Reactive gaze laterality in schizophrenic patients

Conjugated lateral eye movements and EEG: a study on schizophrenic and depressive patients

Lateral gaze aversions which follow reflective or thought provoking questions are called conjugated lateral eye movements (CLEMs). This response was studied in 20 schizophrenic patients, 20 depressive patients and 20 healthy controls. Frontal and parietal EEG measures were recorded simultaneously with the question/answer task. There were no differences in CLEMs among the 3 groups. Schizophrenic and depressive patients demonstrated a significantly reduced EEG-power on the left and an increased power on the right in comparison with healthy controls. This may point to a functional interhemispheric ‘disconnection’ in patients. Comparative correlations revealed EEG-power increase during the occurrence of contralateral CLEMs in the whole 10 min task.

Schizotypy and hemisphericity

There is considerable evidence that schizophrenia spectrum disorders are associated with a variety of abnormal asymmetries of brain structure, function, and behavior. Schizotypy is a personality trait dimension extending into the normal range, which at its extreme, is associated with a vulnerability to schizophrenia spectrum disorders. Schizotypy in the normal range is also associated with a variety of neurobiological characteristics associated with schizophrenia spectrum disorders, including abnormal brain and behavioral asymmetries. Previous studies have suggested that normal schizotypy (as well as belief in the paranormal) is associated with an increased reliance on the right hemisphere in a variety of tasks. Hemisphericity is a trait-related characteristic preference for the cognitive mode of one or the other cerebral hemispheres, putatively related to hemispheric activation asymmetry. A sample of 256 undergraduates was administered five schizotypy scales, as well as three hemisphericity measures. Higher schizotypy scores were associated with an increase in right hemisphericity and a decrease in integrated hemisphericity. Although the construct of hemisphericity has been criticized, there is evidence to suggest that questionnaire and eye movement measures of hemisphericity may yet have construct validity, and further research on hemisphericity may be warranted.

Lateral preference and neuropsychological correlates of schizotypy

A battery of 11 schizotypy questionnaires was administered to 316 male undergraduates. The scores of the 266 white subjects were subjected to a principal components analysis, and 73 subjects scoring at the upper and lower ends of the factor score distribution based on the first unrotated component were recalled for neuropsychological testing. The battery of neuropsychological tests consisted of four tests of motoric performance, four subtests from the Wechsler Adult Intelligence Scale-Revised, the conjugate lateral eye movement test, and a lateral preference questionnaire. Subjects high on schizotypy did not differ from low scorers on overall neuropsychological performance or performance asymmetries. High scorers did show a sinistral shift in hand and foot preference and more crossed dominance compared with controls. Asians scored significantly higher than whites on several schizotypy scales, raising the question of a possible ethnic bias in these measures.

Conjugate lateral eye movements: a second look

It has been suggested that conjugate lateral eye movements (CLEM) are related to cerebral lateralization. Two types of research have developed: studies examining individual differences (hemisphericity) and studies examining the type of questions used to elicit eye movements (hemispheric specialization). In a 1978 review, Ehrlichman and Weinberger questioned the notion that CLEM is related to cerebral lateralization, particularly with regard to individual differences. However, since their review, a substantial number of studies have been published which are pertinent to the validity of CLEM. The following paper reviewed the validity of CLEM through three avenues, neurophysiological evidence, relationships with other measures of laterality and relation to spatial and verbal stimuli. Overall, it was concluded that there is sufficient evidence to support the CLEM model. Converging evidence from studies on EEG, electrical stimulation, ablation, brain damage, sodium amytal testing, blood flow, positron emission tomography, dichotic listening, and visual half fields was found to be, for the most part, supportive. The results for verbal and spatial task performance were mixed. Studies examining verbal abilities or a verbal to spatial comparison were generally supportive. The findings for spatial abilities alone were more equivocal. Evidence on question-type was found to be weak but positive, with about half the studies showing the predicted asymmetry and the other half reporting nonsignificant results. The implications of an interaction between hemisphericity or characteristic arousal and hemispheric specialization were also discussed.

Neuroleptics reverse attention asymmetries in schizophrenic patients

Discussions of hemispheric asymmetry in psychopathology are often confounded by the effects of medication. We examined the effect of neuroleptic drugs on attention asymmetries in acutely psychotic patients admitted for the first time to a psychiatric hospital before the initiation of drug treatment and again after a period of treatment with neuroleptics. Overall performance did not change significantly; however, attention asymmetry was clearly related to the medication status of the patient: unmedicated patients showed inattention to the right hemispace, which changed to more prominent left-sided inattention when medicated. A longer time on medication or a higher daily dose were associated with a shift of inattention from the right to left hemispace. This suggests that neuroleptics may normalize left hemisphere performance, at the expense of deteriorated right hemisphere performance.

Left hemisphere hyperactivity in schizophrenia: abnormality inherent to psychosis or neuroleptic side-effects?

Studies measuring reflective lateral eye movements (LEM) in schizophrenic patients revealed predominance of rightward LEMS, which was interpreted as suggesting left hemisphere overactivation in schizophrenia. In the present study LEM behaviour of medicated schizophrenics was compared to that of non-medicated patients. Rightward LEMs were predominant in a group of patients treated with phenothiazines with piperazine side chains, whereas among schizophrenics treated with non-piperazine drugs leftward LEMs were more predominant. This finding suggests that previous reports on LEM directionality in schizophrenia may have been confounded by neuroleptic medication. The possible effect of piperazine derivatives on hemispheric balance is discussed.

Hemisphere laterality and smooth pursuit in normal individuals

34 right-handed women of college age who consistently responded with leftward ("left-movers") or rightward ("right-movers") reflective lateral eye movements were tested on spatial and non-spatial syllogisms while engaged in an eye-tracking task. Contrary to expectation, no interaction between tracking direction and syllogism type was observed. Left-movers performed better on all tasks. The results are discussed in relation to hemispheric asymmetry.