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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Attention in normal aging and Alzheimer's disease

Corney, Patrick 26 January 2009
A large body of research has investigated various aspects of attention in normal aging and Alzheimers disease (AD). Most of the previous studies have shown that divided attention, the ability to attend to two tasks or stimuli simultaneously, declines in both normal aging and AD. In a recent study of attention, Baddeley, Baddeley, Bucks, and Wilcock (2001) reported findings that contrast with other divided attention research. Specifically, they found no effects of aging on divided attention. Taken in combination with their findings of age and AD effects on other aspects of attention, the authors concluded that age-equivalent results on divided attention tasks support the theory that attentional control should be viewed as a fractionated system. Study 1 considered methodological differences between the divided attention tasks used by Baddeley et al., and the tasks used by researchers who have reported age-related differences. Specifically, the effects of task difficulty on age effects were examined. Young, middle-aged, and older adults were compared on a dual-task procedure that combined a secondary visuomotor task (box joining) with a primary verbal task (month reciting) administered at two levels of difficulty. Results showed a significant Age x Task Difficulty interaction. That is, differences among age groups were proportionately greater in the difficult dual-task condition versus the easy condition, suggesting that age-related declines in divided attention may only be detected if tasks are sufficiently difficult.<p> Study 2 examined attention in normal aging and AD. Young adults, older adults, and early-stage AD patients were compared on tasks of selective attention, focal attention, and divided attention, with each task administered at two levels of difficulty. Similar Group x Task Difficulty interaction effects were detected for all attentional tasks, a finding which is more consistent with a general-purpose model than a fractionated model of attention. Study 3 considered attentional tasks from a clinical perspective. Specifically, the attentional tasks utilized in Study 2 were examined with respect to their ability to correctly classify individuals with early-stage AD and normal older adults. Findings showed that all attentional tasks successfully discriminated patients from cognitively healthy older adults, with one task of divided attention showing particularly impressive sensitivity and specificity. Findings of the three studies are discussed with regard to their implications for future research and clinical practice.
2

Attention in normal aging and Alzheimer's disease

Corney, Patrick 26 January 2009 (has links)
A large body of research has investigated various aspects of attention in normal aging and Alzheimers disease (AD). Most of the previous studies have shown that divided attention, the ability to attend to two tasks or stimuli simultaneously, declines in both normal aging and AD. In a recent study of attention, Baddeley, Baddeley, Bucks, and Wilcock (2001) reported findings that contrast with other divided attention research. Specifically, they found no effects of aging on divided attention. Taken in combination with their findings of age and AD effects on other aspects of attention, the authors concluded that age-equivalent results on divided attention tasks support the theory that attentional control should be viewed as a fractionated system. Study 1 considered methodological differences between the divided attention tasks used by Baddeley et al., and the tasks used by researchers who have reported age-related differences. Specifically, the effects of task difficulty on age effects were examined. Young, middle-aged, and older adults were compared on a dual-task procedure that combined a secondary visuomotor task (box joining) with a primary verbal task (month reciting) administered at two levels of difficulty. Results showed a significant Age x Task Difficulty interaction. That is, differences among age groups were proportionately greater in the difficult dual-task condition versus the easy condition, suggesting that age-related declines in divided attention may only be detected if tasks are sufficiently difficult.<p> Study 2 examined attention in normal aging and AD. Young adults, older adults, and early-stage AD patients were compared on tasks of selective attention, focal attention, and divided attention, with each task administered at two levels of difficulty. Similar Group x Task Difficulty interaction effects were detected for all attentional tasks, a finding which is more consistent with a general-purpose model than a fractionated model of attention. Study 3 considered attentional tasks from a clinical perspective. Specifically, the attentional tasks utilized in Study 2 were examined with respect to their ability to correctly classify individuals with early-stage AD and normal older adults. Findings showed that all attentional tasks successfully discriminated patients from cognitively healthy older adults, with one task of divided attention showing particularly impressive sensitivity and specificity. Findings of the three studies are discussed with regard to their implications for future research and clinical practice.
3

Histochemical markers of myelin damage and impaired remyelination in the aging rhesus monkey brain: relationship to cognitive performance

