Abnormal dynamic resting-state brain network organization in auditory verbal hallucination

Haiyang Geng*, Pengfei Xu*, Iris E. Sommer, Yue-Jia Luo, Andre Aleman, Branislava Curcic-Blake

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Auditory-verbal hallucinations (AVH) are a key symptom of schizophrenia. Recent neuroimaging studies examining dynamic functional connectivity suggest that disrupted dynamic interactions between brain networks characterize complex symptoms in mental illness including schizophrenia. Studying dynamic connectivity may be especially relevant for hallucinations, given their fluctuating phenomenology. Indeed, it remains unknown whether AVH in schizophrenia are directly related to altered dynamic connectivity within and between key brain networks involved in auditory perception and language, emotion processing, and top-down control. In this study, we used dynamic connectivity approaches including sliding window andk-means to examine dynamic interactions among brain networks in schizophrenia patients with and without a recent history of AVH. Dynamic brain network analysis revealed that patients with AVH spent less time in a 'network-antagonistic' brain state where the default mode network (DMN) and the language network were anti-correlated, and had lower probability to switch into this brain state. Moreover, patients with AVH showed a lower connectivity within the language network and the auditory network, and lower connectivity was observed between the executive control and the language networks in certain dynamic states. Our study provides the first neuroimaging evidence of altered dynamic brain networks for understanding neural mechanisms of AVH in schizophrenia. The findings may inform and further strengthen cognitive models of AVH that aid the development of new coping strategies for patients.

Original languageEnglish
Pages (from-to)2315-2330
Number of pages16
JournalBrain Structure and Function
Issue number8
Early online date19-Aug-2020
Publication statusPublished - Nov-2020


  • Auditory-verbal hallucinations
  • Dynamic connectivity
  • Network-antagonistic state
  • Default model network
  • Language network
  • FMRI

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