The Characteristics of Visuospatial Working Memory in Alzheimer's Disease

알츠하이머병에서의 시공간 작업기억 특성

  • Kim, Seol-Min (Department of Neuropsychiatry, Kyung Hee University School of Medicine) ;
  • Lee, Young-Ho (Department of Psychology, The Catholic University of Korea) ;
  • Youn, Jung-Hae (Department of Psychiatry, Seoul National University, College of Medicine) ;
  • Lee, Ju-Won (Department of Psychiatry, Seoul National University, College of Medicine) ;
  • Lee, Jun-Young (Department of Psychiatry, Seoul National University, College of Medicine)
  • 김설민 (경희대학교 의과대학 신경정신과학교실) ;
  • 이영호 (가톨릭대학교 심리학과) ;
  • 윤정혜 (서울대학교 의과대학 정신과학교실) ;
  • 이주원 (서울대학교 의과대학 정신과학교실) ;
  • 이준영 (서울대학교 의과대학 정신과학교실)
  • Published : 2009.11.30

Abstract

Objectives : Mild Alzheimer's disease(AD) is uncertain to be related to visuospatial working memory subsystem dysfunction. We used the self ordered pointing test(SOPT) to find the characteristics of visuospatial working memory in mild AD. Methods : We compared the visuospatial working memory abilities of 20 patients with mild AD and 20 normal elderly controls(NC) using SOPT, of which stimuli consisted of two stimuli types(A : abstract, C : concrete) and two stimuli numbers(8 and 12). Therefore, working memory was tested using C8, C12, A8, and A12 stimuli conditions in SOPT. Mixed-model ANOVA was conducted with the AD and NC groups as between-subjects factor, with stimuli types and stimuli numbers as the within-subjects factors and with SOPT error rates as the dependent variable. Results : The AD group showed higher error rates in SOPT than the NC group. The NC group showed low error rates in concrete stimuli than in abstract stimuli and in small stimuli numbers than in large stimuli numbers. And the AD group showed no differences between stimuli types or stimuli numbers. Conclusion : AD patients showed a poor performance in visuospatial working memory using concrete stimuli. The result suggests that there is a non-transformation from visual input to phonological working memory in AD. Patients with AD showed a poor performance although in small stimuli number condition of SOPT. It suggests that in AD, visuospatial working memory is not working well although in low central executive loads.

