Functional magnetic resonance imaging of inner speech in schizophrenia.
BACKGROUND
Auditory verbal hallucinations in schizophrenia have been linked to defective monitoring of one's own verbal thoughts. Previous studies have shown that patients with auditory verbal hallucinations show attenuated activation of brain regions involved with auditory processing during the monitoring of inner speech. However, there are no functional magnetic resonance imaging studies explicitly comparing the perception of external speech with internal speech in the same patients with schizophrenia. The present study investigated the functional neuroanatomy of inner and external speech in both patients with schizophrenia and healthy control subjects.


METHODS
Fifteen patients with schizophrenia and 12 healthy control subjects were studied using functional magnetic resonance imaging while listening to sentences or imagining sentences.


RESULTS
Significant interactions between group (control subjects vs. patients) and task (listening vs. inner speech) were seen for the left superior temporal gyrus, as well as regions within the cingulate gyrus.


CONCLUSIONS
Attenuated deactivation of the left superior temporal gyrus in schizophrenia patients during the processing of inner speech may reflect deficits in the forward models subserving self-monitoring.
Department of Psychiatry and Neuropsychology, Maastricht University, European Graduate School of Neuroscience, 6200 MD Maastricht, The Netherlands. c.simons@sp.unimaas.nl
Claudia J P
CJ
Simons
Derek K
DK
Tracy
Kirandeep K
KK
Sanghera
Owen
O
O'Daly
James
J
Gilleen
Maria-de-Gracia
MD
Dominguez
Lydia
L
Krabbendam
Sukhwinder S
SS
Shergill
D000328:Adult; D001303:Auditory Cortex / Q000098:blood supply* / Q000503:physiopathology; D001931:Brain Mapping; D005260:Female; D006801:Humans; D007088:Illusions / Q000502:physiology*; D007091:Image Processing, Computer-Assisted / Q000379:methods; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D010100:Oxygen / Q000097:blood; D011930:Reaction Time / Q000502:physiology; D012559:Schizophrenia / Q000473:pathology* / Q000503:physiopathology; D012565:Schizophrenic Psychology; D013060:Speech / Q000502:physiology*
D010100:Oxygen