title: Schizophrenia patients show deficits in shifts of attention to different levels of global-local stimuli: evidence for magnocellular dysfunction.
abstract: Abnormalities of attention and visual perception are well documented in schizophrenia. The global-local task is a measure of attention and perceptual organization that utilizes visual stimuli comprised of large letters (global level) made up of smaller letters (local level). Subjects identify target letters appearing at either the global or local level of the stimulus. In this study, we used a version of the global-local task specifically designed to examine lateralized hemispheric processing and attention shifting in 30 schizophrenia patients and 24 normal controls. Global-local stimuli were presented in couplets (consecutive pairs). Reaction time for the second target in a couplet was compared under conditions in which the target remained at the same level (global-global, local-local) and when the target changed levels (global-local, local-global). Level-specific priming (ie, global to global and local to local) and the local-to-global level shift were similar in both groups. Schizophrenia patients were significantly slower, however, shifting attention from the global to the local level. These results implicate an impairment in shifting attentional resources from predominantly right lateralized magnocellular/dorsal stream processing of global targets to predominantly left lateralized parvocellular/ventral stream processing of local targets. Local interference effects in global processing provide further support for impaired magnocellular processing in schizophrenia patients.
authors.affiliation: Psychology Research Laboratory, McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Coleman
authors.forename: Laurie
authors.initials: L
authors.lastname: Cestnick
authors.forename: Olga
authors.initials: O
authors.lastname: Krastoshevsky
authors.forename: Verena
authors.initials: V
authors.lastname: Krause
authors.forename: Zhuying
authors.initials: Z
authors.lastname: Huang
authors.forename: Nancy R
authors.initials: NR
authors.lastname: Mendell
authors.forename: Deborah L
authors.initials: DL
authors.lastname: Levy
mesh_terms: D000328:Adult; D001288:Attention / Q000502:physiology*; D001931:Brain Mapping; D004193:Discrimination Learning / Q000502:physiology; D004292:Dominance, Cerebral / Q000502:physiology; D005260:Female; D005364:Field Dependence-Independence; D005829:Geniculate Bodies / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010364:Pattern Recognition, Visual / Q000502:physiology*; D010468:Perceptual Disorders / Q000175:diagnosis / Q000503:physiopathology* / Q000523:psychology; D011618:Psychotic Disorders / Q000175:diagnosis / Q000503:physiopathology* / Q000523:psychology; D011930:Reaction Time / Q000502:physiology; D012193:Reversal Learning / Q000502:physiology; D012559:Schizophrenia / Q000175:diagnosis / Q000503:physiopathology*; D012565:Schizophrenic Psychology; D012858:Size Perception / Q000502:physiology*; D014793:Visual Cortex / Q000503:physiopathology*; D014795:Visual Pathways / Q000503:physiopathology*