Abstract :
[en] Patients with Alzheimer’s disease (AD) are less accurate than controls to predict their
episodic performance, but they are as accurate as controls to predict their semantic
performance. However, the dissociation between episodic and semantic metamemory
had never been tested directly in the same patients. This study aimed to explore the
dissociation between episodic and semantic metamemory in AD using the feeling-ofknowing
paradigm. In addition, we investigated the link between memory awareness
and resting-state cerebral glucose metabolism and gray matter density, in episodic and
semantic tasks independently. Data from 50 patients with AD were compared to data
from 30 healthy controls. Results showed that patients with AD had more difficulties to
predict their recognition in the episodic task than in the semantic task, while this
difference was smaller in controls. However, this dissociation was only shown with a
measure of absolute accuracy, but not with a measure of relative accuracy. Lack of
awareness in the episodic task was associated with hypometabolism in right
frontoparietal areas in patients with AD, while semantic metamemory was associated
with gray matter integrity in the left angular gyrus. The consequence of metacognitive
bias and memory status on metamemory judgments are discussed.
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