Evidence map›Paper›PMID 40691442›Full record

ArticleSchizophrenia (Heidelberg, Germany)2025

Enhanced theta oscillations in the left temporoparietal region associated with refractory positive symptoms in schizophrenia.

Xiaojuan Wang, Sitong Chen, Jie Li, Ying Gao, Shaobing Li, Meijuan Li, Xiaoya Liu, Shuang Liu, Dong Ming

Abstract read
In one paragraph

Article in Schizophrenia (Heidelberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Xiaojuan WangAcademy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin, PR China.ORCID http://orcid.org/0000-0001-9465-9145
Sitong ChenAcademy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin, PR China.
Jie LiInstitute of Mental Health, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, PR China. jieli@tjmhc.com.ORCID http://orcid.org/0000-0001-5408-8413
Ying GaoInstitute of Mental Health, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, PR China.
Shaobing LiInstitute of Mental Health, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, PR China.
Meijuan LiInstitute of Mental Health, Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin, PR China.
Xiaoya LiuAcademy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin, PR China.
Shuang LiuAcademy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin, PR China. shuangliu@tju.edu.cn.
Dong MingAcademy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin, PR China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Positive symptoms are a prominent feature of schizophrenia. Despite antipsychotic treatment, ~30% of patients develop refractory positive symptoms (RPSs). Current research fails to elucidate the potential neurophysiological mechanisms underlying RPSs, thereby hindering the development of additional treatments. This study, which included 37 patients with RPSs and 40 with non-refractory positive symptoms (NRPSs), aimed to explore their underlying neural mechanisms. Outcome measures were relative power spectrum density and interregional synchronization across frequency bands and theta-gamma phase-amplitude coupling (θ-γ PAC). The single-frequency analysis indicated that RPSs exhibited elevated theta power and reduced lateralization in the left temporal lobe and temporo-parietal junction, along with enhanced functional connectivity in the left frontocentral region. The cross-frequency analysis revealed that RPSs exhibited slightly higher θ-γ coupling at the left temporo-parietal junction compared to NRPSs. Correlation analysis revealed significant associations among theta power, the lateralization index, functional connectivity, and the severity of positive symptoms. The aberrant activation of the theta rhythm in the left temporo-parietal region may lead to increased functional asymmetry in the brain, impeding interregional and inter-frequency information transmission and thus significantly impairing the normal processing of auditory information. These findings offer potential insights into the neurophysiological basis of positive symptoms in schizophrenia and may inform future clinical interventions.

Identifiers

PMID40691442
PMCPMC12280195

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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.