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Alzheimer’s disease, but not ageing or depression, affects dual-tasking

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An Erratum to this article was published on 13 November 2009

Abstract

Two experiments are reported that assess dual task performance in Alzheimer’s disease (AD), in chronic depression and in healthy old age. Results suggest that dual task impairments are present in AD but are not shown in depression. This is true even when episodic memory performance is equated between the groups. These results, together with those of previous studies, point to dual task performance as an aid to diagnosis of AD relative to depression. This is of particular relevance when episodic memory tests cannot distinguish between the two conditions. The dual task paradigm appears to have considerable promise in assisting the early detection of the specific cognitive deficits associated with AD, and in monitoring their progression, both in the laboratory setting and in everyday tasks. Results also are of theoretical interest in pointing to a specific dual task coordination function in the healthy human cognitive system that allows for the coordination of two tasks performed simultaneously and which is damaged in AD but not in depression.

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Notes

  1. A recent paper by Lonie et al. (2008) used our own dual task procedures in studying patients with a range of depressive symptoms, MCI patients and AD patients as well as healthy older volunteers. However tracking task performance was less than half that for all other studies, and they obtained ceiling effects on single task digit recall for the tests in all groups making it very difficult to interpret the data.

  2. In cases in which the Levene test for equivalence of variances of the clinical groups of Experiment 2 was significant, adjusted (“adj.”) and rounded degrees of freedom for the corresponding T tests are reported.

References

  1. Alberoni M, Baddeley A, Della Sala S, Logie R, Spinnler H (1992) Keeping track of a conversation: Impairments in Alzheimer’s disease. Int J Geriatr Psychiatry 7:639–646

    Article  Google Scholar 

  2. Baddeley AD (2007) Working memory in thought and action. Oxford University Press, Oxford

    Google Scholar 

  3. Baddeley AD, Bressi S, Della Sala S, Logie RH, Spinnler H (1991) The decline of working memory in Alzheimer’s disease: a longitudinal study. Brain 114:2521–2542

    Article  PubMed  Google Scholar 

  4. Baddeley AD, Logie R, Bressi S, Della Sala S, Spinnler H (1986) Dementia and working memory. Q J Exp Psychol 38A:603–618

    Google Scholar 

  5. Beats BC, Sahakian BJ, Levy R (1996) Cognitive performance in tests sensitive to frontal lobe dysfunction in the elderly depressed. Psychol Med 26:591–603

    Article  CAS  PubMed  Google Scholar 

  6. Beck AT, Steer RA (1987) Beck depression inventory (BDI). The Psychological Corporation Inc, San Antonio

    Google Scholar 

  7. Benedict KB, Nacoste DB (1990) Dementia and depression in the elderly: a framework for addressing difficulties in differential diagnosis. Clin Psychol Rev 10:513–517

    Article  Google Scholar 

  8. Birrer RB, Vemuri SP (2004) Depression in later life: a diagnostic and therapeutic challenge. Am Fam Physician 69:2375–2382

    PubMed  Google Scholar 

  9. Blackwell AD, Sahakian BJ, Vesey R, Semple JM, Robbins TW, Hodges JR (2004) Detecting dementia: novel neuropsychological markers of preclinical Alzheimer’s disease. Dement Geriatr Cogn Disord 17:42–48

    Article  PubMed  Google Scholar 

  10. Buerger K, Zinkowski R, Teipel SJ, Arai H, DeBernardis J, Kerkman D, McCulloch C, Padberg F et al (2003) Differentiation of geriatric major depression from Alzheimer’s disease with CSF Tau protein phosphorylated at threonine 231. Am J Psychiatry 160:376–379

    Article  PubMed  Google Scholar 

  11. Cocchini G, Della Sala S, Logie RH, Pagani R, Sacco L, Spinnler H (2004) Dual-task effects of walking while talking in Alzheimer disease. Rev Neurol (Paris) 160:74–80

