Retrospective Memory Questionnaire Research Articles

The clinical utility of informants' appraisals on prospective and retrospective memory in patients with early Alzheimer's disease.

Increasing studies suggest the importance of including prospective memory measures in clinical evaluation of dementia due to its sensitivity and functional relevance. The Prospective and Retrospective Memory Questionnaire (PRQM) is originally a self-rated memory inventory that offers a direct comparison between prospective and episodic memory. However, the informant's report has been recognized as a more valid source of cognitive complaints. We thus aimed to examine the validity of the informant-rated form of the PRMQ in assessing memory function of the patients and in detecting individuals with early dementia. The informants of 140 neurological outpatients with memory complaints completed the Taiwan version of the PRMQ. Tests of prospective memory, short-term memory, and general cognitive ability were also administered to non-demented participants and patients with early stages of Alzheimer's disease (AD). Results showed significant relationships between the PRMQ ratings and objective cognitive measures, and showed that higher ratings on the PRMQ were associated with increasing odds of greater dementia severity. Receiver operative characteristic (ROC) curves showed an adequate ability of the PRMQ to identify patients with dementia (93% sensitivity and 84% specificity). Hierarchical regression revealed that the PRMQ has additional explanatory power for dementia status after controlling for age, education and objective memory test results, and that the prospective memory subscale owns predictive value for dementia beyond the retrospective memory subscale. The present study demonstrated the external validity and diagnostic value of informants' evaluation of their respective patients' prospective and retrospective memory functioning, and highlighted the important role of prospective memory in early dementia detection. The proxy-version of the PRMQ is a useful tool that captures prospective and episodic memory problems in patients with early AD, in combination with standardized cognitive testing.

Quick to Act, Quick to Forget: The Link between Impulsiveness and Prospective Memory

Several traits of impulsiveness (e.g. lack of planning and perseverance, difficulty focusing attention) seem intimately connected to the skills required for successful prospective memory performance. This is the first study to examine whether the various inter–correlated dimensions of impulsiveness are related to problems with prospective memory. Undergraduate students (N = 184) completed the Barratt Impulsiveness Scale 11, the Prospective Memory Questionnaire, the Prospective and Retrospective Memory Questionnaire, and two objective prospective memory tests. Results revealed consistent correlations between the various dimensions of impulsiveness (attentional, motor, non–planning) and self–reported problems with prospective memory. Subsequent regression analyses indicated that attentional impulsiveness is a unique predictor of self–reported problems with internally cued prospective memory, and non–planning impulsiveness is a unique predictor of self–reported problems with episodic and overall prospective memory. Similarly, findings from the objective prospective tests showed that non–planning impulsiveness was related to worse performance on the two prospective memory tests. Whereas non–planning impulsiveness was also related to using fewer prospective memory–aiding strategies, mediation analyses showed that use of these strategies does not account for any of the detected relationships. Because the findings suggest that a failure to plan does not underlie the detected effects, other potential explanations for the relationships are discussed. Copyright © 2013 European Association of Personality Psychology

WHITE MATTER INTEGRITY AND PROSPECTIVE MEMORY PERFORMANCE IN MILD COGNITIVE IMPAIRMENT: PRELIMINARY STUDY

Prospective memory (PM) is the ability to remember to execute delayed intentions. Prior studies have demonstrated that PM is impaired in patients with mild cognitive impairment (MCI). However, whether prospective memory impairment would affect the neural health is unclear. In the current study, white matter (WM) integrity and self-reported PM measures were examined in 33 MCI patients (67.33 ± 8.33 years). WM integrity was analysed by voxel-wise Tract-Based Spatial Statistics using diffusion tensor imaging. The PM scale from the Prospective and Retrospective Memory Questionnaire (PRMQ) was used to assess PM performance. Worse PRMQ performance was associated with fractional anisotropy (FA) reduction in several regions like left caudal middle frontal WM, left precentral and postcentral WM, left internal capsule, left corona radiata, left external capsule, and left superior longitudinal fasciculus, but was associated with FA increase in areas such as right fusiform WM, right lateral occipital WM, middle cerebellar peduncle, brainstem, and right cerebellar WM (uncorrected p < .05, controlling for age and education). In addition, more PM fails were associated with higher FA in several regions like right fusiform WM, right lateral occipital WM, right pericalcarine WM, and left cuneus WM (uncorrected p < .05, controlling for age and education). These cross-sectional findings showing the relationship between more PM fails and higher FA in several WM regions might suggest a compensatory mechanism in the MCI patients. However, these results should be confirmed in larger samples.

