Solomon Marjorie, McCauley James B, Iosif Ana-Maria, Carter Cameron S, Ragland J Daniel
Department of Psychiatry & Behavioral Sciences, University of California-Davis, 2230 Stockton Blvd., Sacramento, CA 95817, United States; Imaging Research Center, University of California-Davis, 4701 X Street, Sacramento, CA 95817, United States; MIND Institute, 2825 50th Street, Sacramento, CA 95817, United States.
Department of Psychiatry & Behavioral Sciences, University of California-Davis, 2230 Stockton Blvd., Sacramento, CA 95817, United States; MIND Institute, 2825 50th Street, Sacramento, CA 95817, United States; Department of Human Ecology, University of California-Davis, 131 Hunt Hall, Davis, Sacramento, CA 95618, United States.
Neuropsychologia. 2016 Aug;89:31-41. doi: 10.1016/j.neuropsychologia.2016.05.013. Epub 2016 May 13.
To further investigate manifestations of episodic memory impairments in adolescents, we examined the role of encoding on recognition of stimuli in conditions designed to emphasize their item-specific versus relational characteristics in a group of 12-18 year olds with autism spectrum disorders (ASD). We also examined how strategic learning and memory processes, verbal abilities, attention, and age were associated with recognition in this group.
Twenty two high functioning adolescents with ASD (mean age=15 years; SD=1.8; range=12.2-17.9), and 26 age, gender, and IQ-matched adolescents with typical development (TYP) (mean age=14.7 years; SD=1.9; range=12.3-17.8) completed the Relational and Item-Specific Encoding task (RiSE), the California Verbal Learning Test-Children's Version (CVLT-C), the Wechsler Abbreviated Scales of Intelligence, and the Connors' Parent Rating Scale-Revised. Univariate statistical analyses were performed.
The ASD group showed poorer performance on strategic memory assessed by the CVLT-C. Surprisingly, on the RiSE, ASD showed poorer discriminability for objects encoded in item-specific versus relational encoding conditions and were more impaired in familiarity (after relational encoding) than in recollection. ASD also did not show the hypothesized association between item and associative recognition and CVLT-C performance found in TYP. Instead, in the ASD group recognition was associated with increased age.
Findings from the RiSE task demonstrated that adolescents with ASD do not always exhibit impaired memory for relational information as commonly believed. Instead, memory was worse when cognitive control demands were high, when encoding focused on specific item features, and when familiarity was used to retrieve relational information. Recognition also was better in older participants. This suggests that learning and memory deficits in adolescents with ASD, may not be due primarily to failed relational binding processes in the hippocampus but, rather to disrupted strategic memory and familiarity processes associated with the prefrontal and perirhinal cortices. These findings demonstrate the importance and utility of using well-validated cognitive neuroscience tasks and of considering the ages of participants when comparing the neural underpinnings of different memory processes in both typical and atypical populations.
为了进一步研究青少年情景记忆障碍的表现,我们在一组12至18岁的自闭症谱系障碍(ASD)患者中,考察了编码在强调刺激的项目特定特征与关系特征条件下对刺激识别的作用。我们还考察了策略性学习和记忆过程、语言能力、注意力以及年龄与该组患者识别能力之间的关联。
22名高功能ASD青少年(平均年龄 = 15岁;标准差 = 1.8;范围 = 12.2 - 17.9)以及26名年龄、性别和智商匹配的发育正常青少年(TYP)(平均年龄 = 14.7岁;标准差 = 1.9;范围 = 12.3 - 17.8)完成了关系与项目特定编码任务(RiSE)、加利福尼亚语言学习测试儿童版(CVLT - C)、韦氏儿童智力量表简式版以及康纳斯父母评定量表修订版。进行了单变量统计分析。
ASD组在CVLT - C评估的策略性记忆方面表现较差。令人惊讶的是,在RiSE任务中,ASD组对在项目特定编码与关系编码条件下编码的物体的辨别能力较差,并且在熟悉度方面(关系编码后)比回忆方面受损更严重。ASD组也未表现出TYP组中发现的项目与联想识别以及CVLT - C表现之间的假设关联。相反,在ASD组中,识别能力与年龄增长相关。
RiSE任务的结果表明,ASD青少年并不总是如普遍认为的那样在关系信息记忆方面受损。相反,当认知控制要求较高、编码聚焦于特定项目特征以及使用熟悉度来检索关系信息时,记忆会更差。年龄较大的参与者的识别能力也更好。这表明,ASD青少年的学习和记忆缺陷可能并非主要归因于海马体中关系绑定过程的失败,而是与前额叶和鼻周皮质相关的策略性记忆和熟悉度过程受到干扰。这些发现证明了使用经过充分验证的认知神经科学任务以及在比较典型和非典型人群中不同记忆过程的神经基础时考虑参与者年龄的重要性和实用性。