Working memory and its contribution to performance on strategic memory
tests in schizophrenia were studied. Patients (n = 18) and control pa
rticipants (it = 15), all men, received tests of immediate memory (for
ward digit span), working memory (listening, computation, and backward
digit span), and long-term strategic (free recall, temporal order, an
d self-ordered pointing) and nonstrategic (recognition) memory. Schizo
phrenia patients performed worse on all tests. Education. verbal intel
ligence, and immediate memory capacity did not account for deficits in
working memory in schizophrenia patients. Reduced working memory capa
city accounted for group differences in strategic memory but not in re
cognition memory. Working memory impairment may be central to the prof
ile of impaired cognitive performance in schizophrenia and is consiste
nt with hypothesized frontal lobe dysfunction associated with this dis
ease. Additional medial-temporal dysfunction may account for the recog
nition memory deficit.