Neural Correlates of True and False Recognition Memory for Socially Relevant Information in Schizophrenia

Individuals with schizophrenia (SZ) demonstrate poor recognition memory, even when information is socially relevant. The neural alterations associated with responses to old information that is accurately recognized (true recognition) vs new information inaccurately identified as old (false recognition) are not known. Twenty SZ patients and 16 healthy controls performed a recognition paradigm during functional magnetic resonance imaging (fMRI) using 78 learned target and 78 new distractor words (all socially relevant trait adjectives). Participants were asked to indicate whether they had seen the word before or not. Words were classified according to the subjects' responses, as hits (true recognition), false alarms (false recognition), correct rejections, or misses and compared for blood-oxygen-level-dependent (BOLD) activation. During hits, patients with SZ and controls showed similar BOLD activation in expected areas of lateral prefrontal cortex, parietal cortex, and anterior cingulate cortex. During false alarms, controls activated many of the same regions as were activated during hits. In contrast, patients had reduced activation in lateral prefrontal cortex (Brodmann Area, BA, 9, 46), anterior cingulate/paracingulate (BA 24/32, 6), and posterior cingulate cortex (BA 23/31). These results indicate that, compared to controls, patients with SZ exhibit a lack of correspondence between behavior (ie, falsely identifying new items as old) and neural activation patterns (ie, overlap in activation of regions associated with true and false recognition). These findings shed light on the neural mechanisms associated with false recognition memory in SZ.