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Matthias Kliegel

Publications and source records attributed to Matthias Kliegel.

16 recordsLinked to original sources

Motor brain regions are involved in the encoding of delayed intentions: a fMRI study.

In studies of prospective memory, recall of the content of delayed intentions is normally excellent, probably because they contain actions that have to be enacted at a later time. Action words encoded for later enactment are more accessible from memory than those encoded for later verbal report [Freeman, J.E., and Ellis, J.A. 2003a. The representation of delayed intentions: A prospective subject-performed task? Journal of Experimental Psychology: Learning, Memory, and Cognition, 29, 976-992.]. As this higher assessibility is lost when the intended actions have to be enacted during encoding, or when a motor interference task is introduced concurrent to intention encoding, Freeman and Ellis suggested that the advantage of to-be-enacted actions is due to additional preparatory motor operations during encoding. Accordingly, in a fMRI study with 10 healthy young participants, we investigated whether motor brain regions are differentially activated during verbal encoding of actions for later enactment with the right hand in contrast to verbal encoding of actions for later verbal report. We included an additional condition of verbal encoding of abstract verbs for later verbal report to investigate whether the semantic motor information inherent in action verbs in contrast to abstract verbs activates motor brain regions different from those involved in the verbal encoding of actions for later enactment. Differential activation for the verbal encoding of to-be-enacted actions in contrast to to-be-reported actions was found in brain regions known to be involved in covert motor preparation for hand movements, i.e. the postcentral gyrus, the precuneus, the dorsal and ventral premotor cortex, the posterior middle temporal gyrus and the inferior parietal lobule. There was no overlap between these brain regions and those differentially activated during the verbal encoding of actions in contrast to abstract verbs for later verbal report. Consequently, the results of this fMRI study suggest the presence of preparatory motor operations during the encoding of delayed intentions requiring a future motor response, which cannot be attributed to semantic information inherent to action verbs.

Adult↗

The role of noticing in prospective memory forgetting.

Two experiments used autonomic reactions (i.e., skin conductance responses; SCRs) in conjunction with behavioral responses to study retrieval processes in prospective memory. SCRs were recorded while participants performed a prospective memory task embedded in an ongoing task. Stimuli that received the same behavioral response (i.e., no prospective memory response) evoked different autonomic reactions as a function of whether they were versus were not prospective cues (Experiments 1 and 2) and as a function of whether they did versus did not share perceptual or conceptual features with prospective cues (Experiment 2). To the extent that SCRs provide an index of noticing a stimulus, increased SCRs for prospective cues and for stimuli that shared features with prospective cues (even though they were not responded to as prospective cues) provided evidence that noticing a stimulus is not invariably accompanied by recognizing the stimulus as a cue to perform an intended action. The results are consistent with the general 2-stages cue-focused view of prospective memory retrieval, which proposes that noticing a prospective cue prompts a directed memory search, which can result in recognizing the stimulus as a cue to perform an intended action and retrieving the intended action.

Adult↗

Prospective memory complaints can be predicted by prospective memory performance in older adults.

BACKGROUND/AIMS: The aim of this study was to explore if prospective memory complaints reflect actual prospective memory performance in older adults. METHODS: Three hundred and sixty-four older adults aged 65-80 years were investigated with regard to prospective memory complaints, prospective memory test performance, self-reported depressive symptoms, and self-reported memory capacity. RESULTS: Separate analyses revealed that about half of the participants showed a significant relation between subjective and objective prospective memory. CONCLUSION: Older adults appear to be heterogeneous with regard to the association between objective and subjective prospective memory. For older adults with relatively few depressive symptoms and memory concerns, prospective memory complaints may serve as a valid criterion in the assessment of prospective memory ability.

Aged↗

Psychosocial stress enhances time-based prospective memory in healthy young men.

Forgetting of intentions (such as to take one's medication) is the most frequent everyday memory failure. No study so far has looked into the possible consequences stress might exert on memory for intentions (i.e., prospective memory). Twenty healthy young male adults were exposed to a psychosocial stress test and a non-stress condition. After a delay of 15 min, a time- and an event-based prospective memory task were administered during the peak of cortisol concentrations. Results show that participants performed significantly better in the time-based memory task after stress in comparison to the non-stress condition. In contrast, there was no stress effect on event-based prospective memory. The results demonstrate that prospective memory might be enhanced when participants are exposed to stress prior to the memory task and that this effect is associated to stress-related glucocorticoid effects.