    CAS  Google Scholar 

  12. Cocchini G, Logie RH, Della Sala S, MacPherson SE (2002) Concurrent performance of two memory tasks: evidence for domain specific working memory systems. Mem Cognit 30:1086–1095

    PubMed  Google Scholar 

  13. De Jager CA, Hogervorst E, Combrinck M, Budge MM (2003) Sensitivity and specificity of neuropsychological tests for mild cognitive impairment, vascular cognitive impairment and Alzheimer’s disease. Psychol Med 33:1039–1050

    Article  PubMed  Google Scholar 

  14. Della Sala S, Baddeley A, Papagno C, Spinnler H (1995) Dual-task paradigm: a means to examine the central executive. Ann N Y Acad Sci 769:161–171

    Article  CAS  PubMed  Google Scholar 

  15. Della Sala S, Logie RH (2001) Theoretical and practical implications of dual-task performance in Alzheimer’s disease. Brain 124:1479–1481

    Article  Google Scholar 

  16. Dierckx E, Engelborghs S, De Raedt R, De Deyn PP, Ponjaert-Kristoffersen I (2007) Differentiation between mild cognitive impairment, Alzheimer’s disease and depression by means of cued recall. Psychol Med 37:747–755

    Article  CAS  PubMed  Google Scholar 

  17. Dubois B et al (2007) Research criteria for the diagnosis of Alzheimer’s disease: revising the NINCDS–ADRDA criteria. Lancet Neurol 6:734–746

    Article  PubMed  Google Scholar 

  18. Foldi NS, Brickman AM, Schaefer LA, Knutelska ME (2003) Distinct serial position profiles and neuropsychological measures differentiate late life depression from normal aging and Alzheimer’s disease. Psychiatry Res 120:71–84

    Article  PubMed  Google Scholar 

  19. Folstein MF, Folstein SE, McHugh PR (1975) Mini-mental state: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–198

    Article  CAS  PubMed  Google Scholar 

  20. Fossati P, Harvey P, Le Bastard G, Ergis A, Jouvent R, Allilaire J (2004) Verbal memory performance of patients with a first depressive episode and patients with unipolar and biplolar recurrent depression. J Psychiatr Res 38:137–144

    Article  PubMed  Google Scholar 

  21. Fowler KS, Saling MM, Conway EL, Semple JM, Louis WJ (1997) Computerized neuropsychological tests in the early detection of dementia: prospective findings. J Int Neuropsychol Soc 3:139–146

    CAS  PubMed  Google Scholar 

  22. Gainotti G, Marra C (1994) Some aspects of memory disorders clearly distinguish dementia of the Alzheimer’s type from depressive pseudo-dementia. J Clin Exp Neuropsychol 16:65–78

    Article  CAS  PubMed  Google Scholar 

  23. Gainotti G, Marra C, Villa G, Parlato V, Chiarotti F (1998) Sensitivity and specificity of some neuropsychological markers of Alzheimer’s dementia. Alzheimer Dis Assoc Disord 12:152–162

    Article  CAS  PubMed  Google Scholar 

  24. Greene JD, Hodges JR, Baddeley AD (1995) Autobiographical memory and executive function in early dementia of the Alzheimer’s type. Neuropsychologia 33:1647–1667

    Article  CAS  PubMed  Google Scholar 

  25. Haynes LE, Barber D, Mitchell IJ (2004) Chronic anti-depressant medication attenuates dexamethosone-induced neuronal death and sublethal neuronal damage in the hippocampus and striatum. Brain Res 1026:157–167

    Article  CAS  PubMed  Google Scholar 

  26. Holtzer R, Burright RG, Donovick PJ (2004) The sensitivity of dual-task performance to cognitive status in aging. J Int Neuropsychol Soc 10:230–238

