Procedural learning in schizophrenia: a functional magnetic resonance imaging investigation.

Abstract:

:Procedural learning (PL) is a type of rule-based learning in which performance facilitation occurs with practice on task without the need for conscious awareness. Schizophrenic patients have often (though not invariably) been found to show impaired PL. We performed functional magnetic resonance imaging (fMRI) during a blocked, periodic sequence-learning task with groups of: (i) healthy subjects, and (ii) schizophrenic patients on conventional antipsychotics. Healthy subjects showed significant PL, but patients did not. In healthy subjects, PL was associated with increased activation in the striatum, thalamus, cerebellum, precuneus, medial frontal lobe, and cingulate gyrus. The power of activation in the thalamus, striatum, precuneus, cingulate gyrus and BA 6 was related to the magnitude of PL in these subjects. No regions, except the anterior inferior gyrus, were significantly activated in patients. The caudate nucleus, thalamus, precuneus, and sensorimotor regions were activated significantly differently between the two groups. The findings demonstrate the involvement of the striatum, cerebellum, thalamus, cingulate gyrus, precuneus, and sensorimotor regions in PL. Further fMRI studies of PL in normal subjects treated with conventional antipsychotics, drug naïve patients, and patients given atypical antipsychotics would help to clarify the roles of schizophrenic disease processes and antipsychotic medication in impaired PL and associated brain abnormalities in schizophrenia.

journal_name

Schizophr Res

journal_title

Schizophrenia research

authors

Kumari V,Gray JA,Honey GD,Soni W,Bullmore ET,Williams SC,Ng VW,Vythelingum GN,Simmons A,Suckling J,Corr PJ,Sharma T

doi

10.1016/s0920-9964(01)00270-5

subject

Has Abstract

pub_date

2002-09-01 00:00:00

pages

97-107

issue

1

eissn

0920-9964

issn

1573-2509

pii

S0920996401002705

journal_volume

57

pub_type

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