Adult↗

Complex prospective memory in children with ADHD.

The ability to remember intentions (prospective memory) is fundamental to the organization of goal-directed actions in everyday life. Successful prospective remembering involves forming, retaining, initiating, and executing an intention. Although previous research has demonstrated prospective memory impairments in children with attention deficit/hyperactivity disorder (ADHD), this has largely focused on the intention initiation and execution stages. In this study, we investigate the performance of 20 children with ADHD and 20 matched controls at each of the four stages of prospective memory, using a computer multitask paradigm. Results suggest that children with ADHD may demonstrate difficulties forming delayed intentions, as indicated by impulsive planning, and that this may have further implications for the retention and implementation of these delayed intentions. While children with ADHD showed comparable multitask switching, this appeared to be at the expense of intention execution as they made more performance errors than controls. Implications for day-to-day functioning are discussed.

Attention Deficit Disorder with Hyperactivity↗

Delayed-execute prospective memory performance: the effects of age and working memory.

This study follows the novel delayed-execute prospective memory paradigm, which involves briefly delaying the execution of an intended action, a task that has been shown to produce substantial age effects. During the ongoing task, sentences were presented, and participants had to answer reading-comprehension questions and general knowledge questions. In the prospective memory task, the participant was to press a key after the presentation of a specific cue in the sentences-but not before a subsequent phase of the ongoing task was reached. In contrast to previous studies using older participants taken from very broadly defined age ranges, this study examines development of delayed-execute prospective memory more precisely by examining a total of 4 age groups: a younger age group (age range = 22-31; n = 27), a young-old age group (age range = 60-69; n = 34), a middle-old age group (age range = 70-79; n = 31), and an old-old age group (age range = 80-91; n = 35). This study investigates the dependence of (age-related) delayed-execute prospective memory performance on working memory capacity by disrupting the phonological loop during the delay period as well as its dependence on neuropsychological processes such as inhibitory control and processing speed. The results show that (a) delayed-execute prospective memory particularly declines within the group of older participants, (b) delayed-execute prospective memory is diminished when working memory load is high during the delay period, and (c) age-related performance in delayed-execute prospective memory may be mediated by inhibitory control. The findings are discussed in the context of the frontal lobe hypothesis of cognitive aging.

Adult↗

Personality, aging self-perceptions, and subjective health: a mediation model.

Since the global item of subjective health has emerged as a strong predictor of important health outcomes such as mortality, there have been many attempts to uncover its correlates. In this study, we tested whether personality as assessed via the five-factor model of personality predicted subjective health when physician-rated health and depression were controlled for. We analyzed a cohort of 362 German community-dwelling 60-year-olds from the first wave of the ongoing Interdisciplinary Longitudinal Study on Aging. We found that neuroticism, but none of the other four personality factors, predicted subjective health. However, the association between neuroticism and subjective health was mediated by aging self-stereotypes (attitudes toward oneself as an aging person), which in recent studies have been shown to influence older individuals' health behaviors and functional health. The results indicate that those high in neuroticism tend to have more negative aging self-stereotypes; these aging self-stereotypes, in turn, seem to affect how those individuals globally perceive their own health. Unlike many predictors of subjective health, such as age, gender, socio-cultural differences, actual health, or personality traits, negative attitudes about one's own aging may be modified through adequate intervention.

Activities of Daily Living↗

Age and planning tasks: the influence of ecological validity.

Planning ability is important in many everyday tasks, such as cooking and shopping. Previous studies have investigated aging effects on planning, looking at either widely used laboratory-based neuropsychological tasks such as the Tower of London (TOL) or more naturalistic planning tasks, such as organizing shopping errands. In the current study, we compare the effects of normal adult aging on both the TOL and a more ecologically valid planning task, the Plan-a-Day (PAD) task. There was a reliable decline in TOL planning performance with age, but no significant correlation between age and PAD planning performance. Age-related variance was partly explained by variance in information processing speed and education. It is proposed that in more ecologically valid planning tasks, age changes in processing speed can be compensated for by task-related knowledge. Implications for everyday planning performance by older adults are considered.

