Does prospective memory influence quality of life in community-dwelling older adults?

Older adults commonly experience declines in prospective memory, which describes one’s ability to “remember to remember,” and can adversely affect instrumental activities of daily living and healthcare compliance. However, the extent to which prospective memory failures may influence quality of life in typically aging older adults is not well understood. One-hundred and four community-dwelling older Australians (aged 50 to 82 years) were administered a comprehensive, neuropsychological battery that included the Memory for Intentions Screening Test (MIST), Prospective and Retrospective Memory Questionnaire (PRMQ), Instrumental Activities of Daily Living Questionnaire (IADLQ), and World Health Organization Quality of Life-8 (WHOQOL-8). Multiple regressions controlling for negative affect, medical comorbidities, and other neurocognitive functions revealed an interaction between prospective memory and instrumental activities of daily living in the concurrent prediction of quality of life. Among the 39 older adults who reported multiple problems on the IADLQ, lower performance-based prospective memory (MIST) and higher self-reported prospective memory failures in daily life (PRMQ) were significantly associated with lower quality of life (WHOQOL-8). Conversely, no significant associations were observed between prospective memory and quality of life in the 65 participants without IADL problems. Prospective memory difficulties adversely impact quality of life in community-dwelling older adults who experience problems independently managing their instrumental activities of daily living. These findings extend prior literature showing that prospective memory plays a unique role in the real-world outcomes of older adults and clinical populations and highlight the need to develop effective strategies to enhance prospective memory functioning in these vulnerable groups.     

Predictors of Self-Reported Prospective and Retrospective Memory in a Population-Based Sample of Older Adults

In this article, the authors examined predictors of self-reported everyday memory failures using the Prospective and Retrospective Questionnaire (PRMQ; Smith, Della Sala, Logie, &; Maylor, 2000 Smith, G. V., Della Sala, S., Logie, R. H. and Maylor, E. A. M. 2000. Prospective and retrospective memory in normal ageing and dementia: A questionnaire study. Memory, 8: 311–321. [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) in a population-based sample of older adults (age range = 60–90 years; N = 250). The results showed that a higher frequency of reported failures was associated with lower scores on the personality dimension of self-directedness as assessed by the Temperament and Character Inventory (TCI; Cloninger, Dragan, Svrakic, &; Przybeck, 1993 Cloninger, R. C., Dragan, M. S., Svrakic, D. M. and Przybeck, T. R. 1993. A psychobiological model of temperament and character. Archives of General Psychiatry, 50: 975–990. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) and more depressive symptoms on the Center for Epidemiological Studies Depression Scale (CES-D; Radloff, 1977 Radloff, L. S. 1977. The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1: 385–401. [Crossref], [Web of Science ®] , [Google Scholar]). However, PRMQ scores showed no relationships with objective memory ability, as reflected by a series of retrospective memory measures and a measure of prospective memory. Neither were the PRMQ scales associated with general cognitive functioning as assessed by the Mini-Mental State Examination (MMSE; Folstein, Folstein, &; McHugh, 1977). Taken together, the results indicate that within the older population, self-reported memory as assessed by the PRMQ may reflect mood-state and personality factors rather than individual differences in memory and cognitive ability.     

The Prospective and Retrospective Memory Questionnaire (PRMQ): Normative data and latent structure in a large non-clinical sample

The Prospective and Retrospective Memory Questionnaire (PRMQ; Smith, Della Sala, Logie, & Maylor, 2000) was developed to provide a self-report measure of prospective and retrospective memory slips in everyday life. It consists of sixteen items, eight asking about prospective memory failures, and eight concerning retrospective failures. The PRMQ was administered to a sample of the general adult population (N = 551) ranging in age between 17 and 94. Ten competing models of the latent structure of the PRMQ were derived from theoretical and empirical sources and were tested using confirmatory factor analysis. The model with the best fit had a tripartite structure and consisted of a general memory factor (all items loaded on this factor) plus orthogonal specific factors of prospective and retrospective memory. The reliabilities (internal consistency) of the Total scale and the Prospective and Retrospective scales were acceptable: Cronbach's alpha was 0.89, 0.84, and 0.80, respectively. Age and gender did not influence PRMQ scores, thereby simplifying the presentation and interpretation of normative data. To ease interpretation of scores on the PRMQ, tables are presented for conversion of raw scores on the Total scale and Prospective and Retrospective scales to T scores (confidence limits on scores are also provided). In addition, tables are provided to allow users to assess the reliability and abnormality of differences between an individual's scores on the Prospective and Retrospective scales.     

