Mind Language Disturbances and PET-Signs of Depression vs Alzheimer's Disease: Are There Any Common Patterns Identified?

BACKGROUND: There is a broad appreciation that a diagnosis of depression (D) in the elderly is a strong risk factor for incident dementia, particularly Alzheimer's disease (AD). Indeed, the two disorders might constitute a dyad, although their causal relationship is uncertain, given the likely bidirectional and compounding effects of social withdrawal and loss of previous activities, and the manifestation of language disturbances, cognitive dysfunction, and social disruption that are typical of both conditions. We argue that language declines in D and AD share common patterns and biological underpinnings, and that D/AD patients might benefit from intensive language remediation training aiming to improve the functioning of neural networks that are linked to similar cognitive impairments. METHODS: A literature search in PubMed database included topics of language disturbances, cognitive impairments, and molecular brain imaging by positron emission tomography (PET) to identify common patterns in D and AD regarding language decline and its neurobiological underpinnings. RESULTS: Language disturbances show a particular commonality in the two disorders, manifesting in simplified language and particular speech markers (e.g., lexical and semantic repetitions, arguably due to ruminations in D and memory deficits in AD). PET can reveal abnormal protein deposits that are practically diagnostic of AD, but cerebrometabolic deficits to PET with the glucose tracer FDG show a certain commonality in D and AD. Typical findings of hypometabolism in the frontal lobes doubtless underlie the executive function deficits, where frontal hypometabolism in prodromal D increases with AD progression. This may reflect overlapping changes in noradrenaline and other neurotransmitter (e.g. serotonin) changes. Cerebrometabolic deficits associated with language dysfunction may inform targeted language remediation treatments in the D/AD progression. CONCLUSIONS: Language remediation techniques targeting specific language disturbances might present an important complimentary treatment strategy along with an adjusted pharmacotherapy approach and standard psychosocial rehabilitation interventions. We see a need for investigations of language remediation informed by the overlapping pathologies and language disturbances in D and AD.

Semantic memory navigation in HIV: Conceptual associations and word selection patterns.

Objective: This proof-of-concept study aimed to characterize semantic memory profiles in individuals with human immunodeficiency virus (HIV) and mild neurocognitive impairment. Method: Using a semantic relatedness task, we explored conceptual association and word selection patterns in people living with HIV (PLWH; n = 50) relative to people living without HIV (n = 46). We also studied whether word selection patterns in the PLWH group were associated with working memory capacity, cognitive flexibility and inhibitory control. Results: While accuracy did not differ between groups, PLWH produced significantly longer responses than controls (r = .32), with fewer hypernyms (d = .47), more troponyms (r = .37), and words that were more frequent (r = .39) and had more phonological neighbors (r = .22). These patterns survived covariation with participants' cognitive status. None of these patterns correlated with measures of working memory, cognitive flexibility, inhibitory control or viral load (all correlation coefficients < .36). Conclusions: Together, these results suggest that PLWH might use alternative word finding strategies during semantic memory navigation, irrespective of the severity of other cognitive symptoms. Such findings contribute to the characterization of cognitive deficits in HIV and to the search for novel markers of the condition.

The effect of congruent emotional context on semantic memory during discourse comprehension.

This study examined the effect of emotional context on the semantic memory of subsequent emotional words during discourse comprehension in two eye-tracking experiments. Four-sentence discourses were used as experimental materials. The first three sentences established an emotional or neutral context, while the fourth contained an emotional target word consistent with the preceding emotional context's valence. The discourses were presented twice using the text change paradigm, where the target words were replaced with strongly - or weakly-related words during the second presentation. Thus, four conditions were included in the present study: Emotional-strongly-related, Emotional-weakly-related, Neutral-strongly-related and Neutral-weakly-related. In Experiment 1, negative contexts and negative target words were used, whereas in Experiment 2, positive contexts and positive target words were used. The results revealed a semantic relatedness effect, whereby the strongly-related words have lower change detection accuracy, longer reading times and more fixations in both Experiments 1 and 2. Furthermore, across both experiments, the magnitude of the semantic relatedness effect was greater in the emotionally congruent contexts than in the neutral contexts. These results suggest that emotional context could increase efforts to change the discrimination of subsequent words and demonstrate an important role of emotional context on semantic memory during discourse processing.

