Prospective Memory Failures Research Articles

Public Perceptions of Memory Failures in Infant ‘Hot Car’ Deaths

Caregivers can forget young children in the back of the car, thereby resulting in the tragic circumstance of infant death. The current exploratory study examined whether the public (N = 171) believes a memory explanation when the defendant caregiver relationship to the child is varied and when expert witness testimony is and is not provided regarding the processes by which these memory failures can occur. Adult participants believed that a memory failure played a role when the defendant caregiver was the grandfather as opposed to when the caregiver was the father. Expert witness testimony did not impact this belief. Other memory-related variables impacted perceptions of defendant guilt when defendant guilt was measured continuously but not dichotomously. Numerous non-memory related outcome variables were also studied. Defendant relationship and expert witness testimony impacted different memory-related and non-memory related outcome variables. Results are discussed in terms of age-related forgetting and collective vulnerability versus prospective memory failures. Implications regarding the legal system are considered.

Factors Influencing Objective and Subjective Prospective Memory Measures in Traumatic Brain Injury.

To accurately assess prospective memory (PM) functioning in patients who sustained a traumatic brain injury (TBI), it is important to use both subjective (questionnaires) and objective (tests) measures. However, which factors have the most significant effect on each PM measure remains unknown. This observational study aims to verify whether TBI severity or psychological status has the most influence on patients' objective and subjective PM measures. Fifteen healthy control (HC) participants (n = 15), 19 patients with a mild TBI (n = 19) and 30 patients with a moderate-to-severe TBI (n = 30) were recruited during the post-acute phase. For almost every participant, a relative was also recruited (n = 62). The Test écologique de mémoire prospective (TEMP), an objective computerized PM measure consisting of naturalistic stimuli, was administered to all participants along with anxiety (BAI) and depression inventories (BDI). Participants and their relatives also completed a questionnaire, the comprehensive assessment of PM (CAPM), a subjective PM measure assessing everyday failures. Results on the objective PM measure were predicted by TBI severity, while psychological symptoms (BAI and BDI) predicted scores on the subjective PM measure. In addition, relatives in the moderate-to-severe TBI group reported more PM failures on the subjective measure and their perception was significantly correlated with results on the objective PM measure, which was not the case for the other two groups of relatives. Objective PM measures are related to TBI severity and appear more robust against the influence of psychological factors than subjective PM measures.

Caregivers of Children with Autism Are Better, Despite Their Poorer Memory, Completing Tasks of Daily Living

ABSTRACT Familial caregivers typically have more trouble completing fundamental tasks of daily living compared with non-caregivers. The ability to complete tasks of daily living relies on prospective memory (PM). PM, however, is typically poorer in familial caregivers. It would make sense, therefore, that poorer PM would mediate caregivers’ greater difficulties completing tasks of daily living. This was explored here. A sample of n = 500 participants (196 caregivers of autistic children and 304 parents of non-autistic children) completed a questionnaire assessing PM failures. An abbreviated version of the Everyday Problems Test (EPT) was used to measure participants’ ability to complete tasks of daily living, such as managing medications and paying bills. Caregivers reported more PM failures. EPT scores were lower in caregivers, reflecting fewer problems completing tasks of daily living. PM failures were unrelated to EPT scores, ruling out mediation. Caregivers of autistic children were better at completing basic tasks of daily living despite their poorer PM. Whether quality of life for the autistic child might be related to caregivers’ ability to complete tasks of daily living should be the focus of future research.

