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DOI 10.3233/RNN-2009-0492
IOS Press
Abstract. Purpose: Several recent studies show that training can improve working memory (WM) performance. In this review,
many issues related to WM training, such as neural basis, transfer effects, and age-related changes are addressed.
Method: We focus on our own studies investigating training on tasks taxing the executive updating function and discuss our
findings in relation to results from other studies investigating training of the executive component of WM.
Results: The review confirms positive behavioral effects of training on working memory. The most common neural pattern
following training is fronto-parietal activity decreases. Increases in sub-cortical areas are also frequently reported after training,
and we suggest that such increases indicate changes in the underlying skill following training. Transfer effects are in general
difficult to demonstrate. Some studies show that older adults increase their performance after WM training. However, transfer
effects are small or nonexistent in old age.
Conclusions: The main finding in this review is that sub-cortical areas seem to have a critical role in mediating transfer effects
to untrained tasks after at least some forms of working memory training (such as updating).
Keywords: Fronto-parietal changes, subcortical changes, executive training, fMRI, transfer effects, aging
0922-6028/09/$17.00 2009 – IOS Press and the authors. All rights reserved
406 E. Dahlin et al. / Training of the executive component of working memory
the amount of training is a critical factor for training- Kramer (1999) and Karbach and Kray (in press) used
related changes, and will highlight this factor. Sever- 4 sessions of training on task switching (the trained
al studies have revealed that it is possible to increase tasks were not identical, albeit similar), but the ES in
performance (Brehmer et al., 2008; Jaeggi et al., 2008; Kramer (1999) were < 1.5 whereas the ES in Karbach
Olesen et al., 2004; Westerberg and Klingberg, 2007), and Kray (in press) were 3. The main difference
reduce reaction times (Karbach and Kray, in press), and between the studies was the length of the training pe-
decrease error rate (Hempel et al., 2004) on WM tasks riod. In Kramer (1999) participants trained for one
after longer (> 1 week) training periods. It has also week, whereas in Karbach and Krays (in press) they
been found that it is possible to reduce reaction times trained for four weeks. This is one example where the
(Bherer et al., 2005; Garavan et al., 2000; Jansma et al., same number of training sessions can produce different
2001) and error rate (Landau et al., 2004) after shorter training-related effects depending on the total length
(< 1 week) periods of WM training. In all studies list- of the training period. Studies that investigate this is-
ed above, performance continued to change throughout sue in a systematic way are warranted, but a tentative
the training period, which raises questions about the conclusion we can draw is that longer training periods
optimal length of the training period. At present, lit- and more training sessions in yields larger effects on
tle is known about optimal lengths of training periods, trained tasks.
number of training sessions, and number of training In line with the impression that higher levels of train-
tasks. The fact that different dependent measures are ing lead to larger training-related gains, a recent study
used in various studies does not facilitate comparisons. (Jaeggi et al., 2008), where participants trained on an n-
That said, we estimated the relation between length back task for 8, 12, 17, or 19 days, found that groups re-
of training period and the size of training-related ceiving more training showed larger gains compared to
changes (see Table 1). To do so, we divided 22 studies groups receiving less training. Interestingly, the pattern
into three groups; 1 (Effect Size, ES 1.5), 2 (ES > was dose-dependent; performance increased gradually
1.5 and ES < 3.0), and 3 (ES 3.0), based on cal- with the number of days practiced. We found a similar
culated effect sizes on the dependent measures ((post pattern of dose-dependent effects when we calculated
training – baseline)/standard deviation at baseline). All effect sizes across training weeks (Dahlin et al., 2008).
were current studies that investigated training of the The average performance during training session 1–3
executive component of WM to some extent. In studies (week 1), session 4–6 (week 2), session 7–9 (week 3),
where several dependent measures for a given task were session 10–12 (week 4), and session 13–15 (week 5)
used, we calculated effect sizes on the measure which were subtracted from pre-test performance (baseline)
revealed the most pronounced effect. Further, if sever- and divided by the standard deviation at pre-test. We
al criterion tasks were included, the most executively found that the ES for week 1 = 0.97; ES week 2 =
demanding task was analyzed. 1.81; ES week 3 = 2.25; ES week 4 = 2.51; and ES
A comparison of the length of training periods in week 5 = 2.76 (ES for post-training = 3.00). If these
studies listed in groups 1 and 3 revealed that higher lev- patterns reflect number of training sessions or a longer
els of training-related changes were reported in studies training period remains unknown.
