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Clémence Joubert, Hanna Chainay Laboratory for the Study of Cognitive Mechanisms, University of Lyon 2, Lyon, France Abstract: This review presents a critical examination of current knowledge of the impact of combined cognitive and physical training on cognition in healthy elderly subjects. The objectives are to evaluate the contribution of cognitive and physical training to the enhancement of cognition, and to determine the interest of combining these two training types in one intervention in terms of the benefits for cognition (direct and transfer), long-term maintenance, and transfer to daily living. To do so, a systematic electronic search was conducted in PubMed and Google Scholar. Exclusion criteria were animal and pathological aging studies. We focused on the shared and different behavioral impacts of these two types of training on cognition, as well as their functional and structural impact on the brain. The review indicates that both cognitive and physical training have an impact on cognition and on the brain. However, each type of training seems to preferentially enhance different cognitive functions and specifically impact both brain structure and function. Even though some results argue in favor of a complementarity between cognitive and physical training and the superiority of combined cognitive and physical training, the current state of knowledge does not permit any definitive conclusion. Thus, the present review indicates the need for additional investigations. Keywords: cognitive training, physical training, combined cognitive-and-physical training, healthy adults

We report data from a group of patients with mild Alzheimer's disease on a range of tasks requiring either stored semantic knowledge about objects (e.g., naming object use) or the execution of action to objects (e.g., miming and using objects). We found that the patients were impaired at miming in response to objects, even when they could describe the object's function. On the other hand, copying gestures was not impaired relative to naming gestures, indicating that an ideomotor deficit in action execution, per se, was unlikely to explain the impairments in object use. We suggest instead that the patients had an impairment in stored motor programmes for action, over and above their deficits in semantic knowledge. Despite this, the patients were better at using than at miming to objects, consistent with the view that proprioceptive input (when using objects) can directly constrain selection of the appropriate motor programme for action.

Emotions are known to influence cognitive performance, particularly working memory (WM) in both its aspects, processing, and maintenance. One explanatory mechanism might be that negative stimuli capture attentional resources, leaving fewer resources for attentional maintenance and processing of information in WM. However, this attentional capture was only investigated using WM tasks in which participants were explicitly asked to process negative items. The aim of this paper was to determine whether explicit processing of emotional stimuli is necessary to impair WM performance, or if their mere presence is enough to capture attention. For this purpose, participants performed a complex span task in which they alternated between memorizing a series of neutral words and processing either emotional images or neutral ones. In Experiment 1, participants were instructed to explicitly process emotional images, whereas in Experiment 2, emotional images were presented without any processing being required. In both experiments, we observed a decrease in memory performance when the images were negative compared to neutral. Whether or not voluntary processing is involved, emotional images seem to capture attentional resources, which in turn leads to a decline in memory performance. These results were discussed in relation to attentional theories and the influence of emotion on the specific mechanisms of WM., (© 2024. The Psychonomic Society, Inc.)

Background: Decision-making is a highly complex process that depends on numerous cognitive functions, such as episodic memory. It is also influenced by aging. However, how changes in episodic memory with age contribute to changes in decision-making is not clear yet. Objective: This work aimed to examine the role of two memory processes, recollection and familiarity, in decision-making in ageing. Method: Thirty young adults and 30 older adults performed two episodic memory tasks: recognition, which allowed for the measurement of recollection and familiarity, and recall, which allowed for the measurement of recollection. In both tasks, they first viewed a series of pictures and then were asked to recognise or recall them respectively. They also performed an original scenario task based on situations inspired by everyday life, evaluating decision-making under conditions of either risk or ambiguity. In this task, participants were presented with short descriptions of situations requiring a decision and had to choose between two given options. Results: Lower performances was observed in recall and recognition tasks in older than in young adults. In the scenarios task, young adults sought significantly more risk and ambiguity than older adults. In both young and older adults, recollection and familiarity processes were involved differently in decision-making. The former is more involved in decision-making under ambiguity, and the latter in decision-making under risk. Conclusions: The results suggest that decision-making changes with age, but that the involvement of the episodic memory, familiarity and recollection processes, does not appear to vary with age.

Background: Impaired cognitive function is observed in many pathologies, including neurodegenerative diseases such as Alzheimer disease. At present, the pharmaceutical treatments available to counter cognitive decline have only modest effects, with significant side effects. A nonpharmacological treatment that has received considerable attention is computerized cognitive training (CCT), which aims to maintain or improve cognitive functioning through repeated practice in standardized exercises. CCT allows for more regular and thorough training of cognitive functions directly at home, which represents a significant opportunity to prevent and fight cognitive decline. However, the presence of assistance during training seems to be an important parameter to improve patients' motivation and adherence to treatment. To compensate for the absence of a therapist during at-home CCT, a relevant option could be to include a virtual assistant to accompany patients throughout their training., Objective: The objective of this exploratory study was to evaluate the interest of including a virtual assistant to accompany patients during CCT. We investigated the relationship between various individual factors (eg, age, psycho-affective functioning, personality, personal motivations, and cognitive skills) and the appreciation and usefulness of a virtual assistant during CCT. This study is part of the THERADIA (Thérapies Digitales Augmentées par l'Intelligence Artificielle) project, which aims to develop an empathetic virtual assistant., Methods: A total of 104 participants were recruited, including 52 (50%) young adults (mean age 21.2, range 18 to 27, SD 2.9 years) and 52 (50%) older adults (mean age 67.9, range 60 to 79, SD 5.1 years). All participants were invited to the laboratory to answer several questionnaires and perform 1 CCT session, which consisted of 4 cognitive exercises supervised by a virtual assistant animated by a human pilot via the Wizard of Oz method. The participants evaluated the virtual assistant and CCT at the end of the session., Results: Analyses were performed using the Bayesian framework. The results suggest that the virtual assistant was appreciated and perceived as useful during CCT in both age groups. However, older adults rated the assistant and CCT more positively overall than young adults. Certain characteristics of users, especially their current affective state (ie, arousal, intrinsic relevance, goal conduciveness, and anxiety state), appeared to be related to their evaluation of the session., Conclusions: This study provides, for the first time, insight into how young and older adults perceive a virtual assistant during CCT. The results suggest that such an assistant could have a beneficial influence on users' motivation, provided that it can handle different situations, particularly their emotional state. The next step of our project will be to evaluate our device with patients experiencing mild cognitive impairment and to test its effectiveness in long-term cognitive training., (©Isabella Zsoldos, Eléonore Trân, Hippolyte Fournier, Franck Tarpin-Bernard, Joan Fruitet, Mélodie Fouillen, Gérard Bailly, Frédéric Elisei, Béatrice Bouchot, Patrick Constant, Fabien Ringeval, Olivier Koenig, Hanna Chainay. Originally published in JMIR Rehabilitation and Assistive Technology (https://rehab.jmir.org), 20.06.2024.)