Estrada, Larissa Isabel 17 February 2016 (has links)
Myelin damage is known to increase in the normal aging brain and to correlate with age-related cognitive decline. While the causes of increased myelin damage are unknown, here we consider whether the brain’s innate capacity for remyelination diminishes with age and hence could contribute to myelin damage through slow accumulation of myelin defects. Maintenance and repair of myelin depends upon oligodendroglia precursor cells (OPCs), which must differentiate into a sufficient number of healthy mature oligodendroglia (oligos), the myelinating cell of the brain. The extracellular matrix molecule hyaluronic acid (HA) has been shown to inhibit maturation of OPCs into mature myelinating oligos. The present study examined aging changes in myelination using four markers: the damaged myelin basic protein (dMBP) antibody, a histochemical reaction to stain HA, and immunohistochemistry for OPCs and mature oligos. These markers were quantified using cell density (oligos and OPCs), percent area stained (HA and dMBP), and fluorescence intensity (HA and dMBP). Relationships between these markers, age, and behavioral measures of cognitive function were investigated using single and multiple regression analyses. Results showed that in the corpus callosum and cingulum bundle of the rhesus monkey, staining for dMBP as a marker of myelin damage strongly correlated with increases in HA. The increase in HA in the cingulum bundle correlated positively with age. OPC density increased with age in both the cingulum bundle and corpus callosum. Mature oligo density did not change significantly with age, but approached a significant increase in the cingulum and approached a significant decrease in the corpus callosum. The increase in OPC density correlated positively with both HA and dMBP in the cingulum bundle. These data are consistent with the hypothesis that HA accumulation contributes to myelin damage by inhibiting the differentiation of OPCs into mature oligodendrocytes, diminishing the brain’s innate capacity for remyelination with age.
4

A multimodal neuroimaging investigation of normal brain aging in younger and older adulthood

Scarapicchia, Vanessa 23 February 2022 (has links)
In many regions worldwide, older adults now form the fastest growing portion of the population. As such, aging research has seen tremendous growth in recent years, with a focus on identifying early biomarkers of age-related disease. However, crucial to understanding age-related disease is to identify what constitutes normal brain aging, and the life-course factors associated with positive outcomes in later life. In support of this goal, the current dissertation is comprised of three manuscripts that aim to investigate the functional and structural correlates of normal aging in a sample of community-dwelling younger and older adults, from both a multimodal and multi-analysis perspective. Study 1: The first study examined how cumulative cardiovascular risk and self-reported levels of physical, social, and cognitive activity are associated with differences in hippocampal volumes in early and later adulthood. Results indicated that greater cumulative cardiovascular risk was associated with smaller hippocampal volumes across age cohorts. Moreover, a negative association found between frequency of social activities and bilateral hippocampal volumes in older adults, suggesting that social activities with a low cognitive load may not be beneficial to structural brain outcomes in older age. Study 2: This study employed novel advances in functional magnetic resonance imaging (fMRI) to study fluctuations in the blood-oxygen-level dependent (BOLD) signal in relation to age and markers of brain health. Specifically, the study examined the relationship between resting-state BOLD variability and markers of both vascular health and lifestyle activity levels. Results indicated that resting-state BOLD variability is increased in older relative to younger adults. The findings also suggest that the association between BOLD variability and lifestyle activity levels may differ depending on age. Study 3: The final study aimed to further investigate the origins of the BOLD variability signal by examining the feasibility of combining functional near infrared spectroscopy (fNIRS) with fMRI brain signal fluctuation data. In addition to providing proof of concept of combining fNIRS hemoglobin metrics with fMRI BOLD variability maps, the results of this study also indicate that the patterns of regional association between resting hemoglobin concentrations and BOLD fluctuations may vary according to age cohort. Together, the three studies comprising this dissertation illustrate the value of adopting a multimodal, life-course perspective in the study of normal aging. These findings also support increasing evidence of a relationship between the BOLD variability signal and age. Given the limitations of cross-sectional designs for demonstrating change over time, longitudinal investigations with larger sample sizes across multiple age groups are needed to further the development of public health measures aimed at promoting successful aging from early adulthood. / Graduate / 2022-12-08
5

Differentiating between healthy control participants and those with mild cognitive impairment using volumetric MRI data

