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Relationship of Contextual Cueing and Hippocampal Volume in Amnestic Mild Cognitive Impairment Patients and Cognitively Normal Older Adults

Published online by Cambridge University Press:  20 May 2015

Selam Negash*
Affiliation:
Department of Psychiatry, University of Pennsylvania, Philadelphia Pennsylvania Penn Memory Center, University of Pennsylvania, Philadelphia Pennsylvania
Daria Kliot
Affiliation:
Department of Neurology, University of Pennsylvania, Philadelphia Pennsylvania
Darlene V. Howard
Affiliation:
Georgetown University, Washington, DC
James H. Howard Jr
Affiliation:
Georgetown University, Washington, DC The Catholic University of America, Washington, DC
Sandhistu R. Das
Affiliation:
Penn Image Computing and Science Laboratory, Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania
Paul A. Yushkevich
Affiliation:
Penn Image Computing and Science Laboratory, Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania
John B. Pluta
Affiliation:
Penn Image Computing and Science Laboratory, Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania
Steven E. Arnold
Affiliation:
Department of Psychiatry, University of Pennsylvania, Philadelphia Pennsylvania Penn Memory Center, University of Pennsylvania, Philadelphia Pennsylvania
David A. Wolk
Affiliation:
Penn Memory Center, University of Pennsylvania, Philadelphia Pennsylvania Department of Neurology, University of Pennsylvania, Philadelphia Pennsylvania
*
Correspondence and reprint requests to: Selam Negash, Penn Memory Center, University of Pennsylvania, 3615 Chestnut Street, Philadelphia, PA 19104. E-mail: selamawit.negash@uphs.upenn.edu

Abstract

There is currently some debate as to whether hippocampus mediates contextual cueing. In the present study, we examined contextual cueing in patients diagnosed with mild cognitive impairment (MCI) and healthy older adults, with the main goal of investigating the role of hippocampus in this form of learning. Amnestic MCI (aMCI) patients and healthy controls completed the contextual cueing task, in which they were asked to search for a target (a horizontal T) in an array of distractors (rotated L’s). Unbeknownst to them, the spatial arrangement of elements on some displays was repeated thus making the configuration a contextual cue to the location of the target. In contrast, the configuration for novel displays was generated randomly on each trial. The difference in response times between repeated and novel configurations served as a measure of contextual learning. aMCI patients, as a group, were able to learn spatial contextual cues as well as healthy older adults. However, better learning on this task was associated with higher hippocampal volume, particularly in right hemisphere. Furthermore, contextual cueing performance was significantly associated with hippocampal volume, even after controlling for age and MCI status. These findings support the role of the hippocampus in learning of spatial contexts, and also suggest that the contextual cueing paradigm can be useful in detecting neuropathological changes associated with the hippocampus. (JINS, 2015, 21, 285–296)

Type
Research Articles
Copyright
Copyright © The International Neuropsychological Society 2015 

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