Nicole D. Anderson
Healthy aging is accompanied by decrements in episodic memory and working memory. Significant efforts have therefore been made to augment episodic and working memory in healthy older adults. Two principal approaches toward memory rehabilitation adults are restorative approaches and compensatory approaches. Restorative approaches aim to repair the affected memory processes by repeated, adaptive practice (i.e., the trained task becomes more difficult as participants improve), and have focused on recollection training, associative memory training, object-location memory training, and working memory training. The majority of these restorative approaches have been proved to be efficacious, that is, participants improve on the trained task, and there is considerable evidence for maintenance of training effects weeks or months after the intervention is discontinued. Transfer of restorative training approaches has been more elusive and appears limited to other tasks relying on the same domains or processes. Compensatory approaches to memory strive to bypass the impairment by teaching people mnemonic and lifestyle strategies to bolster memory performance. Specific mnemonic strategy training approaches as well as multimodal compensatory approaches that combine strategy training with counseling about other factors that affect memory (e.g., memory self-efficacy, relaxation, exercise, and cognitive and social engagement) have demonstrated that older adults can learn new mnemonics and implement them to the benefit of memory performance, and can adjust their views and expectations about their memory to better cope with the changes that occur during healthy aging. Future work should focus on identifying the personal characteristics that predict who will benefit from training and on developing objective measures of the impact of memory rehabilitation on older adults’ everyday functioning.
Working memory as a temporary buffer for cognitive processing is an essential part of the cognitive system. Its capacity and select aspects of its functioning are age sensitive, more so for spatial than verbal material. Assumed causes for this decline include a decline in cognitive resources (such as speed of processing), and/or a breakdown in basic control processes (resistance to interference, task coordination, memory updating, binding, and/or top-down control as inferred from neuroimaging data). Meta-analyses suggest that a decline in cognitive resources explains much more of the age-related variance in true working memory tasks than a breakdown in basic control processes, although the latter is highly implicated in tasks of passive storage. The age-related decline in working memory capacity has downstream effects on more complex aspects of cognition (episodic memory, spatial cognition, and reasoning ability). Working memory remains plastic in old age, and training in working memory and cognitive control processes yields near transfer effects, but little evidence for strong far transfer.