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Self-monitoring Abnormalities in Schizophrenia: An Event-related Brain Potential Study

 D.H. Mathalon, M. Fedor, W. O. Faustman, N. Askari and J. M. Ford
  
 

Abstract:
Abstract: Previous research has identified a negative component of event-related brain potentials (ERPs) time-locked to error responses in forced choice reaction time tasks known as the error-related negativity (ERN; Gehring et al, 1995), thought to reflect an error monitoring system in the brain. Many symptoms of schizophrenia (e.g., hallucinations, delusions) are characterized by difficulties distinguishing internally and externally generated experiences, perhaps due to deficits in self monitoring. Error monitoring, a type of self monitoring, was assessed using the ERN in 18 schizophrenic patients and 18 age- and sex-matched controls. ERPs were recorded during a picture-word matching task in which subjects pressed a response key with one hand for matches and the other for nonmatches. Response synchronized ERPs were separately averaged to correct and incorrect responses. In controls, errors elicited a large midline fronto/central ERN peaking at around 100 msec after the response, while correct trials showed no such negativity centrally and a small negative peak frontally (correct-related negativity, CRN). Patients showed a reduced ERN relative to controls, but also showed a large CRN comparable in amplitude to their ERN. At an early stage of response monitoring, ERPs from patients do not distinguish between correct and incorrect responses, a dysfunction that may contribute to the positive symptoms of schizophrenia. NIMH (MH40052, MH58262), DVA.

 
 


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