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Verbal self-monitoring in psychosis: a non-replication

Published online by Cambridge University Press:  25 January 2007

DAGMAR VERSMISSEN
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands Mondriaan Zorggroep, Section Social Cognition, Heerlen, The Netherlands
ILSE JANSSEN
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands
LOUISE JOHNS
Affiliation:
Division of Psychological Medicine, Institute of Psychiatry, London, UK
PHILIP McGUIRE
Affiliation:
Division of Psychological Medicine, Institute of Psychiatry, London, UK
MARJAN DRUKKER
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands
JOOST A CAMPO
Affiliation:
Mondriaan Zorggroep, Section Social Cognition, Heerlen, The Netherlands
INEZ MYIN-GERMEYS
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands Mondriaan Zorggroep, Section Social Cognition, Heerlen, The Netherlands
JIM VAN OS
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands Division of Psychological Medicine, Institute of Psychiatry, London, UK
LYDIA KRABBENDAM
Affiliation:
Department of Psychiatry and Neuropsychology, South Limburg Mental Health Research and Teaching Network, EURON, Maastricht University, Maastricht, The Netherlands

Abstract

Background. Current cognitive models of positive symptoms of psychosis suggest a mechanism of defective self-monitoring that may be relevant for (i) expression of psychosis at the clinical and subclinical level and (ii) transmission of risk for psychosis.

Method. The study included 41 patients with psychosis, 39 non-psychotic first-degree relatives, 39 subjects from the general population with a high level of positive psychotic experiences, and 52 healthy controls with an average level of positive psychotic experiences. All subjects performed a speech attribution task in which single adjectives with a complimentary or derogatory meaning were presented to them on a computer screen; subjects had to read aloud and determine the source (self/other/uncertain) of the words they heard. In some of the trials, participants’ speech was distorted, in others they heard someone else's voice (alien feedback condition) that could also be distorted.

Results. No large or significant differences in errors in the speech attribution task were found between the four groups in any of the conditions.

Conclusions. Contrary to previous work using this paradigm, this study found no evidence that either expression of psychosis or risk for psychosis was associated with impairment in self-monitoring.

Type
Original Article
Copyright
2007 Cambridge University Press

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