Ichinose Megan, Park Sohee
Department of Psychology, Vanderbilt University, Nashville, TN, USA.
Curr Top Behav Neurosci. 2019;41:345-367. doi: 10.1007/7854_2019_99.
Working memory deficits are observed in the vast majority of individuals diagnosed with schizophrenia and those at risk for the disorder. Working memory impairments are present during the prodromal stage and persist throughout the course of schizophrenia. Given the importance of cognition in functional outcome, working memory deficits are an important therapeutic target for schizophrenia. This chapter examines mechanisms underlying working memory deficits in schizophrenia, focusing on the roles of perception and attention in the encoding process. Lastly, we present a comprehensive discussion of neural oscillation and internal noise in the context of the etiology of working memory deficits in schizophrenia and introduce noninvasive treatment strategies that could improve encoding processes.
在绝大多数被诊断为精神分裂症的个体以及有患该疾病风险的人群中,均观察到工作记忆缺陷。工作记忆损害在精神分裂症的前驱期就已存在,并贯穿疾病全过程。鉴于认知对功能结局的重要性,工作记忆缺陷是精神分裂症的一个重要治疗靶点。本章探讨精神分裂症中工作记忆缺陷的潜在机制,重点关注感知和注意力在编码过程中的作用。最后,我们在精神分裂症工作记忆缺陷病因的背景下,对神经振荡和内部噪声进行全面讨论,并介绍可改善编码过程的非侵入性治疗策略。