Implicit Processes Enhance Cognitive Abilities in Amnestic-Mild Cognitive Impairment Gillian Rowe1,2, Angela K. Troyer1, Kelly J. Murphy1,2, Lynn Hasher2,3, & Renee Biss2 1 3 2 Alzheimer’s Disease International Toronto March 27, 2011 CONFIDENTIAL Pg 1 Acknowledgements Brian Richards Guy Proulx Morris Goldenberg Medical Research Endowment Pg 2 Conflict of Interest Disclosure Gillian Rowe, Ph.D Angela Troyer, Ph.D Kelly Murphy, Ph.D Lynn Hasher, Ph.D Renee Biss, M.A. Has no real or apparent conflicts of interest to report. Pg 3 Background and Purpose • Pattern of impaired explicit and intact implicit memory observed in individuals with aMCI • Can be thought of as conscious and unconscious • Research/interventions often target impaired abilities • May be effortful and possibly distressing • Instead, can we use implicit processes to influence explicit • Enhance explicit without effort or awareness Pg 4 Background and Purpose • Previously shown with healthy older adults Rowe et al., 2006 • Known to be more susceptible to distraction than younger • Evidence they pick up irrelevant information implicitly • Use that information for later task if it becomes relevant • Without awareness Pg 5 Background and Purpose • People with aMCI also susceptible to distraction • Would same effect be found? • If so, possible opportunities for intervention in aMCI • Everyday memory • Autobiographical memory • Prospective memory Pg 6 Method • Used adaptation of earlier work • Participants – 22 aMCI – 22 matched healthy controls • Same/different judgments of consecutive stream of line drawings. Ignore letter strings EMBLEM LIVER HFXVV LOTTERY Pg 7 Method • 10 min filler - computerized Corsi Block task Pg 8 Method Word-Fragment Completion Task E___ER S U _ _ LY WI__ER LI__R A__IT_ON E___EM E RASE R 30 word fragments S U PPLY 10 words told to ignore WINNER 10 not L Iseen V E R earlier M B I fillers TION 10Aeasy EMBLEM Say first thing came into head __AM_ S TAM P L_T_E_Y LOTTERY _R_V_ G RAVY Pg 9 Method Word-Fragment Completion Task E___ER E RASE R S U _ _ LY S U PPLY WI__ER WINNER LI__R LIVER A__IT_ON AMBITION E___EM EMBLEM __AM_ S TAM P L_T_E_Y LOTTERY _R_V_ G RAVY Pg 10 Results 0.18 0.16 0.14 % Priming 0.12 0.10 0.08 0.06 0.04 0.02 0.00 CONTROLS aMC! More words fragments solved for previously seen words Significantly more for aMCI group compared to controls Pg 11 Results Priming • Correlation between implicit and explicit memory (aMCI) CBT Pg 12 How can this be applied to everyday and autobiographical memory? • Similar paradigm using everyday situation/materials • Virtual shopping mall • Explicit task: list of items to buy • Test for irrelevant information Pg 13 Acknowledgements Brian Richards Guy Proulx Morris Goldenberg Medical Research Endowment Pg 14
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