where participants received longer periods of training As previously mentioned, even brief periods of train-
compared to studies where participants received short- ing can lead to behavioral changes in the criterion task.
er periods of training. Hence, from the estimation of In fact, the most common pattern when testing healthy
ES in Table 1 it seems as if the length of the training participants on a task more than once is a change, i.e.
period is a critical factor for the magnitude of the train- a test-retest effect, on the repeated task (Levine et al.,
ing gains. However, it is a simplification to only dis- 2004). To control for such effects, it is imperative to
cuss length of training period, as type of training tasks include control groups in all training studies. There are
and number of training sessions are presumably also however a lot of training studies not including control
important factors. Not surprisingly, the general pattern groups (Table 1) even if the importance of such groups
in Table 1 is that more sessions of training resulted in have been frequently discussed over the years. We in-
larger effect sizes. The fact that almost all of the stud- cluded both trained and untrained participants in a re-
ies in Table 1 that used long training periods also used cent study where we examined training-related changes
many training sessions makes it difficult to draw strong after five weeks (a total of 15 sessions) of updating
conclusions about the relative importance of these two training (Dahlin et al., 2008; Dahlin, Stigsdotter Neely
factors. However, it is interesting to note that both et al., 2008). Even if the change in performance was
408 E. Dahlin et al. / Training of the executive component of working memory
more pronounced for the trained participants, we found studies (Dahlin et al., 2008; Kramer, 1999), differing
a clear change from pre- to post-test for both groups. in several respects (number of training sessions, num-
By including a control group in this study, we avoided ber of months between post-test and follow-up test, the
to misinterpret at test-retest effect as a training-related dependent measure used), have investigated long-term
effect. maintenance makes it difficult to draw firm conclusions.
A further aspect of WM training is that the proficien- In the next section, we will further elaborate on changes
cy of the underlying cognitive skill differs, between in- in underlying functions and networks when addressing
dividuals and finding an optimal level of task difficulty neural correlates of training-related cognitive changes.
for each individual can be critical for successful train-
ing. One study divided the participants based on im-
provement scores and revealed increased performance
after five days of training on an auditory WM task for a 3. Training-related neural changes
strong learning group but not for a weak learning group
(Gaab et al., 2006). One way to regulate task demands
Anatomically, Baddeley (1996) defined the central
is to use adaptive training adjusted to individuals’ per-
executive as a system located in the frontal lobes. Imag-
formance. Only six of the studies listed in Table 1 used
ing studies have also revealed that the executive com-
training tasks with adjusted difficulty levels depend-
ing on the participants’ performance (Brehmer et al., ponent of WM draws on frontal as well as parietal cor-
2008; Dahlin et al., 2008; Dahlin, Stigsdotter Neely tex integrity (e.g., Cabeza and Nyberg, 2000a; Col-
et al., 2008; Jaeggi et al., 2008; Olesen et al., 2004; lette and Van der Linden, 2002; Prabhakaran et al.,
Westerberg and Klingberg, 2007). In our estimation 2000). In addition, recent work indicates that WM
of training-related gains, all studies that used adaptive functioning is also dependent on different subcortical
training procedures revealed medium to high levels of areas (e.g., Cools et al., 2008; Marklund et al., 2007;
improvement (Table 1). Thus, our conclusions is that McNab and Klingberg, 2008). These patterns of ac-
it is important to ensure that the training has an optimal tivation in tasks tapping the executive component of
degree of difficulty for each individual during the entire WM was also found in a recent study from our lab
training period. (Nyberg et al., 2009), where frontal, parietal, and sub-
After finding training-related effects, it is of rele- cortical brain areas exhibited a load-dependent activa-
vance to ensure the efficacy of training. One means tion pattern during WM performance. In this study,
of doing so is to investigate long-term maintenance of we investigated brain activation patterns in young low-
gains. Long-term follow-up assessments are often in- performers, young high-performers, and elderly per-
cluded in other types of cognitive interventions, such sons during n-back performance. A task with three lev-
as training of encoding strategies in episodic memory els of loads (1/2/3) was used, and capacity-constraints
(Bottiroli et al., 2008; Stigsdotter Neely and B äckman, in working memory between load 1–2 for the elder-
1993) and training of fluid intelligence in relation to ly and between 2–3 for young low-performers relative
everyday functional outcomes (Willis et al., 2006), but to young high-performers were found. Constraints in
are rarely addressed in WM training studies (Table 1).
