Siquier Antònia, Andrés Pilar
Neuropsychology and Cognition Research Group, Department of Psychology, Institute of Health Sciences (IUNICS), University of the Balearic Islands, Palma, Spain.
Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain.
Front Psychol. 2022 Nov 14;13:1051488. doi: 10.3389/fpsyg.2022.1051488. eCollection 2022.
Memory impairment is a hallmark cognitive deficit in Parkinson's disease (PD). However, it remains unclear which processes underlie this deficit in PD. Also, little is known on these patients' subjective experiences of memory difficulties and their relationship with objective measures. We aim to portray memory deficits in PD by combining objective and subjective memory measures.
Fifteen PD patients and 15 controls were assessed with an extended version of the Face-Name Associative Memory Exam (FNAME) and the Memory Failures of Everyday Questionnaire (MFE-28). We also explored the relationship among clinical and cognitive variables.
Participants with PD presented with more memory complaints. On the FNAME, these patients exhibited lower performance in free recall, as well as in name recognition and matching. Importantly, when controlling for initial learning, group effects disappeared, except for matching. Associative memory therefore was significantly compromised in PD and correlated with subjective memory complaints (SMC).
Our findings suggest that associative memory may constitute a sensitive measure to detect subtle memory deficits in PD. Moreover, the current study further clarifies the source of memory impairment in PD. Thus, our study highlights the clinical value of including associative memory tests such as the FNAME in PD neuropsychological assessment.
记忆障碍是帕金森病(PD)的一个标志性认知缺陷。然而,PD 中这种缺陷背后的具体机制仍不清楚。此外,对于这些患者记忆困难的主观体验及其与客观测量之间的关系也知之甚少。我们旨在通过结合客观和主观记忆测量方法来描绘 PD 中的记忆缺陷。
对 15 名 PD 患者和 15 名对照者进行了扩展版的面孔 - 名字联想记忆测验(FNAME)和日常记忆失败问卷(MFE - 28)评估。我们还探究了临床和认知变量之间的关系。
PD 患者有更多的记忆主诉。在 FNAME 测试中,这些患者在自由回忆、名字识别和匹配方面表现较差。重要的是,在控制初始学习后,除了匹配任务外,组间差异消失。因此,PD 患者的联想记忆明显受损,且与主观记忆主诉(SMC)相关。
我们的研究结果表明,联想记忆可能是检测 PD 中细微记忆缺陷的一种敏感指标。此外,本研究进一步阐明了 PD 中记忆障碍的根源。因此,我们的研究突出了在 PD 神经心理学评估中纳入诸如 FNAME 等联想记忆测试的临床价值。