving Memory Through Better Sleep in Community-Dwelling Older Adults: A Tai Chi Intervention Study.

The relationship between sleep and memory has been well documented. However, it remains unclear whether a mind-body exercise, that is, Tai Chi exercise, can improve memory performance in older adults by improving their subjective and objective sleep. A randomized controlled trial was conducted with participants (M = 67.36, 56-79 years) randomly assigned to Tai Chi and control groups. The primary outcomes were sleep, both subjectively reported and objectively assessed by actigraphy, and memory performance, as well as the mediating role of sleep in memory improvement with Tai Chi practice. Tai Chi exercise led to improvements in subjective sleep, as indicated by Insomnia Severity Index (ISI) (p < .001, Cohen's d = 0.62) and daytime dysfunction of the Pittsburgh sleep quality index (PSQI) (p = .02, Cohen's d = 0.80), and in actigraphy-assessed sleep onset latency (p < .01, Cohen's d = 0.61), as well as improved memory performance on digit span forward (p < .001, Cohen's d = 1.20) and visual spatial memory tasks (p < .01, Cohen's d = 0.83) compared to the control group. Importantly, Tai Chi practice improved digit span forward memory performance through parallel mediation of both subjective sleep (i.e., daytime dysfunction of the PSQI) and objective sleep (i.e., sleep onset latency; b = 0.29, p < .01). Our findings uncovered the potential benefits of Tai Chi exercise in relation to both subjective and objective sleep in older adults, in turn, how sleep changes played a role in the link between Tai Chi exercise and memory changes in older adults.

Associations of prenatal maternal urinary concentrations of triclosan and benzophenone-3 with cognition in 7.5-month-old infants

BackgroundEndocrine-disrupting chemicals (EDCs) have been linked to adverse health outcomes and prenatal exposure is known to impact infant and child development. However, few studies have assessed early developmental consequences of prenatal exposure to two common phenolic compounds, benzophenone-3 (BP-3) and triclosan (TCS). ObjectiveWe evaluated the relationship of prenatal exposure to BP-3 and TCS with infant cognition at 7.5 months via performance on a visual recognition memory (VRM) task. MethodsDrawing from the Illinois Kids Development Study (IKIDS) cohort, prenatal exposure to BP-3 and TCS was assessed in pools of five urine samples collected from each woman across pregnancy. Cognition was measured in 310 infants using a VRM task assessing information processing speed, attention, and recognition memory through infrared eye-tracking. Generalized linear regression estimated exposure-outcome associations, followed by stratification to investigate modification of associations by infant sex and stimulus set. ResultsSampled mothers were more likely to be white, college educated, and middle or high income relative to the US population. Mean chemical exposures were significantly higher than those of adult women in the NHANES cohort. In models adjusted for income, gestational age at birth, and testing age, prenatal BP-3 exposure was associated with an increase in run duration (average time spent looking at the stimuli before looking away) (β = 0.0011, CI -0.0001:0.0022), indicating slower information processing speed, while TCS was associated with significantly longer time to familiarization (time to accrue a total of 20 s of looking time to the stimuli) (β = 0.0686, CI 0.0203:0.1168, p < 0.01), indicating poorer attention. Stratum-specific analyses isolated both effects to male infants who viewed the second of two stimulus sets. ConclusionHigher prenatal exposure to triclosan was associated with poorer attention in infancy, while benzophenone-3 may be associated with slower information processing speed, particularly among males.

The neurocognitive mechanism linking temperature and humidity with miners' working memory: an fNIRS study.