DeVivo, Renee 11 July 2018 (has links)
OBJECTIVE: To determine whether volumetric measures of the hippocampus or entorhinal cortex in combination with other cortical measures can differentiate between cognitively normal individuals and participants with amnestic mild cognitive impairment (MCI). METHODS: T1-weighted magnetic resonance imaging (MRI) data acquired from 46 cognitively normal participants and 50 participants with amnestic MCI as part of the Boston University Alzheimer's Disease Center research registry and the Alzheimer's Disease Neuroimaging Initiative were used in this cross-sectional study. Cortical and subcortical volumes, including hippocampal subfield volumes, were automatically generated from each participant’s structural MRI data using FreeSurfer v6.0. Nominal logistic regression models containing these variables were used to evaluate their ability to identify participants with MCI. RESULTS: A model containing 11 regions of interest (insula, superior parietal cortex, rostral middle frontal cortex, middle temporal cortex, pars opercularis, paracentral lobule, whole hippocampus, subiculum, superior temporal cortex, precentral cortex and caudal anterior cingulate cortex) fit the data best (R2 = 0.7710, whole model test chi square = 102.4794, p < 0.0001). CONCLUSIONS: Volumetric measures acquired from MRI were able to correctly identify most healthy control subjects and those with amnestic MCI using measures of selected medial temporal lobe structures in combination with those from other cortical areas yielding an overall classification of 95.83% for this dataset. These findings support the notion that while clinical features of amnestic MCI may reflect medial temporal atrophy, differences that can be used to distinguish between these two populations are present elsewhere in the brain. This finding further affirming that atrophy can be identified before clinical features are expressed. Additional studies are needed to assess how well other imaging modalities, such as resting state functional connectivity, diffusion imaging, and amyloid and tau position emission tomography (PET), perform in classifying participants who are cognitively normal versus those who are amnestic MCI.
6

Localization and characterization of myelin damage in behaviorally characterized normal aging and calorie restricted rhesus macaques using quantitative immunofluorescence

Haque, Haroun Ihsan 26 February 2024 (has links)
The normal aging process in humans is characterized by a number of hallmark changes including decreased white matter volume in the brain and accompanying cognitive decline. This is in contrast to neurodegenerative aging processes which involve acute pathology which results in neuronal cell death. Studying non-degenerative normal aging in humans can be difficult because of the high prevalence of neurodegenerative diseases in the population and other potentially confounding effects. Rhesus monkeys are an excellent model organism for the study of normal aging, as their aging process has been demonstrated to involve diminished white matter volume, but they do not suffer from neurodegenerative diseases such as Alzheimer's. In this study we seek to quantify levels of myelin degradation using confocal microscopy in regions of interest where it has been previously demonstrated that loss of white matter integrity results in lower levels of cognitive function across different treatment groups including aging monkeys, calorie restricted monkeys, and controls for calorie restricted monkeys. These areas include prefrontal white matter which is vital to executive function, the hippocampus which is integral to memory consolidation and the learning process, and finally the anterior, middle, and posterior cingulum bundle. The cingulum bundle contains a diverse variety of projections between cortical and subcortical regions, including but not limited to projections to and from the cingulate cortex which has been demonstrated to be vital for emotional processing, the limbic system, and a wide spectrum of other functions. We aim to quantify white matter degradation in these regions by using immunofluorescent tagging for healthy myelin basic protein (MBP) and degraded myelin basic protein (dMBP) and by measuring the colocalization between the two. For prefrontal white matter and hippocampus, we did not find significant differences in myelin degradation across treatment groups. In the cingulum bundle, however, we did find a significant effect of treatment on overall myelin damage throughout the bundle, and in particular we determined that there was a significant difference in colocalization in the anterior cingulum bundle between aging monkeys and control calorie restricted monkeys. Analysis of behavioral testing data yielded surprising results as we were unable to find a strong correlation between our measure for myelin degradation, and level of cognitive impairment. Our results indicate that there are likely differences in regional vulnerability to age related myelin damage across different white matter regions of the brain, however we would like to expand on this study to gain a more accurate understanding of how loss of white matter volume is distributed through the brain and the impact that has on cognitive outcomes.
7

Comment la mémoire procédurale optimise l’apprentissage au cours du vieillissement / How procedural memory optimizes learning in aging

