[The reversible share of cognitive deficits in older adults]. / La part réversible des déficits cognitifs chez les seniors.

Cognitive performance of older adults is very often inferior to that of younger adults on a variety of laboratory tests assessing basic functions such as memory, inhibition, or attention. Classic hypotheses and theories share the idea that these cognitive deficits are irreversible, due to profound cerebral changes. In this review article, we develop a more positive conception of aging, according to which cognitive deficits are not all irreversible, and can even be partially if not completely reversible. To this end, we present some of the most illustrative research on the reversibility of the effects of aging on cognition. We show how subtle contextual manipulations can change older adults' motivation and strategy, which improve their cognitive performance. We also show that guidance toward the selection of the most appropriate strategy, whether explicit as in selectivity paradigms or implicit as in dual-task procedures, can increase older adults' cognitive performance. We finally describe the hypotheses and theories that both account for low cognitive performance in old age and ways to reverse the effects of cognitive aging.

Uncorking the central bottleneck: Even novel tasks can be performed automatically.

Can people perform two novel tasks in parallel? Available evidence and prevailing theories overwhelmingly indicate that the answer is no, due to stubborn capacity limitations in central stages (e.g., a central bottleneck). Here we propose a new hypothesis, which suggests otherwise: people are capable of fully parallel central processing (i.e., bypassing the central bottleneck), yet often fail to do so, mainly due to preparation neglect. This preparation-neglect hypothesis was evaluated in four dual-task experiments pairing novel tasks (Task 1 and Task 2) using arbitrary stimulus-response mappings. Experiment 1, using a classic psychological refractory period (PRP) procedure, replicated the finding of dozens of previous PRP studies: none of the participants bypassed the bottleneck, instead exhibiting large dual-task interference on Task 2 (445 ms). In Experiment 2, the same dual-task PRP trials were randomly intermixed with single-task trials on Task 2, to boost preparation on that task. Here, nearly half the sample of participants bypassed the central bottleneck, exhibiting small dual-task interference on Task 2 (48 ms). Two additional experiments showed that initial practice does not by itself enable bottleneck bypassing, but boosting preparation of Task 2 (via intermixing single-task trials of Task 2) does. We conclude that, when properly prepared, people are capable of far more dual-task automaticity than was previously believed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Smartphone use as an efficient tool to improve anomia in primary progressive aphasia.

Cognitive interventions are helpful in the non-pharmacological management of Primary progressive aphasia (PPA) and other neurodegenerative disorders of cognition, by helping patients to compensate for their cognitive deficits and improve their functional independence. In this study, we examined the effectiveness of cognitive rehabilitation based on the use of mobile device technology in PPA. The aim of this research study was to determine if BL, a patient with semantic variant PPA (svPPA) and severe anomia, was able to learn using specific smartphone functions and an application to reduce her word finding difficulties. She was trained during the intervention sessions on a list of target pictures to measure changes in picture naming performance. Errorless learning was applied during learning. BL quickly learned to use smartphone functions and the application over the course of the intervention. She significantly improved her anomia for trained pictures, and to a lesser extent for untrained semantically related pictures. Picture naming performance was maintained six months after the intervention, and she continued to use her smartphone regularly to communicate with family members and friends. This study confirms that smartphone use can be learned in PPA, which can help reduce the symptoms of anomia and improve communication skills.

Overcoming age differences in memory retrieval by reducing stereotype threat.

Very little is known about whether and how socioemotional factors influence age differences in associative memory. Here, we tested the hypothesis that reducing the threat induced by age-based stereotypes can reduce age differences in learning performance and strategy. Using an associative learning task, we replicated the classic finding of age differences under a high-threat condition: older adults had longer reaction times than younger adults and were much more reluctant to use memory retrieval. However, age differences were greatly diminished under a low-threat condition. These findings demonstrate that memory retrieval is an ability not entirely lost as individuals age because merely reducing stereotype threat helped restoring it. We conclude that socioemotional factors, such as stereotype threat, should be considered when evaluating younger and older adults' memory performance.