neural activity also followed this pattern by showing
To investigate long-term effects after updating train-
a monotonically increasing response in parietal cortex
ing, we invited trained and control participants for a
and thalamus for young high-performers, whereas ac-
follow-up test session 18 months post training (Dahlin
tivity leveled off at 1-back for the elderly and at 2-back
et al., 2008). Performance on the trained task was
decreased at follow-up compared to the post-training for young low-performers in these brain regions. The
session, but still significantly higher than at baseline response in frontal cortex followed a similar pattern of
for trained participants. By contrast, performance at capacity-constraints, although the old showed greater
follow-up did not differ from that at baseline for con- activation at the lowest level compared to the younger
trols. The maintenance effect after 18 months suggests groups (Fig. 2; Nyberg et al., 2009). Hence, training-
a rather robust influence of training. Another study related activation changes may not be located in iso-
listed in Table 1 (Kramer et al., 1999) found long-term lated parts of the brain but rather seem to be widely
effects 2 months post training. One goal in this review distributed. In the following sections, we discuss key
was to delineate factors important for long-term main- regions in which altered patterns of brain activity post
tenance of gains. The fact that only two WM training training have been documented.
E. Dahlin et al. / Training of the executive component of working memory 409
is adaptive or not. Adaptive training makes it neces- es in right striatum and left thalamus were found af-
sary to implement new strategies during the training ter five weeks of WM training (Olesen et al., 2004),
period, which could increase the executive demands, and increased bilateral activity in striatum following
and hence result in greater fronto-parietal activation. five weeks of updating training was found in our study
However, both Olesen et al., (2004) and Brehmer et al., (Dahlin et al., 2008). Hence, more training seems to re-
(2008) used an adaptive training regimen, and the rea- sult in increased subcortical activity. One possibility is
son for inconsistent results must therefore be searched that more training produces more substantial changes in
for elsewhere. the underlying skill, which could be reflected in subcor-
Another possible reason for inconsistency in brain tical activity increases. Hence, the increased training-
activation changes between studies is variations in the related activity we observed in striatum following up-
amount of training. In Hempel et al., (2004), a limit- dating training likely reflects strengthening of the up-
ed amount of training on an n-back task led to fronto- dating skill (which was upheld 18 months after com-
parietal increases, whereas more extensive training led pletion of training). However, to more fully understand
to fronto-parietal decreases. Even though the amount the neural reorganization that takes place after train-
of training in terms of number of days did not differ in ing, it is critical to draw attention to how cortical and
the studies discussed above, a more extensive program subcortical areas interact.
was used in Brehmer et al. (2009; 7 training tasks)
compared to Olesen et al., (2004; 3 training tasks). 3.3. Neural networks involved in WM training
Consistent with this assertion, in Dahlin, Stigsdotter
Neely et al., (2008) participants practiced on 6 tasks As noted, we found decreased activation in fronto-
during each training session. It is reasonable to assume parietal areas after updating training, whereas activa-
that the probability of observing training-related de- tion in subcortical areas increased post training. These
creases is greater following more extensive training, al- results support the views that training does not result
though training-related fronto-parietal decreases have in a monotonic increase or decrease in neural activity
also been reported after less extensive training (see Ta- (Kelly and Garavan, 2005; Landau et al., 2004), and
ble 1). To further understand training-related brain ac- that training-related activation changes are not restrict-
tivation changes, it is of interest to relate the fronto- ed to an isolated part of the brain. To better understand
parietal changes to subcortical changes in activation the neural reorganization that takes place after training,
patterns. it is critical to identify neural networks underlying these
activity changes. In a model describing a network crit-
3.2. Sub-cortical training-related changes ical to cognitive functioning, Alexander et al., (1986)
delineated the parallel organization of functionally seg-
Subcortical areas such as the basal ganglia are impor- regated circuits linking basal ganglia and cortex. A
tant in human cognition (for review, see Seger, 2006). network that is strongly implicated in cognitive training
Indeed, there are studies reporting subcortical activa- is the dorsolateral prefrontal circuit, which consists of
tion changes following WM training (Table 1). The at least two distinct basal ganglia-thalamocortical cir-
most common pattern in these studies is subcortical in- cuits that selectively influence separate prefrontal ar-
creases following training, and only two studies (Lan- eas. According to this model, key regions include the
dau et al., 2004; Tomasi et al., 2004) demonstrated de- dorsal prefrontal cortex (BA 10) and posterior parietal
creased subcortical activation following training. Lan- cortex (BA7). These areas are highly overlapping with
