Evidence for sustained attention and working memory in schizophrenia sharing a common mechanism.

Sustained attention and working memory (WM) are closely related functions that may share common mechanisms. The authors assessed sustained attention in schizophrenia patients and healthy comparison subjects using visuomotor tracking tasks under varying distractor loads. The attentional effort expended to deal with distractors was lower in patients and showed significant association with WM, executive function and negative symptoms in that group. It is proposed that the anterior attention system of sustained attention models and the executive function of the WM model describe the same or a closely related mechanism that is located in the prefrontal cortex (PFC) and is impaired in schizophrenia.

[1]  M MISHKIN,et al.  Effects of small frontal lesions on delayed alternation in monkeys. , 1957, Journal of neurophysiology.

[2]  D. Braff,et al.  The relationship of information-processing deficits and clinical symptoms in schizotypal personality disorder , 1996, Biological Psychiatry.

[3]  R. Gur,et al.  Neuropsychological function in schizophrenia. Selective impairment in memory and learning. , 1991, Archives of general psychiatry.

[4]  J. Ragland,et al.  Neuropsychological assessment of monozygotic twins discordant for schizophrenia. , 1990, Archives of general psychiatry.

[5]  T. Goldberg,et al.  Continuous performance test and schizophrenia: a test of stimulus-response compatibility, working memory, response readiness, or none of the above? , 2000, The American journal of psychiatry.

[6]  Raquel E Gur,et al.  Comparison of the continuous performance test with and without working memory demands in healthy controls and patients with schizophrenia , 2001, Schizophrenia Research.

[7]  P. Goldman-Rakic Architecture of the Prefrontal Cortex and the Central Executive , 1995, Annals of the New York Academy of Sciences.

[8]  R. Desimone Visual attention mediated by biased competition in extrastriate visual cortex. , 1998, Philosophical transactions of the Royal Society of London. Series B, Biological sciences.

[9]  E. Walker,et al.  Symptom correlates of vulnerability to backward masking in schizophrenia. , 1986, The American journal of psychiatry.

[10]  R. Gur,et al.  Reliability, performance characteristics, construct validity, and an initial clinical application of a visual object learning test (VOLT). , 1997, Neuropsychology.

[11]  M. Strauss,et al.  Relations of symptoms to cognitive deficits in schizophrenia. , 1993, Schizophrenia bulletin.

[12]  John Duncan,et al.  A neural basis for visual search in inferior temporal cortex , 1993, Nature.

[13]  Raquel E Gur,et al.  Working memory constrains abstraction in schizophrenia , 2000, Biological Psychiatry.

[14]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[15]  P. Goldman-Rakic,et al.  Dorsolateral prefrontal lesions and oculomotor delayed-response performance: evidence for mnemonic "scotomas" , 1993, The Journal of neuroscience : the official journal of the Society for Neuroscience.

[16]  J. Grafman,et al.  Sustained attention deficits in pat ients with right frontal lesions , 1996, Neuropsychologia.

[17]  E. Walker,et al.  The positive/negative symptom distinction in schizophrenia validity and etiological relevance , 1988, Schizophrenia Research.

[18]  R. Dworkin,et al.  Positive and negative schizophrenic symptoms, attention, and information processing. , 1985, Schizophrenia bulletin.

[19]  D. Weinberger,et al.  Physiologic dysfunction of dorsolateral prefrontal cortex in schizophrenia. I. Regional cerebral blood flow evidence. , 1986, Archives of general psychiatry.

[20]  M. Sarter,et al.  The cognitive neuroscience of sustained attention: where top-down meets bottom-up , 2001, Brain Research Reviews.

[21]  H J Hannay,et al.  Visual perception of line direction in patients with unilateral brain disease , 1975, Neurology.

[22]  J. Ragland,et al.  Effects of memory processing on regional brain activation: cerebral blood flow in normal subjects. , 1993, The International journal of neuroscience.

[23]  C. Carter,et al.  Selective attention in schizophrenia: relationship to verbal working memory , 1998, Schizophrenia Research.

[24]  H. Silver,et al.  Impaired visuomotor function in schizophrenic patients compared with control subjects. , 2002, The Journal of neuropsychiatry and clinical neurosciences.

[25]  C D Frith,et al.  Neural mechanisms involved in the processing of global and local aspects of hierarchically organized visual stimuli. , 1997, Brain : a journal of neurology.

[26]  Leslie G. Ungerleider,et al.  Increased Activity in Human Visual Cortex during Directed Attention in the Absence of Visual Stimulation , 1999, Neuron.

[27]  R. Desimone,et al.  Responses of Neurons in Inferior Temporal Cortex during Memory- Guided Visual Search , 1998 .

[28]  M. Petrides The role of the mid-dorsolateral prefrontal cortex in working memory , 2000, Experimental Brain Research.

[29]  M. Raichle,et al.  Localization of a human system for sustained attention by positron emission tomography , 1991, Nature.

[30]  J. Fuster,et al.  Functional interactions between inferotemporal and prefrontal cortex in a cognitive task , 1985, Brain Research.

[31]  R. Keefe,et al.  Performance of patients with schizophrenia on a pen and paper visuospatial working memory task with short delay , 1997, Schizophrenia Research.

[32]  R. Desimone,et al.  Activity of neurons in anterior inferior temporal cortex during a short- term memory task , 1993, The Journal of neuroscience : the official journal of the Society for Neuroscience.

[33]  R. Desimone,et al.  Neural mechanisms of spatial selective attention in areas V1, V2, and V4 of macaque visual cortex. , 1997, Journal of neurophysiology.

[34]  R. Gur,et al.  Working memory deficit as a core neuropsychological dysfunction in schizophrenia. , 2003, The American journal of psychiatry.

[35]  Pierre Legendre,et al.  Working memory , 2007 .

[36]  J. Lieberman,et al.  The effects of atypical antipsychotic drugs on neurocognitive impairment in schizophrenia: a review and meta-analysis. , 1999, Schizophrenia bulletin.

[37]  William E. Semple,et al.  Metabolic brain pattern of sustained auditory discrimination , 2004, Experimental Brain Research.

[38]  M. Posner,et al.  The attention system of the human brain. , 1990, Annual review of neuroscience.

[39]  R. Reitan,et al.  Clinical neuropsychology: Current status and applications. , 1974 .

[40]  Ruben C. Gur,et al.  Facial emotion discrimination: I. Task construction and behavioral findings in normal subjects , 1992, Psychiatry Research.

[41]  Earl K. Miller,et al.  Selective representation of relevant information by neurons in the primate prefrontal cortex , 1998, Nature.

[42]  Leslie G. Ungerleider,et al.  Transient and sustained activity in a distributed neural system for human working memory , 1997, Nature.

[43]  T. Shallice,et al.  A Multidisciplinary Approach to Anterior Attentional Functions a , 1995, Annals of the New York Academy of Sciences.

[44]  J. Coull Neural correlates of attention and arousal: insights from electrophysiology, functional neuroimaging and psychopharmacology , 1998, Progress in Neurobiology.