Visual illusions influence proceduralized sports performance.

Does the Ebbinghaus visual illusion really influence sports performances? Does the influence depend on the type of knowledge (procedural vs. declarative) that guides movement? To address these questions, we evaluated the knowledge hypothesis, a novel hypothesis according to which the more sports performance relies on procedural knowledge, the more it will be influenced by visual illusions. In the context of golf putting, we first used the high-error/low-error motor-learning technique (Experiment 1) or varied the number of practice trials (Experiment 2) to induce novice participants to rely more on procedural knowledge than on declarative knowledge (or vice versa). We then manipulated the perceived size of two golf holes by projecting a ring of small or large circles around them, which caused the holes to appear larger or smaller, respectively. This Ebbinghaus visual illusion had an influence on putting in both experiments. We also observed a pattern of findings consistent with the knowledge hypothesis: the procedural groups were moderately influenced by the illusion when putting, but the declarative groups were influenced only weakly, at best. Among the participants most sensitive to the illusion, the analyses confirmed a significantly stronger influence for the procedural group. Overall, these findings demonstrate that the effect of visual illusions on sports performance is a reliable phenomenon for proceduralized actions. The knowledge hypothesis represents an attractive way of reconciling earlier divergent findings.

Errorless learning in cognitive rehabilitation of Alzheimer's disease and primary progressive aphasia / L'apprentissage sans erreur : un principe efficace d'intervention dans la maladie d'Alzheimer et dans l'aphasie primaire progressive

Alzheimer's disease (AD) and primary progressive aphasia (PPA) are age-related neurodegenerative diseases characterized by a slowly progressive cognitive decline that significantly impacts functional autonomy. Cognitive interventions remain one of the most useful management perspectives to help patients compensate for their cognitive and functional deficits in everyday life. Errorless learning represents a set of principles and methods aimed at eliminating or minimizing errors in a learning context, which was initially applied to patients with an amnesic syndrome. In this article, we examine the effectiveness of this learning principle in the context of AD and PPA. Based on current data from the literature, errorless learning appears to be useful in (re)learning new information or procedural skills in AD and APP, such as relearning names or certain independent activities of daily living. In addition, the benefits of errorless learning are maintained at follow-up. There are, however, discrepancies in the results between studies which could reflect differences in the learning methods employed and in the parameters of the interventions. In conclusion, such interventions should primarily target learning that is useful for patients and that allows them to preserve their autonomy longer and improve their quality of life.

L'intervention cognitive demeure une des perspectives de prise en charge les plus utiles, dès la phase précoce, pour aider les patients atteints de trouble neurocognitif majeur à compenser leurs déficits cognitifs et maintenir leur indépendance fonctionnelle dans la vie quotidienne. L'apprentissage sans erreur représente un ensemble de principes et de techniques visant à éliminer ou réduire au maximum les erreurs commises dans un contexte d'apprentissage ou de réapprentissage. Dans cet article, nous examinons l'efficacité de ce principe d'apprentissage dans le contexte de la démence de type Alzheimer et de l'aphasie primaire progressive. Sur la base des données actuelles, l'apprentissage sans erreur se révèle être efficace pour (ré)apprendre de nouvelles informations ou habiletés procédurales. Dans certains cas, les gains de l'apprentissage sans erreur perdurent à long terme et ce principe d'apprentissage pourrait permettre d'augmenter la motivation et de réduire la frustration liée à l'échec et aux déficits. Il existe néanmoins des divergences dans les résultats entre les études qui pourraient refléter des différences dans les paramètres des interventions. En conclusion, ces interventions devraient cibler des apprentissages qui ont une utilité pour les patients et qui leur permettent de préserver leur indépendance plus longtemps et ainsi améliorer leur qualité de vie.

Bypassing the central bottleneck with easy tasks: Beyond ideomotor compatibility.

