Primacy (and recency) effects in delayed recognition of items from instances of repeated events.

In repeated-event paradigms where participants are asked to recall details of a sequence of similar instances they viewed/experienced previously, more accurate details are typically recalled from the first and final instances (i.e., long-term primacy and recency effects). Participants likely encode distinct attributes of details of the boundary instances that subsequently facilitate source monitoring. To date, most repeated event research has measured memory performance via free-/cued-recall paradigms; we examined delayed memory for repeated events using the recognition paradigm. In two preregistered experiments, participants viewed four videos, and after a delay completed a recognition task. In Experiment 1 (N = 168, between-subjects), participants decided whether an item was old (i.e., presented in any video) or new, or whether an item was presented in video 1/2/3/4 or was new. In Experiment 2 (N = 160, within-subjects), the old/new decision was followed by an instance attribution decision. Old items were recognised faster in the old/new task compared to the instance-attribution task. In the instance-attribution task, items from the boundary instances were accurately attributed faster compared to items from the middle instances. We found further evidence for primacy (and recency) effects in measures of confidence, memory judgments, recognition accuracy and discriminability, and confidence-accuracy calibration.

Sources and destinations of misattributions in recall of instances of repeated events.

Repeated experience of events promotes schema formation. Later activation of the schema facilitates recall of the general structure of the events, whereas attribution of details to instances requires systematic decision-making based on detail characteristics. For repeated events, source monitoring may be less effective due to the similarity and interference of details across instances and consequently result in source attribution errors. To date, researchers have examined aggregated misattributions across instances and have found that misattributions are more frequent in the middle than in the boundary instances. In this study, we investigated the trajectories of misattributions using data from six studies (N = 633), where participants recalled repeated interactive marketing-themed events (Study 1), mock-crime filmed events (Study 2), stories (Study 3), and categorized word lists (Studies 4-6). The patterns confirmed the expected primacy and recency effects, showing fewer misattributions from and to the boundary instances relative to the middle instances. In addition, the patterns indicated proximity effects: Confusions more frequently occurred across adjacent instances and gradually decreased for instances that were further apart from the source. Our findings suggest that detail characteristics that form the basis of source attribution decisions provide information about the relative position of instances in repeated events, where the boundary instances serve as anchors, and where confusion relatively easily occurs across neighbouring instances. In line with context-based models of memory, our findings indicate that a higher-level organization of repeated events that emerges at encoding guides retrieval and source monitoring decisions.

False remembering in real life: James Ost's contributions to memory psychology.

This special issue honours James Ost's (1973-2019) contributions to our understanding of false and distorted remembering. In our editorial, we introduce some of James' distinctive research themes including the experiences of people who retract "recovered" memories, social (e.g., co-witness and interviewer influence) and personality influences on false remembering, the nature of false remembering itself (e.g., different types of false memories; false memories vs. false beliefs), public understanding of (false) memory, and a historical link to the work of Frederic Bartlett. We illustrate these themes through a number of key publications. The unifying thread behind James' work is his core interest in false/distorted remembering in real-life (typically high-stake) situations, in line with his engagement with the British False Memory Society and his role as an expert witness in court trials. The articles included in this special issue elaborate on the research themes to which James devoted his career and his curiosity.

Facilitating recall and particularisation of repeated events in adults using a multi-method interviewing format.

Reports about repeated experiences tend to include more schematic information than information about specific instances. However, investigators in both forensic and intelligence settings typically seek specific over general information. We tested a multi-method interviewing format (MMIF) to facilitate recall and particularisation of repeated events through the use of the self-generated cues mnemonic, the timeline technique, and follow-up questions. Over separate sessions, 150 adult participants watched four scripted films depicting a series of meetings in which a terrorist group planned attacks and planted explosive devices. For half of our sample, the third witnessed event included two deviations (one new detail and one changed detail). A week later, participants provided their account using the MMIF, the timeline technique with self-generated cues, or a free recall format followed by open-ended questions. As expected, more information was reported overall in the MMIF condition compared to the other format conditions, for two types of details, correct details, and correct gist details. The reporting of internal intrusions was comparable across format conditions. Contrary to hypotheses, the presence of deviations did not benefit recall or source monitoring. Our findings have implications for information elicitation in applied settings and for future research on adults' retrieval of repeated events.

Structured word-lists as a model of basic schemata: deviations from content and order in a repeated event paradigm.

