Elvevåg Brita, Fisher Joscelyn E, Goldberg Terry E
Clinical Brain Disorders Branch, National Institute of Mental Health/National Institutes of Health, Room 4S235, MSC 1379, Building 10, Bethesda, MD 20892, USA.
Schizophr Res. 2003 Feb 1;59(2-3):127-35. doi: 10.1016/s0920-9964(01)00384-x.
Patients with schizophrenia frequently display problems in tasks demanding working memory. In a previous study, we examined short-term memory (STM) for serial order by having participants recall lists of letters from the first item to the last item in the order in which they were presented, and we examined the types of errors made (e.g., omissions, intrusions and movements; [Neuropsychology 15 (2001) 128]). We found that the disproportionate errors schizophrenic patients made were omissions at the end of six-item lists, a finding we suggested might reflect patients' longer output times, which adds to information maintenance demands. If this is the case, we predicted that the group difference in the terminal positions could be eliminated through the use of a probed recall paradigm.
In the current study, 26 schizophrenic patients and 33 control participants were tested on a probed recall task that was similar to our previous serial recall task except that instead of recalling the whole sequence of letters, participants were probed as to which letter appeared in a specific position in the sequence.
We found that when participants were probed for later positions, recall was equivalent in the groups (i.e., recency), but disproportionately worse in patients for earlier positions.
We suggest that schizophrenic patients' limited STM span for serial order is not attributable to a selective deficit in memory for serial order. Rather, we propose that it may be explicable in terms of impaired information maintenance and thus this becomes evident in conditions involving longer sequences of stimuli.
精神分裂症患者在需要工作记忆的任务中经常表现出问题。在之前的一项研究中,我们通过让参与者按照呈现顺序从第一个项目到最后一个项目回忆字母列表来检查序列顺序的短期记忆(STM),并且我们检查了所犯错误的类型(例如,遗漏、插入和移位;[《神经心理学》15(2001)128])。我们发现精神分裂症患者所犯的不成比例的错误是六项列表末尾的遗漏,我们认为这一发现可能反映了患者更长的输出时间,这增加了信息维持的需求。如果是这样的话,我们预测通过使用探测回忆范式可以消除终端位置的组间差异。
在当前研究中,对26名精神分裂症患者和33名对照参与者进行了一项探测回忆任务测试,该任务与我们之前的序列回忆任务相似,只是参与者不是回忆字母的整个序列,而是被询问序列中特定位置出现的是哪个字母。
我们发现,当询问参与者较靠后的位置时,两组的回忆情况相当(即近因效应),但在较早位置上患者的回忆情况明显更差。
我们认为精神分裂症患者序列顺序的短期记忆跨度有限并非归因于序列顺序记忆的选择性缺陷。相反,我们提出这可能可以用信息维持受损来解释,因此在涉及较长刺激序列的情况下这一点变得明显。