Maquestiaux, Lyphout-Spitz, Ruthruff, and Arexis (2020) demonstrated that ideomotor-compatible (IM) tasks (e.g., pressing the left key when an arrow points left) can operate automatically, entirely bypassing the central bottleneck that constrains dual-task performance. But is bottleneck bypassing a specific consequence of IM compatibility or is it due to task ease? To answer this question, we tested the automaticity of a task that was easy but not IM. The task was easy due to the high semantic compatibility between the stimulus and the response: saying "ping" when hearing "pong" and "pong" to "ping" in Experiment 1, saying "low" when hearing "high" and "high" to "low" in Experiment 2. We presented it as Task 2, along with a Task 1 that was not easy, due to the use of an arbitrary stimulus-response mapping. Single-task trials were randomly intermixed with dual-task trials and then used as baselines to assess dual-task costs and to simulate distributions of inter-response intervals (IRIs) predictive of bottleneck bypassing vs. bottlenecking. The results of both experiments provided converging evidence that the entire Task 2 bypassed the bottleneck on virtually all trials: very small dual-task costs, high percentages of response reversals, and a close match between the observed IRI distributions and that predicted by bottleneck bypassing. Neither ideomotor compatibility nor task speed (the semantic task was not particularly fast) explain these findings. We therefore propose that the key to bypassing the central bottleneck is the ease with which people can fully load the stimulus-response mapping into working memory.

Testing the over-reliance on central attention (ORCA) hypothesis: Do older adults have difficulty automatizing especially easy tasks?

Does aging increase the reliance on central attention to carry out tasks, even when those tasks do not need it? To test the hypothesis of over-reliance on central attention (ORCA), we examined the ability of older adults to entirely bypass ideomotor-compatible (IM) tasks. IM tasks operate automatically for younger adults: The perception of an IM stimulus (e.g., a left-pointing arrow) directly activates the associated response code (e.g., pressing the left key). In a psychological refractory period (PRP) procedure, younger and older adults performed a slow auditory-vocal Task 1 paired with a fast visual-manual Task 2 that was either IM or non-IM. Task-2 compatibility (IM vs. non-IM) was manipulated as a between-subjects factor (Experiment 1) and as a within-subjects factor (Experiment 2). Both experiments yielded the counterintuitive finding of larger age differences in dual-task performance when Task 2 was easy (i.e., IM) than when it was difficult (i.e., non-IM), as evidenced by old/young ratio analyses and Brinley plots. Relatedly, whereas younger adults routinely bypassed the bottleneck with an IM Task 2 (as evidenced by a small PRP effect and a high rate of response reversals), older adults did not. The present findings cannot easily be explained by the hypotheses of generalized cognitive slowing and of specific processing deficits but support the ORCA hypothesis. As cognitive decline sets in, older adults begin to try harder: This extra application of central attention compensates for cognitive decline but can result in applying attention when it is not needed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Ebbinghaus visual illusion: no robust influence on novice golf-putting performance.

Do visual illusions reliably improve sports performance? To address this issue, we used procedures inspired by Witt et al. (Psychol Sci 23:397-399, 2012) seminal study, which reported that putting on a miniature golf course was positively influenced by an increase in apparent hole size induced by the Ebbinghaus visual illusion. Because Witt et al.'s motor task-putting golf balls toward a hole from the distance of 3.5 m-was impossible for participants who were novices in golf (Experiment 1a), we decided to shorten the putting distance (i.e., 2 m instead of 3.5 m) in Experiment 1b. Otherwise, this second experiment closely followed every other aspects of Witt et al.'s procedure (i.e., one small or one standard golf hole surrounded by a ring of small or large circles). However, this attempt to replicate Witt et al.'s findings failed: the Ebbinghaus illusion significantly influenced neither hole perception nor putting performance. In two subsequent experiments, we encouraged the emergence of the effect of the illusion by simultaneously presenting both versions of the illusion on the mat. This major adaptation successfully modified the perceived size of the hole but had no impact on putting performance (Experiment 2), even when the putting task was made easier by shortening the putting distance to only 1 m (Experiment 3). In the absence of detectable effects of the illusion on putting performance, we conclude that the effects of visual illusions on novice sports performance do not represent a robust phenomenon.