Repeated events are common in everyday life, but relatively neglected as a topic within memory psychology. In two samples of adults, we investigated memory for repeated, schema-establishing simple events (operationalised as structured word-lists), and the effects of deviations within those events. We focused on the effects of deviations from two core dimensions of schema: content and order. Across three successive word-list events, we established and reinforced a basic list schema by always presenting three content categories in the same order. These expectations were violated in a fourth and final word-list. We measured the effects on memory of both the violating and the schema-establishing lists in multiple recall attempts over a period of one month. We measured correct recall, misattribution errors, metacognitive awareness of list-organisation and deviations, and recall organisation. Across all delays and across all word-lists (not only the final one), content changes increased recall, whereas order changes decreased recall. Participants were also more aware of content changes than order changes. These disparate effects suggest that the two types of schema-deviations may have qualitatively different effects on memory for specific instances of a repeated generic event. Cognitive processes underlying memory for typical and exceptional instances of repeated events are discussed.

Clock drawing test in screening for Alzheimer's dementia and mild cognitive impairment in clinical practice.

OBJECTIVES: The clock drawing test (CDT) is a commonly used brief cognitive measure. We evaluated diagnostic accuracy of subjective ratings of CDT by physicians (with/without specialty in cognitive neurology) and neuropsychologists in discriminating amnestic mild cognitive impairment (aMCI), Alzheimer's dementia (AD) and cognitively healthy older adults. We further compared the diagnostic accuracy of subjective categorical ratings with complex scoring of CDT. METHODS: Three cognitive neurologists, three neuropsychologists and six neurology residents without experience in cognitive neurology blinded to the diagnosis rated 187 CDTs (50 mild AD, 49 aMCI and 88 cognitively healthy older adults) using a "yes" (abnormal) versus "suspected" versus "no" (normal) classification. The rating suspected was combined with yes or no to obtain two sets of sensitivity estimates. We also used a 17-point CDT rating system. RESULTS: When using the categorical rating, neuropsychologists had highest sensitivity (89%) in differentiating patients with mild AD (yes/suspected versus no), followed by neurologic residents (80%) and cognitive neurologists (79%). When differentiating patients with aMCI (yes/suspected versus no), the sensitivity was 84% for neuropsychologists, 64% for cognitive neurologists and 62% for residents. The sensitivity using the complex scoring system was 92% in patients with mild AD and 69% in patients with aMCI. CONCLUSIONS: A categorical rating of CDT shows high sensitivity for mild AD even in non-experienced raters. Neuropsychologists outperformed physicians in differentiating patients with aMCI from cognitively healthy older adults (specificity), which was counterbalanced by the lower specificity of their ratings. The diagnostic accuracy was not substantially improved by using complex scoring system. Copyright © 2016 John Wiley & Sons, Ltd.

Schema and deviation effects in remembering repeated unfamiliar stories.

In today's globalized world, we frequently encounter unfamiliar events that we may have difficulty comprehending - and in turn remembering - due to a lack of appropriate schemata. This research investigated schema effects in a situation where participants established a complex new schema for an unfamiliar type of story through exposure to four variations. We found that immediate recall increased across subsequent stories and that distortions occurred less frequently - participants built on the emerging schema and gradually established representations of parts of the story that were initially transformed. In recall with delays increasing up to 1 month, quantitative measures indicated forgetting while distortions increased. The second focus of this research was on content and order deviation effects on recall. The content deviation, in contrast with previous repeated-event research, was not remembered well and was associated with lower recall; the order deviation had a similar (but expected) effect. We discuss discrepancies between results of this study and previous literature, which had focused on schemata for familiar events, in relation to stages of schema development: it seems that in unfamiliar repeated events, a complex new schema is in the early stages of formation, where the lack of attentional resources limits active processing of deviations.

Clock Drawing Test and the diagnosis of amnestic mild cognitive impairment: can more detailed scoring systems do the work?