    Article  PubMed  Google Scholar 

  27. Inasaridze K, Della Sala S, Logie RH (2007) The Tbilisi paper and pencil dual-task. Georgian Med News 150:24–29

    PubMed  Google Scholar 

  28. Ivanoiu A, Adam S, Van Der Linden M, Salmon E, Juillerat A, Mulligan R, Seron X (2005) Memory evaluation with a new cued recall test in patients with mild cognitive impairment and Alzheimer’s disease. J Neurol 252:47–55

    Article  PubMed  Google Scholar 

  29. Kaschel R, Della Sala S, Cantagallo A, Fahlböck A, Laaksonen R, Kazén M (2002) Imagery training in memory-impaired patients: a randomized group controlled trial. Neuropsychol Rehabil 12:127–153

    Article  Google Scholar 

  30. Kaschel R (1994) Neuropsychologische Rehabilitation von Gedächtnisleistungen. Psychologie-Verlags-Union, Weinheim

    Google Scholar 

  31. Kaschel R, Zaiser-Kaschel H, Hausch C, Mayer K (1993) Rehabilitation of memory: The ‘European Multi-Center Trial’, controlled single-case studies and everyday memory tests. In: Stachowiak F et al (eds) Developments in the assessment and rehabilitation of brain-damaged patients: perspectives from a European concerted action. Gunter Narr Verlag, Tübingen, pp 145–158

    Google Scholar 

  32. King DA, Cox C, Lyness JM, Conwell Y, Caine ED (1998) Quantitative and qualitative differences in the verbal learning performance of elderly depressives and healthy controls. J Int Neuropsychol Soc 4:115–136

    Article  CAS  PubMed  Google Scholar 

  33. Kliegel M, Zimprich D (2005) Predictors of cognitive complaints in older adults: a mixture regression approach. Eur J Ageing 2:13–23

    Article  Google Scholar 

  34. Krames L, McDonald MR (1985) Distraction and depressive cognition. Cog Ther Res 9:561–573

    Article  Google Scholar 

  35. Lachner G, Engel RR (1994) Differentiation of dementia and depression by memory tests. A meta-analysis. J Nerv Ment Dis 182:34–39

    Article  CAS  PubMed  Google Scholar 

  36. Logie RH, Cocchini G, Della Sala S, Baddeley AD (2004) Is there a specific executive capacity for dual task co-ordination? Evidence from Alzheimer’s disease. Neuropsychology 18:504–513

    Article  PubMed  Google Scholar 

  37. Logie RH, van der Meulen M (2009) Fragmenting and integrating visuo-spatial working memory. In: Brockmole JR (ed) Representing the visual world in memory. Psychology Press, Hove, pp 1–32

    Google Scholar 

  38. Lowndes GJ, Saling MM, Ames D, Chiu E, Gonzalez LM, Savage GR (2008) Recall and recognition of verbal paired associates in early Alzheimer’s disease. J Int Neuropsychol Soc 14:591–600

    Article  CAS  PubMed  Google Scholar 

  39. MacPherson SE, Della Sala S, Logie RH, Willcock GK (2007) Specific AD impairment in concurrent performance of two memory tasks. Cortex 43:858–865

    Article  PubMed  Google Scholar 

  40. McKhann G, Drachman D, Folstein M, Katzman R, Pice D, Stadian EM (1984) Clinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA work group under the auspices of Department of Health and Human Services task force on Alzheimer’s disease. Neurol 34:189–198

    Google Scholar 

  41. Miyake A, Friedman NP, Emerson MJ, Witzki AH, Howerter A, Wager T (2000) The unity and diversity of executive functions and their contributions to complex “frontal lobe” tasks: a latent variable analysis. Cognit Psychol 41:49–100

    Article  CAS  PubMed  Google Scholar 

  42. Morris RG (2004) Neurobiological abnormalities in Alzheimer’s disease: structural, genetic, and functional correlates of cognitive dysfunction. In: Morris RG, Becker J (eds) Cognitive neuropsychology of Alzheimer’s disease. Oxford University Press, Oxford, pp 299–319

