Altered orientation of spatial attention in depersonalization disorder

作者：Adler Julia^*; Beutel Manfred E; Knebel Achim; Berti Stefan; Unterrainer Josef; Michal Matthias

来源：Psychiatry Research, 2014, 216(2): 230-235.

DOI：10.1016/j.psychres.2014.02.021

• Depersonalization disorder
• Dissociative disorder
• Spatial attention
• Benefits
• Costs
• Reaction times

Difficulties with concentration are frequent complaints of patients with depersonalization disorder (DPD). Standard neuropsychological tests suggested alterations of the attentional and perceptual systems. To investigate this, the well-validated Spatial Cueing paradigm was used with two different tasks, consisting either in the detection or in the discrimination of visual stimuli. At the start of each trial a cue indicated either the correct (valid) or the incorrect (invalid) position of the upcoming stimulus or was uninformative (neutral). Only under the condition of increased task difficulty (discrimination task) differences between DPD patients and controls were observed. DPD patients showed a smaller total attention directing effect (RT in valid vs. invalid trials) compared to healthy controls only in the discrimination condition. RT costs (i.e., prolonged RT in neutral vs. invalid trials) mainly accounted for this difference. These results indicate that DPD is associated with altered attentional mechanisms, especially with a stronger responsiveness to unexpected events. From an evolutionary perspective this May be advantageous in a dangerous environment, in daily life it may be experienced as high distractibility.

• 出版日期2014-5-15