PMID- 37386749 OWN - NLM STAT- MEDLINE DCOM- 20240417 LR - 20240417 IS - 1460-9568 (Electronic) IS - 0953-816X (Linking) VI - 59 IP - 8 DP - 2024 Apr TI - N400 event-related brain potential index of semantic processing and two-year clinical outcomes in persons at high risk for psychosis: A longitudinal study. PG - 1877-1888 LID - 10.1111/ejn.16074 [doi] AB - The N400 event-related brain potential (ERP) semantic priming effect reflects greater activation of contextually related versus unrelated concepts in long-term semantic memory. Deficits in this measure have been found in persons with schizophrenia and those at clinical high risk (CHR) for this disorder. In CHR patients, we previously found that these deficits predict poorer social functional outcomes after 1 year. In the present study, we tested whether these deficits predicted greater psychosis-spectrum symptom severity and functional impairment over 2 years. We measured N400 semantic priming effects at baseline in CHR patients (n = 47) who viewed prime words each followed by a related/unrelated target word at stimulus-onset asynchronies (SOAs) of 300 or 750 ms. We measured psychosis-spectrum symptoms using the Structured Interview for Prodromal Symptoms and role and social functioning with the Global Functioning: Role and Social scales, at baseline, 1 (n = 29) and 2 years (n = 25). There was a significant interaction between the N400 semantic priming effect at the 300-ms SOA and time on GF:Role scores, indicating that, contrary to expectations, smaller baseline N400 semantic priming effects were associated with more improvement in role functioning from baseline to Year 1, but baseline N400 priming effects did not predict role functioning at Year 2. N400 priming effects were not significantly associated with different trajectories in psychosis-spectrum symptoms or social functioning. Thus, CHR patients' N400 semantic priming effects did not predict clinical outcomes over 2 years, suggesting that this ERP measure may have greater value as a state or short-term prognostic neurophysiological biomarker. CI - (c) 2023 Federation of European Neuroscience Societies and John Wiley & Sons Ltd. FAU - Lepock, Jennifer R AU - Lepock JR AUID- ORCID: 0000-0002-0337-0299 AD - Centre for Addiction and Mental Health, Toronto, Ontario, Canada. FAU - Sanches, Marcos AU - Sanches M AD - Centre for Addiction and Mental Health, Toronto, Ontario, Canada. FAU - Ahmed, Sarah AU - Ahmed S AD - Centre for Addiction and Mental Health, Toronto, Ontario, Canada. FAU - Gerritsen, Cory J AU - Gerritsen CJ AD - Centre for Addiction and Mental Health, Toronto, Ontario, Canada. FAU - Korostil, Michele AU - Korostil M AD - Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada. AD - St. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada. FAU - Mizrahi, Romina AU - Mizrahi R AD - Department of Psychiatry, McGill University, Montreal, Quebec, Canada. FAU - Kiang, Michael AU - Kiang M AD - Centre for Addiction and Mental Health, Toronto, Ontario, Canada. AD - Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. LA - eng GR - Miner's Lamp Innovation Fund in the Prevention and Early Detection of Severe Mental Illness/ GR - Ontario Ministry of Health and Long-Term Care/ GR - Ontario Mental Health Foundation/ GR - University of Toronto Academic Scholar Award/ PT - Journal Article DEP - 20230629 PL - France TA - Eur J Neurosci JT - The European journal of neuroscience JID - 8918110 SB - IM MH - Humans MH - Male MH - Female MH - *Evoked Potentials/physiology MH - Semantics MH - Electroencephalography MH - Longitudinal Studies MH - Reaction Time/physiology MH - *Psychotic Disorders MH - Brain OTO - NOTNLM OT - N400 OT - clinical high risk OT - event-related potentials OT - functioning OT - psychosis OT - schizophrenia EDAT- 2023/06/30 06:42 MHDA- 2024/04/17 06:42 CRDT- 2023/06/30 01:02 PHST- 2023/05/24 00:00 [revised] PHST- 2023/01/12 00:00 [received] PHST- 2023/06/13 00:00 [accepted] PHST- 2024/04/17 06:42 [medline] PHST- 2023/06/30 06:42 [pubmed] PHST- 2023/06/30 01:02 [entrez] AID - 10.1111/ejn.16074 [doi] PST - ppublish SO - Eur J Neurosci. 2024 Apr;59(8):1877-1888. doi: 10.1111/ejn.16074. Epub 2023 Jun 29.