The Prospective and Retrospective Memory Questionnaire (PRMQ): Normative data and latent structure in a large non-clinical sample

The Prospective and Retrospective Memory Questionnaire (PRMQ; Smith, Della Sala, Logie, & Maylor, 2000) was developed to provide a self-report measure of prospective and retrospective memory slips in everyday life. It consists of sixteen items, eight asking about prospective memory failures, and eight concerning retrospective failures. The PRMQ was administered to a sample of the general adult population (N = 551) ranging in age between 17 and 94. Ten competing models of the latent structure of the PRMQ were derived from theoretical and empirical sources and were tested using confirmatory factor analysis. The model with the best fit had a tripartite structure and consisted of a general memory factor (all items loaded on this factor) plus orthogonal specific factors of prospective and retrospective memory. The reliabilities (internal consistency) of the Total scale and the Prospective and Retrospective scales were acceptable: Cronbach's alpha was 0.89, 0.84, and 0.80, respectively. Age and gender did not influence PRMQ scores, thereby simplifying the presentation and interpretation of normative data. To ease interpretation of scores on the PRMQ, tables are presented for conversion of raw scores on the Total scale and Prospective and Retrospective scales to T scores (confidence limits on scores are also provided). In addition, tables are provided to allow users to assess the reliability and abnormality of differences between an individual's scores on the Prospective and Retrospective scales.     

The Prospective and Retrospective Memory Questionnaire (PRMQ): factorial structure, relations to global subjective memory ratings, and Swedish norms

The factorial structure of the Prospective and Retrospective Memory Questionnaire (PRMQ; Smith et al., 2000) was examined in a Swedish population based sample (N= 540, age range; 35-90 years). Concurrent validity was assessed by relating PRMQ to global ratings of memory. Confirmatory factor analyses of the PRMQ items indicated a superior fit of a three-factor model, with prospective and retrospective memory as orthogonal factors and episodic memory as a common factor. Furthermore, the PRMQ scales correlated with the global ratings of memory, suggesting that each rating contributed with unique variance in predicting PRMQ scores. Given differences in levels of complaints as compared with prior research (Crawford et al., 2003) norms for the Swedish version are provided. In conclusion, the present findings extend earlier work by providing additional support for the construct and concurrent validity of the PRMQ scales.     

Correlates of level and change in the Mini-Mental State Examination

The goal of the current project was to determine (a) the cognitive abilities assessed by the Mini Mental State Examination (MMSE; M. F. Folstein, S. E. Folstein, & P. R. McHugh, 1975), (b) whether the same abilities are associated with MMSE performance among people of different ages, and (c) whether the same abilities are involved in changes within the same people over time. The authors therefore examined whether the initial levels of 5 cognitive ability constructs (vocabulary, reasoning, memory, space, and speed) predicted initial levels of MMSE performance and whether the initial levels or the changes in these 5 cognitive abilities predicted change in the MMSE performance. The major findings were that 3 cognitive constructs (vocabulary, reasoning, and memory) contribute to performance in the MMSE but that their respective contributions to the MMSE vary as a function of age and time. In particular, individual differences and change in the MMSE are primarily related to individual differences in reasoning among adults younger than about 70 years, whereas both initial level of MMSE performance and longitudinal change in MMSE performance primarily related to initial level and change in memory ability among adults older than 70 years. The results therefore imply that both the level of performance on the MMSE at a single point in time and the change in MMSE over time may represent somewhat different cognitive abilities at different ages.     

Correlates of memory decline: a 4-year longitudinal study of older adults with memory complaints.

Change in memory performance and its correspondence to change in speed of performance and self-reported memory functioning were investigated longitudinally in 30 older adults with memory complaints. Subjects were assessed by self-report questionnaires and cognitive tests 3 times, at near 2-year intervals. A significant decline in word-recall scores was found, which was accompanied at the group level by significant self-reported decline in everyday memory functioning and nonsignificant decline in Wechsler Adult Intelligence Scale Digit Symbol scores (alpha = .05). The oldest subjects showed the most substantial declines in memory performance. At the individual level, however, memory change did not significantly correlate with either change in self-reports or change in Digit Symbol scores. Although these results do not support a cognitive slowing model of decline at the intraindividual level, they do have implications for intervention of age-related memory decline.     

