Orosz Et Al (2007)

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    Behavioural Brain Research 180 (2007) 13

    Research report

    Repeated measurements of learned irrelevance bya novel within-subject paradigm in humans

    Ariane Orosz a,b,e,, Joram Feldon a, Gilad Gal c,Andor Simon d, Katja Cattapan-Ludewig b,e

    a Laboratory of Behavioral Biology, ETH Zurich, Switzerlandb University Hospital of Psychiatry, Bern, Switzerland

    cMental Health Epidemiology and Psychosocial Aspects of Illness, The Gertner Institute for Epidemiology and

    Health Policy Research, Sheba Medical Center, Tel Hashomer, Israeld Specialised Outpatient Service for Early Psychosis, Department of Psychiatry, Bruderholz, Switzerland

    e MediQ, Psychiatric Services of Aargau Canton AG, Research Department, Brugg, Switzerland

    Received 20 September 2006; received in revised form 1 February 2007; accepted 6 February 2007Available online 12 February 2007

    Abstract

    Learned irrelevance (LIrr) refers to the retardation of classical conditioning following preexposure of the to-be-associated stimuli. Healthy

    volunteers have been tested on three occasions with a new LIrr paradigm avoiding methodological problems which afflict traditional paradigms.

    A significant LIrr effect was demonstrated on each occasion. Thus, the new paradigm enables repeated measurements of LIrr and might be useful

    in evaluating long-term effects of medication in psychiatric disorders exhibiting aberrant LIrr.

    2007 Elsevier B.V. All rights reserved.

    Keywords: Learned irrelevance; Latent inhibition; Repeated measurements; Within-subject design; Information processing; Attention; Schizophrenia

    Learned irrelevance is considered a measure of informa-

    tion processing, specifically, the ability of normal individuals to

    ignore irrelevant internal and external stimuli in order to protect

    themselves from stimulus overload. Learned irrelevance (LIrr)

    refers to the retardation of associative learning, such as classical

    conditioning - which stands for the formation of an associa-

    tion between a conditioned stimulus (CS) and an unconditioned

    stimulus (US) - following repeated unpaired presentations of

    the CS and the US. LIrr is closely related to the to date more

    extensively studied phenomenon of latent inhibition (LI)[9].LI

    differs from LIrr in terms of the preexposure stage: in an LI pro-

    cedure only the CS is preexposed, while in LIrr both the CS and

    the US are presented inconsequentially prior to conditioning.

    LIrr has been shown to produce comparable data to LI as both

    phenomena were observed to be deficient in acute schizophrenia

    patients ([1],for a review see[5]).Therefore, disrupted LI and

    Corresponding author at: University Hospital of Psychiatry (UPD),

    Department of Psychiatric Neurophysiology, Murtenstr. 21, CH-3010 Bern,

    Switzerland. Tel.: +41 31 632 88 92; fax: +41 31 632 89 44.

    E-mail address:[email protected](A. Orosz).

    LI-like phenomena have become an important tool to character-

    ize cognitive and attentional deficits in schizophrenia and might

    even be treated as a state marker of it[10].Disrupted or reduced

    LI in schizophrenia patients takes the form of faster learning

    of the CSUS association compared to normal subjects. This

    implies that patients who show a general cognitive performance

    deficit actually perform betterin the LI task following preex-

    posure than control subjects[1,5].Thus, factors such as general

    deficits in intellectual ability, medication side effects or lack of

    motivation of schizophrenia patients can be excluded from being

    responsible for LI disruption[5,6].

    Traditional LI paradigms used to date are unsuitable for

    repeated measurements[1,3]. This is due to the fact that tra-

    ditional LI paradigms use an instrumental learning task and the

    dependent measure is the number of trials needed to learn the

    CSUS association[1,4].As these associations are quite sim-

    ple, learning retardation by CS preexposure occurs at best only

    on one occasion, i.e. no LI effect can be repeatedly observed in

    the same subject, as the association has already been learned.

    An additional limitation to these traditional LI paradigms is that

    they apply a between-subject design. Thus, an LI effect can be

    determined only by group comparisons[6].

    0166-4328/$ see front matter 2007 Elsevier B.V. All rights reserved.

    doi:10.1016/j.bbr.2007.02.008

    mailto:[email protected]://localhost/var/www/apps/conversion/tmp/scratch_7/dx.doi.org/10.1016/j.bbr.2007.02.008http://localhost/var/www/apps/conversion/tmp/scratch_7/dx.doi.org/10.1016/j.bbr.2007.02.008mailto:[email protected]
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    2 A. Orosz et al. / Behavioural Brain Research 180 (2007) 13

    Some advanced LI paradigms[7,8]and the LIrr paradigm

    used in the present study enable a within-subject design as they

    involve more complex learning tasks which are not based on

    a simple solution. Moreover, they measure the reaction time

    (RT) as the dependent variable. It is suggested that by applying

    a complex task and measuring RTs repeated measurements of

    LIrr can be performed within one individual.