INTRODUCTION: The Clock Drawing Test is a frequently used cognitive screening test with several scoring systems in elderly populations. We compare simple and complex scoring systems and evaluate the usefulness of the combination of the Clock Drawing Test with the Mini-Mental State Examination to detect patients with mild cognitive impairment. METHOD: Patients with amnestic mild cognitive impairment (n = 48) and age- and education-matched controls (n = 48) underwent neuropsychological examinations, including the Clock Drawing Test and the Mini-Mental State Examination. Clock drawings were scored by three blinded raters using one simple (6-point scale) and two complex (17- and 18-point scales) systems. The sensitivity and specificity of these scoring systems used alone and in combination with the Mini-Mental State Examination were determined. RESULTS: Complex scoring systems, but not the simple scoring system, were significant predictors of the amnestic mild cognitive impairment diagnosis in logistic regression analysis. At equal levels of sensitivity (87.5%), the Mini-Mental State Examination showed higher specificity (31.3%, compared with 12.5% for the 17-point Clock Drawing Test scoring scale). The combination of Clock Drawing Test and Mini-Mental State Examination scores increased the area under the curve (0.72; p < .001) and increased specificity (43.8%), but did not increase sensitivity, which remained high (85.4%). CONCLUSIONS: A simple 6-point scoring system for the Clock Drawing Test did not differentiate between healthy elderly and patients with amnestic mild cognitive impairment in our sample. Complex scoring systems were slightly more efficient, yet still were characterized by high rates of false-positive results. We found psychometric improvement using combined scores from the Mini-Mental State Examination and the Clock Drawing Test when complex scoring systems were used. The results of this study support the benefit of using combined scores from simple methods.

Neuropsychological correlates of hippocampal atrophy in memory testing in nondemented older adults.

BACKGROUND AND OBJECTIVE: Cognitive deficits in older adults attributable to Alzheimer's disease (AD) pathology are featured early on by hippocampal impairment. Among tests used to evaluate memory, verbal memory tests with controlled encoding and cued recall are believed to be specific for hippocampal impairment. The objective of this study was to assess the relation between left and right hippocampal volumes and several frequently used memory tests. METHODS: Fifty six nondemented older adults (30 with amnestic mild cognitive impairment and 26 cognitively healthy older adults) underwent neuropsychological testing including: (1) The Enhanced Cued Recall test (ECR), a memory test with controlled encoding and recall; (2) the Auditory Verbal Learning Test (AVLT), a verbal memory test without controlled encoding and with delayed recall; and (3) The Rey-Osterrieth Complex Figure test (ROCF), a visuospatial memory test-recall condition. 1.5T brain MRI scans were used to measure estimated total intracranial volume (eTIV) along with hippocampal right and left volumes, which were measured with quantitative volumetry using FreeSurfer package (version 4.4.0). Spearman partial correlation controlled for age was used to correct for non-normal score distribution and effect of age. RESULTS: We found moderate correlations of hippocampal volumes with AVLT 1-5 scores, AVLT delayed recall, ECR free and total recall, and ROCF reproduction. Total recall in ECR using cued recall was not superior to any of the free recall tests. No correlation in any memory test was achieved with eTIV. CONCLUSION: Verbal memory tests, either with controlled encoding and cued delayed recall (ECR), or without it (AVLT), as well as nonverbal memory test with delayed recall (ROCF), equally reflect hippocampal atrophy in nondemented older adults.

Spatial navigation in young versus older adults.

Older age is associated with changes in the brain, including the medial temporal lobe, which may result in mild spatial navigation deficits, especially in allocentric navigation. The aim of the study was to characterize the profile of real-space allocentric (world-centered, hippocampus-dependent) and egocentric (body-centered, parietal lobe dependent) navigation and learning in young vs. older adults, and to assess a possible influence of gender. We recruited healthy participants without cognitive deficits on standard neuropsychological testing, white matter lesions or pronounced hippocampal atrophy: 24 young participants (18-26 years old) and 44 older participants stratified as participants 60-70 years old (n = 24) and participants 71-84 years old (n = 20). All underwent spatial navigation testing in the real-space human analog of the Morris Water Maze, which has the advantage of assessing separately allocentric and egocentric navigation and learning. Of the eight consecutive trials, trials 2-8 were used to reduce bias by a rebound effect (more dramatic changes in performance between trials 1 and 2 relative to subsequent trials). The participants who were 71-84 years old (p < 0.001), but not those 60-70 years old, showed deficits in allocentric navigation compared to the young participants. There were no differences in egocentric navigation. All three groups showed spatial learning effect (p' s ≤ 0.01). There were no gender differences in spatial navigation and learning. Linear regression limited to older participants showed linear (ß = 0.30, p = 0.045) and quadratic (ß = 0.30, p = 0.046) effect of age on allocentric navigation. There was no effect of age on egocentric navigation. These results demonstrate that navigation deficits in older age may be limited to allocentric navigation, whereas egocentric navigation and learning may remain preserved. This specific pattern of spatial navigation impairment may help differentiate normal aging from prodromal Alzheimer's disease.