Evidence map›Paper›PMID 39746843›Full record

ArticleAnnals of Indian Academy of Neurology2025

P300 Event-Related Potential: A Surrogate Marker of Cognitive Dysfunction in Parkinson's Disease Patients with Psychosis.

Rajnish Kumar Gupta, Mohit Gothwal, Abhishek Lenka, Nitish Kamble, Ravi Yadav, Shyam Sundar Arumugham, Pramod Kumar Pal, Shantala Hegde

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Article in Annals of Indian Academy of Neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Rajnish Kumar GuptaDepartment of Psychology, Manipal University Jaipur, Jaipur, Rajasthan, India.
Mohit GothwalDepartment of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
Abhishek LenkaDepartment of Neurology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
Nitish KambleDepartment of Neurology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
Ravi YadavDepartment of Neurology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
Shyam Sundar ArumughamDepartment of Psychiatry, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
Pramod Kumar PalDepartment of Neurology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
Shantala HegdeDepartment of Clinical Psychology, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.

Funding

Wellcome Trust
6 · The paper itself

Abstract

BACKGROUND AND

objectivesPsychosis is one of the major neuropsychiatric non-motor symptoms of Parkinson's disease (PD). Prolonged latency and decreased amplitude of the P300 event-related potential (ERP) is a potential neurophysiologic biomarker of deeper neurocognitive deficits in PD. We aimed to characterize electroencephalogram (EEG)/ERP parameters in PD patients with and without psychosis (PDP and PDNP, respectively), and to determine if such measures could act as endophenotypes for PD-associated psychosis (PDP).

methodsWe recruited 40 PD patients (all males), 20 PDP patients and 20 PDNP patients, aged between 39 and 65 years. The cognitive composite scores for attention and working memory were calculated. EEG/ERP recording was carried out following this, with eyes-closed resting-state EEG followed by an auditory oddball P300 task.

resultsThe composite scores for both attention and working memory were significantly higher in the PDNP group compared to the PDP group. The mean reaction time during the oddball task in the PDP group was significantly higher than in the PDNP group. A trend of increased P300 amplitude was observed in the PDNP group compared to the PDP group; however, it was significant at CP4, P8, C4, TP8, T8, CZ, FC4, FT8, FZ, F4, and F8 electrode sites. Power spectral analysis indicated a significant increase in the EEG power of slow-frequency waves (delta, theta) across all the brain regions in the PDP group compared to the PDNP group.

conclusionsOur results demonstrate the association between psychosis and the severity of neurocognitive deficits in PD patients assessed using electrophysiologic measures. P300 may be considered a potential neurophysiologic biomarker of psychosis in PD.

Identifiers

PMID39746843
PMCPMC11892954

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