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Original article| Volume 53, ISSUE 7, P609-616, April 01, 2003

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Attentional and executive dysfunctions in schizophrenia and depression: evidence from dichotic listening performance

  • Kenneth Hugdahl
    Correspondence
    Address reprint requests to Kenneth Hugdahl, Department of Biological and Medical Psychology, University of Bergen, Årstadveien 21, N-5009 Bergen, Norway.
    Affiliations
    Department of Biological and Medical Psychology (KH), University of Bergen, Bergen, Norway

    Department of Psychiatry (KH, AL, AR, KIS), Haukeland University Hospital, Bergen, Norway

    Rikshospitalet University Hospital (KS), Oslo, Norway
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  • B.jørn Rishovd Rund
    Affiliations
    Institute of Psychology (BRR, JE, NIL, KS), University of Oslo, Oslo, Norway

    Rikshospitalet University Hospital (KS), Oslo, Norway
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  • Anders Lund
    Affiliations
    Department of Psychiatry (KH, AL, AR, KIS), Haukeland University Hospital, Bergen, Norway

    Rikshospitalet University Hospital (KS), Oslo, Norway
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  • Arve Asbjørnsen
    Affiliations
    Department of Psychosocial Sciences (AA), University of Bergen, Bergen, Norway

    Rikshospitalet University Hospital (KS), Oslo, Norway
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  • Jens Egeland
    Affiliations
    Institute of Psychology (BRR, JE, NIL, KS), University of Oslo, Oslo, Norway

    Rikshospitalet University Hospital (KS), Oslo, Norway
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  • Nils Inge Landrø
    Affiliations
    Institute of Psychology (BRR, JE, NIL, KS), University of Oslo, Oslo, Norway

    Rikshospitalet University Hospital (KS), Oslo, Norway
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  • Atle Roness
    Affiliations
    Department of Psychiatry (KH, AL, AR, KIS), Haukeland University Hospital, Bergen, Norway

    Rikshospitalet University Hospital (KS), Oslo, Norway
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  • Kirsten I Stordal
    Affiliations
    Department of Psychiatry (KH, AL, AR, KIS), Haukeland University Hospital, Bergen, Norway

    Rikshospitalet University Hospital (KS), Oslo, Norway
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  • Kjetil Sundet
    Affiliations
    Institute of Psychology (BRR, JE, NIL, KS), University of Oslo, Oslo, Norway

    Department of Psychosocial Sciences (AA), University of Bergen, Bergen, Norway

    Rikshospitalet University Hospital (KS), Oslo, Norway
    Search for articles by this author

      Abstract

      Background

      We compared performance on a dichotic listening (DL) task between schizophrenic, depressed, and healthy control subjects. A variant of the traditional DL paradigm was used in which the subjects were required to focus attention either on the left (forced-left condition) or right (forced-right condition) ear stimulus.

      Methods

      The subjects were 51 patients with a DSM-IV diagnosis of schizophrenia, 49 patients with recurrent unipolar major depression, and 49 healthy control subjects. They were tested with a consonant–vowel syllables dichotic listening task under three attentional instructions.

      Results

      There was a significant overall right ear advantage during the nonforced condition, which increased dramatically during the forced-right condition and was eliminated during the forced-left condition. The depressed patients showed no signs of impairments compared with the healthy control group. Thus, they showed a right ear advantage during the nonforced and forced-right conditions, which was shifted to a left ear advantage during the forced left condition. The schizophrenic patients, however, were impaired on the forced-left condition compared with the healthy control and depressed subjects.

      Conclusions

      The results are discussed in terms of separating attentional and inhibitory executive impairments in schizophrenia and depression, taking into consideration illness duration and information-processing demands.

      Keywords

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