Language Systems in Schizophrenia: Behavioral & ERP Data
Project Number5R01MH063360-05
Contact PI/Project LeaderNIZNIKIEWICZ, MARGARET A
Awardee OrganizationHARVARD MEDICAL SCHOOL
Description
Abstract Text
DESCRIPTION: (provided by applicant) The broad aim of this five year study is
to advance our understanding of language dysfunction in schizophrenia spectrum
disorder using event-related potential, event-related gamma, experimental
neuropsychological and clinical measures in three DSM-IV diagnosed clinical
groups: chronic schizophrenia (CS), first episode schizophrenia (FES) and
schizotypal personality disorder (SPD), and their matched normal controls. The
use of the three clinical groups will afford studying both differences and
similarities in language impairment across the schizophrenia spectrum.
Similarities and differences in language processing in males and females in
these three clinical groups will be studied as a secondary goal.
In order to arrive at a comprehensive model of language dysfunction in the
schizophrenia spectrum, we will use a heuristic model of language in which
semantic organization includes three distinct but interacting components
referred to as properties, processes, and content of semantic networks.
Properties refer to connectivity weights among words, and to the size and the
coherence of networks. Processes refer to activation, inhibition, and context
use (both local and global). Network contents including words, numbers, and
symbols will not be measured. We propose a gradual breakdown in language
function with most impairment in CS>FES>SPD.
We will test these hypotheses in a five-year study of three schizophrenia
spectrum groups: 1) 30 patients with CS; 2) 30 patients with FES; and 3) 30
individuals with SPD, and 30 normal controls matched to each clinical group
(n=90). Each control group will be matched for age, gender and parental SES to
its respective clinical group and all subjects will be right handed, with
English as their primary language.
We will use ERP, event-related gamma, experimental neuropsychological, and
clinicaldata (Thought Disorder Index TDI), to study language disorder in the
three clinical groups. We thus predict over-activation in semantic networks as
indexed by the N400, word-pair study at short stimulus onset asynchrony (SOA)
in SPD, FES, and CS. The evidence of abnorma inhibitory/context utilization
processes will be found in the N400, sentence and paragraph studies, with most
severe impairment in CS>FES>SPD. The evidence of abnormal properties in
semantic networks will be found in the neuropsychological study of word recall,
in the N400, word-pair, short SOA study, and in the event-related gamma data,
it FES and CS, but not in SPD. Correlational analyses among the four data sets
will seek to characterize the relationships among the four domains of
analysis.We predict that females will show less impairment than males on all
these measures.
Public Health Relevance Statement
Data not available.
NIH Spending Category
No NIH Spending Category available.
Project Terms
behaviorbehavioral /social science research tagclinical researchelectroencephalographyhuman subjectinterviewlanguage disorderslongitudinal human studyneuropsychological testsschizoid personalityschizophreniasemanticsshort term memory
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