Episodic memory without autonoetic consciousness.

Ever since Tulving's influential 1985 article 'Memory and consciousness', it has become traditional to think of autonoetic consciousness as necessary for episodic memory. This paper questions this claim. Specifically, it argues that the construct of autonoetic consciousness lacks validity and that, even if it was valid, it would still not be necessary for episodic memory. The paper ends with a proposal to go back to a functional/computational characterization of episodic memory in which its characteristic phenomenology is a contingent feature of the retrieval process and, as a result, open to empirical scrutiny. The proposal also dovetails with recent taxonomies of memory that are independent of conscious awareness and suggests strategies to evaluate within- and between-individual variability in the conscious experience of episodic memories in human and non-human agents. This article is part of the theme issue 'Elements of episodic memory: lessons from 40 years of research'.

How to build a better 4E cognition.

Mougenot and Matheson outline a theoretical approach to cognitive neuroscience that combines the commitments of embodied cognition with a mechanistic approach to scientific explanation. They argue that this theoretical approach provides several general benefits, including enabling researchers to develop more robust theories and ontologies that do not require either neuroscientific reductionism or the complete autonomy of psychology from neuroscience. In this commentary, I argue that the sort of embodied cognitive neuroscience that they envision has a more specific benefit: it has the potential to help resolve internal tensions within 4E cognition.

Enhanced generalization and specialization of brain representations of semantic knowledge in healthy aging.

Aging is often associated with a decrease in cognitive capacities. However, semantic memory appears relatively well preserved in healthy aging. Both behavioral and neuroimaging studies support the view that changes in brain networks contribute to this preservation of semantic cognition. However, little is known about the role of healthy aging in the brain representation of semantic categories. Here we used pattern classification analyses and computational models to examine the neural representations of living and non-living word concepts. The results demonstrate that brain representations of animacy in healthy aging exhibit increased similarity across categories, even across different task contexts. This pattern of results aligns with the neural dedifferentiation hypothesis that proposes that aging is associated with decreased specificity in brain activity patterns and less efficient neural resource allocation. However, the loss in neural specificity for different categories was accompanied by increased dissimilarity of item-based conceptual representations within each category. Taken together, the age-related patterns of increased generalization and specialization in the brain representations of semantic knowledge may reflect a compensatory mechanism that enables a more efficient coding scheme characterized by both compression and sparsity, thereby helping to optimize the limited neural resources and maintain semantic processing in the healthy aging brain.

Mediating Role of Inhibition Control in the Relationship Between Age and Memory Changes Throughout Adulthood: An Aging Developmental Study in Iran.

Introduction: This study aimed to investigate the age trends in various types of memory, including priming, working memory (WM), episodic memory (EM), and semantic memory (SM) from adulthood to old age, as well as the mediating role of inhibition control (IC) in the relationship between age and memory. Methods: A total of 796 healthy adults aged between 25 and 83 years participated in this cross-sectional study. They underwent assessment using a comprehensive battery of memory tests (adapted from the Betula battery), digit span tasks (to measure WM), and the Stroop color-word test (to measure IC). Results: The scatter plot with locally estimated scatterplot smoothing (LOESS) fitting line showed EM and WM declined steadily from age 25, while SM exhibited a mild increase up to age 55 followed by a decline. Priming did not show significant changes with age. Mediation analysis and bootstrap tests indicated that IC mediated the relationship between age and EM (ß=-0.097, P=0.002) and between age and SM (ß=-0.086, P=0.001). Conclusion: Our results showed that age affects various types of memory differently, and inhibition control plays a fundamental mediating role in explaining age-related declines in SM and EM.

