Abstract
Background: Individuals with an "at-risk mental state" (or "prodromal" symptoms) have a 20-40% chance of developing psychosis; however it is difficult to predict which of them will become ill on the basis of their clinical symptoms alone. We examined whether neurophysiological markers could help to identify those who are particularly vulnerable. Method: 35 cases meeting PACE criteria for the at-risk mental state (ARMS) and 57 controls performed an auditory oddball task whilst their electroencephalogram was recorded. The latency and amplitude of the P300 and N100 waves were compared between groups using linear regression. Results: The P300 amplitude was significantly reduced in the ARMS group [8.6 ± 6.4 microvolt] compared to controls [12.7 ± 5.8 microvolt] (p < 0.01). There were no group differences in P300 latency or in the amplitude and latency of the N100. Of the at-risk subjects that were followed up, seven (21%) developed psychosis. Conclusion: Reduction in the amplitude of the P300 is associated with an increased vulnerability to psychosis. Neurophysiological and other biological markers may be of use to predict clinical outcomes in populations at high risk.
Original language | English |
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Pages (from-to) | 553-560 |
Number of pages | 8 |
Journal | NeuroImage |
Volume | 41 |
Issue number | 2 |
DOIs | |
Publication status | Published - Jun 2008 |
Bibliographical note
Funding Information:This study was supported by the following charities: The Wellcome Trust, The Schizophrenia Research Fund and the National Alliance for Research on Schizophrenia and Depression, The Psychiatry Research Trust and the British Medical Association. E. Bramon was supported by a fellowship from The Wellcome Trust, a NARSAD young investigator award and a post-doctoral fellowship from the UK's Department of Health. M. Shaikh is sponsored by the Psychiatry Research Trust. Our special thanks go to all the people who volunteered to take part in this research.
ASJC Scopus subject areas
- Neurology
- Cognitive Neuroscience