Experimental Psychology, Helmholtz Institute, Utrecht University, Utrecht, The Netherlands.
Korsakoff Center Slingedael, Lelie Care Group, Rotterdam, The Netherlands.
J Clin Exp Neuropsychol. 2020 May;42(4):363-370. doi: 10.1080/13803395.2020.1722800. Epub 2020 Feb 6.
: Despite the interest in memory functioning in Korsakoff's syndrome (KS), visual working memory capacity in KS is still poorly understood. Results from the last decades on working memory limitations in KS appear to be mixed, clearly calling for further investigations.: We investigated visual working memory storage capacity of patients diagnosed with KS using a change detection paradigm. Nine patients diagnosed with KS and thirty age- and education- matched healthy controls were presented twice with 2, 3, 4, or 6 bars with different orientations and had to detect whether the orientation of the target bar had changed.: As a group, KS patients performed significantly worse than controls on all set sizes, with an average capacity of 1.13 items, compared to 1.75 items in the control participants. In case study analysis, 4 out of 9 patients performed significantly worse than control participants, while 5 had relatively intact visual working memory capacity. In patients, deficits in visual working memory could not be explained by other cognitive deficits.: Based on these results, we conclude that visual working memory deficits are a prominent characteristic in some, but not all KS patients. Training visual working memory capacity could possibly optimize other cognitive difficulties in this population.
尽管人们对科萨科夫综合征 (KS) 中的记忆功能很感兴趣,但 KS 患者的视觉工作记忆容量仍知之甚少。过去几十年关于 KS 患者工作记忆限制的研究结果似乎存在差异,这显然需要进一步的研究。
我们使用变化检测范式研究了被诊断为 KS 的患者的视觉工作记忆存储容量。9 名被诊断为 KS 的患者和 30 名年龄和教育程度匹配的健康对照组被两次呈现具有不同方向的 2、3、4 或 6 个条,并必须检测目标条的方向是否发生了变化。
作为一个整体,KS 患者在所有的集合大小上的表现都明显差于对照组,平均容量为 1.13 个项目,而对照组参与者的平均容量为 1.75 个项目。在病例研究分析中,9 名患者中有 4 名明显差于对照组参与者,而 5 名患者的视觉工作记忆能力相对完整。在患者中,视觉工作记忆缺陷不能用其他认知缺陷来解释。
基于这些结果,我们得出结论,视觉工作记忆缺陷是一些但不是所有 KS 患者的突出特征。训练视觉工作记忆能力可能会优化该人群的其他认知困难。