hasker p. davis 1 , tim curran 2 , and frederick keller 1
DESCRIPTION
Development and Dissolution of Memory and Executive Function Across the Life Span: Cognition from 5 to 90. Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1 University of Colorado at Colorado Springs 1 and Boulder 2. Empirical Findings Verbal Memory - PowerPoint PPT PresentationTRANSCRIPT
Development and Dissolution of Memory and Executive Function Across the Life
Span: Cognition from 5 to 90.
Hasker P. Davis1, Tim Curran2, and Frederick Keller1
University of Colorado at Colorado Springs1 and Boulder2
Empirical Findings
Verbal Memory
Rate of Forgetting for Verbal Information
Extent of Deficit for Verbal Memory
Visuo-Spatial Memory
Frontal Lobe Functioning Changes With Age
Theoretical Relationship Based on Neuropsychological Tests Between Frontal Lobe Functioning and Performance on Verbal Recall
Reduction of Cognitive Deficits
Tower of Hanoi Task
Object Recognition Task
Normal Performance on a Perceptual Skill by Elderly, Alzheimer’s Patients, and Amnesic Patients with MRI verified Hippocampal Damage
Verbal Recall (5 immediate trials and 20 min delay)
Trials
Me
an
Nu
mb
er
of W
ord
s R
eca
lled
0
2
4
6
8
10
12
14
16
5 to 9 years 10 to 14 years 15 to 19 years 20s 30s 40s 50s 60s 70s 80s
1 2 3 4 5 20 min delay
Total N = 1453 range 99 to 201
Verbal Forgetting for Acquisition Matched Age Groups
Trials
Me
an
Nu
mb
er
of W
ord
s R
eca
lled
8
9
10
11
12
5 to 9 years 10 to 14 years 15 to 19 years 20s 30s 40s 50s 60s 70s 80s
N range 17 to 65
5 20 Min Delay
REY RECALL AT 20 MINUTE DELAY FOR ACQUISITION MATCHED GROUPS
Mea
n W
ord
s R
eca
lled
(+S
EM
)
4
5
6
7
8
9
10
11
12
13
14
30-45 years of age, n=1146-60 years of age, n=1461-75 years of age, n=1776-90 years of age, n=19
Trial 5 20 Minute Delay
Age condition significant at p=.013Delay significant at p=.001Interaction is not significant p=.26
REY RECALL AT 1 DAY FOR ACQUISITION MATCHED GROUPS
Mea
n W
ords
Rec
alle
d (+
SE
M)
4
5
6
7
8
9
10
11
12
13
14
30-45 years of age, n=1046-60 years of age, n=1661-75 years of age, n=2076-90 years of age, n=19
Trial 5 1 Day Delay
Age condition significant F(3,52) = 2.8, p = .047Delay significant F(1,52) = 107.3, p = .001Age by delay interaction was significant F(3,52) = 5.06, p = .004
Post-hoc pairwise comparisons showed that oldest group significantlydifferent from all other groups at the 1 day delay (76 to 90 year olds versus30 to 45, p=.022; versus 46 to 60, p=.003; versus 61 to75, p=.01). No group differences at the last immediate trial.
