Episodic Memory and Metamemory in Parkinson's Disease Patients

This study investigated episodic memory and metamemory for verbs and nouns in patients who have cognitive impairments associated with Parkinson's disease (PD). PD patients and healthy control participants were asked to recall word pairs and provide feeling-of-knowing (FOK) judgments for the items they were unable to recall. This was followed by a 4-alternative recognition test. PD patients were impaired in both recall and recognition, compared with controls. In terms of metamemory, PD patients were less confident in their ability to recognize the unrecalled items in a future recognition test. Most important, accuracy of PD patients' FOK judgments was not above chance and was lower than that of control participants. The PD group correctly recognized fewer verbs than nouns, but type of material (verb vs. noun) had no impact on recall or FOK judgments. In addition, contribution of executive functions to FOK accuracy was different in PD patients and controls.