The effects of study order and backward associative strength on illusory recollection: A source-strength effect does not always occur.

We investigated illusory recollection by dividing lists of associated words into three subsets (high, medium and low) based on their backward associative strength (BAS) to an unstudied theme. Participants studied these subsets at different visual locations on a computer screen and afterwards were given a source memory test. In Experiment 1, we varied the order in which high- and medium-BAS subsets were studied. In Experiment 2, we again manipulated study order as well as the associative strength of the medium-BAS subsets (strong or weak). Across both experiments, illusory recollection was constrained by both study order and BAS. Source attributions to the high-BAS location were more likely (a source-strength effect) when high-BAS items were studied first or studied following items of relatively low associative strength. However, attributions to the strong medium-BAS studied location were more likely when these items were studied before high-BAS items. These findings are interpreted as resulting from misbinding of source details at encoding which can be explained by the activation-monitoring theory of illusory recollection.

Working memory capacity modulates task performance but has little influence on task choice.

Variation in the ability to maintain internal goals while resolving competition from multiple information streams has been related to individual differences in working memory capacity (WMC). In a multitask environment, task choice and task performance are influenced by internal goals, prior behavior within the environment, and the availability of relevant and irrelevant information in the environment. Using the voluntary task-switching procedure, task performance, as measured by switch costs, was related to WMC, but only at short preparation intervals. Task choice processes were only weakly related to WMC. These findings are consistent with models of cognitive control that separate task choice processes from the processes of activating and maintaining task readiness. WMC is related to regulation of specific task parameters but not to choice processes integral to the coordination of multiple sources of information.

Age-related deficits in reality monitoring of action memories.

The authors describe 3 theoretical accounts of age-related increases in falsely remembering that imagined actions were performed (A. K. Thomas & J. B. Bulevich, 2006). To investigate these accounts and further explore age-related changes in reality monitoring of action memories, the authors used a new paradigm in which actions were (a) imagined only, (b) actually performed, or (c) both imagined and performed. Older adults were more likely than younger adults to misremember the source of imagined-only actions, with older adults more often specifying that the action was imagined and also that it was performed. For both age groups, illusions that the actions were only performed decreased as repetitions of the imagined-only events increased. These patterns suggest that both older and younger adults use qualitative characteristics when making reality-monitoring judgments and that repeated imagination produces richer records of both sensory details and cognitive operations. However, sensory information derived from imagination appears to be more similar to that derived from performance for older adults than for younger adults.

Age deficits in the control of prepotent responses: evidence for an inhibitory decline.

Older adults have more difficulty than younger adults appropriately directing their behavior when the required response is in competition with a prepotent response. The authors varied the difficulty of inhibiting a prepotent eye movement response by varying the response cue (peripheral onset or central arrow). The response cue manipulation did not affect prosaccade accuracy and latency for either age group and did not affect younger adults' antisaccades. Older adults' antisaccades were slower in the peripheral cue condition than in the central arrow condition. These findings are taken as support for the inhibitory deficit hypothesis of aging (L. Hasher, R. T. Zacks, & C. P. May, 1999).

Economic Evaluation Alongside a Clinical Trial of Telephone Versus In-Person Genetic Counseling for BRCA1/2 Mutations in Geographically Underserved Areas.

PURPOSE: BRCA1/2 counseling and mutation testing is recommended for high-risk women, but geographic barriers exist, and no data on the costs and yields of diverse delivery approaches are available. METHODS: We performed an economic evaluation with a randomized clinical trial comparing telephone versus in-person counseling at 14 locations (nine geographically remote). Costs included fixed overhead, variable staff, and patient time costs; research costs were excluded. Outcomes included average per-person costs for pretest counseling; mutations detected; and overall counseling, testing, and disclosure. Sensitivity analyses were performed to assess the impact of uncertainty. RESULTS: In-person counseling was more costly per person counseled than was telephone counseling ($270 [range, $180 to $400] v $120 [range, $80 to $200], respectively). Counselors averaged 285 miles round-trip to deliver in-person counseling to the participants (three participants per session). There were no differences by arm in mutation detection rates (approximately 10%); therefore, telephone counseling was less costly per positive mutation detected than was in-person counseling ($37,160 [range, $36,080 to$38,920] v $40,330 [range, $38,010 to $43,870]). In-person counseling would only be less costly than telephone counseling if the most favorable assumptions were applied to in personc ounseling and the least favorable assumptions were applied to telephone counseling. CONCLUSION: In geographically underserved areas, telephone counseling is less costly than in-person counseling.

