Motor sequencing deficits in schizophrenia: A comparison with Parkinson's disease.

Motor abnormalities occur in schizophrenia (SZ) and may arise from striatal dysfunction. This study examined whether the pattern of performance on simple and complex motor abilities in SZ was similar to that of patients with Parkinson's disease (PD). Quantitative tests of speeded movement and motor and cognitive sequencing were used to assess 25 SZ, 16 PD, and 84 normal controls (NCs). Sequencing performance was also examined with motor rigidity taken into account. Compared with the NC group, the SZ and PD groups were impaired on measures of motor rigidity and motor sequencing. With rigidity accounted for, the SZ group was significantly more impaired than the PD group on motor sequencing; cognitive and motor processes contributed to the motor deficit. Cognitive sequencing performance predicted motor sequencing performance in PD but not SZ. Although both SZ and PD resulted in significant motor and cognitive sequencing deficits, the pattern and correlates of these deficits differ, suggesting that the affected neural systems underlying motor deficits in SZ are different from those involved in PD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Course of neurocognitive deficits in the prodrome and first episode of schizophrenia.

Understanding the trajectory of cognitive changes in the development of schizophrenia may shed light on the neurodevelopmental processes in the beginning stage of illness. Subjects at risk for psychosis (AR, n = 48), patients in their first episode of schizophrenia (FE, n = 20), and normal comparison subjects (n = 29) were assessed on a neurocognitive battery at baseline and at a 6-month follow-up. There were significant group differences across all cognitive domains as well as a significant group by time interaction in the verbal learning domain. After statistically controlling for practice effects and regression to the mean, a high proportion of FE subjects showed an improvement in verbal learning, and a significant number of AR subjects improved in general intelligence. Moreover, a higher than expected percentage of FE subjects, as well as AR subjects who later converted to psychosis, showed a deterioration in working memory and processing speed. These inconsistent trajectories suggest that some domains may improve with stabilization in the early stages of psychosis, whereas others may decline with progression of the illness, indicating possible targets for cognitive remediation strategies and candidate vulnerability markers for future psychosis. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Motor prediction at the edge of instability: Alteration of grip force control during changes in bimanual coordination.

Predicting the consequences of actions is fundamental for skilled motor behavior. We investigated whether motor prediction is influenced by the fact that some movements are easier to perform and stabilize than others. Twelve subjects performed a bimanual rhythmical task either symmetrically or asymmetrically (the latter being more difficult and less stable) while oscillating in each hand an object attached to an elastic cord. Motor prediction was monitored through the adequacy of anticipatory grip force adjustments with respect to the elastic resisting force. Results showed less adequate predictive control during asymmetrical movements (compared with symmetrical ones). Furthermore, switching between modes of coordination induced even larger alterations. An interesting finding was that grip force control did not always stabilize around the expected value after voluntary transition. We conclude that motor prediction is affected by the degree of coordination between the upper limbs and by phase transitions and is prone to carryover effects. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of irregular preparatory intervals on reaction time in schizophrenia.

2 experiments attempted to (a) confirm previous observations that the slope of the negative relationship between reaction time (RT) and the length of the preparatory interval (PI) was steeper in schizophrenic than in normal Ss, and (b) investigate the effects of the PI on one trial on RT to the subsequent trial (PPI). The results show that the curves relating the PI with RT are significantly steeper for the patients even when differences in "baseline" RT level are controlled. Also, the detrimental effects of long PPIs are much greater for the schizophrenics. The data suggest that instead of establishing a generalized preparatory set, the schizophrenic Ss simplify the task by basing their pattern of preparation largely on the just preceding trial. (17 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The neural correlates of implicit sequence learning in schizophrenia.

Twenty-seven schizophrenia spectrum patients and 25 healthy controls performed a probabilistic version of the serial reaction time task (SRT) that included sequence trials embedded within random trials. Patients showed diminished, yet measurable, sequence learning. Postexperimental analyses revealed that a group of patients performed above chance when generating short spans of the sequence. This high-generation group showed SRT learning that was similar in magnitude to that of controls. Their learning was evident from the very 1st block; however, unlike controls, learning did not develop further with continued testing. A subset of 12 patients and 11 controls performed the SRT in conjunction with positron emission tomography. High-generation performance, which corresponded to SRT learning in patients, correlated to activity in the premotor cortex and parahippocampus. These areas have been associated with stimulus-driven visuospatial processing. Taken together, these results suggest that a subset of patients who showed moderate success on the SRT used an explicit stimulus-driven strategy to process the sequential stimuli. This adaptive strategy facilitated sequence learning but may have interfered with conventional implicit learning of the overall stimulus pattern. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effect of aversive stimuli on reaction time in schizophrenia.

