Errors of Verbal Episodic Memory in Schizophrenia Patients and in Non-Clinical Group with Different Profiles of Schizotypal Traits

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Abstract

The aim of the study was to provide a fine grain analysis of errors generated on word list learning tasks by schizophrenia patients and healthy controls with different profiles of schizotypal traits, since it can shed light on the cognitive mechanisms of memory impairment in these cohorts. 511 patients (mean age 33.40±11.53 years; 57% women) and 307 healthy controls (mean age 25.20±7.64 years; 73% women) completed the Rey Auditory Verbal Learning Test (A. Rey, 1964). The healthy subjects were assigned to groups with low, high, positive and negative schizotypy based on the Schizotypal Personality Questionnaire adapted by A.G. Efremov and S.N. Enikolopov (2002). In patients, symptomatology was assessed with the Positive and Negative Syndrome Scale adapted by S.N. Mosolov (2001). We analyzed the number of extra-list intrusions, their perseverations, frequency and strength of the associations with stimuli, as well as phonetic intrusions, intrusions from interference trails, and false recognition of semantic and phonetic lures. The results showed that patients are characterized by an increase in the number of extra-list intrusions and their perseverations, proactive interference and recognition of semantic lures; similar trends regarding extra-list intrusions and false recognitions were observed in the high schizotypy group. The data can be interpreted in favor of the idea of impairment of reality monitoring and insufficient encoding of stimulus’s surface features as inherent deficits of information processing in schizophrenia.

General Information

Keywords: auditory verbal memory, false memory, intrusions, perseverations, semantic lures, proactive interference, schizophrenia, shizotypy

Journal rubric: Empirical Research

Article type: scientific article

DOI: https://doi.org/10.17759/cpse.2022110304

Funding. The reported study was funded by Russian Foundation for Basic Research (RFBR), project number 20-013-00230.

Received: 03.05.2022

Accepted:

For citation: Alfimova M., Plakunova V., Golimbet V. Errors of Verbal Episodic Memory in Schizophrenia Patients and in Non-Clinical Group with Different Profiles of Schizotypal Traits [Elektronnyi resurs]. Klinicheskaia i spetsial'naia psikhologiia = Clinical Psychology and Special Education, 2022. Vol. 11, no. 3, pp. 97–119. DOI: 10.17759/cpse.2022110304. (In Russ., аbstr. in Engl.)

