Skip to main content
Log in

Smooth-pursuit eye movement dysfunction in schizophrenia: the role of attention and general psychomotor dysfunctions

  • Original Paper
  • Published:
European Archives of Psychiatry and Clinical Neuroscience Aims and scope Submit manuscript

Abstract

Smooth-pursuit eye-tracking performance was examined in 100 schizophrenic patients and various control groups under both attention-enhancing and attentiondistracting conditions. The level of attentional demand was varied by introducing a secondary reaction time task that directed attention either toward or away from the visual-tracking target. Distraction from the target led to a significant deterioration of tracking performance in all subjects, which was most pronounced in the group of schizophrenic patients. Attention-enhancement, on the other hand, did not normalize performance in this group. In schizophrenic patients, mainly in the distraction condition, there was a moderate association between performance in tracking and tests presumably measuring prefrontal functions. Tracking accuracy from both conditions was related to general motor performance as measured by the Neurological Evaluation Scale. It was concluded that in schizophrenic patients attentional factors (distraction) may contribute to eye-tracking impairment, and that the impairment may be viewed as an aspect of general motor dysfunctions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Aber LA, Ziegler A (1988) Smooth pursuit eye movements in schizophrenics: What constitutes quantitative assessment? Biol Psychiatry 24:747–761

    Article  PubMed  Google Scholar 

  • Acker W, Toone B (1978) Attention, eye tracking and schizophrenia. Br J Soc Psychol 17:173–181

    Google Scholar 

  • Amador XF, Sackeim HA, Mukherjee S, Halperin R, Neeley P, Maclin E, Schnur D (1991) Specificity of smooth pursuit eye movement and visual fixation abnormalities in schizophrenia: comparison to mania and normal controls. Schiz Res 5:135–144

    Article  Google Scholar 

  • American Psychiatric Association (1987) Diagnostic and statistical, manual of mental disorders (DSM-III-R), 3rd edn, revised. American Psychiatric Association, Washington DC

    Google Scholar 

  • Andreasen NC, Olson S (1983) Negative v positive schizophrenia. Definition and validation. Arch Gen Psychiatry 39:789–794

    Google Scholar 

  • Bartfai A, Levander SE, Nybäck H, Berggren B, Schalling D (1985) Smooth pursuit eye tracking, neuropsychological test performance, and computed tomography in schizophrenia. Psychiatry Res 15:49–62

    Article  PubMed  Google Scholar 

  • Buchanan RW, Heinrichs DW (1989) The neurological evaluation scale (NES): A structured instrument for the assessment of neurological signs in schizophrenia. Psychiatry Res 27:335–350

    Article  PubMed  Google Scholar 

  • Campion D, Thibaut F, Denise P, Pottier M, Levillain D (1992) SPEM impairment in drug-naive schizophrenic patients: evidence for a trait marker. Biol Psychiatry 32:891–902

    Article  PubMed  Google Scholar 

  • Clementz BA, Sweeney JA (1990) Is eye movement dysfunction a biological marker for schizophrenia? A methodological review. Psychol Bull 108:77–92

    Article  PubMed  Google Scholar 

  • Clementz BA, Sweeney JA, Hirt M, Haas G (1990) Pursuit gain and saccadic intrusions in first-degree relatives of probands with schizophrenia. J Abnorm Psychol 99:327–335

    Article  PubMed  Google Scholar 

  • Clementz BA, Sweeney JA, Hirt M, Haas G (1991) Phenotypic correlations between oculomotor functioning and schizophrenia-related characteristics in relatives of schizophrenic probands. Psychophysiology 28:570–578

    PubMed  Google Scholar 

  • Corblatt BA, Keilp JG (1994) Impaired attention, genetics, and the pathophysiology of schizophrenia. Schiz Bull 20:31–46

    Google Scholar 

  • Feil KJ, Iacono WG (1993) Chronic alcoholism unlikely to affect smooth pursuit eye movements in schizophrenia. Schiz Res 9: 155 (abstract)

    Article  Google Scholar 

  • Fukushima J, Fukushima K, Chiba T, Tanaka S, Yamashita I, Kato M (1988) Disturbances of voluntary control of saccadic eye movements in schizophrenic patients. Biol Psychiatry 23:670–677

    Article  PubMed  Google Scholar 

  • Fukushima J, Fukushima K, Morita N, Yamashita I (1990) Further analyses of the control of voluntary saccadic eye movements in schizophrenic patients. Biol Psychiatry 28:943–958

    Article  PubMed  Google Scholar 

  • Guitton D, Buchtel HA, Douglas RM (1985) Frontal lobe lesions in man cause difficulties in suppressing reflexive glances and in generating goal-directed saccades. Exp Brain Res 58:455–472

