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Increased occurrence of microstate class B as the independent risk factor for persistent psychiatric symptoms related
Qinlian Huang1, Linqi Liu1, Lihong Huang2
1Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, PR China.
Objective:
This study aimed to investigate the EEG microstate characteristics in patients with persistent Omicron-related Psychiatric Symptoms (ORPS) as well as their correlations with the severity of ORPS.
Methods:
This study included 31 patients with ORPS, and they were divided into remission group (n=19) and non-remission group (n=12) according to the decrease of Brief Psychiatric Rating Scale (BPRS) at discharge. Multivariate logistic models were applied to analyze the risk features associated with non-remission of ORPS at discharge, and the Spearman rank correlation was adopted to analyze the correlation between the occurrence of microstate class B and BPRS score at admission.
Results:
The analysis revealed that an increased occurrence of EEG microstate class B was significantly associated with a higher likelihood of non-remission of ORPS at discharge (p < 0.05). Furthermore, a moderate positive correlation was observed between the occurrence of microstate class B and BPRS scores at admission (r = 0.390, p = 0.030), indicating that patients with more frequent microstate class B tended to exhibit more severe psychiatric symptoms at onset.
Conclusions:
The findings suggest that an increased occurrence of EEG microstate class B is an independent risk factor for non-remission of ORPS at discharge. Additionally, the positive correlation between microstate class B and BPRS scores underscores the potential of microstate class B as a biomarker for the severity of psychiatric symptoms in ORPS patients.
Significance:
Identifying the increased occurrence of microstate class B at admission could serve as a novel marker for early assessment of ORPS severity and prognostic evaluation.
Insights
Increased EEG microstate class B occurrence is linked to persistent Omicron-related Psychiatric Symptoms (ORPS) and predicts poorer outcomes. This finding may help in early assessment and prognosis of ORPS severity.
Area of Science:
- Neuroscience
- Psychiatry
- Medical Imaging
Background:
- Omicron-related Psychiatric Symptoms (ORPS) present a growing clinical challenge.
- Understanding the neurophysiological underpinnings of ORPS is crucial for effective management.
- EEG microstates offer a window into brain functional dynamics.
Purpose of the Study:
- To investigate EEG microstate characteristics in patients with persistent ORPS.
- To explore the correlation between EEG microstate features and ORPS severity.
- To identify potential biomarkers for ORPS prognosis.
Main Methods:
- Study included 31 ORPS patients, divided into remission and non-remission groups.
- Multivariate logistic models analyzed risk factors for non-remission.
- Spearman rank correlation assessed the link between microstate class B and symptom severity (BPRS).
Main Results:
- An increased occurrence of EEG microstate class B was significantly associated with a higher likelihood of non-remission of ORPS.
- A moderate positive correlation was found between microstate class B occurrence and BPRS scores at admission.
- Patients with more frequent microstate class B showed more severe psychiatric symptoms.
Conclusions:
- Increased EEG microstate class B occurrence is an independent risk factor for ORPS non-remission.
- Microstate class B shows potential as a biomarker for ORPS symptom severity.
- Early identification of microstate class B may aid in assessing ORPS severity and prognosis.
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