cognitive reserve
a capacity of the adult brain to sustain the effects of disease or injury without manifesting clinical symptoms of dysfunction and to draw on the active acquisition and differential use of numerous sophisticated cognitive strategies to process information, solve problems, and perform tasks. In other words, individuals with high cognitive reserve have developed a variety of efficient neural networks and neural pathways to cope with brain pathology such that they can have a greater degree of underlying neurological damage than individuals with low cognitive reserve before becoming symptomatic. The size of this hypothesized supply of mental abilities and mechanisms, and thus the degree of protection against dementia and other neurological disorders it conveys, is believed to depend on the intellectual challenges a person experiences throughout life: More mental stimulation creates more reserve. Possible mechanisms by which this might occur include the
following: (a) Knowledge can enhance memory in the form of richer and more elaborate encoding and more effective retrieval cues facilitated by a superior organizational structuring of information; (b) knowledge can result in easier access to relevant information and better organized representations of the problem, resulting in enhanced problem-solving skills; (c) knowledge of past consequences of various alternatives can provide an effortless means of making accurate predictions regarding future consequences; (d) knowledge can enable reliance on previously compiled efficient algorithms, rather than on slow and controlled processes; and (e) knowledge of prior solutions to familiar problems can reduce online processing requirements. Commonly used indirect measures of cognitive reserve include number of years of education, literacy level, vocabulary knowledge, occupational complexity, estimated premorbid intelligence, and frequency and range of participation in mentally
stimulating leisure activities (e.g., reading, writing, doing crossword puzzles, playing board or card games, playing music) or complex mental activities generally.
It is important to distinguish cognitive reserve from the closely related brain reserve, which posits that brain-based anatomical differences among people convey differential abilities to tolerate neuronal damage or loss before developing cognitive impairment. Despite the different emphases of the two terms, many researchers use them interchangeably.