Cerebellar functional abnormalities in schizophrenia are suggested by classical eyeblink conditioning

Background: Previous research suggests that schizophrenia may result from disruptions in a cortico-cerebellar-thalamic-cortical circuit (CCTCC) producing a mental incoordination or "cognitive dysmetria." To further evaluate the cerebellar contribution to this disrupted circuitry, medication-free patients wit schizophrenia completed classical eyeblink conditioning, a cerebellar-mediated learning task. Methods: For classical eyeblink conditioning, 70 trials wit a tone conditioned stimulus (CS) and air puff unconditioned stimulus (US) were presented to 15 patients with schizophrenia and 15 healthy control subjects Acquisition rate for the conditioned response (CR) and response timing were compared between the two groups. Results: Patients with schizophrenia displayed facilitated conditioning compared to control subjects based on a greater number of CRs during the session and a faster acquisition of the learned response. Conclusions: Facilitated conditioning suggests that an enhanced excitability in the cerebellum occurs as part of a disrupted CCTCC in schizophrenia. The enhanced cerebellar-mediated associative learning may be maladaptive in the context of normal cerebro-cerebellar interactions, leading to the characteristic motor and mental incoordination of the disorder. Classical eyeblink conditioning may provide a useful model system for studying cerebellar involvement in the pathogenesis and treatment of schizophrenia. Biol Psychiatry 2000;48:204-209 (C) 2000 Society of Biological Psychiatry.