Sensory Contributions to Impaired Prosodic Processing in Schizophrenia
Abstract
Background Deficits in affect recognition are prominent features of schizophrenia. Within the auditory domain, patients show difficulty in interpreting vocal emotional cues based on intonation (prosody). The relationship of these symptoms to deficits in basic sensory processing has not been previously evaluated.Methods Forty-three patients and 34 healthy comparison subjects were tested on two affective prosody measures: voice emotion identification and voice emotion discrimination. Basic auditory sensory processing was measured using a tone-matching paradigm and the Distorted Tunes Test (DTT). A subset of subjects was also tested on facial affect identification and discrimination tasks.Results Patients showed significantly impaired performance on all emotion processing tasks. Within the patient group, a principal components analysis demonstrated significant intercorrelations between basic pitch perception and affective prosodic performance. In contrast, facial affect recognition deficits represented a distinct second component. Prosodic affect measures correlated significantly with severity of negative symptoms and impaired global outcome.Conclusions These results demonstrate significant relationships between basic auditory processing deficits and impaired receptive prosody in schizophrenia. The separate loading of auditory and visual affective recognition measures suggests that within-modality factors may be more significant than cross-modality factors in the etiology of affect recognition deficits in schizophrenia.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Deficits in tone matching contribute significantly to ability to detect emotional prosody.
“Deficits in tone matching contribute significantly to ability to detect emotional prosody (74, 75)”
From Sensory Processing Dysfunction in the Personal Experience and Neuronal Machinery of Schizophrenia (2015) · cites this paper as [75]
Cites
Statistical Power Analysis for the Behavioral Sciences
Muller, K. E., & Cohen, J. (1989) · Technometrics · doi:10.2307/1270020 · Cited by 99,588 · see citing works
Statistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,406 · see citing works
The assessment and analysis of handedness: The Edinburgh inventory
Oldfield, R. C. (1971) · Neuropsychologia · doi:10.1016/0028-3932(71)90067-4 · Cited by 35,900 · see citing works
The Brief Psychiatric Rating Scale.
Overall, J. E., & Gorham, D. R. (1962) · Psychological Reports · doi:10.2466/pr0.1962.10.3.799 · Cited by 11,090 · see citing works
Ekman, P. (1976) · Medical Entomology and Zoology · Cited by 4,345 · see citing works
Green, M. F., Kern, R. S., Braff, D. L., & Mintz, J. (2000) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a033430 · Cited by 2,999 · see citing works
Negative Symptoms in Schizophrenia: Definition and Reliability
Andreasen, N. C. (1982) · Archives of General Psychiatry · doi:10.1001/archpsyc.1982.04290070020005 · Cited by 2,247 · see citing works
Structure and function of auditory cortex: music and speech
Zatorre, R. J., Belin, P., & Penhune, V. B. (2002) · Trends in Cognitive Sciences · doi:10.1016/s1364-6613(00)01816-7 · Cited by 1,595 · see citing works
Information Processing and Attention Dysfunctions in Schizophrenia
Braff, D. L. (1993) · Schizophrenia Bulletin · doi:10.1093/schbul/19.2.233 · Cited by 738 · see citing works
Emotion recognition via facial expression and affective prosody in schizophrenia
Edwards, J., Jackson, H. J., & Pattison, P. E. (2002) · Clinical Psychology Review · doi:10.1016/s0272-7358(02)00130-7 · Cited by 714 · see citing works
Cognitive deficits and functional outcome in schizophrenia
Bowie, C. R., & Harvey, P. D. (2006) · Neuropsychiatric Disease and Treatment · doi:10.2147/nedt.2006.2.4.531 · Cited by 647 · see citing works
Kerr, S., & Neale, J. M. (1993) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.102.2.312 · Cited by 585 · see citing works
Kerr, S. L., & Neale, J. M. (1993) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.102.2.312 · Cited by 584 · see citing works
An fMRI Study of Facial Emotion Processing in Patients With Schizophrenia
Gur, R. E., McGrath, C., Chan, R. M., Schroeder, L. F., Turner, T. H., Turetsky, B. I., Kohler, C. G., Alsop, D. C., Maldjian, J. A., Ragland, J. D., et al. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.12.1992 · Cited by 507 · see citing works
Facial affect and affective prosody recognition in first-episode schizophrenia
Edwards, J., Pattison, P. E., Jackson, H. J., & Wales, R. J. (2001) · Schizophrenia Research · doi:10.1016/s0920-9964(00)00099-2 · Cited by 428 · see citing works
Dysfunction of Early-Stage Visual Processing in Schizophrenia
Butler, P. D., Schechter, I., Zemon, V. M., Schwartz, S. G., Greenstein, V. C., Gordon, J., Schroeder, C. E., & Javitt, D. C. (2001) · American Journal of Psychiatry · doi:10.1176/appi.ajp.158.7.1126 · Cited by 360 · see citing works
Self-citationFlat affect in schizophrenia does not reflect diminished subjective experience of emotion.