Event- and time-triggered remembering: The impact of attention deficit hyperactivity disorder on prospective memory performance in children

The current study examined prospective memory (PM, both time-based and event-based) and time estimation (TR, a time reproduction task) in children with and without attention deficit hyperactivity disorder (ADHD). This study also investigated the influence of task performance and TR on time-based PM in children with ADHD relative to controls. A sample of 69 children, aged 8 to 13years, completed the CyberCruiser-II time-based PM task, a TR task, and the Super Little Fisherman event-based PM task. PM performance was compared with children’s TR abilities, parental reports of daily prospective memory disturbances (Prospective and Retrospective Memory Questionnaire for Children, PRMQC), and ADHD symptomatology (Conner’s rating scales). Children with ADHD scored more poorly on event-based PM, time-based PM, and TR; interestingly, TR did not appear related to performance on time-based PM. In addition, it was found that PRMQC scores and ADHD symptom severity were related to performance on the time-based PM task but not to performance on the event-based PM task. These results provide some limited support for theories that propose a distinction between event-based PM and time-based PM.

Psychotherapy Improved the Sleep Quality in a Patient Who Was a Victim of Child Sexual Abuse: A Case Report

Victims of child sexual abuse (CSA) often experience symptoms such as recurrent nightmares, which affect their adult life. This study aimed to evaluate the effect of psychotherapy on the quality of life and sleep in a female patient with a previous history of CSA. The patient was climacteric (menopausal transition) and treated in an outpatient clinic. She underwent 40 sessions of psychotherapy and was evaluated before and after the sessions using questionnaires and polysomnography (PSG). Measurements were taken using the following: Kupperman Index (KI), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Prospective and Retrospective Memory Questionnaire, and PSG. Reports of dream content were also evaluated during the study. After psychotherapeutic intervention, the frequency of nightmares and their attendant suffering decreased. Additionally, the context of the nightmares changed, and a decrease was noted in the KI, BAI, and BDI parameters. The PSG indicated an increase in rapid eye movement sleep. Psychotherapeutic intervention combined with zolpidem and fluoxetine treatment contributed to a resignification of the dreams of a patient with a history of CSA. The treatment also improved the quality of her dreams and her quality of life.

Subjective memory complaints, cognitive performance, and psychological factors in healthy older adults.

To determine whether subjective memory complaints (SMCs) are associated with performance on objective cognitive measures and psychological factors in healthy, community-dwelling older adults. The cohort was composed of adults, 65 years and older with no clinical evidence of cognitive impairment (n = 125). Participants were administered: CogState computerized neurocognitive battery, Prospective Retrospective Memory Questionnaire, personality and meaning-in-life measures. SMCs were associated with poorer performance on measures of executive function (p = 0.001). SMCs were also associated with impaired delayed recall (p = 0.006) but this did not remain significant after statistical adjustment for multiple comparisons. SMCs were inversely associated with conscientiousness (p = 0.004) and directly associated with neuroticism (p < 0.001). Higher scores on SMCs were associated with higher perceived stress (p = 0.001), and ineffective coping styles (p = 0.001). Factors contributing to meaning-in-life were associated with fewer SMCs (p < 0.05). SMCs may reflect early, subtle cognitive changes and are associated with personality traits and meaning-in-life in healthy, older adults.

