Impaired action self-monitoring in schizophrenia patients with auditory hallucinations

Łukasz Gawęda , Todd Woodward , Steffen Moritz , Andrzej Kokoszka


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 discrimina-tion 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 thanpatients 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 presen-tation type are related to AHs. In the schizophrenia group, action-self monitoring errors were associated with overconfidence.
Author Łukasz Gawęda
Łukasz Gawęda,,
, Todd Woodward
Todd Woodward,,
, Steffen Moritz
Steffen Moritz,,
, Andrzej Kokoszka (Wydział Psychologii)
Andrzej Kokoszka,,
- Wydział Psychologii
Journal seriesSchizophrenia Research, ISSN 0920-9964, (A 40 pkt)
Issue year2013
Publication size in sheets0.5
Keywords in EnglishAuditory hallucinations, Schizophrenia, Self-monitoring, Cognitive confidence, Action, Source monitoring
ASJC Classification2803 Biological Psychiatry; 2738 Psychiatry and Mental health
Languageen angielski
nadbitka.pdf of 14-09-2015
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Score (nominal)40
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2013 = 1.482; WoS Impact Factor: 2013 = 4.426 (2) - 2013=5.056 (5)
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