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Directed forgetting deficits in patients with temporal lobe epilepsy: An information processing perspective

Published online by Cambridge University Press:  01 September 1999

DAVID E. FLECK
Affiliation:
University of Cincinnati, Department of Psychiatry, Cincinnati, OH
DANIEL B. BERCH
Affiliation:
Center for Scientific Review, National Institutes of Health, Bethesda, MD
PAULA K. SHEAR
Affiliation:
University of Cincinnati, Department of Psychology, Cincinnati, OH
BRUCE K. SCHEFFT
Affiliation:
University of Cincinnati, Department of Psychology, Cincinnati, OH University of Cincinnati, Department of Neurology, Cincinnati, OH
MICHAEL D. PRIVITERA
Affiliation:
University of Cincinnati, Department of Neurology, Cincinnati, OH
STEPHEN M. STRAKOWSKI
Affiliation:
University of Cincinnati, Department of Psychiatry, Cincinnati, OH University of Cincinnati, Department of Psychology, Cincinnati, OH

Abstract

Although mesial temporal lobe brain damage is frequently associated with memory loss, it is unclear whether the deficit results entirely from a disruption in the processing of relevant information or whether it also reflects interference from irrelevant information. Directed forgetting is one procedure that can be used, along with standard tests of memory, to investigate this distinction. Seventeen patients with a diagnosis of complex–partial seizures of temporal lobe origin and 17 healthy volunteers were compared on lexical decision, free recall, and recognition tests in a directed-forgetting paradigm. These tests created a memory profile to measure the influence of task relevant and irrelevant information in implicit and explicit memory. Compared with healthy volunteers, the patients were significantly impaired on the memory tasks overall [F(5,25) = 5.01, p < .01]. Specifically, directed forgetting in lexical decision and recognition both discriminated between the groups [stepdown F(1,26) = 6.84, η2 = .26, p < .05 and stepdown F(1,25) = 5.36, η2 = .13, p < .05, respectively]. The results suggest that interictal memory performance in temporal lobe epilepsy may be disrupted in part because of a deficit in the differential processing of task relevant and task irrelevant information, particularly at retrieval. (JINS, 1999, 5, 549–555.)

Type
Research Article
Copyright
© 1999 The International Neuropsychological Society

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