In China's coal mines, employees work in environments reaching depths of 650 m, with temperatures around 40°C and humidity levels as high as 90%, adversely affecting their health, safety capabilities, and cognitive functions, especially working memory. This study aims to explore different temperature and humidity conditions' impact on neurocognitive mechanisms to enhance occupational health and safety. This study, conducted between June and August 2023, with 100 coalmine workers from the Hongliulin Mining Group, utilized functional near infrared spectroscopy (fNIRS) and short-term visual memory tasks to evaluate the effects of high temperatures and humidity on working memory by monitoring activity in the cerebral cortex. Behavioral data, and neurophysiological data were analyzed using Tukey's HSD for significant differences and multiple regression to explore the impact of temperature and humidity. The β-values of Oxy-Hb for different regions of interest were calculated using General liner model (GLM), and the activation maps were plotted by NIRS_KIT. High temperature and humidity (Condition IV) significantly depressed reaction times and working memory compared to other conditions, with temperature having a more pronounced impact than humidity on these cognitive measures (p < 0.05). Oxy-Hb concentration increased notably under Condition IV, emphasizing temperature's influence on brain oxygen levels. ROI analysis revealed varied brain activation patterns. The activation of ROI A and B (prefrontal cortex) increased with the increase of temperature and humidity, while ROI C (supplementary motor area) was less sensitive to temperature, indicating the complex influence of environmental factors on brain function. This study highlights the important effects of temperature and humidity on cognitive performance and brain function, highlighting the need to optimize the environment of miners' sites to improve productivity and safety.

Introducing ART: A new method for testing auditory memory with circular reproduction tasks.

Theories of visual working memory have seen significant progress through the use of continuous reproduction tasks. However, these tasks have mainly focused on studying visual features, with limited examples existing in the auditory domain. Therefore, it is unknown to what extent newly developed memory models reflect domain-general limitations or are specific to the visual domain. To address this gap, we developed a novel methodology: the Auditory Reproduction Task (ART). This task utilizes Shepard tones, which create an infinite rising or falling tone illusion by dissecting pitch chroma and height, to create a 1-360° auditory circular space. In Experiment 1, we validated the perceptual circularity and uniformity of this auditory stimulus space. In Experiment 2, we demonstrated that auditory working memory shows similar set size effects to visual working memory-report error increased at a set size of 2 relative to 1, caused by swap errors. In Experiment 3, we tested the validity of ART by correlating reproduction errors with commonly used auditory and visual working memory tasks. Analyses revealed that ART errors were significantly correlated with performance in both auditory and visual working memory tasks, albeit with a stronger correlation observed with auditory working memory. While these experiments have only scratched the surface of the theoretical and computational constraints on auditory working memory, they provide a valuable proof of concept for ART. Further research with ART has the potential to deepen our understanding of auditory working memory, as well as to explore the extent to which existing models are tapping into domain-general constraints.

The link between executive skills and neural dynamics during encoding, inhibition, and retrieval of visual information in the elderly.

During aging the inter-individual variability in both the neural and behavioral functions is likely to be emphasized. Decreased competence particularly in working memory and general executive control compromises many aspects of the quality of life also within the nonclinical population. We aimed, first, to clarify the brain basis of visual working memory and inhibition during multi-stage natural-like task performance, and second, to identify associations between variation in task-related neural activity and relevant cognitive skills, namely inhibition and general working memory capacity. We recorded, using magnetoencephalography (MEG), the neural modulations associated with encoding, maintenance, and retrieval, as well as interference suppression during a visual working memory task in older adults. We quantified the neural correlates of these cognitive processes through two complementary approaches: evoked responses and oscillatory activity. Neural activity during memory retrieval and interference suppression were correlated with behavioral measures of task switching and general executive functions. Our results show that general inhibitory control induced frontocentral neural modulation across a broad range of frequencies whereas domain-specific inhibition was limited to right posterior areas. Our findings also suggest that modulations particularly in phase-locked evoked neural activity can be reliably associated with explicit measures of cognitive skills, with better inhibitory control linked with an early neural effect of distractor inhibition during retrieval. In general, we show that exploiting the inherent inter-individual variability in neural measures and behavioral markers of cognition in aging populations can help establish reliable links between specific brain functions and their behavioral manifestations.

Dual-Task Interference in the Assessment of Listening Effort: Results of Normal-Hearing Adults, Cochlear Implant Users, and Hearing Aid Users.

