Lifetime familiarity cue effects for autobiographical memory.

Recollecting an autobiographical memory requires a cue to initiate processes related to accessing and then elaborating on a past personal experience. Prior work has shown that the familiarity of a cue can influence the autobiographical memory retrieval process. Extending this work, we tested how familiarity accrued from cumulative lifetime exposures associated with the cue-as well as associated semantic knowledge-can affect how we access and remember autobiographical memories. In Experiment 1, we measured reaction times to access and report memories in response to cue words. In Experiment 2 we examined the details with which participants described memories in response to cue words. For both experiments, participants provided estimates of lifetime exposure and semantic knowledge for each cue. In Experiment 1, we found a cue's lifetime exposure, independent of semantic knowledge, led to quicker memory access. In Experiment 2, we found the lifetime exposure and semantic knowledge of a cue interactively affected the specificity of a described autobiographical memory. These results provide new evidence that the amount of lifetime exposure associated with a cue, both independently and interactively with semantic knowledge, influences how autobiographical memories are accessed and described.Clinical trial This was not a clinical trial.Trial Registration Number (TRN) N/A.

The Neural Corelates of Constructing Conceptual and Perceptual Representations of Autobiographical Memories.

Contemporary neurocognitive frameworks propose that conceptual and perceptual content of autobiographical memories-personal past experiences-are processed by dissociable neural systems. Other work has proposed a central role of the anterior hippocampus in initially constructing autobiographical memories, regardless of the content. Here, we report on an fMRI study that utilized a repeated retrieval paradigm to test these ideas. In a magnetic resonance imaging scanner, participants retrieved autobiographical memories at three timepoints. During the third retrieval, participants either shifted their focus to the conceptual content of the memory, the perceptual content of the memory, or retrieved the memory as they had done so on previous trials. We observed stronger anterior hippocampal activity for the first retrieval compared with later retrievals, regardless of whether there was a shift in content in those later trials. We also found evidence for separate cortical systems when constructing autobiographical memories with a focus on conceptual or perceptual content. Finally, we found that there was common engagement between later retrievals that required a shift toward conceptual content and the initial retrieval of a memory. This final finding was explored further with a behavioral experiment that provided evidence that focusing on conceptual content of a memory guides memory construction, whereas perceptual content adds precision to a memory. Together, these findings suggest there are distinct content-oriented cortical systems that work with the anterior hippocampus to construct representations of autobiographical memories.

Remembering what we imagine: the role of event schemas in shaping how imagined autobiographical events are recalled.

Much like recalling autobiographical memories, constructing imagined autobiographical events depends on episodic memory processes. The ability to imagine events contributes to several future-oriented behaviors (e.g., decision-making, problem solving), which relies, in part, on the ability to remember the imagined events. A factor affecting the memorability of such events is their adherence to event schemas-conceptualizations of how events generally unfold. In the current study, we examined how two aspects of event schemas-event expectancy and familiarity-affect the ability to recall imagined events. Participants first imagined and described in detail autobiographical events that either aligned with or deviated from an event, expected to occur in a context (e.g., a kitchen) that was either familiar or unfamiliar. This resulted in imaginations ranging from maximally schema-congruent (expected events in a familiar context) to maximally novel (unexpected events in an unfamiliar context). Twenty-four hours later, participants recalled these imagined events. Recollections were scored for the number of reinstated details from the imaginations and the number of newly added details. We found greater reinstatement of details for both the maximally congruent and maximally novel events, while maximally novel events were recalled more precisely than other events (i.e., fewer added details). Our results indicate a complementary benefit to remembering schematic and novel imagined events, which may guide equally important but distinct future-oriented behaviors.

Structure-Function Interactions in the Hippocampus and Prefrontal Cortex Are Associated with Episodic Memory in Healthy Aging.