Patterns of prospective memory errors differ in persons with multiple sclerosis

ABSTRACT Introduction Prospective memory (PM) deficits have been documented in multiple sclerosis (MS). This study aimed to explore the specific types of errors made by persons with MS (PwMS), including differences between PwMS and healthy controls (HC) and PwMS who do and do not have impairments in processing speed and/or verbal learning and memory. Method PwMS (n = 111) and HC (n = 75) completed the Memory for Intentions Test (MIST), an objective measure of PM that has five types of errors that can be coded (PM failure, task substitution, loss of content, loss of time, and random errors). The number and types of PM errors were calculated for the overall MIST and six subscales, which break down performance by types of delay (2-Minute and 15-Minute), cue (Time and Event), and response (Verbal and Action). Impairment was defined as performing < 1.5 SD on either the Symbol Digit Modalities Test (SDMT) or Rey Auditory Verbal Learning Test (RAVLT). Bivariate analyses were used to examine group differences, with post-hoc pairwise comparisons with Bonferroni corrections. Results Nearly 93% of PwMS made at least one PM error, compared to 76% of HC (V = .24, p = .001). The most commonly made PM error by PwMS was loss of content errors (45.0%). PwMS made significantly more task substitution errors (26.4% vs. 7.6%, p < .001) and fewer loss of time errors (9.5% vs. 21.2%, p < .001) than HC. Impaired PwMS made more errors than non-impaired PwMS, specifically PM failures on time-based tasks. Conclusions PM errors are common in PwMS, particularly when there are longer delays and time-based cues. Not only do PwMS make more errors than demographically similar HC, but they exhibit different cognitive process failures.

From the lab to the classroom: Improving children's prospective memory in a natural setting.

Laboratory-based studies have shown that children's ability to remember intentions (i.e., prospective memory; PM) can be improved by asking them to imagine performing the PM task beforehand (i.e., episodic future thinking; EFT) or to predict their PM performance. Moreover, combining the two strategies resulted in an additional improvement in children's PM performance. However, the effectiveness of these encoding strategies on real-life PM tasks is still unknown. The aim of the present study was to evaluate the effect of EFT instructions, performance predictions, and of their combination on children's PM in a natural setting, namely in the classroom. Twelve classes composed by a total of 121 children (53% females) aged between seven and 9 years participated to the study. As a PM task, children were asked by their teachers to deliver a letter to their parents and to bring it back to school the next day. Children were divided into four groups: control, prediction, EFT, and the EFT + prediction group. Parent reports on children's everyday prospective and retrospective memory failures were also collected. Results showed that encoding strategies were effective in enhancing children's PM performance. However, differences compared to previous laboratory-based findings emerged since predicting PM performance resulted to be most effective in enhancing real-life PM performance. Moreover, parent reports were related to children's PM performance. These novel findings highlight the importance of studying PM interventions in natural settings in order to increase their ecological validity and inform educational practices.

Insights into attention and memory difficulties in post-COVID syndrome using standardized neuropsychological tests and experimental cognitive tasks

The COVID-19 pandemic has given rise to post-acute cognitive symptoms, often described as ‘brain fog’. To comprehensively grasp the extent of these issues, we conducted a study integrating traditional neuropsychological assessments with experimental cognitive tasks targeting attention control, working memory, and long-term memory, three cognitive domains most commonly associated with ‘brain fog’. We enrolled 33 post-COVID patients, all self-reporting cognitive difficulties, and a matched control group (N = 27) for cognitive and psychological assessments. Our findings revealed significant attention deficits in post-COVID patients across both neuropsychological measurements and experimental cognitive tasks, evidencing reduced performance in tasks involving interference resolution and selective and sustained attention. Mild executive function and naming impairments also emerged from the neuropsychological assessment. Notably, 61% of patients reported significant prospective memory failures in daily life, aligning with our recruitment focus. Furthermore, our patient group showed significant alterations in the psycho-affective domain, indicating a complex interplay between cognitive and psychological factors, which could point to a non-cognitive determinant of subjectively experienced cognitive changes following COVID-19. In summary, our study offers valuable insights into attention challenges faced by individuals recovering from COVID-19, stressing the importance of comprehensive cognitive and psycho-affective evaluations for supporting post-COVID individuals.

Communication-related aspects of prospective memory: an exploratory factor analysis of prospective memory questionnaires.

