Discriminating schizophrenia disease progression using a P50 sensory gating task with dense-array EEG, clinical assessments, and cognitive tests.

BACKGROUND

Schizophrenia affects approximately 10% of the world's population. Early detection of schizophrenia may significantly delay its progression. Although sensory gating deficits are reported in schizophrenia, it remains challenging how sensory gating deficits can be used with other metrics for risk detection and early diagnosis.

RESEARCH DESIGN AND METHODS

Using EEG, the authors examined effects of sensory gating on the performance of 136 participants in a P50 sensory gating task, including patients with first-episode schizophrenia (FESZ), ultra-high risk (UHR) individuals, high-risk (HR) individuals, and age- and sex-matched healthy controls (HCs). The authors also explored the differences among all groups using clinical assessments and cognitive tests.

RESULTS

Compared with HCs, HR, UHR and FESZ groups showed significant P50 suppression impairment. Furthermore, EEG source localization analyses identified successively stronger activation in prefrontal and anterior temporal regions in the HR, UHR and FESZ groups than in the HC group. Moreover, brain connectivity (HC < HR < UHR < FESZ) in the gamma band of P50 components was increasingly enhanced in accordance with the level of psychosis risks.

CONCLUSIONS

These findings suggest that EEG source imaging techniques, brain network dynamics, and behavioral tests, can help clearly distinguish different stages of schizophrenia, and may assist in the early diagnosis of schizophrenia.