Hyperactive and hypoxic children: Signal detection, sustained attention, and behavior.

Two parameters from signal detection theory—perceptual sensitivity and decision criterion cutoff scores—were used in the analysis of vigilance performance of 30 hyperactive (mean age 8.5 yrs), 30 hypoxic (mean age 9 yrs), and 47 normal (mean age 8.8 yrs) children. Signal detection analyses of 3 Continuous Performance Test conditions indicated that with increasing age, Ss obtained significantly more hits, fewer false alarms, higher perceptual sensitivity, and responded with greater caution. Overall deficits in signal discrimination (perceptual sensitivity level) were obtained for both the hyperactive and hypoxic Ss when compared to normal age-mates. Whereas the hypoxic Ss demonstrated additional decrements in sustaining attention (sensitivity decrement over time), the hyperactive Ss were impaired by low-response caution, reflecting difficulty inhibiting impulsive responses. Possible differences in hyperactive sample characteristics across studies and time-related recovery factors following hypoxia are discussed. (43 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceptual Organization in Schizophrenia Spectrum Disorders: Empirical Research and Theoretical Implications.

The research into perceptual organization in schizophrenia spectrum disorders has found evidence for and against a perceptual organization deficit and has interpreted the data from within several different theoretical frameworks. A synthesis of this evidence, however, reveals that this body of work has produced reliable evidence for deficits in schizophrenia, as well as for the clinical, stimulus, and task parameters associated with normal and abnormal performance. Recent models of cognition have also advanced understanding of the underlying pathophysiological processes of perceptual organization dysfunction in schizophrenia spectrum disorders. These suggest that deficits in perceptual organization may be one manifestation of a wider disturbance in the integration of contextually related information across space and time. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Global attentional deviance as a marker of risk for schizophrenia: Specificity and predictive validity.

Evaluated global attentional deficits as possible childhood markers of schizophrenia. Performance deviance was assessed across a continuous performance test, an attention span task, and the Digit Span subtest of the Wechsler Intelligence Scale for Children (WISC). 63 children of schizophrenic parents, 43 children of parents with affective disorders, and 100 children of normal parents were tested when the children were 7–12 yrs old. A subgroup of Ss at risk for schizophrenia displayed extreme global deviance across attentional measures. Only a small number of Ss at risk for affective disorders and normal comparison Ss showed similar extreme attentional deficits. The global attentional deficits measured at these early ages were related to behavioral disturbances (behavior was assessed in 3–6 mo intervals since 1971) in young adulthood for Ss at risk for schizophrenia, but not for Ss in the affective risk group or in the normal comparison group. It is concluded that global attentional deficits have considerable specificity for predicting behavioral problems thought to be precursors of schizophrenia or schizophrenia-related disorders. (54 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Communication deviance in families of schizophrenic and manic patients.

Levels of communication deviance (CD) distinguish parents of schizophrenic patients from parents of nonpsychotic patients, but the prevalence of intrafamilial CD in other psychotic disorders has not been examined. Levels of CD were compared across biological parents of schizophrenic (n?=?39) and bipolar manic (n?=?16) patients and across patients themselves. CD ratings were based on Thematic Apperception Test (TAT) protocols (parents only) and family interactions (parents and patients). Total levels of CD did not distinguish between groups of parents or patients. However, instances of odd word usage were more frequent among parents of manic patients than among parents of schizophrenic patients on both CD measures. Also, during the interaction task, odd word usage was more frequent among manic patients, whereas schizophrenic patients made more ambiguous references. Results suggest that high levels of intrafamilial CD are not unique to schizophrenia. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Factor structure of the Wisconsin Card Sorting Test: Dimensions of deficit in schizophrenia.

The aim of this study was to explore the factorial structure of the Wisconsin Card Sorting Test (WCST) and to identify the dimensions of deficit in schizophrenia. WCST scores in patients with schizophrenia and schizophrenia-related psychosis (n?=?292), 1st degree relatives of schizophrenic patients (n?=?91), and normal controls (n?=?141) were subjected to a principal factor analysis followed by orthogonal rotation. This led to 3 factors, perseveration, failure to maintain set, and idiosyncratic sorting. The detected factor structure was found to be invariant across the schizophrenic and control subsamples. Moreover, it replicated previous findings from 2 smaller samples. Only perseverations and, to a lesser degree, idiosyncratic sorting appeared to differentiate schizophrenic patients from comparisons. Only perseveration had good sensitivity and specificity, as well as the most robust significant correlations with estimates of IQ, attention, and other measures of executive functioning. Thus, perseveration appears to be the most diagnostically useful and characteristic WCST feature of schizophrenia. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Registered criminality in families with children at high risk for schizophrenia.

