Abnormal P300 in people with high risk of developing psychosis

Elvira Bramon*, Madiha Shaikh, Matthew Broome, Julia Lappin, Daniel Bergé, Fern Day, James Woolley, Paul Tabraham, Mercè Madre, Louise Johns, Oliver Howes, Lucia Valmaggia, Víctor Pérez, Pak Sham, Robin M Murray, Philip McGuire

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

82 Citations (Scopus)

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 bio-logical markers may be of use to predict clinical outcomes in populations at high risk. (C) 2007 Elsevier Inc. All rights reserved.

Original languageEnglish
Pages (from-to)553-560
Number of pages8
JournalNeuroImage
Volume41
Issue number2
DOIs
Publication statusPublished - Jun 2008

Keywords

  • CORTICAL DYSFUNCTION
  • ULTRA-HIGH-RISK
  • AUDITORY P300
  • SCHIZOPHRENIA-PATIENTS
  • INITIAL PRODROMAL PHASE
  • DURATION MISMATCH NEGATIVITY
  • NEUROCOGNITIVE DEFICITS
  • RANDOMIZED CONTROLLED TRIAL
  • 1ST-EPISODE PSYCHOSIS
  • EVENT-RELATED POTENTIALS

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