Background Emotional memory is a special category of memory for events
arousing strong emotions. To investigate the effects of emotional inv
olvement on memory retention in individuals with Alzheimer's disease w
e studied peoples memories of distressing experiences during a devasta
ting earthquake. Method Fifty-one subjects with probable Alzheimer's d
isease who experienced the Kobe earthquake at home in the greater Kobe
area were studied. Memories of the earthquake were assessed 6 and 10
weeks after the disaster in semi-structured interviews, and were compa
red with memories of a magnetic resonance imaging (MRI) examination gi
ven after the earthquake. Results Forty-four (86.3%) of the subjects r
emembered the earthquake and 16 (31.4%) of subjects remembered the MRI
experience. Factual content of the earthquake was lost in most of the
subjects. Conclusions Fear reinforces memory retention of an episode
in subjects with Alzheimer's disease but does not enhance retention of
its context, despite repeated exposure to the information.