PMID- 32499162 OWN - NLM STAT- MEDLINE DCOM- 20210617 LR - 20240330 IS - 1573-2509 (Electronic) IS - 0920-9964 (Print) IS - 0920-9964 (Linking) VI - 226 DP - 2020 Dec TI - Language as a biomarker for psychosis: A natural language processing approach. PG - 158-166 LID - S0920-9964(20)30247-4 [pii] LID - 10.1016/j.schres.2020.04.032 [doi] AB - Human ratings of conceptual disorganization, poverty of content, referential cohesion and illogical thinking have been shown to predict psychosis onset in prospective clinical high risk (CHR) cohort studies. The potential value of linguistic biomarkers has been significantly magnified, however, by recent advances in natural language processing (NLP) and machine learning (ML). Such methodologies allow for the rapid and objective measurement of language features, many of which are not easily recognized by human raters. Here we review the key findings on language production disturbance in psychosis. We also describe recent advances in the computational methods used to analyze language data, including methods for the automatic measurement of discourse coherence, syntactic complexity, poverty of content, referential coherence, and metaphorical language. Linguistic biomarkers of psychosis risk are now undergoing cross-validation, with attention to harmonization of methods. Future directions in extended CHR networks include studies of sources of variance, and combination with other promising biomarkers of psychosis risk, such as cognitive and sensory processing impairments likely to be related to language. Implications for the broader study of social communication, including reciprocal prosody, face expression and gesture, are discussed. CI - Copyright (c) 2020 Elsevier B.V. All rights reserved. FAU - Corcoran, Cheryl M AU - Corcoran CM AD - Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA. FAU - Mittal, Vijay A AU - Mittal VA AD - Department of Psychology, Northwestern University, Evanston, IL, USA. FAU - Bearden, Carrie E AU - Bearden CE AD - Department of Psychiatry and Biobehavioral Sciences, University of California Los Angeles, CA, USA; Department of Psychology, Semel Institute for Neuroscience and Human Behavior, Brain Research Institute, University of California Los Angeles, CA, USA; Department of Psychology, University of California Los Angeles, CA USA. FAU - E Gur, Raquel AU - E Gur R AD - Brain Behavior Laboratory, Neuropsychiatry Division, Department of Psychiatry, Philadelphia, PA 19104, USA. FAU - Hitczenko, Kasia AU - Hitczenko K AD - Department of Linguistics, Northwestern University, Evanston, IL, USA. FAU - Bilgrami, Zarina AU - Bilgrami Z AD - Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA. FAU - Savic, Aleksandar AU - Savic A AD - Department of Diagnostics and Intensive Care, University Psychiatric Hospital Vrapce, Zagreb, Croatia. FAU - Cecchi, Guillermo A AU - Cecchi GA AD - Computational Biology Center-Neuroscience, IBM T.J. Watson Research Center, Yorktown Heights, NY, USA. FAU - Wolff, Phillip AU - Wolff P AD - Department of Psychology, Emory University, Atlanta, GA, USA. Electronic address: pwolff@emory.edu. LA - eng GR - R01 MH107558/MH/NIMH NIH HHS/United States GR - R01 MH115332/MH/NIMH NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20200601 PL - Netherlands TA - Schizophr Res JT - Schizophrenia research JID - 8804207 RN - 0 (Biomarkers) SB - IM MH - Biomarkers MH - Humans MH - Language MH - *Natural Language Processing MH - Prospective Studies MH - *Psychotic Disorders/diagnosis PMC - PMC7704556 MID - NIHMS1600149 OTO - NOTNLM OT - Automated language analysis OT - Clinical high risk OT - Digital phenotyping OT - Discourse coherence OT - Latent semantic analysis OT - Machine learning OT - Natural language processing OT - Psychosis OT - Psychosis risk OT - Referential coherence OT - Schizophrenia OT - Semantic coherence OT - Semantic density OT - Ultra high risk EDAT- 2020/06/06 06:00 MHDA- 2021/06/22 06:00 PMCR- 2021/12/01 CRDT- 2020/06/06 06:00 PHST- 2020/02/28 00:00 [received] PHST- 2020/04/22 00:00 [revised] PHST- 2020/04/24 00:00 [accepted] PHST- 2020/06/06 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/06/06 06:00 [entrez] PHST- 2021/12/01 00:00 [pmc-release] AID - S0920-9964(20)30247-4 [pii] AID - 10.1016/j.schres.2020.04.032 [doi] PST - ppublish SO - Schizophr Res. 2020 Dec;226:158-166. doi: 10.1016/j.schres.2020.04.032. Epub 2020 Jun 1.