Cognitive modifications during ageing can affect decision-making competence (DMC). As this ability is central to the preservation of autonomy, our study aims to investigate how it changes in elderly adults and to determine whether such changes are linked to the deterioration of executive functions and working memory. To this end, 50 young adults and 50 elderly adults were assessed with executive, working memory, and DMC tasks. The latter comprised the Iowa Gambling Task (IGT) and a scenario task based on situations inspired by everyday life, under conditions of both risk and ambiguity. The results revealed lower performances in old than in young adults for the updating, inhibition, and working memory tasks. The IGT failed to distinguish between the two age groups. However, the scenario task did permit such a distinction, with young adults seeking more risky and ambiguous choices than elderly adults. Moreover, updating and inhibition capacities appeared to influence DMC., Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Previous research has shown that working memory processes are affected by emotions. However, it is not clear if both components - maintenance and processing of information - are modulated by emotion. Since emotion is intimately related to attention, we focused on attentional maintenance in working memory. In a previous study, using a complex span task, we showed that processing emotionally negative information reduced maintenance of neutral information in working memory. The objective of the present study was first to replicate the results of our previous study and second to investigate whether maintaining emotional information would affect processing of neutral information. In Experiment 1, young adults were asked to remember a series of five letters each followed by images, either negative or neutral, to be categorized. In Experiment 2, participants were required to memorize a series of five images, either negative or neutral, each followed by digits to be categorized. In order to focus on attentional maintenance, in both experiments the tasks were performed under continuous articulatory suppression. In Experiment 1, longer processing times were observed for emotional stimuli than neutral ones, and lower recall of series of letters when negative stimuli were processed. In Experiment 2, higher memory performance was observed for negative images than neutral ones and longer processing times of digits when a series of negative stimuli was maintained. Overall, our results show that emotion impacts both processing and attentional maintenance in working memory. This is consistent with models of working memory suggesting an attentional trade-off between maintenance and processing., (© 2023. The Psychonomic Society, Inc.)

Objective: This study investigated whether emotions and enactment can jointly increase memory performance in nondemented Parkinson's disease (PD) and Alzheimer's disease (AD) patients., Method: Actions' drawings with negative, positive, or neutral valence were presented to 17 PD patients, 17 AD patients, and 37 elderly controls, matched to age. Two conditions of intentional encoding were proposed to each participant: one verbal, in which participants had to name the represented actions; and one motor, in which they had to mime the displayed actions. Thereafter, participants were submitted to an immediate free recall task and a delayed recognition task., Results: The enactment effect was found in all three groups. The effect of emotion was also observed in that all three groups recalled negative actions better than both neutral and positive (PD patients), only neutral (AD patients), or only positive actions (elderly controls). Positive actions were not recalled better than neutral actions in any group., Conclusions: These results constitute an evidence for the preservation of the enactment effect and of the emotion effect on memory in AD and PD patients. However, they do not support the hypothesis of the combined effect of emotion and enactment on memory, neither in AD and PD patients nor in normal aging. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Introduction: Recent studies on cognitive training in patients with Alzheimer's disease (AD) showed positive long-term effects on cognition and daily living, suggesting remote computer-based programmes to increase training sessions while reducing patient's travelling. The aim of this study is to examine short-term and long-term benefits of computer-based cognitive training at home in patients with mild to moderate AD, as a complement to the training in speech and language therapists' (SLT) offices. The secondary purpose is to study training frequency required to obtain noticeable effects., Methods and Analyses: This is a national multicentre study, conducted in SLT offices. The patients follow training in one of three conditions: once a week in SLT office only (regular condition) and once a week in SLT office plus one or three times per week at home. The trainings' content in SLT office and at home is identical. For all three groups near and far transfer will be compared with evaluate training frequency's effect. Our primary outcome is executive and working memory scores in experimental tasks, and the secondary is neuropsychological tests and questionnaires' scores. Linear models' analyses are considered for all measures with a random intercept for patients and another for per practice. The fixed effects will be: three modality groups and time, repeated measures, (T0-pretraining, T1-post-training, T2-long-term follow-up) and the interaction pairs., Ethics and Dissemination: The study got ethics approval of the national ethical committee CPP Sud Méditerranée III (No 2019-A00458-49) and of the National Commission for Information Technology and Liberties (No 919217). Informed consent is obtained from each participant. Results will be disseminated in oral communications or posters in international conferences and published in scientific journals., Trial Registration Number: NCT04010175., Competing Interests: Competing interests: Franck Tarpin-Bernard and Bernard Croisile are cofounders and shareholders of SBT Humans Matter., (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Children and adolescents with Williams-Beuren syndrome (WBS) have been described as having specific memory abilities and emotional reactivity. Although it is well established in the literature that emotion can enhance memory, no such studies have been undertaken in individuals with WBS. In three experiments, the present study tested whether the negative or positive emotional valence of stimuli can influence verbal, visual and visuo-spatial memory by specifically evaluating two memory components: item and associative memory. Sixteen 8- to 18-year-old individuals with WBS performed the first two experiments and, among them, twelve participated in the third. They were compared to equivalent groups of typically developing control children. Participants completed intentional-encoding tasks followed by immediate item recognition, associative recall or item recall tasks. Event-related potential measures during encoding and recognition of pictures were also added in the third experiment. Results demonstrated, for the first time, effects of emotions on visual item memory and visuo-spatial associative memory in individuals with WBS, that were similar to those observed in typically developing children. By combining behavioral and neural measures, our study provides new knowledge of the interaction between emotion and memory in WBS individuals, which seems to be unaffected by their atypical development.

