Saccuzzo D P, Braff D L
Schizophr Bull. 1986;12(3):447-59. doi: 10.1093/schbul/12.3.447.
Schizophrenics were compared to schizoaffective, bipolar, and nonpsychotic depressed patients in a visual masking paradigm in which an informational target stimulus was followed at varying intervals by a noninformational masking stimulus. In limiting the availability of the sensory signal provided by the target stimulus, the mask was used to probe how information from the environment enters and is processed by the central nervous system. The use of the masking paradigm was originally based on the hypothesis that thought disorder is a result of a more primary dysfunction in the processes that precede and result in thought. Results confirmed previous findings of a performance deficit in the schizophrenics when compared to nonpsychotic controls. Schizoaffective and bipolar patients also showed evidence of impaired processing, however. Results were interpreted in terms of a trait/state formulation in which impaired information processing is seen as a fundamental trait of schizophrenia spectrum disorders and as a state that can covary with psychotic illness in general. A unifying concept centers on the effects of psychopathological conditions on an individual's processing resources that results in either underprovision or overprovision of information from sensory input to complex cognitive operations dependent on the cerebral cortex. Findings from a variety of paradigms are consistent with those of the masking paradigm in revealing that the processing deficits of schizophrenics are time dependent and occur in the 500 ms following stimulus input.
在一种视觉掩蔽范式中,将精神分裂症患者与分裂情感性障碍患者、双相情感障碍患者和非精神病性抑郁症患者进行比较。在该范式中,一个信息性目标刺激之后会在不同间隔时间出现一个非信息性掩蔽刺激。通过限制目标刺激所提供的感觉信号的可用性,掩蔽被用于探究来自环境的信息如何进入中枢神经系统并被其处理。掩蔽范式的使用最初基于这样一种假设,即思维障碍是在思维之前并导致思维的过程中更原发性功能障碍的结果。结果证实了与非精神病性对照相比,精神分裂症患者存在表现缺陷这一先前的研究发现。然而,分裂情感性障碍患者和双相情感障碍患者也表现出加工受损的证据。结果根据特质/状态公式进行解释,其中信息加工受损被视为精神分裂症谱系障碍的一个基本特质,并且通常被视为一种可与精神病性疾病共变的状态。一个统一的概念集中在心理病理状况对个体加工资源的影响上,这会导致从感觉输入到依赖于大脑皮层的复杂认知操作的信息供应不足或过度供应。来自各种范式的研究结果与掩蔽范式的结果一致,表明精神分裂症患者的加工缺陷是时间依赖性的,并且发生在刺激输入后的500毫秒内。