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• What is the primary question addressed by this study? This study examines the neural correlates of the group–counseling–boosted memory training gains in older adults with subjective memory complaints (SMC). • What is the main finding of this study? Improved mood, which may boost memory training gains in older adults with SMC, was associated with changes in the functional resting-state connectivity between the amygdala and hippocampus. • What is the meaning of the finding? This finding suggests that amygdala–hippocampal connectivity may be associated with improved mood–enhanced memory training gains in older adults with SMC. Older adults with subjective memory complaints (SMC) have a higher risk of dementia and commonly demonstrate symptoms of anxiety. This study examined the neural correlates of group counseling (GC)–boosted memory training (MT) gains. This study was an active, controlled, randomized trial. Neighborhoods near the Institute of Psychology of the Chinese Academy of Sciences (CAS). Community-dwelling older adults, aged 60 or above with a minimum of 6 years of education, were recruited through advertisements and flyers posted at community service stations. The amplitude of low-frequency fluctuations and resting-state functional connectivity (rs-FC) analyses were used to examine the neural correlates associated with MT gains enhanced by improved mood in older adults with SMC. Participants were randomly assigned to the combined intervention (CI) or GC group. The CI group received 3 weeks of GC followed by 4 weeks of MT, and the GC group received GC and health lectures. Cognitive function and emotions were assessed before GC (T1), after GC (T2), and after MT (T3). Both groups underwent resting-state functional magnetic resonance imaging scanning at T2 and T3. Alleviated anxiety was positively correlated with rs-FC between the amygdala and left hippocampus and negatively correlated with rs-FC between the amygdala and right hippocampus. MT improvement was negatively correlated with rs-FC between the amygdala and right hippocampus in the CI group; the correlation was not significant after controlling for emotional changes. Amygdala–hippocampal connectivity may be associated with improved mood-enhanced MT gains in individuals with SMC. [ABSTRACT FROM AUTHOR]

Objective: Older adults with subjective memory complaints (SMC) have a higher risk of dementia and commonly demonstrate symptoms of depression and anxiety. The study aimed to examine the effect of a memory training program for individuals with SMC, and whether additional group counseling aimed at alleviating depression and anxiety would boost memory training gains.Design: A three-armed, double-blind, randomized controlled trial.Setting and Participants: Community-dwelling older adults with SMC, age ≥60.Methods: Participants (n = 124) were randomly assigned to memory training (MT), group counseling (GC), or GC + MT intervention. The GT + MT group received 3 sessions of group counseling followed by a 4-week memory training, while the MT group attended reading and memory training, and the GC group received group counseling and health lectures. Cognitive function and symptoms of depression and anxiety were assessed at baseline, mid-, and post-intervention.Results: After group counseling, the GC + MT and GC groups showed reduced symptoms of anxiety compared to the MT group. Memory training enhanced associative learning in both MT and GC + MT groups compare with the GC group, but the GC + MT group demonstrated a larger memory improvement (Cohen's d = 0.57) than the MT group (Cohen's d = 0.44).Conclusion and Implications: Group counseling decreased symptoms of anxiety, memory training increased associative learning, and the combination of two intervention induced larger memory gain than memory training alone. The results suggest that it may need to integrate treatment for anxiety into memory training for older adults with SMC to achieve better intervention effect.Trial Registration: ChiCTR-IOR-15006165 in the Chinese Clinical Trial Registry. [ABSTRACT FROM AUTHOR]

