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Executive dysfunction affects word list recall performance: Evidence from amyotrophic lateral sclerosis and other neurodegenerative diseases.
Journal of Neuropsychology ( IF 2.0 ) Pub Date : 2015-05-08 , DOI: 10.1111/jnp.12072
Monica Consonni 1, 2 , Stefania Rossi 1 , Chiara Cerami 1, 3 , Alessandra Marcone 3 , Sandro Iannaccone 3 , Stefano Francesco Cappa 4, 5 , Daniela Perani 1, 4, 6
Affiliation  

The Rey Auditory Verbal Learning Test (RAVLT) is widely used in clinical practice to evaluate verbal episodic memory. While there is evidence that RAVLT performance can be influenced by executive dysfunction, the way executive disorders affect the serial position curve (SPC) has not been yet explored. To this aim, we analysed immediate and delayed recall performances of 13 non‐demented amyotrophic lateral sclerosis (ALS) patients with a specific mild executive dysfunction (ALSci) and compared their performances to those of 48 healthy controls (HC) and 13 cognitively normal patients with ALS. Moreover, to control for the impact of a severe dysexecutive syndrome and a genuine episodic memory deficit on the SPC, we enrolled 15 patients with a diagnosis of behavioural variant of frontotemporal dementia (bvFTD) and 18 patients with probable Alzheimer's disease (AD). Results documented that, compared to cognitively normal subjects, ALSci patients had a selective mid‐list impairment for immediate recall scores. The bvFTD group obtained low performances with a selectively increased forgetting rate for terminal items, whereas the AD group showed a disproportionately large memory loss on the primary and middle part of the SPC for immediate recall scores and were severely impaired in the delayed recall trial. These results suggested that subtle executive dysfunctions might influence the recall of mid‐list items, possibly reflecting deficiency in control strategies at retrieval of word lists, whereas severer dysexecutive syndrome might also affect the recall of terminal items possibly due to attention deficit or retroactive interference.

中文翻译:

执行功能障碍会影响单词表的回忆功能:肌萎缩性侧索硬化症和其他神经退行性疾病的证据。

雷伊听觉言语学习测验(RAVLT)在临床实践中广泛用于评估言语情节记忆。尽管有证据表明执行功能障碍会影响RAVLT的表现,但尚未探索执行障碍影响串行位置曲线(SPC)的方式。为此,我们分析了13例具有特定轻度执行功能障碍(ALSci)的非痴呆性肌萎缩性侧索硬化症(ALS)患者的即刻和延迟回忆表现,并将其与48位健康对照(HC)和13位认知正常患者的表现进行了比较与ALS。此外,为了控制严重的执行障碍综合症和真正的情景记忆缺陷对SPC的影响,我们招募了15位诊断为额颞叶痴呆(bvFTD)行为变异的患者和18位可能患有阿尔茨海默氏病(AD)的患者。结果表明,与认知正常的受试者相比,ALSci患者在立即召回得分方面有选择性的中列表损伤。bvFTD组表现不佳,终端项目的遗忘率有选择地提高,而AD组在SPC的初级和中部表现出较大的记忆丧失,这是立即召回得分所致,并且在延迟召回试验中严重受损。这些结果表明,细微的执行功能障碍可能会影响中列表项的召回,可能反映出检索词表时控制策略的不足,
更新日期:2015-05-08
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