Inhibitory processes in adults with persistent childhood onset ADHD.

The theory that attention-deficit/hyperactivity disorder (ADHD) stems from a deficit in an executive behavioral inhibition process has been little studied in adults, where the validity of ADHD is in debate. This study examined, in high-functioning young adults with persistent ADHD and a control group, 2 leading measures of inhibitory control: the antisaccad task and the negative priming task. ADHD adults showed weakened ability to effortfully stop a refle ve or anticipated oculomotor response but had normal ability to automatically suppress irrelevant information. Results suggest that an inhibitory deficit in ADHD is confined to effortful inhibition of motor response, that antisaccade and negative priming tasks index distinct inhibition systems, and that persistence of ADHD symptoms into adulthood is associated with persistence of executive motor inhibition deficits.

Age differences in veridical and false recall are not inevitable: the role of frontal lobe function.

The relationship of neuropsychological measures of frontal lobe function to age differences in false recall was assessed using the Deese/Roediger-McDermott associative false memory paradigm (Deese, 1959; Roediger & McDermott, 1995). As other studies have found, older adults were less likely to correctly recall studied items and more likely to falsely recall highly related but nonpresented items than were younger adults. When older adults were divided based on a composite measure of frontal lobe functioning, this age difference was found only for low frontal lobe functioning individuals. High frontal lobe functioning older adults and young adults had equivalent levels of false recall, as well as equivalent levels of veridical recall. These results suggest that age differences in memory may be due to declines in frontal lobe function. More important, our findings indicate that declines in veridical recall and increases in false recall are not an inevitable consequence of aging.

Expanding access to BRCA1/2 genetic counseling with telephone delivery: a cluster randomized trial.

BACKGROUND: The growing demand for cancer genetic services underscores the need to consider approaches that enhance access and efficiency of genetic counseling. Telephone delivery of cancer genetic services may improve access to these services for individuals experiencing geographic (rural areas) and structural (travel time, transportation, childcare) barriers to access. METHODS: This cluster-randomized clinical trial used population-based sampling of women at risk for BRCA1/2 mutations to compare telephone and in-person counseling for: 1) equivalency of testing uptake and 2) noninferiority of changes in psychosocial measures. Women 25 to 74 years of age with personal or family histories of breast or ovarian cancer and who were able to travel to one of 14 outreach clinics were invited to participate. Randomization was by family. Assessments were conducted at baseline one week after pretest and post-test counseling and at six months. Of the 988 women randomly assigned, 901 completed a follow-up assessment. Cluster bootstrap methods were used to estimate the 95% confidence interval (CI) for the difference between test uptake proportions, using a 10% equivalency margin. Differences in psychosocial outcomes for determining noninferiority were estimated using linear models together with one-sided 97.5% bootstrap CIs. RESULTS: Uptake of BRCA1/2 testing was lower following telephone (21.8%) than in-person counseling (31.8%, difference = 10.2%, 95% CI = 3.9% to 16.3%; after imputation of missing data: difference = 9.2%, 95% CI = -0.1% to 24.6%). Telephone counseling fulfilled the criteria for noninferiority to in-person counseling for all measures. CONCLUSIONS: BRCA1/2 telephone counseling, although leading to lower testing uptake, appears to be safe and as effective as in-person counseling with regard to minimizing adverse psychological reactions, promoting informed decision making, and delivering patient-centered communication for both rural and urban women.

Age differences in voluntary task switching.