In this secondary analysis we tested whether 12 h of Senior WISE (Wisdom Is Simply Exploration) memory or health training with older adults would produce better outcomes by gender in perceptions of anxiety and bodily pain and whether the effects of the Senior WISE training on pain were mediated by anxiety. An implemented Phase III randomized clinical trial with follow up for 24 months in Central Texas. The sample was mostly female (79%), 71% Caucasian, 17% Hispanic, and 12% African American with an average age of 75 and 13 years of education. The effects of the memory intervention on anxiety were consistent across time, with effects present for males but not females at post-treatment and end-of-study. Although males had more anxiety in the health promotion group, the memory training reduced males' anxiety such that no gender difference was present in this group. The Senior WISE intervention reduced pain for both males and females at post-intervention but not at end-of-study. Although gender differences did not depend on the treatment group for pain, females reported somewhat, but not significantly, less pain at post-treatment and end-of-study. Mediation analysis indicated that, for males, the memory intervention indirectly affected pain at post-treatment, in part, by reducing anxiety, which lowered pain. However, at end-of-study, no indirect effect was present. Males responded to memory training. Training tailored to gender may increase the efficacy of the programs and "buy-in" from male participants, especially if tailored to anxiety and pain. [ABSTRACT FROM AUTHOR]

Prior work has revealed that mnemonic strategy training (MST) can enhance memory for specific content and engages regions in the frontoparietal cognitive control network. Evidence of transfer to novel content is less clear. Here, we provide secondary analysis of functional magnetic resonance imaging (fMRI) data acquired during a randomized controlled trial that compared MST to an active education control condition in patients with amnestic mild cognitive impairment (a-MCI). In the trial, thirty participants with a-MCI were randomized to the education program (EP) or MST, where they learned to apply the technique to face-name associations during four intervening hour long training sessions. Participants underwent pre- and post-training fMRI scans, during which they encoded both the trained (i.e., those used during the four training sessions) and untrained ('novel') face-name associations. The primary cognitive outcome measures revealed significantly improved memory for both trained and novel stimuli – effects supporting near transfer of MST. Relative to pre-training, there were significant and highly similar increases in activation for both trained and novel stimuli, especially in regions associated with the frontoparietal cognitive control network bilaterally, but also in temporal areas related to social cognition and emotional processing. Critically, this pattern of activation was notably different from the EP group. Thus, the changes in activation were consistent with the strategies trained and, combined with the cognitively-based near transfer effects, suggest that MST focused on face-name association enhances performance by engaging cognitive control and social/emotional processing. Finally, our data indicated that our MST is a relevant and efficient intervention to a-MCI. • MST focused in face-name associations improves memory for faces and names in a-MCI. • Improvements after MST transferred to similar untrained stimuli. • There was increase of activation in the frontoparietal and temporal regions after MST. • The intervention mainly engaged cognitive control and social/emotional processing. • Cognitive and activation changes were notably different between MST and control intervention. [ABSTRACT FROM AUTHOR]

Cognitive decline is a global healthcare problem. In this respect, we evaluate the feasibility and acceptance of an intervention with an application (app) that helps elderly to learn visual mnemonic techniques (VMT) that counteract cognitive impairment. A randomized, controlled pilot study was conducted with 14 subjects to gather information regarding users' perceptions of the app along with preliminary insight about the effects of the mnemonic training. Our descriptive analysis of the results suggests that subjects exhibited a slight improvement on standard memory tests and a slight reduction in subjective cognitive decline. Further research focusing on personal characteristics, environmental conditions, and task complexity is needed owing to the contribution of these factors to the inter-subject variations in in the use of the application and effectiveness of VMT. Our study results suggest the importance of the development of a scale that quantifies relevant attributes and how much patients use VMT. [ABSTRACT FROM AUTHOR]