Background: Alzheimer's disease (AD) is a neurodegenerative pathology that disrupts processing of facial expressions of emotion. The impairment was demonstrated for negative emotions in tasks of matching, discriminating, and labeling facial expressions but no study has included the expression of pain in its protocol., Objective: The objective was to study the processing of emotional facial expressions in AD with a particular interest in pain expression., Methods: Twenty-seven controls, 15 mild AD patients, and 15 moderate AD patients had to perform four emotional tasks: identification of facial expressions, matching pain expressions, discriminating the intensity of pain expressions, and judging pain intensity., Results: Some emotions were less efficiently recognized by AD patients compared to controls (p < 0.001), specifically fear from the mild stage (p < 0.05), pain and disgust from the moderate stage (p < 0.05 and p < 0.001 respectively). The Exploratory Factor Analysis showed that recognition of pain and recognition of other discreet emotions were underpinned by two different latent factors. Performances on pain expression matching task and pain intensity discrimination task did not differ by group. (p = 0.334 and p = 0.787 respectively). Finally, moderate AD patients judged the pain less intensively than the Control group for both, moderate, and severe pain intensity (p < 0.001)., Conclusion: Our data suggest that AD disrupts the recognition of pain expression along with recognition of fear and disgust. Additionally, AD patients seem to underestimate pain intensity compared to controls. The self-rated pain scales should be adapted to the pain processing deficit of AD patients.

Background: Alzheimer's disease (AD) negatively impacts patients' ability to make advantageous decisions, i.e., a core ability contributing to the preservation of autonomy., Objective: The present study aims to analyze the changes that occur in the decision-making competence (DMC) in AD patients and to determine if these changes are related to the deterioration of executive functions and working memory., Method: To this end, 20 patients with AD and 20 elderly control adults were assessed using executive, working memory, and DMC tasks. The latter comprised the Iowa Gambling Task (IGT) and a scenarios task based on situations inspired by everyday life and performed under conditions of risk and ambiguity., Results: Results revealed lower performances in AD patients than in elderly control adults for all the tasks assessing cognitive functions. The AD patients also made more strategy changes during the IGT. In the scenarios tasks, the two groups took as many ambiguous or risky decisions, but AD patients tended to take more risks in the context of gain than elderly control adults did. Switching and updating ability, as well as working memory, appeared to be involved in decisions in tasks inspired by everyday life, while inhibition was more related to the IGT performances., Conclusion: Working memory and executive functions seem to be involved in decision-making, but in different ways in gambling and daily-life situations.

Numerous studies have explored the effects of virtual reality (VR) on adults' cognition. Little is known, however, of these effects in children. The aim of this study was to explore, in both children and adults, the respective roles of the specific factors of VR, such as immersion, sense of presence and emotion, on memory performance. To do so, we used a head-mounted display to present a VR experience in which we manipulated immersion by varying 3D asset quality (High and Low) and emotion by presenting negative, neutral and positive stimuli. 48 adults ( M age  = 20.65) and 40 children ( M age  = 11.63) were both divided into two experimental groups (High vs. Low 3D model quality). Valence, arousal, and sense of presence were self-assessed by means of questionnaires, while memory of the presented stimuli was assessed using a free recall task. We also performed physiological measurements to provide objective support for our data. Results showed that memory performance was better for emotional than for neutral stimuli regardless of age group, even though children seemed to avoid looking at negative stimuli compared to neutral ones. Memory was predicted by arousal and presence in adults and only by arousal in children. Memory was not impaired by using poor image quality when highly arousing content was displayed. This study revealed that, contrary to adults, the use of poor image quality did not protect children from strong emotional experiences in VR. The roles of familiarity and arousal are discussed to help explain these results., Supplementary Information: The online version contains supplementary material available at 10.1007/s10055-021-00537-y., (© The Author(s), under exclusive licence to Springer-Verlag London Ltd., part of Springer Nature 2021.)

The Emotional Enhancement of Memory (EEM) has been well-demonstrated in adults, but less is known about EEM in children. The present study tested the impact of emotional valence of pictures on episodic memory using behavioral and neurophysiological measures. Twenty-six 8- to 11-year-old children were tested and compared to 30 young adults. Both groups participated in pictures' intentional encoding tasks while event-related potentials (ERPs) were recorded, followed by immediate free recall tasks. Behavioral results revealed a general EEM in free recall performances in both groups, along with a negativity effect in children. ERP responses revealed a particular sensitivity to negative pictures in children with a late emotion effect at anterior clusters, as well as a greater successful encoding effect for emotional pictures compared to neutral ones. For adults, the emotion effect was more pronounced for positive pictures across all time windows from the centro-parietal to the frontal part, and localized in the left hemisphere. Positive pictures also elicited a greater successful encoding effect at anterior clusters in adults. By combining behavioral and neurophysiological measures to assess the EEM in children compared with adults, our study provides new knowledge concerning the interaction between emotional and memory processes during development.

