Gesture imitation in schizophrenia
Open accessAbstract
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.”
From Enhanced Automatic Action Imitation and Intact Imitation-Inhibition in Schizophrenia (2019) · cites this paper as [9]
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]”
From Enhanced Automatic Action Imitation and Intact Imitation-Inhibition in Schizophrenia (2019) · cites this paper as [9]
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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
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-07-16
- Volume
- 39
- Issue
- 1
- Pages
- 94-101
- ISSN
- 0586-7614 (ISSN-L)
- 1745-1701
- PMC
- PMC3523902
- 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
- green
- europepmc.org
- 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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