Abstract
Schizophrenia is a chronic and disabling mental disorder characterized by distortions in thinking, perception, emotions, language, sense of self and behaviour. The oscillatory pattern of electrical activity generated by synchronized neuronal firing at rest might help in identifying the subjects of schizophrenia. Though various studies have tried to assess the underlying functional connectivity and its impairment in the patients of schizophrenia, the exact mechanism remains to be elucidated. The present study was conducted in the Department of Physiology in collaboration with the Department of Psychiatry, S. M. S. Medical College, Jaipur (Rajasthan). Twenty-one newly diagnosed schizophrenia patients aged 18-40 years from Psychiatry OPD were recruited as cases and an equal no. of age matched healthy subjects were recruited as controls from the accompanying attendants of patients. The inter and intra-hemispheric coherence among various brain areas was evaluated in delta, theta, alpha 1, alpha 2, beta 1, beta 2and gamma frequency bands. The resting EEG coherence was significantly reduced between various electrode pairs in schizophrenia patients in delta (C3-P3, P3-T3, F3-P3&P3-P4), theta (C3-P3, P3-T3, F3-P3&P3-P4), alpha-1(C3-P3, P3-T3& C4-T4), alpha-2 (C3-P3, P3-T3&C4-T4) and gamma (C3-P3& P3-P4) frequency bands as compared to healthy controls. The schizophrenia patients exhibit functional dysconnectivity in frontal, central, parietal and temporal regions that might underlie the impaired thought process in schizophrenia patients, especially in the left hemisphere.
Keywords: Schizophrenia, Electroencephalogram (EEG), Coherence, Functional Connectivity, Inter-hemispheric and Intra-hemispheric.
References
- Kuperberg G, Heckers S. Schizophrenia and cognitive function. Curr Opin Neurobiol. 2000;10(2):205–10.
- Ventura J, Hellemann GS, Thames AD, Koellner V, Nuechterlein KH. Symptoms as mediators of the relationship between neurocognition and functional outcome in schizophrenia: a meta-analysis. Schizophr Res. 2009;113(2–3):189–99.
- Reichenberg A, Caspi A, Harrington H, Houts R, Keefe RS, Murray RM, et al. Static and dynamic cognitive deficits in childhood preceding adult schizophrenia: a 30-year study. Am J Psychiatry. 2010;167(2):160–9.
- Barch DM, Cohen R, Csernansky J. Altered cognitive development in the siblings of individuals with schizophrenia. Clin Psychol Sci. 2014;2(2):138–51.
- Friston KJ. The disconnection hypothesis. Schizophr Res 1998;30:115–25.
- Ribolsi M, Koch G, Magni V, Di Lorenzo G, Rubino IA, Siracusano A, et al. Abnormal brain lateralization and connectivity in schizophrenia. Rev Neurosci 2009;20:61–70.
- Schmitt A, Hasan A, Gruber O, Falkai P. Schizophrenia as a disorder of disconnectivity. Eur Arch Psychiatry Clin Neurosci 2011;261(Suppl 2):S150–4.
- Stephan KE, Baldeweg T, Friston KJ. Synaptic plasticity and dysconnection in schizophrenia. Biol Psychiatry 2006;59:929–39.
- Di Lorenzo G, Daverio A, Ferrentino F, Santarnecchi E, Ciabattini F, Monaco L, et al. Altered resting-state EEG source functional connectivity in schizophrenia: the effect of illness duration. Front Hum Neurosci 2015;9:234.
- Foucher JR, Vidailhet P, Chanraud S, Gounot D, Grucker D, Pins D, et al. Functional integration in schizophrenia: too little or too much? Preliminary results on fMRI data. Neuroimage 2005;26:374–88.
- Roiser JP, Wigton R, Kilner JM, Mendez MA, Hon N, Friston KJ, et al. Dysconnectivity in the frontoparietal attention network in schizophrenia. Front Psychiatry 2013;4:176.
- Whitfield-Gabrieli S, Thermenos HW, Milanovic S, Tsuang MT, Faraone SV, McCarley RW, et al. Hyperactivity and hyperconnectivity of the default network in schizophrenia and in first-degree relatives of persons with schizophrenia. Proc Natl Acad Sci USA 2009;106:1279–84.
