Training of resistance to proactive interference and working memory in older adults: a randomized double-blind study

2015 ◽  
Vol 28 (3) ◽  
pp. 453-467 ◽  
Author(s):  
Sandra V. Loosli ◽  
Rosalux Falquez ◽  
Josef M. Unterrainer ◽  
Cornelius Weiller ◽  
Benjamin Rahm ◽  
...  
Keyword(s):  
Older Adults ◽  
Working Memory ◽  
Proactive Interference ◽  
Fluid Intelligence ◽  
Double Blind Study ◽  
Double Blind ◽  
Far Transfer ◽  
Underlying Mechanisms ◽  
Transfer Tasks

ABSTRACTBackground:Working memory (WM) performance is often decreased in older adults. Despite the growing popularity of WM trainings, underlying mechanisms are still poorly understood. Resistance to proactive interference (PI) constitutes a candidate process that contributes to WM performance and might influence training or transfer effects. Here, we investigated whether PI resistance can be enhanced in older adults using a WM training with specifically increased PI-demands. Further, we investigated whether potential effects of such a training were stable and entailed any transfer on non-trained tasks.Method:Healthy old adults (N = 25, 68.8 ± 5.5 years) trained with a recent-probes and an n-back task daily for two weeks. Two different training regimens (high vs. low PI-amount in the tasks) were applied as between-participants manipulation, to which participants were randomly assigned. Near transfer tasks included interference tasks; far transfer tasks assessed fluid intelligence (gF) or speed. Immediate transfer was assessed directly after training; a follow-up measurement was conducted after two months.Results:Both groups similarly improved in PI resistance in both training tasks. Thus, PI susceptibility was generally reduced in the two training groups and there was no difference between WM training with high versus low PI demands. Further, there was no differential near or far transfer on non-trained tasks, neither immediately after the training nor in the follow-up.Conclusion:PI-demands in WM training tasks do not seem critical for enhancing WM performance or PI resistance in older adults. Instead, improved resistance to PI appears to be an unspecific side-effect of a WM training.

scholarly journals Working Memory Training Does Not Enhance Older Adults’ Cognitive Skills: A Comprehensive Meta-Analysis

2018 ◽  
Author(s):  
Giovanni Sala ◽  
N Deniz Aksayli ◽  
Kemal Semir ◽  
Yasuyuki Gondo ◽  
Fernand Gobet
Keyword(s):  
Older Adults ◽  
Working Memory ◽  
Cognitive Training ◽  
Cognitive Skills ◽  
Fluid Intelligence ◽  
Transfer Effects ◽  
Far Transfer ◽  
Near Transfer ◽  
Analytic Review ◽  
Meta Analyses

In the last two decades, considerable efforts have been devoted to finding a way to enhance cognitive function by cognitive training. To date, the attempt to boost broad cognitive functions in the general population has failed. However, it is still possible that some cognitive training regimens exert a positive influence on specific populations, such as older adults. In this meta-analytic review, we investigated the effects of working memory (WM) training on older adults’ cognitive skills. Three robust-variance-estimation meta-analyses (N = 2,140, m = 43, and k = 698) were run to analyze the effects of the intervention on (a) the trained tasks, (b) near-transfer measures, and (c) far-transfer measures. While large effects were found for the trained tasks (g ̅ = 0.877), only modest (g ̅ = 0.274) and near-zero (g ̅ = 0.121) effects were obtained in the near-transfer and far-transfer meta-analyses, respectively. Publication-bias analysis provided adjusted estimates that were slightly lower. Moreover, when active control groups were implemented, the far-transfer effects were null (g ̅ = -0.008). Finally, the effects were highly consistent across studies (i.e., low or null true heterogeneity), especially in the near- and far-transfer models. While confirming the difficulty in obtaining transfer effects with cognitive training, these results corroborate recent empirical evidence suggesting that WM is not isomorphic with other fundamental cognitive skills such as fluid intelligence.

scholarly journals Getting at Underlying Mechanisms of Far Transfer - the Mediating Role of Near Transfer

2021 ◽  
Author(s):  
Anja Pahor ◽  
Aaron R. Seitz ◽  
Susanne M. Jaeggi
Keyword(s):  
Working Memory ◽  
Fluid Intelligence ◽  
Working Memory Training ◽  
Memory Training ◽  
Far Transfer ◽  
Near Transfer ◽  
Mediating Role ◽  
Matrix Reasoning ◽  
Underlying Mechanisms ◽  
Meta Analyses

