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Translating basic attentional paradigms to schizophrenia research: Reconsidering the nature of the deficits

Published online by Cambridge University Press:  09 August 2006

KEITH H. NUECHTERLEIN ,
HAROLD E. PASHLER  and
KENNETH L. SUBOTNIK
KEITH H. NUECHTERLEIN
Affiliation:
University of California, Los Angeles
HAROLD E. PASHLER
Affiliation:
University of California, San Diego
KENNETH L. SUBOTNIK
Affiliation:
University of California, Los Angeles
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Abstract

Abnormalities in attention have long been viewed as one of the fundamental underlying cognitive deficits in schizophrenia, likely contributing both to formation of some types of symptoms and particularly to the substantial work and social impairments that often accompany schizophrenia. Yet, the precise nature of the attentional deficits in schizophrenia remains poorly understood. Translating advances in cognitive psychology to clinical research brings paradigms with greater analytic power to the study of attention in schizophrenia. In particular, these paradigms should shed light on whether the attentional dysfunction in schizophrenia is best conceptualized as arising from limitations in amount or allocation of processing capacity or from more specific structural bottlenecks that do not allow certain processes to be carried out in two tasks simultaneously. Certain types of dual-task paradigms are particularly well suited to make distinctive predictions, particularly those involving a psychological refractory period paradigm. The background and design of a series of ongoing studies of prodromal, first-episode, and chronic schizophrenia patients are described that are addressing the developmental course of attentional dysfunction in this disorder. These refined paradigms should substantially increase our understanding of the specific forms of attentional impairment characterizing schizophrenia and their connections to symptom development and functional outcome.

Type
Research Article
Information
Development and Psychopathology , Volume 18 , Issue 3 , September 2006 , pp. 831 - 851
Copyright
© 2006 Cambridge University Press

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References

REFERENCES

Adler, L. E., Oincy, A., Waldo, M., Harris, J. G., Griffith, J., Stevens, K., et al. (1998). Schizophrenia, sensory gating, and nicotinic receptors. Schizophrenia Bulletin, 24, 189–202.Google Scholar
Asarnow, R. F., Granholm, E. L., & Sherman, T. (1991). Span of apprehension in schizophrenia. In S. R. Steinhauer & J. H. Gruzelier & J. Zubin (Eds.), Neuropsychology, psychophysiology and information processing (Vol. 5, pp. 335–370). Amsterdam: Elsevier Science.
Asarnow, R. F., & MacCrimmon, D. J. (1978). Residual performance deficit in clinically remitted schizophrenics: A marker of schizophrenia? Journal of Abnormal Psychology, 87, 597–608.Google Scholar
Asarnow, R. F., Nuechterlein, K. H., Subotnik, K. L., Fogelson, D. L., Torquato, R. D., Payne, D. L., et al. (2002). Neurocognitive impairments in nonpsychotic parents of children with schizophrenia and attention-deficit/hyperactivity disorder: The University of California, Los Angeles, Family Study. Archives of General Psychiatry, 59, 1053–1060.Google Scholar
Asarnow, R. F., Steffy, R. A., MacCrimmon, D. J., & Cleghorn, J. M. (1977). An attentional assessment of foster children at risk for schizophrenia. Journal of Abnormal Psychology, 86, 267–275.Google Scholar
Beatty, J. (1982). Task-evoked pupillary responses, processing load, and the structure of processing resources. Psychological Bulletin, 91, 276–292.Google Scholar
Bell, M., Bryson, G., Greig, T., Corcoran, C., & Wexler, B. E. (2001). Neurocognitive enhancement therapy with work therapy. Archives of General Psychiatry, 58, 763–768.Google Scholar
Bell, M., Bryson, G., & Wexler, B. E. (2003). Cognitive remediation of working memory deficits: Durability of training effects in severely impaired and less severely impaired schizophrenia. Acta Psychiatrica Scandinavica, 108, 101–109.Google Scholar
Braff, D. (1993). Information processing and attention dysfunctions in schizophrenia. Schizophrenia Bulletin, 19, 233–259.Google Scholar
Braff, D. L., & Geyer, M. A. (1990). Sensorimotor gating and schizophrenia: Human & animal model studies. Archives of General Psychiatry, 47, 181–188.Google Scholar
Brenner, H. D., Roder, V., Hodel, B., & et al. (1994). Integrated psychological therapy for schizophrenic patients. Seattle, WA: Hogrefe & Huber.
