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Background: Individuals with aphasia after stroke (IWA) often present with working memory (WM) deficits. Research investigating the relationship between WM and language abilities has led to the promising hypothesis that treatments of WM could lead to improvements in language, a phenomenon known as transfer. Although recent treatment protocols have been successful in improving WM, the evidence to date is scarce and the extent to which improvements in trained tasks of WM transfer to untrained memory tasks, spoken sentence comprehension, and functional communication is yet poorly understood.
Aims: We aimed at (a) investigating whether WM can be improved through an adaptive n-back training in IWA (Study 1–3); (b) testing whether WM training leads to near transfer to unpracticed WM tasks (Study 1–3), and far transfer to spoken sentence comprehension (Study 1–3), functional communication (Study 2–3), and memory in daily life in IWA (Study 2–3); and (c) evaluating the methodological quality of existing WM treatments in IWA (Study 3). To address these goals, we conducted two empirical studies – a case-controls study with Hungarian speaking IWA (Study 1) and a multiple baseline study with German speaking IWA (Study 2) – and a systematic review (Study 3).
Methods: In Study 1 and 2 participants with chronic, post-stroke aphasia performed an adaptive, computerized n-back training. ‘Adaptivity’ was implemented by adjusting the tasks’ difficulty level according to the participants’ performance, ensuring that they always practiced at an optimal level of difficulty. To assess the specificity of transfer effects and to better understand the underlying mechanisms of transfer on spoken sentence comprehension, we included an outcome measure testing specific syntactic structures that have been proposed to involve WM processes (e.g., non-canonical structures with varying complexity).
Results: We detected a mixed pattern of training and transfer effects across individuals: five participants out of six significantly improved in the n-back training. Our most important finding is that all six participants improved significantly in spoken sentence comprehension (i.e., far transfer effects). In addition, we also found far transfer to functional communication (in two participants out of three in Study 2) and everyday memory functioning (in all three participants in Study 2), and near transfer to unpracticed n-back tasks (in four participants out of six). Pooled data analysis of Study 1 and 2 showed a significant negative relationship between initial spoken sentence comprehension and the amount of improvement in this ability, suggesting that the more severe the participants’ spoken sentence comprehension deficit was at the beginning of training, the more they improved after training. Taken together, we detected both near far and transfer effects in our studies, but the effects varied across participants. The systematic review evaluating the methodological quality of existing WM treatments in stroke IWA (Study 3) showed poor internal and external validity across the included 17 studies. Poor internal validity was mainly due to use of inappropriate design, lack of randomization of study phases, lack of blinding of participants and/or assessors, and insufficient sampling. Low external validity was mainly related to incomplete information on the setting, lack of use of appropriate analysis or justification for the suitability of the analysis procedure used, and lack of replication across participants and/or behaviors. Results in terms of WM, spoken sentence comprehension, and reading are promising, but further studies with more rigorous methodology and stronger experimental control are needed to determine the beneficial effects of WM intervention.
Conclusions: Results of the empirical studies suggest that WM can be improved with a computerized and adaptive WM training, and improvements can lead to transfer effects to spoken sentence comprehension and functional communication in some individuals with chronic post-stroke aphasia. The fact that improvements were not specific to certain syntactic structures (i.e., non-canonical complex sentences) in spoken sentence comprehension suggest that WM is not involved in the online, automatic processing of syntactic information (i.e., parsing and interpretation), but plays a more general role in the later stage of spoken sentence comprehension (i.e., post-interpretive comprehension). The individual differences in treatment outcomes call for future research to clarify how far these results are generalizable to the population level of IWA. Future studies are needed to identify a few mechanisms that may generalize to at least a subpopulation of IWA as well as to investigate baseline non-linguistic cognitive and language abilities that may play a role in transfer effects and the maintenance of such effects. These may require larger yet homogenous samples.
The limited capacity of working memory forces people to update its contents continuously. Two aspects of the updating process were investigated in the present experimental series. The first series concerned the question if it is possible to update several representations in parallel. Similar results were obtained for the updating of object features as well as for the updating of whole objects, participants were able to update representations in parallel. The second experimental series addressed the question if working memory representations which were replaced in an updating disappear directly or interfere with the new representations. Evidence for the existence of old representations was found under working memory conditions and under conditions exceeding working memory capacity. These results contradict the hypothesis that working memory contents are protected from proactive interference of long-term memory contents.