Prospective memory (PM) questionnaires are frequently used to evaluate perceptions of PM skills in daily life. This study aimed to systematically investigate communication-specific attributes using pre-existing PM self-rating questionnaires to inform clinicians and researchers about the role of PM in cognitive communicative evaluations. PM-related items from three questionnaires (i.e., Prospective Memory Questionnaire, Comprehensive Assessment of Prospective Memory, and Prospective and Retrospective Memory Questionnaire) were compiled and embedded in Google Forms and distributed to 70 Speech-Language Pathologists (SLPs) with expertise in Cognitive Communicative Disorders across India. Participants first identified items related to communication, and were then contacted to rate the communication-related PM items using a Likert scale for their degree of appropriateness. Responses from 40 SLPs were obtained and subjected to item-content validity index (i-CVI) and exploratory factor analysis (EFA). Of the 114 PM items, 28 received ratings over 50% for their relevance to communication. Of the 28 items, 21 had an i-CVI score greater than 0.8. After the removal of overlapping content, 14 items were finalized and subjected to EFA, which resulted in four factors: PM failure due to loss of communicative content, PM failure due to loss of communicative intent, PM cost due to ongoing interference, and PM failure linked to the priority of communicative intent. This study highlights communication-related aspects of PM that can be used as a framework for SLPs to assess and research PM skills.

A Parent-Report Diary Study of Young Children’s Prospective Memory Successes and Failures

ABSTRACT Although laboratory studies have examined the development of children’s prospective memory (PM) and the factors that influence its performance, much less is known about children’s PM performance and development in their everyday life. The current study used an online parent diary report approach to examine American 2- to 6-year-olds’ PM successes and failures. In an initial session, 206 parents completed a series of questionnaires on their child’s memory and cognition. For the next four days, parents reported instances of PM successes and failures and answered questions about a number of task factors (task motivation, importance to the parent and child, who assigned the PM task, task typicality, and parental assistance). We found that: (1) parents reported children as young as 2 years old had PM successes in daily life and there were no age differences in the number of reported PM successes and failures, (2) parents reported more PM successes than failures, and (3) several factors influenced the likelihood of children’s success in everyday PM tasks, including child motivation and task importance to parents, whereas task typicality and parental assistance were related to PM failure. Finally, we explored the domains of PM successes and failures as well as the type of assistance that parents provided. These results are discussed in relation to past findings of children’s PM in laboratory and naturalistic settings. Parent diary-report methodology is a feasible and efficient alternative to naturalistic laboratory tasks to examine young children’s PM in everyday life.

67 Prospective Memory Accuracy and Speed in Mild Cognitive Impairment and Alzheimer's Disease

Objective:Prospective memory (PM) is the ability to execute a planned action in the future (e.g., remembering to take medication before going to bed). Prior work has suggested that PM failure can account for 50-80% of reported memory problems. Research has also shown that PM becomes increasingly impaired in the Alzheimer's disease (AD) process. To our knowledge, most PM studies use PM accuracy as a measure of PM performance. However, examining the speed of the response as it relates to the AD process remains relatively unexplored. In this study, we examined both PM accuracy and speed in healthy aging, mild cognitive impairment (MCI), and AD.Participants and Methods:Participants included healthy older controls (N=65), persons with MCI (N=70), and persons with AD (N=11). The PM task was embedded within a working memory task as PM demands often occur during an ongoing activity in everyday life. For the working memory component of the PM task, participants were shown a series of words and asked to continuously monitor the words while maintaining the last 3 in memory. All words were displayed within 1 of 6 background patterns. For the PM component, participants were asked to press "1" on the keyboard whenever they were shown a particular background pattern on the screen. PM abilities were measured using the median response time and total accuracy.Results:Age was correlated with PM accuracy. An ANCOVA, controlling for age, and examining the impact of diagnosis on PM accuracy, was significant. Post-hoc tests revealed a trend toward the AD and MCI groups being less accurate than healthy controls. In contrast to accuracy, age was not related to PM speed. An ANOVA examining the impact of diagnosis on PM accuracy found that the AD group responded faster than healthy controls. The MCI group did not show differences in speed from the healthy control and AD groups.Conclusions:Overall, the pattern of results differed in accuracy and speed of PM performance. There was a trend for the MCI and AD groups being less accurate than the controls, with no difference in performance between the MCI and AD groups. However, the AD group responded more quickly than the controls, which may have impacted their accuracy. These findings indicate that PM performance differences among groups can be detected by examining speed and not just accuracy. As speed appears to be an essential aspect involved in PM performance, future research should consider incorporating speed as a measure of PM performance when examining PM differences in populations.