Broadbent, D. E. (1958). Perception and communication. New York: Pergamon Press.
Cannon, T. D., Eyler-Zorrilla, L., Shtasel, D., Gur, R. C., Marco, E. J., Moberg, P., et al. (1994). Neuropsychological functioning in siblings discordant for schizophrenia and healthy volunteers. Archives of General Psychiatry, 51, 651–661.Google Scholar
Cannon, T. D., Rosso, I. M., Hollister, J. M., Bearden, C. E., Sanchez, L. E., & Hadley, T. (2000). A prospective cohort study of genetic and perinatal influences in the etiology of schizophrenia. Schizophrenia Bulletin, 26, 351–366.Google Scholar
Carrier, L. M., & Pashler, H. (1995). Attentional limits in memory retrieval. Journal of Experimental Psychology: Learning, Memory, and Cognition, 21, 1339–1348.Google Scholar
Censits, D. M., Ragland, J. D., Gur, R. C., & Gur, R. E. (1997). Neuropsychological evidence supporting a neurodevelopmental model of schizophrenia: A longitudinal study. Schizophrenia Research, 24, 289–298.Google Scholar
Chudasama, Y., & Robbins, T. W. (2004). Psychopharmacological approaches to modulating attention in the five-choice serial reaction time task: Implications for schizophrenia. Psychopharmacology, 174, 86–98.Google Scholar
Cornblatt, B., Obuchowski, M., Roberts, S., Pollack, S., & Erlenmeyer-Kimling, L. (1999). Cognitive and behavioral precursors of schizophrenia. Development and Psychopathology, 11, 487–508.Google Scholar
Cornblatt, B. A., & Keilp, J. G. (1994). Impaired attention, genetics, and the pathophysiology of schizophrenia. Schizophrenia Bulletin, 20, 31–46.Google Scholar
Dell'Acqua, R., Pascali, A., & Peressotti, F. (2000). Modulazione di una variabile percettiva in un contesto di doppio-compito. [Modulation of a perceptual variable in a double-task context.] Giornale Italiano di Psicologia, 27, 843–848.Google Scholar
Erlenmeyer-Kimling, L., Rock, D., Roberts, S. A., Janal, M., Kestenbaum, C., Cornblatt, B., et al. (2000). Attention, memory, and motor skills as childhood predictors of schizophrenia-related psychosis: The New York High-Risk Project. American Journal of Psychiatry, 157, 1416–1422.Google Scholar
Faraone, S. V., Seidman, L. J., Kremen, W. S., Pepple, J. R., Lyons, M. J., & Tsuang, M. T. (1995). Neuropsychological functioning among the nonpsychotic relatives of schizophrenic patients: A diagnostic efficiency analysis. Journal of Abnormal Psychology, 104, 286–304.Google Scholar
Fowler, D., Garety, P., & Kuipers, E. (1995). Cognitive behaviour therapy for psychosis: Theory and practice. Chichester: Wiley.
Geyer, M. A., & Tamminga, C. A. (2004). Measurement and treatment research to improve cognition in schizophrenia: Neuropharmacological aspects. Psychopharmacology, 174, 1–2.Google Scholar
Gjerde, P. F. (1983). Attentional capacity dysfunction and arousal in schizophrenia. Psychological Bulletin, 93, 57–72.Google Scholar
Granholm, E., Asarnow, R. F., & Marder, S. R. (1996). Dual-task performance operating characteristics, resource limitations, and automatic processing in schizophrenia. Neuropsychology, 10, 11–21.Google Scholar
Green, M. F. (1996). What are the functional consequences of neurocognitive deficits in schizophrenia? American Journal of Psychiatry, 153, 321–330.Google Scholar
Green, M. F., Kern, R. S., Braff, D. L., & Mintz, J. (2000). Neurocognitive deficits and functional outcome in schizophrenia: Are we measuring the “right stuff”? Schizophrenia Bulletin, 26, 119–136.Google Scholar
Green, M. F., Kern, R. S., & Heaton, R. K. (2004). Longitudinal studies of cognition and functional outcome in schizophrenia: Implications for MATRICS. Schizophrenia Research, 72, 41–51.Google Scholar
Green, M. F., & Nuechterlein, K. H. (1999). Should schizophrenia be treated as a neurocognitive disorder? Schizophrenia Bulletin, 25, 309–318.Google Scholar
Green, M. F., Nuechterlein, K. H., Gold, J. M., Barch, D. M., Cohen, J., Essock, S., et al. (2004). Approaching a consensus cognitive battery for clinical trials in schizophrenia: The NIMH-MATRICS conference to select cognitive domains and test criteria. Biological Psychiatry, 56, 301–307.Google Scholar
Hemsley, D. R. (2005). The development of a cognitive model of schizophrenia: Placing it in context. Neuroscience and Biobehavioral Reviews, 29, 977–988.Google Scholar
Heuer, H. (1996). Dual-task performance. In O. Neumann & A. F. Sanders (Eds.), Attention: Handbook of perception and action (Vol. 3, pp. 113–153). San Diego, CA: Academic Press.
