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前瞻性记忆任务的无错误学习:对记忆障碍患者的一项实验研究。

Errorless learning of prospective memory tasks: An experimental investigation in people with memory disorders.

作者信息

Fish Jessica E, Manly Tom, Kopelman Michael D, Morris Robin G

机构信息

a King's College London Institute of Psychiatry , London , UK.

出版信息

Neuropsychol Rehabil. 2015;25(2):159-88. doi: 10.1080/09602011.2014.921204. Epub 2014 Jun 4.

Abstract

The term prospective memory (PM) refers to memory for future intentions. PM problems are frequent in people with cognitive impairment and, because they are central to the realisation of many everyday goals, are important in rehabilitation. Event-based PM tasks (EBPM) are environmentally-cued and have primarily mnemonic demands, whereas time-based PM tasks (TBPM) require self-initiated retrieval, and have greater executive demands. Errorless learning (EL) is an encoding method that results in superior retrospective memory compared with "errorful" learning (EF). As this EL advantage (ELA) likely stems from its reduced explicit memory demands, and there is no such advantage for executive tasks, a greater ELA for EBPM than TBPM was predicted. Fourteen adults with neurological memory impairment completed PM tasks under four counterbalanced conditions: EL of EBPM, EL of TBPM, EF of EBPM, and EF of TBPM. A significant ELA was observed for EBPM (d = .63), but not TBPM (d = -.01). These results extend the evidence for EL within cognitive rehabilitation, by showing for the first time that the method can benefit future action in addition to retrospective memory. The clinical implications are also clear: errorless learning techniques may be usefully employed to support completion of day-to-day EBPM tasks.

摘要

前瞻性记忆(PM)一词指的是对未来意图的记忆。PM问题在认知障碍患者中很常见,并且由于它们对于实现许多日常目标至关重要,因此在康复中很重要。基于事件的PM任务(EBPM)是由环境线索提示的,主要有记忆方面的要求,而基于时间的PM任务(TBPM)则需要自我启动检索,并且有更高的执行要求。无错误学习(EL)是一种编码方法,与“有错误”学习(EF)相比,它能产生更好的回顾性记忆。由于这种EL优势(ELA)可能源于其降低的显性记忆要求,并且执行任务没有这种优势,因此预测EBPM的ELA比TBPM更大。14名患有神经记忆障碍的成年人在四种平衡条件下完成了PM任务:EBPM的EL、TBPM的EL、EBPM的EF和TBPM的EF。观察到EBPM有显著的ELA(d = 0.63),但TBPM没有(d = -0.01)。这些结果扩展了认知康复中EL的证据,首次表明该方法除了对回顾性记忆有益外,还能对未来行动有益。临床意义也很明显:无错误学习技术可能有助于支持日常EBPM任务的完成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/031c/4311953/33f3d7641733/pnrh-25-159-g001.jpg

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