Skip to main content
Log in

The benefits of emotionally salient cues on event-based prospective memory in bipolar patients and schizophrenia patients

  • Original Paper
  • Published:
European Archives of Psychiatry and Clinical Neuroscience Aims and scope Submit manuscript

Abstract

Prospective memory (PM) refers to the ability to remember to carry out a delayed intention in the future. Evidence suggests that emotionally salient cues can enhance PM functions in healthy population, but whether the benefit exists in schizophrenia and bipolar patients remains unclear. This study aimed to examine and compare the potential enhancement effect of emotional PM cues in schizophrenia patients and bipolar patients. Twenty-eight clinically stable schizophrenia participants, 26 euthymic bipolar participants and 29 controls completed a computerized PM task involving PM cues with different types of valences (i.e., positive, neutral and negative). All the three groups showed better PM performance when negative PM cues were presented compared with positive and neutral PM cues. The sizes of the enhancement effects of negative PM cues were large (all Cohen’s d ≥ 1.00) and comparable across three groups. Our findings suggested that patients with schizophrenia and bipolar disorders could benefit from negative PM cues to an extent similar to healthy individuals, thus extended the notion of psychosis continuum to the important area of emotion-cognition interaction.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Scullin MK, McDaniel MA, Shelton JT, Lee JH (2010) Focal/nonfocal cue effects in prospective memory: monitoring difficulty or different retrieval processes? J Exp Psychol Learn Mem Cogn 36(3):736–749

    Article  Google Scholar 

  2. Burgess PW, Gonen-Yaacovi G, Volle E (2011) Functional neuroimaging studies of prospective memory: what have we learnt so far? Neuropsychologia 49(8):2246–2257

    Article  Google Scholar 

  3. Kliegel M, Altgassen M, Hering A, Rose N (2011) A process-model based approach to prospective memory impairment in Parkinson’s disease. Neuropsychologia 49:2166–2177

    Article  Google Scholar 

  4. Bora E, Yucel M, Pantelis C (2009) Cognitive functioning in schizophrenia, schizoaffective disorder and affective psychoses: meta-analytic study. Br J Psychiatry 195(6):475–482

    Article  Google Scholar 

  5. Selemon LD, Zecevic N (2015) Schizophrenia: a tale of two critical periods for prefrontal cortical development. Transl Psychiatry 5(8):e623

    Article  CAS  Google Scholar 

  6. Wang Y, Cui J, Chan RCK, Deng Y, Shi H, Hong X, Shum DHK (2009) Meta-analysis of prospective memory in schizophrenia: nature, extent, and correlates. Schizophr Res 114:64–70

    Article  Google Scholar 

  7. Zhou FC, Zheng W, Lu L, Wang YY, Ng CH, Ungvari GS, Li J, Xiang YT (2019) Prospective memory in schizophrenia: a meta-analysis of comparative studies. Schizophr Res 212:62–71

    Article  Google Scholar 

  8. Lui SSY, Wang Y, Yang T, Liu ACY, Chui WWH, Yeung HKH, Chan RCK (2015) Problems in remembering to carry out future actions in first-episode schizophrenia: primary or secondary impairment? J Psychiatr Res 61:141–149

    Article  Google Scholar 

  9. Chan RCK, Lui SSY, Wang Y, Liu ACY, Chui WWH, Shum DHK, Cheung EFC (2013) Patients with bipolar disorders share similar but attenuated prospective memory impairments with patients with schizophrenia. Psychol Med 43(8):1639–1649

    Article  CAS  Google Scholar 

  10. Au RW, Xiang YT, Ungvari GS, Lee E, Shum DH, Man D, Tang WK (2016) Prospective memory performance in persons with schizophrenia and bipolar disorder and healthy persons. Perspect Psychiatr Care 53(4):266–274

    Article  Google Scholar 

  11. Zhou JJ, Xiang YT, Wang CY, Zhou FC, Ungvari GS, Dickerson F, Chiu HF, Lai KY, Shum DH, Lee E, Au RW, Tang WK, Man D (2013) Prospective memory deficits in euthymic bipolar disorder patients: a preliminary study. Asia Pac Psychiatry 5(3):183–190