Aging comes with declines in episodic memory. Memory decline is accompanied by structural and functional alterations within key brain regions, including the hippocampus and lateral prefrontal cortex, as well as their affiliated default and frontoparietal control networks. Most studies have examined how structural or functional differences relate to memory independently. Here we implemented a multimodal, multivariate approach to investigate how interactions between individual differences in structural integrity and functional connectivity relate to episodic memory performance in healthy aging. In a sample of younger (N = 111; mean age, 22.11 years) and older (N = 78; mean age, 67.29 years) adults, we analyzed structural MRI and multiecho resting-state fMRI data. Participants completed measures of list recall (free recall of words from a list), associative memory (cued recall of paired words), and source memory (cued recall of the trial type, or the sensory modality in which a word was presented). The findings revealed that greater structural integrity of the posterior hippocampus and middle frontal gyrus were linked with a pattern of increased within-network connectivity, which together were related to better associative and source memory in older adulthood. Critically, older adults displayed better memory performance in the context of decreased hippocampal volumes when structural differences were accompanied by functional reorganization. This functional reorganization was characterized by a pruning of connections between the hippocampus and the limbic and frontoparietal control networks. Our work provides insight into the neural mechanisms that underlie age-related compensation, revealing that the functional architecture associated with better memory performance in healthy aging is tied to the structural integrity of the hippocampus and prefrontal cortex.

Taking stock of the past: A psychometric evaluation of the Autobiographical Interview.

Autobiographical memory (AM) involves a rich phenomenological re-experiencing of a spatio-temporal event from the past, which is challenging to objectively quantify. The Autobiographical Interview (AI; Levine et al. Psychology and Aging, 17(4), 677-689, 2002) is a manualized performance-based assessment designed to quantify episodic (internal) and semantic (external) features of recalled and verbally conveyed prior experiences. The AI has been widely adopted, yet has not undergone a comprehensive psychometric validation. We investigated the reliability, validity, association to individual differences measures, and factor structure in healthy younger and older adults (N = 352). Evidence for the AI's reliability was strong: the subjective scoring protocol showed high inter-rater reliability and previously identified age effects were replicated. Internal consistency across timepoints was robust, suggesting stability in recollection. Central to our validation, internal AI scores were positively correlated with standard, performance-based measures of episodic memory, demonstrating convergent validity. The two-factor structure for the AI was not well supported by confirmatory factor analysis. Adjusting internal and external detail scores for the number of words spoken (detail density) improved trait estimation of AM performance. Overall, the AI demonstrated sound psychometric properties for inquiry into the qualities of autobiographical remembering.

Option similarity modulates the link between choice and memory.

Choices made in everyday life are highly variable. Sometimes, you may find yourself choosing between two similar options (e.g., breakfast foods to eat) and other times between two dissimilar options (e.g., what to buy with a gift certificate). The goal of the present study was to understand how the similarity of choice options affects our ability to remember what we choose and what we did not choose. We hypothesized that choosing between similar as compared to dissimilar options would evoke a comparison-based strategy (evaluating options with respect to one another), fostering a relational form of encoding and leading to better memory for both the chosen and unchosen options. In Experiment 1, participants reported their strategy when choosing between pairs of similar or dissimilar options, revealing that participants were more likely to use a comparison-based strategy when faced with similar options. In Experiment 2, we tested memory after participants made choices between similar or dissimilar options, finding improved memory for both chosen and unchosen options from the similar compared to dissimilar choice trials. In Experiment 3, we examined strategy use when choosing between pairs of similar or dissimilar options and memory for these options. Replicating and extending the results of the first two experiments, we found that participants were more likely to use a comparison-based strategy when choosing between similar than dissimilar options, and that the positive effect of similarity on memory was stronger for unchosen than chosen options when controlling for strategy use. We interpret our results as evidence that option similarity impacts the mnemonic processes used during choice, altering what we encode and ultimately remember about our choices.

From memory to motivation: Probing the relationship between episodic simulation, empathy, and helping intentions.

