Bioelectrical Brain Activity in Schizophrenic Female Patients with Auditory Verbal Hallucinations

Schizophrenia affects 0.45% of adult population, which is a serious burden for healthcare and social security. It deteriorates the quality of life of patients and their families. Auditory verbal hallucinations prevent schizophrenic patients from professional activities and social interactions. Given...

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Main Authors: Daria A. Leonovich, Olga V. Shevaldova, Alexandr V. Vartanov, Maria D. Krysko, Valeria I. Zakurazhnaya, Alexandra G. Ochneva
Format: Article
Language:English
Published: Kemerovo State University 2025-02-01
Series:Вестник Кемеровского государственного университета. Серия: гуманитарные и общественные науки
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author Daria A. Leonovich
Olga V. Shevaldova
Alexandr V. Vartanov
Maria D. Krysko
Valeria I. Zakurazhnaya
Alexandra G. Ochneva
author_facet Daria A. Leonovich
Olga V. Shevaldova
Alexandr V. Vartanov
Maria D. Krysko
Valeria I. Zakurazhnaya
Alexandra G. Ochneva
author_sort Daria A. Leonovich
collection DOAJ
description Schizophrenia affects 0.45% of adult population, which is a serious burden for healthcare and social security. It deteriorates the quality of life of patients and their families. Auditory verbal hallucinations prevent schizophrenic patients from professional activities and social interactions. Given that schizophrenic symptoms are gender-specific, the present study focused exclusively on female patients. Understanding the functional characteristics of inner speech in women with schizophrenia has important clinical implications. A deeper comprehension of these neural mechanisms may help to select targeted neuromodulation, pharmacotherapy, and psychotherapy to alleviate the stress and consequences of auditory verbal hallucinations, which share similar psychophysiological mechanisms with inner speech. Auditory verbal hallucinations are a research field that evolves based on qualitative interdisciplinary approaches. These approaches consider both contextual and subjective aspects, as well as their correlations with more general alterations in brain structure and self-perception issues in schizophrenic patients. The research objective was to determine the functional differences during silent pronunciation of stimulus words between female schizophrenic patients with a history of auditory verbal hallucinations and women without mental disorders. The analysis of brain bioelectrical activity patterns relied on a novel method of virtually implanted electrode (Russian Federation Patent No. 2785268). It included two cohorts: control group (22 women, 21–66 y.o., mean = 41.9, SD = 16.1) vs. schizophrenic patients of the Alekseev Psychiatric Clinical Hospital No. 1, Moscow (22 women, 23–65 y.o., mean = 41.8, SD = 10.4). The patients were receiving similar pharmacological therapy (17 cases of F20, 3 cases of F23). The stimuli included Russian words sakhar (sugar), shashlyk (barbecue), and raketa (rocket). One instance of raketa was pronounced by a speaker with speech impairments. The participants received the stimuli through headphones in random order while keeping their eyes closed. The study revealed significant differences between women with schizophrenia and the control group: low ERP amplitude in the left Wernicke area (latency 180–210 ms), activation peak delayed by 150 ms in the right Wernicke area, bilateral supramarginal gyrus and left cerebellar region, as well as significant changes in the ventral striatum activity at 180–330 ms.
