Cited by 74Schizophrenia research and treatmentAction Observation and SynchronizationMotor Control and Adaptation

Gesture imitation in schizophrenia

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Matthews, Natasha, Gold, Brian J., Sekuler, Robert, Park, Sohee·2013·Schizophrenia Bulletin

Abstract

Recent evidence suggests that individuals with schizophrenia (SZ) are impaired in their ability to imitate gestures and movements generated by others. This impairment in imitation may be linked to difficulties in generating and maintaining internal representations in working memory (WM). We used a novel quantitative technique to investigate the relationship between WM and imitation ability. SZ outpatients and demographically matched healthy control (HC) participants imitated hand gestures. In Experiment 1, participants imitated single gestures. In Experiment 2, they imitated sequences of 2 gestures, either while viewing the gesture online or after a short delay that forced the use of WM. In Experiment 1, imitation errors were increased in SZ compared with HC. Experiment 2 revealed a significant interaction between imitation ability and WM. SZ produced more errors and required more time to imitate when that imitation depended upon WM compared with HC. Moreover, impaired imitation from WM was significantly correlated with the severity of negative symptoms but not with positive symptoms. In sum, gesture imitation was impaired in schizophrenia, especially when the production of an imitation depended upon WM and when an imitation entailed multiple actions. Such a deficit may have downstream consequences for new skill learning.

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  • Across prior studies, patients have repeatedly made more imitation errors than healthy people for facial and manual actions and for facial expressions.

    “This research has consistently shown that patients make more errors when asked to imitate facial and manual movements [8][9][10][25][26][27][28] and facial expressions 7,10,26,[29][30][31] compared to healthy individuals.”
  • Earlier behavioral work suggests that people with schizophrenia imitate others less accurately.

    “Behavioral studies on imitation in schizophrenia suggest that patients are impaired at imitating others [7][8][9][10][11][12]”

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Research works printed but not linked: 3

  1. [3]Moody E, MacIntosh D. Imitation in autism findings and controversies. In: Rogers S, Williams JH, editors. Imitation and the Social Mind. New York, NY: Guilford Press; 2006. pp. 118–134. [Google Scholar]
  2. [28]American Psychiatric AssociationDiagnostic and Statistical Manual of Mental Disorders. 4th ed Washington, DC: American Psychiatric Association; 2000. [Google Scholar]
  3. [29]First MB, Spitzer RL, Gibbon M, Williams JBW. Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) Arlington, VA: APPI; 1997. [Google Scholar]

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Authors
Matthews, N., Gold, B. J., Sekuler, R., & Park, S.
Affiliations
  • The University of Queensland (AU)
  • Brandeis University (US)
  • Vanderbilt University (US)
Corresponding author
Park, Sohee
Venue
Schizophrenia Bulletin
Published
2011-07-16
Volume
39
Issue
1
Pages
94-101
ISSN
  • 0586-7614 (ISSN-L)
  • 1745-1701
OpenAlex
W2139649649
Cited by
74
References
38
Citations by year
2026: 2 · 2025: 2 · 2024: 3 · 2023: 4 · 2022: 11 · 2021: 6 · 2020: 6 · 2019: 5 · 2018: 5 · 2017: 6 · 2016: 5 · 2015: 7 · 2014: 3 · 2013: 7 · 2012: 2
FWCI
2.63
Type
journal article
Language
en
Open access
Locations
  • Schizophrenia Bulletin (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Vanderbilt University
  • National Institute of Mental Health (R01MH073028, MH073028)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (P30HD015052)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Social Psychology › Action Observation and Synchronization
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Motor Control and Adaptation
Keywords
gesture imitation, schizophrenia
MeSH terms
Adult, Female, Gestures, Humans, Imitative Behavior, Learning, Male, Memory, Short-Term, Middle Aged, Neuropsychological Tests, Schizophrenia, Severity of Illness Index, Social Perception, Time Factors, Antipsychotic Agents, Mirror Neurons

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