Dataset Information

Aberrant Salience Is Related to Dysfunctional Self-Referential Processing in Psychosis.

ABSTRACT:

Background

A dysfunctional differentiation between self-relevant and irrelevant information may affect the perception of environmental stimuli as abnormally salient. The aberrant salience hypothesis assumes that positive symptoms arise from an attribution of salience to irrelevant stimuli accompanied by the feeling of self-relevance. Self-referential processing relies on the activation of cortical midline structures which was demonstrated to be impaired in psychosis. We investigated the neural correlates of self-referential processing, aberrant salience attribution, and the relationship between these 2 measures across the psychosis continuum.

Methods

Twenty-nine schizophrenia patients, 24 healthy individuals with subclinical delusional ideation, and 50 healthy individuals participated in this study. Aberrant salience was assessed behaviorally in terms of reaction times to task irrelevant cues. Participants performed a self-reference task during fMRI in which they had to apply neutral trait words to them or to a public figure. The correlation between self-referential processing and aberrant salience attribution was tested.

Results

Schizophrenia patients displayed increased aberrant salience attribution compared with healthy controls and individuals with subclinical delusional ideation, while the latter exhibited intermediate aberrant salience scores. In the self-reference task, schizophrenia patients showed reduced activation in the ventromedial prefrontal cortex (vmPFC), but individuals with subclinical delusional ideation did not differ from healthy controls. In schizophrenia patients, vmPFC activation correlated negatively with implicit aberrant salience attribution.

Conclusions

Higher aberrant salience attribution in schizophrenia patients is related to reduced vmPFC activation during self-referential judgments suggesting that aberrant relevance coding is reflected in decreased neural self-referential processing as well as in aberrant salience attribution.

SUBMITTER: Pankow A

PROVIDER: S-EPMC4681553 | biostudies-literature | 2016 Jan

REPOSITORIES: biostudies-literature

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Publications

Aberrant Salience Is Related to Dysfunctional Self-Referential Processing in Psychosis.

Pankow Anne A Katthagen Teresa T Diner Sarah S Deserno Lorenz L Boehme Rebecca R Kathmann Nobert N Gleich Tobias T Gaebler Michael M Walter Henrik H Heinz Andreas A Schlagenhauf Florian F

Schizophrenia bulletin 20150720 1

<h4>Background</h4>A dysfunctional differentiation between self-relevant and irrelevant information may affect the perception of environmental stimuli as abnormally salient. The aberrant salience hypothesis assumes that positive symptoms arise from an attribution of salience to irrelevant stimuli accompanied by the feeling of self-relevance. Self-referential processing relies on the activation of cortical midline structures which was demonstrated to be impaired in psychosis. We investigated the ...[more]

PMID: 26194892

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Project description:Patients with schizophrenia spectrum disorders show disturbances in self-referential processing and associated neural circuits including the default mode network (DMN). These disturbances may precede the onset of psychosis and may underlie early social and emotional problems. In this study, we examined self-referential processing in a group of children (7-12 years) at familial high risk (FHR) for psychosis (N = 17), compared to an age and sex-matched group of healthy control (HC) children (N = 20). The participants were presented with a list of adjectives and asked to indicate whether or not the adjectives described them (self-reference condition) and whether the adjectives described a good or bad trait (semantic condition). Three participants were excluded due to chance-level performance on the semantic task, leaving N = 15 FHR and N = 19 HC for final analysis. Functional MRI (fMRI) was used to measure brain activation during self-referential vs. semantic processing. Internalizing and externalizing problems were assessed with the Child Behavior Checklist (CBCL). Evaluating main effects of task (self > semantic) showed activation of medial prefrontal cortex in HC and precuneus/posterior cingulate cortex (PCC) in FHR. Group-comparison yielded significant results for the FHR > HC contrast, showing two clusters of hyperactivation in precuneus/ PCC (p = 0.004) and anterior cerebellum / temporo-occipital cortex (p = 0.009). Greater precuneus/PCC activation was found to correlate with greater CBCL internalizing (r = 0.60, p = 0.032) and total (r = 0.69, p = 0.009) problems. In all, this study shows hyperactivity of posterior DMN during self-referential processing in pre-adolescent FHR children. This finding posits DMN-related disturbances in self-processing as a developmental brain abnormality associated with familial risk factors that predates not just psychosis, but also the prodromal stage. Moreover, our results suggest that early disturbances in self-referential processing may be related to internalizing problems in at-risk children.

Project description:Self-referential emotion refers to the process of evaluating emotional stimuli with respect to the self. Processes indicative of a self-positivity bias are reflected in electroencephalogram (EEG) signals at ~400 ms when the task does not require a discrimination of self from other. However, when distinguishing between self-referential and other-referential emotions is required, previous studies have shown inconsistent temporal dynamics of EEG signals in slightly different tasks. Based on the observation of early self-other discrimination, we hypothesized that self would be rapidly activated in the early stage to modulate emotional processing in the late stage during an implicit self-referential emotion. To test this hypothesis, we employed an implicit task in which participants were asked to judge the order of Chinese characters of trait adjectives preceded by a self ("I") or other pronoun ("He" or "She"). This study aimed to explore the difference of social-related emotional evaluation from self-reference; the other pronoun was not defined to a specific person, rather it referred to the general concept. Sixteen healthy Chinese subjects participated in the experiment. Event-related potentials (ERPs) showed that there were self-other discrimination effects in the N1 (80-110 ms) and P1 (170-200 ms) components in the anterior brain. The emotional valence was discriminated in the later component of N2 (220-250 ms). The interaction between self-reference and emotional valence occurred during the late positive potential (LPP; 400-500 ms). Moreover, there was a positive correlation between response time (RT) and N1 in the self-reference condition based on the positive-negative contrast, suggesting a modulatory effect of the self-positivity bias. The results indicate that self-reference emerges earlier than emotion and then combines with emotional processing in an implicit task. The findings extend the view that the self plays a highly integrated and modulated role in self-referential emotion processing.

Dataset Information

Aberrant Salience Is Related to Dysfunctional Self-Referential Processing in Psychosis.

Background

Methods

Results

Conclusions

Publications

Aberrant Salience Is Related to Dysfunctional Self-Referential Processing in Psychosis.

Similar Datasets

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