Complex mismatch negativity to tone pair deviants in long-term schizophrenia and in the first-episode schizophrenia spectrum.

Mismatch negativity (MMN) is an event-related potential to stimulus change. MMN to infrequent deviant tones that differs in a simple physical parameter from repetitive standard tones is reduced in patients with long-term schizophrenia (Sz; d=~1). However, this simple MMN is not uniformly reduced at...

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Published in:Schizophrenia Research Vol. 191; pp. 18 - 25
Main Authors: Salisbury, Dean F., McCathern, Alexis G., Coffman, Brian A., Murphy, Timothy K., Haigh, Sarah M.
Format: research Journal Article
Published: Elsevier B.V. Jan2018
Online Access:View this record in EBSCOhost
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      jtl: Schizophrenia Research
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      dt: Jan2018
      vid: 191
      pid: 1004
      pub: Elsevier B.V.
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        10.1016/j.schres.2017.04.044
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        atl: Complex mismatch negativity to tone pair deviants in long-term schizophrenia and in the first-episode schizophrenia spectrum.
      aug:
        au:
          Salisbury, Dean F.
          McCathern, Alexis G.
          Coffman, Brian A.
          Murphy, Timothy K.
          Haigh, Sarah M.
        affil: Clinical Neurophysiology Research Laboratory, Western Psychiatric Institute and Clinic, Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
      sug:
        subj:
          Psychotic Disorders Physiopathology
          Schizophrenia Physiopathology
          Evoked Potentials Physiology
          Evoked Potentials, Auditory Physiology
          Electroencephalography
          Case Control Studies
          Psychological Tests
          Adult
          Acoustic Stimulation
          Young Adult
          Male
          Female
          Funding Source
          Human
          Adult: 19-44 years
          Male
          Female
      ab: Mismatch negativity (MMN) is an event-related potential to stimulus change. MMN to infrequent deviant tones that differs in a simple physical parameter from repetitive standard tones is reduced in patients with long-term schizophrenia (Sz; d=~1). However, this simple MMN is not uniformly reduced at the first-episode of schizophrenia-spectrum psychosis (FESz; d<0.1 for pitch; <0.4 for duration). Deviant stimuli that violate pattern rules also evoke MMN. This complex MMN is evoked by deviations in the relation of sounds to each other. The simplest pattern involves tone pairs. Although the pitch of first tone in the pair varies, the second tone's pitch always follows a rule (e.g., always 3 semitones higher). We measured complex MMN to deviant tone pairs that descended in pitch among standard tone pairs that ascended in pitch, never before examined in Sz or in FESz. Experiment 1 showed significant reductions in complex MMN in 20 Sz compared to 22 matched controls. Experiment 2 replicated smaller complex MMN in a shorter protocol in 24 Sz compared to 21 matched controls, but showed no significant complex MMN reduction in 21 FESz compared to 21 matched controls. Although reduced in Sz, indicating deficits in generation of a simple acoustic pattern rule, the tone pair complex MMN was within normal limits in FESz. This suggests that more complex perceptual pattern analysis processes are, at least partially, still intact at the first break. Future work will determine at what point of pattern complexity subtle auditory perception pathophysiology will be revealed in FESz.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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