Chauvel, Guillaume 25 November 2011 (has links)
Le vieillissement, normal ou pathologique, s’accompagne de déficits marqués de la mémoire épisodique et de la mémoire de travail. Dès lors, est-il possible d’optimiser l’apprentissage moteur en s’appuyant sur d’autres registres de mémoire éventuellement moins affectés, voire épargnés, par les effets du temps ? Dans les trois expériences que nous avons menées, la prédominance d’un registre de mémoire sur un autre a été manipulée en contrastant les effets, lors de la réalisation de 160 essais d’une tâche sensorimotrice (le putting au golf), de deux méthodes distinctes d’apprentissage : la méthode en condition d’erreurs fréquentes supposée solliciter les processus mnésiques déclaratifs (mémoire épisodique et mémoire de travail) vs la méthode en condition d’erreurs peu fréquentes supposée solliciter les processus mnésiques procéduraux. Dans l’Étude 1, nous avons testé, chez des adultes jeunes et âgés, l’efficacité de ces méthodes et la nature des processus en jeu lors de la réalisation simultanée d’une tâche secondaire coûteuse en attention. Dans l’Étude 2, nous avons comparé les performances motrices entre des adultes jeunes, plus âgés, et des patients Alzheimer. Dans l’Étude 3, nous avons évalué les effets de la verbalisation des actions motrices produites durant l’apprentissage sur les processus mnésiques sous-tendant la performance motrice d’adultes jeunes et plus âgés. Les résultats de l’Étude 1 montrent que l’apprentissage est affecté par le vieillissement lorsque prédominent les processus déclaratifs mais qu’il est préservé des effets du temps lorsque prédominent les processus procéduraux. Les résultats de l’Étude 2 démontrent que l’apprentissage est préservé des effets de la maladie d’Alzheimer lorsque prédominent les processus procéduraux. Les résultats de l’Étude 3 révèlent que la verbalisation affecte les processus déclaratifs mais n’a pas d’effet sur les processus procéduraux chez les adultes jeunes et qu’elle n’a aucun effet sur ces deux types de processus chez les adultes plus âgés. Ces résultats attestent qu’il est possible de « contourner » la mémoire déclarative et les déficits survenant avec l’âge ou avec la maladie en s’appuyant sur une mémoire procédurale intacte, ce qui a pour effet d’optimiser l’apprentissage moteur. / Normal or pathological aging is characterized by specific deficits in episodic and working memories. Therefore, is it possible to optimize motor learning with advancing age, by utilizing other memory processes hypothesized to be less affected or even spared from aging? We conducted three experiments in which the predominance of one memory system over another was manipulated by contrasting the effects, across 160 trials of a sensorimotor task (golf putting), of two different learning methods: the infrequent-error method hypothesized to primarily rely upon declarative memory vs. the frequent–error method hypothesized to primarily rely upon procedural memory. In Experiment 1, we tested in young and older adults the efficiency of these methods and the nature of processes involved when a secondary, attention-demanding task was performed concurrently. In Experiment 2, we compared the motor performance between young and older adults and Alzheimer patients. In Experiment 3, we assessed the effects of verbalizing previous motor actions produced during learning on processes underlying young and older adults’ motor performance. The results of Experiment 1 showed that learning is affected by aging when declarative processes are predominant but is protected from advancing age when procedural processes are predominant. The results of Experiment 2 demonstrated that learning is preserved from Alzheimer’s disease when procedural processes are predominant. The results of Experiment 3 revealed that verbalization affects declarative processes but has no effect on procedural processes in young adults, and that it has no effect on these two types of processes in older adults. Altogether, these results show that “bypassing” declarative memory and its deficits occurring with advancing age or disease is doable by utilizing intact procedural memory, thus leading to an optimized motor learning.
8

Stratégies de récupération et de sélection de l'information lexicale au cours du vieillissement sain : .Evaluation multimodale des mécanismes de réorganisation cérébrale et impact des activités sociales sur les performances de dénomination orale d'objets / Lexical retrieval and selection strategies in normal aging. : A multimodal assessment of cerebral reorganization mechanisms and of the effect of social activities on object naming performance

