Event-related potentials during an auditory discrimination with prepulse inhibition in patients with schizophrenia, obsessive-compulsive disorder and healthy subjects
Open accessAbstract
Prepulse inhibition (PPI) is a measure of the influence of a stimulus (S1) on the response elicited by a second stimulus (S2) occurring shortly afterwards. Most S1/S2 measures of gating have used behavioural startle and the P50 event-related potential (ERP) amplitudes to detect PPI in a simple paired stimulus paradigm. We report on two behavioural (reaction time, RT, and the electromyographically recorded response of the musculus orbicularis oculi, EMG) and 5 ERP measures of PPI where S2 was the target in an auditory two-tone discrimination. Subjects were 21 healthy controls (CON), 11 obsessive-compulsive (OCD) and 9 schizophrenic patients (SCH). The prepulse 100 ms before S2 induced more omission errors and longer RTs compared to 500ms S1-S2 interval in all subjects. PPI was also evident in EMG, P50, N1, P3 but not P2 or N2 amplitudes of CON subjects. SCH patients showed attenuation of PPI on the same measures. OCD patients were characterized only by their slow RT and a marginal attenuation of PPI of the EMG response. A correlational analysis implied separate relationships of ERP indices of PPI to the cognitive and psychomotor consequences of the prepulse on behavioural and discrimination responses. However, SCH patients showed a general rather than a specific impairment of these indices.
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Several studies reporting associations between P300 and Stroop interference, Trail-Making Test performance, feedback-guided behaviour, or executive functioning were judged to have a serious overall risk of bias.
“In contrast, several studies reporting associations between P300 and Stroop interference, Trail-Making Test performance, feedback-guided behaviour, or executive functioning were judged to have a serious overall risk of bias [21,27,30,31,47,53,55].”
From Electrophysiological Correlates of Cognitive Dysfunction in Obsessive-Compulsive Disorder (OCD): A Systematic and Mechanistic Review of EEG, ERP, and QEEG Evidence (2026) · cites this paper as [47]
The Relationships Between Measures section (p. 13) reports that the P3 response was related to omission errors, perceptual sensitivity, and response criterion in an auditory discrimination task. It does not report associations with Stroop interference, Trail-Making Test performance, feedback-guided behaviour, or an executive-function measure. The serious-risk-of-bias judgment is the citing authors’ assessment, not a finding this source would need to state. (LLM, conf=0.78)
Experimental — accuracy not yet measuredThe weaker P50 findings in study [47] may reflect the fact that active discrimination tasks recruit multiple later processes that can compensate for, override, or obscure early sensory-gating abnormalities.
“Therefore, the weaker P50 findings in study [47] may reflect the fact that active discrimination tasks recruit multiple later processes that can compensate for, override, or obscure early sensory-gating abnormalities.”
From Electrophysiological Correlates of Cognitive Dysfunction in Obsessive-Compulsive Disorder (OCD): A Systematic and Mechanistic Review of EEG, ERP, and QEEG Evidence (2026) · cites this paper as [47]
The SCH vs CON Groups section (p. 15) reports P50 gating differences during an active discrimination task, alongside effects on later measures. The interpretation (p. 16) discusses resilient information-processing mechanisms, but does not say that later processes compensated for, overrode, or obscured an early P50 abnormality; it describes the schizophrenia P50 result as a replication, not a weaker finding. (LLM, conf=0.82)
Experimental — accuracy not yet measuredIn the auditory prepulse-inhibition study, other ERP components, particularly P50, N1, and P3, were more informative than N2.
“In this study, other ERP components, particularly P50, N1, and P3, were more informative, while cognitive-performance associations were mainly related to reaction-time slowing and later target-related P3 differentiation rather than to N2 activity [47].”
In the auditory prepulse-inhibition study, N2 amplitude was not meaningfully modulated by the short versus long S1-S2 interval, and there were no clear group differences indicating abnormal N2 processing in OCD.
“N2 amplitude was not meaningfully modulated by the short versus long S1–S2 interval, and there were no clear group differences indicating abnormal N2 processing in OCD.”
In the auditory prepulse-inhibition study, OCD patients showed behavioural impairment, including slower responses and more omission errors than controls.
“Although OCD patients showed behavioural impairment, including slower responses and more omission errors than controls, the N2 component did not show a reliable prepulse-inhibition effect.”
In the auditory prepulse-inhibition study, N2 did not appear to capture the cognitive consequences of prepulse interference.
“Thus, despite evidence of altered behavioural performance and reduced physiological gating on other measures, N2 did not appear to capture the cognitive consequences of prepulse interference.”
In the auditory prepulse-inhibition study, the N2 component did not show a reliable prepulse-inhibition effect.
