hasker p. davis 1 , tim curran 2 , and frederick keller 1

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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

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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 Presentation

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Page 1: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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

Page 2: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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

Page 3: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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

Page 4: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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

Page 5: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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.

Page 6: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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

Page 7: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

Visuo-Spatial Memory Cards Test

Page 8: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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

Page 9: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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.

Page 10: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

Tests of Frontal Lobe Functioning

1. Tower of London

2. Stroop Color-Word Interference

3. Wisconsin Card Sort Test

Page 11: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1
Page 12: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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

Page 13: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

RED BLUE GREEN YELLOW

RED BLUE GREEN YELLOW

RED BLUE GREEN YELLOW

Page 14: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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

Page 15: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

   

Page 16: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1
Page 17: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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

Page 18: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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.

Page 19: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1
Page 20: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

     

Page 21: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

 

Page 22: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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

Page 23: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

Reduction of Memory Deficits

1. Tower of Hanoi Performance and Deficit Reduction in the Elderly.

2. Reduction of Age-related Object Recognition Deficits.

Page 24: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1
Page 25: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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

Page 26: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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

Page 27: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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

Page 28: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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

Page 29: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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.

Page 30: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

% 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 .

Page 31: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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.

Page 32: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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

Page 33: Hasker P. Davis 1 , Tim Curran 2 , and Frederick Keller 1

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.