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  Error awareness and the insula: Links to neurological and psychiatric diseases

Klein, T. A., Ullsperger, M., & Danielmeier, C. (2013). Error awareness and the insula: Links to neurological and psychiatric diseases. Frontiers in Human Neuroscience, 7: 14. doi:10.3389/fnhum.2013.00014.

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Item Permalink: http://hdl.handle.net/11858/00-001M-0000-000E-DFDF-5 Version Permalink: http://hdl.handle.net/21.11116/0000-0003-AFFB-E
Genre: Journal Article

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Klein_2013_Error.pdf (Publisher version), 3MB
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 Creators:
Klein, Tilmann A.1, 2, Author              
Ullsperger, Markus3, 4, 5, Author
Danielmeier, Claudia3, Author
Affiliations:
1Department Neurology, MPI for Human Cognitive and Brain Sciences, Max Planck Society, ou_634549              
2Clinic for Cognitive Neurology, University of Leipzig, Germany, ou_persistent22              
3Donders Institute for Brain, Cognition and Behaviour, Radboud University, Nijmegen, the Netherlands, ou_persistent22              
4Institute of Psychology, Otto von Guericke University Magdeburg, Germany, ou_persistent22              
5Center for Behavioral Brain Sciences, Magdeburg, Germany, ou_persistent22              

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Free keywords: Insula; Error awareness; Anosognosia; Lack of insight; Conscious error perception; Error-related negativity (ERN); Error positivity (Pe)
 Abstract: Becoming aware of errors that one has committed might be crucial for strategic behavioral and neuronal adjustments to avoid similar errors in the future. This review addresses conscious error perception (“error awareness”) in healthy subjects as well as the relationship between error awareness and neurological and psychiatric diseases. We first discuss the main findings on error awareness in healthy subjects. A brain region, that appears consistently involved in error awareness processes, is the insula, which also provides a link to the clinical conditions reviewed here. Then we focus on a neurological condition whose core element is an impaired awareness for neurological consequences of a disease: anosognosia for hemiplegia (AHP). The insular cortex has been implicated in both error awareness and AHP, with anterior insular regions being involved in conscious error processing and more posterior areas being related to AHP. In addition to cytoarchitectonic and connectivity data, this reflects a functional and structural gradient within the insula from anterior to posterior. Furthermore, studies dealing with error awareness and lack of insight in a number of psychiatric diseases are reported. Especially in schizophrenia, attention-deficit hyperactivity disorder, (ADHD) and autism spectrum disorders (ASD) the performance monitoring system seems impaired, thus conscious error perception might be altered.

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Language(s): eng - English
 Dates: 2012-09-052013-01-142013-02-04
 Publication Status: Published online
 Pages: -
 Publishing info: -
 Table of Contents: -
 Rev. Method: Peer
 Identifiers: DOI: 10.3389/fnhum.2013.00014
PMID: 23382714
PMC: PMC3563042
Other: eCollection 2013
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Title: Frontiers in Human Neuroscience
  Abbreviation : Front Hum Neurosci
Source Genre: Journal
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Publ. Info: Lausanne, Switzerland : Frontiers Research Foundation
Pages: - Volume / Issue: 7 Sequence Number: 14 Start / End Page: - Identifier: ISSN: 1662-5161
CoNE: https://pure.mpg.de/cone/journals/resource/1662-5161