Impaired MMN/P3a complex in first-episode psychosis: cognitive and psychosocial associations
Abstract
Mismatch negativity (MMN) is a neurophysiological indicator of the brain's ability to extract relevant information from an irrelevant background. The P3a orienting response often accompanies MMN in deviance detection paradigms. Both MMN and P3a have been described as reliable biomarkers of schizophrenia. MMN/P3a impairments are associated with deficits in verbal memory and attentional switching, reflecting dysfunctions in the temporal and frontal systems, respectively. It remains unresolved whether MMN/P3a are robust biomarkers of psychosis in first-episode patients. Thirty-four young people (18 to 30years) were assessed in this study; 17 first-episode psychosis (FEP) patients were compared to 17 healthy controls. To elicit MMN/P3a, a two-tone passive auditory oddball paradigm with 8% duration deviants was used; event-related potentials were recorded at frontal, central and temporal (mastoid) sites. Neuropsychological assessments included processing speed, attentional switching, simple attention, and verbal learning and memory. Social functioning and quality of life measures were also obtained. The FEP group showed significantly reduced MMN amplitudes compared to controls. The FEP group also showed significantly reduced P3a amplitudes at frontal and central sites compared with controls. As expected, the FEP group also showed significant deficits in attention and verbal learning/memory. Correlational analyses found strong associations between fronto-central MMN/P3a peak amplitude and cognitive/psychosocial functioning. This study provides evidence of early neurobiological markers in young people with FEP. These findings suggest that MMN/P3a impairments are present at early stages of psychosis and that fundamental pre-attentive/deviance detection deficits may mark the beginning of progressive underlying changes with illness onset. Such deficits in FEP appear to have important links with higher-order cognitive and psychosocial functioning.
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A growing number of papers report reductions in P3a in schizophrenia.
“and a growing number of papers are reporting reductions in P3a in schizophrenia (Alain, Bernstein, Cortese, Yu, & Zipursky, 2002; Hermens, et al., 2010; Jahshan, et al., 2011; Kiang, Braff, Sprock, & Light, 2009; Mathalon, Ford, & Pfefferbaum, 2000; Merrin & Floyd, 1994; O'Donnell, et al., 1996; Turetsky, Bilker, Siegel, Kohler, & Gur, 2009).”
From Anticipating the future: Automatic prediction failures in schizophrenia (2012) · cites this paper as Hermens, et al., 2010
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- Authors
- Hermens, D. F., Ward, P. B., Hodge, M. A. R., Kaur, M., Naismith, S. L., & Hickie, I. B.
- Affiliations
- The University of Sydney (AU)
- Sydney South West Area Health Service (AU)
- ORCID
- Venue
- Progress in Neuro-Psychopharmacology and Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2010-08
- Volume
- 34
- Issue
- 6
- Pages
- 822-829
- ISSN
- 0278-5846 (ISSN-L)
- OpenAlex
- W2046345394
- Cited by
- 170
- References
- 68
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 8 · 2023: 5 · 2022: 7 · 2021: 11 · 2020: 13 · 2019: 20 · 2018: 8 · 2017: 15 · 2016: 8 · 2015: 10 · 2014: 20 · 2013: 21 · 2012: 7
- FWCI
- 8.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Progress in Neuro-Psychopharmacology and Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Sydney
- National Health and Medical Research Council
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural dynamics and brain function
- Keywords
- mismatch negativity, P3a, first-episode psychosis, deviance detection, auditory oddball paradigm, event-related potentials, neurobiological biomarkers, attentional shift, verbal learning and memory, processing speed, social functioning, quality of life, preattentive processing
- MeSH terms
- Adolescent, Adult, Attention, Brain Mapping, Cerebral Cortex, Electroencephalography, Evoked Potentials, Female, Humans, Male, Memory, Neuropsychological Tests, Psychotic Disorders, Quality of Life, Reaction Time, Signal Processing, Computer-Assisted
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