- Barry RJ, Clarke AR, Johnstone SJ. A review of electrophysiology in attention-deficit / hyperactivity disorder: I. Qualitative and quantitative electroencephalography. Clinical Neurophysiology. 2003;14:171–83.
- Thibodeau R, Jorgensen RS, Kim S. Depression, anxiety, and resting frontal EEG asymmetry: a metanalytic review. Journal of abnormal psychology. 2006; 115(4):715–29.
- Bowyer M. S. Coherence a measure of the brain networks: past and present. Bowyer Neuropsychiatric Electrophysiology (2016) 2:1.
- Northoff G, Heinel A, de Greck M, Bermpohl F, Dobrowolny H, Panksepp J. Self-referential processing in our brain-a meta-analysis of imaging studies on the self. NeuroImage 2006;31(1):440-57.
- Van der Meer L, Costafreda S, Aleman A, David AS. Self-refelction and the brain: a theoretical review and meta-analysis of neuroimaging studies with implications for schizophrenia. Neurosci Biobehav Rev 2010;34(6):935-46.
- Fingelkurts AA, Fingelkurts AA. Persistent operational synchrony within brain default-mode network and self-processing operations in healthy subjects. Brain Cogn 2011; 75(2)79-90.
- Kim HA. Dual subsystem model of the brain’s default network: self-referential processing, memory retrieval processes and autobiographical memory retrieval. Neuroimage 2012;61(4):966-77.
- Svoboda E, Mckinnon MC, Levine B. The functional neuroanatomy of autobiographical memory: a meta-analysis. Neuropsychologia 2006;44(12):2189-208.
- Iqbal Z, Birchwood M, Hemsley D, Jackson C, Morris E. Autobiographical memory and post-psychotic depression in first episode psychosis. Br J Clin Psychol 2004;43:97-104.
- Fisher M, McCoy K, Poole JH, Vinogradov S. Self and other in schizophrenia: a cognitive neuroscience perspective. Am J Psychiatry 2008;165(11):1465-72.
- Holt DJ, Cassidy BS, Andrews-Hanna JR, Lee SM, Coombs G, Goff DC, et al. An anterior to posterior shift in midline cortical activity in schizophrenia during self-reflection. Biol Psychiatry 2011; 69(5): 415-23.
- Greicius MD, Krasnow B, Reiss AL, Menon V. Functional connectivity in the resting brain: a network analysis of the default mode hypothesis: Proc Natl Acad Sci USA 2003;2003(1)253-8.
- Li SJ, Li Z, Wu G, Zhang M J, Franczak M, Antuono PG. Alzheimer disease: evaluation of a functional MR imaging index as a marker. Radiology 2002;225(1)253-9.
- Gusnard DA, RAichle ME. Searching for a baseline: functional imaging and the resting human brain. Nat Rev Neurosci 2001; 2:685-94.
- Hlinka J, Alexakis C, Diukova A, Liddle PF, Auer DP. Slow EEG pattern predicts reduced intrinsic functional connectivity in the default mode network: and inter subject analysis. NeuroImage 2010;53(1):239-46.
- Takahashi T, Goto T, Nobukawa S, Tanaka Y, Kikuchi M, Higashima M, Wadab Y. Abnormal functional connectivity of high-frequency rhythms in drug-naïve schizophrenia. Clinical Neurophysiology 129 (2018) 222–231.
- Jalili M, Lavoie S, Deppen P, Meuli R, Do KQ, et al (2007) Dysconnection Topography in Schizophrenia Revealed with State-Space Analysis of EEG. PLoS ONE 2(10): e1059.
- Morrison-Stewart (a2), E. Helmes (a3) and L. Cortese (a4). EEG coherence and syndromes in schizophrenia. Volume 170, Issue 5 May 1997, pp. 411-415.
- Jasper HH. The international “10–20” system of the International Federation. Electroencephalography and Clinical Neurophysiology. 1958;10:371-5.Jasper HH. The international “10–20” system of the International Federation. Electroencep-halography and Clinical Neurophysiology. 1958;10:371-5.
- Kuperberg G, Heckers S. Schizophrenia and cognitive function. CurrOpinNeurobiol. 2000;10(2):205–10.
