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精神分裂症中注意定势转换保持的事件相关脑电位证据。

Event related brain potential evidence for preserved attentional set switching in schizophrenia.

作者信息

Kieffaber Paul D, O'Donnell Brian F, Shekhar Anantha, Hetrick William P

机构信息

Indiana University Bloomington, United States.

出版信息

Schizophr Res. 2007 Jul;93(1-3):355-65. doi: 10.1016/j.schres.2007.03.018. Epub 2007 Apr 26.

Abstract

Pervasive deficits of attention and set switching have been reported in schizophrenia, prompting efforts to identify the information processing mechanisms associated with these deficits. Recent evidence suggests that set switching may be intact in schizophrenia when the task switch requires only a change in the relevance of perceptual dimensions (e.g., attentional set switches) but decision-to-response mappings (intentional set) are maintained across trials in a cued task switching procedure. The goal of the present research was to replicate this finding and to test its direct corollary, which is the unconventional prediction that individuals with schizophrenia will evidence an intact, switch-sensitive P3(b) brain response to cued switches of attentional set. This prediction was tested in a group of 20 individuals with schizophrenia and 20 healthy comparison participants using event-related brain potential methodology and a cued task-switching task. Attentional set switching costs were equivalent between the two groups despite a set maintenance deficit in schizophrenia. Moreover, a posterior-parietal P3(b) component of the ERP was found to be equally sensitive to attentional set switching in schizophrenia and comparison groups, indicating a "healthy" brain response to switches of attentional set in schizophrenia. These results suggest that the dynamic control of attentional set may be preserved in schizophrenia and that previously reported executive deficits may be specific to the control of intentional task set and to deficits of task set maintenance.

摘要

已有报道称精神分裂症患者存在普遍的注意力和定势转换缺陷,这促使人们努力去识别与这些缺陷相关的信息处理机制。最近的证据表明,在精神分裂症患者中,当任务转换仅需要感知维度相关性的改变(例如,注意力定势转换),而在提示性任务转换程序中,试验之间的决策到反应映射(意向定势)保持不变时,定势转换可能是完整的。本研究的目的是重复这一发现,并检验其直接推论,即一个非常规的预测:精神分裂症患者对提示性注意力定势转换将表现出完整的、对转换敏感的P3(b)脑反应。使用事件相关脑电位方法和提示性任务转换任务,在一组20名精神分裂症患者和20名健康对照参与者中对这一预测进行了检验。尽管精神分裂症患者存在定势维持缺陷,但两组之间的注意力定势转换成本相当。此外,发现ERP的后顶叶P3(b)成分在精神分裂症组和对照组中对注意力定势转换同样敏感,表明精神分裂症患者对注意力定势转换有“正常”的脑反应。这些结果表明,精神分裂症患者可能保留了对注意力定势的动态控制,并且先前报道的执行功能缺陷可能特定于对意向任务定势的控制和任务定势维持的缺陷。

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