클리닉소개

THE SEOUL YOUTH CLINIC

연구 및 치료성과

The electroencephalography protocol for the Accelerating Medicines Partnership® Schizophrenia Program: Reliability and stability of measures
Journal
Schizophrenia
Vol
11(1)
Page
85
Author
D.H. Mathalon, S. Nicholas, B.J. Roach, … , M.S. Keshavan, M. Kim, S. Kim, … , S.W. Woods, M.E. Shenton, Accelerating Medicines Partnership® Schizophrenia Program, G.A. Light.
Year
2025
Date
Jun

Individuals at clinical high risk for psychosis (CHR) have variable clinical outcomes and low conversion rates, limiting development

of novel and personalized treatments. Moreover, given risks of antipsychotic drugs, safer effective medications for CHR individuals

are needed. The Accelerating Medicines Partnership® Schizophrenia (AMP® SCZ) Program was launched to address this need. Based

on past CHR and schizophrenia studies, AMP SCZ assessed electroencephalography (EEG)-based event-related potential (ERP),

event-related oscillation (ERO), and resting EEG power spectral density (PSD) measures, including mismatch negativity (MMN),

auditory and visual P300 to target (P3b) and novel (P3a) stimuli, 40-Hz auditory steady state response, and resting EEG PSD for

traditional frequency bands (eyes open/closed). Here, in an interim analysis of AMP SCZ EEG measures, we assess test-retest

reliability and stability over sessions (baseline, month-2 follow-up) in CHR (n = 654) and community control (CON; n = 87)

participants. Reliability was calculated as Generalizability (G)-coefficients, and changes over session were assessed with paired

t-tests. G-coefficients were generally good to excellent in both groups (CHR: mean = 0.72, range = 0.49–0.85; CON: mean = 0.71,

range = 0.44–0.89). Measure magnitudes significantly (p < 0.001) decreased over session (MMN, auditory and visual target P3b,

visual novel P3a, 40-Hz ASSR) and/or over runs within sessions (MMN, auditory/visual novel P3a and target P3b), consistent with

habituation effects. Despite these small systematic habituation effects, test-retest reliabilities of the AMP SCZ EEG-based measures

are sufficiently strong to support their use in CHR studies as potential predictors of clinical outcomes, markers of illness progression,

and/or target engagement or secondary outcome measures in controlled clinical trials.