Describes a project in which 207 Danish children (mean age 15.1 yrs in 1962) with schizophrenic mothers have been periodically assessed and followed since 1962. 104 children matched in age, whose parents and grandparents had never been psychiatrically hospitalized, served as controls. The number of registered criminal offenses in the Ss, their schizophrenic mothers, and their fathers was found to be higher than for controls. Implications for high-risk research and hypotheses on the relation of schizophrenia and criminality are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceptual closure in schizophrenia.

The concept of closure has been more frequently investigated using normal Ss than psychotic patients. The present study utilizes schizophrenics and compares their performance with a comparable group of hospitalized nonpsychotic Ss. Taylor's (1960) test of closure was used. Tendency to closure tended to be lower for the schizophrenics than for the nonschizophrenics, with schizophrenics on drugs (and, hence, manifesting a greater degree of personality disorganization than the other schizophrenic Ss) showing no tendency towards closure. The results are related to 2 theories of schizophrenia, one which involves a deficit in the energizing or arousal systems in the brain, and the other, an inability to maintain a set in the way normal Ss do. From Psyc Abstracts 36:04:4JQ31S. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An analysis of the schizophrenogenic mother concept by means of the Thematic Apperception Test.

Administered the TAT to 20 mothers of schizophrenic and 20 mothers of normal children. Children were matched on the basis of sex, age, level of education, number of siblings, and the child's position among his siblings. Mothers were matched on the basis of age, level of education, and social class. Each story was judged pathogenic, benign, or unscorable by 2 clinicians. A pathogenic score was tabulated for each mother and for each TAT card from the following formula: pathogenic/pathogenic plus benign. It was found that mothers of schizophrenic children could be differentiated significantly from those of normal children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Schizophrenia in high-risk subjects: Prognostic maternal characteristics.

A Danish prospective, longitudinal study of 207 children (average age 15 yrs) at high risk for schizophrenia (they have schizophrenic mothers), begun in 1962, involved assessment of mothers on a number of variables. In 1972 it was found that 17 of the children of these mothers became schizophrenic. The present study sought to identify predictors of schizophrenia among antecedent maternal variables. The mothers (15 Ss) of the children who became schizophrenic (a) had psychosis precipitated by childbirth and (b) exhibited instability in their relations with men as well as antisocial behaviors. (9 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Are there sex differences in neuropsychological functions among patients with schizophrenia?

OBJECTIVE: Studies of sex differences in neuropsychological performance in schizophrenia report inconsistent results, due in part to methodological artifacts. The study presented here was specifically designed to examine sex differences in neuropsychological performance. It was hypothesized that schizophrenic women would exhibit fewer neuropsychological deficits than schizophrenic men and that their performance would be more similar to that of normal women than schizophrenic men's performance would be to that of normal men. METHOD: Thirty-one outpatients with DSM-III-R-defined schizophrenia were systematically sampled from an extensive service network serving a large urban catchment area for seriously mentally ill persons. Twenty-seven normal comparison subjects were matched within sex on the basis of age, parental socioeconomic status, ethnicity, and handedness. An extensive neuropsychological test battery was administered, and multivariate analysis of variance was used to test for the effects of sex and group and sex-by-group interactions. RESULTS: Male patients were significantly impaired across all functions in comparison with normal male subjects and on tests of attention, verbal memory, and executive functions in comparison with female patients. Female patients performed significantly worse than female normal comparison subjects only on tests of attention, executive functions, visual memory, and motor functions. CONCLUSIONS: The findings suggest that women with schizophrenia may be less vulnerable to particular cognitive deficits, especially those involving verbal processing, than schizophrenic men.     

Proprioception and schizophrenia: a replication study with nonschizophrenic patient controls

In 3 experiments, weight discrimination, arm flexion discrimination, and a test of kinesthetic figural aftereffects were used to evaluate the proprioceptive functioning of 40 schizophrenic patients, 30 nonschizophrenic (psychotic and nonpsychotic) patients, and 10 normals. The additional variables of premorbid functioning and paranoia were also examined. Previous findings of a subtle proprioceptive deficit for schizophrenics in comparison with normals were replicated for nonparanoid schizophrenics of a weight-discrimination procedure and poor premorbid schizophrenics on an arm-flexion task. The kinesthetic-figural-aftereffects schizophrenic deficit previously reported by the author and E. Ebner (see record 1974-23243-001) was not replicated. Deficits in proprioception also were found for all nonschizophrenic patient groups on the weight-discrimination procedure and for poor premorbid nonschizophrenic psychotics and neurotics on the arm-flexion task. It is concluded that a deficit in proprioception is not unique to schizophrenia but appears to be related to chronicity and severity of pathology in both schizophrenic and nonschizophrenic hospitalized patients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Role of maternal psychopathology in male and female schizophrenics.

