Word and tone working memory deficits in schizophrenia.

BACKGROUND: Verbal memory deficits have been reported in many studies of patients with schizophrenia. We evaluated the specificity of these deficits by comparing patients and control subjects on several verbal and nonverbal auditory memory tests. METHODS: Performance of stable, medicated outpatients with DSM-III-R diagnoses of schizophrenia (N = 38) was compared with that of healthy subjects (N = 39) on a word list immediate recall task, tone delayed discrimination tasks, and word and tone serial position tasks. Before memory testing, patients were divided into 2 groups based on their ability to perform normally on a screening test requiring pitch discrimination and sustained attention. RESULTS: The nonverbal tests were more difficult for control subjects than the verbal tests. Despite this, patients who performed normally on the screening test of perception and attention performed normally on both nonverbal tests but had highly significant deficits on both verbal tests (P<.001 and P = .02). Patients who performed poorly on the screening test had highly significant performance deficits on all the memory tests. CONCLUSIONS: One subgroup of patients with schizophrenia has a selective deficit in verbal memory despite normal motivation, attention, and general perceptual function. Another group has deficits in multiple aspects of cognitive function suggestive of failure in early stages of information processing.

Functional MR imaging of regional brain responses to pleasant and unpleasant odors.

BACKGROUND AND PURPOSE: Odors can elicit a range of behaviors and emotions. Our purpose was to identify regional activation of the human cerebral cortex in response to pleasant (positive hedonic value) and unpleasant (negative hedonic value) odors. METHODS: Thirteen neurologically normal adults underwent functional MR imaging of frontal and anterior temporal brain regions with a gradient-echo echo-planar technique. Eleven candidate regions of interest (ROIs) were identified on the first half of the data set based on t-map comparisons of signal intensities during administration of clementine (pleasant odor), isovaleric acid (unpleasant odor), and clear air (control odor). These ROIs were applied to the second half of the data set, and the number of voxels activated with the odorants was compared with the number of voxels activated during clear air trials, using independent t-tests. RESULTS: Clementine activated five cortical areas: Brodmann's area (BA) 8, BA 32 (lateralized to left), BA 46/9, BA 6 (lateralized to right), and the insula. Isovaleric acid activated four of the five regions without lateralization; no BA 8 activity was seen. Clementine produced more activity than isovaleric acid in the left insula, and isovaleric acid produced more activity than clementine in the left BA 6. No activation was detected in the orbitofrontal cortex or in the medial temporal lobes. Subjects rated clementine, isovaleric acid, and clear air as being pleasant, unpleasant, and neutral, respectively. CONCLUSION: Activation in frontal regions may represent brain processes linked to olfactory networks. There may be regional specialization based on odorant hedonic values.