The extent that working memory training improves performance on untrained tasks is highly controversial. Here we address this controversy by testing the hypothesis that far transfer may depend upon near transfer using mediation models in three separate randomized controlled trials (RCTs). In all three RCTs, totaling 460 individuals, performance on untrained N-back tasks (near transfer) mediated transfer to Matrix Reasoning (a measure of fluid intelligence, representing far transfer). Untrained N-back performance also mediated transfer to a working memory composite (RCT 3). These findings support a model of N-back training in which transfer to untrained n-back tasks gates further transfer, at least in the case of working memory at the construct level, and matrix reasoning. This model can help adjudicate between the many studies and meta-analyses of working memory training that have provided mixed results but have not examined the relationship between near and far transfer on an individual differences level.

A randomized controlled trial of working memory and processing speed training in schizophrenia

2018 ◽  
Vol 49 (12) ◽  
pp. 2009-2019 ◽  
Author(s):  
B.D. Cassetta ◽  
L.M. Tomfohr-Madsen ◽  
V.M. Goghari
Keyword(s):  
Working Memory ◽  
Cognitive Training ◽  
Real World ◽  
Processing Speed ◽  
Fluid Intelligence ◽  
Controlled Trial ◽  
Daily Functioning ◽  
Control Group ◽  
Far Transfer ◽  
Transfer Tasks

AbstractBackgroundAlthough prior research has shown that cognitive training may improve cognition for schizophrenia patients, it is currently unclear which domains of cognition should be targeted in training. One suggestion is to target low- or mid-level cognitive processes. In particular, working memory (WM) and processing speed (PS) have been named as two key areas of impairment in schizophrenia, and two domains of cognition that are linked to higher-order cognition and daily functioning. This study aimed to investigate the near-transfer (transfer of gains to related contexts), far-transfer (transfer of gains to unrelated contexts), and real-world gains associated with WM and PS training in schizophrenia.MethodsEighty-three participants with schizophrenia were recruited and randomly assigned to computerized WM training, PS training, or a no-training control group. Outcome measures included WM, PS, fluid intelligence, executive functioning, social cognition, and daily functioning and symptoms.ResultsPS training led to significant gains in untrained PS tasks, as well as gains in far-transfer tasks that required speed of processing. WM training did not lead to gains in untrained WM tasks and showed inconsistent effects on some far-transfer tasks.ConclusionsThese results suggest some benefit of domain-specific cognitive training, specifically PS training, in schizophrenia. Far-transfer of gains to other cognitive domains and to real-world functioning may not occur after targeted WM or PS training, though non-specific effects (e.g. through behavioral activation, increased motivation) may lead to improvements in some tasks. Future studies should continue to investigate the mechanisms by which cognitive training may enhance cognition and functioning in schizophrenia.

Task-Switching Training and Transfer

2018 ◽  
Vol 32 (3) ◽  
pp. 106-130 ◽  
Author(s):  
Zsófia Anna Gaál ◽  
István Czigler
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Cognitive Training ◽  
Task Switching ◽  
Difficulty Level ◽  
Training Procedure ◽  
Far Transfer ◽  
Near Transfer ◽  
Related Potentials ◽  
Transfer Tasks

Abstract. We used task-switching (TS) paradigms to study how cognitive training can compensate age-related cognitive decline. Thirty-nine young (age span: 18–25 years) and 40 older (age span: 60–75 years) women were assigned to training and control groups. The training group received 8 one-hour long cognitive training sessions in which the difficulty level of TS was individually adjusted. The other half of the sample did not receive any intervention. The reference task was an informatively cued TS paradigm with nogo stimuli. Performance was measured on reference, near-transfer, and far-transfer tasks by behavioral indicators and event-related potentials (ERPs) before training, 1 month after pretraining, and in case of older adults, 1 year later. The results showed that young adults had better pretraining performance. The reference task was too difficult for older adults to form appropriate representations as indicated by the behavioral data and the lack of P3b components. But after training older adults reached the level of performance of young participants, and accordingly, P3b emerged after both the cue and the target. Training gain was observed also in near-transfer tasks, and partly in far-transfer tasks; working memory and executive functions did not improve, but we found improvement in alerting and orienting networks, and in the execution of variants of TS paradigms. Behavioral and ERP changes remained preserved even after 1 year. These findings suggest that with an appropriate training procedure older adults can reach the level of performance seen in young adults and these changes persist for a long period. The training also affects the unpracticed tasks, but the transfer depends on the extent of task similarities.