Activities of Daily Living↗

Prospective memory performance across adolescence.

In the present study, the authors explored age differences in event-based prospective memory (PM) across adolescence. The tasks consisted of an ongoing task (OT; i.e., personality questionnaire items, math problems) and an embedded prospective task that required participants to remember to make a special response whenever they encountered a PM cue (i.e., a negative word in the OT). The 341 participants (aged 13-22 years) revealed a significant main effect of age, which indicated better PM performance of young adults compared with teenagers. Moreover, when emphasizing the OT versus the PM task, teenagers' PM profited from PM emphasis more than did young adults' PM. The authors discuss the data in the context of limited executive capacity as a factor influencing cognitive development across adolescence.

Adolescent↗

Cold simple intravenous infusions preceding special endovascular cooling for faster induction of mild hypothermia after cardiac arrest--a feasibility study.

OBJECTIVE: Mild therapeutic hypothermia has shown to improve neurological outcome after cardiac arrest. Our study investigated the efficacy and safety of cold simple intravenous infusions for induction of hypothermia after cardiac arrest preceding further cooling and maintenance of hypothermia by specialised endovascular cooling. METHODS: All patients admitted after cardiac arrest of presumed cardiac aetiology were screened. Patients enrolled received 2000 ml of ice-cold (4 degrees C) fluids via peripheral venous catheters. As soon as possible endovascular cooling was applied even if the cold infusions were not completed. The target temperature was defined as 33 +/- 1 degrees C. All temperatures recorded were measured via bladder-temperature probes. The primary endpoint was the time from return of spontaneous circulation to reaching the target temperature. Secondary endpoints were changes in haemodynamic variables, oxygenation, haemoglobin, clotting variables and neurological outcome. RESULTS: Out of 167 screened patients 26 (15%) were included. With a total amount of 24 +/- 7 ml/kg cold fluid at 4 degrees C the temperature could be lowered from 35.6 +/- 1.3 degrees C on admission to 33.8 +/- 1.1 degrees C. The target temperature was reached 185 +/- 119 min after return of spontaneous circulation, 135 +/- 112 min after start of infusion, and 83 +/- 85 min after start of endovascular cooling. Except for two patients showing radiographic signs of mild pulmonary edema no complications attributable to the infusions could be observed. Thirteen patients (50%) survived with favourable neurological outcome. CONCLUSION: Our results indicate that induction of mild hypothermia with infusion of cold fluids preceding endovascular cooling is safe and effective.

Advanced Cardiac Life Support↗

What do subjective cognitive complaints in persons with aging-associated cognitive decline reflect?

BACKGROUND: Subjective cognitive complaints have been included in diagnostic concepts such as Aging-Associated Cognitive Decline (AACD) aiming to identify older adults with cognitive impairments at high risk of developing dementia. Although several studies in normal aging have found that subjective cognitive complaints are related to depressive affect and personality factors, little is known as to whether this is also true for older adults with AACD. METHODS: In 123 older adults diagnosed with AACD and 291 controls, the role of actual cognitive performance, depressive affect, neuroticism and conscientiousness in predicting subjective cognitive complaints was investigated. In separate ordinary least squares regression analyses for both groups with gender, age, years of schooling, cognitive performance, depressive affect, neuroticism and conscientiousness as predicting variables, in the control participants, gender, age, depressive affect and neuroticism were related to subjective cognitive complaints, whereas in the AACD participants only gender and neuroticism accounted for variance in subjective cognitive complaints. Testing for group differences in predictive power, revealed differential effects for gender, depressive affect and neuroticism. CONCLUSIONS: As subjective cognitive complaints in the AACD group were related to neuroticism and gender rather than to cognitive performance, their inclusion in diagnostic concepts such as AACD should be revaluated. However, the nature of subjective cognitive complaints might be qualitatively different in persons diagnosed with AACD compared to those stated by normal older adults.

Achievement↗

Planning and realization of complex intentions in traumatic brain injury and normal aging.

