INTERHEMISPHERIC CONNECTIVITY DURING COGNITIVE CONTROL IS RELATED TO CALLOSAL STRUCTURAL INTEGRITY IN SCHIZOPHRENIA: A COMBINED DTI AND fMRI STUDY

Abstract

A divided visual field presentation of the Stroop colour-word test was used to study interhemispheric (transcallosal) function in schizophrenic and normal subjects. The modified test used a colour strip paired with either an incongruent, neutral or congruent colour word. Interference and facilitation were defined as t he difference between the mean reaction times for incongruent stimuli and neutral stimuli and that between neutral stimuli and congruent stimuli, respectively. The stimuli were presented tachistoscopically with the two components either separated across the midline centrally, up or down from the midpoint (bilateral presentation), or presented to a single visual half-field (unilateral presentation). The inclusion of the ‘up’ and ‘down’ bilateral conditions controlled for the reaction time advantage for central compared with unilateral stimulus presentations noted in an earlier study (David, 1993a). The difference in reaction time to an incongruent compared with a congruent colour-word pairing, the Combined Stroop Effect (CSE), was not affected significantly by stimulus presentation position (bilateral vs. unilateral) in either the control or schizophrenic group, unlike in the earlier study of David. For controls, interference was significantly greater than facilitation for both bilaterally- and unilaterally-presented stimuli. Schizophrenics had a significantly smaller interference effect for bilaterally-presented stimuli, indicating reduced interhemispheric interference in this group. For the control group, there was no significant difference between right and left CSEs, interference being significantly greater than facilitation on both visual half-field presentations. For schizophrenics, the CSE for left-presented stimuli was significantly greater than that for right-presented stimuli. In addition, left-field facilitation was significantly greater than right-field. Reduced Stroop facilitation with right-field presentations in schizophrenic subjects may reflect increased vulnerability of colour-naming by word-reading in the left hemisphere - evidence for the non-unitary nature of attentional processes and disintegration of these in schizophrenia.