scholarly journals Effects of multi-domain cognitive training on working memory retrieval in older adults: behavioral and ERP evidence from a Chinese community study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Xiangfei Hong ◽  
You Chen ◽  
Jijun Wang ◽  
Yuan Shen ◽  
Qingwei Li ◽  
...  
Keyword(s):  
Older Adults ◽  
Working Memory ◽  
Training Program ◽  
Cognitive Training ◽  
Local Community ◽  
Training Group ◽  
Event Related Potential ◽  
Control Group ◽  
Baseline Session

AbstractWorking memory (WM) is a fundamental cognitive function that typically declines with age. Previous studies have shown that targeted WM training has the potential to improve WM performance in older adults. In the present study, we investigated whether a multi-domain cognitive training program that was not designed to specifically target WM could improve the behavioral performance and affect the neural activity during WM retrieval in healthy older adults. We assigned healthy older participants (70–78 years old) from a local community into a training group who completed a 3-month multi-domain cognitive training and a control group who only attended health education lectures during the same period. Behavioral and electroencephalography (EEG) data were recorded from participants while performing an untrained delayed match or non-match to category task and a control task at a pre-training baseline session and a post-training follow-up session. Behaviorally, we found that participants in the training group showed a trend toward greater WM performance gains than participants in the control group. Event-related potential (ERP) results suggest that the task-related modulation of P3 during WM retrieval was significantly enhanced at the follow-up session compared with the baseline session, and importantly, this enhancement of P3 modulation was only significant in the training group. Furthermore, no training-related effects were observed for the P2 or N2 component during WM retrieval. These results suggest that the multi-domain cognitive training program that was not designed to specifically target WM is a promising approach to improve WM performance in older adults, and that training-related gains in performance are likely mediated by an enhanced modulation of P3 which might reflect the process of WM updating.

scholarly journals Acute Intake of a Grape and Blueberry Polyphenol-Rich Extract Ameliorates Cognitive Performance in Healthy Young Adults During a Sustained Cognitive Effort

Antioxidants ◽  
2019 ◽  
Vol 8 (12) ◽  
pp. 650 ◽  
Author(s):  
Pierre Philip ◽  
Patricia Sagaspe ◽  
Jacques Taillard ◽  
Claire Mandon ◽  
Joël Constans ◽  
...  
Keyword(s):  
Working Memory ◽  
Cognitive Performance ◽  
Visual Information ◽  
Fold Increase ◽  
Cognitive Effort ◽  
Double Blind Study ◽  
Level Of Evidence ◽  
Double Blind ◽  
Safe Alternative ◽  
Memory And Attention

Despite an increasing level of evidence supporting the individual beneficial effect of polyphenols on cognitive performance, information related to the potential synergistic action of these phytonutrients on cognitive performance during a prolonged cognitive effort is currently lacking. This study investigated the acute and sustained action of a polyphenols-rich extract from grape and blueberry (PEGB), on working memory and attention in healthy students during a prolonged and intensive cognitive effort. In this randomised, cross-over, double blind study, 30 healthy students consumed 600 mg of PEGB or a placebo. Ninety minutes after product intake, cognitive functions were assessed for one hour using a cognitive demand battery including serial subtraction tasks, a rapid visual information processing (RVIP) task and a visual analogical scale. Flow-mediated dilation (FMD) and plasma flavan-3-ols metabolites quantification were also performed. A 2.5-fold increase in serial three subtraction variation net scores was observed following PEGB consumption versus placebo (p < 0.001). A trend towards significance was also observed with RVIP percentage of correct answers (p = 0.058). No treatment effect was observed on FMD. Our findings suggest that consumption of PEGB coupled with a healthy lifestyle may be a safe alternative to acutely improve working memory and attention during a sustained cognitive effort.

Sulphadiazine/Trimethoprim Once Daily in Maxillary Sinusitis: A Randomized Double-Blind Comparison with Sulphamethoxazole/Trimethoprim B.I.D.