Usefulness of Treatment Reports for Electroconvulsive Therapy

Electroconvulsive therapy (ECT) is often given by a specialist ECT team on behalf of a patient's treating psychiatrist. A key aspect of this interface is the communication between these care teams. This study describes the introduction of an ECT treatment report at the Royal Cornhill Hospital in Aberdeen. The aim of the current study was to evaluate whether these reports were useful to psychiatrist. The report was designed to provide feedback to the treating psychiatrists on a range cognitive (Mini Mental State Examination, spatial recognition memory on the Cambridge Automated Neuropsychological Testing Battery, Squire Subjective Memory Scale, and Prospective And Retrospective Memory Questionnaire) and mood scores (Montgomery Åsberg Depression Rating Scale) routinely collected by the ECT team. The reports contain the patient's score and the mean of all patients treated in the service. A questionnaire was sent to all treating psychiatrists to evaluate the usefulness of the reports. A 76% response rate was obtained. The reports were well received by treating teams, among whom 78.9% thought they were necessary, 74% thought they were easy to understand, and 79% thought the report was informative. A minority 47.4% thought the report influenced clinical practice, and only 31.3% showed the report to patients. From the results of our evaluation, the provision of an "ECT Treatment Report" providing a summary of the routinely collected mood and cognitive rating data was useful for psychiatrists prescribing ECT. It is thus likely that such a report would be useful in other ECT services.

Psychological and physical correlates of musculoskeletal symptoms in male professional divers and offshore workers

BackgroundUnderwater divers are more likely to complain of musculoskeletal symptoms than a control population. Accordingly, we conducted a study to determine whether musculoskeletal symptoms reflected observable physical disorder, to ascertain the relationship between symptoms and measures of mood, memory and executive function and to assess any need for future screening.MethodsA 10% random sample of responders to a prior postal health questionnaire was examined (151 divers, 120 non-diving offshore workers). Participants underwent physical examination and a neuropsychological test battery for memory and executive function. Participants also completed the Hospital Anxiety and Depression Scale for anxiety (HADSa) and depression (HADSd), and questionnaires for physical health-related quality of life (SF36 PCS), mental health-related quality of life (SF36 MCS), memory (Cognitive Failures Questionnaire (CFQ), Prospective and Retrospective Memory Questionnaire (PRMQ)), executive function (dysexecutive syndrome questionnaire (DEX)), musculoskeletal symptoms (MSS) and general unrelated symptom reporting.ResultsOf participants with moderate/severe musculoskeletal symptoms, 52% had physical signs, and of participants with no symptoms, 73% had no physical signs. There was no difference in the prevalence of signs or symptoms between groups. Musculoskeletal symptoms were associated with lower SF36 PCS for both groups. In divers, musculoskeletal symptoms were associated with higher general unrelated symptom reporting and poorer scoring for HADSa, PRMQ, CFQ and DEX with scores remaining within the normative range. A positive physical examination was associated with general unrelated symptom reporting in divers. There were no differences in neuropsychological test scores attributable to either group or musculoskeletal symptoms.ConclusionsMusculoskeletal symptoms were associated with physical signs, but this was not a strong effect. Reporting of musculoskeletal symptoms by the divers studied was also associated with a tendency to report symptoms generally or somatisation, and caution should be exercised regarding their interpretation as an indication of physical disease or their use for health screening.

Patients with bipolar disorders share similar but attenuated prospective memory impairments with patients with schizophrenia

Prospective memory (PM) refers to the ability to remember to carry out an intended action in the future. PM is consistently found to be impaired in individuals with schizophrenia. Bipolar disorder and schizophrenia may represent conditions along a continuum, and share similar neurocognitive and genetic architecture. This study aimed to compare the nature and extent of PM impairment in individuals with schizophrenia and bipolar disorder. Participants were 38 out-patients with schizophrenia and 40 out-patients with bipolar disorder in an early psychosis intervention programme, and 37 healthy controls. Time-, event- and activity-based PMs were assessed using a dual-task laboratory paradigm. Self-reported PM performance was gauged using the Prospective and Retrospective Memory Questionnaire. Analysis of covariance (ANCOVA), with intelligence quotient (IQ) and education included as covariates, was used to examine group difference on various types of PM. Repeated measures of ANCOVA were used to examine the group × PM type interaction effect. Correspondence between laboratory and self-reported PM measures was examined using correlational analysis. The group × PM type interaction effect was not significant, but the main effect of group was significant. Patients with schizophrenia and patients with bipolar disorder both performed more poorly than healthy participants in PM. The two clinical groups did not significantly differ in PM. Laboratory and self-reported PM measures did not correlate significantly with each other. Patients with bipolar disorder shared a similar PM impairment with those with schizophrenia. Findings of this study extended the similarity in neurocognitive impairments between the two psychiatric disorders to PM.

