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Parsing the Verbal Memory Deficit in Schizophrenia.

 Scott R. Sponheim, Ph.D.
  
 

Abstract:
Studies have shown schizophrenia patients to manifest verbal memory deficits that extend beyond the generalized cognitive deficit in the disorder. The nature of verbal memory deficits in schizophrenia is unclear. This study involved recording the behavioral responses and brain electrical activity of schizophrenia and control subjects while they completed a task requiring the encoding, recall, identification, and recognition of words (similar to Paller et al., 1995). During encoding subjects judged the size of named objects. Subjects then spontaneously recalled the named objects. Schizophrenia patients performed worse than control subjects in both accuracy of judgments during encoding and number of recalled objects. To test repetition priming effects independent of conscious recollection of words, subjects completed a word identification task (word vs. nonword). Control and schizophrenia subjects performed equally well at word identification and repetition priming effects on reaction time were evident in both groups. The final phase of the task assessed conscious recollection of words. Unlike the recall phase of the task, schizophrenia patients performed comparably to control subjects in correctly identifying words as previously presented and not previously presented. Because schizophrenia patients exhibit intact recognition of previously presented words but perform poorly in free recall of the same material, verbal memory deficits in schizophrenia may result from a retrieval dysfunction. Preliminary analyses of event-related potentials elicited during encoding, word identification, and recognition are consistent with a spontaneous retrieval deficit in schizophrenia.

 
 


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