Ideomotor compatibility enables automatic response selection.

A task is ideomotor (IM)-compatible when there is high conceptual similarity between the stimulus and the associated response (e.g., pressing a left key when an arrow points to the left). For such an easy task, can response selection operate automatically, bypassing the attentional bottleneck that normally constrains dual-task performance? To address this question, we manipulated the IM compatibility of a Task 2 that was performed concurrently with a non-IM-compatible Task 1, using the psychological refractory period procedure. Single-task trials, randomly intermixed with dual-task trials, served as a baseline against which to assess dual-task costs. The results indicated bottleneck bypassing (i.e., simultaneous response selection on both tasks) when Task 2 was IM-compatible, as evidenced by negligible dual-task costs on Task 2 (as well as on Task 1), very high percentages of response reversals, and weak correlations between Task-1 and Task-2 reaction times. These findings were supported by a fine-grained simulation analysis of inter-response intervals. We conclude that the perception of an IM-compatible stimulus directly activates the response code, which can then be selecting automatically, without recruiting central attention, consistent with A. G. Greenwald's (Journal of Experimental Psychology, 94, 52-57, 1972) original theory of IM compatibility.

Availability of attention affects time-to-contact estimation.

To estimate the time-to-contact (TTC) of a moving object, numerous studies have focused on the type of information or gaze strategy used by the observer. However, it remains to be determined whether and how attention could affect TTC estimation. In particular, how does TTC estimation operate when less attention is available? To answer this question, we conducted two experiments in which the participants had to perform an absolute (Experiment 1) or relative (Experiment 2) prediction-motion task, either alone (i.e., in single-task condition) or along with a secondary, visual working-memory task (i.e., in dual-task condition). In both experiments, we found that TTC estimation was superior in dual-task condition relative to single-task condition. This finding suggests that the reduction of available attention actually improves TTC estimation. We discuss possible explanations as well as theoretical implications for this seemingly counter-intuitive finding. Further research is needed to investigate if (in)attention facilitates or only shifts TTC estimation.

On the limits of statistical learning: Intertrial contextual cueing is confined to temporally close contingencies.

Since the seminal study by Chun and Jiang (Cognitive Psychology, 36, 28-71, 1998), a large body of research based on the contextual-cueing paradigm has shown that the cognitive system is capable of extracting statistical contingencies from visual environments. Most of these studies have focused on how individuals learn regularities found within an intratrial temporal window: A context predicts the target position within a given trial. However, Ono, Jiang, and Kawahara (Journal of Experimental Psychology, 31, 703-712, 2005) provided evidence of an intertrial implicit-learning effect when a distractor configuration in preceding trials N - 1 predicted the target location in trials N. The aim of the present study was to gain further insight into this effect by examining whether it occurs when predictive relationships are impeded by interfering task-relevant noise (Experiments 2 and 3) or by a long delay (Experiments 1, 4, and 5). Our results replicated the intertrial contextual-cueing effect, which occurred in the condition of temporally close contingencies. However, there was no evidence of integration across long-range spatiotemporal contingencies, suggesting a temporal limitation of statistical learning.

Successful aging: The role of cognitive gerontology.