“Although OCD patients showed behavioural impairment, including slower responses and more omission errors than controls, the N2 component did not show a reliable prepulse-inhibition effect.”
In study [47], the study did not identify CNV as the principal electrophysiological marker distinguishing OCD patients from healthy controls.
“CNV was included among the physiological variables examined in relation to behavioural performance, but the study did not identify CNV as the principal electrophysiological marker distinguishing OCD patients from healthy controls.”
In study [47], the strongest ERP findings concerned other components, particularly P50, N1, and P3.
“Instead, the strongest ERP findings concerned other components, particularly P50, N1, and P3.”
In study [47], the available results do not indicate a clear OCD-specific abnormality in CNV amplitude.
“However, the available results do not indicate a clear OCD-specific abnormality in CNV amplitude.”
In study [47], patients with OCD made more omission errors than controls, responded more slowly, and showed a more conservative response style.
“Patients with OCD made more omission errors than controls, responded more slowly, and showed a more conservative response style.”
In study [47], regression analyses indicated that physiological and behavioural prepulse-related measures explained a substantial proportion of variance in omission errors, perceptual sensitivity, and response criterion.
“Regression analyses indicated that physiological and behavioural prepulse-related measures explained a substantial proportion of variance in omission errors, perceptual sensitivity, and response criterion.”
In study [47], later target-processing indices, particularly P3 differentiation between target and non-target stimuli, were more strongly related to omission errors and perceptual sensitivity.
“Moreover, later target-processing indices, particularly P3 differentiation between target and non-target stimuli, were more strongly related to omission errors and perceptual sensitivity.”
In study [47], the short 100 ms prepulse interval increased omission errors and tended to slow responses.
“The short 100 ms prepulse interval increased omission errors and tended to slow responses, indicating that close temporal interference from the prepulse affected target detection and response execution.”
In study [47], early physiological gating indices such as P50-PPI and EMG-PPI were not significantly related to discrimination performance.
“In contrast, early physiological gating indices such as P50-PPI and EMG-PPI were not significantly related to discrimination performance, and the summary does not report a specific CNV-performance association.”
In study [47], greater slowing in the short-interval condition was associated with poorer perceptual sensitivity and a more conservative response criterion.
“Nevertheless, the clearest cognitive association was observed for reaction-time prepulse inhibition: greater slowing in the short-interval condition was associated with poorer perceptual sensitivity and a more conservative response criterion.”
Later target-processing measures, particularly target/non-target P3 differentiation, were more strongly associated with omission errors, perceptual sensitivity, and response criterion.
“Instead, later target-processing measures, particularly target/non-target P3 differentiation, were more strongly associated with omission errors, perceptual sensitivity, and response criterion.”
The reduced P50-PPI effect in OCD was weaker and less consistently robust than the abnormalities observed in schizophrenia.
“but this effect was weaker and less consistently robust than the abnormalities observed in schizophrenia.”
In study [47], the reduced P50-PPI effect in OCD suggested that early sensory gating may again be attenuated.
“The reduced P50-PPI effect in OCD suggested that early sensory gating may again be attenuated”
P50-PPI was not the electrophysiological measure most closely linked to task performance.
“More importantly, P50-PPI was not the electrophysiological measure most closely linked to task performance.”
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- Authors
- Schall, U., Schön, A., Zerbin, D., Eggers, C., & Oades, R. D.
- Affiliations
- University of Duisburg-Essen (DE)
- Venue
- International Journal of Neuroscience
- Publisher
- Informa UK Limited
- Published
- 1996-01
- Volume
- 84
- Issue
- 1-4
- Pages
- 15-33
- ISSN
- 0020-7454 (ISSN-L)
- 1543-5245
- OpenAlex
- W2041365278
- Cited by
- 71
- References
- 61
- Citations by year
- 2023: 1 · 2021: 1 · 2020: 2 · 2019: 1 · 2017: 1 · 2016: 2 · 2015: 2 · 2013: 4 · 2012: 2
- FWCI
- 2.82
- Type
- journal article
- Language
- en
- Open access
- Locations
- International Journal of Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- Universitätsbibliographie, Universität Duisburg-Essen (submittedVersion)
- CogPrints (University of Southampton) (submittedVersion)
- DuEPublico (University of Duisburg-Essen) (submittedVersion)
- 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 › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- prepulse inhibition, event-related potentials, auditory discrimination, schizophrenia, obsessive-compulsive disorder, P50, N1, P3, reaction time, gating, omission errors
- MeSH terms
- Acoustic Stimulation, Adolescent, Adult, Discrimination, Psychological, Electromyography, Evoked Potentials, Female, Humans, Male, Obsessive-Compulsive Disorder, Psychiatric Status Rating Scales, Reaction Time, Schizophrenic Psychology, Reflex, Startle
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