Everyday prospective memory and executive function deficits associated with exposure to second-hand smoke.

This study explored whether exposure to second-hand smoke (SHS) has a detrimental impact upon everyday memory in two groups of non-smokers; one which reported regular exposure to SHS and one that reported never having been exposed to SHS. Thirty-four non-smokers who reported having been regularly exposed to SHS (SHS group) and 34 non-smokers who reported never having been exposed to SHS (non-SHS group) were compared on self-reports of prospective memory (PM: remembering future intentions and/or activities) and executive function (EF: those processes involved in attention, multitasking and decision-making). The Prospective and Retrospective Memory Questionnaire (PRMQ) assessed everyday PM lapses; the Executive Function Questionnaire (EFQ) assessed self-reported problems in EF; a drug-use questionnaire and a mood questionnaire were also administered. Two univariate ANCOVAs were applied to the PM and EF data, controlling for between-group differences in age, weekly alcohol use, anxiety and depression scores, and self-reported retrospective memory scores. The SHS group reported significantly more lapses on the PRMQ and more deficits on the EFQ than the non-SHS group. These findings provide new insights into PM and EF deficits associated with prolonged exposure to SHS in a group of non-smokers. Possible explanations and suggestions for future research are also considered.

Time based prospective memory deficits associated with binge drinking: Evidence from the Cambridge Prospective Memory Test (CAMPROMPT)

AimsTo examine whether ‘binge drinking’ (BD) in young adults adversely affects prospective memory (PM). BD was defined as males drinking 8/more units and females 6/more units on at least one session per-week. BDs and non-binge drinkers (NBDs) were compared on self-reported and objective PM. DesignAn existing-groups design compared BDs with NBDs as the independent factor. Scores on the PM and retrospective memory (RM) subscales of the Prospective and Retrospective Memory Questionnaire (PRMQ) and scores on the Cambridge Prospective Memory Task (CAMPROMPT) were the dependent factors. Age, total years spent drinking, time since last drink consumed (hours), mood, strategy-use and pre-morbid IQ were measured as covariates. SettingEach participant was tested in a laboratory setting. ParticipantsAn opportunity sample of 28 BDs and 28 NBDs were compared. MeasurementsSelf-reported PM and RM lapses were measured using the PRMQ and the CAMPROMPT measured objective PM. Drug use was assessed using a Recreational Drug Use Questionnaire. The Hospital Anxiety and Depression Scale measured mood. The strategy-scale from the Prospective Memory Questionnaire measured strategy use. The National Adult Reading Test measured pre-morbid IQ. FindingsBDs and NBDs did not differ in terms of gender makeup and a series of ANCOVAs (controlling for the covariates) revealed no significant between-groups differences on self-reported PM/RM lapses; but BDs exhibited reduced function on time-based PM, but not event-based PM, when compared with NBDs. ConclusionsBDs exhibit selective impairments on time-based PM; this deficit is a new finding in terms of the neuropsychological sequelae associated with BD.

Memory for Intentions is Uniquely Associated with Instrumental Activities of Daily Living in Healthy Older Adults

Moderate declines in prospective memory (PM) are common among older adults, but whether such decrements are associated with everyday functioning problems is not well established. To examine this issue, we administered the Memory for Intentions Screening Test (MIST), Prospective and Retrospective Memory Questionnaire (PRMQ), and Activities of Daily Living Questionnaire (ADLQ) to 50 healthy older Australian adults as part of a broader neuropsychological battery. In a series of hierarchical regressions controlling for demographics, medical/psychiatric factors, and other neurocognitive functions, the MIST event-based PM score and PRMQ PM scale were significantly associated with the total number of instrumental ADL (IADL) domains in which participants reported needing assistance. Extending prior findings in clinical populations, results indicate that lower PM functioning is uniquely associated with mild, concurrent IADL problems in healthy older adults. Future investigation of the potentially moderating effects of cognitive and behavioral compensatory strategies may be beneficial.

