PMID- 18423984 OWN - NLM STAT- MEDLINE DCOM- 20080926 LR - 20211020 IS - 0920-9964 (Print) IS - 0920-9964 (Linking) VI - 103 IP - 1-3 DP - 2008 Aug TI - Altered 'three-flash' illusion in response to two light pulses in schizophrenia. PG - 275-82 LID - 10.1016/j.schres.2008.03.002 [doi] AB - BACKGROUND: Disorganization is a core dysfunction in schizophrenia. Coherent thought and behavior rely on the interactive neural responses to temporally discrete external events. Previous studies have demonstrated that a single visual stimulus (event) is abnormally affected by another (as in backward masking), but the integration (or 'synthesis') of temporally discrete events remains largely unexplored in schizophrenia. We examined the perceived interaction of two elementary visual events in schizophrenia patients, using a psychophysical approach. METHODS: Two brief, spatially-coincident foveal light pulses (5 ms) were presented with different inter-stimulus intervals (ISIs). At ISIs around 100 ms, a substantial proportion of the light pulse pairs was paradoxically perceived as three flashes, a known phenomenon in normal subjects. The subjects reported the number of flashes perceived ('one', 'two' or 'three'). RESULTS: Schizophrenia patients (n=28) reported fewer 'three flashes' than normal controls (n=26) at the ISIs where 'three flash' reports were greatest in normal subjects (90 to 110 ms). On the other hand, at longer ISIs (130-310 ms) patients reported 'three flashes' in more trials than did normal subjects. The perception of three flashes in patients was correlated with certain aspects of clinical status, including the positive and general subscales of the PANSS. DISCUSSION: The alteration of the 'three-flash' illusion in schizophrenia suggests that the synthesis of discrete visual events is temporally 'dilated' or distorted, which might contribute to disorganized thought and behavior. FAU - Norton, Dan AU - Norton D AD - McLean Hospital, United States. FAU - Ongur, Dost AU - Ongur D FAU - Stromeyer, Charles 3rd AU - Stromeyer C 3rd FAU - Chen, Yue AU - Chen Y LA - eng GR - R01 MH061824/MH/NIMH NIH HHS/United States GR - R01 MH061824-07/MH/NIMH NIH HHS/United States GR - 61824/PHS HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20080418 PL - Netherlands TA - Schizophr Res JT - Schizophrenia research JID - 8804207 SB - IM MH - Adult MH - Contrast Sensitivity MH - Discrimination Learning MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Optical Illusions MH - Photic Stimulation MH - Psychiatric Status Rating Scales MH - Psychotic Disorders/*diagnosis/psychology MH - Reaction Time MH - Reference Values MH - Schizophrenia/*diagnosis MH - *Schizophrenic Psychology PMC - PMC2553681 MID - NIHMS64651 EDAT- 2008/04/22 09:00 MHDA- 2008/09/27 09:00 PMCR- 2009/08/01 CRDT- 2008/04/22 09:00 PHST- 2007/11/26 00:00 [received] PHST- 2008/02/27 00:00 [revised] PHST- 2008/03/05 00:00 [accepted] PHST- 2008/04/22 09:00 [pubmed] PHST- 2008/09/27 09:00 [medline] PHST- 2008/04/22 09:00 [entrez] PHST- 2009/08/01 00:00 [pmc-release] AID - S0920-9964(08)00142-4 [pii] AID - 10.1016/j.schres.2008.03.002 [doi] PST - ppublish SO - Schizophr Res. 2008 Aug;103(1-3):275-82. doi: 10.1016/j.schres.2008.03.002. Epub 2008 Apr 18.