Impaired action self-monitoring in schizophrenia patients with auditory hallucinations
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Impaired action self-monitoring in schizophrenia patients with auditory hallucinations. / Gawęda, Lukasz; Woodward, Todd S; Moritz, Steffen; Kokoszka, Andrzej.
in: SCHIZOPHR RES, Jahrgang 144, Nr. 1-3, 01.03.2013, S. 72-9.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Impaired action self-monitoring in schizophrenia patients with auditory hallucinations
AU - Gawęda, Lukasz
AU - Woodward, Todd S
AU - Moritz, Steffen
AU - Kokoszka, Andrzej
N1 - Copyright © 2012 Elsevier B.V. All rights reserved.
PY - 2013/3/1
Y1 - 2013/3/1
N2 - BACKGROUND: It has been suggested that the process of discriminating between inner and outer experiences underlies auditory hallucinations (AHs). The aim of the present study was to investigate whether discrimination between imagined and performed action (i.e., action self monitoring) differed between schizophrenia patients with auditory hallucinations (AHs) and those without.METHOD: Twenty-eight schizophrenia patients with AHs, twenty-six patients without AHs, and thirty-four healthy subjects were assessed with an action memory task. Simple actions were presented to the participant verbally (text) or non-verbally (icons). Some actions were physically performed and others were imagined. Following the learning phase, participants were presented with each action as well as new ones, were asked whether the action was presented verbally or non-verbally (action's presentation type discrimination), and whether the action was performed or imagined (self-monitoring). A confidence score related to self-monitoring responses was also obtained.RESULTS: Patients with AHs more often remembered imagined actions as performed than patients without AHs and healthy controls. Schizophrenia patients made significantly more incorrect responses in action presentation type discrimination than healthy controls. Self-monitoring errors were followed by high confidence ratings in the schizophrenia group. No differences between patients with and without AH in old/new recognition emerged.CONCLUSIONS: Our study suggests that action self-monitoring deficits but not impairments in discriminating presentation type are related to AHs. In the schizophrenia group, action-self monitoring errors were associated with overconfidence.
AB - BACKGROUND: It has been suggested that the process of discriminating between inner and outer experiences underlies auditory hallucinations (AHs). The aim of the present study was to investigate whether discrimination between imagined and performed action (i.e., action self monitoring) differed between schizophrenia patients with auditory hallucinations (AHs) and those without.METHOD: Twenty-eight schizophrenia patients with AHs, twenty-six patients without AHs, and thirty-four healthy subjects were assessed with an action memory task. Simple actions were presented to the participant verbally (text) or non-verbally (icons). Some actions were physically performed and others were imagined. Following the learning phase, participants were presented with each action as well as new ones, were asked whether the action was presented verbally or non-verbally (action's presentation type discrimination), and whether the action was performed or imagined (self-monitoring). A confidence score related to self-monitoring responses was also obtained.RESULTS: Patients with AHs more often remembered imagined actions as performed than patients without AHs and healthy controls. Schizophrenia patients made significantly more incorrect responses in action presentation type discrimination than healthy controls. Self-monitoring errors were followed by high confidence ratings in the schizophrenia group. No differences between patients with and without AH in old/new recognition emerged.CONCLUSIONS: Our study suggests that action self-monitoring deficits but not impairments in discriminating presentation type are related to AHs. In the schizophrenia group, action-self monitoring errors were associated with overconfidence.
KW - Adult
KW - Discrimination (Psychology)
KW - Executive Function
KW - Female
KW - Hallucinations
KW - Human Activities
KW - Humans
KW - Imagination
KW - Male
KW - Memory, Episodic
KW - Neuropsychological Tests
KW - Psychiatric Status Rating Scales
KW - Schizophrenia
KW - Schizophrenic Psychology
U2 - 10.1016/j.schres.2012.12.003
DO - 10.1016/j.schres.2012.12.003
M3 - SCORING: Journal article
C2 - 23290606
VL - 144
SP - 72
EP - 79
JO - SCHIZOPHR RES
JF - SCHIZOPHR RES
SN - 0920-9964
IS - 1-3
ER -