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.

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@article{fb4be3d4e5c047bcb7232326a812e605,
title = "Impaired action self-monitoring in schizophrenia patients with auditory hallucinations",
abstract = "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.",
keywords = "Adult, Discrimination (Psychology), Executive Function, Female, Hallucinations, Human Activities, Humans, Imagination, Male, Memory, Episodic, Neuropsychological Tests, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology",
author = "Lukasz Gaw{\c e}da and Woodward, {Todd S} and Steffen Moritz and Andrzej Kokoszka",
note = "Copyright {\textcopyright} 2012 Elsevier B.V. All rights reserved.",
year = "2013",
month = mar,
day = "1",
doi = "10.1016/j.schres.2012.12.003",
language = "English",
volume = "144",
pages = "72--9",
journal = "SCHIZOPHR RES",
issn = "0920-9964",
publisher = "Elsevier",
number = "1-3",

}

RIS

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 -