Age-related decline in executive functions and postural control due to degenerative processes in the central nervous system have been related to increased fall-risk in old age. Many studies have shown cognitive-postural dual-task interference in old adults, but research on the role of specific executive functions in this context has just begun. In this study, we addressed the question whether postural control is impaired depending on the coordination of concurrent response-selection processes related to the compatibility of input and output modality mappings as compared to impairments related to working-memory load in the comparison of cognitive dual and single tasks. Specifically, we measured total center of pressure (CoP) displacements in healthy female participants aged 19–30 and 66–84 years while they performed different versions of a spatial one-back working memory task during semi-tandem stance on an unstable surface (i.e., balance pad) while standing on a force plate. The specific working-memory tasks comprised: (i) modality compatible single tasks (i.e., visual-manual or auditory-vocal tasks), (ii) modality compatible dual tasks (i.e., visual-manual and auditory-vocal tasks), (iii) modality incompatible single tasks (i.e., visual-vocal or auditory-manual tasks), and (iv) modality incompatible dual tasks (i.e., visual-vocal and auditory-manual tasks). In addition, participants performed the same tasks while sitting. As expected from previous research, old adults showed generally impaired performance under high working-memory load (i.e., dual vs. single one-back task). In addition, modality compatibility affected one-back performance in dual-task but not in single-task conditions with strikingly pronounced impairments in old adults. Notably, the modality incompatible dual task also resulted in a selective increase in total CoP displacements compared to the modality compatible dual task in the old but not in the young participants. These results suggest that in addition to effects of working-memory load, processes related to simultaneously overcoming special linkages between input- and output modalities interfere with postural control in old but not in young female adults. Our preliminary data provide further evidence for the involvement of cognitive control processes in postural tasks.
There is evidence for cortical contribution to the regulation of human postural control. Interference from concurrently performed cognitive tasks supports this notion, and the lateral prefrontal cortex (lPFC) has been suggested to play a prominent role in the processing of purely cognitive as well as cognitive-postural dual tasks. The degree of cognitive-motor interference varies greatly between individuals, but it is unresolved whether individual differences in the recruitment of specific lPFC regions during cognitive dual tasking are associated with individual differences in cognitive-motor interference. Here, we investigated inter-individual variability in a cognitive-postural multitasking situation in healthy young adults (n = 29) in order to relate these to inter-individual variability in lPFC recruitment during cognitive multitasking. For this purpose, a oneback working memory task was performed either as single task or as dual task in order to vary cognitive load. Participants performed these cognitive single and dual tasks either during upright stance on a balance pad that was placed on top of a force plate or during fMRI measurement with little to no postural demands. We hypothesized dual one-back task performance to be associated with lPFC recruitment when compared to single one-back task performance. In addition, we expected individual variability in lPFC recruitment to be associated with postural performance costs during concurrent dual one-back performance. As expected, behavioral performance costs in postural sway during dual-one back performance largely varied between individuals and so did lPFC recruitment during dual one-back performance. Most importantly, individuals who recruited the right mid-lPFC to a larger degree during dual one-back performance also showed greater postural sway as measured by larger performance costs in total center of pressure displacements. This effect was selective to the high-load dual one-back task and suggests a crucial role of the right lPFC in allocating resources during cognitivemotor interference. Our study provides further insight into the mechanisms underlying cognitive-motor multitasking and its impairments.
The interruption of learning processes by breaks filled with diverse activities is common in everyday life. We investigated the effects of active computer gaming and passive relaxation (rest and music) breaks on working memory performance. Young adults were exposed to breaks involving (i) eyes-open resting, (ii) listening to music and (iii) playing the video game “Angry Birds” before performing the n-back working memory task. Based on linear mixed-effects modeling, we found that playing the “Angry Birds” video game during a short learning break led to a decline in task performance over the course of the task as compared to eyes-open resting and listening to music, although overall task performance was not impaired. This effect was associated with high levels of daily mind wandering and low self-reported ability to concentrate. These findings indicate that video games can negatively affect working memory performance over time when played in between learning tasks. We suggest further investigation of these effects because of their relevance to everyday activity.