Prospective Memory and Sleep Quality

Sleep is a state in which the human mind and body are rested, while prospective memory helps humans remember future tasks or plan future events.[1] This study used the Comprehensive Assessment of Prospective Memory (CAPM) and the Sleep Quality Questionnaire (PSQI) to assess whether sleep quality affects prospective memory performance. The results showed that participants with PSQI scores between 6 and 21 had significantly lower CAPM scores than those between 0 and 5. Therefore this paper shows poor sleep quality, as measured by PSQI scores, was associated with a higher frequency of prospective memory failure. This result suggests better sleep quality is associated with better performance in prospective memory. Prospective memory is crucial to our daily life, and loss of prospective memory can have dire consequences. For example, people with diabetes forget to take their daily insulin injections. Thats why research on prospective memory is essential.

Improving children's ability to remember intentions: a literature review on strategies to improve prospective memory during childhood.

Children often fail to remember executing intentions because prospective memory (PM) does not completely develop until late adolescence or young adulthood. PM failures are often observed in children and can have negative consequences on their everyday lives. Thus, in the last 50years, various strategies to support children's PM have been designed and evaluated, such as prompting children to use different encoding modalities, such as verbal, visual, and enacted modalities, or encoding strategies, such as implementation intentions, episodic future thinking (EFT), and performance predictions, as well as providing children with verbal and visual reminders. However, not all these interventions have shown to efficiently enhance PM performance during childhood. The present literature review is aimed at summarizing these interventions and critically examining their effectiveness from a developmental perspective and by considering underlying mechanisms. The type of PM task (event-, time-, and activity-based), cognitive resource demands, and processing overlaps are also considered. Finally, directions for future research and possible applications in everyday life will be discussed.

Time-Based and Event-Based Prospective Memory in Adults with Autism Spectrum Disorder: A Virtual Week Investigation.

Autism spectrum disorder (ASD) is a complex developmental condition including persistent challenges with social communication, restricted interests, and repetitive behavior. Though prospective memory failures are commonly observed in ASD population it has been less studied among adults with ASD. Prospective memory (PM) refers to the execution of delayed intentions. There are contradictory findings of regular and irregular prospective memory task among autistic adults. The present study is an attempt to investigate prospective memory performance among adults with autism spectrum disorder using the Virtual Week board game. Virtual Week (Rendell & Craik, 2000) (3-day Version) is a computerized board game in which participants after rolling a die move token clockwise around the board. Each round of the board represents one virtual "day." Adults between 16 and 25 years of age who were diagnosed with ASD (N = 23) were compared with non-ASD (N = 26) adults. Analyses of variance were used to analyze the data. Results revealed that autistic adults as compared to normal adults showed poorer performance on time-based task than on event-based task. A significant difference was evident between regular and irregular prospective memory tasks across both tasks among autistic adults. Results also revealed that ASD difficulties are associated with the prospective component of the irregular task. Prospective memory failures are widely observed in ASD group, and have important implications for functional independence. The findings of this study provide insight into prospective memory challenges that adults with autism spectrum disorder face in a daily basis.

Benefits from prospective memory offloading depend on memory load and reminder type.

Prospective memory (PM) refers to the ability to remember to complete a task at the appropriate moment in the future. Past research has found reminders can improve PM performance in both laboratory and naturalistic settings, but few projects have examined the circumstances when and what types of reminders are most beneficial. Three experiments in the present study tested the influence of reminders in an event-based PM task under different cognitive loads. An additional study examined how effective reminders of different types were. In Experiments 1 (specific targets) and 2 (nonspecific targets), load was manipulated by having participants respond to a single (low load) or multiple (high load) targets. In Experiment 3, the association between target-action word pairs was manipulated by presenting strongly associated pairs (low load) or weakly associated pairs (high load). Experiment 4 used target-action word pairs and varied the type of reminder. Participants in the reminder conditions had target (Experiments 1 and 2), target and action (Experiment 3) or target and/or action (Experiment 4) reminders listed at the top of the screen throughout the PM task. Across the first 3 experiments, it was found that the benefit of reminders was greater under high load than low load conditions. Experiment 4 found that target-action reminders improved PM, while target-only or action-only reminders did not. Importantly, the improvements in PM from reminders occurred without cost to ongoing task performance. Together these results suggest that reminders can be beneficial for reducing PM failures, particularly under high load, without the potential downside of increased effort expenditure. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Self-reported, but not lab-based, prospective memory failures relate to PTSD symptom severity in a general population.