References

  1. Azarova I.V. RUSSNET kak komp'yuternyj tezaurus novogo tipa [RUSSNET as a new kind of computer lexicon]. Strukturnaya i Prikladnaya Lingvistika=Theoretical and Applied Linguistics, 2007, no. 7, pp. 175–186. (In Russ.; abstr. in Engl.). Azarova I.V. RUSSNET kak komp'yuternyi tezaurus novogo tipa [RUSSNET as a new kind of computer lexicon]. Strukturnaya i Prikladnaya Lingvistika = Theoretical and Applied Linguistics, 2007, no. 7, pp. 175–186. (In Russ.; abstr. in Engl.).
  2. Efremov A.G., Enikolopov S.N. Aprobatsiya biosotsial'noi metodiki KlonindzherA—struktura kharaktera i temperamenta (TCI-125) i metodiki vyrazhennosti shizotipicheskikh chert (SPQ-74) [The approbation of the Cloninger’s biosocial Temperament and Character Inventory (TCI-125) and of the Schizotypal Personality Questionnaire (SPQ-74)]. Vestnik MGU. Seriya 14. Psikhologiya = The Moscow University Bulliten. Series 14. Psychology, 2002, no.1, pp. 92–93. (In Russ.).
  3. Zeigarnik B.V. Patopsikhologiya. [Pathopsychology]. Moscow: MSU Publ., 1986. 287 p. (In Russ.).
  4. Karaulov YU.N., Cherkasova G.A., Ufimtseva N.V. et al. Russkii assotsiativnyi slovar': V 2 t. T. 1. [Russian Associative Dictionary: in 2 vol. Vol. 1]. Moscow: AST Astrel’ Publ., 2002. 781 p. (In Russ.).
  5. Kobzova M.P., Zvereva N.V., Shchelokova O.A. O nekotorykh osobennostyakh verbal'no-logicheskogo myshleniya v norme i pri shizotipicheskom rasstroistve (na primere metodiki «Chetvertyi lishniI») [On Some Features of Verbal-Logical Thinking in the Norm and in Schizotypic Disorder (Using the Example of the Fourth Extra Technique)]. Klinicheskaya i spetsial'naya psikhologiya = Clinical Psychology and Special Education, 2018, vol. 7, no. 3, pp. 100–118. DOI: 10.17759/psycljn.2018070306 (In Russ., abstr. in Engl.).
  6. yashevskaya O.N., Sharov S.A. Chastotnyi slovar' sovremennogo russkogo yazyka (na materialakh Natsional'nogo korpusa russkogo yazyka) [Frequency Dictionary of the Modern Russian Language (based on the materials of the National Corpus of the Russian Language)]. Moscow: Azbukovnik Publ., 2009. 1087 p. (In Russ.).
  7. Polyakov YU.F. Patologiya poznavatel'noi deyatel'nosti pri shizofrenii [Pathology of cognitive activity in schizophrenia]. Moscow: Meditsina Publ., 1974, 86 p. (In Russ.).
  8. Sternin I.A. Problemy interpretatsii rezul'tatov assotsiativnykh ehksperimentov [Interpretation problems of associative experiments]. Voprosy psikholingvistiki = Journal of Psycholinguistics, 2020, no. 3 (45), pp. 110–125. DOI: 10.30982/2077-5911-2020-45-3-110-125 (In Russ. abstr. in Engl.).
  9. Ufimtseva N.V. Russkii assotsiativnyi slovar' kak istochnik izucheniya russkoi yazykovoi kartiny mira [Russian associative dictionary as a source of Russian language world picture study]. Problemy istorii, filologii, kul'tury=Problems of History, Philology and Culture, 2014, no. 3 (45), pp. 27–29. (In Russ. abstr. in Engl.).
  10. Khromov A.I. Dinamika kognitivnogo razvitiya u detei i podrostkov pri ehndogennoi psikhicheskoi patologii: avtoref. diss. … kand. psikhol. nauk. [Dynamics of cognitive development in children and adolescents with endogenous mental pathology. PhD (Psychology) Thesis]. Saint-Petersburg, 2012. 23 p. (In Russ.).
  11. Alderson-Day B., Smailes D., Moffatt J. et al. Intentional inhibition but not source memory is related to hallucination-proneness and intrusive thoughts in a university sample. Cortex, 2019, vol. 113, pp. 267–278. DOI: 10.1016/j.cortex.2018.12.020
  12. Alfimova M.V., Lezheiko T.V., Plakunova V.V. et al. Relationships between schizotypal features, trait anticipatory and consummatory pleasure, and naturalistic hedonic States. Motivation and Emotion, 2021, vol. 45, pp. 649–660. DOI: 10.1007/s11031-021-09896-0
  13. Bhatt R., Laws K.R., McKenna P.J. False memory in schizophrenia patients with and without delusions. Psychiatry Research, 2010, vol. 178, no. 2, pp. 260–265. DOI: 10.1016/ j.psychres.2009.02.006
  14. Brébion G., Ohlsen R.I., Bressan R.A. et al. Source memory errors in schizophrenia, hallucinations and negative symptoms: a synthesis of research findings. Psychological Medicine, 2012, vol. 42, no. 12, pp. 2543–2554. DOI: 10.1017/S003329171200075X
  15. Brébion G., Stephan-Otto C., Cuevas-Esteban J. et al. Impaired memory for temporal context in schizophrenia patients with hallucinations and thought disorganisation. Schizophrenia Research, 2020, vol. 220, pp. 225–231. DOI: 10.1016/j.schres.2020.03.014
  16. Cannon T.D., Huttunen M.O., Lonnqvist J. et al. The inheritance of neuropsychological dysfunction in twins discordant for schizophrenia. American Journal of Human Genetics, 2000, vol. 67, no.2, pp. 369–382. DOI: 10.1086/303006
  17. Chang M., Brainerd C.J. Semantic and phonological false memory: A review of theory and data. Journal of Memory and Language, 2021, vol. 119, article 104210. DOI: 10.1016/j.jml.2020.104210
  18. Collins A.M., Loftus E.F. A spreading-activation theory of semantic memory. Psychological Review, 1975, vol. 82, pp. 407–428.
  19. Davis K.L., Price C.C., Kaplan E. et al. Error analysis of the nine-word California Verbal Learning Test (CVLT-9) among older adults with and without dementia. Clinical Neuropsychology, 2002, vol. 16, no. 1, pp. 81–89. DOI: 10.1076/clin.16.1.81.8330
  20. Delis D.C., Kramer J.H., Kaplan E. et al. California Verbal Learning Test-3. Third Edition. San Antonio, TX: The Psychological Corporation, 2017.
