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The basis of feeling-of-knowing judgments in patients with schizophrenia

Abstract

We examined the basis of feeling-of-knowing judgments (FOK) in patients with schizophrenia. Such patients typically have impaired memory and awareness, but not metamemory-accuracy deficits. The magnitude of FOKs are lower for patients with schizophrenia than for healthy participants, but judgments equally predict memory performance. In healthy participants, FOK is based on accessible information, including retrieval of partial-target (e.g., retrieving the first letter) and contextual information (e.g., related facts). In Experiment 1, we examined if accessible information predicts FOKs for episodic memory in patients with schizophrenia. Patients and healthy controls learned names paired with drawings of imaginary animals. The results showed that patients’ FOK increased with the retrieval of partial-target and contextual information. In Experiment 2, using semantic-memory general-information questions, accessible partial-target information predicted FOKs in patients with schizophrenia. The accessibility model of FOK applies to patients with schizophrenia, and it is important to determine what occurs in other memory-impaired populations.

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References

  1. Akdoğan, E., Izaute, M., & Bacon, E. (2014). Preserved Strategic Grain-Size Regulation in Memory Reporting in Patients with Schizophrenia. Biological Psychiatry, 76, 154–159.

  2. Aleman, A., Hijman, R., Haan, E., & Kahn, R. (1999). Memory Impairment in Schizophrenia: A Meta-Analysis. American Journal of Psychiatry, 156, 1358–1366.

  3. Bacon, E., Akdoğan, A., & Izaute, M. (2015). Better memory improvement after a JOL than after relearning: an effect of the involvement of retrieval attempt when monitoring knowledge? DUCOG: Conference on Cognitive Science, Metacognition and Reasoning, 21-23, 5.

  4. Bacon, E., Danion, J. M., Kauffmann-Muller, F., & Bruant, A. (2001). Consciousness in Schizophrenia: A Metacognitive Approach to Semantic Memory. Consciousness and Cognition, 10, 473–484.

  5. Bacon, E., Huet, N., & Danion, J. M. (2011). Metamemory knowledge and beliefs in patients with schizophrenia and how these relate to objective cognitive abilities. Consciousness and Cognition, 20, 1315–1326.

  6. Bacon, E., & Izaute, M. (2009). Metacognition in schizophrenia: processes underlying patients’ reflections on their own episodic memory. Biological Psychiatry, 66, 1031–1037.

  7. Bacon, E., & Izaute, M. (2014). Memory-related metacognition in patients with schizophrenia. In P. Lysaker, G. Dimaggio, & M. Brüne (Eds.), Social cognition and metacognition: Psychopathology and Treatment Approaches (pp. 85–95). Elsevier Academic Press: London.

  8. Bacon, E., Izaute, M., & Danion, J. (2007). Preserved Memory Monitoring but Impaired Memory Control During Episodic Encoding in Patients with Schizophrenia. Journal of the International Neuropsychological Society, 13, 219–227.

  9. Barch, D. M., & Ceaser, A. (2012). Cognition in schizophrenia: core psychological and neural mechanisms. Trends in Cognitive Sciences, 16, 27–34.

  10. Besche-Richard, C., Terrien, S., Lesgourgues, M., Béchiri-Payet, C., Gierski, F., & Limosin, F. (2014). Remediation of context-processing deficits in schizophrenia: preliminary data with ambiguous sentences. Neuropsychiatric Disease and Treatment, 10, 2307–2312.

  11. Boduroglu, A., Pehlivanoglu, D., Tekcan, A. İ., & Kapucu, A. (2015). Effects of self-referencing on feeling-of-knowing accuracy and recollective experience. Memory, 23, 736–747.

  12. Bowie, C., & Harvey, P. (2006). Cognitive deficits and functional outcome in schizophrenia. Neuropsychiatric Disease and Treatment, 2, 531–536.

  13. Brewer, G. A., Marsh, R. L., Clark-Foos, A., & Meeks, J. T. (2010). Noncriterial recollection influences metacognitive monitoring and control processes. The Quarterly Journal of Experimental Psychology, 63, 1936–1942.

  14. Bryson, G., Whelahan, H. A., & Bell, M. (2001). Memory and executive function impairments in deficit syndrome schizophrenia. Psychiatry Research, 102, 29–37.

  15. Cella, M., Reeder, C., & Wykes, T. (2016). Group cognitive remediation for schizophrenia: Exploring the role of therapist support and metacognition. Psychology and Psychotherapy: Theory, Research and Practice, 89, 1–16.