Kring, A. M., Kerr, S., Smith, D. A., & Neale, J. M. (1993) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.102.4.507 · Cited by 319 · see citing works
Flat affect in schizophrenia does not reflect diminished subjective experience of emotion.
Kring, A. M., Kerr, S. L., Smith, D. A., & Neale, J. M. (1993) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.102.4.507 · Cited by 319 · see citing works
Genetic Correlates of Musical Pitch Recognition in Humans
Drayna, D. T., Manichaikul, A. W., de Lange, M., Snieder, H., & Spector, T. D. (2001) · Science · doi:10.1126/science.291.5510.1969 · Cited by 302 · see citing works
ROLE OF THE RIGHT TEMPORAL NEOCORTEX IN RETENTION OF PITCH IN AUDITORY SHORT-TERM MEMORY
Zatorre, R. J., & Samson, S. (1991) · Brain · doi:10.1093/brain/114.6.2403 · Cited by 288 · see citing works
Processing Prosodic and Musical Patterns: A Neuropsychological Investigation
Patel, A. D., Peretz, I., Tramo, M. J., & Labreque, R. (1998) · Brain and Language · doi:10.1006/brln.1997.1862 · Cited by 287 · see citing works
Associated deficits in mismatch negativity generation and tone matching in schizophrenia
Javitt, D. C., Shelley, A. M., & Ritter, W. (2000) · Clinical Neurophysiology · doi:10.1016/s1388-2457(00)00377-1 · Cited by 253 · see citing works
Self-citationMotion perception in schizophrenia
Chen, Y., Palafox, G. P., Nakayama, K., Levy, D. L., Matthysse, S., & Holzman, P. S. (1999) · Archives of General Psychiatry · doi:10.1001/archpsyc.56.2.149 · Cited by 225 · see citing works
Discrimination and recognition of tonal melodies after unilateral cerebral excisions
Zatorre, R. J. (1985) · Neuropsychologia · doi:10.1016/0028-3932(85)90041-7 · Cited by 188 · see citing works
Foxe, J. J., Doniger, G. M., & Javitt, D. C. (2001) · Neuroreport · doi:10.1097/00001756-200112040-00043 · Cited by 185 · see citing works
Self-citationWord and Tone Working Memory Deficits in Schizophrenia
Wexler, B. E., Stevens, A. A., Bowers, A. A., Sernyak, M. J., & Goldman‐Rakic, P. S. (1998) · Archives of General Psychiatry · doi:10.1001/archpsyc.55.12.1093 · Cited by 173 · see citing works
Auditory Sensory Dysfunction in Schizophrenia
Rabinowicz, E. F., Silipo, G. S., GOLDMAN, R. S., & Javitt, D. C. (2000) · Archives of General Psychiatry · doi:10.1001/archpsyc.57.12.1149 · Cited by 173 · see citing works
Self-citationJavitt, D. C., Strous, R. D., Grochowski, S., Ritter, W., & al, E. (1997) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.106.2.315 · Cited by 168 · see citing works
Self-citationProsodic comprehension and expression in schizophrenia.