Self-reported, but not lab-based, prospective memory failures relate to PTSD symptom severity in a general population.

I forgot that I forgot: PTSD symptom severity in a general population correlates with everyday diary-recorded prospective memory failures.

Extant research suggests a complex relationship between prospective memory (PM) and post-traumatic stress disorder (PTSD) symptom severity. In a general population, this relationship exists for self-report assessment but not objective, in-lab PM performance (e.g., pressing a certain key at a particular time, or when particular words appear). However, both these measurement methods have limitations. Objective, in-lab PM tasks might not represent typical everyday performance, while self-report measurement might be biased by metacognitive beliefs. Thus, we used a naturalistic diary paradigm to answer the overarching question: are PTSD symptoms associated with PM failures in everyday life? We found a small positive correlation between diary-recorded PM errors and PTSD symptom severity (r = .21). Time-based tasks (i.e., intentions completed at a particular time, or after a specified time has elapsed; r = .29), but not event-based tasks (i.e., intentions completed in response to an environmental cue; r = .08), correlated with PTSD symptoms. Moreover, although diary-recorded and self-report PM correlated, we did not replicate the finding that metacognitive beliefs underpin the PM-PTSD relationship. These results suggest that metacognitive beliefs might be particularly important for self-report PM only.

Lower prospective memory is associated with higher neurocognitive dispersion in two samples of people with HIV: A conceptual replication study.

People living with HIV (PLWH) often experience deficits in the strategic/executive aspects of prospective memory (PM) that can interfere with instrumental activities of daily living. This study used a conceptual replication design to determine whether cognitive intraindividual variability, as measured by dispersion (IIV-dispersion), contributes to PM performance and symptoms among PLWH. Study 1 included 367 PLWH who completed a comprehensive clinical neuropsychological test battery, the Memory for Intentions Test (MIsT), and the Prospective and Retrospective Memory Questionnaire (PRMQ). Study 2 included 79 older PLWH who completed the Cogstate cognitive battery, the Cambridge Prospective Memory Test (CAMPROMPT), an experimental measure of time-based PM, and the PRMQ. In both studies, a mean-adjusted coefficient of variation was derived to measure IIV-dispersion using normative T-scores from the cognitive battery. Higher IIV-dispersion was significantly associated with lower time-based PM performance at small-to-medium effect sizes in both studies (mean r s =-0.30). The relationship between IIV-dispersion and event-based PM performance was comparably small in magnitude in both studies (r s =-0.19, -0.20), but it was only statistically significant in Study 1. IIV-dispersion showed very small, nonsignificant relationships with self-reported PM symptoms in both samples (r s < 0.10). Extending prior work in healthy adults, these findings suggest that variability in performance across a cognitive battery contributes to laboratory-based PM accuracy, but not perceived PM symptoms, among PLWH. Future studies might examine whether daily fluctuations in cognition or other aspects of IIV (e.g., inconsistency) play a role in PM failures in everyday life.

