Electroencephalogram Microstate Abnormalities in Early-Course Psychosis

Michael Murphy1, Robert Stickgold2, Dost Öngür1

  • 1Department of Psychiatry, Harvard Medical School, Boston, Massachusetts; Schizophrenia and Bipolar Disorder Research Program, McLean Hospital, Belmont, Massachusetts.

Abstract

Insights

Patients with early-course psychosis exhibit chaotic brain network transitions, indicated by abnormal microstate sequences. This suggests altered neural resource allocation and state transitions in psychosis.

Area of Science:

  • Neuroscience
  • Psychiatry
  • Computational Neuroscience

Background:

  • Electroencephalography (EEG) microstates reflect brain network activity.
  • Abnormal microstate parameters are observed in psychotic disorders.
  • Early-course psychosis presents unique challenges for understanding brain dynamics.

Purpose of the Study:

  • To investigate resting-state network dynamics in early-course psychosis using microstate and sample entropy analysis.
  • To identify alterations in brain network transitions associated with psychosis.

Main Methods:

  • High-density EEG data from 22 early-course psychosis patients and 22 controls were analyzed.
  • Microstate analysis identified characteristic scalp topographies.
  • Sample entropy quantified the complexity of microstate transition sequences.

Main Results:

  • Patients and controls showed similar microstate sets (A, B, C, D).
  • Patients had decreased frequency of microstate A and lacked self-similarity in microstate transitions.
  • Elevated entropy in unmedicated patients decreased with medication; specific transition patterns differed between groups.

Conclusions:

  • Early-course psychosis is associated with abnormally chaotic brain network transitions.
  • This chaos may stem from impaired neural resource allocation and state transitions.
  • Microstate and entropy analysis offer insights into psychosis pathophysiology.

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