Master of Arts (MA)
First Committee Member
Daniel N. Allen
Second Committee Member
Third Committee Member
Fourth Committee Member
Number of Pages
There is increasing controversy regarding the distinction between schizophrenia and bipolar disorder as separate diagnostic categories because these disorders share many features in common. These and other findings suggest that bipolar disorder and schizophrenia may be better conceptualized along a continuum or within more homogeneous subsets of affective, psychotic, and mixed symptomatology.
Dopamine dysregulation has been found in schizophrenia and bipolar disorder, particularly those that experience psychosis during the acute phases of their bipolar illness. Dopamine has been found to play a role in reward and reward learning. Recently, research has found that individuals with schizophrenia experience deficits in reward learning, particularly negative feedback learning.
The current study examined accuracy on the first four cards of the Wisconsin Card Sorting Test as well as the use of negative and positive feedback on these initial trials in controls, bipolar with and without psychosis, and schizophrenia. Results indicate that controls and bipolar disorder without psychosis perform significantly better than the schizophrenia group with regard to ability to utilize feedback and learn the task. However, bipolar disorder with psychosis performed neither significantly better nor worse than any other group on the first two cards analyzed, but by card 4 performed at the same level as the control and bipolar without psychosis groups, which was significantly better than the schizophrenia group. Analysis of the use of positive feedback found no difference among the groups in their ability to utilize positive feedback. Use of negative feedback, on the other hand, was significantly different among groups on cards 2 and 4. Post hoc analyses demonstrated that the SZ group performed significantly worse than the controls on both cards 2 and 4 and significantly worse than the bipolar without psychosis on card 2. No other significant differences were found among the groups on use of negative feedback. Results replicate those previously found with regard to individuals with schizophrenia's impaired ability to effectively utilize feedback to learn a task. Contrary to expectations, this deficit was not found in individuals with bipolar disorder with psychosis. Results do not support the idea that those with psychosis experience the most severe deficits in reward learning. The pattern of findings in the bipolar with psychosis group may suggest that, although they are experiencing psychosis, the dopamine dysregulation is less severe thus reward learning is not being affected to the same degree.
Dopamine; Manic-depressive illness; Schizophrenia
Mental Disorders | Psychology
Barney, Sally, "Using Negative Feedback to Guide Behavior: Impairments on the Wisconsin Card Sorting Test Relates to Psychosis" (2012). UNLV Theses, Dissertations, Professional Papers, and Capstones. 1535.