Feelings Without Memory in Alzheimer Disease
Open accessAbstract
BACKGROUND: Patients with Alzheimer disease (AD) typically have impaired declarative memory as a result of hippocampal damage early in the disease. Far less is understood about AD's effect on emotion. OBJECTIVE: We investigated whether feelings of emotion can persist in patients with AD, even after their declarative memory for what caused the feelings has faded. METHODS: A sample of 17 patients with probable AD and 17 healthy comparison participants (case-matched for age, sex, and education) underwent 2 separate emotion induction procedures in which they watched film clips intended to induce feelings of sadness or happiness. We collected real-time emotion ratings at baseline and at 3 post-induction time points, and we administered a test of declarative memory shortly after each induction. RESULTS: As expected, the patients with AD had severely impaired declarative memory for both the sad and happy films. Despite their memory impairment, the patients continued to report elevated levels of sadness and happiness that persisted well beyond their memory for the films. This outcome was especially prominent after the sadness induction, with sustained elevations in sadness lasting for more than 30 minutes, even in patients with no conscious recollection for the films. CONCLUSIONS: These findings indicate that patients with AD can experience prolonged states of emotion that persist well beyond the patients' memory for the events that originally caused the emotion. The preserved emotional life evident in patients with AD has important implications for their management and care, and highlights the need for caretakers to foster positive emotional experiences.
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Prior work has shown that individuals with dementia, particularly those with impaired episodic memory, experience emotions for an extended time even when they can no longer remember the emotion-inducing event.
“This is particularly important as prior work has shown that individuals with dementia, particularly those with impaired episodic memory, experience emotions for an extended time even when they can no longer remember the emotion-inducing event [32].”
From A novel two-day intervention reduces stress in caregivers of persons with dementia (2018) · cites this paper as [32]
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Behavior and Emotion in Dementia
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Emotional enhancement of memory in Alzheimer’s disease dementia: a systematic review
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- Authors
- Guzmán-Vélez, E., Feinstein, J. S., & Tranel, D.
- Affiliations
- University of Iowa (US)
- Corresponding author
- Tranel, Daniel
- Venue
- Cognitive and Behavioral Neurology
- Published
- 2014-09
- Volume
- 27
- Issue
- 3
- Pages
- 117-129
- ISSN
- 1543-3633 (ISSN-L)
- PMC
- PMC4175156
- OpenAlex
- W2112683268
- Cited by
- 88
- References
- 66
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 12 · 2023: 6 · 2022: 6 · 2021: 6 · 2020: 9 · 2019: 7 · 2018: 14 · 2017: 9 · 2016: 5 · 2015: 7 · 2014: 1
- FWCI
- 5.59
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc-nd
- Locations
- Cognitive and Behavioral Neurology (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- National Institute of Neurological Disorders and Stroke (P01 NS19632, P01NS019632)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory Processes and Influences
- Keywords
- Alzheimer's disease, emotions, declarative memory, emotion induction, sadness, happiness, hippocampal lesions
- MeSH terms
- Aged, Aged, 80 and over, Alzheimer Disease, Emotions, Female, Happiness, Hippocampus, Humans, Male, Memory, Memory Disorders, Neuropsychological Tests, Time Factors, Case-Control Studies, Self Report
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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