Time Lapse: The greater the time between the event and the recall, the less accurate the memory is likely to be. Emotional State: The patient's emotional state during the event can impact how they remember it. Stress and anxiety can distort memories. Social Desirability: Patients may alter their recollections to present themselves in a more favorable light or to align with what they think the healthcare provider wants to hear. Complexity of Information: Complex medical histories or treatments can be difficult to remember accurately.