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语法缺失型进行性失语中普遍存在自传体记忆障碍的证据。

Evidence for a pervasive autobiographical memory impairment in Logopenic Progressive Aphasia.

作者信息

Ramanan Siddharth, Foxe David, El-Omar Hashim, Ahmed Rebekah M, Hodges John R, Piguet Olivier, Irish Muireann

机构信息

The University of Sydney, Brain and Mind Centre, Sydney, New South Wales, Australia; The University of Sydney, School of Psychology, Sydney, New South Wales, Australia; ARC Centre of Excellence in Cognition and its Disorders, Sydney, New South Wales, Australia; Medical Research Council Cognition and Brain Sciences Unit at The University of Cambridge, Cambridge, UK.

The University of Sydney, Brain and Mind Centre, Sydney, New South Wales, Australia; The University of Sydney, School of Psychology, Sydney, New South Wales, Australia; ARC Centre of Excellence in Cognition and its Disorders, Sydney, New South Wales, Australia.

出版信息

Neurobiol Aging. 2021 Dec;108:168-178. doi: 10.1016/j.neurobiolaging.2021.09.004. Epub 2021 Sep 10.

Abstract

Although characterized primarily as a language disorder, mounting evidence indicates episodic amnesia in Logopenic Progressive Aphasia (LPA). Whether such memory disturbances extend to information encoded pre-disease onset remains unclear. To address this question, we examined autobiographical memory in 10 LPA patients, contrasted with 18 typical amnestic Alzheimer's disease and 16 healthy Control participants. A validated assessment, the Autobiographical Interview, was employed to explore autobiographical memory performance across the lifespan under free and probed recall conditions. Relative to Controls, LPA patients showed global impairments across all time periods for free recall, scoring at the same level as disease-matched cases of Alzheimer's disease. Importantly, these retrieval deficits persisted in LPA, even when structured probing was provided, and could not be explained by overall level of language disruption or amount of information generated during autobiographical narration. Autobiographical memory impairments in LPA related to gray matter intensity decrease in predominantly posterior parietal brain regions implicated in memory retrieval. Together, our results suggest that episodic memory disturbances may be an under-appreciated clinical feature of LPA.

摘要

虽然主要被视为一种语言障碍,但越来越多的证据表明,语义性进行性失语症(LPA)存在发作性失忆。这种记忆障碍是否延伸至疾病发作前编码的信息仍不清楚。为了解决这个问题,我们研究了10名LPA患者的自传体记忆,并与18名典型的遗忘型阿尔茨海默病患者和16名健康对照参与者进行了对比。我们采用了经过验证的评估方法——自传体访谈,以探讨在自由回忆和提示回忆条件下整个生命周期内的自传体记忆表现。与对照组相比,LPA患者在自由回忆的所有时间段均表现出整体损伤,得分与阿尔茨海默病的疾病匹配病例处于同一水平。重要的是,即使提供了结构化提示,这些检索缺陷在LPA患者中仍然存在,并且无法用语言干扰的总体水平或自传体叙述过程中产生的信息量来解释。LPA患者的自传体记忆损伤与主要参与记忆检索的顶叶后部脑区灰质强度降低有关。总之,我们的结果表明,发作性记忆障碍可能是LPA一个未被充分认识的临床特征。

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