Flexibility decline contributes to similarity of past and future thinking in Alzheimer's disease.

Abstract:

:A striking similarity has been suggested between past and future thinking in Alzheimer's Disease (AD), a similarity attributable to abnormalities in common modular cognitive functions and neuroanatomical substrates. This study extends this literature by identifying specific executive function deficits underlying past and future thinking in AD. Twenty-four participants with a clinical diagnosis of probable (mild) AD and 26 older controls generated past and future events and underwent tests of binding and the executive functions of flexibility, inhibition, and updating. AD patients showed similar autobiographical performances in past and future event generation, and so did control participants. In each group, the similarity of past and future thinking was predicted by flexibility. Furthermore, AD patients with low flexibility showed higher similarity of past and future thinking than those with high flexibility. These findings are interpreted in terms of involvement of the hippocampus and frontal lobes in future thinking. Deficits in these brain regions in AD are likely to compromise the ability to recombine episodic information into novel and flexible configurations as scenarios for the future.

journal_name

Hippocampus

journal_title

Hippocampus

authors

El Haj M,Antoine P,Kapogiannis D

doi

10.1002/hipo.22465

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

1447-55

issue

11

eissn

1050-9631

issn

1098-1063

journal_volume

25

pub_type

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