PMID- 34842500 OWN - NLM STAT- MEDLINE DCOM- 20221108 LR - 20221116 IS - 1814-1412 (Electronic) IS - 1562-2975 (Linking) VI - 23 IP - 5 DP - 2022 Jun TI - Inefficient integration during multiple facial processing in pre-morbid and early phases of psychosis. PG - 361-373 LID - 10.1080/15622975.2021.2011402 [doi] AB - OBJECTIVES: We used eye-tracking to evaluate multiple facial context processing and event-related potential (ERP) to evaluate multiple facial recognition in individuals at clinical high risk (CHR) for psychosis. METHODS: In total, 173 subjects (83 CHRs and 90 healthy controls [HCs]) were included and their emotion perception performances were accessed. A total of 40 CHRs and 40 well-matched HCs completed an eye-tracking task where they viewed pictures depicting a person in the foreground, presented as context-free, context-compatible, and context-incompatible. During the two-year follow-up, 26 CHRs developed psychosis, including 17 individuals who developed first-episode schizophrenia (FES). Eighteen well-matched HCs were made to complete the face number detection ERP task with image stimuli of one, two, or three faces. RESULTS: Compared to the HC group, the CHR group showed reduced visual attention to contextual processing when viewing multiple faces. With the increasing complexity of contextual faces, the differences in eye-tracking characteristics also increased. In the ERP task, the N170 amplitude decreased with a higher face number in FES patients, while it increased with a higher face number in HCs. CONCLUSIONS: Individuals in the very early phase of psychosis showed facial processing deficits with supporting evidence of different scan paths during context processing and disruption of N170 during multiple facial recognition. FAU - Zhang, TianHong AU - Zhang T AD - Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Psychotic Disorders(13dz2260500), Shanghai, China. FAU - Yang, YingYu AU - Yang Y AD - School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China. FAU - Xu, LiHua AU - Xu L AD - Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Psychotic Disorders(13dz2260500), Shanghai, China. FAU - Tang, XiaoChen AU - Tang X AD - Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Psychotic Disorders(13dz2260500), Shanghai, China. FAU - Hu, YeGang AU - Hu Y AD - Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Psychotic Disorders(13dz2260500), Shanghai, China. FAU - Xiong, Xin AU - Xiong X AD - School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China. FAU - Wei, YanYan AU - Wei Y AD - Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Psychotic Disorders(13dz2260500), Shanghai, China. FAU - Cui, HuiRu AU - Cui H AD - Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Psychotic Disorders(13dz2260500), Shanghai, China. FAU - Tang, YingYing AU - Tang Y AD - Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Psychotic Disorders(13dz2260500), Shanghai, China. FAU - Liu, HaiChun AU - Liu H AD - Department of Automation, Shanghai Jiao Tong University, Shanghai, China. FAU - Chen, Tao AU - Chen T AD - Big Data Research Lab, University of Waterloo, Waterloo, Ontario, Canada. AD - Senior Research Fellow, Labor and Worklife Program, Harvard University, Cambridge, Massachusetts, United States. AD - Niacin (Shanghai) Technology Co., Ltd, Shanghai, China. FAU - Liu, Zhi AU - Liu Z AD - School of Communication and Information Engineering, Shanghai University, Shanghai, China. FAU - Hui, Li AU - Hui L AD - Institute of Mental Health, The Affiliated Guangji Hospital of Soochow University, Soochow University, Suzhou, Jiangsu, China. FAU - Li, ChunBo AU - Li C AD - Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Psychotic Disorders(13dz2260500), Shanghai, China. FAU - Guo, XiaoLi AU - Guo X AD - School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China. FAU - Wang, JiJun AU - Wang J AD - Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai Key Laboratory of Psychotic Disorders(13dz2260500), Shanghai, China. AD - Center for Excellence in Brain Science and Intelligence Technology (CEBSIT), Chinese Academy of Science, Shanghai, China. AD - Institute of Psychology and Behavioral Science, Shanghai Jiao Tong University, Shanghai, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20211217 PL - England TA - World J Biol Psychiatry JT - The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry JID - 101120023 SB - IM MH - Humans MH - Facial Expression MH - Electroencephalography MH - *Facial Recognition MH - *Psychotic Disorders MH - Emotions MH - Evoked Potentials OTO - NOTNLM OT - Psychosis OT - emotional processing biases OT - eye movement OT - schizophrenia OT - social cognition EDAT- 2021/11/30 06:00 MHDA- 2022/11/09 06:00 CRDT- 2021/11/29 12:21 PHST- 2021/11/30 06:00 [pubmed] PHST- 2022/11/09 06:00 [medline] PHST- 2021/11/29 12:21 [entrez] AID - 10.1080/15622975.2021.2011402 [doi] PST - ppublish SO - World J Biol Psychiatry. 2022 Jun;23(5):361-373. doi: 10.1080/15622975.2021.2011402. Epub 2021 Dec 17.