This commentary explores the relationships between the construct of successful aging and the experimental psychology of human aging-cognitive gerontology. What can or should cognitive gerontology contribute to understanding, defining, and assessing successful aging? Standards for successful aging reflect value judgments that are culturally and historically situated. Fundamentally, they address social policy; they are prescriptive. If individuals or groups are deemed to be aging successfully, then their characteristics or situations can be emulated. If an individual or a group is deemed to be aging unsuccessfully, then intervention should be considered. Although science is never culture-free or ahistorical, cognitive gerontology is primarily descriptive of age-related change. It is not prescriptive. It is argue that cognitive gerontology has little to contribute to setting standards for successful aging. If, however, better cognitive function is taken as a marker of more successful aging-something not universally accepted-then cognitive gerontology can play an important assessment role. It has a great deal to contribute in determining whether an individual or a group evidences better cognitive function than another. More importantly, cognitive gerontology can provide tools to evaluate the effects of interventions. It can provide targeted measures of perception, attention, memory, executive function, and other facets of cognition that are more sensitive to change than most clinical measures. From a deep understanding of factors affecting cognitive function, cognitive gerontology can also suggest possible interventions. A brief narrative review of interventions that have and have not led to improved cognitive function in older adults. Finally, the enormous range is addressed in the estimates of the proportion of the population that meets a standard for aging successfully, from less than 10% to more than 90%. For research purposes, it would be better to replace absolute cutoffs with correlational approaches (e.g., Freund & Baltes, 1998, Psychology and Aging, 13, 531-543). For policy purposes, cutoffs are necessary, but we propose that assessments of successful aging be based not on absolute cutoffs but on population proportions. An example of one possible standard is this: Those more than 1 standard deviation above the mean are aging successfully; those more than 1 standard deviation below the mean are aging unsuccessfully; those in between are aging usually. Adoption of such a standard may reduce the wide discrepancies in the incidence of successful aging reported in the literature.

Dual-task automatization: The key role of sensory-motor modality compatibility.

How do people automatize their dual-task performance through bottleneck bypassing (i.e., accomplish parallel processing of the central stages of two tasks)? In the present work we addressed this question, evaluating the impact of sensory-motor modality compatibility-the similarity in modality between the stimulus and the consequences of the response. We hypothesized that incompatible sensory-motor modalities (e.g., visual-vocal) create conflicts within modality-specific working memory subsystems, and therefore predicted that tasks producing such conflicts would be performed less automatically after practice. To probe for automaticity, we used a transfer psychological refractory period (PRP) procedure: Participants were first trained on a visual task (Exp. 1) or an auditory task (Exp. 2) by itself, which was later presented as Task 2, along with an unpracticed Task 1. The Task 1-Task 2 sensory-motor modality pairings were either compatible (visual-manual and auditory-vocal) or incompatible (visual-vocal and auditory-manual). In both experiments we found converging indicators of bottleneck bypassing (small dual-task interference and a high rate of response reversals) for compatible sensory-motor modalities, but indicators of bottlenecking (large dual-task interference and few response reversals) for incompatible sensory-motor modalities. Relatedly, the proportion of individuals able to bypass the bottleneck was high for compatible modalities but very low for incompatible modalities. We propose that dual-task automatization is within reach when the tasks rely on codes that do not compete within a working memory subsystem.

Intact Procedural Knowledge in Patients with Alzheimer's Disease: Evidence from Golf Putting.

Can Alzheimer's disease (AD) patients efficiently learn to perform a complex motor skill when relying on procedural knowledge? To address this question, the authors compared the golf-putting performance of AD patients, older adults, and younger adults in 2 different learning situations: one that promotes high error rates (thus increasing the reliance on declarative knowledge) or one that promotes low error rates (thus increasing the reliance on procedural knowledge). Motor performance was poorer overall for AD patients and older adults relative to younger adults in the high-error condition but equivalent between similar groups in the low-error condition. Also, AD patients in the low-error condition had better performance at the final putting distance relative to those in the high-error condition. This performance facilitation for AD patients likely stems from intact procedural knowledge.

Attentional capture in driving displays.

Drivers face frequent distraction on the roadways, but little is known about situations placing them at risk of misallocating visual attention. To investigate this issue, we asked participants to search for a red target embedded within simulated driving scenes (photographs taken from inside a car) in three experiments. Distraction was induced by presenting, via a GPS unit, red or green distractors positioned in an irrelevant location at which the target never appeared. If the salient distractor captures attention, visual search should be slower on distractor-present trials than distractor-absent trials. In Experiment 1, salient distractors yielded no such capture effect. In Experiment 2, we decreased the frequency of the salient distractor from 50% of trials to only 10% or 20% of trials. Capture effects were almost five times larger for the 10% occurrence group than for the 20% occurrence group. In Experiment 3, the amount of available central resources was manipulated by asking participants to either simultaneously monitor or ignore a stream of spoken digits. Capture effects were much larger for the dual-task group than for the single-task group. In summary, these findings identify risk factors for attentional capture in real-world driving scenes: distractor rarity and diversion of attention.

