Vicari S, Verucci L, Carlesimo G A
I.R.C.C.S. Ospedale Pediatrico Bambino Gesù, S. Marinella, Roma, and LUMSA University, Roma, Italy.
J Intellect Disabil Res. 2007 Dec;51(Pt 12):932-41. doi: 10.1111/j.1365-2788.2007.01003.x.
In the last few years, experimental data have been reported on differences in implicit memory processes of genetically distinct groups of individuals with Intellectual Disability (ID). These evidences are relevant for the more general debate on supposed asynchrony of cognitive maturation in children with abnormal brain development. This study, comparing implicit memory processes in individuals with Williams syndrome (WS) and Down syndrome (DS), was planned to verify the 'etiological specificity' hypotheses pertaining to the skill learning abilities of individuals with ID.
A modified version of Nissen and Bullemer's (1987) Serial Reaction Time (SRT) task was used. The performances of three group were evaluated. The first group consisted of thirty-two people with WS (18 males and 14 females). The second group was comprised of twenty-six individuals with DS (14 males and 12 females). The two groups of individuals with ID were selected so that the groups were comparable as for mental age and chronological age. The third group consisted of forty-nine typically developed children with a mental age similar to that of the groups with WS and DS.
The two groups of individuals with ID demonstrated different patterns of procedural learning. WS individuals revealed poor implicit learning of the temporal sequence of events characterizing the ordered blocks in the SRT task. Indeed, differently from normal controls, WS participants showed no reaction time (RT) speeding through ordered blocks. Most importantly, the rebound effect, which so dramatically affected normal children's RTs passing from the last ordered to the last block, had only a marginal influence on WS children's RTs. Differently from the WS group, the rate of procedural learning of the participants with DS was comparable to that of their controls. Indeed, DS and typically developed individuals showed parallel RT variations in the series of ordered blocks and, more importantly, passing from the last ordered to the last block. Therefore, a substantial preservation of skill learning abilities in this genetic syndrome is confirmed.
The results of the present study document that procedural learning in individuals with ID depends on the aetiology of the syndrome, thus supporting the etiological specificity account of their cognitive development. These results are relevant for our knowledge about the qualitative aspects and the underlying neurobiological substrate of the anomalous cognitive development in mentally retarded people.
在过去几年中,已有实验数据报道了具有不同遗传特征的智障(ID)个体在内隐记忆过程中的差异。这些证据对于关于大脑发育异常儿童认知成熟是否存在异步性的更广泛辩论具有重要意义。本研究旨在比较威廉姆斯综合征(WS)和唐氏综合征(DS)个体的内隐记忆过程,以验证与ID个体技能学习能力相关的“病因特异性”假说。
使用了尼森和布勒默(1987)序列反应时(SRT)任务的修改版本。评估了三组的表现。第一组由32名WS患者组成(18名男性和14名女性)。第二组由26名DS个体组成(14名男性和12名女性)。选择这两组ID个体,使两组在心理年龄和实际年龄方面具有可比性。第三组由49名心理年龄与WS和DS组相似的正常发育儿童组成。
两组ID个体表现出不同的程序学习模式。WS个体在SRT任务中对表征有序块的事件时间序列的内隐学习较差。事实上,与正常对照组不同,WS参与者在通过有序块时反应时间(RT)没有加快。最重要的是,从最后一个有序块到最后一个块时对正常儿童RT产生显著影响的反弹效应,对WS儿童的RT只有轻微影响。与WS组不同,DS参与者的程序学习率与对照组相当。事实上,DS个体和正常发育个体在一系列有序块中表现出平行的RT变化,更重要的是,从最后一个有序块到最后一个块时也是如此。因此,证实了该遗传综合征中技能学习能力的实质性保留。
本研究结果表明,ID个体的程序学习取决于综合征的病因,从而支持了其认知发展的病因特异性观点。这些结果对于我们了解智障人群异常认知发展的定性方面及其潜在的神经生物学基础具有重要意义。