The Sleep Benefit in Episodic Memory: An Integrative Review and a Meta-Analysis

People recall more information after sleep than after an equally long period of wakefulness. This sleep benefit in episodic memory has been documented in almost a century of research. However, an integrative review of hypothesized underlying processes, a comprehensive quantification of the benefit, and a systematic investigation of potential moderators has been missing so far. Here, we address these issues by analyzing 823 effect sizes from 271 independent samples that were reported in 177 articles published between 1967 and 2019. Using multilevel meta-regressions with robust variance estimates, we found a moderate overall sleep benefit in episodic memory (g = 0.44). Moderator analyses revealed four important findings: First, the sleep benefit is larger when stimuli are studied multiple times instead of just once. Second, for word materials, the effect size depends on the retrieval procedure: It is largest in free recall, followed by cued recall and recognition tasks. Third, the sleep benefit is stronger in pre-post difference measures of retention than in delayed memory tests. Fourth, sleep benefits are larger for natural sleep and nighttime naps than foralternative sleep-study designs (e.g., SWS-deprived sleep, daytime naps). Although there was no obvious evidence for selective reporting, it is a potential threat to the validity of the results. When accounting for selective reporting bias, the overall effect of sleep on episodic memory is reduced but still significant (g = 0.28). We argue that our results support an integrative, multi-causal theoretical account of sleep-induced episodic memory benefits and provide guidance to increase their replicability.

Plasma MCP-1 and changes on cognitive function in community-dwelling older adults

Background Monocyte Chemoattractant Protein-1 (MCP-1), a glial-derived chemokine, mediates neuroinflammation and may regulate memory outcomes among older adults. We aimed to explore the associations of plasma MCP-1 levels (alone and in combination with β-amyloid deposition—Aβ42/40) with overall and domain-specific cognitive evolution among older adults. Methods Secondary analyses including 1097 subjects (mean age = 75.3 years ± 4.4; 63.8% women) from the Multidomain Alzheimer Preventive Trial (MAPT). MCP-1 (higher is worse) and Aβ42/40 (lower is worse) were measured in plasma collected at year 1. MCP-1 in continuous and as a dichotomy (values in the highest quartile (MCP-1+)) were used, as well as a dichotomy of Aβ42/40. Outcomes were measured annually over 4 years and included the following: cognitive composite z-score (CCS), the Mini-Mental State Examination (MMSE), and Clinical Dementia Rating (CDR) sum of boxes (overall cognitive function); composite executive function z-score, composite attention z-score, Free and Cued Selective Reminding Test (FCSRT - memory). Results Plasma MCP-1 as a continuous variable was associated with the worsening of episodic memory over 4 years of follow-up, specifically in measures of free and cued delayed recall. MCP-1+ was associated with worse evolution in the CCS (4-year between-group difference: β = −0.14, 95%CI = −0.26, −0.02) and the CDR sum of boxes (2-year: β = 0.19, 95%CI = 0.06, 0.32). In domain-specific analyses, MCP-1+ was associated with declines in the FCSRT delayed recall sub-domains. In the presence of low Aβ42/40, MCP-1+ was not associated with greater declines in cognitive functions. The interaction with continuous biomarker values Aβ42/40× MCP-1 × time was significant in models with CDR sum of boxes and FCSRT DTR as dependent variables. Conclusions Baseline plasma MCP-1 levels were associated with longitudinal declines in overall cognitive and episodic memory performance in older adults over a 4-year follow-up. How plasma MCP-1 interacts with Aβ42/40 to determine cognitive decline at different stages of cognitive decline/dementia should be clarified by further research. The MCP-1 association on cognitive decline was strongest in those with amyloid plaques, as measured by blood plasma Aβ42/40.

Episodic Memory Precision and Reality Monitoring Following Stimulation of Angular Gyrus

