Mp. Paulus et al., USE OF METHODS FROM CHAOS THEORY TO QUANTIFY A FUNDAMENTAL DYSFUNCTION IN THE BEHAVIORAL ORGANIZATION OF SCHIZOPHRENIC-PATIENTS, The American journal of psychiatry, 153(5), 1996, pp. 714-717
Objective: This study aimed to quantify the complexity of behavioral s
equences of patients with schizophrenia and comparison subjects by usi
ng methods from nonlinear dynamical systems theory. Method: A simple c
hoice task consisting of predicting 500 random right or left appearanc
es of a stimulus was used to obtain binary response sequences in 22 pa
tients with schizophrenia and 16 comparison subjects. Dynamical entrop
y was measured and the fluctuation spectrum of local subsequence entro
pies calculated to quantify the degree of interdependency between cons
ecutive responses of patients and comparison subjects. Results: The re
sponse sequences generated by the schizophrenic patients exhibited a h
igher degree of interdependency than those of comparison subjects. Mor
eover, schizophrenic patients exhibited significantly less consistency
in their response selection and ordering, characterized by a greater
contribution of both highly perseverative and highly unpredictable sub
sequences of responses within a test session. Conclusions: The result
of the biological abnormality underlying schizophrenia may not be a si
mple increase or decrease of neuropsychological or neurobiological fun
ctions. Instead, the observed abnormalities in behavioral patterns ref
lect a quantifiable dysregulation and disorganization of these functio
ns.