Abstract

Patients with schizophrenia frequently exhibit behavioral abnormalities associated with its pathological symptoms. Therefore, a quantitative evaluation of behavioral dynamics could contribute to objective diagnoses of schizophrenia. However, such an approach has not been fully established because of the absence of quantitative biobehavioral measures. Recently, we studied the dynamical properties of locomotor activity, specifically how resting and active periods are interwoven in daily life. We discovered universal statistical laws (“behavioral organization”) and their alterations in patients with major depressive disorder. In this study, we evaluated behavioral organization of schizophrenic patients (n = 19) and healthy subjects (n = 11) using locomotor activity data, acquired by actigraphy, to investigate whether the laws could provide objective and quantitative measures for a possible diagnosis and assessment of symptoms. Specifically, we evaluated the cumulative distributions of resting and active periods, defined as the periods with physical activity counts successively below and above a predefined threshold, respectively. Here we report alterations in the laws governing resting and active periods; resting periods obeyed a power-law cumulative distribution with significantly lower parameter values (power-law scaling exponents), whereas active periods followed a stretched exponential distribution with significantly lower parameter values (stretching exponents), in patients. Our findings indicate enhanced persistency of both lower and higher locomotor activity periods in patients with schizophrenia, probably reflecting schizophrenic pathophysiology.

Highlights

  • Many psychiatric diseases, including depression and schizophrenia (SCZ), result in behavioral alterations [1]

  • We recently studied the dynamical properties of locomotor activity in both humans and mice and discovered robust and identical statistical laws of behavioral organization, how resting and active periods derived from locomotor activity are interwoven in daily life [18,19]

  • In this study, we investigated the dynamical properties of locomotor activity in SCZ patients and show that their locomotor activity in daily life is well characterized by systematically longer durations of both lower and higher activity levels, indicating their enhanced persistency

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Summary

Introduction

Many psychiatric diseases, including depression and schizophrenia (SCZ), result in behavioral alterations [1]. The diagnostic criteria for SCZ include symptoms related to behavioral abnormalities [1,2], such as disorganized behavior, motor retardation, and catatonic behavior. In addition to these clinical criteria, various behavioral abnormalities have recently been reported, including psychomotor slowing [3] or neurological soft signs [4,5,6]. In addition to the lack of robustness as a result of differences in study conditions, it is still difficult to directly connect the traditional measures to underlying pathophysiology, whereas several studies based on neuroimaging approaches have recently suggested the existence of an association with brain structures or functions [14,15,16,17]

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