Department of Education, Psychology, Communication, University of Bari Aldo Moro, Bari, Italy; Department of Basic Medical Science, Neuroscience and Sense Organs, University of Bari Aldo Moro, Bari, Italy; Department of Psychiatry and Psychotherapy, Ludwig-Maximilians University, Munich, Germany.
Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, United Kingdom.
Behav Brain Res. 2020 Jul 15;390:112688. doi: 10.1016/j.bbr.2020.112688. Epub 2020 May 12.
Alcohol use disorder (AUD) has been associated with recognition memory deficits. However, it remains unclear whether these deficits occur at the general recognition memory level or whether they selectively affect its subcomponents. Evidence suggests that recognition memory deficits may vary according to the heterogeneity of memory stimuli. Our aim was to investigate stimuli pair-dependent recognition memory deficits in AUD, using a cued recall task including homogeneous and heterogeneous stimuli pairs.
Twenty-three patients with AUD (days since last alcohol consumption: 11.70 ± 10.20) and 23 healthy controls (HC) underwent a neuropsychological examination tapping attention, verbal fluency, logical, working and long-term memory, and a recognition and recall task involving both homogeneous (tool-tool) and heterogeneous (tool-scene, tool-animal) stimuli pairs. Group (AUD-HC) by condition (tool-tool, tool-scene, tool-animal) ANOVAs were performed on all neuropsychological indices.
In the neuropsychological examination, AUD individuals showed deficits in delayed recall and faster reaction times compared with HC. The administration of the recognition and recall task revealed specific performance decreases in cued recall occurring in the whole sample (AUD + HC) for heterogeneous (tool-scene, tool-animal) pairs compared with homogeneous pairs. Within this pattern, AUD patients showed a lower cued recall rate than HC only for tool-animal pairs.
Our results support the existence of specific recall/recollection deficits in AUD which occurred for heterogeneous, but not for homogeneous stimuli pairs. This finding calls for further neuroimaging investigations aimed at investigating the neurobiological substrate of (i) different recognition memory subcomponents, and (ii) the processing of stimuli with different degree or type of heterogeneity.
酒精使用障碍(AUD)与识别记忆缺陷有关。然而,目前尚不清楚这些缺陷是发生在一般识别记忆水平,还是选择性地影响其亚成分。有证据表明,识别记忆缺陷可能因记忆刺激的异质性而有所不同。我们的目的是使用包括同质和异质刺激对的提示回忆任务,来研究 AUD 中与刺激对相关的识别记忆缺陷。
23 名 AUD 患者(上次饮酒后天数:11.70±10.20)和 23 名健康对照者(HC)接受了神经心理学检查,包括注意力、言语流畅性、逻辑、工作和长期记忆以及识别和回忆任务,包括同质(工具-工具)和异质(工具-场景、工具-动物)刺激对。对所有神经心理学指标进行组(AUD-HC)和条件(工具-工具、工具-场景、工具-动物)的 ANOVA。
在神经心理学检查中,AUD 个体在延迟回忆和更快的反应时间方面与 HC 相比存在缺陷。在识别和回忆任务的实施中,与同质对相比,整个样本(AUD+HC)在异质对(工具-场景、工具-动物)上的提示回忆表现出特定的下降。在这种模式中,AUD 患者在工具-动物对的提示回忆率低于 HC。
我们的结果支持 AUD 中存在特定的回忆/提取缺陷,这些缺陷仅发生在异质刺激对中,而不是同质刺激对中。这一发现需要进一步的神经影像学研究,旨在研究不同识别记忆亚成分的神经生物学基础,以及(ii)处理不同程度或类型异质性的刺激的过程。