Latent Relations at Steady-state with Associative Nets.

Models of word meaning that exploit patterns of word usage across large text corpora to capture semantic relations, like the topic model and word2vec, condense word-by-context co-occurrence statistics to induce representations that organize words along semantically relevant dimensions (e.g., synonymy, antonymy, hyponymy, etc.). However, their reliance on latent representations leaves them vulnerable to interference, makes them slow learners, and commits to a dual-systems account of episodic and semantic memory. We show how it is possible to construct the meaning of words online during retrieval to avoid these limitations. We implement a spreading activation account of word meaning in an associative net, a one-layer highly recurrent network of associations, called a Dynamic-Eigen-Net, that we developed to address the limitations of earlier variants of associative nets when scaling up to deal with unstructured input domains like natural language text. We show that spreading activation using a one-hot coded Dynamic-Eigen-Net outperforms the topic model and reaches similar levels of performance as word2vec when predicting human free associations and word similarity ratings. Latent Semantic Analysis vectors reached similar levels of performance when constructed by applying dimensionality reduction to the Shifted Positive Pointwise Mutual Information but showed poorer predictability for free associations when using an entropy-based normalization. An analysis of the rate at which the Dynamic-Eigen-Net reaches asymptotic performance shows that it learns faster than word2vec. We argue in favor of the Dynamic-Eigen-Net as a fast learner, with a single-store, that is not subject to catastrophic interference. We present it as an alternative to instance models when delegating the induction of latent relationships to process assumptions instead of assumptions about representation.

What we mean when we say semantic: Toward a multidisciplinary semantic glossary.

Tulving characterized semantic memory as a vast repository of meaning that underlies language and many other cognitive processes. This perspective on lexical and conceptual knowledge galvanized a new era of research undertaken by numerous fields, each with their own idiosyncratic methods and terminology. For example, "concept" has different meanings in philosophy, linguistics, and psychology. As such, many fundamental constructs used to delineate semantic theories remain underspecified and/or opaque. Weak construct specificity is among the leading causes of the replication crisis now facing psychology and related fields. Term ambiguity hinders cross-disciplinary communication, falsifiability, and incremental theory-building. Numerous cognitive subdisciplines (e.g., vision, affective neuroscience) have recently addressed these limitations via the development of consensus-based guidelines and definitions. The project to follow represents our effort to produce a multidisciplinary semantic glossary consisting of succinct definitions, background, principled dissenting views, ratings of agreement, and subjective confidence for 17 target constructs (e.g., abstractness, abstraction, concreteness, concept, embodied cognition, event semantics, lexical-semantic, modality, representation, semantic control, semantic feature, simulation, semantic distance, semantic dimension). We discuss potential benefits and pitfalls (e.g., implicit bias, prescriptiveness) of these efforts to specify a common nomenclature that other researchers might index in specifying their own theoretical perspectives (e.g., They said X, but I mean Y).

Beyond the episodic-semantic continuum: the multidimensional model of mental representations.

Tulving's concept of mental time travel (MTT), and the related distinction of episodic and semantic memory, have been highly influential contributions to memory research, resulting in a wealth of findings and a deeper understanding of the neurocognitive correlates of memory and future thinking. Many models have conceptualized episodic and semantic representations as existing on a continuum that can help to account for various hybrid forms. Nevertheless, in most theories, MTT remains distinctly associated with episodic representations. In this article, we review existing models of memory and future thinking, and critically evaluate whether episodic representations are distinct from other types of explicit representations, including whether MTT as a neurocognitive capacity is uniquely episodic. We conclude by proposing a new framework, the Multidimensional Model of Mental Representations (MMMR), which can parsimoniously account for the range of past, present and future representations the human mind is capable of creating. This article is part of the theme issue 'Elements of episodic memory: lessons from 40 years of research'.

Transitional gradation and the distinction between episodic and semantic memory.

