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Query: UMLS:C0036341 (schizophrenia)
 60,220 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This paper reviews the literature investigating antipsychotic medication effects on the neuropsychological test results of schizophrenics. A synthesis of findings suggests that specific cognitive functions are differentially affected. The toxic effects of dopamine and muscarinic blockade adversely affect find motor coordination and memory respectively. A decrement in maze performance is also suggested, raising the possibility that frontal lobe functioning is adversely affected by neuroleptic treatment. There is equivocal evidence for medication effects on primary language skills, IQ. Halstead Reitan scores, reaction time, and CPT performance. Antipsychotics probably do not have large effects on cognitive inhibition and visual-motor coordination. The implication of these findings for the understanding of schizophrenia are discussed.
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PMID:The effects of neuroleptics on neuropsychological test results of schizophrenics. 1458 96

Research suggests that schizotypal personality disorder (SPD) is a part of the spectrum of schizophrenia-related illnesses. This article hypothesizes that a deficit in the representation and maintenance of context is a core cognitive disturbance in schizophrenia and that SPD individuals should demonstrate context-processing deficits. To test this hypothesis, the authors administered 3 versions of their AX-CPT task, designed to assess context processing, to 35 healthy controls and 26 individuals with DSM-IV SPD. They also administered working memory and selective attention tasks. SPD individuals displayed context representation deficits similar to those found in schizophrenia but did not show the same additional deficits in context maintenance. Context processing was strongly associated with working memory and selective attention performance in the SPD individuals.
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PMID:Context-processing deficits in schizotypal personality disorder. 1553 88

The inability to sustain attention has been proposed as a core deficit in schizophrenia. The Continuous Performance Task (AX-CPT) and the Rapid Visual Information Processing Task (RVP) are widely used neuropsychological tasks to measure sustained attention. The RVP displays numbers as stimuli, whereas the AX-CPT uses letters. Ten patients with chronic schizophrenia and 18 healthy control subjects were studied using four different versions of the RVP. The versions differed with regard to stimulus presentation time (600 vs. 1,200 ms) and the number of target sequences to be memorized: either one sequence (low cognitive load) or two sequences (high cognitive load). Schizophrenic patients showed a reduced number of hits only on the task version with 600 ms stimulus duration coupled with high cognitive load. The combination of high cognitive load and short stimulus duration created a critical performance breaking point for schizophrenic patients. This finding supports the hypothesis that patients have an impaired ability to coactivate different cognitive performances; thus the results favor the theory of impaired functional connectivity in schizophrenia.
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PMID:Rapid visual information processing in schizophrenic patients: the impact of cognitive load and duration of stimulus presentation. A pilot study. 1611 Feb 46

CPT-AX performance deficit in schizophrenia is well documented but it is unclear what causes this impairment. Past studies have focused on the roles of sustained attention and context processing in CPT-AX but the role of working memory (WM) has not been fully examined even though encoding and maintenance of the cue in WM may be critical to CPT-AX. The major goal of this study was to investigate the effects of stimulus encoding in WM on CPT-AX. Encoding was manipulated by presenting different colored (i.e., salient) cue stimuli on 20% of the trials. WM maintenance was manipulated by varying the cue-target interstimulus interval (ISI). A control task (CPT-Single) that does not require WM but assesses sustained attention was also administered. Schizophrenia patients (SZ) were impaired compared with normal controls (CO) on the CPT-AX overall but not in CPT-Single. For both groups, CPT-AX accuracy improved on salient cue trials in the long ISI condition. In the short ISI condition, where accuracy was already high, the cue saliency effect was observed in the faster RT and SZ benefited significantly more than CO. The effect of target salience was not observed in the CPT-Single, which assesses sustained attention. These results suggest that the facilitation of WM encoding by enhancing cue salience may be a key to improving CPT-AX performance.
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PMID:The role of stimulus salience in CPT-AX performance of schizophrenia patients. 1622 75

Sustained attention deficits have been posited as a potential endophenotypic marker of vulnerability to schizophrenia. Prior studies have indicated that schizophrenia patients, their first-degree relatives, and psychosis-prone individuals, identified on the basis of measures of positive schizotypy, have demonstrated sustained attention deficits. To date, there have been no published reports of sustained attention deficits in individuals with negative schizotypy, as measured by the revised Social Anhedonia Scale. In this study, we examined sustained attention, measured with the CPT-Identical Pairs version, in 160 individuals with elevated scores on the Chapman Perceptual Aberration and/or Magical Ideation Scales, 96 individuals with elevated scales on the Social Anhedonia Scale, and 137 controls. Both psychosis-prone groups performed more poorly than the controls in terms of discrimination ability, as measured by d', though the groups did not differ in terms of either their reaction time or overall response criterion (lnbeta). These results provide evidence that both positive and negative aspects of schizotypy are associated with sustained attention deficits, as measured by the Continuous Performance Test. The findings add to the converging evidence indicating that sustained attention deficits are a potential endophenotypic indicator of a schizophrenia diathesis.
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PMID:Sustained attention deficits in relation to psychometrically identified schizotypy: evaluating a potential endophenotypic marker. 1644 66

Sustained attention deficits represent one of the most robust findings in the study of schizophrenia and schizotypy. However, very little is known about the nature of sustained attention performance and schizotypy in the general adult population. The present study assessed sustained attention performance in a large, normative adult community sample (N = 305) with no history of psychosis using the Continuous Performance Test-identical pairs version (CPT-IP). Associations between overall CPT-IP performance and schizotypal personality disorder features, controlling for the effects of age, sex, and educational level, revealed diminished sensitivity (d', discriminability), and increased random errors were related to increased reality distortion features. These data, drawn from a general population sample, provided support for overall sustained attention deficits as an endophenotype for schizophrenia liability.
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PMID:Schizotypy and sustained attention: confirming evidence from an adult community sample. 1686 94

