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Not All Distraction Is Bad: Working Memory Vulnerability to Implicit Socioemotional Distraction Correlates with Negative Symptoms and Functional Impairment in Psychosis

机译:并非所有的注意力分散都是不好的:内隐性社会情绪分散的工作记忆脆弱性与精神病的阴性症状和功能障碍相关

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This study investigated implicit socioemotional modulation of working memory (WM) in the context of symptom severity and functional status in individuals with psychosis (N = 21). A delayed match-to-sample task was modified wherein task-irrelevant facial distracters were presented early and briefly during the rehearsal of pseudoword memoranda that varied incrementally in load size (1, 2, or 3 syllables). Facial distracters displayed happy, sad, or emotionally neutral expressions. Implicit socioemotional modulation of WM was indexed by subtracting task accuracy on nonfacial geometrical distraction trials from facial distraction trials. Results indicated that the amount of implicit socioemotional modulation of high WM load accuracy was significantly associated with negative symptoms (r = 0.63, P < 0.01), role functioning (r = -0.50, P < 0.05), social functioning (r = -0.55, P < 0.01), and global assessment of functioning (r = -0.53, P < 0.05). Specifically, greater attentional distraction of high WM load was associated with less severe symptoms and functional impairment. This study demonstrates the importance of the WM-socioemotional interface in influencing clinical and psychosocial functional status in psychosis.
机译:这项研究调查了精神病患者症状严重程度和功能状态的情况下对工作记忆(WM)的内隐性社会情绪调节(N = 21)。修改了延迟的匹配样本任务,其中在排练伪字备忘单的过程中提早和简要介绍了与任务无关的面部干扰器,这些伪装声备忘的负荷大小(1、2或3个音节)逐渐增加。面部分心者表现出快乐,悲伤或情绪中立的表情。通过从面部干扰试验中减去非面部几何干扰试验的任务准确性,对WM的隐式社会情绪调制进行了索引。结果表明,高WM负荷准确性的隐性社会情绪调节量与阴性症状(r = 0.63,P <0.01),角色功能(r = -0.50,P <0.05)和社交功能(r = -0.55)显着相关。 ,P <0.01)和整体功能评估(r = -0.53,P <0.05)。具体而言,较高的注意力分散于高WM负荷与较少的严重症状和功能障碍相关。这项研究证明了WM-社会情感界面在影响精神病患者的临床和社会心理功能状态方面的重要性。

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