In this article, we explore various arguments against the traditional distinction between episodic and semantic memory based on the metaphysical phenomenon of transitional gradation. Transitional gradation occurs when two candidate kinds A and B grade into one another along a continuum according to their characteristic properties. We review two kinds of arguments-from the gradual semanticization of episodic memories as they are consolidated, and from the composition of episodic memories during storage and recall from semantic memories-that predict the proliferation of such transitional forms. We further explain why the distinction cannot be saved from the challenges of transitional gradation by appealing to distinct underlying memory structures and applying our perspective to the impasse over research into 'episodic-like' memory in non-human animals. On the whole, we recommend replacing the distinction with a dynamic life cycle of memory in which a variety of transitional forms will proliferate, and illustrate the utility of this perspective by tying together recent trends in animal episodic memory research and recommending productive future directions. This article is part of the theme issue 'Elements of episodic memory: lessons from 40 years of research'.

Modified Dead-Alive Test for the assessment of semantic and episodic memory performance of older patients with neurocognitive disorder.

The aim of this study is to provide a test that allows for evaluation of both semantic memory (SM) and episodic memory (EM). The study sought to examine psychometric characteristics of the Modified Dead-Alive Test (M-DAT) in patients with neurocognitive disorders and the healthy elderly (HE). The M-DAT consists of 45 names of celebrities who have died in the remote past (15), died in the last five years (15), and are still alive (15), and participants are asked whether they are alive or dead. The M-DAT performances of patients with Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) major neurocognitive disorder due to Alzheimer's Disease (MND-AD) (n = 69) and patients with minor neurocognitive disorder (MiND) (n = 27) who were admitted to a geriatric psychiatry clinic and healthy controls (HC) (n = 29) were compared. Age and level of education were taken as covariates, and an analysis of covariance (ANCOVA) was performed since the MND-AD group was older and less educated. The MND-AD group had lower performance in EM and SM scores of the M-DAT. M-DAT failed to differentiate between MiND and HE. Both subscale scores of the M-DAT were associated with other neuropsychological test performances as well as the level of education. The results suggest that M-DAT is a valid and reliable tool that examines both EM and SM performances. M-DAT is an alternative for the assessment of SM evaluated by verbal fluency or naming tests. Evaluating EM and SM together is an important advantage; however, M-DAT is influenced by education, and the items require updating.

Visual experience modulates the sensitivity to the distributional history of words in natural language.

Different experiential traces (i.e., linguistic, motor, and perceptual) are likely contributing to the organization of human semantic knowledge. Here, we aimed to address this issue by investigating whether visual experience may affect the sensitivity to distributional priors from natural language. We conducted an independent reanalysis of data from Bottini et al., in which early blind and sighted participants performed an auditory lexical decision task. Since previous research has shown that semantic neighborhood density-the mean distance between a target word and its closest semantic neighbors-can influence performance in lexical decision tasks, we investigated whether vision may alter the reliance on this semantic index. We demonstrate that early blind participants are more sensitive to semantic neighborhood density than sighted participants, as indicated by the significantly faster response times for words with higher levels of semantic neighborhood density shown by the blind group. These findings suggest that an early lack of visual experience may lead to enhanced sensitivity to the distributional history of words in natural language, deepening in turn our understanding of the strict interplay between linguistic and perceptual experience in the organization of conceptual knowledge.

Temporo-frontoparietal hypoconnectivity as a biomarker for isolated language impairment in mild cognitive impairment: A cross-cohort comparison.

