Advertisement
Research Article| Volume 22, ISSUE 5, P603-617, May 1987

Neurophysiological assessment of sensory gating in psychiatric inpatients: Comparison between schizophrenia and other diagnoses

  • Neil Baker
    Correspondence
    Address reprint requests to Dr. Neil Baker, Department of Psychiatry, University of Colorado Health Sciences Center, 4200 East Ninth Avenue, #C268, Denver, CO 80262.
    Affiliations
    From the Department of Psychiatry and Pharmacology, University of Colorado Health Sciences Center, and Veterans Administration Medical Center, Denver, CO. USA
    Search for articles by this author
  • Lawrence E. Adler
    Affiliations
    From the Department of Psychiatry and Pharmacology, University of Colorado Health Sciences Center, and Veterans Administration Medical Center, Denver, CO. USA
    Search for articles by this author
  • Ronald D. Franks
    Affiliations
    From the Department of Psychiatry and Pharmacology, University of Colorado Health Sciences Center, and Veterans Administration Medical Center, Denver, CO. USA
    Search for articles by this author
  • Merilyne Waldo
    Affiliations
    From the Department of Psychiatry and Pharmacology, University of Colorado Health Sciences Center, and Veterans Administration Medical Center, Denver, CO. USA
    Search for articles by this author
  • Sandra Berry
    Affiliations
    From the Department of Psychiatry and Pharmacology, University of Colorado Health Sciences Center, and Veterans Administration Medical Center, Denver, CO. USA
    Search for articles by this author
  • Herbert Nagamoto
    Affiliations
    From the Department of Psychiatry and Pharmacology, University of Colorado Health Sciences Center, and Veterans Administration Medical Center, Denver, CO. USA
    Search for articles by this author
  • Andrew Muckle
    Affiliations
    From the Department of Psychiatry and Pharmacology, University of Colorado Health Sciences Center, and Veterans Administration Medical Center, Denver, CO. USA
    Search for articles by this author
  • Robert Freedman
    Affiliations
    From the Department of Psychiatry and Pharmacology, University of Colorado Health Sciences Center, and Veterans Administration Medical Center, Denver, CO. USA
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      Gating of auditory sensory responsiveness was examined in 75 psychiatric inpatients using a conditioning-testing paradigm with the P50 wave of the auditory evoked response, in which pairs of stimuli are presented to the subject. In previous studies, most schizophrenics did not decrement the second response to the extent seen in normals. Acutely ill patients, who were representative of patients admitted to a public university teaching service and a proprietary hospital, were used to examine the extent to which diminished sensory gating is found in diagnoses other than schizophrenia. About half of these patients showed diminished sensory gating that correlated with measures of severity of illness. The data, taken together with that from other studies using this paradigm, suggest that diminished sensory gating, like several other psychophysiological abnormalities, is a trait deficit in schizophrenia, but a state deficit in many other mental illnesses.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Biological Psychiatry
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Adler LE
        • Pachtman E
        • Franks RD
        • Pecevich M
        • Waldo MC
        • Freedman R
        Neurophysiological evidence for a defect in neuronal mechanisms involved in sensory gating in schizophrenia.
        Biol Psychiatry. 1982; 17: 639-654
        • Adler LE
        • Waldo MC
        • Freedman R
        Neurophysiological studies of sensory gating in schizophrenia: Comparison of auditory and visual responses.
        Biol Psychiatry. 1985; 20: 1284-1296
        • Adler LE
        • Rose G
        • Freedman R
        Neurophysiological studies of sensory gating in rats: Effects of amphetamine, phencyclidine, and haloperidol.
        Biol Psychiatry. 1986; 21: 787-798
        • American Psychiatrie Association
        ed 3. Diagnostic and Statistical Manual of Mental Disorders. American Psychiatrie Association, New York1980
        • Braff D
        • Saccuzzo D
        Effect of antipsychotic medication: Speed of information processing in schizophrenia patients.
        Am J Psychiatry. 1982; 139: 1127-1130
        • Callaway E
        Brain Electrical Potentials and Individual Psychological Differences.
        Grune & Stratton, Orlando, FL1975
        • Cumming J
        • Cumming E
        Ego and Milieu: Theory and Practice of Environmental Therapy.
        Aldine, New York1962
        • David E
        • Finkenzeller P
        • Kallert S
        • Keidel WD
        Akustischen Reizen zugeordnete Gleichspannungsanderungen am intaken Schadel des Menschen.
        Pfluegers Arch. 1969; 309: 363-367
        • Desmedt JE
        Some observations on the methodology of cerebral evoked potentials in man.
        in: Progress in Clinical Neurophysiology: Attention, Voluntary Contraction, and Event-Related Cerebral Potentials. vol 1. S Karger, New York1977: 12-29
        • Eccles JC
        The Inhibitory Pathways of the Central Nervous System.