The cognitive impairment characterizing the phenotype of older adults has been related to the efficiency of the antioxidant system. This study aimed at investigating the effect of memory training (MT) on memory, global cognitive functioning, and the oxidant and antioxidant capacity of plasma. We recruited 52 healthy subjects aged over 60. Twenty-nine subjects were submitted to 6-months of MT (Experimental Group, EG), and 23 were used as a Control Group (CG). Global cognitive functioning was assessed by the Mini-Mental State Examination (MMSE) and Short- and Long-Term Memory (STM and LTM, respectively) by the Rey Auditory Verbal Learning Test (RAVLT) at baseline (T0) and after 6-months (T1). Meanwhile, Reactive Oxygen Metabolites derivative compounds (d-ROMs), Biological Antioxidant Potential (BAP), and their ratio were evaluated on plasma. Results showed that the MMSE and RAVLT scores improved in EG at T1. At the same time, the d-ROMs levels significantly decreased, while the BAP and BAP/d-ROMs ratio showed an opposite trend. In both groups, the MMSE and LTM scores were negatively associated with d-ROMs levels, and positively correlated with BAP levels and the BAP/d-ROMs ratio. When we considered the Δvalue (Δvariable = variable post-MT minus variable pre-MT) in EG, the ΔMMSE and ΔLTM scores were negatively associated to Δd-ROMs, and positively to ΔBAP and ΔBAP/dROM. In conclusion, our results suggest that MT improves memory and global cognitive functioning. These processes were significantly associated to increase in resistance against oxidative stress at the plasma level in healthy older adults. [ABSTRACT FROM AUTHOR]

Background A better understanding of people with cognitive disorders improves performance on memory tasks through memory-focused interventions are needed. Objectives The purpose of this study was to assess the effect of memoryfocused interventions on cognitive disorders through a meta-analysis. Design Systematic review and meta-analysis. Data sources The online electronic databases PubMed, the Cochrane Library, Ovid-Medline, CINHAL, PsycINFO, Ageline, and Embase (up to May 2017) were used in this study. No language restriction was applied to the search. Review methods Objective memory (learning and memory function, immediate recall, delayed recall, and recognition) was the primary indicator and subjective memory performance, global cognitive function, and depression were the secondary indicators. The Hedges' g of change, subgroup analyses, and meta-regression were analyzed on the basis of the characteristics of people with cognitive disorders. Results A total of 27 studies (2177 participants, mean age = 75.80) reporting RCTs were included in the meta-analysis. The results indicated a medium-to-large effect of memory-focused interventions on learning and memory function (Hedges' g = 0.62) and subjective memory performance (Hedges' g = 0.67), a small-to-medium effect on delayed recall and depression, and a small effect on immediate recall and global cognitive function (all p < 0.05) compared with the control. Subgroup analysis and meta-regression indicated that the effects on learning and memory function were more profound in the format of memory training, individual training, shorter treatment duration, and more than eight treatment sessions, and the effect size indicated the MMSE score was the most crucial indicator (β = −0.06, p = 0.04). Conclusions This is first comprehensive meta-analysis of special memory domains in people with cognitive disorders. The results revealed that memory-focused interventions effectively improved memory-related performance in people with cognitive disorders. An appropriately designed intervention can effectively improve memory function, reduce disability progression, and improve mood state in people with cognitive disorders. Additional randomized controlled trials including measures of recognition, global cognitive function, and depression should be conducted and analyzed. [ABSTRACT FROM AUTHOR]

We review evidence for training programmes that manipulate autobiographical processing in order to treat mood, anxiety, and stress-related disorders, using the GRADE criteria to judge evidence quality. We also position the current status of this research within the UK Medical Research Council's (2000, 2008) framework for the development of novel interventions. A literature search according to PRISMA guidelines identified 15 studies that compared an autobiographical episodic memory-based training (AET) programme to a control condition, in samples with a clinician-derived diagnosis. Identified AET programmes included Memory Specificity Training (Raes, Williams, & Hermans, 2009), concreteness training (Watkins, Baeyens, & Read, 2009), Competitive Memory Training (Korrelboom, van der Weele, Gjaltema, & Hoogstraten, 2009), imagery-based training of future autobiographical episodes (Blackwell & Holmes, 2010), and life review/reminiscence therapy (Arean et al., 1993). Cohen's d was calculated for between-group differences in symptom change from pre- to post-intervention and to follow-up. We also completed meta-analyses for programmes evaluated across multiple studies, and for the overall effect of AET as a treatment approach. Results demonstrated promising evidence for AET in the treatment of depression ( d = 0.32), however effect sizes varied substantially (from − 0.18 to 1.91) across the different training protocols. Currently, research on AET for the treatment of anxiety and stress-related disorders is not yet at a stage to draw firm conclusions regarding efficacy as there were only a very small number of studies which met inclusion criteria. AET offers a potential avenue through which low-intensity treatment for affective disturbance might be offered. [ABSTRACT FROM AUTHOR]