The realization of delayed intentions (i.e., prospective memory) is a highly complex process composed of four phases: intention formation, retention, re-instantiation, and execution. The aim of this study was to investigate if executive functioning impairments are related to problems in the formation, re-instantiation, and execution of a delayed complex intention. In this context, it was another aim of the study to investigate the executive functioning hypothesis of cognitive aging in prospective memory performance. It was, therefore, explored if age-related prospective memory decline leads to similar decrements in the process of prospective remembering as executive functioning-related decline in young patients with traumatic brain injury. A group of patients with traumatic brain injury with retrospective memory within normal limits but impaired executive functions, a group of healthy older and a group of healthy younger adults completed a complex prospective memory task that allows for the separate assessment of the four phases of the prospective memory process. All groups showed a similarly high performance in the intention retention phase, whereas the patients with deficits in executive functioning and the older participants performed worse than the healthy young participants in the intention formation, re-instantiation and execution phases. The importance of executive functioning for prospective remembering in traumatic brain injury and normal aging is discussed.

Adult↗

Importance effects on performance in event-based prospective memory tasks.

In the present study we manipulated the importance of performing two event-based prospective memory tasks. In Experiment 1, the event-based task was assumed to rely on relatively automatic processes, whereas in Experiment 2 the event-based task was assumed to rely on a more demanding monitoring process. In contrast to the first experiment, the second experiment showed that importance had a positive effect on prospective memory performance. In addition, the occurrence of an importance effect on prospective memory performance seemed to be mainly due to the features of the prospective memory task itself, and not to the characteristics of the ongoing tasks that only influenced the size of the importance effect. The results suggest that importance instructions may improve prospective memory if the prospective task requires the strategic allocation of attentional monitoring resources.

Adult↗

Subjective cognitive complaints, memory performance, and depressive affect in old age: a change-oriented approach.

The question of whether and how subjective cognitive complaints are related to actual cognitive performance represents a central issue in applied cognitive aging research. Until recently, however, many studies have failed to find a strong association between subjective cognitive complaints and actual cognitive performance. In our study, we examine two alternative explanations: a) for methodological reasons, strong associations exist only when latent changes rather than differences are examined, and b) strong associations exist only between changes in depression and complaints, not between changes in cognitive performance and complaints. With 427 participants (M = 63 years) and two measurements, we examine both the relation between functioning, complaints, and depressive affect at each measurement point, and the relation between changes in functioning, changes in complaints, and changes in depressive affect between the measurement points with latent difference variables. The results indicate that there are substantial relations between changes in functioning, changes in depression, and changes in complaints.

Aged↗

Cognitive status and development in the oldest old: a longitudinal analysis from the Heidelberg Centenarian Study.

In the present study, we investigated cognitive status, cognitive development and the effect of mortality on cognitive changes in very old age. Analyzing data from the population-based Heidelberg Centenarian Study, results revealed that centenarians differed quite strongly in their cognitive capacities. While about half of the population showed moderate to severe cognitive impairment, one quarter was found to be cognitively intact. Moreover, analyzing cognitive change over a period of 1.5 years, centenarians' cognitive performance was revealed to be rather stable. Finally, only a small effect of mortality on cognitive status and changes was detected, supporting a recent hypothesis that the terminal decline or drop in cognitive functioning decreases in very old age.

Aged↗

MMSE cross-domain variability predicts cognitive decline in centenarians.

BACKGROUND: Early detection of dementia is one of the key issues in cognitive gerontology. However, so far the detection of early stages in cognitive decline has been rather unreliable. One central limitation of current assessment strategies is that they rely on information about a person's level of performance obtained from a single assessment. OBJECTIVE: In the first part of the present paper, we propose three strategies for overcoming this limitation by using information from several measurement occasions to improve diagnostic reliability. METHODS: In the second part, we present one exemplary empirical analysis of one of these approaches reporting data from the Heidelberg Centenarian Study. RESULTS: In this sample of very old individuals tested at baseline and at a follow-up 18 months later, the intra-individual cross-domain variability across MMSE subscales [1]at baseline predicted cognitive decline (i.e. change in an external cognitive functioning rating from baseline to follow-up) much better than baseline mean MMSE scores. CONCLUSIONS: In conclusion, we discuss the advantage of performance variability as a predictor for cognitive decline.

Aged↗