    Article  PubMed  Google Scholar 

  • Heinrichs DW, Buchanan RW (1988) Significance and meaning of neurological signs in schizophrenia. Am J Psychiatry 145:11–18

    PubMed  Google Scholar 

  • Holzman PS (1987) Recent studies of psychophysiology in schizophrenia. Schiz Bull 13:49–75

    Google Scholar 

  • Holzman PS, Proctor LR, Levy DL, Yasillo NJ, Meltzer HY, Hurt SW (1974) Eye tracking dysfunction in schizophrenic patients and their relatives. Arch Gen Psychiatry 31:143–151

    PubMed  Google Scholar 

  • Holzman PS, Levy DL, Proctor LR (1976) Smooth pursuit eye movements, attention, and schizophrenia. Arch Gen Psychiatry 33:1415–1420

    PubMed  Google Scholar 

  • Holzmann PS, Solomon CM, Levin S, Waternaux CS (1984) Smooth pursuit eye movement dysfunctions in schizophrenia: family evidence for specificity. Arch Gen Psychiatry 41:136–139

    PubMed  Google Scholar 

  • Iacono WG, Lykken DT (1979) Electro-oculographic recording and scoring of smooth pursuit on saccadic eye tracking: a parametric study using monozygotic twins. Psychophysiology 16:94–107

    PubMed  Google Scholar 

  • Iacono WG, Tuason VB, Johnson RA (1981) Dissociation of smooth-pursuit and saccadic eye tracking in remitted schizophrenics. An ocular reaction time task that schizophrenics perform well. Arch Gen Psychiatry 38:991–996

    PubMed  Google Scholar 

  • Iacono WG, Moreau M, Beiser M, Fleming JAE, and Lin T (1992) Smooth-pursuit eye tracking in first-episode psychotic patients and their relatives. J Abnorm Psychol 101:104–116

    Article  PubMed  Google Scholar 

  • Katsanis J, Iacono WG (1991) Clinical, neuropsychological, and brain structural correlates of smooth-pursuit eye tracking performance in chronic schizophrenia. J Abnorm Psychol 100:526–534

    Article  PubMed  Google Scholar 

  • Kay SR, Fiszbein A, Opler LA (1987) The positive and negative syndrome scale (PANSS) for schizophrenia. Schiz Bull 13:261–276

    Google Scholar 

  • Kobatake K, Yoshii F, Shinohara Y, Nomura K, Takagi S (1983) Impairment of smooth pursuit eye movement in chronic alcoholics. Eur Neurol 22:392–396

    PubMed  Google Scholar 

  • Latham C, Holzman PH, Manschreck TC, Tole J (1981) Optokinetic nystagmus and pursuit eye movements in schizophrenia. Arch Gen Psychiatry 38:997–1001

    PubMed  Google Scholar 

  • Levin S, Jones AJ, Stark L, Merrin EL, Holzman PS (1982) Identification of abnormal patterns in eye movements of schizophrenic patients. Arch Gen Psychiatry 39:1125–1130

    PubMed  Google Scholar 

  • Levy DL, Lipton RB, Holzman PS, Davis JM (1983) Eye tracking dysfunction is unrelated to clinical state and treatment with haloperidol. Biol Psychiatry 18:813–819

    PubMed  Google Scholar 

  • Levy DL, Lipton RB, Yasillo NJ, Peterson J, Pandey G, Davis JM (1984) Psychotropic drug effects on smooth pursuit eye movements: a summary of recent findings. In: Gale A, Johnson F (eds) Theoretical and applied aspects of eye movement research. Elsevier, Amsterdam, pp 497–505

    Google Scholar 

  • Levy DL, Holzman PS, Matthysee S, Mendell NR (1993): Eye tracking Dysfunction and schizophrenia: a critical perspective. Schiz Bull 19:461–536

    Google Scholar 

  • Levy DL (1994) Eye tracking and schizophrenia. Schiz Bull 20:47–62

    Google Scholar 

  • Lukoff D, Nuechterlein KH, Ventura J (1986) Manual for the expanded brief psychiatric rating scale (BPRS). Schiz Bull 12:594–602

    Google Scholar 

  • Mather JA (1985) Eye movements of teenage children of schizophrenics: a possible inherited marker of susceptibility to the disease. J Psychiatr Res 19:523–532

    Article  PubMed  Google Scholar 

  • Manschreck TC (1986) Motor abnormalities in schizophrenia. In: Nasrallah HA, Weinberger DR, (eds) Handbook of schizophrenia, vol 1. The neurology of schizophrenia. Elsevier, Amsterdam

    Google Scholar 

  • Meehl PE (1990) Toward an integrated theory of schizotaxia, schizotypy, and schizophrenia. J Pers Disord 4:1–99