Decision-making competence (DMC) appears to be influenced by the congruency between the characteristics of the individual, the task and the context. Indeed, the ability to make decisions seems to be highly sensitive to cognitive changes as observed, in particular, in the healthy elderly. Few studies have investigated these relations in pathological ageing. In this review, we focus on DMC in patients with Alzheimer's disease (AD) and the links its impairment could have with deficits in episodic memory, working memory, and executive functions. Decision-making under risk and under ambiguity appears to be impaired early in the progress of AD, with the deficit being greater during the later stages of the disease. In addition, some studies suggest that the impairment of DMC is exacerbated by deficits in other cognitive functions, in particular working memory and executive functions. This degradation in the ability to make decisions seriously affects the quality of life of patients and their relatives, since they frequently face important decisions, especially concerning healthcare, finance or accommodation. Thus, the growing incapacity to decide for themselves increases patients' and caregivers' stress and burden. The challenge for future studies is to determine how best to help patients and their families in the decisional process.

Cognitive and physical training have been shown to be effective in improving older adults' cognition. However, it is not yet clear whether combined cognitive and physical training offers an advantage compared to cognitive training alone. Twenty-two older adults performed cognitive or combined cognitive and physical training in order to compare their effects on working memory event-related potentials (ERPs) and on working memory and executive function performance. Before and after eight weeks of training, performance in Plus Minus, Flanker, Updated Span, and Complex Span tasks was measured, and ERPs were registered during performance of an n -back task (0-back, 2-back, and 3-back). Post-training behavioural improvement was observed in Updated Span, Complex Span, and n-back tasks. During the n-back task, the N2/P3 complex was modulated by training, with a decrease in N2 amplitude and an increase in P3 amplitude in the posttraining session compared to the pretraining session. These changes in ERP components suggest that both types of training potentially reduce the need for attentional control to perform the tasks correctly and increase working memory capacity. Thus, based on our data, no conclusion can be reached on the direct advantage of combined training, either at behavioural or at neural level. However, the present study might suggest an indirect advantage of such a combined training, because the cognitive benefit was found to be highly similar in both types of training. Using combined cognitive and physical training may produce a potential improvement in general fitness and an increased appeal of training., (Copyright: © 2021 University of Economics and Human Sciences in Warsaw.)

Introduction: Pain is underdiagnosed and undertreated in patients with Alzheimer's disease (AD). Pain management is of major importance in this population to limit behavioural and functional consequences. Our study aimed to assess the capacity of AD patients to represent pain using a questionnaire exploring daily painful situations and to determine the most appropriate pain scale assessment., Methods: Twenty-eight patients with mild AD, 21 with moderate AD and 28 matched controls underwent the Situation Pain Questionnaire (SP-Q) and assessed imaginary pain with four pain scales. Two scores were compared between the three groups: the P(A) discrimination score and the response bias β score. P(A) reflects the degree of discrimination between high-pain and low-pain events, whereas the β score means the degree to which situations are considered as painful., Results: Our results showed that AD patients hardly discriminated the high- from low-pain events. Compared to controls, the mean P(A) score was significantly lower for Mild AD (p < 0.03) and Moderate AD (p < 0.004). In addition, the β score indicated that the response bias is higher for AD patients (p < 0.01) in that they overestimated the level of pain., Conclusion: The present results suggest that patients with Mild and Moderate AD are able to recognize and assess an imagined painful situation even though their pain tolerance is lower than that of controls. The pain scales used should be chosen according to the cognitive, sensorial and personal profiles of the patients., Significance: The present research is significant because it examines how patients with Alzheimer's disease understand and assess painful situations. Cognitive impairments can modify this ability. Pain is a sensory and subjective experience and to define its feeling can help us in our clinical practice., (© 2020 European Pain Federation - EFIC®.)

It is well established that emotional events are better remembered than neutral events. However, little is known about emotional enhancement of memory (EEM) in children. This is particularly the case when the main components of episodic memory are considered: core information (item memory) and its associated contextual details (associative memory). In 2 experiments, the present study tested whether the negative or positive emotional valence of words and pictures can influence item and associative memory. The contextual information to be associated with items was the gender of the voice pronouncing words and the type of frame in which pictures were displayed in Experiment 1, and the spatial location of stimuli in Experiment 2. Two groups of 8- to 11-year-old children (Experiment 1 n = 32 and Experiment 2 n = 36) performed the experiments and were compared to two groups of equivalent numbers of young adults. Participants completed an intentional-encoding task followed by immediate item recognition, associative recall and item recall tasks. Over the two experiments and in both groups, the results revealed (a) no EEM for words and pictures in recognition tasks, (b) EEM for words in item recall and associative recall tasks, and (c) mixed results for pictures, with an EEM being observed in item recall tasks but not systematically in associative recall tasks. By extending the results over two types of stimuli and their associated contextual information, our study provides new knowledge concerning the effect of emotions on episodic memory in children, which seems to be similar to that observed in young adults. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Introduction : Although there are plenty of studies on affective or cognitive theory of mind (ToM) in Alzheimer's Disease (AD), few have investigated both these dimensions and even fewer have examined the ability to identify an emotion from context in relation to the executive function deficit. Thus, the purpose of this study was to examine the deficit of affective and cognitive ToM in AD patients in the light of their executive function deficit. We were especially interested in the ability to attribute emotions to a character from a context and the ability to recognize facial expressions and to understand social clumsiness. Method : Twenty-eight mild AD patients and 33 healthy participants completed two sessions, one involving neuropsychological tests evaluating the executive functions, and the other comprising three tasks (Facial Expression Attribution, Facial Expression Recognition, Faux Pas test) assessing affective and cognitive ToM. Results : Compared to the healthy participants, the AD patients were impaired in the recognition of shame, anger and the neutral expression. They had difficulties in inferring surprise and disgust from visual context in situations where no facial expression was available, and were also impaired in all aspects of the Faux Pas test. Globally, and independently of the Group factor, performance in the three ToM tasks was correlated with performance in the backward span test, and the significant proportion of variance in performance in the Facial Expression Recognition and Faux Pas test was explained by the performance in backward span test. However, separate analyses did not show any significant correlations for the AD patients. Conclusions : Our results suggest an impairment of affective and cognitive ToM in AD patients. This impairment is selective as it concerns only some emotions. Considering these results with caution, it is possible that, patients' working memory difficulties explain, at least in part, their difficulties in ToM tasks.