INTRODUCTION: Whether brain functional connectivity (FC) is consistently disrupted in individuals with mild cognitive impairment (MCI) with isolated language impairment (ilMCI), and its potential to differentiate between MCI subtypes remains uncertain. METHODS: Cross-sectional data from 404 participants in two cohorts (the Chinese Preclinical Alzheimer's Disease Study and the Alzheimer's Disease Neuroimaging Initiative) were analyzed, including neuropsychological tests, resting-state functional magnetic resonance imaging (fMRI), cerebral amyloid positivity, and apolipoprotein E (APOE) status. RESULTS: Temporo-frontoparietal FC, particularly between the bilateral superior temporal pole and the left inferior frontal/supramarginal gyri, was consistently decreased in ilMCI compared to amnestic MCI (aMCI) and normal controls, which was correlated with semantic impairment. Using mean temporo-frontoparietal FC as a classifier could improve accuracy in identifying ilMCI subgroups with positive cerebral amyloid deposition and APOE risk alleles. DISCUSSION: Temporal-frontoparietal hypoconnectivity was observed in individuals with ilMCI, which may reflect semantic impairment and serve as a valuable biomarker to indicate potential mechanisms of underlying neuropathology. HIGHLIGHTS: Temporo-frontoparietal hypoconnectivity was observed in impaired language mild cognitive impairment (ilMCI). Temporo-frontoparietal hypoconnectivity may reflect semantic impairment. Temporo-frontoparietal functional connectivity can classify ilMCI subtypes.

Algorithmic Spaced Retrieval Enhances Long-Term Memory in Alzheimer Disease: Case-Control Pilot Study.

BACKGROUND: Spaced retrieval is a learning technique that involves engaging in repeated memory testing after increasingly lengthy intervals of time. Spaced retrieval has been shown to improve long-term memory in Alzheimer disease (AD), but it has historically been difficult to implement in the everyday lives of individuals with AD. OBJECTIVE: This research aims to determine, in people with mild cognitive impairment (MCI) due to AD, the efficacy and feasibility of a mobile app that combines spaced retrieval with a machine learning algorithm to enhance memory retention. Specifically, the app prompts users to answer questions during brief daily sessions, and a machine learning algorithm tracks each user's rate of forgetting to determine the optimal spacing schedule to prevent anticipated forgetting. METHODS: In this pilot study, 61 participants (young adults: n=21, 34%; healthy older adults: n=20, 33%; people with MCI due to AD: n=20, 33%) used the app for 4 weeks to learn new facts and relearn forgotten name-face associations. Participation during the 4-week period was characterized by using the app once per day to answer 15 questions about the facts and names. After the 4-week learning phase, participants completed 2 recognition memory tests approximately 1 week apart, which tested memory for information they had studied using the app as well as information they had not studied. RESULTS: After using the mobile app for 1 month, every person with MCI due to AD demonstrated improvements in memory for new facts that they had studied via the app compared to baseline (P<.001). All but one person with MCI due to AD (19/20, 95%) showed improvements of more than 10 percentage points, comparable to the improvements shown by young adults and healthy older adults. Memory for name-face associations was similarly improved for all participant groups after using the app but to a lesser degree. Furthermore, for both new facts and name-face associations, we found no memory decay for any participant group after they took a break of approximately 1 week from using the app at the end of the study. Regarding usability, of the 20 people with MCI due to AD, 16 (80%) self-adhered to the app's automated practice schedule, and half of them (n=10, 50%) expressed an interest in continuing to use it. CONCLUSIONS: These results demonstrate early evidence that spaced retrieval mobile apps are both feasible for people with early-stage AD to use in their everyday lives and effective for supporting memory retention of recently learned facts and name-face associations.

Development of self-derivation through memory integration and relations with world knowledge.

Accumulating world knowledge is a major task of development and education. The productive process of self-derivation through memory integration seemingly is a valid model of the process. To test the model, we examined relations between generation and retention of new factual knowledge via self-derivation through integration and world knowledge as measured by standardised assessments. We also tested whether the productive process of self-derivation predicted world knowledge even when a measure of learning through direct instruction also was considered. Participants were 162 children ages 8-12 years (53% female; 15% Black, 6% Asian, 1% Arab, 66% White, 5% mixed race, 7% unreported; 1% Latinx). Age accounted for a maximum of 4% of variance in self-derivation and retention. In contrast, substantial individual variability related to general knowledge and content knowledge in several domains, explaining 20-40% variance. In each domain for which self-derivation performance was a unique predictor, it explained a nominally greater share of the variance than the measure of learning through direct instruction. The findings imply that individual variability in self-derivation has functional consequences for accumulation of semantic knowledge across the elementary-school years.