dau et al., (2004) showed activation decreases in pari- the fronto-parietal areas where we found decreased ac-
etal, occipital, and precentral gyrus as well as in anteri- tivation following training (Fig. 3; Dahlin, Stigsdotter
or thalamus and left insula during encoding after prac- Neely et al., 2008). This circuit continues to the globus
ticing a face WM task. Tomasi et al., (2004) showed pallidus and the substantia nigra. In turn, these regions
activation decreases in several regions of prefrontal cor- project to the thalamic nuclei, which project back to
tex, cerebellum as well as in the pulvinar. Importantly, prefrontal cortex.
the amount of practice in both Landau et al., (2004) The connection between cortical areas and the basal
and Tomasi et al., (2004) was limited to the scanning ganglia have also been described in several compu-
session. In studies where participants receive more tational models (Frank et al., 2001; O’Reilly, 2006).
training, increased subcortical activation changes are Frank et al., (2001) postulated that the frontal cortex
more common. For example, training-related increas- is responsible for active maintenance of information,
E. Dahlin et al. / Training of the executive component of working memory 411
mating areas of a specific shape from 10 to 100 cm 2 this notion, the transfer effects from n-back training to
and a clear improvement was seen in the trained task. fluid intelligence discussed above (Jaeggi et al., 2008)
Effects on untrained tasks were also found but the effect may reflect the fact that WM and fluid intelligence share
was more pronounced when areas were similar in shape a common capacity constraint and attentional control
to those in the training series compared to when new processes (Halford et al., 2007; Gray et al., 2003).
shapes were used. Hence, the gains could be attribut- Further evidence for our view on transfer is that the WM
ed to common elements in the trained and untrained training studies documenting transfer effects (Table 1)
tasks, and the improvement differed depending on level
mainly report effects to tasks similar to the trained task.
of similarity between the trained and untrained tasks.
Knowledge about neural correlates of transfer may
Following this seminal paper, the terms near- and far-
shed further light on underlying mechanisms. How-
transfer were introduced in the literature. Near-transfer
tasks are untrained tasks that are similar to the trained ever, little is known about neural correlates of transfer
task, whereas far-transfer tasks are untrained tasks that effects. Following Thorndike and Woodworth (1901),
have less in common with the trained task. it has been hypothesized that overlapping networks
To investigate whether shared processes in the or brain areas for the trained and the untrained tasks
trained and untrained tasks were central for finding are necessary for producing transfer effects (Jonides,
transfer effects we built on the model of executive func- 2004). To our knowledge, only our recent study has
tions devised by Miyake et al., (2000). Our prediction investigated neural correlates of transfer (Dahlin, Stigs-
was that five weeks of training on a specific execu- dotter Neely et al., 2008). We found overlapping
tive function, updating, may result in transfer effects fronto-parietal activation before training for the trained
to other untrained executive tasks taxing updating. We updating task (letter memory), the untrained updat-
tested one untrained task (n-back), which also required ing task (n-back), and the untrained inhibition task
updating, and one untrained task (Stroop) assumed to (Stroop). Further, we found overlapping activation in
depend on the untrained executive function inhibition. striatum before training in letter memory and n-back,
We found transfer to n-back but not to Stroop (Dahlin,
but not in Stroop. This pattern is interesting to view in
Stigsdotter Neely et al., 2008). Hence, our results sug-
relation to the behavioral results of transfer effects to
gest that the ability trained was improved, not only the
trained task. In another recent paper (Dahlin, Nyberg n-back, and indicates that pre-training activity in stria-
et al., 2008), we tested trained and untrained partici- tum is important for finding transfer effects following
pants on a wider battery of untrained tasks before and updating training. When investigating training-related
after five weeks of updating training. Here, we did changes we found overlapping training-related increas-
not find effects to other transfer tasks despite an ex- es for both letter memory and n-back in the associa-
tensive battery of non-trained tasks assessing perceptu- tive striatum that was also activated in both tasks pre
al speed, reasoning, episodic memory, semantic mem- training. Hence, the striatal complex was a key com-
ory, and working memory. Based on these findings, ponent mediating transfer effects after training on WM
our conclusion is that transfer effects are difficult to updating. Previous studies have proposed that striatum
demonstrate and, when demonstrated, they reflect im- is a gating structure selecting specific regions in frontal
provement in a specific ability commonly underlying cortex to be updated or to maintain already existing in-
task performance. formation (O’Reilly, 2006). We interpret the increased
In a study by Jaeggi et al., (2008) where participants striatal activations as an indication that the updating
trained on n-back for 8, 12, 17, or 19 days, the degree
skill was more effective following training.