"… the experiment was to assess the motivational role of aversive stimuli in modifying the performance of normal and… schizophrenic… males… [on] a visual reaction time task… . During… [one] series Ss responded under… experimental conditions… [part of which] involved the use of intense noise as an aversive stimulus. None of the experimental conditions appreciably altered the performance of normal Ss. However, schizophrenic Ss performing under… [conditions involving noise] displayed greater improvement than control Ss." 22 refs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Anhedonia and the experience of emotion in individuals with schizophrenia.

Research shows that individuals with schizophrenia report symptoms of anhedonia when assessed by interview or questionnaire. However, when presented with emotional stimuli, they report emotional experiences that are similar to those of control participants. The authors hypothesized that deficits in working memory and episodic memory contribute to such discrepancies. They administered measures of working and episodic memory, self-report anhedonia questionnaires, and several types of emotional stimuli to 49 individuals with schizophrenia and 47 control participants. All participants reported experiencing similar amounts of pleasant-unpleasant emotion (valence) in response to stimuli, but individuals with schizophrenia reported experiencing less arousal for negative stimuli. Individuals with schizophrenia also reported greater social and physical anhedonia on a traditional anhedonia questionnaire. Disturbances in working memory moderated the relationship between physical anhedonia and participants' emotional experience of positive stimuli. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Executive functions in the heterozygous reeler mouse model of schizophrenia.

Deficits in working memory and executive functions are now considered among the most reliable endophenotypes for schizophrenia. To determine whether cognitive deficits exist in mouse models of the disease, the authors trained heterozygous reeler (+/rl) mice on a series of visual discriminations similar to those used to test executive abilities in primates. These mice resemble schizophrenia patients in that both have reduced levels of reelin protein and altered gamma aminobutyric acid neurotransmission in the prefrontal cortex. The +/rl mice showed a selective deficit in reversal learning, with a pattern of errors that suggested impaired visual attention rather than a deficiency in perseveration and inhibitory control. These results show that cognitive dysfunction may serve as a useful biomarker in mouse models of neuropsychiatric disease. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

On the inclusion of externally controlled actions in action planning.

According to ideomotor theories, perceiving action effects produced by others triggers corresponding action representations in the observer. We tested whether this principle extends to actions performed by externally controlled limbs and tools. Participants performed a go–no-go version of a spatial compatibility task in which their own actions resulted in the movement of a limb or tool, whereas a second, externally controlled limb or tool was seen performing a complementary go–no-go task. Spatial compatibility effects, indicating inclusion of the externally controlled effector in action planning, were observed when the externally controlled limb was identical to the controlled limb (Experiment 1) and when actions of limbs and tools (Experiment 2) or pairs of tools (Experiment 3 and 4) were combined according to participants' motor experience. When participants acted together, controlling a tool each, spatial compatibility effects occurred regardless of motor experience (Experiment 5). These findings demonstrate that (a) externally controlled tool actions are included in action planning and (b) social context modulates how externally controlled actions are mapped onto action representations. Implications of these findings for theories of perception–action links and object processing are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Online order control in the psychological refractory period paradigm.

The authors examined the role of online order control in the psychological refractory period (PRP) paradigm. In the first 2 experiments, participants switched between color-letter and letter-color orders so that subtask order was isolated as the only element being switched. The results indicated that order switching impaired the 2 PRP responses and modulated the PRP effect. Importantly, these effects were reduced by advance preparation, demonstrating that order representation was activated before the subtasks themselves. Preparation for subtask order did not reflect preparation for hand order, as shown in Experiment 3. In addition, there was no evidence that subtask order information dissipated between trials. The relevance of the results to theories of the PRP paradigm and task switching is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Imagining the future: Degraded representations of future rewards and events in schizophrenia.

Over the course of life, most people work toward temporally distant rewards such as university degrees or work-related promotions. In contrast, many people with schizophrenia show deficits in behavior oriented toward long-term rewards, although they function adequately when rewards are more immediately present. Moreover, when asked about possible future events, individuals with schizophrenia show foreshortened future time perspectives relative to healthy individuals. Here, we take the view that these deficits are related and can be explained by cognitive deficits. We compared the performance of participants with schizophrenia (n = 39) and healthy participants (n = 25) on tasks measuring reward discounting and future event representations. Consistent with previous research, we found that relative to healthy participants, those with schizophrenia discounted the value of future rewards more steeply. Furthermore, when asked about future events, their responses were biased toward events in the near future, relative to healthy participants' responses. Although discounting and future representations were unrelated in healthy participants, we found significant correlations across the tasks among participants with schizophrenia, as well as correlations with cognitive variables and symptoms. Further analysis showed that statistically controlling working memory eliminated group differences in task performance. Together these results suggest that the motivational deficits characteristic of schizophrenia relate to cognitive deficits affecting the ability to represent and/or evaluate distant outcomes, a finding with important implications for promoting recovery from schizophrenia. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Implicit learning of visuospatial sequences in schizophenia.

