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Brain structural changes after multi‐strategic metamemory training in older adults with subjective memory complaints: A randomized controlled trial

Youn, J-H; Ryu, S-H; Lee, J-Y; Park, S; Cho, S-J; Kwon, H; Yang, J-J; ... Yoon, DH; + view all (2019) Brain structural changes after multi‐strategic metamemory training in older adults with subjective memory complaints: A randomized controlled trial. Brain and Behavior , 9 (5) , Article e01278. 10.1002/brb3.1278. Green open access

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Abstract

BACKGROUND: Metamemory is the process of monitoring and controlling one's memory. Improving metamemory may reduce the memory problem in old age. We hypothesized that metamemory training (MMT) would improve cognition in older adults with subjective memory complaints and change the brain region related to metacognition. METHOD: We recruited and randomized older adults to the multi-strategic memory training of 10 weekly 90-min sessions, based on the metamemory concept or usual care. Cognitive tests including the Elderly Verbal Learning Test, Simple Rey Figure Test, Digit Span, Spatial Span, Categorical Fluency, and the Boston Naming Test were done in 201 participants, together with magnetic resonance imaging (MRI) in 49 participants before and after training. RESULTS: A total of 112 in the training group and 89 in the control group participated. The training group had a significant increase in long-term delayed free recall, categorical fluency, and the Boston Naming test. In MRI, the mean diffusivity of the bundles of axon tracts passing from the frontal lobe to the posterior end of the lateral sulcus decreased in the training group. CONCLUSION: These results indicate that the MMT program has a positive impact on enhancing older people' cognitive performance. Improved white matter integrity in the anterior and posterior cerebrum and increased cortical thickness of prefrontal regions, which related to metacognition, possibly suggest that the effects of the MMT would be induced via the enhancement of cognitive control.

Type: Article
Title: Brain structural changes after multi‐strategic metamemory training in older adults with subjective memory complaints: A randomized controlled trial
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/brb3.1278
Publisher version: https://doi.org/10.1002/brb3.1278
Language: English
Additional information: © 2019 The Authors. Brain and Behavior published by Wiley Periodicals, Inc. This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/).
Keywords: brain structure, cognitive function, metamemory, training
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/10072192
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