The qualities of remembered experiences are often used to inform “reality monitoring” judgments, our ability to distinguish real and imagined events [Johnson, M. K., & Raye, C. L. Reality monitoring. Psychological Review, 88, 67–85, 1981]. Previous experiments have tended to investigate only whether reality monitoring decisions are accurate or not, providing little insight into the extent to which reality monitoring may be affected by qualities of the underlying mnemonic representations. We used a continuous-response memory precision task to measure the quality of remembered experiences that underlie two different types of reality monitoring decisions: self/experimenter decisions that distinguish actions performed by participants and the experimenter and imagined/perceived decisions that distinguish imagined and perceived experiences. The data revealed memory precision to be associated with higher accuracy in both self/experimenter and imagined/perceived reality monitoring decisions, with lower precision linked with a tendency to misattribute self-generated experiences to external sources. We then sought to investigate the possible neurocognitive basis of these observed associations by applying brain stimulation to a region that has been implicated in precise recollection of personal events, the left angular gyrus. Stimulation of angular gyrus selectively reduced the association between memory precision and self-referential reality monitoring decisions, relative to control site stimulation. The angular gyrus may, therefore, be important for the mnemonic processes involved in representing remembered experiences that give rise to a sense of self-agency, a key component of “autonoetic consciousness” that characterizes episodic memory [Tulving, E. Elements of episodic memory. Oxford, United Kingdom: Oxford University Press, 1985].

Active maintenance in working memory reinforces bindings for future retrieval from long-term episodic memory

Many theories assume that actively maintaining information in working memory (WM) predicts its retention in episodic memory (EM), as revealed by the beneficial effects of more WM time. Here, we examined whether affording more time for intentional WM maintenance does indeed drive EM. Participants either intentionally or incidentally encoded sequences of four words presented during trials of simple span (short time) and complex and slow span (long time). Long time intervals entailed a pause of equivalent duration between the words that presented an arithmetic problem to read aloud and solve (complex span) or a blank screen (slow span). To ensure similar encoding of the words across the intentional and incidental encoding groups, participants silently decided whether each word was a living or nonliving thing via keypress (i.e., an animacy judgment; Experiment 1) or read the words aloud while pressing the spacebar (Experiment 2). A surprise delayed recall test at the end of the experiment assessed EM. Longer time in WM, particularly during slow span, improved retrieval from EM for both intentional and incidental encoding groups relative to short time, but for different reasons: modeling of the data indicated that longer intentional encoding increased binding memory (i.e., retrieval of the items’ positions in the trial; Experiments 1 and 2), whereas longer elaborative but incidental encoding increased item memory (i.e., memory of items irrespective of their bindings; Experiment 1). This suggests that time spent actively keeping information in WM is special for EM because WM is a system that maintains bindings.

Cue overlap supports preretrieval selection in episodic memory: ERP evidence

People often want to recall events of a particular kind, but this selective remembering is not always possible. We contrasted two candidate mechanisms: the overlap between retrieval cues and stored memory traces, and the ease of recollection. In two preregistered experiments (Ns = 28), we used event-related potentials (ERPs) to quantify selection occurring before retrieval and the goal states — retrieval orientations — thought to achieve this selection. Participants viewed object pictures or heard object names, and one of these sources was designated as targets in each memory test. We manipulated cue overlap by probing memory with visual names (Experiment 1) or line drawings (Experiment 2). Results revealed that regardless of which source was targeted, the left parietal ERP effect indexing recollection was selective when test cues overlapped more with the targeted than non-targeted information, despite consistently better memory for pictures. ERPs for unstudied items also were more positive-going when cue overlap was high, suggesting that engagement of retrieval orientations reflected availability of external cues matching the targeted source. The data support the view that selection can act before recollection if there is sufficient overlap between retrieval cues and targeted versus competing memory traces.

The Neural Representation of Events Is Dominated by Elements that Are Most Reliably Present

An episodic memory is specific to an event that occurred at a particular time and place. However, the elements that comprise the event—the location, the people present, and their actions and goals—might be shared with numerous other similar events. Does the brain preferentially represent certain elements of a remembered event? If so, which elements dominate its neural representation: those that are shared across similar events, or the novel elements that define a specific event? We addressed these questions by using a novel experimental paradigm combined with fMRI. Multiple events were created involving conversations between two individuals using the format of a television chat show. Chat show “hosts” occurred repeatedly across multiple events, whereas the “guests” were unique to only one event. Before learning the conversations, participants were scanned while viewing images or names of the (famous) individuals to be used in the study to obtain person-specific activity patterns. After learning all the conversations over a week, participants were scanned for a second time while they recalled each event multiple times. We found that during recall, person-specific activity patterns within the posterior midline network were reinstated for the hosts of the shows but not the guests, and that reinstatement of the hosts was significantly stronger than the reinstatement of the guests. These findings demonstrate that it is the more generic, familiar, and predictable elements of an event that dominate its neural representation compared with the more idiosyncratic, event-defining, elements.