McLean Hospital, Massachusetts, United States.
Brain Cogn. 2011 Nov;77(2):248-56. doi: 10.1016/j.bandc.2011.08.003. Epub 2011 Aug 26.
Schizophrenia patients exhibit perceptual and cognitive deficits, including in visual motion processing. Given that cognitive systems depend upon perceptual inputs, improving patients' perceptual abilities may be an effective means of cognitive intervention. In healthy people, motion perception can be enhanced through perceptual learning, but it is unknown whether this perceptual plasticity remains in schizophrenia patients. The present study examined the degree to which patients' performance on visual motion discrimination can be improved, using a perceptual learning procedure. While both schizophrenia patients and healthy controls showed decreased direction discrimination thresholds (improved performance) with training, the magnitude of the improvement was greater in patients (47% improvement) than in controls (21% improvement). Both groups also improved moderately but non-significantly on an untrained task-speed discrimination. The large perceptual training effect in patients on the trained task suggests that perceptual plasticity is robust in schizophrenia and can be applied to develop bottom-up behavioral interventions.
精神分裂症患者表现出感知和认知缺陷,包括视觉运动处理。鉴于认知系统依赖于感知输入,改善患者的感知能力可能是认知干预的有效手段。在健康人群中,运动知觉可以通过知觉学习来增强,但尚不清楚这种知觉可塑性是否存在于精神分裂症患者中。本研究通过知觉学习程序,检查了精神分裂症患者在视觉运动辨别方面的表现可以在多大程度上得到提高。虽然精神分裂症患者和健康对照组在训练过程中都表现出方向辨别阈值降低(表现改善),但患者的改善幅度更大(改善 47%),而对照组的改善幅度较小(改善 21%)。两组在未训练的任务速度辨别上也有适度但无统计学意义的改善。患者在训练任务上的大的知觉训练效果表明,知觉可塑性在精神分裂症中是强大的,可以应用于开发自下而上的行为干预。