Previous research has shown that emotional stimuli may interfere with working memory (WM) processes, but little is known about the process affected. Using a complex span task, the present study investigated the influence of processing negative emotional content on attentional maintenance in WM. In two experiments conducted under articulatory suppression, participants were asked to remember a series of five letters, each of which was followed by an image to be categorised. In half of the trials, the images were negative and in the other half, they were neutral. In both experiments, our results showed longer processing times for emotional stimuli than neutral stimuli, and lower memory performance when participants processed negative stimuli. We propose that emotional stimuli direct more attentional resources towards the processing component of the WM task, thereby reducing the storage capacity available for the items that are to be remembered.

"Theory of Mind" (ToM) is the capacity to deduce other persons' cognitive and emotional states. Studies investigating affective ToM in healthy older adults and in persons with Alzheimer's disease have reported contradictory results, although evidence indicates that advanced age (Ruffman, Henry, Livingstone, & Phillips, 2008) and Alzheimer's disease (Elferink, van Tilborg, & Kessels, 2015) do not affect the ability to identify or infer different emotions to the same extent. To evaluate affective ToM abilities in these populations, we asked 63 individuals (17 with Alzheimer's disease) to infer the emotional states of characters presented without facial details in emotional situations. We observed similar results in healthy younger and older adults, but poorer performance in persons with Alzheimer's disease for disgust, sadness, and surprise, but not for anger, fear, and joy. Results suggest that persons with Alzheimer's disease have difficulties in inferring several emotional states from contextual information without facial cues.

Background: Typically, positive and negative emotional items are easier to remember than neutral ones. Charles, Mather, and Carstensen (2003) reported that older adults preferentially remember positive items, but this age-related "positivity effect" has not been replicated consistently., Methods: We conducted a close replication of Charles et al.'s study to verify that their method yields a clear positivity effect in older adults relative to the young. We also examined the role of attention, which has been argued to influence the presence of the positivity effect in older adults. We used a method similar to Charles et al. (2003). Young and older adults recalled pictures that had been encoded under full or divided attention., Results and Conclusions: Older adults showed a positivity effect, but only under full attention. Young adults did not show any hint of a positivity effect, under either of the encoding conditions. The finding of a positivity effect in older but not young adults replicates the original report from Charles et al. (2003). The attention manipulation results suggest that when the positivity effect occurs in older adults' memory, it is attributable at least in part to cognitive control during encoding. Key terms: Emotional Enhancement of Memory-Divided attention-Aging.

Background: The present study examines whether the interaction between emotion and the enactment effect (body involvement) improves memory in people with Alzheimer disease (AD)., Methods: Two experiments with drawings of actions were conducted, in which two types of encoding were used: motor and verbal. In experiment 1, with 13 AD patients and 13 older healthy adults, the encoding was incidental. In experiment 2, with 17 mild AD patients and 21 older healthy adults, it was intentional., Results: In experiment 1, no effect of enactment or emotion was observed in the AD patients. In experiment 2, effects of enactment and emotion (better recall for negative actions) were observed in the AD patients. This pattern of results was also observed in the elderly control adults in both experiments., Conclusion: These results confirm effects observed in normal ageing and indicate a more subtle effect on AD., (© 2018 S. Karger AG, Basel.)

Most studies of human-tool interactions focus on the typical use of a tool (e.g., cutting in the case of a knife). However, little is known about situations requiring atypical tool use (e.g., using a knife to tighten a screw). The present study focused on a selection of atypical uses of everyday tools which might be in conflict with their typical use. Our objective was to study how tool function influences the selection of the relevant action. In Experiment 1, which involved visuomotor priming, two everyday tools (a knife and a screwdriver) and two neutral tools (two bars, with no strong functional affordance) were used as primes and targets. Participants had to use the target with the appropriate box (indicated by the color) that allowed to make an action. Longer initiation times were observed when the prime was an everyday tool, irrespective of the nature of the target. We therefore observed a conflict between functional and situational affordances. To investigate whether the priming effect is caused by the task-irrelevance of the prime, we asked the participants in Experiment 2 to perform an action associated with the prime. The results showed longer initiation times only when the prime and target were everyday tools, irrespective of their precise nature. This suggests that activation of the typical use of a tool might not be fully automatic but flexible depending on the situation.

Young individuals better memorize initially seen faces with emotional rather than neutral expressions. Healthy older participants and Alzheimer's disease (AD) patients show better memory for faces with positive expressions. The socioemotional selectivity theory postulates that this positivity effect in memory reflects a general age-related preference for positive stimuli, subserving emotion regulation. Another explanation might be that older participants use compensatory strategies, often considering happy faces as previously seen. The question about the existence of this effect in tasks not permitting such compensatory strategies is still open. Thus, we compared the performance of healthy participants and AD patients for positive, neutral, and negative faces in such tasks. Healthy older participants and AD patients showed a positivity effect in memory, but there was no difference between emotional and neutral faces in young participants. Our results suggest that the positivity effect in memory is not entirely due to the sense of familiarity for smiling faces.