This dissertation investigates the working memory mechanism subserving human sentence processing and its relative contribution to processing difficulty as compared to syntactic prediction. Within the last decades, evidence for a content-addressable memory system underlying human cognition in general has accumulated (e.g., Anderson et al., 2004). In sentence processing research, it has been proposed that this general content-addressable architecture is also used for language processing (e.g., McElree, 2000).
Although there is a growing body of evidence from various kinds of linguistic dependencies that is consistent with a general content-addressable memory subserving sentence processing (e.g., McElree et al., 2003; VanDyke2006), the case of reflexive-antecedent dependencies has challenged this view. It has been proposed that in the processing of reflexive-antecedent dependencies, a syntactic-structure based memory access is used rather than cue-based retrieval within a content-addressable framework (e.g., Sturt, 2003).
Two eye-tracking experiments on Chinese reflexives were designed to tease apart accounts assuming a syntactic-structure based memory access mechanism from cue-based retrieval (implemented in ACT-R as proposed by Lewis and Vasishth (2005).
In both experiments, interference effects were observed from noun phrases which syntactically do not qualify as the reflexive's antecedent but match the animacy requirement the reflexive imposes on its antecedent. These results are interpreted as evidence against a purely syntactic-structure based memory access. However, the exact pattern of effects observed in the data is only partially compatible with the Lewis and Vasishth cue-based parsing model.
Therefore, an extension of the Lewis and Vasishth model is proposed. Two principles are added to the original model, namely 'cue confusion' and 'distractor prominence'.
Although interference effects are generally interpreted in favor of a content-addressable memory architecture, an alternative explanation for interference effects in reflexive processing has been proposed which, crucially, might reconcile interference effects with a structure-based account.
It has been argued that interference effects do not necessarily reflect cue-based retrieval interference in a content-addressable memory but might equally well be accounted for by interference effects which have already occurred at the moment of encoding the antecedent in memory (Dillon, 2011).
Three experiments (eye-tracking and self-paced reading) on German reflexives and Swedish possessives were designed to tease apart cue-based retrieval interference from encoding interference. The results of all three experiments suggest that there is no evidence that encoding interference affects the retrieval of a reflexive's antecedent.
Taken together, these findings suggest that the processing of reflexives can be explained with the same cue-based retrieval mechanism that has been invoked to explain syntactic dependency resolution in a range of other structures. This supports the view that the language processing system is located within a general cognitive architecture, with a general-purpose content-addressable working memory system operating on linguistic expressions.
Finally, two experiments (self-paced reading and eye-tracking) using Chinese relative clauses were conducted to determine the relative contribution to sentence processing difficulty of working-memory processes as compared to syntactic prediction during incremental parsing.
Chinese has the cross-linguistically rare property of being a language with subject-verb-object word order and pre-nominal relative clauses. This property leads to opposing predictions of expectation-based
accounts and memory-based accounts with respect to the relative processing difficulty of subject vs. object relatives.
Previous studies showed contradictory results, which has been attributed to different kinds local ambiguities confounding the materials (Lin and Bever, 2011). The two experiments presented are the first to compare Chinese relatives clauses in syntactically unambiguous contexts.
The results of both experiments were consistent with the predictions of the expectation-based account of sentence processing but not with the memory-based account. From these findings, I conclude that any theory of human sentence processing needs to take into account the power of predictive processes unfolding in the human mind.
In dieser Arbeit wird in mehreren Experimenten untersucht, wie gut junge und alte Erwachsene Sätze mit unterschiedlich komplexer syntaktischer Struktur verstehen können. Zentrales Thema dabei sind die Schwierigkeiten, die ältere Erwachsene mit der Objekt-vor-Subjekt-Wortstellung haben. Untersucht wird, inwiefern diese beobachteten Altersunterschiede durch eine reduzierte verbale Arbeitsgedächtniskapazität der älteren Erwachsenen erklärt werden können. Dabei stellt sich die Frage, ob die Defizite ein generelles verbales Arbeitsgedächtnis betreffen oder ob es ein eigenes Verarbeitungs-system für syntaktische Informationen gibt, dessen Kapazität mit dem Alter abnimmt. Es wurde versucht, die postulierte reduzierte Arbeitsgedächtniskapazität der älteren Erwachsenen an jungen Erwachsenen zu simulieren, indem deren Arbeitsgedächtniska-pazität durch eine Zusatzaufgabe künstlich eingeschränkt wurde. Weiterhin wurden die Altersunterschiede bei syntaktisch komplexen zentraleingebetteten Relativsätzen mit denen bei syntaktisch einfacheren koordinierten Hauptsätzen verglichen. Um die Studienteilnehmer mit den seltenen objektinitialen Strukturen zu konfrontieren und ihre Erfahrung mit solchen Sätzen zu verändern, wurden schließlich sowohl junge als auch alte Erwachsene mit Sätzen mit Objekt-vor-Subjekt-Wortstellung trainiert.
