In animals, evidence has been accumulated that vasopressin (VP) improv
es learning and memory. In humans, this effect was not consistently de
monstrated, and attempts to restore age-related memory deficits by VP
also remained inconsistent. Assuming that in old subjects a beneficial
effect on memory occurs only after prolonged treatment with VP, we co
nducted a study in 26 healthy elderly persons receiving 40 IU of VP fo
r three months through the intranasal route. The trial was randomized,
placebo-controlled and held double-blind. Memory was assessed by the
Auditory Verbal Learning Test (AVLT) requiring the subject to learn re
peatedly presented lists of 15 words. Results demonstrated no general
effect of long term treatment with VP on memory in aged humans. Howeve
r, recall of an interfering word list was improved, indicating a dimin
ished proactive interference by the peptide. Additionally, VP influenc
ed recall depending on the serial position of an item: it improved the
primacy effect (i.e. recall of the first words of a list) and impaire
d the recency effect, This result may indicate an improved semantic en
coding (i.e. a primary effect on processes of attention) after long-te
rm administration of VP. (C) 1997 Elsevier Science Ltd.