Research has documented a strong link between constructing episodic simulations-vivid imaginations of specific events-and empathy. To date, most studies have used episodic simulations of helping someone to facilitate affective empathy and promote helping intentions, but have not studied how episodic simulations of another's distressing situation affect empathy. Moreover, affective empathy encompasses both personal distress (i.e., an egocentric experience of distress in response to another's circumstances) and empathic concern (i.e., compassion for another), but we do not know how episodic simulations affect each component. To address these questions, we ran three experiments testing how different episodic simulations influenced personal distress and empathic concern, and thereby willingness to help. In Experiment 1 (N = 216), we found that participants who constructed episodic simulations of another's situation reported increased personal distress (but not empathic concern) and increased helping intentions compared to a control group; additional analyses revealed that personal distress mediated the simulation effect on helping. Furthermore, in Experiment 2 (N = 213), we contrasted episodic simulation of helping versus the distressing scenario; we found no differences in personal distress or helping intentions, but simulating helping led to higher empathic concern. Experiment 3 (N = 571) included both simulation conditions and a control condition; we fully replicated our findings, additionally showing that simulating a helping interaction increased personal distress, empathic concern, and helping intentions relative to the control condition, which consisted of prior work. Taken together, our work illustrates how distinct forms of episodic simulation differentially guide empathic responding and highlights the importance of personal distress in motivating helping. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Differences in the content and coherence of autobiographical memories between younger and older adults: Insights from text analysis.

Several studies have shown that older adults generate autobiographical memories with fewer specific details than younger adults, a pattern typically attributed to age-relate declines in episodic memory. A relatively unexplored question is how aging affects the content used to represent and recall these memories. We recently proposed that older adults may predominately represent and recall autobiographical memories at the gist level. Emerging from this proposal is the hypothesis that older adults represent memories with a wider array of content topics and recall memories with a distinct narrative style when compared to younger adults. We tested this hypothesis by applying natural language processing approaches to a data set of autobiographical memories described by healthy younger and older adults. We used topic modeling to estimate the distribution (i.e., diversity) of content topics used to represent a memory, and sentence embedding to derive an internal similarity score to estimate the shifts in content when narrating a memory. First, we found that older adults referenced a wider array of content topics (higher content diversity) than younger adults when recalling their autobiographical memories. Second, we found older adults were included more content shifts when narrating their memories than younger adults, suggesting a reduced reliance on choronology to form a coherent memory. Third, we found that the content diversity measures were positively related to specific detail generation for older adults, potentially reflecting age-related compensation for episodic memory difficulties. We discuss how our results shed light on how younger and older adults differ in the way they remember and describe the past. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Conceptual relatedness promotes memory generalization at the cost of detailed recollection.

An adaptive memory system is one that allows us to both retrieve detailed memories as well as generalize knowledge about our past, the latter termed memory generalization and is useful for making inferences about new situations. Research has indicated that memory generalization relies on forming knowledge structures by integrating experiences with shared encountered elements. Whether memory generalization occurs more readily when  experiences also have elements that share established (conceptual) information is less clear. It is also unclear if engaging in memory generalization during learning comes at the cost of retrieving detailed memories, the other function of episodic memory. To address these two knowledge gaps, we paired a modified version of the acquired equivalence task with a recognition memory test. Across three experiments, participants first learned a series of overlapping object-scene pairs (A-X, B-X and A-Y) in which half of the overlapping pairs contained conceptually-related objects (e.g., A-pencil; B-scissors; conceptual condition) and the other half contained unrelated objects (neutral condition). Participants ability to generalize to new overlapping object-scene pairs (B-Y) as well as not-learned but semantically-related objects was measured. Finally, participants completed a recognition memory test that included the encoded objects, perceptually similar lures or new foil objects. Across all experiments, we found higher rates of generalization but reduced detailed memory (indexed by increased false alarms to lure objects) for information learned in the conceptual than neutral condition. These results suggest the presence of conceptual knowledge biases an individual towards a generalization function of memory, which comes at the expense of detailed recollection.

Learning strategy impacts medical diagnostic reasoning in early learners.

