The Continuous Performance Task (CPT) is widely used as an indicator o
f cognitive dysfunction in schizophrenia. It is still unclear, however
, exactly what this test measures. We examined the contribution of mot
or speed, reaction time measures, mental effort, and level of psychopa
thology to the performance on a double-stimulus CPT This study include
d schizophrenia patient groups, depressive patient groups, and patient
and normal control groups. Subjects were retested twice: once after 1
week and again at 3 months. In patients with schizophrenia or depress
ion, the sensitivity measure (d') was strongly and consistently associ
ated with motor speed and with the standard deviation of reaction time
s (response variability) to target stimuli. The association with respo
nse variability was also found at followup tests in the control groups
. We conclude that in patients with schizophrenia or depression, the s
ensitivity measure of a double-stimulus CPT is associated with cogniti
ve mechanisms that determine motor proficiency and response variabilit
y.