Verbal memory and brain aging: an exploratory analysis of the role of error responses in the Framingham Study

Am J Alzheimers Dis Other Demen. 2015 Sep;30(6):622-8. doi: 10.1177/1533317515577184. Epub 2015 Mar 18.

Abstract

Objective: Analysis sought to determine whether Wechsler Memory Scale-Logical Memory (LM)-correct responses and errors were related to magnetic resonance imaging (MRI) brain volume measurements.

Methods: The LM immediate (LM-I) and LM delay (LM-D) free recall correct responses and related and unrelated errors were scored. Principal components analysis yielded a 3-factor solution: LM-I and LM-D correct responses, LM-I and LM-D-unrelated errors, and LM-I/-D-related errors. The MRI total cerebral brain volume, frontal brain volume, temporal horn volume (THV), and white matter hyperintensities volume (WMHIV) were obtained.

Results: Increasing THV (suggesting greater regional atrophy) was associated with lower scores on the LM-correct responses factor. Extensive WMHIV was associated with higher scores on the LM-related errors factor.

Conclusion: These results suggest that LM-correct responses could relate to emerging brain alterations. Longitudinal research might enhance the sensitivity of this test to identify preclinical impairment and persons at risk of mild cognitive impairment and dementia.

Keywords: Alzheimer’s disease; Boston process approach; Logical Memory; declarative memory; preclinical dementia.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Aging* / pathology
  • Aging* / physiology
  • Atrophy / pathology
  • Brain* / pathology
  • Brain* / physiopathology
  • Cognitive Dysfunction / diagnosis*
  • Cohort Studies
  • Dementia / diagnosis*
  • Female
  • Humans
  • Logic
  • Magnetic Resonance Imaging / methods*
  • Male
  • Massachusetts
  • Memory Disorders / diagnosis*
  • Middle Aged
  • Prodromal Symptoms
  • Task Performance and Analysis*
  • Wechsler Scales / statistics & numerical data*