- Morrison-Stewart SL, Velikonja D, Corning WC, Williamson P. Aberrant interhemispheric alpha coherence on electroencephalography in schizophrenic patients during activation tasks. Psychol Med. 1996 May;26(3):605-12.
- John PJ, Khanna S, Pradhan N &Mukundan CR. EEG alpha coherence and psychopathological dimensions of Schizophrenia. Indian Journal of Psychiatry. 2002;44(2):97-107.
- Bandyopadhyaya D, Nizamie SH, Pradhan N, Bandyopadhyaya A. Spontaneous gamma coherence as a possible trait marker of schizophrenia-An explorative study. Asian J Psychiatr. 2011 Sep;4(3):172-7.
- Morrison-Stewart SL, Williamson PC, Corning WC, Kutcher SP, Merskey H. Coherence on electroencephalography and aberrant functional organisation of the brain in schizophrenic patients during activation tasks. Br J Psychiatry. 1991 Nov;159:636-44.
- Takahashi T, Goto T, Nobukawa S, Tanaka Y, Kikuchi M, Higashima M, Wadab Y. Abnormal functional connectivity of high-frequency rhythms in drug-naïve schizophrenia. Clinical Neurophysiology. 2018; (129): 222–231.
- Merrin EL, Floyd TC. Negative symptoms and EEG alpha in schizophrenia: a replication. Schizophr Res. 1996 May;19(2-3):151-61.
- Ray D, Ram D. Electrophysiological examination of Formal Thought Disorder in Schizophrenia. Asian Journal of Psychiatry. 2012;5(4):327-338.
- Kam JW, Bolbecker AR, O'Donnell BF, Hetrick WP, Brenner CA. Resting state EEG power and coherence abnormalities in bipolar disorder and schizophrenia. J Psychiatr Res. 2013 Dec;47(12):1893-901.
- Yeragani VK, Cashmere D, Miewald J, Tancer M, Keshavan MS. Decreased coherence in higher frequency ranges (beta and gamma) between central and frontal EEG in patients with schizophrenia: A preliminary report. Psychiatry research. 2006; 141(1):53–60.
- Henshall KR, Sergejew AA, Rance G, McKay CM, Copolov DL. Interhemispheric EEG coherence is reduced in auditory cortical regions in schizophrenia patients with auditory hallucinations. International Journal of Psychophysiology. Volume 89, Issue 1, July 2013, Pages 63-7. doi:10.1016/ j.ijpsycho.2013.05.005.
- Winterer G, Egan MF, Rädler T, Hyde T, Coppola R, Weinberger DR. An association between reduced interhemispheric EEG coherence in the temporal lobe and genetic risk for schizophrenia. Schizophr Res. 2001 Apr 15;49(1-2):129-43.
- Gur, Raquel E. Left hemisphere dysfunction and left hemisphere overactivation in schizophrenia. Journal of Abnormal Psychology, 87(2), Apr 1978, 226-238.
- Ellison-Wright I, Bullmore E. Meta-analysis of diffusion tensor imaging studies in schizophrenia. 2009; Schizophr. Res. 108, 3–10. doi:10.1016/j.schres.2008. 11.021
- Merrin EL, Floyd TC, Fein G. EEG coherence in unmedicated schizophrenic patients. Biol Psychiatry. 1989;25(1):60–66.
- Nagase Y, Okubo Y, Matsuura M, Kojima T, Toru M. EEG coherence in unmedicated schizophrenicpatients: topographical study of predominantly never medicated cases. Biological psychiatry.1992; 32(11):1028–34.
- Mann K, Maier W, Franke P, Röschke J, Gänsicke M. Intra- and interhemispheric electroencephalogram coherence in siblings discordant for schizophrenia and healthy volunteers. Biological psychiatry. 1997; 42(8):655–63.
- Wada Y, Nanbu Y, Kikuchi M, Koshino Y, Hashimoto T. Aberrant functional organization inschizophrenia: analysis of EEG coherence during rest and photic stimulation in drug-naïve patients. Neuropsychobiology. 1998 Jan; 38(2):63–9.
Corresponding Author
Ashok Kumar Kumawat
Senior Professor, Department of Physiology, S. M. S. Medical College, Jaipur (Rajasthan)