    Google Scholar 

  • Mialet JP, Pichot P (1981) Eye tracking patterns in schizophrenia: an analysis based on incidence of saccades. Arch Gen Psychiatry 38:183–186

    PubMed  Google Scholar 

  • Milner B (1963) Effects of different brain lesions on card sorting. Arch Neurol 9:100–110

    Google Scholar 

  • Nelson HE (1976) A modified card sorting test sensitive to frontal lobe defects. Cortex 12:601–614

    Google Scholar 

  • Nuechterlein KH, Dawson ME (1984) Information Processing and attentional functioning in the developmental course of schizophrenic disorders. Schiz Bull 10:160–203

    Google Scholar 

  • Paus T (1991) Two modes of central gaze fixation maintenance and oculomotor distractibility in schizophrenic patients. Schiz Res 5:142–152

    Google Scholar 

  • Petrides M, Milner B (1982) Deficits on subject-ordered tasks after frontal and temporal lobe lesions in man. Neuropsychologia 20:249–262

    Article  PubMed  Google Scholar 

  • Radant AD, Hommer DW (1992) A quantitative analysis of saccades and smooth pursuit during visual pursuit tracking. Schiz Res 6:225–235

    Article  Google Scholar 

  • Rea MM, Sweeney JA, Solomon CM, Walsh V, Frances A (1989) Changes in eye tracking during clinical stabilization in schizophrenia. Psychiatry Res 28:31–39

    Article  PubMed  Google Scholar 

  • Research Branch (1975) Abnormal involuntary movement scale. Psychopharmacology 44:907–912

    Google Scholar 

  • Röhrenbach C, Cohen E, Matthes CG von (1991) Kognitives Planungsdefizit und Negativsymptomatik bei Patienten mit erworbenen Hirnschädigungen. Z Neuropsychologie 2:83–90

    Google Scholar 

  • Ross DE, Ochs AL, Hill MR, Goldberg SC, Pandurangi AK, Winfrey CJ (1988) Erratic eye tracking in schizophrenic patients as revealed by high-resolution techniques. Biol Psychiatry 24:675–688

    Article  PubMed  Google Scholar 

  • Schooler NR, Kane JM (1982) Research diagnoses for tardive dyskinesia. Arch Gen Psychiatry 39:486–487

    Google Scholar 

  • Shagass C, Amadeo M, Overton DA (1974) Eye tracking performance in psychiatric patients. Biol Psychiatry 9:245–260

    PubMed  Google Scholar 

  • Shagass C, Roemer RA, Amadeo M (1976) Eye tracking performance and engagement of attention. Arch Gen Psychiatry 33:121–125

    PubMed  Google Scholar 

  • Shallice T (1982) Specific impairments on planning. Philos Trans R Soc Lond B298:199–209

    Google Scholar 

  • Siegel C, Waldo M, Miznor G, Adler LE, Freedman R (1984) Deficits in sensory gating in schizophrenic patients and their relatives. Arch Gen Psychiatry 41:607–612

    PubMed  Google Scholar 

  • Simpson GH, Angus JWS (1970) A rating scale for extrapyramidal side-effects. Acta Psychiatr Scand 212 (Suppl):11–19

    Google Scholar 

  • Spohn HE, Coyne L, Spray J (1988) The effect of neuroloptics and tardive dyskinesia on smooth pursuit eye movements in chronic schizophrenics. Arch Gen Psychiatry 45:833–840

    PubMed  Google Scholar 

  • Weigl E (1941) On the psychology of so-called processes of abstraction. J Abnorm Soc Psychol 36:3–33

    Google Scholar 

  • Weinberger DR, Berman KF, Zee RF (1986) Physiologic dysfunction of dorsolateral prefrontal cortex in schizophrenia. I. Regional Cerebral Blood Flow Evidence. Arch Gen Psychiatry 43:114–124

    PubMed  Google Scholar 

  • Wing JL, Cooper JE, Sartorius N (1973) The Present State Examination (PSE). Medical Research Council, Cambridge University Press

  • Wirtschafter JD, Weingarden AS (1988) Neurophysiology and central pathways in oculomotor control: physiology and anatomy of saccadic and pursuit eye movements. In: Johnston CW, Pirozzolo FJ (eds) Neuropsychology of eye movements. Erlbaum, Hillsdale, NJ pp 5–30

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schlenker, R., Cohen, R., Berg, P. et al. Smooth-pursuit eye movement dysfunction in schizophrenia: the role of attention and general psychomotor dysfunctions. Eur Arch Psychiatry Clin Nuerosci 244, 153–160 (1994). https://doi.org/10.1007/BF02191891

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02191891

Key words

Navigation