1981 ◽  
Vol 9 (6) ◽  
pp. 478-481 ◽  
Author(s):  
Pierre Federspil ◽  
Peter Bamberg
Keyword(s):  
Maxillary Sinusitis ◽  
Favourable Result ◽  
Double Blind Study ◽  
Double Blind ◽  
Once Daily ◽  
Days Of Therapy ◽  
Significant Difference ◽  
Blind Comparison ◽  
Cure Rates

In a randomized double-blind study fifty-four patients suffering from acute maxillary sinusitis were treated for 10 days with daily doses of sulphadiazine/trimethopim (1 g) and sulphamethoxazole/trimethoprim (1.92 g), respectively. The efficacy was evaluated clinically at two follow-up visits. X-ray investigations were performed at admission and after the therapy. Of thirty-nine patients finally evaluated, thirty-seven showed a favourable result. After 6–8 days of therapy there was significant difference in cure rates in favour of sulphadiazine/trimethoprim (p < 0.05) while the outcome as evaluated after treatment was similar for both drugs.

The long-term effects of homeopathic treatment of chronic headaches: one year follow-up and single case time series analysis

2001 ◽  
Vol 90 (02) ◽  
pp. 63-72 ◽  
Author(s):  
H Walach ◽  
T Lowes ◽  
D Mussbach ◽  
U Schamell ◽  
W Springer ◽  
...  
Keyword(s):  
Time Series ◽  
Single Case ◽  
Double Blind Study ◽  
Long Term Effects ◽  
Double Blind ◽  
Homeopathic Treatment ◽  
Chronic Headaches ◽  
One Year

AbstractLittle is known about long-term effects of homeopathic treatment. Following a double-blind, placebo controlled trial of classical homeopathy in chronic headaches, we conducted a 1-year observational study of 18 patients following the double-blind phase, and a complete follow-up study of all trial participants. Eighteen patients received free treatment for daily diary data (frequency, intensity, duration of headaches) over the course of 1 y. All patients enrolled in the double-blind study were sent a 6-week headache diary, a follow-up questionnaire, a personality inventory and a complaint list. Eighty-seven, of the original 98 patients enrolled returned questionnaires, 81 returned diaries. There was no additional change from the end of the trial to the one-year follow-up. The improvement seen at the end of the 12-week trial was stable after 1 y. No differential effects according to treatment after the trial could be seen. Patients with no treatment following the trial had the most improvement after 1 y. Five of 18 patients can be counted responders according to ARIMA analysis of single-case time-series. Patients with double diagnoses and longer treatment duration tended to have clearer improvements than the rest of the patients. Approximately 30% of patients in homeopathic treatment will benefit after 1 y of treatment. There is no indication of a specific, or of a delayed effect of homeopathy.

scholarly journals Cognitive Aftereffects of Acute tDCS Coupled with Cognitive Training: An fMRI Study in Healthy Seniors

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
P. Šimko ◽  
M. Pupíková ◽  
M. Gajdoš ◽  
I. Rektorová
Keyword(s):  
Older Adults ◽  
Working Memory ◽  
Cognitive Training ◽  
Brain Network ◽  
Resting State Functional Connectivity ◽  
Double Blind ◽  
Sham Stimulation ◽  
Highly Educated ◽  
Fmri Study ◽  
Dorsolateral Prefrontal

Enhancing cognitive functions through noninvasive brain stimulation is of enormous public interest, particularly for the aging population in whom processes such as working memory are known to decline. In a randomized double-blind crossover study, we investigated the acute behavioral and neural aftereffects of bifrontal and frontoparietal transcranial direct current stimulation (tDCS) combined with visual working memory (VWM) training on 25 highly educated older adults. Resting-state functional connectivity (rs-FC) analysis was performed prior to and after each stimulation session with a focus on the frontoparietal control network (FPCN). The bifrontal montage with anode over the left dorsolateral prefrontal cortex enhanced VWM accuracy as compared to the sham stimulation. With the rs-FC within the FPCN, we observed significant stimulation × time interaction using bifrontal tDCS. We found no cognitive aftereffects of the frontoparietal tDCS compared to sham stimulation. Our study shows that a single bifrontal tDCS combined with cognitive training may enhance VWM performance and rs-FC within the relevant brain network even in highly educated older adults.

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