PMID- 33356513 OWN - NLM STAT- MEDLINE DCOM- 20210930 LR - 20210930 IS - 2169-5202 (Electronic) IS - 1550-0594 (Linking) VI - 52 IP - 6 DP - 2021 Nov TI - Decreased Gamma Auditory Steady-State Response Is Associated With Impaired Real-World Functioning in Unmedicated Patients at Clinical High Risk for Psychosis. PG - 400-405 LID - 10.1177/1550059420982706 [doi] AB - AIM: Deficits in synchronous, gamma-frequency neural oscillations may contribute to schizophrenia patients' real-world functional impairment and can be measured electroencephalographically using the auditory steady-state response (ASSR). Gamma ASSR deficits have been reported in schizophrenia patients and individuals at clinical high risk (CHR) for developing psychosis. We hypothesized that, in CHR patients, gamma ASSR would correlate with real-world functioning, consistent with a role for gamma synchrony deficits in functional impairment. METHODS: A total of 35 CHR patients rated on Global Functioning: Social and Role scales had EEG recorded while listening to 1-ms, 93-dB clicks presented at 40 Hz in 500-ms trains, in response to which 40-Hz evoked power and intertrial phase-locking factor (PLF) were measured. RESULTS: In CHR patients, lower 40-Hz PLF correlated with lower social functioning. CONCLUSIONS: Gamma synchrony deficits may be a biomarker of real-world impairment at early stages of the schizophrenia disease trajectory. FAU - Ahmed, Sarah AU - Ahmed S AD - Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada. AD - Centre for Addiction and Mental Health, Toronto, Ontario, Canada. FAU - Lepock, Jennifer R AU - Lepock JR AD - Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada. AD - Centre for Addiction and Mental Health, Toronto, Ontario, Canada. FAU - Mizrahi, Romina AU - Mizrahi R AD - Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada. AD - Centre for Addiction and Mental Health, Toronto, Ontario, Canada. AD - Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. FAU - Bagby, R Michael AU - Bagby RM AD - Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada. AD - Centre for Addiction and Mental Health, Toronto, Ontario, Canada. AD - Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. AD - Graduate Department of Psychological Clinical Science, University of Toronto, Toronto, Ontario, Canada. FAU - Gerritsen, Cory J AU - Gerritsen CJ AD - Centre for Addiction and Mental Health, Toronto, Ontario, Canada. AD - Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. AD - Graduate Department of Psychological Clinical Science, University of Toronto, Toronto, Ontario, Canada. FAU - Korostil, Michele AU - Korostil M AD - Centre for Addiction and Mental Health, Toronto, Ontario, Canada. AD - Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. FAU - Light, Gregory A AU - Light GA AD - Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA. FAU - Kiang, Michael AU - Kiang M AUID- ORCID: 0000-0003-1113-9211 AD - Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada. AD - Centre for Addiction and Mental Health, Toronto, Ontario, Canada. AD - Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. LA - eng PT - Journal Article DEP - 20201223 PL - United States TA - Clin EEG Neurosci JT - Clinical EEG and neuroscience JID - 101213033 SB - IM MH - Acoustic Stimulation MH - Electroencephalography MH - Evoked Potentials, Auditory MH - Humans MH - *Psychotic Disorders MH - *Schizophrenia/diagnosis OTO - NOTNLM OT - cortical synchronization OT - gamma rhythm OT - prodromal symptoms OT - psychotic disorders OT - social adjustment EDAT- 2020/12/29 06:00 MHDA- 2021/10/01 06:00 CRDT- 2020/12/28 10:08 PHST- 2020/12/29 06:00 [pubmed] PHST- 2021/10/01 06:00 [medline] PHST- 2020/12/28 10:08 [entrez] AID - 10.1177/1550059420982706 [doi] PST - ppublish SO - Clin EEG Neurosci. 2021 Nov;52(6):400-405. doi: 10.1177/1550059420982706. Epub 2020 Dec 23.