Hoyau, Elena 30 November 2018 (has links)
Lors du vieillissement sain, et malgré une augmentation de la fréquence d’apparition du manque du mot, les personnes âgées manifestent une préservation des performances de dénomination orale d’objets (DO), suggérant la mise en place de stratégies efficaces de récupération et de sélection de l’information lexicale. Dans ce travail de thèse, nous avons utilisé une approche méthodologique multimodale afin d’évaluer la nature de ces stratégies. Nous nous sommes plus spécifiquement intéressés aux mécanismes de réorganisation cérébrale ainsi qu’aux activités sociales comme facteur de réserve cognitive. Ce travail de thèse se décompose en cinq études et aborde une perspective homogène (effet de l’âge) et hétérogène (effet des performances) du vieillissement. Nos résultats mettent en évidence l’existence de différents mécanismes de compensation associés au vieillissement sain. Tout d’abord, nous observons que les personnes âgées sont plus lentes que les jeunes adultes lors de la DO, mais obtiennent un taux de précision similaire. D’après la perspective homogène, le maintien des performances de DO s’expliquerait par le recrutement d’une stratégie de nature sémantique. Au niveau cérébral, nous observons une augmentation de l’asymétrie intra-hémisphérique gauche des régions temporo-pariétales chez les personnes âgées, ainsi qu’un transfert de la connectivité normalement observée du gyrus frontal inférieur (GFI) gauche avec le gyrus temporal latéral au gyrus temporal médial gauche. D’après la perspective hétérogène, le maintien des performances de DO s’expliquerait par l’utilisation d’une stratégie de nature exécutive, reflétée par une réduction de l’asymétrie inter-hémisphérique frontale chez les personnes âgées dont les temps de réponse de DO sont courts. Par ailleurs, nous proposons que l’encodage lexico-phonologique module également le taux de précision de DO, via la connectivité effective entre le GFI gauche et le gyrus temporal supérieur gauche. Enfin, nous observons une relation significative entre la fréquence de participation aux activités sociales, notamment collectives, et les performances de DO. Cette relation est partiellement médiée au niveau cérébral par l’activité du gyrus frontal supérieur médian gauche, via un mécanisme de réserve neurale. Sur la base de nos résultats, nous proposons un modèle neurocognitif des stratégies de récupération et de sélection de l’information lexicale, utilisant une approche multimodale et plurifactorielle du vieillissement sain. / Despite increased difficulties to find words in the daily life, older adults show preserved object naming performances when compared to younger ones. This suggests a supplementary recruitment of compensatory strategies in order to retrieve and select words. In this research work, we have used a multimodal methodological approach to evaluate the nature of these strategies, by using an object naming task. Specifically, we have evaluated these strategies in terms of mechanisms of cerebral reorganization. We were also interested to know how these strategies are modulated by the frequency of social activities, considered as a factor of cognitive reserve. This thesis work is composed of five studies performed under a homogeneous (effect of age) and a heterogeneous (effect of performance) perspective. Based on results, we suggest that aging is associated with multiple compensatory mechanisms to maintain a correct level of performance. Specifically, according to the homogeneous perspective, we consider that preserved object naming performances in older adults might be explained by the use of a semantic strategy. Indeed, in older compared to younger adults and at a cerebral level, we observed increased left hemispheric asymmetry with significant recruitment of the temporo-parietal regions. In addition, the inferior frontal gyrus (IFG) that is connected to the lateral temporal cortex in younger adults, seems to “switch” its connectivity toward the left medial temporal gyrus in older adults. In addition, according to the heterogeneous perspective, preserved object naming performances in older adults can be also explained by the use of an executive strategy, reflected by reduced inter-hemispheric asymmetry of frontal regions, specifically in more performant older adults (with shorter response latencies). Furthermore, we suggest that lexico-phonological processes mediate naming accuracy as reflected by the increased connectivity from the left IFG to the left superior temporal gyrus. A final result that we report in this work indicates that the frequency of participation to group social activities correlates to naming performance in older adults. This relation is partially mediated by the left superior medial frontal gyrus and is assimilated to a neural reserve mechanism. Overall, based on our findings, we propose a neurocognitive model of lexical retrieval and selection strategies in normal aging, based on a multimodal dataset and a multifactorial approach.
9

Contrôle attentionnel et vieillissement normal : contribution à la mémoire de travail et variabilité interindividuelle

