The evolution of accelerated long-term forgetting: Evidence from the TIME study

Sharon Savage, Serge Hoefeijzers, Fraser Milton, Claire Streatfield, Michaela T. Dewar, Adam Zeman

Research output: Contribution to journalArticle

2 Citations (Scopus)
25 Downloads (Pure)

Abstract

Objective
Accelerated long-term forgetting (ALF) occurs when newly learned information decays faster than normal over extended delays. It has been recognised most frequently in temporal lobe epilepsy, including Transient Epileptic Amnesia (TEA), but can also be drug-induced. Little is known about the evolution of ALF over time and its impacts upon other memory functions, such as autobiographical memory (ABM). Here we investigate the long-term outcome of ALF and ABM in a group of patients with TEA and a single case of baclofen-induced ALF.

Methods
Study 1 involved a longitudinal follow-up of 14 patients with TEA over a 10-year period. Patients repeated a neuropsychological battery, three ALF measures (with free recall probed at 30-minutes and 1-week), and a modified Autobiographical Memory Interview. Performance was compared with a group of healthy age-matched controls. In Study 2, patient CS, who previously experienced baclofen-induced ALF, was followed over 4 years, and re-tested now, 18 months after ceasing baclofen. CS repeated a neuropsychological battery, three ALF experimental tasks (each probed after 30 minutes and 1 week), and a modified autobiographical interview. Her performance was compared with healthy age-matched controls.

Results
On ALF measures, the TEA group performed significantly below controls, but when analysed individually, 4 of the 7 patients who originally showed ALF no longer did so. In two, this was accompanied by improvements in ABM for recent but not remote memory. Patient CS no longer demonstrated ALF on standard lab-based tests and now appeared to retain new episodic autobiographical events with a similar degree of episodic richness as controls.

Conclusion
Long-term follow up suggests that ALF can resolve, with improvements translating to recent ABM in some cases.
Original languageEnglish
Pages (from-to)1-40
Number of pages40
JournalCortex
Early online date6 Oct 2017
DOIs
Publication statusE-pub ahead of print - 6 Oct 2017

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