    Google Scholar 

  43. Parra MA, Abrahams S, Fabi K, Logie R, Luzzi S, Della Sala S (2009) Short term memory binding deficits in Alzheimer’s disease. Brain. doi:10.1093/brain/awp036

  44. Perry RJ, Hodges JR (1999) Attention and executive deficits in Alzheimer’s disease: a critical review. Brain 122:383–404

    Article  PubMed  Google Scholar 

  45. Perry RJ, Watson P, Hodges JR (2000) The nature and staging of attentional dysfunction in early (minimal and mild) Alzheimer’s disease: relationship to episodic and semantic memory impairment. Neuropsychologia 38:252–271

    Article  CAS  PubMed  Google Scholar 

  46. Pfennig A, Littmann E, Bauer M (2007) Neurocognitive impairment and dementia in mood disorders. J Neuropsychiatry Clin Neurosci 19:373–382

    PubMed  Google Scholar 

  47. Sebastian MV, Menor J, Elosua MR (2006) Attentional dysfunction of the central executive in AD: evidence from dual task and perseveration errors. Cortex 42:1015–1020

    Article  PubMed  Google Scholar 

  48. Swainson R, Hodges JR, Galton CJ, Semple J, Michael A, Dunn BD et al (2001) Early detection and differential diagnosis of Alzheimer’s disease and depression with neuropsychological tasks. Dement Geriat Cogn Disord 12:265–280

    Article  CAS  Google Scholar 

  49. Tounsi H, Deweer B, Ergis AM et al (1999) Sensitivity to semantic cuing: an index of episodic memory dysfunction in early Alzheimer disease. Alzheimer Dis Assoc Disord 13:38–46

    Article  CAS  PubMed  Google Scholar 

  50. Veiel HOF (1997) A preliminary profile of neuropsychological deficits associated with major depression. J Clin Exp Neuropsychol 19:587–603

    Article  CAS  PubMed  Google Scholar 

  51. Wagner S, Kaschel R, Paulsen S, Knickenberg RJ, Bleichner F, Beutel ME (2006) Kognitive Auffälligkeiten, Depressivität und Leistungsfähigkeit bei älteren Arbeitnehmern in stationärer psychosomatischer Behandlung (cognitive impairment, depression, and work capacity of 50–59-year-old psychosomatic inpatients). Nervenarzt 77:1338–1344

    Article  CAS  PubMed  Google Scholar 

  52. Wagner S, Kaschel R, Paulsen S, Bleichner F, Knickenberg R, Beutel M (2008) Does a cognitive-training programme improve the performance of middle-aged employees undergoing in-patient psychosomatic treatment? Disabil Rehabil 30:1786–1793

    Article  PubMed  Google Scholar 

  53. Williams JMG, Watts FN, MacLeod C, Mathews A (1997) Cognitive psychology and emotional disorders, 2nd edn. Wiley, New York

    Google Scholar 

  54. World Health Organisation (1992) International classification of diseases, 10th edn. World Health Organisation, Geneva

  55. Wright SL, Persaud C (2007) Distinguishing between depression and dementia in older persons: neuropsychological and neuropathological correlates. J Geriatr Psychiatry Neurol 20:189–198

    Article  PubMed  Google Scholar 

  56. Zweig MH, Campbell G (1993) Receiver-operating characteristic (ROC) plots: a fundamental evaluation tool in clinical medicine. Clin Chem 39:561–577

    CAS  PubMed  Google Scholar 

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Correspondence to Sergio Della Sala.

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An erratum to this article can be found at http://dx.doi.org/10.1007/s00415-009-5375-0

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Kaschel, R., Logie, R.H., Kazén, M. et al. Alzheimer’s disease, but not ageing or depression, affects dual-tasking. J Neurol 256, 1860–1868 (2009). https://doi.org/10.1007/s00415-009-5210-7

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