Metzler-Baddeley Claudia, Snowden Julie S
The Research Institute for the Care of the Elderly, St. Martin's Hospital, Bath, UK.
J Clin Exp Neuropsychol. 2005 Nov;27(8):1070-9. doi: 10.1080/13803390490919164.
Previous studies concerned with the use of errorless learning (EL) in memory rehabilitation of patients with Alzheimer's disease (AD) combined EL with other techniques, such as expanded rehearsal, to facilitate learning. These studies focused on the re-learning of previously familiar information and did not investigate the learning of novel information. The aim of the present study was to investigate if EL provides a better training technique for AD patients than errorful learning (EF). For this purpose, learning of familiar material and learning of novel associations in four patients with probable AD was compared under EL and EF conditions. Combined data analysis demonstrated a significant advantage of EL over EF both for old and novel learning. However, patients also learned significantly in the EF condition and the EL effect was not large enough to reach significance on an individual level. It is suggested that EL may be most beneficial for patients with profound amnesia, and in situations that make effortful processing difficult, but that residual explicit memory capacities may override EL benefits.
先前有关在阿尔茨海默病(AD)患者记忆康复中使用无错误学习(EL)的研究,将EL与其他技术(如扩展复述)相结合以促进学习。这些研究聚焦于对先前熟悉信息的重新学习,而未探究新信息的学习。本研究的目的是调查EL对AD患者而言是否比有错误学习(EF)提供了更好的训练技术。为此,在EL和EF条件下,对4例可能患有AD的患者学习熟悉材料和学习新关联进行了比较。综合数据分析表明,在新旧学习方面,EL均显著优于EF。然而,患者在EF条件下也有显著学习,且EL效应在个体水平上不够大,未达到显著水平。研究表明,EL可能对患有严重失忆症的患者最为有益,且在使努力加工变得困难的情况下有益,但残余的外显记忆能力可能会抵消EL的益处。