Metacognition as the capacity of monitoring one's own cognition operates across domains.Here, we addressed whether metacognition in different cognitive domains rely on common or distinct neural substrates with combined diffusion tensor imaging (DTI) and functional magnetic resonance imaging (fMRI) techniques. After acquiring DTI and resting-state fMRI data, we asked participants to perform a temporal-order memory task and a perceptual discrimination task, followed by trial-specific confidence judgments. DTI analysis revealed that the structural integrity (indexed by fractional anisotropy) in the anterior portion of right superior longitudinal fasciculus (SLF) was associated with both perceptual and mnemonic metacognitive abilities. Using perturbed mnemonic metacognitive scores produced by inhibiting the precuneus using TMS, the mnemonic metacognition scores did not correlate with individuals' SLF structural integrity anymore, revealing the relevance of this tract in memory metacognition. In order to further verify the involvement of several cortical regions connected by SLF, we took the TMS-targeted precuneus region as a seed in a functional connectivity analysis and found the functional connectivity between precuneus and two SLF-connected regions (inferior parietal cortex and precentral gyrus) differentially mediated mnemonic but not perceptual metacognition performance. These results illustrate the importance of SLF and a putative white-matter grey-matter circuitry that supports human metacognition.
Metacognition as the capacity of monitoring one's own cognition operates across domains.Here, we addressed whether metacognition in different cognitive domains rely on common or distinct neural substrates with diffusion tensor imaging (DTI) and inter-areal functional connectivity techniques. After acquiring DTI and resting-state fMRI data, we asked participants to perform a temporal-order memory judgement task and a perceptual discrimination task, followed by trial-specific confidence judgments. DTI analysis revealed that the structural integrity (fractional anisotropy) in the anterior portion of right superior longitudinal fasciculus (SLF) was associated with both perceptual and mnemonic metacognitive abilities. When the mnemonic metacognitive ability was disrupted by TMS, the mnemonic metacognition scores did not correlate with SLF structural integrity anymore, revealing the causal relevance of this tract in memory metacognition. Furthermore, taking the dorsolateral PFC and IPL (both of which are connected by SLF) as seeds, we found perceptual and mnemonic metacognitive abilities to be associated with functional connectivity between DLPFC and VLPFC, whereas mnemonic metacognitive ability was selectively associated with connectivity between IPL and precuneus. These results illustrate the importance of SLF and a distinct white-matter grey-matter circuitry that supports human metacognition. Introduction:The capacity of reflecting on one's own cognitive process is known as metacognition (Flavell, 1979;Fleming and Dolan, 2012;Yeung and Summerfield, 2012). Metacognition has been considered as the most crucial function emerged during evolution (Hayes, 2016). Given its crucial functions, researchers have endeavored to understand how a metacognitive judgment is computed (Fleming and Daw, 2017;Kepecs et al., 2008;Zylberberg et al., 2016), how it is disrupted in psychiatric disorders (Hauser et al., 2017a;Rouault et al., 2018a), and how its accuracy can be improved (Carpenter et al., 2019). Metacognition is an umbrella term for the higher-level cognition about the lower-level cognition in various domains (e.g., perception and memory). As cognitive processes are implemented in the brain, an interesting and important question is whether the neural circuit supporting metacognition is the same or distinct across different cognitive domains.A large body of fMRI work have increasingly demonstrated a nuanced picture for this domaingenerality issue of metacognition. For example, the dorsolateral prefrontal cortex (DLPFC) might be involved in reading out the information of primary decision-making and using it for computing both perceptual and mnemonic metacognitive judgements (Chua and Ahmed, 2016;Fleming and Dolan, 2012;Kwok et al., 2019;Rounis et al., 2010). Morales et al. (2018) reported that the dorsal anterior cingulate cortex (dACC) was active during metacognitive evaluation in both memory and perception tasks but also found the activation patterns decoded from a perception task in the posterior medial frontal cortex and ven...
Background Previous research has reported that patients with schizophrenia would regard false memories with higher confidence, and this meta-memory deficit was suggested as a neurocognitive marker of schizophrenia. However, how schizophrenia patients determine their memory decision confidence has received scant consideration. This study, therefore, aimed to characterize the extent to which meta-memory evaluation strategy differs between schizophrenia patients and healthy individuals, and how such difference contributes to the patients' meta-memory performance. Methods 27 schizophrenia patients and 28 matched healthy controls performed a temporal-order judgement (TOJ) task, in which they judged which movie frame occurred earlier in an encoded video, and then made retrospective confidence rating. Mixed effect regression models were performed to assess the between-group metacognitive evaluation strategy difference and its relationship to clinical symptoms. Results Compared to the control group, the patients' confidence ratings were correlated more with the recent confidence history and less with the TOJ-related evidence. The degree of dependence on recent history of confidence was negatively correlated with the severity of positive symptoms. Furthermore, by controlling for the first-order TOJ performance, we observed that the patients discriminated correct memory decisions from the incorrect ones as accurately as the controls. Conclusion The present investigation revealed that schizophrenia patients tend to use more heuristics in making meta-memory evaluations, and such atypical strategy is related to their clinical symptoms. This study provides new insights into how schizophrenia patients perform meta-memory processes. Future research could consider examining such metacognitive deficits in light of other cognitive domains in psychosis.
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