CClinicalTrials.gg
CompletedNCT04768335AUDISPACEUpdated Jun 10, 2026

Auditory Processes and Emotional Perception in Schizophrenia

An interventional study of cognitive experiments' session in Basic Auditory Processes, Emotional Perception and Source Monitoring Deficits, sponsored by Hôpital le Vinatier. Completed at 1 site in France. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-10.

Sponsored by Hôpital le Vinatier · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Non-randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Schizophrenia is a mental illness with a variety of clinical symptoms that can be regrouped into 2 categories: positive and negative symptoms.

This mental illness is also characterised by cognitive alterations in various fields, including social cognition difficulties and self / non-self-discrimination difficulties.

Self and non-self-discrimination abilities have been regrouped under a function called source memory. This source memory enables a person to identify the source of an information previously encoded. In our everyday life, these processes are necessary to distinguish events generated by an external source from imagined events. It is called reality monitoring.

A number of studies have evidenced reality-monitoring alterations in patients suffering from schizophrenia. More specifically, patients would present with an externalisation bias, they would assign more imagined events to an external source. The knowledge of these deficits encourages the study of the processes involved in order to better understand the alterations, particularly including auditory processes. A recent study has shown that discrimination errors concerning certain sound characteristics (e.g. frequency) were associated to reality monitoring errors. However, the links between reality-monitoring and basic auditory processes have rarely been explored.

The dysfunction of the auditory "where" path, especially the possibility to discriminate between the intra and extra cephalic localisation of sounds, could lead to difficulties to discern between what is produced by one self and what is produced by another or the local environment.

Read the detailed description

The main objective of this study is to study the links between source memory deficits and externalization abilities in schizophrenic patients and healthy subjects.

Also, this study will:

  • evaluate the impact of emotional content on the ability to externalize an auditory perception
  • evaluate the abilities to separate sources concerning vocal stimuli
  • evaluate the basic auditory processes In order to meet the objectives, the correlation between the percentage of good attributions in the reality monitoring task and the percentage of correct perceptions in/out (sound perceived as coming from inside or outside the head) will be analyzed in the externalization task in patients suffering from schizophrenia.

Will also be analyzed:

  • the number of correct perceptions In/Out in the externalization task
  • the number of correct perceptions In/Out for the emotional stimuli
  • the detection level of difference in pitch between 2 vocal sources pour the height discrimination task
  • the number of correctly identified words in the speech-in-speech task

The tasks :

Subjects will undergo a battery of cognitive and auditory experiments in order to answer the objectives and hypothesis. The duration of the entire experiments will be 3.30 hours.

- Subjects will undergo the source monitoring task (30 min):

This task is divided in 2 parts:

  • one part that will evaluate the reality monitoring performances (LISTENING task). Subjects either have to listen to words or imagine themselves listening to words
  • another part evaluating internal source monitoring performances (SAY task). Subjects either have to pronounce words or imagine themselves pronouncing words.

    • In order to measure perception abilities, all subjects will undergo a battery of psychoacoustic tests (30 min) including the Tone Matching Task (TMT) which evaluates the capacity of discriminating static pitch. The battery is also composed of tasks measuring length, amplitude, etc…
    • A yes / no discrimination task will be used to measure the externalization abilities: subjects will have to discern whether a sound is perceived as coming from inside or outside the head
    • the ability to separate sources will be measured using 2 paradigms:
  • a pitch discrimination task (30 min): it will evaluate the capacity to discern sources based on voice pitch
  • a speech-in-speech task (30 min): target words are presented simultaneously to masks (composed of words time reversed so that have lost the semantic content). The subject has to listen and repeat the words heard.
02

Conditions studied

  • Basic Auditory Processes
  • Emotional Perception
  • Source Monitoring Deficits

Browse trials for

Keywords

  • auditory processes
  • emotional perception
  • source monitoring
  • schizophrenia
03

In context

Schizophrenia

3,471 studies on the registry are indexed under Schizophrenia; 472 are open to participants now.

This study's enrollment of 50 is below the median of 70 across 2,872 interventional studies indexed under Schizophrenia.

Browse Schizophrenia studies →

Lead sponsor

Hôpital le Vinatier is the lead sponsor of 106 studies on the registry; 41 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

Subjects aged between 18 and 65 years old - written given consent

For patients with schizophrenia:

- that meet the DSM-5.0 schizophrenia criteria

For healthy control subjects:

  • absence of psychiatric disroders (past and actual) diagnosed according to the DSM-5.0
  • absence of prodromal psychosis as measured by a score under 6 at the Prodromal Questionnaire PQ-16 (Ising et al., 2012)
  • absence of auditory disorders (actual and past) (including tinnitus)
  • absence of medical treatment (to the exception of contraceptive pills

Exclusion criteria

Exclusion Criteria:

  • history of neurological disorders or brain injury with loss of consciousness
  • subjects presenting with highly developed musical abilities (frequently practicing a musical instrument)
  • subjects presenting with an intellectual deficiency as measured by the Raven progressive matrices
  • subjects under guardianship
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Active comparator
    Patient group with schizophrenia

    The schizophrenic subjects will undertake a 3 hour session of cognitive experiments. Tasks will include a battery of psychoacoustic tests, a source monitoring task, an externalization task, a pitch discrimination task and a speech-in-speech task.

    Behavioral: cognitive experiments' session

  • Active comparator
    Healthy control subjects

    Healthy control subjects will undertake a 3 hour session of cognitive experiments. Tasks will include a battery of psychoacoustic tests, a source monitoring task, an externalization task, a pitch discrimination task and a speech-in-speech task.

    Behavioral: cognitive experiments' session

Interventions

  • Behavioralcognitive experiments' session

    The aim of this unique session of cognitive experiments is to study the links between source memory deficits and externalization abilities in healthy control subjects. Results of this Arm 2 will be compared to those of Arm 1.

06

What researchers measure

Primary outcomes

  1. Performance on a Reality monitoring task and on an externalization task

    A computerized source memory task was designed for this study and a computerized externalization task was also designed (see description above). Rate of correct responses in both tasks is the main outcome.

    Time frame: one day

Secondary outcomes

  1. Performance on a task measuring the impact of emotional stimuli on externalization processes

    computerized externalization task. Emotional nonverbal bursts are presented, the azimuth is varied in order to create the impression of the sound coming either from inside or outside the head. Subjects have to determine whether the emotional nonverbal burst was perceived as coming from inside or outside their head. The rate of correct responses (in / out) is the outcome.

    Time frame: one day

  2. Performance on source separating paradigms

    2 computerized tasks. \- Vocal pitch discrimination task (30 min): pairs of vocal vowels are presented, subjects will have to determine if the pairs differ in pitch or not. The rate of correct responses is the outcome. \- Speech-in-speech task (30 min): target words are presented simultaneously to masks composed of time reversed words (having lost their semantic content). Subjects have to listen and repeat the words heard. The rate of correct words heard is the outcome.

    Time frame: one day

  3. Performance on basic auditory tasks

    a computerized psychoacoustic battery of tests, including a Tone Matching Task (evaluating nonverbal pitch), and other psychoacoustic tasks measuring amplitude, length of sound etc… The rate of correct responses is the outcome.

    Time frame: one day

07

Study locations

1 site
  • Centre Hospitalier le Vinatier
    Bron, 69678, France
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04768335
Lead sponsor
Hôpital le Vinatier
Responsible party
Sponsor
First posted
Feb 24, 2021
Start date
Mar 31, 2021
Primary completion
Dec 22, 2022
Completion
Dec 22, 2022
Last update
Jun 10, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion