Hallucinations, negative symptoms, and response bias in a verbal recognition task in schizophrenia

Several studies have reported an association between hallucinations and tendency to make false alarms in acoustic signal detection tasks. Previous work on patients with schizophrenia has suggested that false recognitions and other types of memory error were positively associated with hallucinations and inversely associated with certain negative symptoms of withdrawal. In this study, 40 patients with schizophrenia were administered a word recognition task. Mixed lists of high- and low-frequency words were presented, then the target words had to be recognized among distractors in immediate and delayed recognition conditions. Hallucination scores were correlated with an increased bias toward false recognitions of nonpresented words. Affective flattening tended to be correlated with a reduced bias toward false recognitions. Anhedonia was significantly correlated with a reduced response bias. Hallucinations and anhedonia therefore presented an opposite association with the response bias. The influence of word frequency and delay on this association is discussed.