Episodic memory improvements due to noninvasive stimulation targeting the cortical–hippocampal network: A replication and extension experiment

INTRODUCTION: The distributed cortical network of the human hippocampus is important for episodic memory. In a previous experiment, noninvasive stimulation of the hippocampal‐cortical network applied for five consecutive days improved paired‐associate learning measured after the stimulation regimen via cued recall (Wang et al., Science, 2014, 345, 1054). This finding has not yet been directly replicated. Furthermore, evidence for long‐lasting effects of stimulation on paired‐associate learning was obtained by analyzing relatively small subsamples (Wang & Voss, Hippocampus, 2015, 25, 877) and requires further evaluation. METHODS: Sixteen healthy young adults participated in this replication study using the same experimental design as the original study. Participants received 1 week of active stimulation and 1 week of sham stimulation, with memory assessments occurring at the beginning (pre) and end (post) of each week. Assessments included the paired‐associate task used in the original study, as well as a long‐term episodic memory retention task in order to test the hypothesis that increased paired‐associate learning could come at the cost of accelerated long‐term forgetting. Change in memory scores was evaluated within (pre vs. post) and across (active vs. sham) weeks. RESULTS: Similar to Wang et al., paired‐associate learning was significantly improved after 1 week of active stimulation but not after 1 week of sham stimulation. We found no evidence that stimulation increased long‐term forgetting for either week. CONCLUSION: These findings confirm the beneficial effects of stimulation on episodic memory that were reported previously and indicate that stimulation‐related gains in new learning ability do not come at the price of accelerated long‐term forgetting.