Evidence suggests that patients with schizophrenia show impaired
performances on tests assessing the magnocellular (M) visual pathway. The
aim of this study was to investigate M pathway functioning in persons at
high-risk of psychosis. Sixteen high-risk persons at the prodromal phase
of psychosis and 20 healthy controls participated. Two types of contrast
sensitivity measurements were used, during which participants were asked
to detect a briefly presented target Gabor patch. In the pulsed-pedestal
paradigm, the luminance of the background field was decreased to saturate
M pathways and to bias information processing to parvocellular (P)
pathways. In the steady-pedestal paradigm, the luminance of the background
field was constant and briefly presented targets were processed by the M
pathway. Anomalous perceptual experiences were assessed using the
Structured Interview for Assessing Perceptual Anomalies (SIAPA). Results
revealed that the high-risk persons showed elevated contrast sensitivity
during the M pathway test, and normal sensitivity during the P pathway
test. The visual SIAPA scores showed significant positive correlations
with the M pathway sensitivity values. These results suggest that the
high-risk mental state is associated with hyper-reactive M pathways, which
may be responsible for some anomalous perceptual experiences, including
abnormal intensity of environmental stimuli, feelings of being flooded and
inundated, and inability to focus attention to relevant details.