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publisher Kemerovo State University
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series Вестник Кемеровского государственного университета. Серия: гуманитарные и общественные науки
spelling doaj-art-c006f3a9737d40daad2ae0c83f3cdfe42025-08-20T03:16:25ZengKemerovo State UniversityВестник Кемеровского государственного университета. Серия: гуманитарные и общественные науки2542-18402541-91452025-02-019111010.21603/2542-1840-2025-9-1-1-10Bioelectrical Brain Activity in Schizophrenic Female Patients with Auditory Verbal HallucinationsDaria A. Leonovich0https://orcid.org/0009-0001-3028-2278Olga V. Shevaldova1https://orcid.org/0000-0001-8577-4280Alexandr V. Vartanov2https://orcid.org/0000-0001-8844-9643Maria D. Krysko3https://orcid.org/0000-0001-9263-5203Valeria I. Zakurazhnaya4https://orcid.org/0000-0002-8381-5445Alexandra G. Ochneva5https://orcid.org/0000-0003-4182-5503Lomonosov Moscow State UniversityLomonosov Moscow State UniversityLomonosov Moscow State UniversityLomonosov Moscow State UniversityPsychiatric Clinical Hospital No. 1 Psychiatric Clinical Hospital No. 1Schizophrenia affects 0.45% of adult population, which is a serious burden for healthcare and social security. It deteriorates the quality of life of patients and their families. Auditory verbal hallucinations prevent schizophrenic patients from professional activities and social interactions. Given that schizophrenic symptoms are gender-specific, the present study focused exclusively on female patients. Understanding the functional characteristics of inner speech in women with schizophrenia has important clinical implications. A deeper comprehension of these neural mechanisms may help to select targeted neuromodulation, pharmacotherapy, and psychotherapy to alleviate the stress and consequences of auditory verbal hallucinations, which share similar psychophysiological mechanisms with inner speech. Auditory verbal hallucinations are a research field that evolves based on qualitative interdisciplinary approaches. These approaches consider both contextual and subjective aspects, as well as their correlations with more general alterations in brain structure and self-perception issues in schizophrenic patients. The research objective was to determine the functional differences during silent pronunciation of stimulus words between female schizophrenic patients with a history of auditory verbal hallucinations and women without mental disorders. The analysis of brain bioelectrical activity patterns relied on a novel method of virtually implanted electrode (Russian Federation Patent No. 2785268). It included two cohorts: control group (22 women, 21–66 y.o., mean = 41.9, SD = 16.1) vs. schizophrenic patients of the Alekseev Psychiatric Clinical Hospital No. 1, Moscow (22 women, 23–65 y.o., mean = 41.8, SD = 10.4). The patients were receiving similar pharmacological therapy (17 cases of F20, 3 cases of F23). The stimuli included Russian words sakhar (sugar), shashlyk (barbecue), and raketa (rocket). One instance of raketa was pronounced by a speaker with speech impairments. The participants received the stimuli through headphones in random order while keeping their eyes closed. The study revealed significant differences between women with schizophrenia and the control group: low ERP amplitude in the left Wernicke area (latency 180–210 ms), activation peak delayed by 150 ms in the right Wernicke area, bilateral supramarginal gyrus and left cerebellar region, as well as significant changes in the ventral striatum activity at 180–330 ms.auditory verbal hallucinationsschizophreniainner speecheegerpcerebellumwernicke areasupramarginal gyrus
spellingShingle Daria A. Leonovich
Olga V. Shevaldova
Alexandr V. Vartanov
Maria D. Krysko
Valeria I. Zakurazhnaya
Alexandra G. Ochneva
Bioelectrical Brain Activity in Schizophrenic Female Patients with Auditory Verbal Hallucinations
Вестник Кемеровского государственного университета. Серия: гуманитарные и общественные науки
auditory verbal hallucinations
schizophrenia
inner speech
eeg
erp
cerebellum
wernicke area
supramarginal gyrus
title Bioelectrical Brain Activity in Schizophrenic Female Patients with Auditory Verbal Hallucinations
title_full Bioelectrical Brain Activity in Schizophrenic Female Patients with Auditory Verbal Hallucinations
title_fullStr Bioelectrical Brain Activity in Schizophrenic Female Patients with Auditory Verbal Hallucinations
title_full_unstemmed Bioelectrical Brain Activity in Schizophrenic Female Patients with Auditory Verbal Hallucinations
title_short Bioelectrical Brain Activity in Schizophrenic Female Patients with Auditory Verbal Hallucinations
title_sort bioelectrical brain activity in schizophrenic female patients with auditory verbal hallucinations
topic auditory verbal hallucinations
schizophrenia
inner speech
eeg
erp
cerebellum
wernicke area
supramarginal gyrus
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