Wynn Jonathan K, Breitmeyer Bruno, Nuechterlein Keith H, Green Michael F
Department of Psychiatry and Biobehavioral Sciences, Geffen School of Medicine at UCLA, United States.
J Psychiatr Res. 2006 Oct;40(7):599-605. doi: 10.1016/j.jpsychires.2006.06.002. Epub 2006 Aug 4.
Schizophrenia patients exhibit numerous deficits on visual processing tasks, ranging from very early stages of visual processing (e.g., backward masking) to the later working memory stages (e.g., delayed match-to-sample, N-back). However, little is known about deficits in an intermediate stage of visual information processing, namely short term visual memory (STVM). The attentional blink (AB) paradigm is considered to be a valid way to assess the STVM, and recent studies have reported AB deficits in schizophrenia. However, it is not clear whether the reported AB deficit in schizophrenia patients is due to their increased susceptibility to backward masking or increased vulnerability in the STVM. In this study we first found poorer performance in the AB task in 37 schizophrenia patients compared to 26 normal controls. To examine the effects of increasing and decreasing mask strength on AB performance in patients and controls, we next systematically varied the masking effect by varying the length of the distracters immediately following the targets. The manipulation had relatively little effect on the patient--control differences and patients continued to show an enhanced AB effect across conditions. The findings suggest that the enhanced AB effect in schizophrenia reflects an abnormality in their short term visual memory, as opposed to their enhanced susceptibility to visual masking.
精神分裂症患者在视觉处理任务中表现出众多缺陷,范围从视觉处理的非常早期阶段(例如,逆向掩蔽)到后期工作记忆阶段(例如,延迟匹配样本、N 回溯)。然而,对于视觉信息处理的中间阶段,即短期视觉记忆(STVM)的缺陷知之甚少。注意瞬脱(AB)范式被认为是评估 STVM 的一种有效方法,最近的研究报告了精神分裂症患者存在 AB 缺陷。然而,尚不清楚精神分裂症患者中报告的 AB 缺陷是由于他们对逆向掩蔽的易感性增加还是 STVM 中的脆弱性增加。在本研究中,我们首先发现 37 名精神分裂症患者在 AB 任务中的表现比 26 名正常对照者差。为了检查增加和减少掩蔽强度对患者和对照者 AB 表现的影响,我们接下来通过改变紧跟目标之后的干扰项长度来系统地改变掩蔽效果。这种操作对患者与对照者之间的差异影响相对较小,并且患者在所有条件下都继续表现出增强的 AB 效应。这些发现表明,精神分裂症中增强的 AB效应反映了他们短期视觉记忆中的异常,而不是他们对视觉掩蔽的易感性增强。