of gain in a fluid intelligence transfer task critically de-
Another key aspect when discussing training and
pended on the amount of training. Although all groups
transfer effects is differences between individuals, or
showed transfer of learning, the magnitude of improve-
ment increased with more training in a dose-dependent groups of individuals. Individual differences in cog-
fashion. Most likely, more training leads to more robust nitive ability have been found to influence the degree
changes in the underlying skill, which in turn should of transfer after training on a visual comparison task
increase the likelihood of obtaining transfer effects. (Sohn et al., 2006). If differences between individu-
We have argued that a key factor for transfer effects als exist within a group, there are most certainly al-
is shared underlying processes required for successful so differences between groups with different cognitive
performance in trained and untrained tasks. In line with ability such as younger versus older adults.
E. Dahlin et al. / Training of the executive component of working memory 415
pattern suggests that more training brings about larg- is largely driven by dopamine agonism (Knutson and
er training-related gains. However, it is complicated Gibbs, 2007). Some recent studies have found evidence
to compare the amount of training between studies us- for dopamine release in frontal cortex and hippocam-
ing different training regimens and different dependent pus during working-memory performance (Aalto et al.,
measures. A first direction for future research is there- 2005) and in striatum during both card-sorting (Monchi
fore to conduct more studies like that of Jaeggi et al., et al., 2006) and sequential learning (Badgaiyan et al.,
(2008), varying the amount of training. Hence, studies 2007). Also, Schott et al., (2008) recently showed a
are warranted that compare training-related changes af- sizable relationship between a PET-derived measure of
ter varying the number of sessions, spacing of sessions, dopamine release and an fMRI-based measure of blood
duration of training, and number of tasks trained. Of flow in ventral striatum during reward-related learn-
interest is also whether the patterns of dose-response ing. To determine whether the training-related increas-
effects vary across the adult life span. To make it pos- es in striatal blood flow observed by Dahlin, Stigsdot-
sible to design optimal training regimens in the future, ter Neely et al., (2008) are driven by increased release
it is also important to investigate effects of different of dopamine as a function of training, it would be of
lengths of training periods and number of training ses- great interest to employ a similar multimodal imaging
sions in a systematic way. Today it is not known if five approach.
weeks of 15 training sessions is more or less effective
compared to one week of 15 training sessions.
A second direction for future research is to conduct Acknowledgments
more studies investigating transfer effects systemati-
cally. As noted, transfer effects are generally limited This work was funded by grants from the Swedish
and restricted to tasks similar to the criterion task. The Research Council and the Joint Committee for Nordic
question about transfer effects is complex and sever- Research Councils in the Humanities and the Social
al issues remain unresolved. One important aspect in Sciences for a Nordic Center of Excellence (NCoE) in
this context is shared processes in the trained and un- Cognitive Control to L.N., by grants from the Swedish
trained tasks. As discussed above, we found transfer Research Council and Swedish Brain Power to L.B,
to n-back after five weeks of training on other tasks and by grants from the Swedish Council for Working
requiring updating. We interpret this as an effect on a Life and Social Research to A.S-N.
general updating skill. An interesting avenue for future
research would be to test the generalizability of this as-
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