  21. Dobbins I.G., Simons J.S., Schacter D.L. fMRI evidence for separable and lateralized prefrontal memory monitoring processes. Journal of Cognitive Neuroscience, 2004, vol. 16, no. 6, pp. 908–920. DOI: 10.1162/0898929041502751
  22. Fridberg D.J., Brenner A., Lysaker P.H. Verbal memory intrusions in schizophrenia: associations with self-reflectivity, symptomatology, and neurocognition. Psychiatry Research, 2010, vol. 179, no. 1, pp. 6–11. DOI: 10.1016/j.psychres.2010.06.026
  23. Garrison J.R., Moseley P., Alderson-Day B. et al. Testing continuum models of psychosis: No reduction in source monitoring ability in healthy individuals prone to auditory hallucinations. Cortex, 2017, vol. 91, pp. 197–207. DOI: 10.1016/j.cortex.2016.11.011
  24. Grant P., Green M.J., Mason O.J. Models of Schizotypy: The Importance of Conceptual Clarity. Schizophrenia Bulletin, 2018, vol. 44, suppl. 2, pp. S556–S563. DOI: 10.1093/schbul/sby012
  25. Graves L.V., Holden H.M., Van Etten E.J. et al. New Intrusion Analyses on the CVLT-3: Utility in Distinguishing the Memory Disorders of Alzheimer's versus Huntington's Disease. Journal of the International Neuropsychological Society, 2019, vol. 25, no. 8, pp. 878–883. DOI: 10.1017/S1355617719000407
  26. Heinrichs R.W., Vaz S.M. Verbal memory errors and symptoms in schizophrenia. Cognitive and Behavioral Neurology, 2004, vol. 17, no. 2, pp. 98–101. DOI: 10.1097/01.wnn.0000116252.78804.73
  27. JASP Team. JASP (Version 0.15)[Computer software]. URL: https://jasp-stats.org/ (Accessed: 22.09.2022).
  28. Johnson M.K., Hashtroudi S., Lindsay D.S. Source monitoring. Psychological Bulletin, 1993, vol. 114, pp. 3–28. DOI: 10.1037/0033-2909.114.1.3
  29. Lim K., Peh O.H., Yang Z. et al. Large-scale evaluation of the Positive and Negative Syndrome Scale (PANSS) symptom architecture in schizophrenia. Asian Journal of Psychiatry, 2021, vol. 62, e102732. DOI: 10.1016/j.ajp.2021.102732
  30. Paz-Alonso P.M., Ghetti S., Ramsay I. et al. Semantic processes leading to true and false memory formation in schizophrenia. Schizophrenia Research, 2013, vol. 147, no. 2–3, pp. 320–325. DOI: 10.1016/j.schres.2013.04.007
  31. Polner B., Hupuczi E., Kéri S. et al. Adaptive and maladaptive features of schizotypy clusters in a community sample. Scientific Reports, 2021, vol. 11, article 16653. DOI: 10.1038/s41598-021-95945-0
  32. Raine A. The SPQ: a scale for the assessment of schizotypal personality based on DSM-III-R criteria. Schizophrenia Bulletin, 1991, vol. 17, no. 4, pp. 555–564. DOI: 10.1093/schbul/17.4.555
  33. Rodríguez-Ferreiro J., Aguilera M., Davies R. Positive Schizotypy Increases the Acceptance of Unpresented Materials in False Memory Tasks in Non-clinical Individuals. Frontiers in Psychology, 2020, vol. 11, article 262. DOI: 10.3389/fpsyg.2020.00262
  34. Roediger H.L., Balota D.A., Watson J.M. Spreading activation and arousal of false memories. In Roediger J.S. et al. (eds.), The nature of remembering: Essays in honor of Robert G. Crowder. American Psychological Association, 2001, pp. 95–115. DOI: 10.1037/10394-006
  35. Sahakyan L., Kwapil T.R. Positive schizotypy and negative schizotypy are associated with differential patterns of episodic memory impairment. Schizophrenia Research: Cognition, 2016, vol. 5, pp. 35–40. DOI: 10.1016/j.scog.2016.07.001
  36. Sahakyan L., Kwapil T.R. Hits and false alarms in recognition memory show differential impairment in positive and negative schizotypy. Journal of Abnormal Psychology, 2019, vol. 128, pp. 633–643. DOI: 10.1037/abn0000441
  37. Saunders J., Randell J., Reed P. Recall of false memories in individuals scoring high in schizotypy: memory distortions are scale specific. Journal of Behavior Therapy and Experimental Psychiatry, 2012, vol. 43, no. 2, pp. 711–715. DOI: 10.1016/j.jbtep.2011.10.003
  38. Spitzer M., Braun U., Hermle L. et al. Associative semantic network dysfunction in thought-disordered schizophrenic patients: direct evidence from indirect semantic priming. Biological Psychiatry, 1993, vol. 34, pp. 864–877. DOI: 10.1016/0006-3223(93)90054-h
  39. Stip E., Corbière M., Boulay L.J. et al. Intrusion errors in explicit memory: their differential relationship with clinical and social outcome in chronic schizophrenia. Cognitive Neuropsychiatry, 2007, vol. 12, no. 2, pp. 112–127. DOI: 10.1080/13546800600809401
  40. Torres I.J., O'Leary D.S., Andreasen N.C. Symptoms and interference from memory in schizophrenia: evaluation of Frith's model of willed action. Schizophrenia Research, 2004, vol. 69, no. 1, pp. 35–43. DOI: 10.1016/j.schres.2003.08.012

Information About the Authors

Margarita Alfimova, Doctor of Psychology, Principal Investigator, Laboratory of Clinical Genetics, Mental Health Research Center, Moscow, Russia, ORCID: https://orcid.org/0000-0003-0155-8412, e-mail: m.alfimova@gmail.com

Victoria Plakunova, research scientist, Laboratory of Clinical Genetics, Mental Health Research Center, Moscow, Russia, ORCID: https://orcid.org/0000-0001-8690-5422, e-mail: jackfrost14.12@gmail.com

Vera Golimbet, Doctor of Biology, head of the Laboratory of Clinical Genetics, Mental Health Research Center, Moscow, Russia, ORCID: https://orcid.org/0000-0002-9960-7114, e-mail: golimbet@mail.ru

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