  16. Chung, Y. S., Mathews, J. R., & Barch, D. M. (2011). The Effect of Context Processing on Different Aspects of Social Cognition in Schizophrenia. Schizophrenia Bulletin, 37, 1048–1056.

  17. Danion, J. M., Rizzo, L., & Bruant, A. (1999). Functional mechanisms underlying impaired recognition memory and conscious awareness in patients with schizophrenia. Archives of General Psychiatry, 56, 639–644.

  18. Danion, J. M., Gokaising, E., Robert, P., et al (2001) Defective relationship between subjective experience and behavior in schizophrenia. American Journal of Psychiatry, 158, 2064–2066.

  19. Danion, J. M., Huron, C., Vidailhet, P., & Berna, F. (2007). Functional mechanisms of episodic memory impairment in schizophrenia. Canadian Journal of Psychiatry, 52, 693–701.

  20. Hart, J. T. (1965). Memory and the feeling-of-knowing experience. Journal of Educational Psychology, 56, 208–216.

  21. Hanczakowski, M., Zawadzka, K., Collie, H., & Macken, B. (2017). Metamemory in a Familiar Place: The Effects of Environmental Context on Feeling of Knowing. Journal of Experimental Psychology: Learning, Memory, and Cognition, 43, 59–71.

  22. Hertzog, C., Dunlosky, J., & Sinclair, S. M. (2010). Episodic feeling-of-knowing resolution derives from the quality of original encoding. Memory & Cognition, 38, 771–784.

  23. Hertzog, C., Fulton, E. K., Sinclair, S. M., & Dunlosky, J. (2014). Recalled aspects of original encoding strategies influence episodic feelings of knowing. Memory & Cognition, 42, 126–140.

  24. Huron, C., Danion, J. M., Giacomoni, F., Grangé, D., Robert, P., & Rizzo, L. (1995). Impairment of recognition memory with, but not without, conscious recollection in schizophrenia. The American Journal of Psychiatry, 152, 1737–1742.

  25. Isingrini, M., Sacher, M., Perrotin, A., Taconnat, L., Souchay, C., Stoehr, H., & Bouazzaoui, B. (2016). Episodic feeling-of-knowing relies on noncriterial recollection and familiarity: Evidence using an online remember-know procedure. Consciousness & Cognition, 41, 31–40. https://doi.org/10.1016/j.concog.2016.01.011.

  26. Izaute, M., & Bacon, E. (2016a). Metamemory in psychopathology. In J. Dunlosky & S. K. Tauber (Eds.), The Oxford handbook of Metamemory (pp. 473–488). London: Oxford Press.

  27. Izaute, M., Chambres, P., & Larochelle, S. (2002). Feeling-of-knowing for Proper Names. Canadian Journal of Experimental Psychology, 56, 264–273.

  28. Izaute, M., & Jalenques, I. (2014). Metamemory with ageing in schizophrenia: A first study. Psychiatry Research, 219, 703–706.

  29. Izaute, M., Larochelle, S., Morency, J., & Tiberghien, G. (1996). La validité du sentiment de savoir au rappel et à la reconnaissance. Canadian Journal of Experimental Psychology, 50, 163–180.

  30. Kay, S., Fiszbein, A., & Opler, L. (1987). The Positive and Negative Syndrome Scale (PANSS) for Schizophrenia. Schizophrenia Bulletin, 13, 261–276.

  31. Kazes, M., Berthet, L., Danion, J. M., Amado, I., Willard, D., Robert, P., & Poirier, M. F. (1999). Impairment of consciously controlled use of memory in schizophrenia. Neuropsychology, 13, 54–61.

  32. Kern, R. S., Gold, J. M., Dickinson, D., Green, M. F., Nuechterlein, K. H., Baade, L. E., Keefe, R. S. E., Mesholam-Gately, R. I., Seidman, L. J., Lee, C., Sugar, C. A., & Marder, S. R. (2011). The MCCB impairment profile for schizophrenia outpatients: Results from the MATRICS psychometric and standardization study. Schizophrenia Research, 126, 124–131.

  33. Kitchen, H., Rofail, D., Heron, L., & Sacco, P. (2013). Cognitive impairment associated with schizophrenia: a review of the humanistic burden. Advances in Therapy, 29, 148–162. https://doi.org/10.1007/s12325-012-0001-4 Epub 2012 Feb 10.

