Neuropsychopharmacologia Hungarica

2007. március, IX. évfolyam 1. szám [translated version]

Összefoglaló közlemény

A forrásmonitorozás zavarai szkizofréniában: áttekintés és farmakoterápiás következtetések

Juhász Levente Zsolt, Bartkó György
Jahn Ferenc Dél-pesti Kórház I. Pszichiátriai és Pszichiátriai Rehabilitációs Osztálya, Budapest

 

Review

Source-monitoring deficits in schizophrenia: review and pharmacotherapeutic implications

Levente Zsolt Juhasz, Gyorgy Bartko

Jahn Ferenc Dél-pesti Kórház I. Pszichiátriai és Pszichiátriai Rehabilitációs Osztálya, Budapest, Hungary

The disturbance of source-monitoring is one of the various impairments in cognitive functioning observed in schizophrenic patients. The process of source-monitoring allows individuals to distinguish self generated thoughts and behaviours from those generated by others. The aim of the present study is to review the general psychological definition of source memory and source-monitoring and its neurological basis as well as the models for explanation of source-monitoring deficits. The relationship between source-monitoring-deficits and psychopathological symptoms as well as the effect of antipsychotic treatment on source-monitoring disturbances are introduced. There is evidence suggesting, that a selective source-monitoring deficit is in the occurrence of auditory hallucinations. The disturbance of prospective memory may influence unfavorably the compliance. Administration of antipsychotics in general can improve source-monitoring deficits. The neuropsychiatric perspective provides a more accurate and comprehensive understanding of schizophrenia.

Keywords: schizophrenia, neuropsychiatry, source-monitoring deficit, antipsychotic