Impact of the Cognitive Status on the Memory Complaints in MS Patients

Despite the evidence of cognitive deficits in Multiple Sclerosis (MS) patients, evaluation of their cognitive integrity is often limited to the use of clinical interviews and questionnaires. However, the consensus in the literature is that these patients under- or overestimate their deficits and repercussions. The objective of this study was to clarify why some patients overestimate while others underestimate their memory deficits. Fifty-four participants (30 MS, 24 controls) completed the Prospective and Retrospective Memory Questionnaire (PRMQ) and were tested on a battery of neuropsychological tests. Based on the test results, MS patients were categorized as having either mild or moderate/severe cognitive deficits. The moderate/severe MS group differed from the two other groups on the Rey Auditory Verbal Learning Test (RAVLT) but did not differ from the control group on the PRMQ. Conversely, the mild MS group did not differ from the control group on the RAVLT but did report significantly more problems than this group on the PRMQ. There was no difference between the two clinical groups on the Depression Index (Beck) but there was a significant correlation (r=.409) between the depression scores and the overestimation of prospective memory problems (PRMQ). The results explain the contradiction in the literature. It is the mild group who overestimates, maybe because they are overly concerned by their deficits, whereas the cognitive impairments of the moderate/severe group lead them to underestimate and may make their self-assessment unreliable. Formal testing or information from a significant other would be advisable.

Smoking-related prospective memory deficits in a real-world task

Background Smokers, previous smokers and a never smoked group were compared on self-reported and real world prospective memory (PM – the cognitive ability of remembering to carry out particular actions at some future point in time). Methods Twenty-seven current smokers, 24 people who had never smoked and 18 previous smokers were compared using an existing groups design. Scores on the long and short term PM subscales of the Prospective and Retrospective Memory Questionnaire (PRMQ) and scores on a Real World Prospective Memory Task (RWPMT) constituted the dependent measures. Smoking and other drug use were assessed by a Recreational Drug Use Questionnaire. The Hospital Anxiety and Depression Scale gauged levels of anxiety and depression. The National Adult Reading Test measured IQ, and retrospective memory was measured using the PRMQ. Gender, age, anxiety and depression, IQ, alcohol use and the retrospective memory scores, were measured as covariates and controlled for in the analysis. Results A series of univariate ANCOVAs were applied to the main PM data across the three groups, controlling for variations in age, gender, mood, IQ, alcohol use and retrospective memory scores. These revealed no significant between-group differences on self-reported PM; however smokers recalled significantly fewer action–location combinations than the never smoked and previous smoker groups on the objective RWPMT. Conclusions Existing smokers showed reduced performance on RWPMT when compared to the never smoked group and previous smokers. Real-world PM impairments should be added to a growing list of neuropsychological sequelae associated with persistent smoking.

Spanish Version of the Prospective and Retrospective Memory Questionnaire (PRMQ-S)

The concept of prospective memory is relatively recent. Thus, it is necessary to have instruments to assess it, in interaction with retrospective memory. The Prospective and Retrospective Memory Questionnaire (PRMQ; Smith et al., 2000) is an instrument that has been effectively used for assessment in several languages. Nevertheless, there is still no Spanish adaptation. The aim of this study was to translate the PRMQ and obtain information about its psychometric properties. A back translation process was applied to the PRMQ. The resulting PRMQ-S was self-administered to 520 subjects after applying the pilot test. Confirmatory factor analysis (CFA) was used to test competing models of its latent structure. Internal consistency was evaluated using Cronbach's alpha. The results showed an adequate internal consistency of the total scale and the Prospective and Retrospective scales were: .89, .84 and .76, respectively. The factor structure was compared with the original study. Our results suggested a disagreement with the tripartite model defended by the authors of the PRMQ. Since there is a high correlation between two factors in the bi-factor model, and the tripartite model showed non-significant loadings to the two specific factors, we recommend that the PRMQ-S be used as one general memory score. We demonstrated adequate psychometric properties of the PRMQ-S if it is used as unique measurement of memory failures. These results are relevant due to the need for a short and accurate instrument in our language that explores memory failures, which has a major impact on the activities of daily living.

