This study evaluated the early stages of sensory processing in patient
s with schizophrenia using the mismatch negativity (MMN), an event-rel
ated brain potential associated with auditory memory. Twelve patients
with schizophrenia and 12 age-matched controls were presented with: (1
) sequences of identical tones that included occasional deviant tones
differing in pitch and (2) sequences of tones alternating in pitch wit
h rare deviant repetitions in the alternating pattern. Deviant stimuli
elicited an MMN at 120- to 180-msec latencies. The MMNs elicited by t
he pitch deviations were reduced in amplitude in schizophrenics. No gr
oup differences, however, were found in the MMN amplitude to pattern-d
eviant stimuli. The results suggest reduced specificity in the neurona
l response to physically deviant stimuli.