Koller William N, Cannon Tyrone D
Department of Psychology, Yale University, United States of America.
Department of Psychiatry, Yale University, United States of America.
Schizophr Res Cogn. 2023 Oct 12;34:100291. doi: 10.1016/j.scog.2023.100291. eCollection 2023 Dec.
Schizophrenia is characterized by memory impairments, yet the relationships between its distinct symptom clusters (i.e., positive, negative, disorganized) and specific aspects of memory dysfunction remain poorly characterized. In the present study, we compiled a large analog sample ( = 795) to test whether positive symptoms, versus negative and disorganized symptoms, were uniquely and differentially related to false alarm versus miss errors during recognition memory. Mixed-effects beta regression analyses revealed that both positive schizotypy and paranoia were more strongly associated with false alarms than misses. Disorganized schizotypy showed a similar pattern, though to a lesser extent; negative schizotypy showed a significant relationship with neither false alarm nor miss errors. We suggest that those higher in positive schizotypy are especially prone to misattribute signal to noise stimuli during recognition memory - characteristic of an "intrusive-like" profile of memory impairment, wherein context-irrelevant stimuli trigger spurious retrieval events - and speculate on the neural processes that might give rise to this asymmetry.
精神分裂症的特征是记忆障碍,但其不同症状群(即阳性、阴性、紊乱性)与记忆功能障碍的特定方面之间的关系仍未得到充分描述。在本研究中,我们收集了一个大型模拟样本(n = 795),以测试阳性症状与阴性和紊乱性症状相比,在识别记忆过程中是否与错误警报和漏报错误存在独特的差异关系。混合效应β回归分析显示,阳性分裂型人格特质和偏执狂与错误警报的关联比与漏报的关联更强。紊乱性分裂型人格特质也呈现出类似模式,尽管程度较轻;阴性分裂型人格特质与错误警报和漏报错误均无显著关系。我们认为,阳性分裂型人格特质较高的人在识别记忆过程中特别容易将信号误归因于噪声刺激——这是记忆障碍“侵入样”特征的表现,即与情境无关的刺激会触发虚假的检索事件——并推测了可能导致这种不对称的神经过程。