Analyzing Confabulations in Schizophrenia and Healthy Participants

Objectives: Confabulations occur in schizophrenia and certain severe neuropsychiatric conditions, and to a lesser degree in healthy individuals. The present study used a forced confabulation paradigm to assess differences in confabulation between schizophrenia patients and healthy controls. Methods:...

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Bibliographic Details
Published in:Journal of the International Neuropsychological Society 2016-10, Vol.22 (9), p.911-919
Main Authors: Shakeel, Mohammed K., Docherty, Nancy M., Rich, Patrick R., Zaragoza, Maria S., Chrobak, Quin M., McCleery, Amanda
Format: Article
Language:English
Subjects:
Adult
Alzheimer's disease
Delusions - complications
Delusions - physiopathology
Female
Humans
Male
Memory
Memory Disorders - etiology
Memory Disorders - physiopathology
Metacognition
Middle Aged
Schizophrenia
Schizophrenia - complications
Schizophrenia - physiopathology
Traumatic brain injury
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Summary:Objectives: Confabulations occur in schizophrenia and certain severe neuropsychiatric conditions, and to a lesser degree in healthy individuals. The present study used a forced confabulation paradigm to assess differences in confabulation between schizophrenia patients and healthy controls. Methods: Schizophrenia patients (n=60) and healthy control participants (n=19) were shown a video with missing segments, asked to fill in the gaps with speculations, and tested on their memory for the story. Cognitive functions and severity of symptoms were also evaluated. Results: Schizophrenia patients generated significantly more confabulations than healthy control participants and had a greater tendency to generate confabulations that were related to each other. Schizophrenic confabulations were positively associated with temporal context confusions and formal thought disorder, and negatively with delusions. Conclusions: Our findings show that the schizophrenia patients generate more confabulations than healthy controls and schizophrenic confabulations are associated with positive symptoms. (JINS, 2016, 22, 911–919)
ISSN:1355-6177
1469-7661
DOI:10.1017/S1355617716000801