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Deficient auditory predictive coding during vocalization in the psychosis risk syndrome and in early illness schizophrenia: the final expanded sample

Published online by Cambridge University Press:  25 September 2018

Daniel H Mathalon ,
Brian J Roach ,
Jamie M Ferri ,
Rachel L Loewy ,
Barbara K Stuart ,
Veronica B Perez ,
Tara H Trujillo  and
Judith M Ford Open the ORCID record for Judith M Ford [Opens in a new window]
Daniel H Mathalon
Affiliation:
University of California, San Francisco (UCSF), San Francisco, CA, USA Veterans Affairs San Francisco Healthcare System, San Francisco, CA 94121, USA
Brian J Roach
Affiliation:
University of California, San Francisco (UCSF), San Francisco, CA, USA Veterans Affairs San Francisco Healthcare System, San Francisco, CA 94121, USA
Jamie M Ferri
Affiliation:
University of California, San Francisco (UCSF), San Francisco, CA, USA
Rachel L Loewy
Affiliation:
University of California, San Francisco (UCSF), San Francisco, CA, USA
Barbara K Stuart
Affiliation:
University of California, San Francisco (UCSF), San Francisco, CA, USA
Veronica B Perez
Affiliation:
California School of Professional Psychology (CSPP), Alliant International University, San Diego, CA, USA University of California, San Diego (UCSD), La Jolla, CA, USA
Tara H Trujillo
Affiliation:
University of California, San Francisco (UCSF), San Francisco, CA, USA Veterans Affairs San Francisco Healthcare System, San Francisco, CA 94121, USA
Judith M Ford*
Affiliation:
University of California, San Francisco (UCSF), San Francisco, CA, USA Veterans Affairs San Francisco Healthcare System, San Francisco, CA 94121, USA
*
Author for correspondence: Judith M. Ford, E-mail: [email protected]
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Abstract

Background

During vocalization, efference copy/corollary discharge mechanisms suppress the auditory cortical response to self-generated sounds. Previously, we found attenuated vocalization-related auditory cortical suppression in psychosis and a similar trend in the psychosis risk syndrome. Here, we report data from the final sample of early illness schizophrenia patients (ESZ), individuals at clinical high risk for psychosis (CHR), and healthy controls (HC).

Methods

Event-related potentials (ERP) were recorded from ESZ (n = 84), CHR (n = 71), and HC (n = 103) participants during a vocalization paradigm. The N1 ERP component was elicited during production (Talk) and playback (Listen) of vocalization. Age effects on N1 suppression (Talk–Listen), Talk N1, and Listen N1 were compared across groups. N1 measures were adjusted for normal aging before testing for group differences.

Results

Both ESZ and CHR groups showed reduced Talk–Listen N1 suppression relative to HC, but did not differ from each other. Listen N1 was reduced in ESZ, but not in CHR, relative to HC. Deficient Talk–Listen N1 suppression was associated with greater unusual thought content in CHR individuals. N1 suppression increased with age in HC (12–36 years), and while CHR individuals showed a similar age-related increase, no such relationship was evident in ESZ.

Conclusions

Putative efference copy/corollary discharge-mediated auditory cortical suppression during vocalization is deficient in ESZ and precedes psychosis onset, particularly in CHR individuals with greater unusual thought content. Furthermore, this suppression increases from adolescence through early adulthood, likely reflecting the effects of normal brain maturation. This maturation effect is disrupted in ESZ, presumably due to countervailing illness effects.

Keywords

Clinical high-riskcorollary dischargeN1psychosisvocalization
Type
Original Articles
Information
Psychological Medicine , Volume 49 , Issue 11 , August 2019 , pp. 1897 - 1904
Creative Commons
Parts of this are a work of the U.S. Government and not subject to copyright protection in the United States.
Copyright
Copyright © Cambridge University Press 2018

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