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. 2020 Nov:132:41-50.
doi: 10.1016/j.cortex.2020.06.016. Epub 2020 Aug 20.

Different patterns of short-term memory deficit in Alzheimer's disease, Parkinson's disease and subjective cognitive impairment

Affiliations

Different patterns of short-term memory deficit in Alzheimer's disease, Parkinson's disease and subjective cognitive impairment

Nahid Zokaei et al. Cortex. 2020 Nov.

Abstract

It has recently been proposed that short-term memory (STM) binding deficits might be an important feature of Alzheimer's disease (AD), providing a potential avenue for earlier detection of this disorder. By contrast, work in Parkinson's disease (PD), using different tasks, has suggested that the STM impairment in this condition is characterised by increased random guessing, possibly due to fluctuating attention. In the present study, to establish whether a misbinding impairment is present in sporadic late-onset AD (LOAD) and increased guessing is a feature of PD, we compared the performance of these patient groups to two control populations: healthy age-matched controls and individuals with subjective cognitive impairment (SCI) with comparable recruitment history as patients. All participants performed a sensitive task of STM that required high resolution retention of object-location bindings. This paradigm also enabled us to explore the underlying sources of error contributing to impaired STM in patients with LOAD and PD using computational modelling of response error. Patients with LOAD performed significantly worse than other groups on this task. Importantly their impaired memory was associated with increased misbinding errors. This was in contrast to patients with PD who made significantly more guessing responses. These findings therefore provide additional support for the presence of two doubly dissociable signatures of STM deficit in AD and PD, with binding impairment in AD and increased random guessing characterising the STM deficit in PD. The task used to measure memory precision here provides an easy-to-administer assessment of STM that is sensitive to the different types of deficit in AD and PD and hence has the potential to inform clinical practice.

Keywords: Alzheimer's disease; Binding; Parkinson's disease; Short-term memory.

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Figures

Fig. 1
Fig. 1
Short-term memory task. Schematic of the short-term memory task. Participants were presented with a memory array followed by a delay. They were then presented with two fractals, one from the memory array and a foil. On a touchscreen computer, participants first had to touch the fractal they had seen before (in the memory array) and drag it its remembered location.
Fig. 2
Fig. 2
Short-term memory performance. Behavioural task performance, for identification accuracy (a) and localization error (b) for 1 and 3 item conditions for patients with AD, PD, SCI and healthy controls (HC).
Fig. 3
Fig. 3
Computational modelling of response error in STM. a) Error can arise due to localization imprecision, captured by changes in the gaussian distribution centred on the probed location (right panel), proportion of guesses, captured a uniform distribution (middle panel) or proportion of swap (binding) errors, captured by gaussian distributions centred on the non-probed memory items (right panel). b). Model estimates in different groups of participants demonstrate that patients with PD show increased proportion of guesses while patients with AD make significantly more swap (binding) errors.

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