Selective Attention, Working Memory, and Executive Function as Potential Independent Sources of Cognitive Dysfunction in Schizophrenia

People with schizophrenia demonstrate impairments in selective attention, working memory, and executive function. Given the overlap in these constructs, it is unclear if these represent distinct impairments or different manifestations of one higher-order impairment. To examine this question, we admi...

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Veröffentlicht in:Schizophrenia bulletin 2018-10, Vol.44 (6), p.1227-1234
Hauptverfasser: Gold, James M, Robinson, Benjamin, Leonard, Carly J, Hahn, Britta, Chen, Shuo, McMahon, Robert P, Luck, Steven J
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container_end_page 1234
container_issue 6
container_start_page 1227
container_title Schizophrenia bulletin
container_volume 44
creator Gold, James M
Robinson, Benjamin
Leonard, Carly J
Hahn, Britta
Chen, Shuo
McMahon, Robert P
Luck, Steven J
description People with schizophrenia demonstrate impairments in selective attention, working memory, and executive function. Given the overlap in these constructs, it is unclear if these represent distinct impairments or different manifestations of one higher-order impairment. To examine this question, we administered tasks from the basic cognitive neuroscience literature to measure visual selective attention, working memory capacity, and executive function in 126 people with schizophrenia and 122 healthy volunteers. Patients demonstrated deficits on all tasks with the exception of selective attention guided by strong bottom-up inputs. Although the measures of top-down control of selective attention, working memory, and executive function were all intercorrelated, several sources of evidence indicate that working memory and executive function are separate sources of variance. Specifically, both working memory and executive function independently contributed to the discrimination of group status and independently accounted for variance in overall general cognitive ability as assessed by the MATRICS battery. These two cognitive functions appear to be separable features of the cognitive impairments observed in schizophrenia.
doi_str_mv 10.1093/schbul/sbx155
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subjects Adult
Attention - physiology
Cognitive Dysfunction - physiopathology
Executive Function - physiology
Female
Humans
Male
Memory, Short-Term - physiology
Middle Aged
Psychomotor Performance - physiology
Regular
Schizophrenia - physiopathology
title Selective Attention, Working Memory, and Executive Function as Potential Independent Sources of Cognitive Dysfunction in Schizophrenia
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