        University Press, Liverpool1969
        • Endicott J
        • Andreasen N
        • Spitzer RL
        Family History—Research Diagnostic Criteria.
        Biometrics Research, New York State Psychiatric Institute, New York1975
        • Franks R
        • Adler L
        • Waldo M
        • Alpert J
        • Freedman R
        Neurophysiological studies of sensory gating in mania: Comparison with schizophrenia.
        Biol Psychiatry. 1983; 18: 989-1005
        • Freedman R
        • Adler LE
        • Waldo MC
        • Pachtman E
        • Franks RD
        Neurophysiological evidence for a defect in inhibitory pathways in schizophrenia: Comparison of medicated and drug-free patients.
        Biol Psychiatry. 1983; 18: 537-551
        • Fruhstorfer H
        • Soveri P
        • Jarvilehto T
        Short-term habituation of the auditory evoked response in man.
        Electrocephalogr Clin Neurophysiol. 1970; 28: 153-161
        • Gruzlier JH
        The cardiac responses of schizophrenics to orienting, signal, and non-signal tones.
        Biol Psychiatry. 1975; 3: 143-155
        • Hillyard SA
        • Hink RF
        • Schment VL
        • Picton TW
        Electrical signs of selective attention in the human brain.
        Science. 1973; 182: 177-180
        • Landau SG
        • Buchsbaum MS
        • Carpenter W
        • Strauss J
        • Sacks M
        Schizophrenia and stimulus intensity control.
        Arch Gen Psychiatry. 1975; 32: 1239-1245
        • Lipton R
        • Levy D
        • Holzman P
        • Levin S
        Eye movement dysfunctions in psychiatric patients: A review.
        Schizophr Bull. 1983; 9: 13-31
        • Maxmen J
        • Tucker G
        • LeBow M
        Rational Hospital Psychiatry: The Reactive Environment.
        Brunner/Mazel, New York1974
        • McGhie A
        • Chapman JS
        Disorders of attention and perception in early schizophrenia.
        Br J Med Psychol. 1961; 34: 103
        • Overall JE
        • Gorham DR
        The Brief Psychiatric Rating Scale.
        Psychol Rep. 1962; 10: 799
        • Overall JE
        • Hollister LE
        • Pichot P
        Major psychiatric disorders: A four dimensional model.
        Arch Gen Psychiatry. 1967; 16: 146-151
        • Pfefferbaum A
        • Wenegrat BG
        • Ford JM
        • Roth WT
        • Kopell BS
        Clinical application of the P3 component of event-related potentials. II. Dementia, depression and schizophrenia.
        Electroencephalogr Clin Neurophysiol. 1974; 60: 104-124
        • Roemer RA
        • Shagass C
        • Straumanis J
        • Amadeo M
        Somatosensory and auditory evoked potential studies of functional differences between the cerebral hemispheres in psychosis.
        Biol Psychiatry. 1979; 14: 357-373
        • Roth WT
        • Cannon EH
        Some features of the auditory evoked response in schizophrenics.
        Arch Gen Psychiatry. 1972; 27: 466-471
        • Shagass C
        • Amadeo M
        • Overton DA
        Eye-tracking performance in psychiatric patients.
        Biol Psychiatry. 1974; 9: 245-260
        • Shagass C
        • Roemer RA
        • Straumanis JJ
        • Josiassen RC
        Psychiatric diagnostic discriminations with combinations of quantitative EEG variables.
        Br J Psychiatry. 1984; 144: 581-592
        • Shagass C
        • Roemer RA
        • Straumanis JJ
        • Josiassen RC
        Combinations of evoked potential amplitude measurements in relation to psychiatric diagnosis.
        Biol Psychiatry. 1985; 20: 701-722
        • Siegel C
        • Waldo M
        • Mizner G
        • Adler LE
        • Freedman R
        Deficits in sensory gating in schizophrenic patients and their relatives.
        Arch Gen Psychiatry. 1984; 41: 607-612
        • Spitzer RL
        • Endicott J
        • Robins E
        Research Diagnostic Criteria: Rationale and reliability.
        Arch Gen Psychiatry. 1978; 35: 773-782
        • Spohn HE
        • Lacoursiere RB
        • Thompson K
        • Coyne L
        Phenothiazine effects on psychological dysfunction in chronic schizophrenics.
        Arch Gen Psychiatry. 1977; 34: 633-644
        • Venables P
        Input dysfunction in schizophrenia.
        in: Maher BA Progress in Experimental Personality Research. Academic, Orlando, FL1964: 1-47
        • Weinberger DR
        • Wyatt RJ
        Brain morphology in schizophrenia.
        in: Henn RA Nasrallah HA Schizophrenia as a Brain Disease. Oxford University Press, New York1982: 148-175
        • Zahn TP
        On the bimodality of the distribution of electrodermal orienting responses in schizophrenic patients.
        J Nerv Ment Dis. 1976; 162: 195-199