Evaluating fit of the Prospective and Retrospective Memory Questionnaire (PRMQ) in a Nigerian adult population

This study aimed to evaluate the latent structure of the Prospective and Retrospective Memory Questionnaire (PRMQ) and to estimate the reliability and validity of scores from the measure in a Nigerian adult population (N = 758; age range = 18 - 63 years; females = 52.24%). Respondents also completed the Cognitive Failures Questionnaire (CFQ). The data were analysed utilising confirmatory factor analysis (CFA). The results suggest the PRMQ to have a tripartite structure characterised by the following features: general memory, plus eight prospective and eight retrospective memory items. Scores from the PRMQ had evidence of convergent validity with the CFQ. The reliability of scores from the PRMQ was of acceptable magnitude for the research purposes investigated in the study.     

Preliminary evidence for low openness to experience as a pre-clinical marker of incipient cognitive decline in older adults

The current study examined self-reported Openness to Experience as a marker of incipient cognitive decline among older adults. Seventy five cognitively-intact, community-dwelling adults ages 58–87 were assessed with the NEO Personality Inventory-Revised (NEO PI-R; (Costa & McCrae, 1992) and the Mattis Dementia Rating Scale 2nd edition (DRS-2; (Mattis, Jurica, & Leitten, 1988) to examine association with incipient decline over approximately 1 year. Low Openness to Experience was associated with decline, controlling for baseline screening scores, age, education, and the other four personality factors. Examination of facet-level associations indicated that lower scores on the Values and Aesthetics facets of Openness primarily explained the association. Current findings build on prior research suggesting that exaggerated reaction to novelty may signal pre-clinical cognitive decline.     

Prospective memory in early and established psychosis: An Indian perspective

Individuals affected by psychosis often have deficits in several neurocognitive functions. Prospective memory (PM), the ability to remember to do things, is crucial for activities of daily living, social and occupational functioning, but very few studies have attempted to examine this domain of functioning in people with psychosis, particularly in India. A total of 71 patients with psychosis, (both early and established psychosis), and 140 age, gender and education-matched healthy controls were assessed using the Positive and Negative Symptom Scale, Hospital Anxiety and Depression scale, and Addenbrooke's Cognitive Examination. PM was assessed using the Cambridge Prospective Memory Test and the Prospective and Retrospective Memory Questionnaire (PRMQ). Group differences were evaluated using Mann–Whitney U-tests. Significantly greater cognitive deficits, higher anxiety and depression were evident in the psychosis group compared with controls. The psychosis group performed significantly poorer on both time- and event-based tests in CAMPROMPT than controls. These differences remained when controlling for age, education, general cognitive functioning and mood. The subjective measure of PM (PRMQ) did not differentiate the two groups. The PM performance of early and established psychosis patients was similar. Comparisons with cross-cultural data (PRMQ UK norms and CAMPROMPT and PRMQ Chinese data) revealed important differences in PM performance. Individuals with psychosis have significant deficits in both time- and event-based PM. CAMPROMPT emerged as a more sensitive PM measure compared with PRMQ. Results from cross-cultural comparisons underscore the need for cultural contextualization of assessments.     

Development of the Cognitive Dysfunction Questionnaire (CDQ) in a population based sample

The study reports on the development of a questionnaire for assessment of adult cognitive dysfunction (CDQ). Participants in a population-based sample (65±15 years, N=370) responded to a 90-item pilot version covering multiple aspects of memory/cognition. Based on exploratory principal components analyses and correlations with criterion measures of cognitive functioning (MMSE, Block Design, semantic/episodic memory), 20 items loading on 6 components were selected for the final version of the questionnaire. Cronbach's α for the total score was 0.90. There was evidence of construct validity as judged by correlations between CDQ scores, objective cognitive measures, and a subjective memory measure (PRMQ). Discriminant validity was demonstrated by a low and non-significant correlation with depressive symptoms. Further evidence of construct validity was provided by correlations with age and educational attainment. In conclusion, the CDQ is promising as a self-rating screening tool for cognitive dysfunction, and will be the subject of further development and validation.     

