48. Associations Between Electrophysiological Measures of Selective Attention and Neurocognitive Measures of Working Memory and Attention in Antipsychotic-Naive, First-Episode Schizophrenia Patients

Abstract

Background: Deficits in attention and working memory are already present in early stages of schizophrenia. The P3a and b event related brain potentials (ERPs) are believed to underlie processes of attention and working memory, but, only limited research has been performed on the associations between these psychophysiological and cognitive deficits, particularly in the early stages of schizophrenia. We aimed to investigate associations between P3a and P3b amplitudes and measures of attention and working memory in a large cohort of antipsychotic-naive, first-episode schizophrenia patients (AN-FES) and age and sex-matched healthy controls (HC). Methods: Eighty-three AN-FES patients and 108 HC, matched for age and gender, were assessed for their P3a and b amplitude and latency with the selective attention paradigm from the Copenhagen Psychophysiological Test Battery (CPTB). In addition, the Spatial Working Memory (SWM) and Rapid Visual Information Processing test (RVP) from the Cambridge Neuropsychological Test Automated Battery (CANTAB) were used to assess working memory and attention. Outcome measure for the SWM was Strategy, wherein a low score represents a more effective strategy. For the RVP, we used the A’ measure as outcome. This measure represents how well the participant is able to detect target sequences. Results: P3a and P3b amplitudes were significantly reduced in our AN-FES patients compared to HC. In addition, the P3a peak latency was earlier in the AN-FES patients than in HC, while P3b latency did not differ between the groups. Furthermore, AN-FES patients scored significantly lower on the SWM task and the RVP compared to HC. A positive association was found between RVP and P3b in our total group. However, this effect disappeared when split into the two subgroups. In contrast, SWM was positively associated with P3b in HC, while this effect was neither present in AN-FES nor in the total group. Conclusion: Our results provide evidence for P3a and P3b amplitude reductions as well as neurocognitive deficits in AN-FES patients compared to age and gender matched HC. This supports previous data that electrophysiological and neurocognitive deficits already exist in early stages of schizophrenia, and are not due to use of antipsychotics. Our data support significant yet rather weak associations between P3b amplitude and both working memory and attention, although the association between working memory and P3b was only found in HC and not in AN-FES.