After short delays between encoding and retrieval, healthy young participants have better memory performance for emotional stimuli than for neutral stimuli. Divided-attention paradigms suggest that this emotional enhancement of memory (EEM) is due to different attention mechanisms involved during encoding: automatic processing for negative stimuli, and controlled processing for positive stimuli. As far as we know, no study on the influence of these factors on EEM in Alzheimer's disease (AD) and mild cognitive impairment (MCI) patients, as compared to healthy young and older controls, has been conducted. Thus, the goal of our study was to ascertain whether the EEM in these populations depends on the attention resources available at encoding. Participants completed two encoding phases: full attention (FA) and divided attention (DA), followed by two retrieval phases (recognition tasks). There was no EEM on the discrimination accuracy, independently of group and encoding condition. Nevertheless, all participants used a more liberal response criterion for the negative and positive stimuli than for neutral ones. In AD patients, larger numbers of false recognitions for negative and positive stimuli than for neutral ones were observed after both encoding conditions. In MCI patients and in healthy older and younger controls this effect was observed only for negative stimuli, and it depended on the encoding condition. Thus, this effect was observed in young controls after both encoding conditions, in older controls after the DA encoding, and in MCI patients after the FA encoding. In conclusion, our results suggest that emotional valence does not always enhance discrimination accuracy. Nevertheless, in certain conditions related to the attention resources available at encoding, emotional valence, especially the negative one, enhances the subjective feeling of familiarity and, consequently, engenders changes in response bias. This effect seems to be sensitive to the age and the pathology of participants.

For theories of embodied cognition, reading a word activates sensorimotor representations in a similar manner to seeing the physical object the word represents. Thus, reading words representing objects of different sizes interfere with motor planning, inducing changes in grip aperture. An outstanding issue is whether word reading can also evoke sensorimotor information about the weight of objects. This issue was addressed in two experiments wherein participants have first to read the name of an object (Experiment 1)/observe the object (Experiment 2) and then to transport versus use bottles of water. The objects presented as primes were either lighter or heavier than the bottles to be grasped. Results indicated that the main parameters of motor planning recorded (initiation times and finger contact points) were not affected by the presentation of words as primes (Experiment 1). By contrast, the presentation of visual objects as primes induced significant changes in these parameters (Experiment 2). Participants changed their way of grasping the bottles, particularly in the use condition. Taken together, these results suggest that the activation of concepts does not automatically evoke sensorimotor representations about the weight of objects, but visual objects do., (Copyright © 2015 Elsevier B.V. All rights reserved.)

There is much behavioral and neurophysiological evidence in support of the idea that seeing a tool activates motor components of action related to the perceived object (e.g., grasping, use manipulation). However, the question remains as to whether the processing of the motor components associated with the tool is automatic or depends on the situation, including the task and the modality of tool presentation. The present study investigated whether the activation of motor components involved in tool use in response to the simple perception of a tool is influenced by the link between prime and target tools, as well as by the modality of presentation, in perceptual or motor tasks. To explore this issue, we manipulated the similarity of gesture involved in the use of the prime and target (identical, similar, different) with two tool presentation modalities of the presentation tool (visual or auditory) in perceptual and motor tasks. Across the experiments, we also manipulated the relevance of the prime (i.e., associated or not with the current task). The participants saw a first tool (or heard the sound it makes), which was immediately followed by a second tool on which they had to perform a perceptual task (i.e., indicate whether the second tool was identical to or different from the first tool) or a motor task (i.e., manipulate the second tool as if it were the first tool). In both tasks, the similarity between the gestures employed for the first and the second tool was manipulated (Identical, Similar or Different gestures). The results showed that responses were faster when the manipulation gestures for the two tools were identical or similar, but only in the motor task. This effect was observed irrespective of the modality of presentation of the first tool, i.e., visual or auditory. We suggest that the influence of manipulation gesture on response time depends on the relevance of the first tool in motor tasks. We discuss these motor activation results in terms of the relevance and demands of the tasks.

Healthy participants remember emotional stimuli better than neutral stimuli. In normal, older adults this emotional enhancement of memory (EEM) was mostly seen in respect of positive stimuli (positivity bias) after rich and deep encoding. The results relating to this effect in Alzheimer's disease (AD) patients are fairly inconsistent. The goal of the present study was to ascertain whether EEM in AD patients depends on the depth and the richness of encoding. Twenty-one patients with mild-to-moderate AD and 23 age-and-education-matched controls completed two study phases, each followed by a retrieval phase. The first study phase consisted of a natural/man-made categorization task followed by a recognition task, whereas the second, which involved the stimuli used in the recognition task, allowed for richer and deeper encoding as a result of repetition and naming of the stimuli and presentation of the same semantic cues at encoding and retrieval. The second study phase was followed by free and cued recall tasks and a recognition task. After the first study phase we observed EEM in respect of negative and positive stimuli in controls, but not in AD patients. After the second study phase, the positivity bias was observed in the free recall task in controls but not in AD patients. In the cued recall and recognition tasks, however, both groups showed the positivity bias. Based on our results, AD patients present a positivity memory bias when encoding is sufficiently rich and deep, and when support is provided at the time of retrieval (cued recall or recognition tasks)., (Copyright © 2015 Elsevier Ltd. All rights reserved.)

The present study focused on priming effects on pointing with everyday objects. In a set of four experiments, a visuomotor priming paradigm was used to investigate the nature of visuomotor processing (automatic versus task relevant). By manipulating congruency of orientation and location we found that location congruency facilitates the initiation time of pointing whereas orientation congruency does not. We provide evidence to show that motor planning is influenced by the goal of the action, and that how visual information is processed and held in memory depends on the task relevance. These data are consistent with the proposed interaction between visuomotor and higher processes during the planning and execution of actions such as pointing.

