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Interference Effects in Patients with Schizophrenia: An Analysis of Different Task Versions

 Ruth Salo, Lynn C. Robertson, Thomas E. Nordahl and Avishai Henik
  
 

Abstract:
Many different forms of the Stroop attention task have been used throughout the years to measure inhibitory deficits in patients with schizophrenia. In order to better understand the discrepant findings reported in the literature we carried out a series of experiments which investigated specific task parameters involved in the standard Stroop attention task. The performance of chronic schizophrenic patients and matched controls was compared on different versions of the Stroop attention task designed to isolate different processing components. Group differences in interference emerged on the standard clinical version of the Stroop, replicating the literature, but not on other versions with similar inhibitory requirements. Differences in interference effects between versions were found among all subjects as a result of grouping wordtype (incongruent color/word, neutral and congruent color/word) into blocks of trials. Grouping produced increased interference effects due to reduced reaction time (Rt) to the neutral stimulus but had no effect on Rts to the incongruent stimuli. The data suggest that under some experimental conditions increased interference may be an artifact of the neutral presentation.

There is an equal amount of Stroop inhibition required in the clinical version and the single-trial version of the task, yet patients with schizophrenia have repeatedly shown increased interference effects compared to matched controls on the clinical, but not on the single-trial version. The interpretation of increased interference effects (i.e. neutral vs incongruent trials) between the two groups on the clinical version remains to be resolved. With the identification of these parameters, future research can more precisely examine the underlying processes associated with cognitive dysfunction in schizophrenia.

As interference is a score calculated as the difference in reaction time between the incongruent and neutral stimulus, increased interference effects should emerge when the subject has more difficulty inhibiting the incongruent stimulus, not a facilitation of reaction time to the neutral stimulus. Clinicians and researchers assume they are measuring the ability to inhibit irrelevant information with the clinical version of the Stroop task, but my results suggest that they may actually be measuring other cognitive processes. There is an equal amount of Stroop inhibition required in the clinical version and the single-trial version of the task, yet patients with schizophrenia have repeatedly shown increased interference effects compared to matched controls on the clinical, but not on the single-trial version. The interpretation of increased interference effects (i.e. neutral vs incongruent trials) between the two groups on the clinical version remains to be resolved. With the identification of these parameters, future research can more precisely examine the underlying processes associated with cognitive dysfunction in schizophrenia.

 
 


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