PMID- 37796541 OWN - NLM STAT- MEDLINE DCOM- 20231128 LR - 20231128 IS - 2769-755X (Electronic) IS - 2769-7541 (Linking) VI - 132 IP - 8 DP - 2023 Nov TI - Clinical high risk for psychosis syndrome is associated with reduced neural responding to unpleasant images. PG - 1060-1071 LID - 10.1037/abn0000862 [doi] AB - Deficits in emotion processing are core features of psychotic disorders. Electrophysiology research in schizophrenia suggests deficits in sustained engagement with emotional content (indexed by the late positive potential [LPP]) may contribute to emotion processing impairments. Despite similar behavioral emotion processing dysfunction in those at clinical high risk (CHR) for psychosis, limited research has examined neural mechanisms of impaired emotion processing in the high-risk period, where research can inform risk models. To examine mechanisms of emotion processing deficits in those at CHR for psychosis, the present study used a passive viewing task to elicit the LPP in response to emotionally engaging and neutral stimuli in 28 CHR and 32 control participants (60% female). Relative to controls, CHR participants showed reduced LPP amplitude when viewing unpleasant images (d = 0.75, p = .005) but similar LPP amplitude in response to both neutral (d = 0.35, p = .19) and pleasant images (d = 0.31, p = .24). This pattern suggests that individuals at CHR for psychosis exhibit a deficit in sustained engagement with unpleasant stimuli. Clinical and trait questionnaires were administered to examine potential exploratory explanations for group differences in LPP amplitude. Consistent with evidence suggesting LPP amplitude reflects engagement of approach/avoidance motivational systems, greater LPP amplitude was associated with greater trait-level behavioral avoidance in control participants (r = .42, p = .032) but not CHR participants (r = -.21, p = .40). Together, the present research is consistent with LPP studies in psychosis and implicates reduced sustained engagement with emotional content in the high-risk period. (PsycInfo Database Record (c) 2023 APA, all rights reserved). FAU - Osborne, K Juston AU - Osborne KJ AD - Department of Psychology, Northwestern University. FAU - Zhang, Wendy AU - Zhang W AD - Department of Psychology, San Diego State University. FAU - Gupta, Tina AU - Gupta T AD - Department of Psychology, Northwestern University. FAU - Farrens, Jaclyn AU - Farrens J AD - Department of Psychology, San Diego State University. FAU - Geiger, McKena AU - Geiger M AD - Department of Psychology, San Diego State University. FAU - Kraus, Brian AU - Kraus B AD - Department of Psychology, Northwestern University. FAU - Krugel, Chloe AU - Krugel C AD - Department of Psychology, Northwestern University. FAU - Nusslock, Robin AU - Nusslock R AD - Department of Psychology, Northwestern University. FAU - Kappenman, Emily S AU - Kappenman ES AD - Department of Psychology, San Diego State University. FAU - Mittal, Vijay A AU - Mittal VA AD - Department of Psychology, Northwestern University. LA - eng GR - NH/NIH HHS/United States GR - NH/NIH HHS/United States PT - Journal Article DEP - 20231005 PL - United States TA - J Psychopathol Clin Sci JT - Journal of psychopathology and clinical science JID - 9918351179206676 SB - IM MH - Humans MH - Female MH - Male MH - Evoked Potentials/physiology MH - Electroencephalography/methods MH - Emotions/physiology MH - *Psychotic Disorders MH - *Schizophrenia EDAT- 2023/10/05 12:42 MHDA- 2023/11/28 06:42 CRDT- 2023/10/05 11:53 PHST- 2023/11/28 06:42 [medline] PHST- 2023/10/05 12:42 [pubmed] PHST- 2023/10/05 11:53 [entrez] AID - 2024-14059-001 [pii] AID - 10.1037/abn0000862 [doi] PST - ppublish SO - J Psychopathol Clin Sci. 2023 Nov;132(8):1060-1071. doi: 10.1037/abn0000862. Epub 2023 Oct 5.