Krieger S, Lis S, Gallhofer B
Centre for Psychiatry, Justus-Liebig-University Giessen, Germany.
Acta Psychiatr Scand Suppl. 2001(408):18-27. doi: 10.1034/j.1600-0447.2001.104s408018.x.
The aim of the study is to demonstrate that deficits of information processing in schizophrenic patients can be isolated with reaction-time (RT) decomposition paradigms.
Three types of visually presented tasks were applied: simple, disjunctive and choice RT-tasks. RT were split into movement latency and time necessary to execute movements. Comparisons of three samples of schizophrenic patients (295.3) with individually matched (age, sex. education and handedness) healthy controls are presented: Sample 1: 10 drug-naive first-onset patients, Sample 2: 10 neuroleptically treated first-onset patients, Sample 3: 10 neuroleptically treated chronically ill patients.
Findings indicate that schizophrenia affects primarily subprocesses in which percepts are translated into appropriate actions (response-selection). Neuroleptic treatment improves processing at this stage but is accompanied by slowing of movement execution.
Response-selection is selectively impaired in first-onset patients. This disturbance, which might be specific for schizophrenia, can be regarded as indication of a disconnection between frontal and posterior areas.
本研究旨在证明,可通过反应时间(RT)分解范式分离精神分裂症患者的信息处理缺陷。
应用了三种视觉呈现任务:简单反应时任务、析取反应时任务和选择反应时任务。反应时间被分解为运动潜伏期和执行运动所需的时间。呈现了三组精神分裂症患者(295.3例)与个体匹配(年龄、性别、教育程度和利手)的健康对照的比较:样本1:10例未用药的首发患者,样本2:10例接受抗精神病药物治疗的首发患者,样本3:10例接受抗精神病药物治疗的慢性病患者。
研究结果表明,精神分裂症主要影响将感知转化为适当行动(反应选择)的子过程。抗精神病药物治疗可改善此阶段的处理过程,但会伴随运动执行速度减慢。
首发患者的反应选择存在选择性受损。这种可能是精神分裂症特有的障碍,可被视为额叶和后部区域之间脱节的迹象。