Institute of Psychology, Friedrich Schiller University Jena, 07743 Jena, Germany; DFG Research Unit Person Perception, Friedrich Schiller University Jena, 07743 Jena, Germany.
Department of Psychiatry and Psychotherapy, Jena University Hospital, 07743 Jena, Germany.
Psychiatry Res Neuroimaging. 2019 Aug 30;290:22-29. doi: 10.1016/j.pscychresns.2019.05.006. Epub 2019 May 31.
A growing body of evidence suggests that the comparison of expected and incoming sensory stimuli (the prediction-error (ε) processing) is impaired in schizophrenia patients (SZ). For example, in studies of mismatch negativity, an ERP component that signals ε, SZ patients show deficits in the auditory and visual modalities. To test the role of impaired ε processing further in SZ, using neuroimaging methods, we applied a repetition-suppression (RS) paradigm.
Patients diagnosed with SZ (n = 17) as well as age- and sex- matched healthy control subjects (HC, n = 17) were presented with pairs of faces, which could either repeat or alternate. Additionally, the likelihood of repetition/alternation trials was modulated in individual blocks of fMRI recordings, testing the effects of repetition probability (P(rep)) on RS.
We found a significant RS in the fusiform and occipital face areas as well as in the lateral occipital cortex that was similar in healthy controls and SZ patients SZ. More importantly, we observed similar P(rep) effects (larger RS in blocks with high frequency of repetitions than in blocks with low repetition likelihood) in both the control and the patient group.
Our findings suggest that repetition_probability modulations affect the neural responses in schizophrenia patients and healthy participants similarly. This suggests that the neural mechanisms determining perceptual inferences based on stimulus probabilities remain unimpaired in schizophrenia.
越来越多的证据表明,精神分裂症患者(SZ)对预期和传入感觉刺激的比较(预测误差(ε)处理)受损。例如,在失匹配负波(MMN)研究中,一种表明 ε 的 ERP 成分,SZ 患者在听觉和视觉模态中表现出缺陷。为了进一步测试 SZ 中 ε 处理受损的作用,我们使用神经影像学方法应用了重复抑制(RS)范式。
我们对被诊断为 SZ 的患者(n=17)和年龄、性别匹配的健康对照组(HC,n=17)进行了面孔配对呈现,这些面孔可以重复或交替出现。此外,在 fMRI 记录的各个块中,通过调制重复/交替试验的可能性,测试了重复概率(P(rep))对 RS 的影响。
我们发现,在梭状回和枕叶面孔区以及外侧枕叶皮层中,均存在显著的 RS,健康对照组和 SZ 患者之间的 RS 相似。更重要的是,我们在对照组和患者组中都观察到了相似的 P(rep)效应(在重复频率较高的块中,RS 较大,而在重复可能性较低的块中,RS 较小)。
我们的研究结果表明,重复概率调制对精神分裂症患者和健康参与者的神经反应产生类似的影响。这表明基于刺激概率的知觉推断的神经机制在精神分裂症中保持不受损害。