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阿尔茨海默病患者对新工具的分类:类别特异性内容和过程。

Categorization of novel tools by patients with Alzheimer's disease: category-specific content and process.

机构信息

Department of Neurology, University of Pennsylvania School of Medicine, Philadelphia, PA 19104-4283, United States.

出版信息

Neuropsychologia. 2010 Jun;48(7):1877-85. doi: 10.1016/j.neuropsychologia.2009.07.023. Epub 2009 Aug 5.

DOI:10.1016/j.neuropsychologia.2009.07.023
PMID:19664644
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2881329/
Abstract

We examined the interaction of content and process in categorizing novel semantic material. We taught patients with Alzheimer's disease (AD) and healthy age-matched seniors a category of plausible novel tools by similarity- and rule-based processes, and compared the results with our previous parallel study of categorization of novel animals, in which AD patients were selectively impaired at rule-based categorization. AD patients demonstrated learning in the novel tool study; however, in contrast to the novel animal study, they were impaired in similarity-based as well as rule-based categorization relative to healthy seniors. Healthy seniors' categorization strategies reflected process irrespective of category content; they frequently attended to a single feature following similarity-based training, and always attended to all requisite features following rule-based training. AD patients' categorization strategies, in contrast, reflected category content; they frequently attended to a single feature when categorizing novel animals by either categorization process, but rarely did so when categorizing novel tools. AD patients' ability to categorize novel tools correlated with preserved recognition memory, a pattern not found in the novel animal study. The category-specific role of memory, along with AD patients' performance profile, suggests content-specific distinctions between the categories. We posit that tool features are relatively arbitrary, placing greater demands on memory, while prior knowledge about animals such as constraints on appearance and feature diagnosticity facilitates the assimilation of novel animals into semantic memory. The results suggest that categorization processes are sensitive to category content, which influences AD patients' success at acquiring a new category.

摘要

我们研究了分类新语义材料中内容和过程的相互作用。我们通过基于相似性和基于规则的过程向阿尔茨海默病(AD)患者和健康年龄匹配的老年人教授了一类合理的新工具,并将结果与我们之前对新动物分类的平行研究进行了比较,在该研究中,AD 患者在基于规则的分类中受到选择性损害。AD 患者在新工具研究中表现出学习能力;然而,与新动物研究相反,与健康老年人相比,他们在基于相似性和基于规则的分类中都受到损害。健康老年人的分类策略反映了过程,而与类别内容无关;他们在基于相似性的训练后经常关注单个特征,而在基于规则的训练后总是关注所有必要的特征。相比之下,AD 患者的分类策略反映了类别内容;他们在通过任一分类过程对新动物进行分类时经常关注单个特征,但在对新工具进行分类时很少这样做。AD 患者对新工具的分类能力与保留的识别记忆相关,这在新动物研究中未发现。记忆的类别特异性作用以及 AD 患者的表现模式表明,这些类别之间存在特定于内容的区别。我们假设工具特征相对任意,对记忆要求更高,而对动物的先验知识,如对外观和特征诊断性的限制,有助于将新动物同化到语义记忆中。结果表明,分类过程对类别内容敏感,这影响了 AD 患者获得新类别的成功。

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Neuropsychologia. 2017 Apr;98:98-110. doi: 10.1016/j.neuropsychologia.2016.07.003. Epub 2016 Jul 6.
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Frontotemporal neural systems supporting semantic processing in Alzheimer's disease.支持阿尔茨海默病语义处理的额颞神经系统。
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本文引用的文献

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Semantic categorisation of novel objects in frontotemporal dementia.额颞叶痴呆中新物体的语义分类。
Cogn Neuropsychol. 2006;23(4):541-62. doi: 10.1080/02643290542000094.
2
The picture superiority effect in patients with Alzheimer's disease and mild cognitive impairment.阿尔茨海默病和轻度认知障碍患者的图片优势效应
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Categorization of novel animals by patients with Alzheimer's disease and corticobasal degeneration.
类别特异性语义记忆:来自 bold fMRI 和阿尔茨海默病的汇聚证据。
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阿尔茨海默病和皮质基底节变性患者对新奇动物的分类
Neuropsychology. 2007 Mar;21(2):193-206. doi: 10.1037/0894-4105.21.2.193.
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Categorization of object descriptions in Alzheimer's disease and frontotemporal dementia: limitation in rule-based processing.阿尔茨海默病和额颞叶痴呆中物体描述的分类:基于规则处理的局限性。
Cogn Affect Behav Neurosci. 2003 Jun;3(2):120-32. doi: 10.3758/cabn.3.2.120.
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PET evidence for multiple strategies of categorization.正电子发射断层扫描(PET)显示存在多种分类策略的证据。
Cogn Affect Behav Neurosci. 2001 Dec;1(4):360-70. doi: 10.3758/cabn.1.4.360.
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Longitudinal profiles of semantic impairment for living and nonliving concepts in dementia of Alzheimer's type.阿尔茨海默病型痴呆中关于有生命和无生命概念的语义损伤纵向概况。
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Semantic memory and the brain: structure and processes.语义记忆与大脑:结构与过程
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