Backward compatibility effects in younger and older adults.

In many dual-task situations, responses to the second of two tasks are slowed when the time between tasks is short. The response-selection bottleneck model of dual-task performance accounts for this phenomenon by assuming that central processing of the second task is blocked by a bottleneck until central processing of Task 1 is complete. This assumption could be called into question if it could be demonstrated that the response to Task 2 affected the central processing of Task 1, a backward response compatibility effect. Such effects are well-established in younger adults. Backward compatibility effects in older (as well as younger) adults were explored in two experiments. The first experiment found clear backward response compatibility effects for younger adults but no evidence of them for older adults. The second experiment explored backward stimulus compatibility and found similar effects in both younger and older adults. Evidence possibly consistent with some pre-bottleneck processing of Task 2 central stages also was found in the second experiment in both age groups. For younger adults, the results provide further evidence falsifying the claim of an immutable response selection bottleneck. For older adults, the evidence suggested that Task 2 affects Task 1 when there is stimulus compatibility but not when there is response compatibility.

Qualitative attentional changes with age in doing two tasks at once.

Does practice reduce, or even eliminate, aging effects on the attentional limitations responsible for dual-task interference? The studies reviewed in this article show that age differences reliably persist after extensive practice. Strikingly, dual-task interference remains larger among older adults even in training conditions that allow them to achieve single-task performance as fast as younger adults. These findings demonstrate that age deficits in attentional functioning are robust. Advancing age also can be accompanied by improvements in cognitive functioning, such as in the ability to access the lexicon without attention (i.e., automatically), due to lifelong experience with word reading. Future research needs to establish whether age deficits in central attention are due to structural changes that are irreversible or reversible to some extent.

Ideomotor-compatible tasks partially escape dual-task interference in both young and elderly adults.

Under most circumstances, it is not possible to carry out central processing for 2 tasks at the same time; effectively there is a bottleneck. Nevertheless, in 2 experiments it is demonstrated here that both younger and older adults are able to partially bypass the bottleneck in a psychological refractory period procedure, even without extensive training, when the 2nd of the 2 tasks is a saccade or a body tilt in the direction of rotation of a visual stimulus. Consistent with earlier research, the findings showed that younger adults can bypass when the second task has ideomotor-compatible stimuli and responses. Most strikingly, they demonstrated that bypass can also occur in older adults. Overall, the findings are inconsistent with any categorical claim that younger adults can bypass the dual-task bottleneck whereas older adults cannot. The construct of ideomotor-compatible tasks may comprise 2 quite different classes of experimental procedures.

Does initial performance variability predict dual-task optimization with practice in younger and older adults?

UNLABELLED: BACKGROUND/STUDY CONTEXT: The variability associated with reaction time (RT) is sometimes considered as a proxy for inefficient neural processing, particularly in old age and complex situations relying upon executive control functions. Here, it is examined whether the amount of variability exhibited early in practice can predict the amount of improvement with later practice in dual-task performance, and whether the predictive power of variability varies between younger and older adults. METHODS: To investigate the relationship between variability and practice-related improvement, RT mean and variability data are used, obtained from an experiment in which younger and older adults performed two tasks in single-task and dual-task conditions across seven practice sessions. These RT and variability data were related to the single-task and dual-task practice benefits. These benefits were computed as follows: dual-task/single-task RTs at the beginning of practice minus dual-task/single-task RTs at the end of practice. RESULTS: In both age groups, dual-task processing was speeded up with practice and variability associated with the means was reduced. Most important, independent of mean RTs, variability allowed predicting dual-task practice benefit in both age groups under specific conditions. CONCLUSION: These findings suggest that the relationship between performance variability and executive control functions under some specific conditions. Implications of these results for models of practiced dual tasks are discussed.