Hogarty, G. E., Flesher, S., Ulrich, R., Carter, M., Greenwald, D., Pogue-Geile, M., et al. (2004). Cognitive enhancement therapy for schizophrenia: Effects of a 2-year randomized trial on cognition and behavior. Archives of General Psychiatry, 61, 866–876.Google Scholar
James, W. (1890/1983). The principles of psychology. Cambridge, MA: Harvard University Press.
Kahneman, D. (1973). Attention and effort. Englewood Cliffs, NJ: Prentice–Hall.
Kramer, A., & Spinks, J. (1991). Capacity views of human information processing. In J. R. Jennings & M. G. H. Coles (Eds.), Handbook of cognitive psychophysiology (pp. 179–249). New York: Wiley.
Levy, J., & Pashler, H. (2001). Is dual-task slowing instruction dependent? Journal of Experimental Psychology: Human Perception and Performance, 27, 862–869.Google Scholar
Maier, W., Franke, P., Hain, C., Kopp, B., & Rist, F. (1992). Neuropsychological indicators of the vulnerability to schizophrenia. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 16, 703–715.Google Scholar
McCann, R. S., & Johnston, J. C. (1992). Locus of the single-channel bottleneck in dual-task interference. Journal of Experimental Psychology: Human Perception and Performance, 18, 471–484.Google Scholar
McGhie, A. (1969). Pathology of attention. Baltimore, MD: Penguin.
McGlashan, T. H., & Johannessen, J. O. (1996). Early detection and intervention with schizophrenia: Rationale. Schizophrenia Bulletin, 22, 201–222.Google Scholar
McLeod, P. (1977). Parallel processing and the psychological refractory period. Acta Psychologica, 41, 381–396.Google Scholar
Medalia, A., Revheim, N., & Casey, M. (2000). Remediation of memory disorders in schizophrenia. Psychological Medicine, 30, 1451–1459.Google Scholar
Medalia, A., Revheim, N., & Casey, M. (2002). Remediation of problem-solving skills in schizophrenia: Evidence of a persistent effect. Schizophrenia Research, 57, 165–171.Google Scholar
Meyer, D. E., & Kieras, D. E. (1997a). A computational theory of executive cognitive processes and multiple-task performance: Part 1: Basic mechanisms. Psychological Review, 104, 3–65.Google Scholar
Meyer, D. E., & Kieras, D. E. (1997b). A computational theory of executive cognitive processes and multiple-task performance: Part 2. Accounts of psychological refractory-period phenomena. Psychological Review, 104, 749–791.Google Scholar
Mirsky, A. F., Anthony, B. J., Duncan, C. C., Ahearn, M. B., & Kellam, S. G. (1991). Analysis of the elements of attention: A neuropsychological approach. Neuropsychological Review, 2, 109–145.Google Scholar
Mirsky, A. F., & Duncan, C. C. (2001). A nosology of disorders of attention. Annals of the New York Academy of Sciences, 931, 17–32.Google Scholar
Nestor, P. G., & O'Donnell, B. F. (1998). The mind adrift: Attentional dysregulation in schizophrenia. In R. Parasuraman (Ed.), The attentive brain (pp. 527–546). Cambridge, MA: MIT Press.
Niendam, T. A., Bearden, C. E., Johnson, J. K., Vagberg, M., Loewy, R., O'Brien, M., et al. (in press). Neurocognitive performance and functional disability in the psychosis prodrome. Schizophrenia Research.
Norman, D. A., & Bobrow, D. G. (1975). On data-limited and resource-limited processes. Cognitive Psychology, 7, 44–64.Google Scholar
Nuechterlein, K. H. (1977). Reaction time and attention in schizophrenia: A critical evaluation of the data and theories. Schizophrenia Bulletin, 3, 373–428.Google Scholar
Nuechterlein, K. H. (1983). Signal detection in vigilance tasks and behavioral attributes among offspring of schizophrenic mothers and among hyperactive children. Journal of Abnormal Psychology, 92, 4–28.Google Scholar
Nuechterlein, K. H. (1991). Vigilance in schizophrenia and related disorders. In S. R. Steinhauer, J. H. Gruzelier, & J. Zubin (Eds.), Handbook of schizophrenia, neuropsychology, psychophysiology and information processing (Vol. 5, pp. 397–433). Amsterdam: Elsevier Science.
