PMID- 37717025 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240106 IS - 2754-6993 (Electronic) IS - 2754-6993 (Linking) VI - 9 IP - 1 DP - 2023 Sep 16 TI - Speech characteristics yield important clues about motor function: Speech variability in individuals at clinical high-risk for psychosis. PG - 60 LID - 10.1038/s41537-023-00382-9 [doi] LID - 60 AB - BACKGROUND AND HYPOTHESIS: Motor abnormalities are predictive of psychosis onset in individuals at clinical high risk (CHR) for psychosis and are tied to its progression. We hypothesize that these motor abnormalities also disrupt their speech production (a highly complex motor behavior) and predict CHR individuals will produce more variable speech than healthy controls, and that this variability will relate to symptom severity, motor measures, and psychosis-risk calculator risk scores. STUDY DESIGN: We measure variability in speech production (variability in consonants, vowels, speech rate, and pausing/timing) in N = 58 CHR participants and N = 67 healthy controls. Three different tasks are used to elicit speech: diadochokinetic speech (rapidly-repeated syllables e.g., papapa..., pataka...), read speech, and spontaneously-generated speech. STUDY RESULTS: Individuals in the CHR group produced more variable consonants and exhibited greater speech rate variability than healthy controls in two of the three speech tasks (diadochokinetic and read speech). While there were no significant correlations between speech measures and remotely-obtained motor measures, symptom severity, or conversion risk scores, these comparisons may be under-powered (in part due to challenges of remote data collection during the COVID-19 pandemic). CONCLUSION: This study provides a thorough and theory-driven first look at how speech production is affected in this at-risk population and speaks to the promise and challenges facing this approach moving forward. CI - (c) 2023. Springer Nature Limited. FAU - Hitczenko, Kasia AU - Hitczenko K AD - Laboratoire de Sciences Cognitives et Psycholinguistique, Departement d'Etudes Cognitives, ENS, EHESS, CNRS, PSL University, Paris, France. kasia.hitczenko@ens.psl.eu. FAU - Segal, Yael AU - Segal Y AD - Faculty of Electrical and Computer Engineering, Technion-Israel Institute of Technology, Haifa, Israel. FAU - Keshet, Joseph AU - Keshet J AUID- ORCID: 0000-0003-2332-5783 AD - Faculty of Electrical and Computer Engineering, Technion-Israel Institute of Technology, Haifa, Israel. FAU - Goldrick, Matthew AU - Goldrick M AD - Department of Linguistics, Northwestern University, Evanston, IL, USA. AD - Department of Psychology, Northwestern University, Evanston, IL, USA. AD - Cognitive Science Program, Northwestern University, Evanston, IL, USA. AD - Institute for Policy Research, Northwestern University, Evanston, IL, USA. FAU - Mittal, Vijay A AU - Mittal VA AUID- ORCID: 0000-0001-9017-5119 AD - Department of Psychology, Northwestern University, Evanston, IL, USA. AD - Cognitive Science Program, Northwestern University, Evanston, IL, USA. AD - Institute for Policy Research, Northwestern University, Evanston, IL, USA. AD - Department of Psychiatry, Northwestern University, Evanston, IL, USA. AD - Medical Social Sciences, Northwestern University, Chicago, IL, USA. AD - Institute for Innovations in Developmental Sciences, Evanston/Chicago, IL, USA. LA - eng GR - R21 MH119677/MH/NIMH NIH HHS/United States GR - T32 NS047987/NS/NINDS NIH HHS/United States PT - Journal Article DEP - 20230916 PL - Germany TA - Schizophrenia (Heidelb) JT - Schizophrenia (Heidelberg, Germany) JID - 9918367987006676 PMC - PMC10505148 COIS- The authors declare no competing interests. EDAT- 2023/09/17 00:41 MHDA- 2023/09/17 00:42 PMCR- 2023/09/16 CRDT- 2023/09/16 23:24 PHST- 2023/04/19 00:00 [received] PHST- 2023/07/24 00:00 [accepted] PHST- 2023/09/17 00:42 [medline] PHST- 2023/09/17 00:41 [pubmed] PHST- 2023/09/16 23:24 [entrez] PHST- 2023/09/16 00:00 [pmc-release] AID - 10.1038/s41537-023-00382-9 [pii] AID - 382 [pii] AID - 10.1038/s41537-023-00382-9 [doi] PST - epublish SO - Schizophrenia (Heidelb). 2023 Sep 16;9(1):60. doi: 10.1038/s41537-023-00382-9.