Relating learned information to similar yet new scenarios, transfer of learning, is a key characteristic of expert reasoning in many fields including medicine. Psychological research indicates that transfer of learning is enhanced via active retrieval strategies. For diagnostic reasoning, this finding suggests that actively retrieving diagnostic information about patient cases could improve the ability to engage in transfer of learning to later diagnostic decisions. To test this hypothesis, we conducted an experiment in which two groups of undergraduate student participants learned symptom lists of simplified psychiatric diagnoses (e.g., Schizophrenia; Mania). Next, one group received written patient cases and actively retrieved the cases from memory and the other group read these written cases twice, engaging in a passive rehearsal learning strategy. Both groups then diagnosed test cases that had two equally valid diagnoses-one supported by "familiar" symptoms described in learned patient cases, and one by novel symptom descriptions. While all participants were more likely to assign higher diagnostic probability to those supported by the familiar symptoms, this effect was significantly larger for participants that engaged in active retrieval compared to passive rehearsal. There were also significant differences in performance across the given diagnoses, potentially due to differences in established knowledge of the disorders. To test this prediction, Experiment 2 compared performance on the described experiment between a participant group that received the standard diagnostic labels to a group that received fictional diagnostic labels, nonsense words designed to remove prior knowledge with each diagnosis. As predicted, there was no effect of diagnosis on task performance for the fictional label group. These results provide new insight on the impact of learning strategy and prior knowledge in fostering transfer of learning, potentially contributing to expert development in medicine.

Neurocognitive Model of Schema-Congruent and -Incongruent Learning in Clinical Disorders: Application to Social Anxiety and Beyond.

Negative schemas lie at the core of many common and debilitating mental disorders. Thus, intervention scientists and clinicians have long recognized the importance of designing effective interventions that target schema change. Here, we suggest that the optimal development and administration of such interventions can benefit from a framework outlining how schema change occurs in the brain. Guided by basic neuroscientific findings, we provide a memory-based neurocognitive framework for conceptualizing how schemas emerge and change over time and how they can be modified during psychological treatment of clinical disorders. We highlight the critical roles of the hippocampus, ventromedial prefrontal cortex, amygdala, and posterior neocortex in directing schema-congruent and -incongruent learning (SCIL) in the interactive neural network that comprises the autobiographical memory system. We then use this framework, which we call the SCIL model, to derive new insights about the optimal design features of clinical interventions that aim to strengthen or weaken schema-based knowledge through the core processes of episodic mental simulation and prediction error. Finally, we examine clinical applications of the SCIL model to schema-change interventions in psychotherapy and provide cognitive-behavior therapy for social anxiety disorder as an illustrative example.

Aging alters the details recollected from emotional narratives.

Although it is known that aging impairs episodic memory, the precise effect of aging on emotional memory is not fully understood. In this study, younger and older adults listened to narratives that contained general and emotional (positive, negative, or neutral) details as they viewed related images. When participants later recalled the narratives, both age groups remembered more emotional details from the negative than the positive or neutral narratives. Interestingly, the enhanced recall for the negative narratives came with a reduced ability to remember the associated images for both younger and older adults. For all narrative types, older adults recalled a similar number of general but fewer emotional details than younger adults. Although there were no age-specific emotional effects, memory functioning of the older adults related to better recall of the positive narratives and associated images. These results provide insight into the similarities and differences in how younger and older adults encode and retrieve complex emotional memories.

Autobiographical event memory and aging: older adults get the gist.

We propose that older adults' ability to retrieve episodic autobiographical events, although often viewed through a lens of decline, reveals much about what is preserved and prioritized in cognitive aging. Central to our proposal is the idea that the so-called gist of an autobiographical event is not only spared with normal aging but also well adapted to serve memory-guided behavior in older age. To support our proposal, we review cognitive and brain evidence indicating an age-related shift toward gist memory. We then discuss why this shift likely arises from more than age-related decline and instead partly reflects a natural, arguably adaptive, outcome of experience, motivation, and mode-of-thinking factors. Our proposal reveals an upside of age-related memory changes and identifies important research questions.

Hippocampus and temporal pole functional connectivity is associated with age and individual differences in autobiographical memory.