Nuechterlein, K. H., Asarnow, R. F., Subotnik, K. L., Fogelson, D. L., Ventura, J., Torquato, R., et al. (1998). Neurocognitive vulnerability factors for schizophrenia: Convergence across genetic risk studies and longitudinal trait/state studies. In M. F. Lenzenweger & R. H. Dworkin (Eds.), Origins and development of schizophrenia: Advances in experimental psychopathology (pp. 299–327). Washington, DC: American Psychological Association.
Nuechterlein, K. H., Barch, D. M., Gold, J. M., Goldberg, T. E., Green, M. F., & Heaton, R. K. (2004). Identification of separable cognitive factors in schizophrenia. Schizophrenia Research, 72, 29–39.Google Scholar
Nuechterlein, K. H., & Dawson, M. E. (1984a). A heuristic vulnerability/stress model of schizophrenic episodes. Schizophrenia Bulletin, 10, 300–312.Google Scholar
Nuechterlein, K. H., & Dawson, M. E. (1984b). Information processing and attentional functioning in the developmental course of schizophrenic disorders. Schizophrenia Bulletin, 10, 160–203.Google Scholar
Nuechterlein, K. H., Dawson, M. E., Gitlin, M., Ventura, J., Goldstein, M. J., Snyder, K. S., et al. (1992). Developmental processes in schizophrenic disorders: Longitudinal studies of vulnerability and stress. Schizophrenia Bulletin, 18, 387–425.Google Scholar
Nuechterlein, K. H., Dawson, M. E., Ventura, J., Fogelson, D., Gitlin, M., & Mintz, J. (1991). Testing vulnerability models: Stability of potential vulnerability indicators across clinical state. In H. Hafner & W. F. Gattaz (Eds.), Search for the causes of schizophrenia (Vol. II, pp. 177–191). Heidelberg: Springer–Verlag.
Nuechterlein, K. H., & Green, M. F. (2006). MATRICS Consensus Cognitive Battery. Los Angeles, CA: MATRICS Assessment, Inc.
Nuechterlein, K. H., Subotnik, K., Dawson, M. E., Ventura, J., Gitlin, M., & Siegel, B. (2003). Attentional dysfunction, dual-task performance, and functional outcome in recent-onset schizophrenia. Paper presented at the International Congress on Schizophrenia Research, Colorado Springs, CO.
Nuechterlein, K. H., Subotnik, K. L., Green, M. F., Yee-Bradbury, C. M., Asarnow, R. F., Ventura, J., et al. (2003). Neurocognitive predictors of work outcome in the initial course of schizophrenia. Paper presented at the Annual Meeting of the International Neuropsychology Society, Honolulu, HI.
Parasuraman, R. (Ed.). (1998). The attentive brain. Cambridge, MA: MIT Press.
Pashler, H. (1984). Processing stages in overlapping tasks: Evidence for a central bottleneck. Journal of Experimental Psychology: Human Perception and Performance, 10, 358–377.Google Scholar
Pashler, H. (1993). Doing two things at the same time. American Scientist, 81, 48–55.Google Scholar
Pashler, H. (1994a). Dual-task interference in simple tasks: Data and theory. Psychological Bulletin, 116, 220–244.Google Scholar
Pashler, H. (1994b). Graded capacity-sharing in dual-task interference? Journal of Experimental Psychology: Human Perception and Performance, 20, 330–342.Google Scholar
Pashler, H. (2000). Task switching and multitask performance. In S. Monsell & J. Driver (Eds.), Attention and performance: Vol. XVII. Control of cognitive processes (pp. 227–307). Cambridge, MA: MIT Press.
Pashler, H., & Christian, C. (1994). Dual-task interference and motor response production. In H. Pashler (Ed.), Attention: Attentional limitations in dual task performance (pp. 155–189). Hove: Psychology Press/Erlbaum.