Sylvain-Roy, Stéphanie 03 1900 (has links)
Dans le contexte actuel du vieillissement de la population, il importe de s’intéresser aux changements qui surviennent avec l’avancement en âge. Le vieillissement s’accompagne de modifications pour différentes fonctions cognitives, dont la mémoire de travail (MdeT), un système permettant le maintien temporaire et la manipulation d’une petite quantité d’informations. Les travaux de cette thèse portent sur le vieillissement normal de la MdeT et des fonctions de contrôle attentionnel (FCA) qui la sous-tendent (l’alternance, l’inhibition et la mise à jour). D’abord, la première étude (Chapitre II) visait à préciser l’effet du vieillissement normal sur la MdeT et sur chacune des FCA qui la sous-tendent. Elle avait également pour but d’identifier les FCA qui contribuent à la réalisation de différentes tâches de MdeT, et si cette contribution diffère selon le groupe d’âge. Des tâches mesurant chacune des FCA ainsi que des tâches de MdeT ont été administrées à des personnes âgées et à des jeunes adultes. Les analyses contrôlant pour le ralentissement cognitif ont révélé que les habiletés d’alternance et de mise à jour sont préservées chez les personnes âgées, mais que l’inhibition est atteinte comparativement aux jeunes adultes. Les analyses ont également montré que l’impact du vieillissement sur la MdeT dépend de la tâche utilisée. Enfin, les résultats ont indiqué que la contribution des FCA à la MdeT dépend à la fois de la tâche de MdeT et du groupe d’âge. En particulier, la mise à jour contribue davantage à la MdeT des personnes âgées qu’à celle des jeunes, ce qui pourrait refléter une tentative de compensation. La seconde étude (Chapitre III) avait pour objectif de caractériser la variabilité interindividuelle au niveau des FCA, pour les personnes âgées et pour les jeunes adultes. Des analyses hiérarchiques en grappes réalisées sur les habiletés d’alternance, d’inhibition et de mise à jour, ont permis de déterminer si différents profils de contrôle attentionnel étaient présents. L’étude cherchait également à déterminer si les individus appartenant à des profils de contrôle attentionnel distincts diffèrent quant à certaines variables intellectuelles ou de santé. Les analyses ont mis en évidence trois profils de contrôle attentionnel distincts parmi les personnes âgées, l’inhibition étant une FCA critique pour distinguer entre les trois sous-groupes. Trois profils de contrôle attentionnel ont également été identifiés chez les jeunes adultes, et ces profils étaient caractérisés par moins de variabilité intra-individuelle que ceux des âgés. Les analyses ont par ailleurs montré que les profils de contrôle attentionnel se distinguent sur certaines variables intellectuelles et de santé. Les implications théoriques et cliniques de ces résultats seront discutées en fin de thèse (Chapitre IV). / As the population is aging, it is increasingly important to study the changes that occur with advancing age. Normal aging is characterized by changes in various cognitive functions, such as working memory (WM), a limited capacity system that temporarily holds and manipulates a small quantity of information. The work presented in this thesis focused on the normal aging of WM and of the attentional control functions (ACFs) that underlie this system (shifting, inhibition, and updating). The first study (Chapter II) aimed at exploring the impact of normal aging on WM and on each of the ACFs. We also sought to determine which ACFs contribute to performance on different WM tests, and whether age group has an impact on those contributions. Tasks measuring each ACF as well as WM tasks were administered to healthy older adults and to younger adults. The analyses controlling for cognitive slowing revealed that older adults’ shifting and updating abilities are preserved, but that their inhibition abilities are impaired compared to younger adults. Moreover, the impact of normal aging on WM is task-dependent. The results also indicated that the relative contribution of the ACFs to WM depends on both the WM task used and the age group. In particular, older adults relied more than younger adults on updating to perform WM tasks, which might reflect a compensation attempt. The second study (Chapter III) aimed at characterizing interindividual variability in the ACFs of both older and younger adults. Cluster analyses were performed on the shifting, inhibition, and updating abilities, in order to determine whether different attentional control profiles were present. This study also explored whether the individuals that belonged to distinct attentional control profiles differed as to intellectual and health variables. The analyses revealed three attentional control profiles among older adults, and inhibition was the ACF for which the three profiles differed the most. Three attentional control profiles were also identified among younger adults, and their profiles were characterized by less intra-individual variability than those of older adults. The results also showed that individuals belonging to different attentional control profiles differed on some intellectual and health variables. The theoretical and clinical implications of those findings are discussed in Chapter IV.
10

Traitement vocal et vieillissement normal : apports comportementaux et neurofonctionnels