The authors examined whether patients with schizophrenia learned sequential patterns in a probabilistic serial response time task in which pattern trials alternated with random ones. Patients showed faster and more accurate responses to pattern trials than to random trials, but controls showed greater sensitivity to patterns. The highest level of regularity learned in both groups was information about runs of 3 events. Pattern learning occurred largely outside of awareness, as participants could not describe patterns. Controls with higher memory spans learned the sequential pattern better than those with lower memory spans, suggesting that working memory influences implicit pattern learning. Pathology in motor sequencing systems and poor working memory may lead to deficits in learning sequence structure in schizophrenia. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An examination of the relative contribution of saturation and selective attention to memory deficits in patients with recent-onset schizophrenia and their unaffected parents.

Cognitive dysfunctions in patients suffering from schizophrenia (SZ) are also found in their unaffected parents though to a lesser degree. According to several researchers, short-term memory (STM) deficits are a potential marker of vulnerability to SZ. However, the cognitive processes underlying the observed STM deficits remain underspecified in SZ (Lee & Park, 2005). In the present study, our goal was to pinpoint those processes at play in the manifestation of STM deficits by using the paradigm of the sandwich effect (e.g., Hitch, 1975) to manipulate information load (5 vs. 7 to-be-remembered items) and distraction (control vs. sandwich) in the verbal domain. Our study comprises four groups: patients with SZ (n = 25), their unaffected parents (n = 25), and their respective healthy controls. The pattern of results indicates a generalized dysfunction of STM in patients with SZ characterized by saturation and an increased susceptibility to distraction. The impact of saturation and distraction was also observed in unaffected parents of patients with SZ to a lesser degree. The methodological strategy adopted here allowed us to show that the dysfunction of STM is genuine, can be aggravated by deficits in selective attention, and is a good candidate for further research on genetic epidemiology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Action planning in the presence of distracting stimuli: An investigation into the time course of distractor effects.

Humans have a remarkable capability to respond efficiently to a stimulus of interest despite other stimuli competing for neural resources. The current study investigated how the human system copes with distracting stimuli. During each trial, participants viewed 2 sequential stimuli that were each associated with a specific action based on an arbitrary mapping. The 1st stimulus served as a distractor, and the 2nd stimulus required a response (target). When the distractor preceded the target by more than a few hundred milliseconds, response latencies were slower when the 2 stimuli were associated with the same response. The authors propose that this negative compatibility effect stemmed from an inhibitory mechanism that the human system utilizes to prevent the distractor from eliciting an unwanted response. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Delta Plots in the Study of Individual Differences: New Tools Reveal Response Inhibition Deficits in AD/HD That Are Eliminated by Methylphenidate Treatment.

The authors highlight the utility of distribution-analytical techniques in the study of individual differences and clinical disorders. Cognitive deficits associated with attention-deficit/hyperactivity disorder (AD/HD) were examined by using delta-plot analyses of performance data (reaction time and accuracy) obtained through the use of a prototypical conflict task, the Eriksen flanker task. In 20 children with AD/HD (compared with matched control participants), overall performance measures indicated a marginal performance deficit. Delta-plot analyses indicated that performance deficits associated with AD/HD involve response inhibition but not automatic response activation. In a within-subjects titration study, the response inhibition deficit was eliminated by methylphenidate treatment, but these effects were highly dose specific. The beneficial effect of methylphenidate was clarified further after correcting for inter-individual variation in sensitivity to medicine dosage. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Impaired Higher Order Implicit Sequence Learning on the Verbal Version of the Serial Reaction Time Task in Patients With Parkinson's Disease.

Although neuroimaging studies have strongly implicated basal ganglia involvement in implicit sequence learning, serial reaction time (SRT) studies with Parkinson's disease (PD) patients have yielded mixed results. The present research sought to examine the ability of people with PD to implicitly learn sequences with different sequential structures and to objectively assess explicit knowledge. A version of the SRT task that reduces motor demands was used to compare 19 patients with PD but not dementia and 37 matched controls. PD patients showed less implicit sequence-specific learning for both sequences and reduced response time improvement over sequential trials for the more complex sequence. A closer examination revealed that the deficit involved higher order sequential associations as well as the learning of pairwise information. (PsycINFO Database Record (c) 2010 APA, all rights reserved)