    Article  Google Scholar 

  12. Zhou FC, Wang YY, Zheng W, Ungvari GS, Ng CH, Yuan Z, Xiang YT (2018) Prospective memory in bipolar disorder: a meta-analysis. Psychiatry Res 259:184–190

    Article  Google Scholar 

  13. van Os J (2016) “Schizophrenia” does not exist. Br Med J 352:i375

    Article  Google Scholar 

  14. Lam JWS, Lui SSY, Wang Y, Chan RCK, Cheung EFC (2013) Prospective memory predicts medication management ability and correlates with non-adherence to medications in individuals with clinically stable schizophrenia. Schizophr Res 147(2–3):293–300

    Article  Google Scholar 

  15. Raskin SA, Maye J, Rogers A, Correll D, Zamroziewicz M, Kurtz M (2014) Prospective memory in schizophrenia: relationship to medication management skills, neurocognition, and symptoms in individuals with schizophrenia. Neuropsychology 28:359–365

    Article  Google Scholar 

  16. Twamley EW, Woods SP, Zurhellen CH, Vertinski M, Narvaez JM, Mausbach BT, Patterson DL, Jeste DV (2008) Neuropsychological substrates and everyday functioning implications of prospective memory impairment in schizophrenia. Schizophr Res 106(1):42

    Article  Google Scholar 

  17. Au RW, Man D, Xiang YT, Shum D, Lee E, Ungvari GS, Tang WK (2014) Prospective memory predicts the level of community living skills in schizophrenia. Psychiatry Res 219(1):86–91

    Article  Google Scholar 

  18. Henry JD, Moore P, Terrett G, Rendell PG, Scott JG (2019) A comparison of different types of prospective memory reminders in schizophrenia. Schizophr Res 210:89–93

    Article  Google Scholar 

  19. Chen T, Liu LL, Cui JF, Li Y, Qin XJ, Tao SL, Neumann DL, Shum DHK, Cheung EFC, Wang Y, Chan RCK (2019) Implementation intention training for prospective memory in schizophrenia: a 3-month follow-up study. Schizophr Res 206:378–385

    Article  Google Scholar 

  20. Chen XJ, Liu LL, Cui JF, Gan MY, Li CQ, Neumann DL, Shum DH, Wang Y, Chan RC (2016) The effect and mechanisms of implementation intention in improving prospective memory performance in schizophrenia patients. Psychiatry Res 244:86–93

    Article  Google Scholar 

  21. Hostler TJ, Wood C, Armitage CJ (2018) The influence of emotional cues on prospective memory: a systematic review with meta-analyses. Cogn Emot 32(8):1578–1596

    Article  Google Scholar 

  22. Inzlicht M, Bartholow BD, Hirsh JB (2015) Emotional foundations of cognitive control. Trends Cogn Sci 19(3):126–132

    Article  Google Scholar 

  23. Einstein GO, McDaniel MA, Thomas R, Mayfield S, Shank H, Morrisette N, Breneiser J (2005) Multiple processes in prospective memory retrieval: factors determining monitoring versus spontaneous retrieval. J Exp Psychol Gen 134(3):327–342

    Article  Google Scholar 

  24. Cona G, Kliegel M, Bisiacchi P (2015) Differential effects of emotional cues on components of prospective memory: an ERP study. Frontiers in Human Neuroscience 9:10

    PubMed  PubMed Central  Google Scholar 

  25. Altgassen M, Henry JD, Burgler S, Kliegel M (2011) The influence of emotional target cues on prospective memory performance in depression. J Clin Exp Neuropsychol 33:910–916

    Article  Google Scholar 

  26. Yang T, Cui X, Wang Y, Huang J, Lui SSY, Zhang R, Cheung EFC, Chan RCK (2018) Effect of emotional cues on prospective memory performance in patients with schizophrenia and major depressive disorder. Schizophr Res 201:145–150

    Article  Google Scholar 

  27. Ruocco AC, Reilly JL, Rubin LH, Daros AR, Gershon ES, Tamminga CA, Pearlson GD, Hill SK, Keshavan MS, Gur RC, Sweeney JA (2014) Emotion recognition deficits in schizophrenia-spectrum disorders and psychotic bipolar disorder: findings from the bipolar-schizophrenia network on intermediate phenotypes (B-SNIP) study. Schizophr Res 158(1–3):105–112