    Sixteen healthy volunteers (3f, 13m) with a mean age of 23.4

    years (S.D. = 2, range = 2029) were tested on three occasions

    with the new LIrr paradigm at monthly intervals. A diagnostic

    interview (DIA-X[11])was performed with the subjects prior

    to the first test session in order to confirm the absence of a

    personal or family history of psychiatric disorders. The study

    was carried out at the Psychiatric Services of Aargau Canton,

    Switzerland. Subjects were recruited by electronic advertise-

    ments and by placards. The study protocol and consent forms

    were reviewed and approved by the Ethical Committee of the

    Psychiatric Services of Aargau Canton. The LIrr test used in the

    present study is a simple computerized visual target-detecting

    task of 7.5 min duration. It is an advanced version of the LIrrparadigm developed by Young et al. [12] which was further

    modified by Gal et al.[2].The paradigm appeared as a RT task

    in which the subjects were instructed to press the space bar of the

    computer keyboard as soon as the letter X, which represented

    the target, appeared on the screen. In addition to the target letter,

    there were 10 different capital Latin letters (vowels: A, E, I, O, U

    and five consonants: B, D, T, Y and Z) occurring in the test. All

    characters were yellow and were presented on blue background.

    The letters were all of the same size and were positioned in the

    center of the screen. They appeared continuously one after the

    other in a 1 s rate. A test session was composed of 75 targets

    and 375 non-target letters, thus a total of 450 letters. As eachletter persisted for 1 s on the screen, the duration of a session was

    450 s. The non-target letters were divided into two groups, non-

    preexposed (NPE) and preexposed (PE). The five vowels (A,

    E, I, O and U) were assigned to be the NPE letters, while five

    consonants (B, D, T, Y and Z) constituted the PE letter group.

    NPE letters, PE letters and the targets were presented accord-

    ing to the schedules of three different conditions: preexposed

    (PE), non-preexposed (NPE) and random (R). Each condition

    was segmented in five blocks. The total of 15 blocks of the three

    different conditions were always presented in the same order,

    whereby the first block of a test session was always an R block

    and there were never two successive blocks of the same condi-

    tion. All blocks contained 30 letters: 5 targets, 5 target predictorletters which are presented immediately before the target, and

    20 filler letters. Filler letters consisted of characters of the PE

    group (consonants). They served to fill the period between the

    predictor letter-target contingencies (e.g. B-X in a PE and O-X

    in a NPE block). There were one to eight, on average four, filler

    letters between the predictor letter-target contingencies. Filler

    letters never predicted the target.

    In an NPE condition block, the target was predicted five con-

    secutivetimesby the samevowel, e.g. A.Thus, in eachof the five

    NPE blocks one of the five NPE letters (vowels) was used as the

    target predictor. Consequently, the five vowels were distributed

    to the five NPE condition blocks.

    It is important to note that a particular vowel is only presented

    in the NPE block in which it predicted the target. It does not

    appear before and will not be presented later in the test session.

    In the PE condition, the PE letters served as target predictors.

    Similarly to NPE, in a PE block the target was preceded five

    times by the same PE letter, e.g. five times by B. Thus, each

    consonantactedas targetpredictor in oneparticular PE condition

    block. In the R blocks the five targets appeared once after each of

    the five PE letters, i.e. five times by a different consonant (once

    after B, once after D, etc.). Hence, preexposure to the PE letters

    took place especially in the R blocks as well as during filler

    letter presentations, where the subjects learned that a consonant

    was not necessarily followed by the target. In contrast, a vowel

    reliably predicted a target. Therefore, in the NPE blocks there

    was full prediction of the target, while in PE the targetcould only

    partly be predicted and in R not at all. Accordingly, the RT to the

    target was expected to be the lowest (fastest) in NPE, higher in

    PE and the highest (slowest) in R. In case of LIrr, performance

    on the RT task is supposed to be significantly faster in the NPE

    than in the PE condition.Prior to the test, the subjects were instructed that they were

    going to perform a RT task which lasted about 7 min. During

    this time they should watch the screen and whenever the letter

    X appeared, they had to press the space bar as quickly as they

    could. Moreover, they were also told to attentively follow the

    non-target letters as they may give a hint to the appearance of

    the X. Finally, they were asked to avoid making mistakes.