Personality self-concept affects processing of trait adjectives in the self-reference memory paradigm

We combined personality, social cognitive, and cognitive paradigms for researching the self. Specifically, we examined whether personality trait assessments are associated with variation in the cognitive processes that produce the self-reference effect in memory. We found that self-reported, but not indirectly assessed, trait orderliness (Study 1; N = 98) and openness (Study 2; N = 92) were associated with slower free recall when corresponding trait adjectives were self-referenced, but not when adjectives were encoded in control tasks. The slower recall showed mixed predictive validity. Results suggest that personality congruent adjectives elicit more elaborative processing in the form of propositions that arise during self-reference, which counter-intuitively slows recall in a manner consistent with random search memory models and cue overload theory.     

The cognitive functioning of older adult instrumental musicians and non-musicians

This study examined similarities and differences in the cognitive profiles of older adult instrumental musicians and non-musicians. We compared neuropsychological test scores among older adult non-musicians, low-activity musicians (<10 years of lessons), and high-activity musicians (≥10 years of lessons), controlling for self-reported physical and social activity, years of education, and overall health. Significant differences among groups were found on tasks of visual spatial ability, naming, and executive functioning. No significant differences were found on tests of attention/processing speed, or episodic memory. The current study supports late life cognitive benefits of early musical training, but only in select cognitive domains, including language, executive functioning, and visual spatial ability. The results are discussed in the context of cognitive reserve and aging.     

Interactive Effects of Chronic Health Conditions And Financial Hardship On Episodic Memory Among Older Blacks: Findings From The Health And Retirement Study

Previous research links chronic health conditions and financial hardship to cognitive outcomes among older Blacks. However, few studies have explored the moderating effect of financial hardship on chronic disease burden and specific cognitive domains. This study examined whether financial hardship (as measured by difficulty paying monthly bills) modifies the impact of self-reported chronic health conditions (e.g., diabetes, stroke) on episodic memory among 871 older Blacks (50+ years) in the 2006 Health and Retirement Study . Financial hardship modified the association between chronic disease burden and episodic memory performance such that individuals who reported very little difficulty paying their monthly bills had significantly lower memory scores at high levels of disease burden compared to those reporting high financial difficulty after controlling for age, gender and education (F 2, 49 = 5.03, p = .010). This cross-sectional study suggests that both financial and physical wellbeing may have joint effects on cognitive health in older Blacks.     

The influence of personality and cognitive failures on distracted driving behaviors among young adults

Distracted driving is a major safety concern. This paper explores the role personality traits and self-reported cognitive failures play in the propensity towards distracted driving behavior (DDB) among young adults in the United States. Two independent time-separated studies (study 1 with 522 participants; study 2 with 314 participants) confirm the role of cognitive failures as a mediator between specific personality traits and DDB propensity among young adult drivers. The results of this study suggest drivers’ personality traits such as extraversion, conscientiousness, and neuroticism have a direct impact on DDB propensity. In addition, there is evidence that cognitive failure mediates the relationship between these three personality traits and DDB propensity. Lastly, based on the results, agreeableness moderates the relationship between cognitive failure and DDB propensity. Together, these findings suggest that personality traits should be considered in conjunction with driver’s cognitive failure in explaining DDB propensity. Future research using a combination of self-reported, naturalistic and simulation studies may provide additional insight into the relationships between personality traits, cognitive failures, and the propensity towards DDB.     

The role of executive function,personality and attitudes to risks in explaining self-reported driving behaviour in adolescent and adult male drivers

Young drivers show high levels of risky driving and are over-represented in motor vehicle crash statistics world-wide. As well as personality and attitudinal factors, high rates of risk taking during adolescence may be due to poorly developed executive functions, a result of the slow maturation of the pre-frontal cortex of the brain. This study was undertaken to investigate the roles of executive function, personality, attitudes to risk in relation to self-reported driving behaviour. Adolescent (n = 46, age 16–18 years) and adult (n = 32, 25 years and over) male drivers completed a battery of neuropsychological tests to assess general cognitive ability and executive function, and questionnaires to assess driving history, personality, attitudes to physical and psychological risk as well as questionnaires of self-reported driving behaviour (Driver risk taking and Driver Attitude Questionnaire, DAQ). The adolescent drivers showed poorer executive function, higher levels of impulsivity and risk-taking, lower levels of agreeableness and conscientiousness compared to adult drivers. Regression analyses revealed that attitudes to risk, agreeableness and working memory made unique significant contributions in explaining self-reported driving behaviour. Interestingly though, better working memory was associated with higher levels of self-reported risky driving and more accepting attitudes to risky driving. Together the findings suggest that some aspects of executive function, personality, and attitudes to risk may help to explain self-reported driving behaviour. Whether these findings are relevant to female drivers and apply to on-road driving behaviour should be the focus of future studies.     

