Subjective and objective memory in a community-derived sample of people with epilepsy: Evidence from the Crimes and Four Doors tests

Richard J. Allen*, Steven Kemp, Amy L Atkinson, Sarah Martin, Kata Pauly-Takacs, Courtney M. Goodridge, Ami Gilliland, Alan Baddeley

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Subjective self-reports of difficulties with memory are relatively common in people with
epilepsy, though these do not always align with performance on objective memory tasks. The current study gathered qualitative and quantitative subjective reports of memory function in a group of people with epilepsy who were recruited via the charity Epilepsy Action, along with controls. Participants also carried out one of two recently developed experimental tasks (Crimes or Four Doors) that provide objective measures of long-term memory and forgetting, along with an additional verbal learning and recall task, each of which assess retention over a one-week period. Relative to controls, people with epilepsy reported memory problems across all the subjective measures, while also showing more objective forgetting on Crimes and Four Doors. When combining the epilepsy and control samples, subjective forgetting and memory satisfaction correlated with objective delayed recall and forgetting. Within the epilepsy sample, delayed recall correlated with subjectively experienced forgetting. These findings provide new evidence for subjective and objective memory difficulties in epilepsy and indicate the need for development of appropriate tools to detect atypical forgetting in this population.
Original languageEnglish
Article number110519
Number of pages10
JournalEpilepsy & behavior
Volume172
Early online date11 Jun 2025
DOIs
Publication statusE-pub ahead of print - 11 Jun 2025

Bibliographical note

© 2025 The Author(s)

Keywords

  • Subjective memory
  • objective memory
  • Long-term forgetting
  • epilepsy
  • Crimes test
  • Four Doors test

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