Bélizaire, Guylaine 01 1900 (has links)
La voix est tout sauf un stimulus auditif ordinaire. Pour cause, elle prend son importance de manière très précoce chez l’Homme lorsque, dans l’environnement amniotique, le fœtus entend pour la toute première fois la voix de sa mère. C’est en quelque sorte par l’intermédiaire de cette voix que les premiers contacts avec le monde extérieur, mais également avec l’Autre, s’effectuent. Le statut particulier de la voix humaine perdure au fil du développement, devenant plus tard le principal médium véhiculant le langage oral, si significatif pour l’Homme. En parallèle, et de manière tout aussi adaptative, elle permet la transmission d’informations non langagières renseignant sur l’identité, l’état émotionnel mais également le statut social de chaque individu. C’est ainsi que simplement en entendant la voix d’une personne inconnue, il est généralement possible d’en extrapoler son âge, son genre, mais également d’avoir une idée assez précise de l’état émotionnel dans lequel elle se trouve. Les capacités permettant d’extraire de la voix les divers éléments informationnels qu’elle contient ne seraient toutefois pas stables au fil du temps. Ainsi, le vieillissement normal semble associé à des difficultés de traitement des informations vocales de nature langagière, mais également non langagière. De nombreuses études se sont intéressées au déclin des capacités de traitement du discours avec l’âge. Beaucoup moins de travaux ont cependant considéré les conséquences du vieillissement sur le domaine paralinguistique et, lorsque des travaux s’y sont attardés, c’est essentiellement la sphère affective qui a été investiguée. En raison de ce peu d’études, mais également de leur focus portant spécifiquement sur la sphère émotionnelle, il est extrêmement ardu de généraliser les résultats obtenus au traitement vocal général. La présente thèse s’est donc intéressée aux capacités de traitement de la voix dans le vieillissement normal. La première étude de cette thèse (Article 1) avait pour objectif d’évaluer l’impact du vieillissement normal sur les capacités comportementales de traitement paralinguistique vocal non émotionnel. Pour ce faire, une batterie informatisée composée de quatre tâches a été élaborée : la batterie d’évaluation de la perception vocale (Batterie EPV; tâches de catégorisation de genre, de discrimination de sources sonores, adaptative de discrimination et de mémorisation). Cette batterie permettait de comparer les performances d’adultes jeunes et âgés lors du traitement de stimuli vocaux et non vocaux, mais également lors du traitement de divers stimuli vocaux. Cette première étude met en évidence, pour trois des quatre tâches comportementales, des performances inférieures chez les adultes âgés et ce, malgré le contrôle statistique des contributions du déclin auditif et cognitif. Pour les aînés, le traitement de stimuli vocaux, en comparaison au traitement de stimuli non vocaux, n’était toutefois pas systématiquement inférieur à celui des jeunes adultes. Sans que les performances ne puissent être prédites par la mesure cognitive utilisée comme covariable (performances au MoCA), il appert que les demandes cognitives inhérentes aux tâches participent à ces différences intergroupes. Le second article de ce travail visait quant à lui à explorer à l’aide de l’imagerie par résonnance magnétique fonctionnelle (IRMf), l’influence du vieillissement normal sur les réseaux neuronaux sous-tendant le traitement de l’information vocale, une telle investigation n’ayant jamais été effectuée auparavant. Pour ce faire, une tâche d’écoute passive (permettant le contraste de blocs de sons vocaux et non vocaux) ainsi qu’une tâche adaptative de discrimination ont été utilisées. La tâche adaptative, basée sur une type de protocole psycoacoustique « up-down », assurait l’obtention de niveau de performance équivalent entre les deux groupes, une condition nécessaire pour la comparaison de groupe au niveau neurofonctionnel. La comparaison des adultes jeunes et âgés n’a mis en évidence aucune disparité quant au recrutement des aires répondant préférentiellement à la voix : les aires vocales temporales (AVT). Ce résultat suggère que l’âge n’affecte pas la mobilisation des aires spécialisées dans le traitement de la voix. Néanmoins, à l’extérieur des AVT et chez les aînés, le sous recrutement d’une portion du cortex auditif a été observé, en parallèle au recrutement additionnel de régions pariétale, temporale et frontale (Article 2 – Étude 1). Lors de la réalisation d’une tâche adaptative de discrimination, contrairement à ce qui était attendu, les seuils de discrimination des deux groupes d’âges étaient comparables. Pour effectuer la tâche, les participants âgés ont cependant recruté un réseau neuronal plus étendu que celui des jeunes adultes, et pour les aînés, l’activation additionnelle de régions frontale et temporale sous-tendaient la réalisation de la tâche (Article 2 - Étude 2). Les données comportementales présentées dans cette thèse suggèrent que l’effet délétère que semble avoir le vieillissement normal sur les capacités de traitement paralinguistique vocal affectif est également retrouvé lors du traitement d’informations vocales émotionnellement neutres. En parallèle, la mise en place de phénomènes de plasticité cérébrale est objectivée. Ces