Recollection of one's personal past, or autobiographical memory (AM), varies across individuals and across the life span. This manifests in the amount of episodic content recalled during AM, which may reflect differences in associated functional brain networks. We take an individual differences approach to examine resting-state functional connectivity of temporal lobe regions known to coordinate AM content retrieval with the default network (anterior and posterior hippocampus, temporal pole) and test for associations with AM. Multiecho resting-state functional magnetic resonance imaging (fMRI) and autobiographical interviews were collected for 158 younger and 105 older healthy adults. Interviews were scored for internal (episodic) and external (semantic) details. Age group differences in connectivity profiles revealed that older adults had lower connectivity within anterior hippocampus, posterior hippocampus, and temporal pole but greater connectivity with regions across the default network compared with younger adults. This pattern was positively related to posterior hippocampal volumes in older adults, which were smaller than younger adult volumes. Connectivity associations with AM showed two significant patterns. The first dissociated connectivity related to internal vs. external AM across participants. Internal AM was related to anterior hippocampus and temporal pole connectivity with orbitofrontal cortex and connectivity within posterior hippocampus. External AM was related to temporal pole connectivity with regions across the lateral temporal cortex. In the second pattern, younger adults displayed temporal pole connectivity with regions throughout the default network associated with more detailed AMs overall. Our findings provide evidence for discrete ensembles of brain regions that scale with systematic variation in recollective styles across the healthy adult life span.

Comparing neural activity during autobiographical memory retrieval between younger and older adults: An ALE meta-analysis.

Aging changes autobiographical memory (AM), yet the neural correlates of these changes are poorly understood, likely due to methodological variability across studies. We conducted a quantitative meta-analysis using activation likelihood estimation (GingerALE 3.0.2) to identify regions AM retrieval engaged in younger and older adults across 45 studies (Nyounger = 24 studies, 357 participants, 349 foci; Nolder = 21 studies, 299 participants, 356 foci), considering methodological differences in cueing AMs (i.e., using generic vs. specific/personalized cues). Both age-groups commonly engaged a left-lateralized pattern of brain activity that included the hippocampus, retrosplenial/posterior cingulate cortex, and angular gyrus. Younger adults showed enhanced right posterior cingulate cortical activity, while older adults presented with bilateral activity in the hippocampus, and enhanced activity in left middle temporal gyrus, precuneus, and retrosplenial cortex. Exploratory analyses indicated that age-related commonalties and differences in brain activity depended on the method of AM cuing. These findings suggest that key regions of AM retrieval are preserved in older age, yet subtle changes exist, especially depending on how AMs are cued.

Volume of the posterior hippocampus mediates age-related differences in spatial context memory and is correlated with increased activity in lateral frontal, parietal and occipital regions in healthy aging.

Healthy aging is associated with episodic memory decline, particularly in the ability to encode and retrieve object-context associations (context memory). Neuropsychological and neuroimaging studies have highlighted the importance of the medial temporal lobes (MTL) in supporting episodic memory across the lifespan. However, given the functional heterogeneity of the MTL, volumetric declines in distinct regions may impact performance on specific episodic memory tasks, and affect the function of the large-scale neurocognitive networks supporting episodic memory encoding and retrieval. In the current study, we investigated how MTL structure may mediate age-related differences in performance on spatial and temporal context memory tasks, in a sample of 125 healthy adults aged 19-76 years old. Standard T1-weighted MRIs were segmented into the perirhinal, entorhinal and parahippocampal cortices, as well as the anterior and posterior hippocampal subregions. We observed negative linear and quadratic associations between age and volume of the parahippocampal cortex, and anterior and posterior hippocampal subregions. We also found that volume of the posterior hippocampus fully mediated the association between age and spatial, but not temporal context memory performance. Further, we employed a multivariate behavior partial-least-squares analysis to assess how age and regional MTL volumes correlated with brain activity during the encoding and retrieval of spatial context memories. We found that greater activity within lateral prefrontal, parietal, and occipital regions, as well as within the anterior MTL was related to older age and smaller volume of the posterior hippocampus. Our results highlight the heterogeneity of MTL contributions to episodic memory across the lifespan and provide support for the posterior-anterior shift in aging, and scaffolding theory of aging and cognition.

Temporal pole volume is associated with episodic autobiographical memory in healthy older adults.