Keywords

References

  1. Miller GA, Galanter E, Pribram KH. Plans and the structure of behavior. New York: Holt; Adams Bannister Cox Pubs;1960.
  2. Baddeley AD, Hitch GJ. Working memory. In: Bower GH. The psychology of learning and motivation. New York: Academic Press;1974. p.47-89.
  3. Hale JB, Hoeppner JB, Fiorello CA. Analyzing digit span components for assessment of attention processes. J Psychoeduc Assess 2002;20:128-143. https://doi.org/10.1177/073428290202000202
  4. Fossati P, Amar G, Raoux N, Ergis AM, Allilaire JF. Executive functioning and verbal memory in young patients with unipolar depression and schizophrenia. Psychiatry Res 1999;89:171-187. https://doi.org/10.1016/S0165-1781(99)00110-9
  5. Kang YW, Jin JH, Chin JH, Na DL. A Normative study of the digit span test for the elderly. Korean J Clin Psychology 2002;21:911-922.
  6. Morris RG. Short-term forgetting in senile dementia of the Alzheimer's type. Cogn Neuropsychol 1986;3:77-97. https://doi.org/10.1080/02643298608252670
  7. Baddeley AD, Bressi S, Della Sala S, Logie R, Spinnler H. The decline of working memory in Alzheimer's disease. A longitudinal study. Brain 1991;114:2521-2542. https://doi.org/10.1093/brain/114.6.2521
  8. Baddeley A. Working memory. Science 1992;255:556-559. https://doi.org/10.1126/science.1736359
  9. Morris RG. Dementia and the functioning of the articulatory loop system. Cognitive Neuropsychology 1984;1:143-157. https://doi.org/10.1080/02643298408252019
  10. Carlesimo GA, Fadda L, Lorusso S, Caltagirone C. Verbal and spatial memory spans in Alzheimer's and multi-infarct dementia. Acta Neurol Scand 1994;89:132-138. https://doi.org/10.1111/j.1600-0447.1994.tb01500.x
  11. Petrides M, Milner B. Deficits on subject-ordered tasks after frontal- and temporal-lobe lesions in man. Neuropsychologia 1982;20:249-262. https://doi.org/10.1016/0028-3932(82)90100-2
  12. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC: APA Press;1994.
  13. McKhann G, Drachman D, Folstein M, Katzman R, Price D, Stadlan EM. Clinical diagnosis of Alzheimer's disease: report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology 1984; 34:939-944. https://doi.org/10.1212/WNL.34.7.939
  14. Choi SH, Na DL, Lee BH, Hahm DS, Jung JH, Jung Y, et al. The validity of the Korean version of Global Deterioration Scale. J Korean Neurol Assoc 2002;20:612-617.
  15. Lee DY, Lee KU, Lee JH, Kim KW, Jhoo JH, Kim SY, et al. A normative study of the CERAD neuropsychological assessment battery in the Korean elderly. J Int Neuropsychol Soc 2004;10:72-81.
  16. Lee DY, Lee KU, Lee JH, Kim KW, Jhoo JH, Youn JC, et al. A normative study of the Korea-Mini Mental State Examination(K-MMSE) in the Korean Elderly. J Korean Neuropsychiatr Assoc 2002;41:508-525.
  17. Shue KL, Douglas VI. Attention deficit hyperactivity disorder and the frontal lobe syndrome. Brain Cogn 1992;20:104-124. https://doi.org/10.1016/0278-2626(92)90064-S
  18. Lafleche G, Albert MS. Executive function deficits in mild Alzheimer's disease. Neuropsychology 1995;9:313-320. https://doi.org/10.1037/0894-4105.9.3.313
  19. Rich JB, Bylsma FW, Brandt J. Self-ordered pointing performance in Huntington's disease patients. Cogn Behav Neurol 1996;9:99-106.
  20. Gabrieli JDE, Singh J, Stebbins GT, Goetz CG. Reduced working memory span in Parkinson's disease: evidence for the role of a frontostriatal system in working and strategic memory. Neuropsychology 1996;10:322-332. https://doi.org/10.1037/0894-4105.10.3.321
  21. Smith M, Klim P, Mallozzi E, Hanley WB. A test of the dopamine specificity hypothesis in the cognitive performance of adults with phenylketonuria. Develop-mental Neuropsychology 1996;12:327-341. https://doi.org/10.1080/87565649609540656
  22. Daigneault S, Braun CMJ, Whitaker HA. Early effects of normal aging on perseverative and non-perseverative prefrontal measures. Developmental Neuropsychology 1992;8:99-114.
  23. Seo CW. A study on picture memory: A standardized set of 260 pictures. Korean Journal of Psycholgy 1988;7:158-186.
  24. Kim SM. Working memory in Alzheimer's disease. Seoul: Catholic University of Korea;2007.
  25. Grossi D, Becker JT, Smith C, Trojano L. Memory for the visuospatial patterns in Alzheimer's disease. Psychol Med 1993;23:65-70. https://doi.org/10.1017/S003329170003885X
  26. Alescio-Lautier B, Michel BF, Herrera C, Elahmadi A, Chambon C, Touzet C, et al. Visual and visuospatial short-term memory in mild cognitive impairment and Alzheimer disease: role of attention. Neuropsychologia 2007;45:1948-1960. https://doi.org/10.1016/j.neuropsychologia.2006.04.033
  27. Vallar G, Papagno C. Neuropsychological impairments of verbal short-term mememory. In: Baddeley A, Wilson B, Kopelman M(eds). Handbook of memory disorders. 2ed. Chichester, England: Wiley;1990. p.249-270.