Overconfidence in incorrect perceptual judgments in patients with schizophrenia

Steffen Moritz*, Nora Ramdani, Helena Klass, Christina Andreou, David Jungclaussen, Sarah Eifler, Susanne Englisch, Frederike Schirmbeck, Mathias Zink

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

44 Citations (Scopus)


Background: Patients with schizophrenia show overconfidence in memory and social cognition errors. The present investigation examined whether this cognitive distortion also manifests in perceptual tasks. Methods: A total of 55 individuals with schizophrenia, 58 with obsessive-compulsive disorder (OCD) as well as 45 non-clinical controls were presented 24 blurry black and white pictures, half of which contained a hidden object; the other half contained ("snowy") visual noise. Participants had to judge whether the pictures depicted an object or not and how confident they were in this judgment. Results: Participants with schizophrenia showed overconfidence in errors and an enhanced knowledge corruption index (i.e. rate of high-confident errors on all high-confident responses) relative to both control groups. In contrast, accuracy scores did not differ between clinical groups. Metacognitive parameters were correlated with self-rated levels of current paranoia. Discussion: To the best of our knowledge, this is the first study to demonstrate overconfidence in errors among individuals with psychosis using a visual perception task. Speaking to the specificity of this abnormality for schizophrenia and its pathogenetic relevance, overconfidence in errors and knowledge corruption were elevated in patients with schizophrenia relative to both control groups and were correlated with paranoia.

Original languageEnglish
Pages (from-to)165-170
Number of pages6
JournalSchizophrenia Research: Cognition
Issue number4
Publication statusPublished - Dec 2014
Externally publishedYes


  • Confidence
  • Delusions
  • Knowledge corruption
  • Paranoia
  • Schizophrenia
  • Visual illusions


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