    Article  Google Scholar 

  28. Rock PL, Goodwin GM, Harmer CJ (2020) The common adolescent bipolar phenotype shows positive biases in emotional processing. Bipolar Disord. https://doi.org/10.1111/j.1399-5618.2010.00859

    Article  Google Scholar 

  29. Kohler CG, Martin EA (2006) Emotional processing in schizophrenia. Cogn. Neuropsychiatry 11(3):250–271

    Google Scholar 

  30. Maat A, van Montfort SJ, de Nijs J, Derks EM, Kahn RS, Linszen DH, van Os J, Wiersma D, Bruggeman R, Cahn W, de Haan L, Krabbendam L, Myin-Germeys I, Investigators GROUP (2015) Emotion processing in schizophrenia is state and trait dependent. Schizophr Res 161(2–3):392–398

    Article  Google Scholar 

  31. Einstein GO, McDaniel MA (1996) Retrieval processes in prospective memory: theoretical approaches and some new empirical findings. In: Brandimonte MA, Einstein GO, McDaniel MA (eds) Prospective memory: theory and applications. Lawrence Erlbaum Associates, Mahwah, pp 115–142

    Google Scholar 

  32. First MB, Spitzer RL, Gibbon M, Williams JBW (1996) Structured clinical interview for DSM-IV (SCID-I) (user’s guide and interview) research version. Biometrics Research Institute, New York State Psychiatric Institute, New York

    Google Scholar 

  33. Wang Y, Zhou L, Luo Y (2008) The pilot establishment and evaluation of Chinese Affective Words System. Chin Ment Health J 22(8):608–612

    Google Scholar 

  34. Kay SR, Fiszbein A, Opler LA (1987) The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 13(2):261–276

    Article  CAS  Google Scholar 

  35. Hamilton M (1960) A rating scale for depression. J Neurol Neurosurg Psychiatry 23(1):56

    Article  CAS  Google Scholar 

  36. Young RC, Biggs JT, Ziegler VE, Meyer DA (1978) A rating scale for mania: reliability, validity and sensitivity. Br J Psychiatry 133(5):429–435

    Article  CAS  Google Scholar 

  37. Gong YX (1992) Manual of Wechsler adult intelligence scale—Chinese version. Chinese Map Press, Changsha

    Google Scholar 

  38. Miller GA, Chapman JP (2001) Misunderstanding analysis of covariance. J Abnorm Psychol 110(1):40–48

    Article  CAS  Google Scholar 

Download references

Acknowledgments

This study was supported by a donation from the Philip K. H. Wong Foundation granted to Eric F. C. Cheung of Castle Peak Hospital. Raymond Chan was supported by the CAS Key Laboratory of Mental Health, Institute of Psychology.

Funding

These funding agents had no role in the study design; collection, analysis, and interpretation of the data; writing of the manuscript; or decision to submit the paper for publication.

Author information

Authors and Affiliations

Authors

Contributions

Lui SSY, Yang TX, Chan RCK conceived and designed the study. Leung SSW, Man CMY, Leung KHL were responsible for data collection. Lui SSY, Yang TX, Leung SSW conducted data analysis. Lui SSY and Leung SSW wrote the first draft of the manuscript. Wong JOY, Wang Y, Yang TX, Chan RCK made substantial contribution to comment and revise the manuscript. All authors have approved the final version of this manuscript.

Corresponding authors

Correspondence to Tian-xiao Yang or Raymond C. K. Chan.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This study was approved by the Clinical & Research Ethics Committee of the New Territories West Cluster of the Hospital Authority of Hong Kong.

Consent to participate

All patients provided written informed consent, in accordance with the 1964 Declaration of Helsinki.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lui, S.S.Y., Leung, S.S.W., Yang, Tx. et al. The benefits of emotionally salient cues on event-based prospective memory in bipolar patients and schizophrenia patients. Eur Arch Psychiatry Clin Neurosci 271, 1503–1511 (2021). https://doi.org/10.1007/s00406-021-01235-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00406-021-01235-1

Keywords

Navigation