Objective: Working memory impairment in individuals with chronic opioid dependence can play a major role in cognitive and treatment outcomes. Cognitive training targeting working memory shows promise for improved function in substance use disorders. To date, cognitive training has not been incorporated as an adjunctive treatment for opioid dependence.Methods: Methadone maintenance patients were randomly assigned to experimental (n=28) or active control (n=28) 25-session computerized training and run in parallel. Cognitive and drug use outcomes were assessed before and after training.Results: Participants in the experimental condition showed performance improvements on two of four working memory measures, and both groups improved on a third measure of working memory performance. Less frequent drug use was found in the experimental group than in the control group post-training. In contrast to previous findings with stimulant users, no significant effect of working memory training on delay discounting was found using either hypothetical or real rewards. There were no group differences on working memory outcome measures that were dissimilar from the training tasks, suggesting that another mechanism (e.g., increased distress tolerance) may have driven drug use results.Conclusions: Working memory training improves performance on some measures of working memory in methadone maintenance patients, and may impact drug use outcomes. Working memory training shows promise in patients with substance use disorders; however, further research is needed to understand the mechanisms through which performance is improved and drug use outcomes are impacted. [ABSTRACT FROM AUTHOR]

Abstract: Objective: The use of differential outcomes has been shown to enhance discriminative learning and face recognition in children and adults. In this study, we further investigated whether the differential outcome procedure (DOP) would also be effective in improving recognition memory for a wide range of stimuli with varying visual complexity (familiar objects, abstract stimuli, and complex scenes) in 5- and 7-year-old children. Method: Participants viewed a sample stimulus and, after a short (5s) or a long (15s) delay, they had to identify the previously seen stimulus among four choice alternatives. In the differential outcomes condition, each sample stimulus was paired with a specific outcome; whereas in the non-differential conditions outcomes were administered randomly. In Experiment 2, we replicated Experiment 1 but in addition we asked participants to perform an articulatory suppression task to prevent verbal rehearsal. Results: Children showed a greater overall visual delayed recognition when differential outcomes were arranged in both experiments. The type of stimulus being used modulated this effect; a beneficial effect of the differential outcomes training was evident with abstract objects in Experiment 1 and with both, abstract objects and scenes in Experiment 2. [Copyright &y& Elsevier]

Context: Age-related memory decline affects a large proportion of older adults. Cognitive training, physical exercise, and other lifestyle habits may help to minimize self-perception of memory loss and a decline in objective memory performance. Objective: The purpose of this study was to determine whether a 6- week educational program on memory training, physical activity, stress reduction, and healthy diet led to improved memory performance in older adults. Design: A convenience sample of 115 participants (mean age: 80.9 [SD: 6.0 years]) was recruited from two continuing care retirement communities. The intervention consisted of 60-minute classes held twice weekly with 15-20 participants per class. Testing of both objective and subjective cognitive performance occurred at baseline, preintervention, and postintervention. Objective cognitive measures evaluated changes in five domains: immediate verbal memory, delayed verbal memory, retention of verbal information, memory recognition, and verbal fluency. A standardized metamemory instrument assessed four domains of memory self-awareness: frequency and severity of forgetting, retrospective functioning, and mnemonics use. Results: The intervention program resulted in significant improvements on objective measures of memory, including recognition of word pairs (t[114] = 3-62, p <0.001) and retention of verbal information from list learning (t[114] = 2.98, p <0.01). No improvement was found for verbal fluency. Regarding subjective memory measures, the retrospective functioning score increased significantly following the intervention (t[114] = 4.54,p <0.0001), indicating perception of a better memory. Conclusions: These findings indicate that a 6-week healthy lifestyle program can improve both encoding and recalling of new verbal information, as well as self-perception of memory ability in older adults residing in continuing care retirement communities. (Am J Geriatr Psychiatry 2012; 20:514-523) [ABSTRACT FROM AUTHOR]