Recollection of personal past events differs across the lifespan. Older individuals recall fewer episodic details and convey more semantic information than young. Here we examine how gray matter volumes in temporal lobe regions integral to episodic and semantic memory (hippocampus and temporal poles, respectively) are related to age differences in autobiographical recollection. Gray matter volumes were obtained in healthy young (n = 158) and old (n = 105) adults. The temporal pole was demarcated and hippocampus segmented into anterior and posterior regions to test for volume differences between age groups. The Autobiographical Interview was administered to measure episodic and semantic autobiographical memory. Volume associations with episodic and semantic autobiographical memory were then assessed. Brain volumes were smaller for older adults in the posterior hippocampus. Autobiographical memory was less episodic and more semanticized for older versus younger adults. Older adults also showed positive associations between temporal pole volumes and episodic autobiographical recall; in the young, temporal pole volume was positively associated with performance on standard laboratory measures of semantic memory. Exploratory analyses revealed that age-related episodic autobiographical memory associations with anterior hippocampal volumes depended on sex. These findings suggest that age differences in brain structures implicated in episodic and semantic memory may portend reorganization of neural circuits to support autobiographical memory in later life.

Schema-related eye movements support episodic simulation.

Recent work indicates that eye movements support the retrieval of episodic memories by reactivating the spatiotemporal context in which they were encoded. Although similar mechanisms have been thought to support simulation of future episodes, there is currently no evidence favoring this proposal. In the present study, we investigated the role of eye movements in episodic simulation by comparing the gaze patterns of individual participants imagining future scene and event scenarios to across-participant gaze templates for those same scenarios, reflecting their shared features (i.e., schemas). Our results provide novel evidence that eye movements during episodic simulation in the face of distracting visual noise are (1) schema-specific and (2) predictive of simulation success. Together, these findings suggest that eye movements support episodic simulation via reinstatement of scene and event schemas, and more broadly, that interactions between the memory and oculomotor effector systems may underlie critical cognitive processes including constructive episodic simulation.

The role of episodic memory in imagining autobiographical events: the influence of event expectancy and context familiarity.

Episodic memory plays a common role in constructing mental representations of past and imagined autobiographical events. Research has suggested that certain factors will affect how episodic memory is used during mental construction, such as the expectancy that an event will occur and the familiarity with an event's context. The aim of the current study was to understand how these factors affect episodic memory engagement and subjective experience during event imagination. In a within-subjects design, participants viewed context cues (high or low in familiarity), described imagined autobiographical events (expected or not expected to occur in these contexts) and rated their experience. 24-hours later, participants recalled and described the same events. We found that expectancy of the imagined events was associated with quicker access and increased episodic detail generation, regardless of context familiarity. Additionally, both event expectancy and context familiarity affected the subjective quality of the imagined events. Examining the episodic details in descriptions after the delay revealed comparable effects of these two factors. Our results underscore the importance of event expectancy in recruiting episodic memory for imagined autobiographical experiences.

Use of a risk communication survey to prioritize family-valued outcomes and communication preferences for children undergoing outpatient surgical procedures.

BACKGROUND: Effective shared decision-making in pediatric surgery requires clarity regarding which surgical outcomes are most important to patients and their families, and how they prefer to receive the information. Despite how essential this is for effective risk communication, little is known about the communication needs and preferences of patients and their families in elective pediatric surgery. METHODS: We administered a mailed and online cross-sectional survey in English and French to 548 families before or after surgery for hernia/hydrocele repair or tonsillectomy/adenoidectomy between July 2019 and February 2021. The survey consisted of 22 questions eliciting most valued patient-reported outcomes (PROs) across 4 domains: health-related quality of life (5), functional status (5), symptoms and symptom burden (5), health behaviours and patient experience (7), as well as overall impressions (3), surgical risks (5), communication preferences (4), and demographic questions (16). RESULTS: The survey was completed by 368 patient families (60 preoperative, 308 postoperative, response rate 67.2%). Most respondents (72%) indicated a significant desire to be informed on all listed PROs alongside surgical complications, and highly valued all functional and quality of life outcomes (92.9% & 89.8%, respectively). Preoperatively, patient families preferred to receive information in the form of pamphlets and websites, whereas postoperatively they preferred direct communication. CONCLUSION: Families value functional and quality of life PROs as much as clinical outcomes, and increasingly seek more contemporary (electronic) means of risk communication than we currently offer. This data will inform the development of mobile tools for personalized communication in pediatric surgery.