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Neurophysiological Face Processing Deficits in Patients With Chronic Schizophrenia: An MEG Study
Naotoshi Ohara1,2, Yoji Hirano1,3, Naoya Oribe1,4
1Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Frontiers in Psychiatry
|October 26, 2020
Summary
Patients with schizophrenia exhibit reduced M170 brain responses to faces, not cars. This face processing deficit is linked to negative symptoms and may contribute to social cognition impairments in schizophrenia.
Area of Science:
- Neuroscience
- Cognitive Neuroscience
- Psychiatry
Background:
- Schizophrenia (SZ) is associated with facial recognition difficulties and reduced N170 visual evoked responses to faces.
- Previous studies lacked high spatial resolution neurophysiological evidence for face processing deficits in SZ.
- This study investigated M170 (magnetic counterpart of N170) activity in chronic SZ patients using magnetoencephalography (MEG).
Purpose of the Study:
- To determine if M170 deficits in schizophrenia are specific to face stimuli.
- To explore the neurophysiological underpinnings of face processing abnormalities in SZ.
- To correlate M170 responses with demographic and clinical factors in SZ.
Main Methods:
- Recorded whole-head MEG responses (M170) to faces and cars in 26 SZ patients and 26 healthy controls (HC).
- Analyzed global field power over temporal cortices and localized M170 sources using minimum-norm estimation (MNE).
- Performed correlational analyses between M170 responses and participant demographics/symptoms.
Main Results:
- M170 response to faces was significantly reduced in SZ patients compared to HC (p=0.01), but not to cars (p=0.55).
- MNE revealed M170 localized to the fusiform face area (FFA) in HC, but to other visual regions in SZ.
- Negative symptom severity in SZ correlated negatively with M170 power (rho=-0.47, p=0.01).
Conclusions:
- Schizophrenia is characterized by specific reductions in the M170 response to human faces.
- These face processing deficits in SZ are associated with the severity of negative symptoms.
- Functional face processing deficits may contribute to social cognition impairments observed in schizophrenia.

