Submission 319
Hybrid Foraging Reveals Cognitive Deficits and Compensatory Behaviour in Patients with Korsakoff Syndrome and Alcohol Use Disorder
SymposiumTalk-05
Presented by: Iris Wiegand
Korsakoff’s syndrome (KS), a chronic disorder due to thiamine deficiency commonly associated with alcohol use disorder (AUD), is characterized by amnesia as well as visuospatial deficits. In this study, we tested how these cognitive impairments interact during complex, realistic search tasks using a hybrid visual-and-memory foraging task.
KS patients, AUD patients without cognitive impairment, and healthy controls (HC) first memorized either 2 or 8 target objects. Subsequently, they “collected” multiple instances of these targets, presented among distractors, across multiple displays (“patches”). Collected targets disappeared from patches, making the task progressively more challenging when continuing to search within a patch. Participants could freely decide when to leave a current patch to explore a new one. The goal was to maximize target collections over time.
Our results demonstrated a gradual decline in search speed from HC to AUD to KS. Furthermore, patients with KS showed higher costs of increasing distractor and memory load than both AUD patients and HC. Under high memory load, both KS and AUD searched in “runs” of specific target types, thereby avoiding switch costs. Finally, all groups made near-optimal patch-leaving decisions (maximizing collections per unit time), although KS and AUD patients missed more targets under high memory load.
These findings highlight the interplay of episodic memory deficits, selective attention impairments, and decision-making during complex, realistic search tasks. While search speed and efficiency are reduced in patients with KS—and even in AUD—compared to HC, they nonetheless adapt their search strategies.