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J Neuropsychiatry Clin Neurosci 17:391-398, August 2005
doi: 10.1176/appi.neuropsych.17.3.391
© 2005 American Neuropsychiatric Association
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* Schizophrenia Spectrum Disorders

Evidence for Sustained Attention and Working Memory in Schizophrenia Sharing a Common Mechanism

Henry Silver, MBBS, B.MED SCI, DPM, FRANZCP and Pablo Feldman, M.D.

Received July 15, 2003; revised April 18, 2004; accepted April 22, 2004. From the Brain Behavior Laboratory, Sha’ar Menashe Mental Health Center, Mobile Post Hefer 38814, Israel; the Rappaport Faculty of Medicine, Technion Institute of Technology, Haifa, Israel. Address correspondence to Dr. Silver, Deputy Director, Sha’ar Menashe Mental Health Center, And Director, Brain Behavior Laboratory, Mobile Post Hefer 38814, Israel; mdsilver{at}tx.technion.ac.il (E-mail).

Sustained attention and working memory (WM) are closely related functions that may share common mechanisms. The authors assessed sustained attention in schizophrenia patients and healthy comparison subjects using visuomotor tracking tasks under varying distractor loads. The attentional effort expended to deal with distractors was lower in patients and showed significant association with WM, executive function and negative symptoms in that group. It is proposed that the anterior attention system of sustained attention models and the executive function of the WM model describe the same or a closely related mechanism that is located in the prefrontal cortex (PFC) and is impaired in schizophrenia.




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