Murphy, D., & Cutting, J. (1990) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.53.9.727 · Cited by 144 · see citing works
Sensory Information Processing in Neuroleptic-Naive First-Episode Schizophrenic Patients
Braus, D. F., Weber‐Fahr, W., Tost, H., Ruf, M., & Henn, F. A. (2002) · Archives of General Psychiatry · doi:10.1001/archpsyc.59.8.696 · Cited by 140 · see citing works
Handbook of psychiatric drug therapy
Rosenbaum, F. (1987) · Medical Entomology and Zoology · Cited by 138 · see citing works
Javitt, D. C., Strous, R. D., Grochowski, S., et al. (1997) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.106.2.315 · Cited by 136 · see citing works
Self-citationNeural response to emotional prosody in schizophrenia and in bipolar affective disorder
Mitchell, R. L. C., Elliott, R., Barry, M., Cruttenden, A., & Woodruff, P. W. R. (2004) · British Journal of Psychiatry · doi:10.1192/bjp.184.3.223 · Cited by 128 · see citing works
Auditory sensory ("echoic") memory dysfunction in schizophrenia
Strous, R. D., Cowan, N., Ritter, W., & Javitt, D. C. (1995) · American Journal of Psychiatry · doi:10.1176/ajp.152.10.1517 · Cited by 122 · see citing works
Self-citationProsody and lexical accuracy in flat affect schizophrenia
Alpert, M., Rosenberg, S. D., Pouget, E. R., & Shaw, R. J. (2000) · Psychiatry Research · doi:10.1016/s0165-1781(00)00231-6 · Cited by 116 · see citing works
Ross, E. D. (2001) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.70.5.597 · Cited by 109 · see citing works
Pell, M. D. (1998) · Neuropsychologia · doi:10.1016/s0028-3932(98)00008-6 · Cited by 104 · see citing works
Liégeois‐Chauvel, C., Giraud, K., Badier, J., et al. (2001) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2001.tb05728.x · Cited by 103 · see citing works
Javitt, D. C., Liederman, E., Cienfuegos, A., & Shelley, A. M. (1999) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a033417 · Cited by 98 · see citing works
Self-citationOn the Broad Applicability of the Affective Circumplex
Kring, A. M., Barrett, L. F., & Gard, D. E. (2003) · Psychological Science · doi:10.1111/1467-9280.02433 · Cited by 93 · see citing works
Handbook of Psychiatric Drug Therapy
HAMILTON, J. D. (1988) · American Journal of Psychiatry · doi:10.1176/ajp.145.6.763-a · Cited by 84 · see citing works
Holcomb, H. H., Ritzl, E. K., Medoff, D. R., Nevitt, J., Gordon, B., & Tamminga, C. A. (1995) · Psychiatry Research · doi:10.1016/0165-1781(95)02270-7 · Cited by 61 · see citing works
Speech and Language Disorders in Children and Adolescents With Schizophrenia
Baltaxe, C. A. M., & Simmons, J. Q. (1995) · Schizophrenia Bulletin · doi:10.1093/schbul/21.4.677 · Cited by 57 · see citing works
Impaired categorical perception of synthetic speech sounds in schizophrenia
Cienfuegos, A., March, L., Shelley, A. M., & Javitt, D. C. (1999) · Biological Psychiatry · doi:10.1016/s0006-3223(98)00064-x · Cited by 45 · see citing works
Self-citationVerbal memory, problem-solving skills and community status in schizophrenia
Revheim, N. (2003) · Schizophrenia Research · doi:10.1016/j.schres.2003.07.004 · Cited by 43 · see citing works
Self-citationThe effect of spectral manipulations on the identification of affective and linguistic prosody
Lakshminarayanan, K., Shalom, D. B., van Wassenhove, V., Orbelo, D. M., Houde, J. F., & Poeppel, D. (2003) · Brain and Language · doi:10.1016/s0093-934x(02)00516-3 · Cited by 34 · see citing works
Imagery Mediation of Vocal Emphasis in Flat Affect
Alpert, M. (1977) · Archives of General Psychiatry · doi:10.1001/archpsyc.1977.01770140098011 · Cited by 33 · see citing works
Affect processing in chronically psychotic patients: development of a reliable assessment tool
Haskins, B., Shutty, M. S., & Kellogg, E. J. (1995) · Schizophrenia Research · doi:10.1016/0920-9964(94)00081-i · Cited by 31 · see citing works
AUDITORY PERCEPTION IN SCHIZOPHRENIA: A SECOND STUDY OF THE INTONATION TEST
Jonsson, C., & Sjöstedt, A. (1973) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1973.tb04450.x · Cited by 31 · see citing works
Automatic processing of verbal emotion stimuli in schizophrenia