On humans' (explicit) intuitions about the meaning of novel words.

Pseudowords offer a unique opportunity to investigate how humans deal with new (verbal) information. Within this framework, previous studies have shown that, at the implicit level, humans exploit systematic associations in the form-meaning interface to process new information by relying on (sub-lexical) contents already mapped in semantic memory. However, whether speakers exploit such processes in explicit decisions about the meanings elicited by unfamiliar terms remains an open, important question. Here, we tested this by leveraging computational models that are able to induce semantic representations for out-of-vocabulary stimuli. Across two experiments, we demonstrate that participants' guesses about pseudoword meanings in a 2AFC task consistently align with the model's predictions. This indicates that humans' ability to extract meaningful knowledge from complex statistical patterns can affect explicit decisions.

School-based racial segregation, social support, and late-life cognitive function in the Study of Healthy Aging in African Americans (STAR).

INTRODUCTION: School-based social support for Black students may mediate or modify the association between school segregation and late-life cognition. METHODS: Study of Healthy Aging in African Americans participants (n = 574) reported segregated school attendance and school-based social support. Associations of segregated schooling with domain-specific cognitive outcomes and effect modification or mediation by school-based social support were evaluated with linear mixed models. RESULTS: Segregated school attendance was associated with increased likelihood of school-based social support. Segregated (vs. desegregated in 6th grade) school attendance was associated with lower executive function (ß = -0.18 [-0.34, -0.02]) and semantic memory z-scores (ß = -0.31 [-0.48, -0.13]). Social support did not mediate these associations. Estimates for segregated school attendance were attenuated among those who felt supported, although there was limited evidence of statistically significant effect modification. DISCUSSION: Early-childhood school segregation was associated with poorer cognitive function. Sources of resilience within racialized educational experiences should be further evaluated to bridge inequities. HIGHLIGHTS: School segregation is a form of structural racism that affected the educational experiences of Black youth with potentially lasting consequences for healthy brain aging. Black students who attended a segregated school experienced greater school-based social support, which may highlight a potential source of resilience and resistance against the effects of racism-related stressors on cognitive function. The estimated adverse association between attending a segregated school on cognition was larger for students without an adult at school who cared about them versus those with an adult at school who cared about them, but estimates were imprecise.

The primacy of experience in language processing: Semantic priming is driven primarily by experiential similarity.

The organization of semantic memory, including memory for word meanings, has long been a central question in cognitive science. Although there is general agreement that word meaning representations must make contact with sensory-motor and affective experiences in a non-arbitrary fashion, the nature of this relationship remains controversial. One prominent view proposes that word meanings are represented directly in terms of their experiential content (i.e., sensory-motor and affective representations). Opponents of this view argue that the representation of word meanings reflects primarily taxonomic structure, that is, their relationships to natural categories. In addition, the recent success of language models based on word co-occurrence (i.e., distributional) information in emulating human linguistic behavior has led to proposals that this kind of information may play an important role in the representation of lexical concepts. We used a semantic priming paradigm designed for representational similarity analysis (RSA) to quantitatively assess how well each of these theories explains the representational similarity pattern for a large set of words. Crucially, we used partial correlation RSA to account for intercorrelations between model predictions, which allowed us to assess, for the first time, the unique effect of each model. Semantic priming was driven primarily by experiential similarity between prime and target, with no evidence of an independent effect of distributional or taxonomic similarity. Furthermore, only the experiential models accounted for unique variance in priming after partialling out explicit similarity ratings. These results support experiential accounts of semantic representation and indicate that, despite their good performance at some linguistic tasks, the distributional models evaluated here do not encode the same kind of information used by the human semantic system.