Abstract

OBJECTIVE: Previous research has noted functional and structural temporal lobe abnormalities in schizophrenia that relate to symptoms such as auditory hallucinations and thought disorder. The goal of the study was to determine whether the functional abnormalities are present in schizophrenia at early stages of auditory processing. METHOD: Functional magnetic resonance imaging activity was examined during the presentation of the mismatch stimuli, which are deviant tones embedded in a series of standard tones. The mismatch stimuli are used to elicit the mismatch negativity, an early auditory event-related potential. Ten patients with schizophrenia and 10 comparison subjects were presented the mismatch stimuli condition and a control condition in which only one tone was presented repeatedly. RESULTS: The superior temporal gyrus showed the most prevalent and consistent activation. The superior temporal gyrus showed less activation in the schizophrenic subjects than in the comparison subjects only during the mismatch stimuli condition. CONCLUSIONS: This result is consistent with those of mismatch negativity event-related potential studies and suggests that early auditory processing is abnormal in chronic schizophrenia.

Highlights

  • Functional magnetic resonance imaging activity was examined during the presentation of the mismatch stimuli, which are deviant tones embedded in a series of standard tones

  • This result is consistent with those of mismatch negativity event-related potential studies and suggests that early auditory processing is abnormal in chronic schizophrenia

  • No mismatch negativity event-related potential abnormalities were found in patients with schizophrenia at their first hospitalization, indicating a functional abnormality that may develop with disease chronicity [7,8]

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Summary

Methods

Functional magnetic resonance imaging activity was examined during the presentation of the mismatch stimuli, which are deviant tones embedded in a series of standard tones. Ten patients with chronic schizophrenia who received medications and 10 comparison subjects were included in the study; all were right-handed men. The comparison subjects were required to be 20–55 years of age with no history of electroconvulsive shock treatment, neurologic illness, or steroid use and no lifetime history of DSM-III-R drug or alcohol addiction or abuse within the last 5 years. They were excluded if they had a history of psychiatric illness in themselves or in their first-degree relatives. Written informed consent for the procedures was obtained for all subjects before MRI scanning

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