PMID- 33864656 OWN - NLM STAT- Publisher LR - 20240222 IS - 1440-1819 (Electronic) IS - 1323-1316 (Linking) DP - 2021 Apr 17 TI - Impaired error-related processing in patients with first-episode psychosis and subjects at clinical high risk for psychosis: An event-related potential study. LID - 10.1111/pcn.13219 [doi] AB - AIM: Impaired event-related potential (ERP) indices reflecting performance-monitoring systems have been consistently reported in patients with schizophrenia. However, whether these impairments exist from the beginning of the early phase of psychosis, such as in first-episode psychosis (FEP) patients and individuals at clinical high risk (CHR) for psychosis, has not yet been clearly ascertained. METHODS: Thirty-seven FEP patients, 22 CHR subjects, and 22 healthy controls (HC) performed a visual go/no-go task so that three ERP components associated with performance monitoring-error-related negativity (ERN), correct response negativity (CRN), and error positivity (Pe) -could be assessed. Repeated-measures analysis of variance (ANOVA) with age and sex as covariates was used to compare ERN, CRN, and Pe across the groups. RESULTS: Repeated-measures ANOVA with age and sex as covariates revealed that compared with HC, FEP patients and CHR subjects showed significantly smaller ERN amplitudes at the Fz (F = 4.980, P = 0.009) and FCz (F = 3.453, P = 0.037) electrode sites. Neither CRN nor Pe amplitudes showed significant differences across the FEP, CHR, and HC groups. CONCLUSION: These findings suggest that performance monitoring is already compromised during the early course of psychotic disorders, evident in FEP patients and CHR subjects, as reflected in the reduced ERN amplitude. Considering these findings, ERN could serve as a potential indicator of early-stage psychosis. CI - (c) 2021 The Authors Psychiatry and Clinical Neurosciences (c) 2021 Japanese Society of Psychiatry and Neurology. FAU - Park, Jihye AU - Park J AD - Department of Brain and Cognitive Sciences, Seoul National University College of Natural Sciences, Seoul, Republic of Korea. FAU - Lho, Silvia Kyungjin AU - Lho SK AD - Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea. AD - Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea. FAU - Hwang, Wu Jeong AU - Hwang WJ AD - Department of Brain and Cognitive Sciences, Seoul National University College of Natural Sciences, Seoul, Republic of Korea. FAU - Moon, Sun-Young AU - Moon SY AD - Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea. AD - Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea. FAU - Oh, Sanghoon AU - Oh S AD - Department of Psychiatry, Eulji University Uijeongbu Eulji Medical Center, Gyeonggi, Republic of Korea. FAU - Kim, Minah AU - Kim M AUID- ORCID: 0000-0001-8668-0817 AD - Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea. AD - Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea. FAU - Kwon, Jun Soo AU - Kwon JS AD - Department of Brain and Cognitive Sciences, Seoul National University College of Natural Sciences, Seoul, Republic of Korea. AD - Department of Neuropsychiatry, Seoul National University Hospital, Seoul, Republic of Korea. AD - Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea. AD - Institute of Human Behavioral Medicine, SNU-MRC, Seoul, Republic of Korea. LA - eng GR - 2019R1C1C1002457/National Research Foundation of Korea/ GR - 2020M3E5D9079910/National Research Foundation of Korea/ PT - Journal Article DEP - 20210417 PL - Australia TA - Psychiatry Clin Neurosci JT - Psychiatry and clinical neurosciences JID - 9513551 SB - IM OTO - NOTNLM OT - clinical high risk OT - early psychosis OT - error-related negativity OT - first-episode psychosis OT - performance monitoring EDAT- 2021/04/18 06:00 MHDA- 2021/04/18 06:00 CRDT- 2021/04/17 12:12 PHST- 2021/03/05 00:00 [revised] PHST- 2020/11/05 00:00 [received] PHST- 2021/04/11 00:00 [accepted] PHST- 2021/04/18 06:00 [pubmed] PHST- 2021/04/18 06:00 [medline] PHST- 2021/04/17 12:12 [entrez] AID - 10.1111/pcn.13219 [doi] PST - aheadofprint SO - Psychiatry Clin Neurosci. 2021 Apr 17. doi: 10.1111/pcn.13219.