The relationship between Big-5 personality traits and cognitive ability in older adults – a review

It is well established that fundamental aspects of cognition such as memory and speed of processing tend to decline with age; however, there is substantial between-individual variability in levels of cognitive performance in older adulthood and in rates of change in cognitive abilities over time. Recent years have seen an increasing number of studies concerned with examining personality characteristics as possible predictors of some of this variability in cognitive aging. The purpose of this article is to review the literature, and identify patterns of findings regarding the relationships between personality (focusing on the Big-5) and cognitive ability across nonclinical populations of older adults. Possible mechanisms underlying associations of personality characteristics with cognition are reviewed, and assessed in the context of the current literature. Some relatively consistent relationships are identified, including positive associations between openness and cognitive ability, and associations of conscientiousness with slower rates of cognitive decline. However, the relationships between several personality traits and cognitive abilities in older adults remain unclear. We suggest some approaches to research design and analysis that may help increase our understanding of how personality differences may contribute to cognitive aging.     

The Effect of Anxiety on the Cognitive Functioning in Non-clinical Schizotypal Individuals

Schizotypal personality disorder (SPD) is characterized by eccentric behavior and perceptual distortions that closely resemble the patterns observed in those with schizophrenia. Schizophrenia and related personality disorders (i.e., SPD) are associated with deficits in sustained attention, slower than normal reaction times, and manifestations of working memory deficits and erratic cognitive tasks. The present study used the schizotypal personality scale (STA) to compare cognitive abilities of self-reported low schizotypic tendency subjects with high schizotypic tendency subjects. The group scores on the STA differed significantly. Those with high STA scores also tended to have higher state and trait anxiety scores based on the State-Trait Anxiety Inventory (STAI). The groups did not significantly differ on any of the demographic variables tested, including age, education, self-rated health status, and medication. Along with an executive function test, two computerized tasks tested subjects on reaction time and memory. Even when covariates (i.e., state, trait anxiety scores) were analyzed, there were no significant differences between the groups and tasks, although the gathered data showed trends in the expected direction.     

The Effect of Anxiety on the Cognitive Functioning in Non-clinical Schizotypal Individuals

Schizotypal personality disorder (SPD) is characterized by eccentric behavior and perceptual distortions that closely resemble the patterns observed in those with schizophrenia. Schizophrenia and related personality disorders (i.e., SPD) are associated with deficits in sustained attention, slower than normal reaction times, and manifestations of working memory deficits and erratic cognitive tasks. The present study used the schizotypal personality scale (STA) to compare cognitive abilities of self-reported low schizotypic tendency subjects with high schizotypic tendency subjects. The group scores on the STA differed significantly. Those with high STA scores also tended to have higher state and trait anxiety scores based on the State-Trait Anxiety Inventory (STAI). The groups did not significantly differ on any of the demographic variables tested, including age, education, self-rated health status, and medication. Along with an executive function test, two computerized tasks tested subjects on reaction time and memory. Even when covariates (i.e., state, trait anxiety scores) were analyzed, there were no significant differences between the groups and tasks, although the gathered data showed trends in the expected direction.     

Personality as a Source of Individual Differences in Cognition among Older African Americans

Previous research suggests that demographic factors are important correlates of cognitive functioning in African Americans; however, less attention has been given to the influence of personality. The present study explored how dimensions and facets of personality predicted individual variability in cognition in a sample of older African Americans from the Baltimore Study of Black Aging. Cognition was assessed by verbal learning and attention/working memory measures. Personality was measured by the NEO Personality Inventory-Revised. Linear regressions controlling for demographic factors showed that Neuroticism, Openness, and Agreeableness were significant regression predictors of cognitive performance. Individual facets of all five personality dimensions were also associated with cognitive performance. These findings suggest personality is important in understanding variability in cognition among older African Americans.