Selecting from records of a child guidance clinic, the psychopathology of 165 mothers of male and female children and adolescents was studied in order to investigate sex differences in the degree of relationship between mother's mental status and the child's later hospitalization for schizophrenia. Of the children, 108 were later hospitalized for schizophrenia, while 57 achieved an adequate adjustment in areas of work and interpersonal relationships. For the girls, those who became schizophrenic had severely disturbed mothers significantly more often than did those who achieved an adequate adjustment (p     

Seasonal influence on platelet 5-HT levels in patients with recurrent major depression and schizophrenia

The influence of seasons on platelet serotonin (5-HT) concentration was determined in 88 unipolar depressed and 117 schizophrenic male inpatients, and 90 normal male controls. Platelet 5-HT concentrations showed moderate, but insignificant intragroup seasonal variations in healthy controls and in the groups of depressed (psychotic and nonpsychotic) and schizophrenic (positive and negative) patients. In spring, platelet 5-HT concentrations were higher in schizophrenic patients than in normal controls or in depressed patients, while in other seasons platelet 5-HT concentrations were not significantly different between the groups. Higher platelet 5-HT concentrations were detected in psychotic when compared to nonpsychotic depressed patients in summer, fall, and winter. Increased platelet 5-HT concentrations observed in schizophrenic patients with positive symptoms clearly separated these patients from patients with negative schizophrenia, especially in spring, summer, and fall. Our results indicate the necessity to match patients with regard to the season of the sampling, and to divide depressed and schizophrenic patients into subtypes.     

Neuropsychological functioning among the nonpsychotic relatives of schizophrenic patients: A diagnostic efficiency analysis.

Numerous studies suggest that the relatives of schizophrenic patients exhibit neuropsychological impairments that are milder yet similar to those seen among schizophrenic patients. The authors assessed 35 nonpsychotic relatives of schizophrenic patients and 72 normal controls using a clinical and experimental neuropsychological test battery. Three neuropsychological functions met criteria for risk indicators of the schizophrenia genotype: abstraction, verbal memory, and auditory attention. These findings could not be attributed to parental socioeconomic status, education, general visual-spatial ability, or psychopathology. Furthermore, exploratory analyses were performed to determine whether the diagnostic efficiency of the indicators could be adjusted to meet the needs of genetic linkage analyses. These analyses suggest that psychometric considerations may help to create measures for genetic linkage studies. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parietal lobe syndrome and schizophrenia: Comparison of neuropsychological deficits.

Investigated reported communalities in the perceptual impairments and body image distortions found after parietal lobe lesions and in schizophrenia. To compare these 2 syndromes, 15 patients with lesions of the parietal lobe and 15 patients with schizophrenia were tested on a neuropsychological battery designed to assess deficits in proprioception, tactile functions, and body image experience. Control groups consisted of 15 normal persons and of a series of 15 brain-injured cases in which the parietal lobe had been spared. Results indicate that both schizophrenic and parietally damaged Ss showed significant impairments in weight-discrimination measures of proprioceptive acuity when compared to the control brain-injured and normal Ss. No significant differences among groups were found on a comparable tactile size-estimation task, but the group with parietal injury exhibited a significant deficit in tactile sensory perception on the Finger Agnosia Test. Only the schizophrenic group showed evidence of disturbed body image when reality factors of body dysfunction were taken into account in the brain-injured patients. It is concluded that persons with schizophrenia and parietal lobe damage share a deficit in proprioception that may be based on different neurological substrates leading to (a) tactile impairments in cases with parietal damage, and (b) body-image disturbance in schizophrenia. (24 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Body-image aberration in schizophrenia.

