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Updated: May 23, 2026

Investigating the Effects of Antipsychotics and Schizotypy on the N400 Using Event-Related Potentials and Semantic Categorization
Published on: November 19, 2014
Longitudinal changes in semantic categorization performance after symptomatic remission from first-episode psychosis:
Christy Lai-Ming Hui1, Julia Longenecker, Gloria Hoi-Yan Wong
1Department of Psychiatry, University of Hong Kong, Hong Kong. christy@lmhui.com
Schizophrenia patients show semantic categorization deficits, improving with recovery. These improvements suggest a temporary state effect, not a permanent trait, in semantic memory abnormalities.
Area of Science:
- Cognitive Neuroscience
- Psychiatry
- Neuroscience
Background:
- Semantic categorization abnormalities are noted in schizophrenia.
- Longitudinal studies on semantic performance during recovery are limited.
Purpose of the Study:
- To investigate semantic categorization performance in first-episode schizophrenia patients over 3 years.
- To examine the relationship between semantic performance and symptom changes during recovery.
Main Methods:
- 37 first-episode schizophrenia patients and 37 controls completed a semantic categorization task.
- Assessments occurred at baseline, stabilization, and annually for 3 years.
- Analyzed reaction times and 'yes' responses for words of varying semantic relatedness.
Main Results:
- First-episode patients exhibited semantic categorization abnormalities, assigning dissimilar words to categories more often than controls.
- Performance improved after clinical stabilization and remained stable for 3 years.
- Deficits, especially diminished typicality effect, correlated with negative symptoms initially but not after stabilization.
Conclusions:
- Semantic memory abnormalities are present in early schizophrenia but may be state-dependent.
- Improvement in semantic categorization suggests a reversible effect rather than a persistent trait.
- Findings highlight the dynamic nature of cognitive deficits in schizophrenia recovery.
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