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Rule Monitoring Ability Predicts Event-Based Prospective Memory Performance in Individuals with TBI

Published online by Cambridge University Press:  28 July 2014

Jessica Paxton
Affiliation:
Kessler Foundation, West Orange, New Jersey Department of Physical Medicine and Rehabilitation, Rutgers, the State University of New Jersey, Newark, New Jersey
Nancy Chiaravalloti*
Affiliation:
Kessler Foundation, West Orange, New Jersey Department of Physical Medicine and Rehabilitation, Rutgers, the State University of New Jersey, Newark, New Jersey
*
Correspondence and reprint requests to: Nancy Chiaravalloti, Neuropsychology and Neuroscience, Kessler Foundation, 300 Executive Drive, Suite 70, West Orange, NJ 07052. E-mail: nchiaravalloti@kesslerfoundation.org

Abstract

Numerous studies have demonstrated that prospective memory (PM) abilities are impaired following traumatic brain injury (TBI). PM refers to the ability to remember to complete a planned action following a delay. PM post-TBI has been shown to be related to performance on neuropsychological tests of executive functioning and retrospective episodic memory (RM). However, the relative influence of impairments in RM versus executive functioning on PM performance post-TBI remains uninvestigated. In the current study, PM and neuropsychological test performance were examined in 45 persons with a history of moderate to severe TBI at least 1 year before enrollment. Regression analyses examined the relative contributions of RM and executive functioning in the prediction of PM performance on the Rivermead Behavioral Memory Test (RBMT). Results indicated that scores on tests of delayed RM and rule monitoring (i.e., ability to avoid making errors on executive measures) were the strongest predictors of PM. When the interaction between RM impairment and rule monitoring was examined, a positive relationship between PM and rule monitoring was found only in TBI participants with impaired RM. Results suggest that PM performance is dependent upon rule monitoring abilities only when RM is impaired following TBI. (JINS, 2014, 20, 1–11)

Type
Research Articles
Copyright
Copyright © The International Neuropsychological Society 2014 

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