Disentangling executive functions and memory processes in event‐based prospective remembering after brain damage: A neuropsychological study

Abstract

Successful prospective remembering (PR) comprises at least two components: one retrospective component that refers to the encoding and retrieval of the content of the intention and a second prospective component that involves the retrieval of the intended action at the appropriate moment. Whereas the retrospective component is very similar to memory skills like learning and retention of new information, the prospective component is thought to rely mainly on executive function. Head injuries can disturb PR during both of these stages. To disentangle the relative impact of executive functions and retrospective memory processes on PR we embedded a PR task in a 2‐back verbal working memory paradigm. Fifty‐six neurological patients with brain damage of various aetiologies were divided pre‐experimentally into four groups on the basis of their delayed recall Index in the Wechsler Memory Scale‐Revised (WMS‐R, indicating absence or presence of deficits in retrospective memory functions) and their age‐corrected score in the Behavioural Assessment of the Dysexecutive Syndrome (BADS, indicating absence or presence of deficits in executive functions). Additionally, 19 controls matched for age and education were examined. We found that patients with deficits in executive functions detected fewer cues than any other group irrespective of their retrospective memory performance. However, eight patients with severe anterograde memory deficits could retain neither the intention nor its content. Thus, intactness of the retrospective component seems to be a necessary but not sufficient prerequisite for successful prospective remembering. For the execution of the intended action itself executive functions play a critical role.