Department of Psychiatry and Psychotherapy II, Mental Health & Old Age Psychiatry, Ulm University, Ulm, Germany.
Psychiatry Res. 2018 Mar;261:456-463. doi: 10.1016/j.psychres.2018.01.030.
Generally we tend to think that memory in daily living is complete and accurate in healthy persons. However, current memory research has revealed inconspicuous memory faults. Rarely omissions and distortions of memory are researched with tasks resembling everyday life. We investigated healthy older control subjects (HC) and patients with depressive disorder (DD). Cognitive function was assessed with a comprehensive neuropsychological test battery and mood with the Montgomery-Asberg Depression Scale (MADRS). We assessed everyday veridical and distorted memories on showing participants original news and commercials. In most aspects of attention, executive functions, and memory, patients with DD performed worse than HC. Regarding memory content on viewing news or commercials the difference between patients with DD and HC was more pronounced for false memory content than for veridical memory content. Linear regression analysis showed the extent of false memory content being associated with mental flexibility as assessed with the Trail Making Test and mood as assessed with the MADRS for both information obtained on viewing news and commercials. Increase of false memories impedes overall accuracy of memory more than decrease of veridical memories in older persons with depressive disorder. Diminished executive functions and depressive mood partly explain these memory distortions.
一般来说,我们倾向于认为健康人日常生活中的记忆是完整和准确的。然而,目前的记忆研究已经揭示了一些不明显的记忆缺陷。很少有研究使用类似于日常生活的任务来研究记忆的遗漏和扭曲。我们调查了健康的老年对照组(HC)和抑郁症患者(DD)。认知功能使用全面的神经心理学测试组合进行评估,情绪使用蒙哥马利-阿斯伯格抑郁量表(MADRS)进行评估。我们通过向参与者展示原始新闻和广告来评估日常真实和扭曲的记忆。在注意力、执行功能和记忆的大多数方面,DD 患者的表现均不如 HC。关于观看新闻或广告后的记忆内容,DD 患者和 HC 之间的差异在错误记忆内容方面比真实记忆内容更为明显。线性回归分析显示,在观看新闻和广告获得的信息中,错误记忆内容的程度与 Trail Making Test 评估的心理灵活性以及 MADRS 评估的情绪有关。在患有抑郁症的老年人中,错误记忆的增加比真实记忆的减少对记忆的整体准确性的影响更大。执行功能下降和抑郁情绪部分解释了这些记忆扭曲。