1-Day Delay (76-90 Years)
Number of Words Recalled
20-Minute Delay (76-90 Years)
Number of Words Recalled
Last Immediate Trial (76-90 Years)
Number of Words Recalled
1-Day Delay (61-75 Years)
Number of Words Recalled
20-Minute Delay (61-75 Years)
Number of Words Recalled
Last Immediate Trial (61-75 Years)
Number of Words Recalled
1-Day Delay (46-60 Years)
Number of Words Recalled
20-Minute Delay (46-60 Years)
Number of Words Recalled
Last Immediate Trial (46-60 Years)
Number of Words Recalled
1-Day Delay (30-45 Years)
Number of Words Recalled
20-Minute Delay (30-45 Years)
Number of Words Recalled
Last Immediate Trial (30-45 Years)
Number of Words Recalled
1 2 3 4 50 6 7 9 10 11 12 13 14 158
1514131211109876543210
1514131211109876543210
1514131211109876543210
1514131211109876543211514131211109876543210
1514131211109876543210
151413121110976543210 8
15141312111098765432101514131211109876543210
1514131211109876543210
151413121110987653210
Mean = 6.11Median = 5.0N = 35
Mean = 8.50Median = 9.0N = 40
Mean = 10.31Median = 10.0N = 29
Mean = 11.66Median = 12.0N = 32
Mean = 13.34Median = 14.0N = 32
Mean = 12.62Median = 13N = 29
Mean = 11.53Median = 12N = 40
Mean = 8.83Median = 9.0N = 35
Mean = 10.80Median = 11.0N = 35
Mean = 12.10Median = 12.0N = 40
Mean = 13.14Median = 13N = 29
Mean = 13.70Median = 14.0N = 32
Trial 1 (30-45 Years)
Number of Words Recalled
Fre
qu
en
cy in
Pe
rce
nta
ge
0
10
20
30
40
50
Mean = 8.53Median = 8.0N = 32
00 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Trial 1 (46-60 Years)
Number of Word Recalled
Fre
qu
en
cy in
Pe
rce
nta
ge
0
10
20
30
40
50
Mean = 7.79Median = 8.0N = 29
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 4
Trial 1 (61-75 Years)
Number of Words Recalled
Fre
quency in P
erc
enta
ge
0
10
20
30
40
50
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Mean = 6.92Median = 7.0N = 40
Trial 1 (76-90 Years)
Number of Words Recalled
Fre
quency in P
erc
enta
ge
0
10
20
30
40
50
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Mean = 5.72Median = 6.0N = 35
Visuo-Spatial Memory Cards Test
Visuo-spatial Performance Across the Life Span
Trials
Mea
n P
erce
nt o
f Opt
imal
Sco
re
20
30
40
50
60
70
80
90
100
5 to 9 years old10 to 14 years old15 to 19 years old20 to 29 years old30 to 39 years old40 to 49 years old50 to 59 years old60 to 69 years old70 to 79 years old80 to 89 years old
1 2 3 4 5 Delay
Total N = 453 range 21 to 70
Conclusions: Verbal and Visuo-spatial Acquisition and Forgetting
1. Age effect on level of acquisition for verbal and visuo-spatial material.
2. No forgetting for any age group for visuo-spatial task.
3. Greater forgetting for youngest and oldest groups on verbal material.
4. Forgetting not a function of level of acquisition. Match on acquisition and age effect remains for verbal material.
5. Match task on forgetting. Greater forgetting for verbal material.
Tests of Frontal Lobe Functioning
1. Tower of London
2. Stroop Color-Word Interference
3. Wisconsin Card Sort Test
Total Excess Moves for the Tower of London
Age Groups
Mea
n N
um
ber
of E
xce
ss M
ove
s (+
SE
M)
0
10
20
30
40
50
20s 30s 40s 50s 60s 70s 80s15-1910-145-9
Total N = 1249, Range 45 to 265
RED BLUE GREEN YELLOW
RED BLUE GREEN YELLOW
RED BLUE GREEN YELLOW
STROOP COLOR-WORD INTERFERENCE TEST
AGE GROUP
RE
SP
ON
SE
TIM
E IN
SE
CO
ND
S (
+S
EM
)
0
3
6
9
12
15
18
21
24
15-19 20s 30s 40s 50s 60s 70s 80s5-9 10-14
Total N = 1129, Range 42 to 259
WCST Categories Achieved
Age Groups
Mea
n N
umbe
r of
Cat
egor
ies
Ach
ieve
d (+
SE
M)
0
1
2
3
4
5
6
20s 30s 40s 50s 60s 70s 80s15-1910-145-9
Total N = 1220, Range 44 to 221
Relationships Between Recall and Frontal Lobe Functioning
1. Frontal Lobe tests deficits as early as 40s.
2. Age effects on declarative tests by 50s.
3. Are there relationships between declarative memory and frontal lobe functioning. Detected small to moderate correlations for domains of recall, frontal , aging, and IQ. Moderate for stroop, recall delay, and aging.