    The RTs, i.e. the time (in ms) between the target onset and the

    pressing of the space bar was recorded as the dependent variable.

    To be included in the analysis, subjects had to detect at least

    60 of the 75 targets in a test session. In the present study, this

    criterion has been met by all subjects. RTs were analyzed using335 repeated measures analysis of variance(ANOVA) with

    test session (1st, 2nd, 3rd), condition (R, PE, NPE) and block

    (15) as within-subject factors.

    There was no effect of session, as the performance in the

    three different conditions, especially R and PE, remained stable

    (similar RTs) over sessions (Fig. 1).The effect of condition was

    significant (F(2.30) = 31.91,p < 0.001). This effect was, on the

    one hand, due to a difference in performance in the PE compared

    with the NPE condition, which was either significant or close to

    significant, reflecting an LIrr effect in all three test sessions [post

    hoc tests (Tukeys HSD) revealed for baseline:p = 0.09; 2nd test

    session:p < 0.001;3rd test session:p < 0.001]. On theotherhand,

    the condition effect reflected higher RTs in R compared to bothPE and NPE (baseline-R versus PE: p < 0.05, R versus NPE:

    p < 0.001; 2nd test session-R versus PE:p < 0.01, R versus NPE:

    p < 0.001; 3rd test session-R versus PE:p < 0.05, R versus NPE:

    p < 0.001). As expected, slowest performance was evident in the

    R condition. The interaction between session and condition was

    significant(F(4.60) = 7.55,p < 0.001). Post hoctestsshowed that

    the significant interaction was due to a decreasein RT in the NPE

    condition while there were hardly any changes in performance

    in R and PE conditions.

    LIrr and LI are defined as the reduced associative learning

    when preexposed stimuli, i.e. PECS (consonants) are involved.

    Disruption of LI, which is the case when the same subject is

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    A. Orosz et al. / Behavioural Brain Research 180 (2007 ) 13 3

    Fig. 1. The figure depicts the average reaction times in the three different con-

    ditions (R, PE and NPE) on three occasions. Independent of the test session, the

    slowest performance occurred in R, where subjects showed significantly higher

    reaction times compared to PE and NPE. The subjects showed a significant LIrr

    effect in all test sessions in terms of significantly (or trend to) slower reaction

    times in PE vs. NPE. While performance in R and PE remained stable, reaction

    times in NPE decreased over sessions (from 1st to 2nd session: p < 0.001, from

    2nd to 3rd session: n.s.). The whiskers represent the standard error of the mean.#p = 0.09 (trend);:p < 0.05; *p < 0.001.

    repeatedly tested, is supposed to occur because the subject starts

    to learn the PECS-target contingency after a specific number

    of trials. In the present study subjects have exhibited similar

    RTs in the PE blocks across sessions. Moreover, they showed

    reduced learning on the PECS compared to the learning on

    the NPECSs in all three test sessions. These results indicate

    that a stable LIrr effect could be repeatedly measured on three

    occasions.

    It is noticeable that the LIrr effect seems to strengthen oversessions. Actually, this improvement in LIrr is caused by the

    subjectslearningon theNPECSs.The learning on NPECSs is

    facilitated, as the NPE-letters (vowels) always correctly predict

    thetarget.Thus, in NPEthereis basicallya classicalconditioning

    procedure, in which the subject learns that a vowel (CS) is a

    signal for the target (US).

    To our knowledge this is the first study examining repeated

    measurements with the novel within-subject LIrr test. Further-

    more, no comparable study has been reported in the human LI

    literature. We were able to show that by applying a complex

    task in which the CSUS association can be learned only rudi-

    mentarily, a LIrr effect can be elicited several times in the samesubject. The major advantage of such a within-subject LIrr test

    which enables repeated measurement of a LIrr effect is its use-

    fulness for long-term studies. LIrr disruption is considered as an

    indication for dysfunctional attentional information processing

    as it is present in acute schizophrenia. Repeated measurements

    of LIrr in schizophrenia patients might be helpful in evaluating

    the development of attentional dysfunctions over the course of

    disease or in observing the long-term effect of new antipsychotic

    drugs on attentional information processing deficits.

    Acknowledgments

    Financialsupport wasprovided by theSarasotaOperaBenefit

    through a 2003 NARSAD Young Investigators Award received

    by Katja Cattapan-Ludewig. The authors are specially grateful

    for the assistance of Pietro Ballinari in statistical matters.

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