The purpose of the current study was to assess dual-task interference (i.e., changes between the dual-task and baseline condition) in a listening effort dual-task paradigm in normal-hearing (NH) adults, hearing aid (HA) users, and cochlear implant (CI) users. Three groups of 31 participants were included: (a) NH adults, (b) HA users, and (c) CI users. The dual-task paradigm consisted of a primary speech understanding task in a quiet condition, and a favorable and unfavorable noise condition, and a secondary visual memory task. Dual-task interference was calculated for both tasks, and participants were classified based on their patterns of interference. Descriptive analyses were established and differences between the three groups were examined. The descriptive results showed varying patterns of dual-task interference between the three listening conditions. Most participants showed the pattern of visual memory interference (i.e., worse results for the secondary task in the dual-task condition and no difference for the primary task) in the quiet condition, whereas the pattern of speech understanding priority trade-off (i.e., worse results for the secondary task in the dual-task condition and better results for the primary task) was most prominent in the unfavorable noise condition. Particularly, in HA and CI users, this shift was seen. However, the patterns of dual-task interference were not statistically different between the three groups. Results of this study may provide additional insight into the interpretation of dual-task paradigms for measuring listening effort in diverse participant groups. It highlights the importance of considering both the primary and secondary tasks for accurate interpretation of results. https://doi.org/10.23641/asha.26409088.

Grapheme-Color Synesthesia and Its Connection to Memory.

Synesthesia is the involuntary association of different senses, where individuals experience one sensory modality in response to the stimulation of another. For example, a synesthete may perceive colors when reading certain numbers or associate specific tastes with particular words. Synesthesia manifests differently for individuals grouping the condition in subcategories such as grapheme-color, sound-to-color, lexical-gustatory, mirror-touch, and much more. This review covers grapheme-color synesthesia, described as the involuntary perception of specific colors or color associations when seeing or thinking about certain letters, numbers, or symbols. This review explores the performance of declarative memory tasks in individuals with grapheme-color synesthesia. A comprehensive search of controlled trials published between 2014 to 2024 was conducted through PubMed and Google Scholar databases. In Google Scholar, the search terms grapheme-color synesthesia, grapheme-color synaesthesia, and memory were used. In PubMed, additional MeSH (Medical Subject Headings) terms were used which included grapheme-color synesthesia and memory. Studies that measured declarative memory and grapheme-color synesthesia were included yielding a total of seven controlled trials. Grapheme-color synesthetes demonstrated advanced performance in declarative memory tasks; however, this may not have any clinical significance. Grapheme-color synesthetes demonstrated a better performance in their ability to recall colors, but not as much recalling words. Synesthetes were shown to outperform non-synesthetes in visual memory tasks. Synesthetes showed better recall of paired patterns, shape-color associations, and visual grids compared to control groups, but the influence of synesthesia on word memory remains unclear. Future research should consider adding control for confounding factors, collaborating with other institutions, and increasing sample size.

Non-visual spatial strategies are effective for maintaining precise information in visual working memory

Visual working memory content is commonly thought to be composed of a precise visual representation of stimulus information (e.g., color, shape). Nevertheless, previous research has shown that individuals represent this visual information in different formats, historically dichotomized into “verbal” and “visual” formats. With growing popular knowledge of aphantasia, or the absence of sensory mental imagery, recent studies have demonstrated that individuals with aphantasia perform similarly to individuals with typical imagery on visual working memory tasks. This suggest that the use of non-visual strategies may be sufficient to perform visual working memory tasks, which were previously thought to be strictly visual. To investigate the effects of different strategies on performance in a visual working memory task, we recruited individuals across the visual imagery spectrum and tested their ability to identify relatively small (3°), medium (6°), or large (10°) changes in the degree of orientation of gratings held in working memory. Subsequently, participants indicated the extent to which they used five different strategies: visual, spatial, verbal, semantic, and sensorimotor. Results revealed that individuals with aphantasia and typical imagery performed similarly to each other across all task difficulty levels. Individuals with typical imagery dominantly used visuospatial strategies, but surprisingly, individuals with aphantasia overwhelmingly preferred the use of non-visual spatial and sensorimotor strategies over verbal strategies. These results suggest that non-visual spatial and sensorimotor strategies can be adopted in visual working memory tasks and these strategies are equally effective as visuospatial strategies. This calls for a rethinking of the “visual” versus “verbal” dichotomy, and provides evidence for the use of other non-visual mental representations in working memory tasks.