Abstract: The short term impact of a memory rehabilitation programme on verbal memory test performance and subjective ratings of memory in everyday life was assessed in healthy controls and left temporal lobe epilepsy (LTLE) surgical patients. The intervention involved training in the use of external and internal memory support strategies. Half of the sample in addition undertook computerised brain training exercises as homework. LTLE patients were seen either before surgery or 3–6 months after their operation. Improvements in verbal memory were observed in both groups. An effect of brain training was recorded but this did not occur in a consistent direction. Subjective ratings of memory indicated improvements that were significant for the LTLE group but not the controls. Positive changes in the memory outcome measures were associated with improvements in mood. Pre-operative memory rehabilitation was not associated with better outcomes than post-operative intervention. Further research is needed to explore the persistence of the changes observed and to explore if pre-operative rehabilitation offsets post-operative memory decline. [Copyright &y& Elsevier]

Abstract: It has been widely demonstrated that the differential outcomes procedure (DOP) facilitates both the learning of conditional relationships and the memory for the conditional stimuli in animal subjects. For conditional discriminations in humans, the DOP also produces an increase in the speed of acquisition and/or final accuracy. However, the potential facilitative effects of differential outcomes in human memory have not been fully assessed. In the present study, we aimed to test whether this procedure improves performance on a recognition memory task in healthy adults. Participants showed significantly better delayed face recognition when differential outcomes were used. This novel finding is discussed in the light of other studies on the differential outcomes effect (DOE) in both animals and humans, and implications for future research are presented. [ABSTRACT FROM AUTHOR]

Abstract: The purpose of our study was to investigate the long-term effect of mnemonic training on memory performance in older adults. Five years after participation in a mnemonic training study, we followed-up 112 community-dwelling older adults, 60 years of age and over. Delayed recall of a word list was assessed prior to, and immediately following mnemonic training, and at the 5-year follow-up. Overall, there was no significant difference between word recall prior to training and that exhibited at follow-up. However, pre-training performance, gain scores in performance immediately post-training and use of the mnemonic predicted performance at follow-up. Individuals who self-reported using the mnemonic exhibited the highest performance overall, with scores significantly higher than at pre-training. Our findings suggest that mnemonic training has long-term benefits for some older adults, particularly those who continue to employ the mnemonic. [Copyright &y& Elsevier]

Abstract: There is evidence for cognitive as well as neural plasticity across the adult life span, although aging is associated with certain constraints on plasticity. In the current paper, we argue that the age-related reduction in cognitive plasticity may be due to (a) deficits in general processing resources, and (b) failure to engage in task-relevant cognitive operations. Memory-training research suggests that age-related processing deficits (e.g., executive functions, speed) hinder older adults from utilizing mnemonic techniques as efficiently as the young, and that this age difference is reflected by diminished frontal activity during mnemonic use. Additional constraints on memory plasticity in old age are related to difficulties that are specific to the task, such as creating visual images, as well as in binding together the information to be remembered. These deficiencies are paralleled by reduced activity in occipito-parietal and medial–temporal regions, respectively. Future attempts to optimize intervention-related gains in old age should consider targeting both general processing and task-specific origins of age-associated reductions in cognitive plasticity. [Copyright &y& Elsevier]

