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早期痴呆症患者学习面孔-名字关联:比较无错误学习和刻意加工的效果。

Learning face-name associations in early-stage dementia: comparing the effects of errorless learning and effortful processing.

作者信息

Dunn Josephine, Clare Linda

机构信息

West London Mental Health Trust, London, UK.niversity of Wales, Bangor, UK.

出版信息

Neuropsychol Rehabil. 2007 Dec;17(6):735-54. doi: 10.1080/09602010701218317.

Abstract

Some recent studies suggest that errorless learning principles may be beneficial in memory rehabilitation for people with dementia, while others indicate that effortful processing may be more important. The present study compared the effects of four different learning techniques, varying in level of effort required and number of errors elicited, on free recall, cued recall and recognition of novel and previously known associations among people with early-stage dementia. Ten participants with a diagnosis of early-stage Alzheimer's, vascular or mixed dementia learned novel and previously familiar face-name associations with each of four techniques--vanishing cues, forward cues, target selection, and paired associate learning--in a within-subjects design. All conditions produced significant learning for both novel and familiar associations. There were no significant differences between conditions, although mean scores were slightly higher for errorful conditions. Reducing errors did not produce any benefits. Enhancing level of effort had no significant effects for familiar associations, but high-effort conditions were significantly more effective than low-effort conditions in facilitating cued recall of novel associations. The results confirm that memory rehabilitation techniques can produce significant benefits, but do not support the view that error reduction during learning facilitates greater improvement in early-stage dementia. Effort enhancement may be more important, especially when learning novel associations.

摘要

近期的一些研究表明,无错误学习原则可能对痴呆症患者的记忆康复有益,而其他研究则指出,努力加工可能更为重要。本研究比较了四种不同学习技巧对早期痴呆症患者自由回忆、线索回忆以及对新的和先前已知关联的识别的影响,这四种学习技巧在所需努力程度和引发的错误数量上有所不同。十名被诊断为早期阿尔茨海默病、血管性或混合性痴呆的参与者,采用被试内设计,使用四种技巧——消失线索、前向线索、目标选择和配对联想学习——学习新的和先前熟悉的面孔-名字关联。所有条件下,新的和熟悉的关联均产生了显著的学习效果。尽管有错误条件下的平均分数略高,但各条件之间没有显著差异。减少错误并未带来任何益处。增加努力程度对熟悉的关联没有显著影响,但在促进对新关联的线索回忆方面,高努力条件比低努力条件显著更有效。结果证实,记忆康复技巧能产生显著益处,但不支持学习过程中减少错误有助于早期痴呆症患者取得更大改善的观点。增加努力程度可能更为重要,尤其是在学习新关联时。

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