Reduced capacity but spared precision and maintenance of working memory representations in schizophrenia.
Reduced capacity but spared precision and maintenance of working memory representations in schizophrenia.
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DOI:
10.1001/archgenpsychiatry.2010.65
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发表时间:
2010-06
影响因子:
--
通讯作者:
Luck, Steven J.
中科院分区:
文献类型:
--
作者:
Gold, James M.;Hahn, Britta;Zhang, Wei Wei;Robinson, Benjamin M.;Kappenman, Emily S.;Beck, Valerie M.;Luck, Steven J.
Working memory deficits are considered a core feature of schizophrenia. Several recent integrative papers have offered mechanistic computational and neurobiological models of the origins of this cognitive deficit. To test predictions of these models using a new experimental paradigm from the basic science literature that makes it possible to determine whether patients with schizophrenia show: 1) deficits in working memory storage capacity, 2) deficits in the precision of working memory representations, and 3) an amplification of these deficits as the retention interval increases. Case control design. All subjects performed a color working memory test where they were asked to recall 3 or 4 items after a 1 or 4 second delay. All subjects also received a standard measure of intelligence and the MATRICS battery. A tertiary care research outpatient clinic. A total of 31 clinically stable patients with a DSM IV diagnosis of schizophrenia or schizoaffective disorder and 26 healthy volunteers participated. The two groups were similar in age, gender, and ethnicity distributions. We examined two outcome measures: 1) the number of items stored in working memory, and 2) the precision of the working memory representations. Patients showed a clear reduction in the number of items stored in working memory. Patients did not differ from controls in the precision of their working memory representations. There was no evidence of delay-related amplification of impairment in either capacity or precision. Patients do not show the type of imprecision or delay-dependent amplification of impairment that are predicted on the basis of current models of the neurobiology of the illness. The models need to be revised to account for a pure reduction in the number of items that patients are able to store in working memory.
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