  34. Koriat, A. (1993). How do we know that we know? The accessibility model of the feeling of knowing. Psychological Review, 100, 609–639.

  35. Koriat, A. (1995). Dissociating knowing and the feeling of knowing: Further evidence for the accessibility model. Journal of Experimental Psychology: General, 124, 311–333.

  36. Koriat, A. (2000). The feeling of knowing: some metatheoretical implications for consciousness and control. Consciousness and Cognition, 9, 149–171.

  37. Lysaker, P. H., Vohs, J. L., Ballard, R., Fogley, R., Salvatore, G., Popolo, R., & Dimaggio, G. (2013). Metacognition, self-reflection and recovery in schizophrenia. Future Neurology, 8, 103–115.

  38. Lysaker, P., Dimaggio, G., & Brüne, M. (2014). Social cognition and metacognition in schizophrenia: Psychopathology and treatment approaches. London: Elsevier Academic Press.

  39. McGurk, S. R., Twamley, E. W., Sitzer, D. I., McHugo, G. J., & Mueser, K. T. (2007). A Meta-Analysis of Cognitive Remediation in Schizophrenia. The American Journal of Psychiatry, 164, 1791–1802.

  40. Medalia, A., & Lim, R. W. (2004). Self-awareness of cognitive functioning in schizophrenia. Schizophrenia Research, 71, 331–338.

  41. Medalia A, & Thysen J.A. (2010). A comparison of insight into clinical symptoms versus insight into neuro-cognitive symptoms in schizophrenia. Schizophrenia Research, 118, 134-139.

  42. Monteiro, L. C., Silva, V. A., & Louzã, M. R. (2008). Insight, cognitive dysfunction and symptomatology in schizophrenia. European Archives of Psychiatry and Clinical Neurosciences, 258, 402–405.

  43. Moritz, S., Woodward, T. S., & Ruff, C. C. (2003). Source monitoring and memory confidence in schizophrenia. Psychological Medicine, 33, 131–139.

  44. Moritz, S., Woodward, T. S., & Chen, E. (2006a). Investigation of metamemory dysfunctions in first-episode schizophrenia. Schizophrenia Research, 81, 247–252.

  45. Moritz, S., Woodward, T. S., & Rodriguez-Raecke, R. (2006b). Patients with schizophrenia do not produce more false memories than controls but are more confident in them. Psychological Medicine, 36, 659–667.

  46. Nelson, T. O. (1984). A comparison of current measures of the accuracy of feeling-of-knowing predictions. Psychological Bulletin, 95, 109–133.

  47. Pinheiro, A. P., Del Re, E., Nestor, P. G., Mezin, J., Rezaii, N., McCarley, R. W., Gonçalves, Ó. F., & Niznikiewicz, M. (2015). Abnormal interactions between context, memory structure, and mood in schizophrenia: An ERP investigation. Psychophysiology, 52, 20–31.

  48. Raffard, S., Fond, G., Brittner, M., Bortolon, C., Macgregor, A., Boulenger, J. P., Gely-Nargeot, M. C., & Capdevielle, D. (2013). Cognitive insight as an indicator of competence to consent to treatment in schizophrenia. Schizophrenia Research, 144, 118–121. https://doi.org/10.1016/j.schres.2012.12.011.

  49. Ragland, J.D., Ranganath C., Harms, M.P., Barch, D.M., Gold, J.M., Layher., E., Lesh, T.A., MacDonald, A.W. 3rd, Niendam, T.A., Phillips. J., Silverstein, S.M., Yonelinas, A.P., & Carter, C.S. (2015). Functional and Neuroanatomic Specificity of Episodic Memory Dysfunction in Schizophrenia: A Functional Magnetic Resonance Imaging Study of the Relational and Item-Specific Encoding Task. JAMA Psychiatry, 72, 909–916. https://doi.org/10.1001/jamapsychiatry.2015.0276.

  50. Rajji, T. K., Miranda, D., & Mulsant, B. H. (2014). Cognition, Function, and Disability in Patients With Schizophrenia: A Review of Longitudinal Studies. Canadian Journal of Psychiatry, Revue Canadienne de Psychiatrie, 59, 13–17.

  51. Reder, L. M., & Ritter, F. E. (1992). What determines initial feeling of knowing? Familiarity with question terms, not with the answer. Journal of Experimental Psychology: Learning, Memory, & Cognition, 18, 435–451.

