Rapid assessment of schizophrenia with a visual test

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About This Project

Schizophrenia is currently diagnosed only by clinical visits. However, my lab has been studying subtle timing differences between people with schizophrenia and healthy controls. To that end, we've shown that schizophrenia can be assessed by a 30-second visual test that takes advantage of timing differences. We now seek to understand the sensitivity and specificity of our visual test on the way to wide-scale deployment.

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What is the context of this research?

A bedrock aspect of cognition is the perception of time. Accurate time perception is required to correctly judge the order of incoming events, and thus causality. Without proper judgments in the time domain, humans suffer fragmented cognition. Patients with schizophrenia show deficits in temporal judgments such as duration. Although time perception has emerged as a dynamic field in cognitive neuroscience, temporal measures are mostly absent from the clinical landscape. We propose that a straightforward visual task developed in my laboratory offers an opportunity for standardized, fine-grained, discrete testing of time perception, uncontaminated by other cognitive process. Our preliminary data demonstrate that temporal measures can sensitively distinguish schizophrenic patients from healthy controls, thereby providing a stable yardstick for this aspect of cognitive functioning.

What is the significance of this project?

Given the importance of time perception as a basic cognitive building block, this work opens the door to a totally novel method for rapid cognitive assessment in schizophrenic populations. Successful completion of this project will put us one step closer to a user-friendly and rapid cognitive assessment tool for clinical use with schizophrenia. Such a test can be used in nursing offices at the high school and college levels, massively expanding detection and the social safety net.

What are the goals of the project?

We have developed a method to rapidly and non-invasively detect temporal deficits characteristic of schizophrenia. Because of the simplicity of our simple`game-like task, patients with schizophrenia are capable of comprehending and performing the task without difficulty. Our goal here is to further develop these temporal measures, enhance their sensitivity, establish test-retest reliability, minimize subject burden, correlate with other measures of schizophrenia, and adapt the tasks for wide spread use in diverse clinical settings. This research will deliver a user-friendly and rapid cognitive assessment tool for clinical use with schizophrenia.

Budget

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We need to pay for the tablet (e.g. iPad) and a programmer to get the test updated and ready to deploy; from there we need to pay for a research assistant to run this with patients and controls at Stanford.

Project Timeline

This project will take 12 months. The first 2 will be re-programming on a tablet (instead of desktop computer, as in our previous work), and testing thoroughly to ensure timing. The next 8 months will test patients. The final 2 months will include data analysis and write up.

Feb 11, 2026

Finish programming the visual test on a tablet

Oct 11, 2026

Finalize testing with patients and controls

Dec 11, 2026

Finalize data analysis and manuscript write-up

Meet the Team

David Eagleman
David Eagleman
Adjunct Professor

Affiliates

Stanford University School of Medicine
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David Eagleman

My scientific interests are how the brain constructs perception, how different brains do so differently, and how this matters for society. To that end, my academic work spans sensory substitution, time perception, synesthesia, and neurolaw. Please see my publications for my research results.

Lab Notes

Nothing posted yet.

Additional Information

Parsons B, Gandhi S, Aurbach EA, Williams N, Williams M, Wassef A, Eagleman DM (2013). Lengthened temporal integration in schizophrenia. Neuropsychologia. 51(2): 372-376. [Full text]


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