Dopamine neurotransmission influences those cognitive processes, which are generally regarded as prefrontal cortical functions. In previous positron-emission-tomography (PET) studies, net blood-brain clearance of [18F]-fluoro-l-DOPA (FDOPA) correlated with impaired cognitive performance in patients with Parkinson's disease or schizophrenia. We hypothesized that FDOPA influx also correlates with performance of cognitive tasks associated with prefrontal functioning in healthy volunteers. The net blood-brain clearance of FDOPA (K(in)(app)) was mapped in a group of 11 healthy volunteers and calculated in striatal volumes-of-interest. The Wisconsin-Card-Sorting-Test (WCST), Stroop-Test, Trail-Making-Test (TMT-A/B), and Continuous-Performance-Test (CPT-M) had been administered previously to the same subjects. No correlation of K(in) (app) with perseverative errors in WCST or age could be found. However, there were significant positive correlations between the magnitude of K(in)(app) in caudate nucleus, putamen, and midbrain with performance of the TMT-B, CPT-M, and the Stroop test. Highest correlations were found between the time needed to perform the Stroop interference task and the K(in)(app) of striatal areas (Caudate nucleus: -0.780, P = 0.005; putamen: -0.870, P < 0. 001). Thus, the present findings reveal a strong correlation between dopamine synthesis capacity in striatum of healthy volunteers and performance of cognitive tasks linked to the prefrontal cortex.
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PMID:'Prefrontal' cognitive performance of healthy subjects positively correlates with cerebral FDOPA influx: an exploratory [18F]-fluoro-L-DOPA-PET investigation. 1713 2

In this study we analyze the attentional performance using different cognitive load attentional tasks: low-load cognition (0-CPT) and high-load cognition (DS-CPT). Participants were a group of schizophrenic patients and two groups of normal population psychometrically classified as low schizotypy and high schizotypy according to the SPQ. Our results show that schizophrenic patients were more sensitive to increments on cognitive load, being their attentional performace worse than the rest of the groups. The lack of significant findings in vigilance on the schizotypal traits group is discussed in terms of conceptual and methodological issues about the utility of psychometric strategies to identify vulnerable populations within the spectrum of the schizophrenic disorders.
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PMID:[Effects of increasing cognitive load on sustained attention tasks in schizophrenic disorders and schizotypy]. 1729 35

Calcineurin is a calcium/calmodulin-dependent protein phosphatase composed of two subunits, a regulatory subunit of calcineurin B (CNB) and a catalytic subunit of calcineurin A (CNA). PPP3CC is the gamma isoform of CNA located at the chromosome 8p21.3 region. To evaluate the association between PPP3CC and schizophrenia in the Taiwanese population, 10 single nucleotide polymorphism (SNP) markers across the gene were genotyped by the method of MALDI-TOF in 218 schizophrenia families with at least two affected siblings. One SNP (rs2272080) located around the exon 1 untranslated region was nominally associated with schizophrenia (P=0.024) and significantly associated with the expression of PPP3CC in lymphoblast cell line; the TT and TG genotype had significantly higher relative expression levels than the GG genotype (P=0.0012 and 0.015, respectively). In further endophenotype stratification, the single locus of rs2272080 and the haplotypes of both two-SNP haplotype (rs7833266-rs2272080) and seven-SNP haplotype (rs2461491-rs2469758-rs2461489-rs2469770-rs2449340-rs1482337-rs2252471) showed significant associations with the subgroup of schizophrenia with deficits of the sustained attention as tested by the continuous performance test (CPT, P<0.05) and the executive functioning as tested by the Wisconsin Card Sorting Test (WCST, P<0.05). The results suggest that PPP3CC gene may be a true susceptibility gene for schizophrenia.
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PMID:More evidence supports the association of PPP3CC with schizophrenia. 1733 75

Abundant evidence indicates that the neuronal nicotinic acetylcholine receptor (nAChR) system is integral to regulation of attentional processes and is dysregulated in schizophrenia. Nicotinic agonists may have potential for the treatment of cognitive impairment in this disease. This study investigated the effects of transdermal nicotine on attention in individuals with schizophrenia (n=28) and healthy controls (n=32). All participants were nonsmokers in order to eliminate confounding effects of nicotine withdrawal and reinstatement that may occur in the study of smokers. Subjects received 14 mg transdermal nicotine and identical placebo in a randomized, placebo-controlled, crossover design. A cognitive battery was conducted before and 3 h after each patch application. The primary outcome measure was performance on the Continuous Performance Test Identical Pairs (CPT-IP) Version. Nicotine significantly improved the performance on the CPT-IP as measured by hit reaction time, hit reaction time standard deviation and random errors in both groups. In addition, nicotine reduced commission errors on the CPT-IP and improved the performance on a Card Stroop task to a greater extent in those with schizophrenia vs controls. In summary, nicotine improved attentional performance in both groups and was associated with greater improvements in inhibition of impulsive responses in subjects with schizophrenia. These results confirm previous findings that a single dose of nicotine improves attention and suggest that nicotine may specifically improve response inhibition in nonsmokers with schizophrenia.
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PMID:The effects of transdermal nicotine on cognition in nonsmokers with schizophrenia and nonpsychiatric controls. 1744 26


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