  52. Sass, L. A., & Parnas, J. (2003). Schizophrenia, consciousness, and the self. Schizophrenia Bulletin, 29, 427–444.

  53. Schaefer, J., Giangrande, E., Weinberger, D. R., & Dickinson, D. (2013). The global cognitive impairment in schizophrenia: consistent over decades and around the world. Schizophrenia Research, 150, 42–50. https://doi.org/10.1016/j.schres.2013.07.009.

  54. Schwartz, B. L., Boduroglu, A., & Tekcan, A. I. (2016). Methodological concerns: The feeling-of-knowing task affects resolution. Metacognition and Learning, 11, 305–316.

  55. Schwartz, B. L., Pillot, M., & Bacon, E. (2014). Contextual information influences the feeling of knowing in episodic memory. Consciousness and Cognition, 29, 96–104.

  56. Schwartz, B L., & Smith, S. M (1997). The retrieval of related information influences Tip-of-the-Tongue States. Journal of Memory and Language, 36, 68–86.

  57. Sevy, S., Nathanson, K., Visweswaraiah, H., & Amador, X. (2004). The relationship between insight and symptoms in schizophrenia. Comprehensive Psychiatry, 45, 16–19.

  58. Sheffield, J. M., Gold, J. M., Strauss, M. E., Carter, C. S., MacDonald 3rd, A. W., Ragland, J. D., Silverstein, S. M., & Barch, D. M. (2014). Common and specific deficits in schizophrenia: relationships to function. Cognitive, Affective, and Behavioral Neuroscience, 14, 161–174. https://doi.org/10.3758/s13415-013-0211-5.

  59. Schmukler, A. B., Gurovich, I. Y., Agius, M., & Zaytseva, Y. (2015). Long-term trajectories of cognitive deficits in schizophrenia: A critical overview. European Psychiatry, 30, 102–110.

  60. Smith, S. M. (1994). Frustrated feelings of imminent recall: On the tip of the tongue. In J. Metcalfe & A. P. Shimamura (Eds.), Metacognition: Knowing about Knowing (pp. 27–45). Cambridge: The MIT Press.

  61. Sonntag, P., Gokalsing, E., Olivier, C., Robert, P., Burglen, F., Kauffmann-Muller, F., Huron, C., Salame, P., & Danion, J. M. (2003). Impaired strategic regulation of contents of conscious awareness in schizophrenia. Consciousness and Cognition, 12, 190–200.

  62. Souchay, C. (2013). Métamémoire et troubles de la mémoire : L’exemple du Feeling-of-Knowing. Revue de Neuropsychologie, 5, 265–272.

  63. Souchay, C., Bacon, E., & Danion, J. M. (2006). Episodic feeling-of-knowing in schizophrenia. Journal of Clinical and Experimental Neuropsychology, 28, 828–840.

  64. Thomas, A. K., Lee, M., & Hughes, G. (2016). Introspecting on the Elusive: The Uncanny State of the Feeling of Knowing. In J. Dunlosky & S. Tauber (Eds). Oxford Handbook of Metamemory (pp. 81–94). Oxford University Press: New York.

  65. Thuaire F, Izaute M, & Bacon E. (2012). Evidence of some strategic preservation of episodic learning in patients with schizophrenia. Psychiatry Research, 195, 27–31. IP 2,456.

  66. Touskova, T., & Bob, P. (2015). Consciousness, awareness of insight and neural mechanisms of schizophrenia. Review of Neuroscience, 26, 295–304. https://doi.org/10.1515/revneuro-2014-0063.

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Acknowledgments

This study received support from INSERM (the French National Institute for Health and Medical Research), the University Hospital of Strasbourg, and Strasbourg University (Unistra). The authors thank Denis Dumas, who designed the TOTimals, Patrick Gries for computerization of the task, Evgenia Sevdinoglou, who was involved in testing the participants of Experiment 1. We thank Christel Jacob and Catherine Mertz for testing patients in Experiment 2.

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Correspondence to Bennett L. Schwartz.

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Bacon, E., Pillot, M., Izaute, M. et al. The basis of feeling-of-knowing judgments in patients with schizophrenia. Metacognition Learning 13, 91–108 (2018). https://doi.org/10.1007/s11409-018-9179-4

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Keywords

  • Schizophrenia
  • Cognition
  • Memory, metamemory
  • Metacognition
  • FOK