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阿尔茨海默病中的虚假记忆。

False Memory in Alzheimer's Disease.

机构信息

Univ Nantes, Laboratoire de Psychologie des Pays de la Loire (LPPL), EA 4638, F-44000 Nantes, France.

Unité de Gériatrie, Centre Hospitalier de Tourcoing, Tourcoing, France.

出版信息

Behav Neurol. 2020 Feb 19;2020:5284504. doi: 10.1155/2020/5284504. eCollection 2020.

Abstract

Patients with Alzheimer's Disease (AD) not only are suffering from amnesia but also are prone to memory distortions, such as experiencing detailed and vivid recollections of episodic events that have never been encountered (i.e., false memories). To describe and explain these distortions, we offer a review to synthesize current knowledge on false memory in AD into a framework allowing for better understanding of the taxonomy and phenomenology of false memories and of the cognitive mechanisms that may underlie false memory formation in AD. According to this review, certain phenomenological characteristics of memories (e.g., high emotional load, high vividness, or high familiarity) result in misattributions in AD. More specifically, this review proposes that generalized decline in cognitive control and inhibition in AD may result in difficulties in suppressing irrelevant information during memory monitoring, especially when irrelevant (i.e., false) information is characterized by high emotion, vividness, or familiarity. This review also proposes that binding deficits in AD decrease the ability to retrieve relevant contextual details, leading to source monitoring errors and false memories. In short, this review depicts how phenomenological characteristics of memories and failures of monitoring during retrieval contribute to the occurrence of false memory in AD.

摘要

阿尔茨海默病(AD)患者不仅患有健忘症,而且还容易出现记忆扭曲,例如经历过详细而生动的情景事件回忆,而这些事件从未遇到过(即虚假记忆)。为了描述和解释这些扭曲,我们进行了综述,将 AD 中的虚假记忆的现有知识综合到一个框架中,从而可以更好地理解虚假记忆的分类和现象学,以及 AD 中可能导致虚假记忆形成的认知机制。根据这篇综述,记忆的某些现象学特征(例如,高情绪负荷、高生动性或高熟悉度)会导致 AD 中的错误归因。更具体地说,本综述提出,AD 中认知控制和抑制的普遍下降可能导致在记忆监测过程中难以抑制不相关信息,尤其是当不相关(即虚假)信息具有高情绪、生动性或熟悉度时。本综述还提出,AD 中的绑定缺陷会降低检索相关上下文细节的能力,导致来源监测错误和虚假记忆。简而言之,这篇综述描绘了记忆的现象学特征以及检索过程中的监测失败如何导致 AD 中虚假记忆的发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dabb/7049840/2eb9f09853b6/BN2020-5284504.001.jpg

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