Pashler, H., & Johnston, J. C. (1989). Chronometric evidence for central postponement in temporally overlapping tasks. Quarterly Journal of Experimental Psychology, 41A, 19–45.Google Scholar
Pashler, H., & Johnston, J. C. (1998). Attentional limitations in dual-task performance. In H. Pashler (Ed.), Attention (pp. 155–189). Hove: Psychology Press/Erlbaum/Taylor & Francis.
Pashler, H. E. (1998). The psychology of attention. Cambridge, MA: MIT Press.
Payne, R. W. (1966). The measurement and significance of overinclusive thinking and retardation in schizophrenia. In P. H. Hoch & J. Zubin (Eds.), Psychopathology of schizophrenia (pp. 77–97). New York: Grune & Stratton.
Posner, M. I. (Ed.). (2004). Cognitive neuroscience of attention. New York: Guilford Press.
Posner, M. I., & Petersen, S. E. (1990). The attention system of the human brain. Annual Review of Neuroscience, 13, 25–42.Google Scholar
Rosenfarb, I. S., Nuechterlein, K. H., Goldstein, M. J., & Subotnik, K. L. (2000). Neurocognitive vulnerability, interpersonal criticism, and the emergence of unusual thinking by schizophrenic patients during family transactions. Archives of General Psychiatry, 57, 1174–1179.Google Scholar
Ruthruff, E., Miller, J., & Lachmann, T. (1995). Does mental rotation require central mechanisms? Journal of Experimental Psychology: Human Perception and Performance, 21, 552–570.Google Scholar
Ruthruff, E., Pashler, H., & Hazeltine, E. (2003). Dual-task interference with equal task emphasis: Graded capacity sharing or central postponement? Perception and Psychophysics, 65, 801–816.Google Scholar
Ruthruff, E., Pashler, H. E., & Klaassen, A. (2001). Processing bottlenecks in dual-task performance: Structural limitation or strategic postponement? Psychonomic Bulletin and Review, 8, 73–80.Google Scholar
Rutschmann, J., Cornblatt, B., & Erlenmeyer-Kimling, L. (1977). Sustained attention in children at risk for schizophrenia. Archives of General Psychiatry, 34, 571–575.Google Scholar
Saykin, A. J., Gur, R. C., Gur, R. E., Mozley, P. D., Mozley, L. H., Resnick, S. M., et al. (1991). Neuropsychological function in schizophrenia: Selective impairment in memory and learning. Archives of General Psychiatry, 48, 618–624.Google Scholar
Saykin, A. J., Shtasel, D. L., Gur, R. E., Kester, D. B., Mozley, L. H., Stafiniak, P., et al. (1994). Neuropsychological deficits in neuroleptic naive patients with first episode schizophrenia. Archives of General Psychiatry, 51, 124–131.Google Scholar
Velligan, D. I., Bow-Thomas, C. C., Huntzinger, C., Ritch, J., Ledbetter, N., Prihoda, T. J., et al. (2000). Randomized controlled trial of the use of compensatory strategies to enhance adaptive functioning in outpatients with schizophrenia. American Journal of Psychiatry, 157, 1317–1323.Google Scholar
Venables, P. H. (1964). Input disfunction in schizophrenia. In B. A. Maher (Ed.), Progress in experimental personality research (Vol. 1, pp. 1–47). New York: Academic Press.
Ventura, J., & Liberman, R. P. (2000). Stress and psychosis. In M. D. George Fink (Ed.), Encyclopedia of stress (Vol. 3, pp. 316–325): San Diego, CA: Academic Press.
Welford, A. T. (1952). The “psychological refractory period” and the timing of high-speed performance—A review and a theory. British Journal of Psychology, 43, 2–19.Google Scholar
Welford, A. T. (1967). Single-channel operation in the brain. Acta Psychologica, 27, 5–22.Google Scholar
Welford, A. T. (1980). The single-channel hypothesis. In A. T. Welford (Ed.), Reaction time (pp. 215–252). New York: Academic Press.
Wickens, C. D. (1980). The structure of attentional resources. In R. S. Nickerson (Ed.), Attention and performance: Vol. VIII (pp. 239–257). Hillsdale, NJ: Erlbaum.
Wickens, C. D. (Ed.). (1984). Processing resources in attention. New York: Academic Press.
Wohlberg, G. W., & Kornetsky, C. (1973). Sustained attention in remitted schizophrenics. Archives of General Psychiatry, 28, 533–537.Google Scholar
Yung, A. R., & McGorry, P. D. (1996). The prodromal phase of first-episode psychosis: Past and current conceptualizations. Schizophrenia Bulletin, 22, 353–370.Google Scholar