A 28-item true–false scale was constructed to measure schizophrenic body-image aberration. The scale was standardized on both 631 male and 718 female college students and 100 male noncollege normal controls (mean age 31.7 yrs). The 74 male schizophrenic Ss reported more body-image aberration than normal nonstudent Ss, but only a portion of the schizophrenics were deviant. 20 male nonpsychotic clinic clients did not have heightened scores. Correlational findings indicate that schizophrenic body-image aberration is an aspect of a broader perceptual aberration. Scores on body-image aberration were negatively correlated with time since first hospitalization. The Body-Image Aberration Scale had essentially no correlation with the Physical Anhedonia Scale (L. J. Chapman, J. P. Chapman, and M. L. Raulin) for schizophrenics. For nonschizophrenics, however, high scores on the 2 scales accompanied one another significantly less often than expected by chance. It is suggested that the 2 scales may identify alternative manifestations of proneness toward the same schizophrenia. (42 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Negative metabolic effects of cyclic GMP in quiescent cardiomyocytes are not related to L-type calcium channel activity

Evidence of immune system abnormalities in adult schizophrenia has prompted examination of the human leukocyte antigen (HLA) system. Childhood onset schizophrenia offers a unique opportunity to test neurodevelopmental hypotheses of schizophrenia, including those which implicate components of the immune system. In the present study, class I and II HLA antigens were typed using sequence-specific primers and the polymerase chain reaction in 28 childhood onset schizophrenics and 51 ethnically matched healthy subjects. Groups were compared for frequencies of HLA antigens reported to be associated with schizophrenia and/or autoimmune disorders. We hypothesized that antigen frequencies would differ between schizophrenic and healthy children, suggesting that some dimension of the neurodevelopmental disturbance experienced by these children may be mediated by subtle abnormalities of immune function. There were no significant differences between schizophrenic and healthy subjects in the frequency of any antigen tested. These findings do not support HLA-associated pathology in childhood onset schizophrenia.     

Comprehensive evaluation of attention deficit disorder with and without hyperactivity as defined by research criteria.

Children with attention deficit disorder with hyperactivity (ADD+H; N?=?48) were compared with those without hyperactivity (ADD-H; N?=?42), as well as with learning disabled and control children, on an extensive battery of interviews, behavior ratings, tests, and direct observations. ADD+H children had more externalizing and internalizing symptoms by parent and teacher report; were more off task during vigilance testing; and had more substance abuse, ADD+H, and aggression among their relatives than did the other groups. ADD-H children were more daydreamy and lethargic by teacher report, more impaired in perceptual–motor speed, and had more anxiety disorders among their relatives than did ADD+H children. Results indicate that these 2 types of ADD may be separate, distinct childhood disorders than subtypes of a common attention deficit. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Impaired generation and use of strategy in schizophrenia: evidence from visuospatial and verbal tasks

BACKGROUND: The aim of this study was to investigate mnemonic strategic deficits in schizophrenic patients. METHODS: Analogous tasks were used that required the self-generation of an efficient strategy and its implementation in two domains: visuospatial and verbal. The tasks were given to 20 IQ preserved schizophrenics and 20 matched normal controls. A number of different scores was derived from each task including strategy, short-term memory capacity and perseveration. RESULTS: Overall, the schizophrenic patients were significantly impaired in their ability to generate effective mnemonic strategies on both tasks. In addition, on the visuospatial task there was no difference between the groups on the memory scores, but the schizophrenic patients made significantly more perseverative errors than controls. They were disproportionately worse on the verbal strategy task, showing impairment on memory as well as on strategy scores and were also impaired at semantically classifying the words. Performance was similar to the deficit seen in patients with frontal lobe excisions and Parkinson's disease, in terms of the inability to generate an effective strategy. The deficit on the verbal task was similar to patients with temporal lobe excisions who show impaired verbal memory. However, the pattern differed in the sense that the temporal lobe patients were able to generate effective strategies, unlike the patients with schizophrenia. CONCLUSIONS: High functioning schizophrenic patients are impaired in utilizing visuospatial and verbal mnemonic strategies. By comparing the results with those of neurosurgical excision patients, further evidence is provided for both frontal and temporal lobe involvement in schizophrenia.     

Concept of "pathogenesis" in parents of schizophrenic and normal children.

Administered the TAT to 5 pairs of parents of normal and schizophrenic children in a cross-validation study. Parents by diagnostic category were matched on age, education, and social class. Each story was judged pathogenic, benign, or unscorable and a pathogenic score was tabulated for each S from the formula: pathogenic/pathogenic plus benign. Mothers of the normal children told significantly fewer pathogenic stories than mothers of the schizophrenic children. Although fathers did not differ significantly, their mean pathogenic scores were distributed according to the hypotheses of the study. (PsycINFO Database Record (c) 2010 APA, all rights reserved)