Conditioned blocking in patients with paranoid, non-paranoid psychosis or obsessive compulsive disorder: associations with symptoms, personality and monoamine metabolism.
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Conditioned blocking (CB) refers to a delay in learning that a new stimulus, added
during learning, has the same consequences as the conditioned stimulus already present. In animals
such "learned inattention" depends on monoaminergic and limbic function and, thus, CB performance
should be informative on selective information processing impairments found in subgroups
of psychotic patients. Attenuated CB in acute schizophrenia has been reported to normalize rapidly.
This study examines in young patients the specificity of CB performance to illness, and its associations
with symptoms, personality traits and monoaminergic metabolic status. CB was attenuated
in psychotic patients with non-paranoid symptoms (NP: n = 12, mean age 17 years) with respect to
obsessive-compulsive (OCD: n = 13, mean age 16 years) and healthy subjects (CON, n = 29, mean
age 18 years), but only a transient attenuation was observed in paranoid hallucinatory patients (PH:
n = 14, mean age 19 years). Outgoing personality traits in CON and OCD subjects correlated with
CB. In NP patients attenuated CB was associated with increasing neurotic lability. In PH patients
CB correlated positively with "manic" but negatively with psychotic or neurotic scores. The severity
of negative symptoms in psychosis and specific negative/positive symptoms in the NP/PH groups
was associated with reduced CB. Increased dopamine activity (24-h urine samples) correlated
positively with CB, but relatire increases of noradrenaline metabolism in NP and serotonin metabolism
in OCD patients interfered. In summary, marked psychotic or neurotic traits and some
symptom-states were associated with reduced CB. The particular selective processing problems of
NP patients may reflect inappropriate NA activity.
Lesezeichen:
Dokumententyp:
Wissenschaftliche Texte » Artikel, Aufsatz
Fakultät / Institut:
Medizinische Fakultät / Universitätsklinikum » Rheinische Kliniken Essen » Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters
Dewey Dezimal-Klassifikation:
600 Technik, Medizin, angewandte Wissenschaften » 610 Medizin und Gesundheit » 610 Medizin und Gesundheit
Sprache:
Englisch
Kollektion / Status:
E-Publikationen / Dokument veröffentlicht
Dateien geändert am:
24.11.2011
Medientyp:
Text
Quelle:
