An event-related potential investigation of response inhibition in schizophrenia and psychopathy

Background: Schizophrenia and psychopathy are both characterized by impulsive, poorly planned behaviour. This behavior may originate from a weak or poorly coordinated response inhibition system. We tested the hypothesis that schizophrenia and psychopathy are associated with abnormal neural processing during the suppression of inappropriate responses. Methods: The participants were schizophrenic patients, nonpsychotic psychopaths, and nonpsychotic, nonpsychopathic control subjects (defined by the Hare psychopathy Checklist-Revised), all incarcerated in a maximum security psychiatric facility. We recorded behavioural responses and event-related potentials (ERPs) during a Go/No Go task. Results: Schizophrenic patients made more errors of commission than did the nonpsychopathic offenders. As expected, the nonpsychopathic nonpsychotic participants showed greater frontal ERP negativity (N275) to the No Go stimuli than to the Go stimuli. This effect was small in the schizophrenic patients and absent in the psychopaths. For the nonpsychopaths, the P375 ERP component was larger on Go than on No Go trials,a difference that was absent in schizophrenic patients an din the opposite direction in psychopaths. Conclusions: These findings support the hypothesis that the neural processes involved in response inhibition are abnormal in both schizophrenia nad psychopathy; however, the nature of these processes appears to be different in the two disorders. Biol Psychiatry 2000; 48:210-221 (C) 2000 Society of Biological Psychiatry.