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The authors investigated elderly people''s ability to benefit from specific memory training. Empirical evidence of cognitive aging shows a deterioration in working memory ability but also suggests that elderly people maintain the ability to acquire new information and strategies. The aim of the present study was to investigate the effects of two different mnemonic strategies (Loci mnemonic vs. Strategic training) in young and older adults and to evaluate the ability of the older groups to improve performance. Participants received extensive practice in the use of a specific strategy. Three groups of participants (20 adult, 20 younger elderly, and 20 older elderly) were tested in the laboratory, as well as in ecological conditions using a battery of cognitive tests. Questionnaires were also administrated to explore cognitive, metacognitive and emotive motivational aspects of working memory performance. The results show the efficacy of both trainings in improving performances in different tasks, particularly the ecological. The elderly benefit from strategies as much as younger people; nevertheless, the memory performances of the latter are higher. Differences between the two trainings are found only in the task evaluating ability to re-use learnt strategies in other unfamiliar situations. Improvement in performance was more pronounced for the strategic training. [Copyright &y& Elsevier]

Event segmentation allows the flow of information experienced in life to be partitioned into distinct episodes, facilitating understanding of the world, action within it, and the ability to store information in memory. One basis on which experiences are segmented is the presence of physical boundaries, such as walking through doorways. Previous findings have shown that event segmentation has a significant influence on memory, with better memory for events occurring within a single boundary (compared to events that cross boundaries). By manipulating the features of boundaries and the amount of information presented between boundaries the present research investigates the nature of event boundaries. We make use of a virtual learning environment to present lists of words in virtual rooms, testing memory for the word lists as a function of the presence or absence of spatial-temporal gaps and physical boundaries during encoding (i.e., by maintaining participants within individual rooms or moving them through doorways between rooms). Across four experiments, we show that segmenting information with spatial-temporal gaps results in an increase in clustering (reflecting the structure imposed at encoding) an increase in the number of words remembered during later tests of episodic recall (a memory benefit) and an increase in recalling the words in the order of presentation. Importantly, however, the data show that the presence of doorways is not required for event segmentation to benefit memory: increases in clustering, memory for temporal order and recall performance were found with temporal gaps alone. Furthermore, the results suggest that episodic memory may be optimised if the amount of information between boundaries can be maintained within working memory. We discuss the implications of the findings for Event Segmentation Theory and propose an alternative theoretical account of the episodic memory benefits based on temporal clustering. [ABSTRACT FROM AUTHOR]

Abstract: Background and objectives: This report describes the effects of a specific event group-based training programme on autobiographical memory, self-consciousness of memory retrieval, and depression symptoms in a sample of 24 schizophrenic patients (experimental group). Methods: Twenty-six matched schizophrenic patients who participated in social skills and occupational therapy group sessions constituted the active control group. Participants in the experimental group were trained to complete a diary with specific daily memories, followed by patients’ ratings of the associated emotional arousal of those entries. During training, significant specific events from childhood, adolescence, adulthood and the previous year were also reviewed. Results: After 10 weeks of group-based sessions, the experimental group demonstrated an increase in their degree of specificity for autobiographical retrievals, had a higher level of consciousness of their memories and showed a decrease in their depression scores. Significant changes in measurements of retrieval specificity and autonoetic awareness were maintained when changes in emotional symptomatology were statistically controlled. Limitations: The present study did not assess the impact of autobiographical memory training on the positive and negative symptoms of schizophrenia. Conclusions: These results suggest that cognitive training strategies based on event-specific autobiographical memory training should be considered for inclusion in intervention programs for schizophrenic patients. [Copyright &y& Elsevier]

Abstract: The current study examines the contribution of a number of metacognitive and motivational variables in explaining specific, transfer and maintenance effects of a strategic memory training program, based on the use of mental imagery, in older adults. Participants were assessed before and after the training (immediately post-test, and at 3- and 6-month follow-up) on list recall (criterion) and working memory (transfer) tasks. At the pre-test, metacognition (use of strategies, belief about memory, control on memory) and motivational measures (cognitive engagement, self-efficacy) were also collected. The training produced a benefit in both the criterion and transfer tasks, which was maintained at follow-up. Some of the metacognitive and motivational measures, over and above the level of performance obtained at pre-test, predicted the gains in the objective memory measures. The findings confirmed the importance of considering the role of metacognitive attitudes of older adults in memory training activities. [Copyright &y& Elsevier]