Children’s interpretations of sentences containing focus particles do not seem adult-like until school age. This study investigates how German 4-year-old children comprehend sentences with the focus particle ‘nur’ (only) by using different tasks and controlling for the impact of general cognitive abilities on performance measures. Two sentence types with ‘only’ in either pre-subject or pre-object position were presented. Eye gaze data and verbal responses were collected via the visual world paradigm combined with a sentence-picture verification task. While the eye tracking data revealed an adult-like pattern of focus particle processing, the sentence-picture verification replicated previous findings of poor comprehension, especially for ‘only’ in pre-subject position. A second study focused on the impact of general cognitive abilities on the outcomes of the verification task. Working memory was related to children’s performance in both sentence types whereas inhibitory control was selectively related to the number of errors for sentences with ‘only’ in pre-subject position. These results suggest that children at the age of 4 years have the linguistic competence to correctly interpret sentences with focus particles, which–depending on specific task demands–may be masked by immature general cognitive abilities.
Working memory (WM) performance declines with age. However, several studies have shown that WM training may lead to performance increases not only in the trained task, but also in untrained cognitive transfer tasks. It has been suggested that transfer effects occur if training task and transfer task share specific processing components that are supposedly processed in the same brain areas. In the current study, we investigated whether single-task WM training and training-related alterations in neural activity might support performance in a dual-task setting, thus assessing transfer effects to higher-order control processes in the context of dual-task coordination. A sample of older adults (age 60–72) was assigned to either a training or control group. The training group participated in 12 sessions of an adaptive n-back training. At pre and post-measurement, a multimodal dual-task was performed in all participants to assess transfer effects. This task consisted of two simultaneous delayed match to sample WM tasks using two different stimulus modalities (visual and auditory) that were performed either in isolation (single-task) or in conjunction (dual-task). A subgroup also participated in functional magnetic resonance imaging (fMRI) during the performance of the n-back task before and after training. While no transfer to single-task performance was found, dual-task costs in both the visual modality (p < 0.05) and the auditory modality (p < 0.05) decreased at post-measurement in the training but not in the control group. In the fMRI subgroup of the training participants, neural activity changes in left dorsolateral prefrontal cortex (DLPFC) during one-back predicted post-training auditory dual-task costs, while neural activity changes in right DLPFC during three-back predicted visual dual-task costs. Results might indicate an improvement in central executive processing that could facilitate both WM and dual-task coordination.
This dissertation addresses the question of how linguistic structures can be represented in working memory. We propose a memory-based computational model that derives offline and online complexity profiles in terms of a top-down parser for minimalist grammars (Stabler, 2011). The complexity metric reflects the amount of time an item is stored in memory. The presented architecture links grammatical representations stored in memory directly to the cognitive behavior by deriving predictions about sentence processing difficulty.
Results from five different sentence comprehension experiments were used to evaluate the model's assumptions about memory limitations. The predictions of the complexity metric were compared to the locality (integration and storage) cost metric of Dependency Locality Theory (Gibson, 2000). Both metrics make comparable offline and online predictions for four of the five phenomena. The key difference between the two metrics is that the proposed complexity metric accounts for the structural complexity of intervening material. In contrast, DLT's integration cost metric considers the number of discourse referents, not the syntactic structural complexity.
We conclude that the syntactic analysis plays a significant role in memory requirements of parsing. An incremental top-down parser based on a grammar formalism easily computes offline and online complexity profiles, which can be used to derive predictions about sentence processing difficulty.