Task choice processes in older (60+ years) and younger (18-30 years) adults were compared using a voluntary task switching procedure (Arrington & Logan, 2004). To assess age-related differences in task representation maintenance, preparation times were varied across a large range of response-to-stimulus intervals (100, 500, 1,000, and 5,000 ms) and the environmental influence on task selection was varied by repeating or changing stimuli from trial to trial. Older adults switched less frequently than younger adults and this effect was the same at each RSI. Younger adults were more likely to switch tasks when the stimulus changed than when it repeated suggesting that they used a different process to determine task choices, either endogenous task selection or environmentally supported task repetitions. Older adults' task selection was unaffected by stimulus repetitions indicating that they were less flexible with the processing they used to guide task selection. These findings are consistent with previous observations of age-related increases in goal shielding, but not with age-related deficits in task goal maintenance. Robust age differences in switch costs were observed across RSIs suggesting that task reconfiguration processes are different following endogenous than exogenous task selection.

The role of verbal short-term memory in task selection: how articulatory suppression influences task choice in voluntary task switching.

The roles of verbal short-term memory (vSTM) in task selection and task performance processes were examined when individuals were asked to voluntarily choose which of two tasks to perform on each trial randomly. Consistent with previous voluntary task-switching (VTS) research, we hypothesized that vSTM would support random task selection by maintaining a sequence of previously executed tasks that would be used by a representativeness heuristic. Furthermore, because using a representativeness heuristic requires sufficient time for updating and comparison processes, we expected that vSTM would have a greater effect on task selection when more time was available. Participants completed VTS under concurrent articulatory suppression and foot tapping at short and long response-to-stimulus intervals (RSIs). Task selection in VTS was more repetitive under suppression than under foot tapping, but this effect did not vary with RSI, suggesting that vSTM does not maintain the sequence of executed tasks to guide task selection. Instead, vSTM is critical for maintaining the intended task and ensuring that it is carried out. In contrast to the finding that a working memory load impairs task performance, we found no difference in reaction times and no switch costs between suppression and foot-tapping conditions, suggesting that vSTM is not critical for task performance.

Variation in individuals' semantic networks for common knowledge is associated with false memory.

Three experiments assessed the relationships between false memories of words and their degree of connectedness within individual semantic networks. In the first two experiments, participants studied associated word lists (e.g., hot, winter, ice), completed a recognition test that included related nonstudied words (e.g., cold, snow), and then rated the semantic relatedness of all word pairs including studied and nonstudied words. In the third experiment, the task order was reversed; participants completed pairwise ratings and then, two weeks later, completed the false memory task. The relatedness ratings were analysed using the Pathfinder scaling algorithm. In all experiments, items that an individual falsely recognized had higher semantic Pathfinder node densities than those items correctly rejected.

The influence of distinctive processing manipulations on older adults' false memory.

Covertly generating item-specific characteristics for each studied word from DRM (Deese-Roediger-McDermott) lists decreases false memory in young adults. The typical interpretation of this finding is that item-specific characteristics act as additional unique source information bound to each studied item at encoding, and at retrieval young adults can use the absence of this type of information to reject non-presented associated words that might otherwise be falsely remembered. In two experiments, we examined whether healthy older adults could use this strategy to reduce their false memories in the DRM paradigm. In Experiment 1, low frontal lobe functioning was associated with increased false memory in the item-specific strategy condition. Experiment 2 found more memory intrusions under item-specific encoding and the same amount of false memory in auditory and visual presentation conditions, i.e., no modality effect, even with 8 s of encoding time. Both findings are consistent with impaired distinctive processing by older adults.

Implementation intentions facilitate prospective memory under high attention demands.

An implementation intention is a planning technique that involves specifying a situation for initiating an intended action and linking these specific cues to the intention. In two experiments with young adults, we found significant increases in prospective memory with implementation intentions. With an implementation intention, but not with standard instructions, prospective memory performance was maintained under demanding attentional conditions (Experiment 2). Ongoing task performance did not decline, however, in relation with a no prospective memory control. Positive effects were not observed when the imagery component of the implementation intention was isolated from the verbal component. We suggest that implementation intention planning (relative to standard instructions) increases the likelihood that people will encode a robust associative link between the target cue and the intended action, thereby promoting reflexive triggering of the intended action on presentation of the target cue.