4. Examine variables in covariate structural equation model.
Model Comparisons______________________________________________________
______________ Full Model Mediation Model____
Age Frontal .52(.05) .52(.05)
Age Recall .55(.47) ---------
Frontal Recall -1.81(.91) -.83(.12)
DF 12 13
X2 statistic 26.54 29.96
p-value .009 .005
GFI .953 .946
AGFI .890 .884
RMSR .067 .070
Reduction of Memory Deficits
1. Tower of Hanoi Performance and Deficit Reduction in the Elderly.
2. Reduction of Age-related Object Recognition Deficits.
TOWER OF HANOI PERFORMANCE AND AGE
SESSIONS (4 TRIALS/SESSION)
ME
AN
NU
MB
ER
OF
EX
CE
SS
MO
VE
S
0
10
20
30
40
50
6020s30s40s50s60s70s80s
1 2 3 4
ELDERLY CUEDELDERLY NOT CUEDYOUNG CUEDYOUNG NOT CUED
SESSIONS
ME
AN
NU
MB
ER
OF
EX
CE
SS
MO
VE
S40
30
20
10
TESTTRANSFER4321
TOWER OF HANOI PERFORMANCE
MethodMethod SubjectsSubjects
– Young, 18 - 25 years, n = 33
– Older, 60 - 76 years, n = 20
Yes/No Recognition Memory Test–– Studied Lists of Novel Visual ObjectsStudied Lists of Novel Visual Objects
–– Test Lists: Test Lists: 1/2 studied, 1/2 not studied objects1/2 studied, 1/2 not studied objects
–– Objects presented in HighObjects presented in High or Low Contrast or Low Contrast
High ContrastHigh Contrast Low ContrastLow Contrast
YoungYoung NormalNormal DegradedDegraded
OlderOlder EnhancedEnhanced NormalNormal
Normal StimuliNormal Stimuli Degraded
(80 Year Old Simulation)
Enhanced
(20 Year Old Simulation)
The figure is for example only. The stimuli suffered some degradation when imported into the presentation program and enlarged.
Test StimuliTest Stimuli
EEG Recording• 128 Channel Geodesic Sensor Net• During recognition memory test• Event Related Potentials (ERPs)
– ERPs are EEG averaged across trials in each condition.
– ERPs indextask-related brain electrical activity.
% Correct d' *Young Normal 72 1.23
Degraded 67 1.00
Older Normal 65 0.85Enhanced 68 1.00
R e c o g n i t i o n M e m o r y R e s u l t s
• Y o u n g : N o r m a l > D e g r a d e d , t ( 1 , 3 2 ) = 1 . 7 0 , p < . 0 5 .
• O l d e r : E n h a n c e d > N o r m a l , t ( 1 , 1 9 ) = 1 . 7 3 , p < . 0 5 .
* d ’ m e a s u r e s t h e a b i l i t y t o d i s c r i m i n a t e b e t w e e n s t u d i e d a n d n o t s t u d i e d o b j e c t s .
Memory-Related ERP Results• ERP Voltage Differences between
Studied & Not Studied Objects– 600 - 1500 ms after object onset– Right, Frontal Electrodes
• Young Subjects– Normal Contrast Only – Studied > Not Studied, F(1, 32) = 6.20, p < .05.
• Older Subjects– Enhanced Contrast Only– Studied > Not Studied, F(1, 19) = 4.70, p < .05.
Story 1
Re
ad
ing
Tim
e (
Se
cond
s)
0
20
40
60
80
100
120
140
Mea
n P
erc
ent
Co
rre
ct
0
10
20
30
40
50
60
70
80
90
100
Alzheimer Patients
Institutionalized Elderly
2 31 1 2 3Story 2
Alz
he
imer
Inst
itutio
na
lize
d E
lde
rly
Am
ne
sia
c
Amnesiac
Home Dwelling Elderly
Young
Ho
me
Eld
erl
y
Yo
ung
Conclusions
1. Elderly are impaired on verbal recall, there is increased age-related decline with increased delay, and age-associated memory impairment affects over 50% of the elderly.
2. Elderly are impaired on visuo-spatial memory. There is no age related forgetting over a 20 minute delay
3. There is an age-related relationship between forgetting of verbal material (temporal lobe function) and frontal lobe functioning.
4. Elderly deficit on the Tower of Hanoi is ameliorated with probes.
5. Amelioration of Elderly’s Deficit on Object Recognition occurs with enhanced contrast.