Do pre‐admonition suggestions moderate the effect of unbiased lineup instructions?

We examined the additive and interactive effects of pre‐admonition suggestion and lineup instructions (biased or unbiased) on eyewitness identification rates. Participants watched a mock crime video, completed a target‐absent lineup identification, and completed a retrospective memory questionnaire. Prior to attempting an identification, participants were either exposed or not exposed to pre‐admonition suggestions and received biased or unbiased lineup instructions. The pre‐admonition suggestion indicated that it was likely that the perpetrator was in the lineup (surely, you can pick the perpetrator). The pre‐admonition suggestion increased false identification in the unbiased lineup condition. Furthermore, those who received the pre‐admonition suggestion were more certain in their identifications as well as other testimony‐relevant judgments than were those who did not receive the pre‐admonition suggestion. These results suggest that pre‐lineup suggestion can mitigate the beneficial effects of unbiased lineup instructions.

Taiwan Version of the Prospective and Retrospective Memory Questionnaire: Latent Structure and Normative Data

The Prospective and Retrospective Memory Questionnaire (PRMQ) has been reported to have acceptable reliability and a tripartite structure, including a general memory factor and specific Prospective and Retrospective Memory factors. The Taiwanese version of the PRMQ was examined in an adult sample (n = 269, age range: 19-95). The 11-item Taiwanese PRMQ demonstrated acceptable internal consistency (Cronbach's α = 0.82-0.90) as well as a tripartite structure with one general Episodic Memory factor and one specific Prospective Memory factor. There was no gender effect, but older adults reported better prospective memory performance, and individuals with a higher level of education rated less retrospective memory failure. Preliminary Taiwanese normative data are also presented.

Memory Complaints and Prospective Memory Performance across the Lifespan

The frequency of prospective and retrospective memory failures from six age groups was gathered using the Prospective and Retrospective Memory Questionnaire (PRMQ). Objective performance measures were obtained with a laboratory prospective memory task. Findings revealed more prospective than retrospective memory complaints in all age groups except in young children. While overall reported memory failures were similar in the adult groups, fewer failures were reported for the two children groups. This might either be explained by a self-other rater bias or by the PRMQ not being well suited to assess memory failures of children. No correlations of complaints with performance measures were found in either age group except in older children for whom surprisingly more complaints were related to better performance.

Self-report measures of prospective memory are reliable but not valid.

Are self-report measures of prospective memory (ProM) reliable and valid? To examine this question, 240 undergraduate student volunteers completed several widely used self-report measures of ProM including the Prospective Memory Questionnaire (PMQ), the Prospective and Retrospective Memory Questionnaire (PRMQ), the Comprehensive Assessment of Prospective Memory (CAPM) questionnaire, self-reports of retrospective memory (RetM), objective measures of ProM and RetM, and measures of involvement in activities and events, memory strategies and aids use, personality and verbal intelligence. The results showed that both convergent and divergent validity of ProM self-reports are poor, even though we assessed ProM using a newly developed, reliable continuous measure. Further analyses showed that a substantial proportion of variability in ProM self-report scores was due to verbal intelligence, personality (conscientiousness, neuroticism), activities and event involvement (busyness), and use of memory strategies and aids. ProM self-reports have adequate reliability, but poor validity and should not be interpreted as reflecting ProM ability.

The factorial structure and external validity of the prospective and retrospective memory questionnaire in older adults

The factorial structure of the Prospective and Retrospective Memory Questionnaire (PRMQ) was investigated in a sample of 336 older adults (aged 66-81years). Confirmatory factor analyses showed that a bifactor model of two correlated factors of prospective and retrospective memory problems and two uncorrelated group factors of positively and negatively worded items had the best fit. Such a model can be seen as a multitrait-multi-method model that separates the substantive and methodological components among the items of the PRMQ. Correlations of the four factors with external criteria (affect, neuroticism, prospective, and retrospective memory performance) revealed that the item wording factors mainly correlate with the affect variables, whereas the prospective and retrospective memory problem factors were differentially associated with memory performance. As a conceptual conclusion, these differential correlations give support to the discriminant validity of subjective prospective versus retrospective memory problems.