Suslow, T., Roestel, C., Droste, T., & Arolt, V. (2003) · Psychiatry Research · doi:10.1016/s0165-1781(03)00173-2 · Cited by 22 · see citing works
Aprosodia and Alexithymia – A Case Report
Fricchione, G. L., & Howanitz, E. M. (2010) · Psychotherapy and Psychosomatics · doi:10.1159/000287873 · Cited by 21 · see citing works
Affective-prosodic deficits in schizophrenia
Ross, E. D., Morgan-Fisher, A., Paulman, R. G., et al. (1989) · Biological Psychiatry · doi:10.1016/0006-3223(89)91699-5 · Cited by 5 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Social cognition in schizophrenia
Green, M. F., Horan, W. P., & Lee, J. (2015) · Nature Reviews Neuroscience · doi:10.1038/nrn4005 · Cited by 1,159 · see citing works
When Doors of Perception Close: Bottom-up Models of Disrupted Cognition in Schizophrenia
Javitt, D. C. (2009) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.032408.153502 · Cited by 503 · see citing works
Self-citationSensory Processing Dysfunction in the Personal Experience and Neuronal Machinery of Schizophrenia
Javitt, D. C., & Freedman, R. (2015) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2014.13121691 · Cited by 403 · see citing works
Self-citationReduced Dendritic Spine Density in Auditory Cortex of Subjects with Schizophrenia
Sweet, R. A., Henteleff, R. A., Zhang, W., Sampson, A. R., & Lewis, D. A. (2009) · Neuropsychopharmacology · doi:10.1038/npp.2008.67 · Cited by 290 · see citing works
A review of emotion deficits in schizophrenia
Trémeau, F. (2006) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2006.8.1/ftremeau · Cited by 259 · see citing works
Social Cognition in Schizophrenia
Green, M. F., & Leitman, D. I. (2007) · Schizophrenia Bulletin · doi:10.1093/schbul/sbn045 · Cited by 214 · see citing works
Self-citationSocial cognition, empathy and functional outcome in schizophrenia
Sparks, A., McDonald, S., Lino, B., O'Donnell, M., & Green, M. J. (2010) · Schizophrenia Research · doi:10.1016/j.schres.2010.06.011 · Cited by 162 · see citing works
Consequences of Magnocellular Dysfunction on Processing Attended Information in Schizophrenia
Martinez, A., Hillyard, S. A., Bickel, S., Dias, E. C., Butler, P. D., & Javitt, D. C. (2012) · Cerebral Cortex · doi:10.1093/cercor/bhr195 · Cited by 94 · see citing works
Self-citationLEITMAN, D. I., ZIWICH, R., PASTERNAK, R., & JAVITT, D. C. (2006) · Psychological Medicine · doi:10.1017/s0033291706007653 · Cited by 86 · see citing works
Self-citationCognitive Remediation in Schizophrenia
Kaneko, Y., & Keshavan, M. (2012) · Clinical Psychopharmacology and Neuroscience · doi:10.9758/cpn.2012.10.3.125 · Cited by 51 · see citing works
- Authors
- Leitman, D. I., Foxe, J. J., Butler, P. D., Saperstein, A., Revheim, N., & Javitt, D. C.
- Affiliations
- Nathan Kline Institute for Psychiatric Research (US)
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2005-07
- Volume
- 58
- Issue
- 1
- Pages
- 56-61
- ISSN
- 0006-3223 (ISSN-L)
- OpenAlex
- W2056904033
- Cited by
- 206
- References
- 52
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 10 · 2022: 6 · 2021: 8 · 2020: 9 · 2019: 7 · 2018: 13 · 2017: 8 · 2016: 16 · 2015: 14 · 2014: 10 · 2013: 20 · 2012: 18
- FWCI
- 4.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH 63434, MH-65350, F1-MH-067339, K02-MH-01439, R01 MH49334, R01MH065350, F31MH067339, R03MH063434, R01MH049334, K02MH001439)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hallucinations in medical conditions
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- schizophrenia, affect recognition, prosody, auditory sensory processing, pitch perception, facial expression recognition, negative symptoms, global outcomes
- MeSH terms
- Adult, Auditory Perception, Discrimination, Psychological, Emotions, Facial Expression, Female, Form Perception, Humans, Male, Neuropsychological Tests, Pitch Discrimination, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology, Speech Acoustics, Speech Perception, Verbal Behavior, Visual Perception, Voice, Recognition, Psychology
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review