derniers ne toucheraient cependant pas les réseaux spécialisés dans le traitement de la voix, qui seraient recrutés de manière comparable par les adultes jeunes et âgés. Néanmoins, la tâche d’écoute passive a mis en évidence la présence, chez les aînés, du recrutement sous-optimal d’une portion du cortex auditif (gyrus temporal transverse). En parallèle, et ce pour les deux tâches, des réseaux neuronaux surnuméraires étaient sollicitées par les adultes âgés, permettant potentiellement d’assurer, chez les ainés, le maintien de performances adéquates. / Amongst all the sounds present in our environment, the human voice is probably the most significant one. Indeed, it takes its importance very early on, when, in the amniotic environment, the foetus hears the voice of its mother. Through this voice, the first contacts with the World but also with others are made. This special status of voice remains during the development, since it later becomes the medium via which speech is carried. Indeed, not only does voice convey oral language, but it also passes on a wide array of paralinguistic information characterising each individual. In fact, simply by hearing a voice, we are generally able to determine the age, identity, social status but also the mood in which the speaker is at the moment. However, during normal aging, the processing of the information contained in voice, may it be linguistic or not, appears to become more difficult. In the paralinguistic domain, the deleterious effects of normal aging were mainly explored via affective prosody. It is thus quite difficult to generalize those results to the processing of vocal information in general. In addition, cerebral reorganization accompanying normal aging was characterized for speech perception, but the effects of age on the cerebral processing of paralinguistic vocal information still remain unclear. The main purpose of this work was to palliate to this shortcoming. The first study presented in this thesis (Article 1) evaluated the impact of normal aging on the behavioral processing of non affective paralinguistic vocal information by comparing the performances of young and older adults. To do so, a computerized battery was created: the Voice Perception Assessment battery, which comprised four behavioral tasks (VPA battery; gender categorization task, auditory source discrimination task, adaptive discrimination task and memory task). The tasks created allowed the comparison of vocal and non vocal processing, as well as the comparison of the processing of different types of vocal stimuli. Our results indicate that, while controlling for cognitive and auditory decline, older adults were less efficient than younger participants for three of the four VPA tasks. However, a systematic age-related decline for vocal processing was not observed. The task performances could not be predicted by the cognitive measure selected as a control variable (MoCA scores). However, the disparities in task demands seem to explain a portion of the paralinguistic vocal processing age-related decline observed. The main purpose of the second article was to empirically assess, using functional magnetic resonance imagery (fMRI), the impact of normal aging on the neural networks underlying the processing of human voice, as it has never been done yet. To do so, a passive listening task (contrasting vocal and non vocal blocks of sounds) and an adaptive discrimination task were used. The adaptive task, based on a transformed up-down protocol, allowed us to insure equivalent performance levels in both age-groups, a necessary condition to neurofunctional group comparison. Our results indicate that young and older adults recruited similarly the cortical areas preferentially responding to voice, the Temporal Voice Areas (TVA). In parallel, outside the TVA, an age-related under recruitment of a portion of the auditory cortex was observed, as well as an over recruitment of parietal, temporal and frontal regions (Article 2 – Study 1). For the adaptive discrimination task, contrary to what was expected, the discrimination thresholds of both age-groups were similar. Nevertheless, to be able to perform the task, older adults needed to engage cortical regions in the temporal and frontal lobes that younger adults did not recruit (Article 2 – Study 2). The behavioral data presented in this work suggest that normal aging can be associated with a decline of the capacity to process non affective paralinguistic vocal information. The observed age-related differences appear to be more salient when the cognitive demands of the task are high. In parallel, mechanisms of cerebral plasticity appear to take place as well. Those phenomena however do not seem to affect the way the cortical areas specialized in the processing of human voice are recruited, which remains the same between young and older adults. However, the passive listening task elicited an age-related under-recruitment for a portion of the auditory cortex (left transverse temporal gyrus). Both for the passive listening task and the adaptive discrimination task, an over-recruitment of additional networks were observed for older adults. This extended network could contribute to the preservation of adequate performance in older adults.

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