Evidence map›Paper›PMID 39248267›Full record

ArticleSchizophrenia bulletin2025

EEG-based Signatures of Schizophrenia, Depression, and Aberrant Aging: A Supervised Machine Learning Investigation.

Elif Sarisik, David Popovic, Daniel Keeser, Adyasha Khuntia, Kolja Schiltz, Peter Falkai, Oliver Pogarell, Nikolaos Koutsouleris

Abstract read
In one paragraph

Article in Schizophrenia bulletin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Elif SarisikMax Planck Fellow Group Precision Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany.ORCID 0000-0003-3736-2462
David PopovicMax Planck Fellow Group Precision Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany.ORCID 0000-0002-2367-9437
Daniel KeeserDepartment of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0002-0244-1024
Adyasha KhuntiaDepartment of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, Germany.ORCID 0009-0007-9297-5997
Kolja SchiltzMax Planck Fellow Group Precision Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany.ORCID 0000-0003-3788-3241
Peter FalkaiMax Planck Fellow Group Precision Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany.ORCID 0000-0003-2873-8667
Oliver PogarellMax Planck Fellow Group Precision Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany.ORCID 0000-0001-6455-4190
Nikolaos KoutsoulerisMax Planck Fellow Group Precision Psychiatry, Max Planck Institute of Psychiatry, Munich, Germany.ORCID 0000-0001-6825-6262

Funding

ProNET: Psychosis-Risk Outcomes NetworkU01MH124639 · NIMH · YALE UNIVERSITY · PI CARRIE E BEARDEN, JOHN M KANE · 2020 to 2026
$81.2M
EKFS-Translational PsychiatryElse-Kröner-Fresenius-StiftungGerman Federal Ministry of Education and ResearchGerman Federal Ministry of Education and Research 01ZX1904EGerman Innovation FundGerman Ministry of HealthGerman Ministry of ScienceGerman Science FoundationNIH HHS U01MH124639-01NIMH NIH HHS U01 MH124639
6 · The paper itself

Abstract

backgroundElectroencephalography (EEG) is a noninvasive, cost-effective, and robust tool, which directly measures in vivo neuronal mass activity with high temporal resolution. Combined with state-of-the-art machine learning (ML) techniques, EEG recordings could potentially yield in silico biomarkers of severe mental disorders. HYPOTHESIS: Pathological and physiological aging processes influence the electrophysiological signatures of schizophrenia (SCZ) and major depressive disorder (MDD). STUDY

designFrom a single-center cohort (N = 735, 51.6% male) comprising healthy control individuals (HC, N = 245) and inpatients suffering from SCZ (N = 250) or MDD (N = 240), we acquired resting-state 19 channel-EEG recordings. Using repeated nested cross-validation, support vector machine models were trained to (1) classify patients with SCZ or MDD and HC individuals and (2) predict age in HC individuals. The age model was applied to patient groups to calculate Electrophysiological Age Gap Estimation (EphysAGE) as the difference between predicted and chronological age. The links between EphysAGE, diagnosis, and medication were then further explored. STUDY

resultsThe classification models robustly discriminated SCZ from HC (balanced accuracy, BAC = 72.7%, P < .001), MDD from HC (BAC = 67.0%, P < .001), and SCZ from MDD individuals (BAC = 63.2%, P < .001). Notably, central alpha (8-11 Hz) power decrease was the most consistently predictive feature for SCZ and MDD. Higher EphysAGE was associated with an increased likelihood of being misclassified as SCZ in HC and MDD (ρHC = 0.23, P < .001; ρMDD = 0.17, P = .01).

conclusionsML models can extract electrophysiological signatures of MDD and SCZ for potential clinical use. However, the impact of aging processes on diagnostic separability calls for timely application of such models, possibly in early recognition settings.

Indexed as

AgingElectroencephalographyMajor Depressive DisorderSchizophreniaSupervised Machine LearningSupport Vector MachineAdultAgedFemaleHumansMaleMiddle AgedYoung Adultaffective disordersearly interventionelectrophysiologyprecision psychiatrypsychosis spectrum disorderssupport vector machine

Identifiers

PMID39248267
PMCPMC12061654

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.