Dynamic functional connectivity associated with prospective memory success in children

To remember the prospective intention successfully, going back and forth between the background task and the intention, i.e., the dynamics of these multiple processes can be critical. An executive function like task switching has been associated with the success of prospective memory (PM) in children, but the neural mechanism of PM in children has not been investigated. The purpose of this study was to reveal the dynamic functional connectivity underlying the success of PM in children. Healthy 108 children, aged 7 to 15, were engaged in a single trial PM task, with a 30-min delay. Temporal variabilities in their resting-state functional connectivity were analyzed, using sliding windows with seed regions of interest ROIs of the PM network. About 70% of children successfully remembered the intention; they showed greater dynamics in neural connectivity between the right dorsolateral prefrontal cortex (DLPFC) and intraparietal sulcus, and between the right DLPFC and insula as compared to children with PM failure. Everyday activities and the usual attention to ongoing processes can be associated with alertness in the right frontoparietal network and internal-state monitoring in the insula network, and those dynamics might be associated with one-time event PM success in children.

The frequency of self-reported memory failures is influenced by everyday context across the lifespan: Implications for neuropsychology research and clinical practice

Objective: To investigate the influence of contextual factors on self-reports of cognitive abilities, this study investigated whether the frequency of self-reported memory failures was affected by level of daily busyness (Busyness) and daily routines (Routine) and whether age moderated these relations. The influence of the COVID-19 pandemic on self-reported memory failures also was explored. Method: 902 community-dwelling participants (mean age= 56.98 years; sd= 18.96; range: 22–97 years) completed self-report questionnaires. Multiple linear regressions examined predictors of the frequency of retrospective (RM) and prospective memory (PM) failures and interactions with age. A pilot measure of the Influence of the Pandemic was added in secondary analyses. Results: Frequency of PM failures was significantly predicted by Age, Busyness, and Routine, such that people who were younger and those with busier and less routine activities reported more frequent PM failures. Frequency of RM failures was significantly predicted by Busyness, and the Age × Busyness and Age × Routine interactions. Busyness was associated with more frequent RM failures for people of all ages, but the effect was stronger for younger people. By contrast, more routine daily schedules were associated with fewer RM failures only for older people. PM/RM failures were predicted by the Influence of the Pandemic in exploratory analyses. Conclusions: Self-reports of cognitive abilities are influenced by contextual factors in adults of all ages. Contextual factors, including everyday task demands, daily routines, and acute stressors that disrupt daily activities, should be considered when interpreting self-reports of cognitive abilities in research and clinical practice settings.

Efficacy of Prospective Memory Rehabilitation Plus Metacognitive Skills Training for Adults With Traumatic Brain Injury: A Randomized Controlled Trial

Background Prospective memory (PM) failure can limit independence and productivity following traumatic brain injury (TBI). Compensatory strategy use may ameliorate the effect of PM impairment on daily life but requires sufficient self-awareness. Metacognitive skills training (MST) can facilitate self-awareness and strategy use and may improve the efficacy of PM rehabilitation. Objective To evaluate the effectiveness of compensatory strategy training (COMP) with an MST component (COMP-MST) for reducing everyday PM failure and improving psychosocial integration in adults with moderate–severe TBI, compared to COMP alone and a control condition. Secondary aims were to evaluate the effect of training on psychometric PM test scores, strategy use, self-awareness, and level of care. Methods Assessor and participant-blinded randomized controlled trial with 52 participants (77% male, mean age = 39.0. SD = 13.6) allocated to 3 groups: COMP-MST, COMP, and waitlist control. Interventions were delivered over 6 weekly sessions. Measures were collected pre- and post-intervention and 3-month follow-up. Data were analyzed using unstructured linear mixed-effects modeling for repeated measures and planned contrasts between time-points for each group. Results The models showed no significant differences between the groups on primary or secondary outcome measures. Significant pre–post intervention improvements were found for significant other’s ratings of everyday PM failure for both intervention groups but not the control group, with medium to large effect sizes. Clinically relevant improvements on primary outcomes were found for participants across all 3 groups. Conclusions This study found no significant benefits of combining MST with COMP for improving everyday PM and psychosocial integration. Clinical Trial Registration: Australian and New Zealand Clinical Trials Registry https://www.anzctr.org.au/ ACTRN12615000996561

Supplemental Material for Self-Reported, but Not Lab-Based, Prospective Memory Failures Relate to PTSD Symptom Severity in a General Population

Supplemental Material for Self-Reported, but Not Lab-Based, Prospective Memory Failures Relate to PTSD Symptom Severity in a General Population