Impaired mismatch negativity generation reflects widespread dysfunction of working memory in schizophrenia

Archives of General Psychiatry
D C JavittW Ritter

Abstract

Impaired P300 (P3) generation is one of the most robust indices of brain dysfunction in schizophrenia. This study investigates the integrity of cognitive event-related potentials that precede P3 in an "oddball" paradigm to determine the earliest stages at which auditory information processing is impaired in schizophrenia. Cognitive event-related potential components including mismatch negativity (MMN), N2, and P3 were recorded from subjects with chronic schizophrenia who were receiving medication (n = 20), from those who were withdrawn from drug treatment (n = 11), and from healthy volunteers (n = 11) during an auditory oddball paradigm. Recordings were made in both passive and active response conditions. The MMN, N2, and P3 amplitudes were compared across groups and the degree of MMN deficit was correlated with the degree of P3 reduction as a function of diagnostic group. Schizophrenic subjects showed severe impairments in the generation of MMN and N2 as well as P3. Across groups, the decrement in MMN amplitude correlated significantly with the decrement in P3 amplitude. There were no significant between-group differences in MMN topography. The present study demonstrates that the neurophysiological deficits associated with sch...Continue Reading

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Related Concepts

Cerebral Dysfunction Syndrome
EP300 protein, human
Memory Loss
Neurologic Manifestations
EP300 gene
Schizophrenia
Chronic Disease
Sensory Cortex
Alert brand of caffeine
Potentials, Event-Related

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