Functional health literacy was markedly lower among older age groups even after adjusting for differences in MMSE performance, newspaper reading frequency, health status, and visual acuity. Future studies should prospectively examine whether functional literacy declines with age and whether this is explained by declines in cognitive function.

The effects of aging on visuospatial attention were investigated with event-related brain potentials (ERPs). A central arrow pointed towards (75% valid cues) or away from (25% invalid cues) the location of upcoming visual targets to which subjects made two choice discriminations. Young and older adults responded faster following valid than invalid cues. The absolute magnitude of the cueing effect was larger for older than young subjects, but cueing effects were similar between groups when estimated proportionally to overall response time. Under the present conditions, the electrophysiological manifestations of visuospatial attention were similar for young and older adults. Early ERP components following the target stimulus (P1, N1, Nd1) were slower for older than young subjects, but amplitude was similarly affected by cueing in each group. The temporal correspondence between component latencies and the observed cueing effects are consistent with theories positing that attention amplifies the sensory gain of early perceptual processes. The observation that aging slowed latency of the ipsilateral but not the contralateral P1, is consistent with age differences in interhemispheric transfer times. A broadly distributed 200 -400 ms validity effect on ERP amplitude was similar between groups in timing, spatial distribution, and magnitude. The 200 -400 ms attention effect appeared to be a modulation of the P3 in younger subjects, as earlier observed. However, the present study dissociated the 200 -400 ms attention effects from the P3 component because the P3 did not peak until 526 ms in older subjects. © 2001 Elsevier Science Ltd. All rights reserved. www.elsevier.com/locate/neuropsychologia

Noncognitive behavioral symptoms occurring during the prior week were studied in 34 Alzheimer's disease (AD) patients and 21 spousal control subjects via caregiver and patient interviews using the Behavioral Pathology in Alzheimer's Disease Rating Scale and the Cornell Scale for Depression in Dementia. Delusional or paranoid features were reported in 13 subjects (38%) and hallucinations in six (18%); patients with these psychoticlike symptoms had lower scores on the Folstein's Mini-Mental State Examination. Other behavioral symptoms reported in AD patients included anxiety (50%) and activity disturbances (44%). Six AD subjects (18%) and two controls (10%) showed mild to moderate symptoms of depression; AD subjects were more likely than controls to show behavioral signs and symptoms of depression, but the two groups did not differ in terms of mood-related, cyclical, or physical signs and symptoms.