Objectives: There is some discrepancy in the results regarding emotional enhancement of memory (EEM) in Alzheimer's disease (AD). Some studies report better retrieval of emotional information, especially positive, than neutral information. This observation is similar to the positivity effect reported in healthy older adults. It was suggested that this effect is due to privileged, deeper and more controlled processing of positive information. One way of testing this is to control both the intention to encode the information and the cognitive resources involved during encoding. Studies investigating EEM in AD patients did not systematically control the nature of encoding. Consequently, the purpose of our study was to examine EEM in AD while manipulating the nature of encoding., Methods: Two experiments were conducted. In Experiment 1 the intention to encode stimuli was manipulated by giving or not giving instructions to participants about the subsequent retrieval. In Experiment 2 cognitive resources involved during encoding were varied (low vs high). In both experiments participants performed immediate recognition task of negative, positive and neutral pictures. 41 mild AD patients and 44 older healthy adults participated in Exp. 1, and 17 mild AD patients and 20 older healthy adults participated in Exp. 2., Results: AD patients did not present EEM. Positivity effect, better performance for positive than neutral and negative pictures was observed with older healthy adults., Conclusion: The data suggest that EEM is disturbed in mild AD patients, with respect to both negative and positive stimuli, at least concerning laboratory, not real-life material. They also suggest there is a positivity effect in healthy older adults and lend support to the idea that this effect is due to preferential cognitive processing of positive information in this population., (Copyright © 2013 Elsevier Ltd. All rights reserved.)

Jax and Buxbaum [Jax and Buxbaum (2010). Response interference between functional and structural actions linked to the same familiar object. Cognition, 115, 350-355] demonstrated that grasp-to-transport actions (handing an object to someone, i.e., a receiver) are initiated more quickly than grasp-to-use actions. A possible interpretation of these findings is that grasp-to-transport actions do not require activation of long-term representations. In Jax and Buxbaum's study, participants positioned their hand on the object as they would to transport/use it in a conventional way. So, movement planning was based only on egocentric relationships (individual-object) and not on allocentric relationships (object-object or object-"receiver"). It is likely that participants may not have activated long-term social representations about how to hand an object to someone in the transport task. In Experiment 1, we replicated J&B's results by asking participants to position their hand on familiar tools as they would to hand them to someone (grasp-to-transport)/use them in a non-conventional way (i.e., to hit a ball, grasp-to-use). In Experiment 2, participants had to actually perform the actions. We found the opposite pattern in that grasp-to-use actions were initiated more quickly than grasp-to-transport actions. These findings indicate that the modulation of allocentric constraints might induce activation of long-term representations in transport actions. This suggests that, under certain circumstances, long-term representations might be necessary not only for use actions but also for transport actions., (Copyright © 2013 Elsevier B.V. All rights reserved.)

Emotional material tends to be better retrieved in memory than neutral material. This emotional enhancement of memory may be related to the attentional effects of the amygdala's response to emotional stimuli. Because early neuropathological changes in Alzheimer's disease involve the amygdala and the hippocampus, it has been suggested that this effect is impaired in patients. However inconsistent results have been reported. The goal of our study was to evaluate the effects of emotion on picture recognition in patients affected by Alzheimer's disease, and to explore the link between this effect and the degree of amygdalar and hippocampal atrophy. Mild Alzheimer's disease patients (n = 15) and control participants (n = 20) performed an Old/New recognition task using pictures of negative, neutral, and positive emotional valence. Automated segmentation of their high-resolution T1 MRI scans was performed in order to obtain amygdalar and hippocampal volumes. Correlation analyses were then performed between volumetric data, memory, and the emotional effect on memory. An effect of emotion on memory was found for control participants (with positive items being better recognized than neutral and negative ones), with no correlation between this effect and medial temporal volumes, and a significant correlation between overall recognition scores and hippocampal volumes. Conversely, no emotional effect on memory was found across the group of patients; however, significant correlations were found between the loss of this effect and amygdalar and hippocampal volumes. These results tend to confirm a link between the loss of emotional effect on memory and neuropathological change in medial temporal structures during the course of Alzheimer's disease.

We examined emotional memory enhancement (EEM) for negative and positive pictures while manipulating encoding and retrieval conditions. Two groups of 40 participants took part in this study. Both groups performed immediate implicit (categorization task) and explicit (recognition task) retrieval, but for one group the tasks were preceded by incidental encoding and for the other group by intentional encoding. As indicated by the sensitivity index (d'), after incidental encoding positive stimuli were easier to recognize than negative and neutral stimuli. Participants' response criterion was more liberal for negative stimuli than for both positive and neutral ones, independent of encoding condition. In the implicit retrieval task, participants were slower in categorizing positive than negative and neutral stimuli. However, the priming effect was larger for emotional than for neutral stimuli. These results are discussed in the context of the idea that the effect of emotion on immediate memory enhancement may depend on the intentionality to encode and retrieve information.

This study tested the influence of orientation priming on grasping decisions. Two groups of 20 healthy participants had to select a preferred grasping orientation (horizontal, vertical) based on drawings of everyday objects, geometric blocks or object names. Three priming conditions were used: congruent, incongruent and neutral. The facilitating effects of priming were observed in the grasping decision task for drawings of objects and blocks but not object names. The visual information about congruent orientation in the prime quickened participants' responses but had no effect on response accuracy. The results are discussed in the context of the hypothesis that an object automatically potentiates grasping associated with it, and that the on-line visual information is necessary for grasping potentiation to occur. The possibility that the most frequent orientation of familiar objects might be included in object-action representation is also discussed.

