Short-term memory binding in mild cognitive impairment

We showed that short-term memory (STM) binding is sensitive to sporadic and familial Alzheimer's disease (AD) but is not affected by healthy ageing, chronic depression in the elderly or other forms of dementia. STM binding deficits were also observed in individuals with a genetic susceptibility for AD in the preclinical stages. Hence, we aim to investigate longitudinally individuals with Mild Cognitive Impairment (MCI) using STM binding tasks. Here we report on preliminary cross-sectional results. A comprehensive neuropsychological test battery and a visual STM task were given to 21 MCI patients and 20 controls. The STM task required participants to recognise changes across two consecutive arrays presenting either single features (colour or shape) or feature bindings. The MCI group performed significantly poorer than controls on standard tests of memory, attention and on the binding condition of the STM task, but not on single feature conditions. Performance on the binding task and on standard memory tests did not correlate. Eight MCI patients clearly performed outwith the range of normality in the binding task. However, they did not significantly differ from the other 13 MCI patients in disease severity or demographic and neuropsychological variables. Six patients with binding impairments showed a multiple domain profile whereas ten patients with a preserved binding function showed an amnesic profile [Chi-square = 5.45, p = 0.020]. These results suggest that (1) the binding task is assessing a function different from other memory tests and that (2) STM binding may be differentially impaired in MCI subgroups

Unimodal and crossmodal working memory binding is not differentially affected by age or Alzheimer’s disease

Working Memory Binding (WMB) entails the integration of multiple sources of information to form and temporarily store unique representations. Information can be processed through either one (i.e., Unimodal WMB) or separate sensory modalities (i.e., Crossmodal WMB). Objective: In this study, we investigated whether Crossmodal WMB is differentially affected by normal or pathological aging compared to Unimodal WMB. Method: Experiment 1: 26 older and 26 younger adults recalled the target feature matching the test probe to complete a previously displayed color-shape binding (visually presented in the Unimodal condition; auditorily and visually presented in the Crossmodal condition). Experiment 2: 35 older and 35 younger adults undertook the same paradigm while carrying out articulatory suppression to limit verbal recoding. Experiment 3: 24 Alzheimer’s disease (AD) patients and two groups of 24 healthy matched controls (tested respectively with the same and an increased memory load compared to the patients) were recruited to perform a similar task. Results: Results show no age-related additional cost in Crossmodal WMB in respect to Unimodal WMB. AD patients had poor attainment in both WMB tasks regardless of specific binding condition. Conclusion: These findings provide evidence identifying WMB per se to be impaired in AD, regardless of the type of to-be-bound material. This supports the view that WMB is a suitable cognitive marker for AD