Objective: The goal of the present study was to better characterize pre- and immediately post-surgical motor and language deficits resulting from the surgery of tumours located in the medial part of the frontal lobe., Patients and Methods: Seven patients treated by surgical resection of low-grade gliomas affecting the medial part of the frontal lobe were studied with neuropsychological tasks investigating motor and language abilities before surgery and at three time points after surgery (first, third and seventh day after surgery). The tasks were constructed in a way that allowed the structured comparison between language and motor functions, and controlled the level of external constraint of the production., Results: The main results of this study are: (1) globally the patients were impaired in both language and motor production the day after surgery; (2) the performance improved faster for tasks with strongly constrained production; (3) the verbal and semantic fluency were very sensitive and appropriate tasks for examination of the deficits resulting from the resection; and (4) performances were back to normal seven days after the surgery for most of the tasks., Conclusion: These results confirm that surgery of low-grade gliomas affecting the prefrontal midline areas affects only transiently motor and language functions as tested in this study. They also suggest that verbal and semantic fluency were the most severely affected tests postoperatively. On the basis of these results, the surgical resection of the low-grade gliomas of the prefrontal midline seems a valuable treatment alternative.

The supplementary motor area (SMA) is a key structure for behavioral planning and execution. Recent research on motor control conducted with monkeys and humans has put to light an anatomical and functional distinction between pre-SMA and SMA-proper. According to this view, the pre-SMA would be involved in higher level processes while the SMA-proper would be more closely tied to motor output. We extended this general framework to the verbal domain, in order to investigate the role of the SMA in speech production. We conducted two speech production experiments with fMRI where we manipulated parameters such as familiarity, complexity or constraints on word selection. The results reveal a parcellation of the SMA into three distinct regions, according to their involvement in different aspects of word production. More specifically, following a rostrocaudal gradient, we observed differential activations related to lexical selection, linear sequence encoding and control of motor output. A parallel organization was observed in the dorsolateral frontal cortex. By refining its anatomical and functional parcellation, these results clarify the roles of the SMA in speech production.

The ability to localize the limb representation in the supplementary motor area (SMA) would be useful in planning surgical ablation of medial frontal lobe tumours. We investigated the relationship between the anatomy of the SMA and the functional representation of fingers, toes, and lips using fMRI in healthy volunteers. There was a significant difference between the location of the different body parts in the SMA, with a rostro-caudal location of the face, hand and foot areas. Limb representation was located in an area spanning < 1 cm rostral and 1 cm caudal to the paracentral sulcus. These results support the somatotopic organization of the human SMA and suggest that the paracentral sulcus represents a landmark for body representation.

Halligan and Marshall [Cortex 27 (1991) 623] devised a new test to evaluate the hypothesis that in visual neglect, left space is systematically compressed rightwards. In the critical condition of the original study, rows of horizontally arranged numbers with a target arrow pointing to one of them from the opposite margin of the display were presented. When asked to verbally identify the number indicated by the arrow, a right brain-damaged patient with left neglect and hemianopia often indicated a number to the right of the target. The more the target was located on the left, the greater the response shift rightward, as if rightward compression were linearly proportional to the co-ordinates of Euclidian space. However, a possible alternative account could be that the patient's attention was attracted by the numbers located to the right of the target digit, thus biasing her responses toward numbers on the right. To explore this hypothesis, we asked normal participants and patients with right hemisphere lesions, with and without neglect or hemianopia, to mark on the margin of a sheet the approximate location indicated by an arrow situated on the opposite margin. In three different conditions, the arrow indicated either one of several numbers or lines in a row, or a blank location on the sheet margin. Only patients with left neglect, and especially those with associated hemianopia, deviated rightward, and then crucially only on those conditions where visible targets were present, consistent with the attentional bias account.

Corticobasal degeneration (CBD) is a progressive disorder that can be characterised by asymmetrical akinetic rigidity, involuntary movements, cortical sensory loss, alien limb syndrome and asymmetrical apraxia (Gibb et al., 1989; Rinnie et al., 1994). Diagnosis of praxic disabilities is thought to be essential for distinguishing CBD, in its early stage, from other akinetic-rigid syndromes. However, the nature of apraxia in CBD, and the relations between ideomotor and ideational apraxia, are not well understood. For example, if there is an ideational deficit in a given patient, does this deficit occur independently of any ideomotor disorder, or are the two impairments linked in some manner? In the present paper we report a case study of a patient with apraxia due to CBD. We examine whether the disorder is confined to production tasks, or whether there is also a related deficit in recognising the correct actions performed with objects (an ideational deficit). We also evaluate whether a disorder found for action with single objects dissociates from the ability to link multiple actions into more complex, everyday tasks. The performance of our patient showed an impairment in both action production and action recognition system, suggesting a component of ideational as well as ideomotor apraxia in CBD.

We compared action (pour or twist?) and contextual/semantic (found in kitchen?) decisions made to pictures of objects, nonobjects, and words. Although there was no advantage for objects over words in contextual/semantic decisions, there was an advantage for objects over words and nonobjects in action decisions. For objects, both action and contextual/semantic decisions were faster than naming; for words, the opposite occurred. These results extend the early results of Potter and Faulconer (1975) that there is privileged access to semantic memory for objects relative to that for words and privileged access to phonology for words. Our data suggest that, for objects, there is privileged access to action knowledge rather than to all forms of semantic knowledge and that this is contingent on learned associations between objects and actions.

We present a detailed analysis of the relations between acting, naming, and recognising objects from vision, touch, and verbal labels, in a series of three cases. We demonstrate that: (1) there can be better "use" than gesturing of objects even in a patient with impaired semantic information for the objects; (2) this is contingent on direct proprioceptive feedback in action; and (3) there are impaired gestures to "non-action" parts of objects even when the patients can gesture to names and can identify the objects. These results are consistent with a "convergent route" model of action, which holds that direct, modality-specific associations between objects and actions constrain the retrieval of actions from semantic representations.