Evidence map›Paper›PMID 42239758›Full record

ArticleResearch square2026

Volume and Tempo: Cortical Excitability and Trial-to-Trial Consistency of Auditory Responses Distinguish Psychosis Biotypes.

John Greco, David Parker, Elena Ivleva, Godfrey Pearlson, Sarah Keedy, Matcheri S Keshavan, Elliot Gershon, Carol Tamminga, Scot Hill, Jennifer McDowell and 1 more

Abstract readPreprint
In one paragraph

Article in Research square, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

John GrecoUniversity of Georgia.ORCID 0009-0005-4757-6132
David Parker
Elena IvlevaUniversity of Texas Southwestern Medical Center.
Godfrey PearlsonDepartment of Psychiatry, Yale University.
Sarah KeedyUniversity of Chicago.ORCID 0000-0002-2139-9271
Matcheri S KeshavanHarvard Medical School.ORCID 0000-0002-5945-888X
Elliot GershonThe University of Chicago.ORCID 0000-0003-4818-8631
Carol TammingaUniversity of Texas southwestern medical center.ORCID 0000-0002-6366-5697
Scot HillRosalind Franklin University of Medicine and Science.
Jennifer McDowell
Brett ClementzUniversity of Georgia.ORCID 0000-0002-2563-9594

Funding

5/5 BIPOLAR-SCHIZOPHRENIA NETWORK FOR INTERMEDIATE PHENOTYPES (B-SNIP) - Resubmission - 1R01MH103366 · NIMH · UNIVERSITY OF GEORGIA · PI CLEMENTZ, BRETT A, GIBBONS, ROBERT D · 2015 to 2019
$3.8M
3/5 Selective Antipsychotic Response to Clozapine in B-SNIP Biotype-1 (CLOZAPINE)R01MH124802 · NIMH · YALE UNIVERSITY · PI PEARLSON, GODFREY D · 2021 to 2025
$1.8M
5/5: Selective Antipsychotic Response to Clozapine in B-SNIP Biotype-1 (CLOZAPINE)R01MH124803 · NIMH · UNIVERSITY OF GEORGIA · PI CLEMENTZ, BRETT A · 2021 to 2025
$1.6M
5/5 - Biomarkers/Biotypes, Course of Early Psychosis and Specialty Services (BICEPS)R01MH127172 · NIMH · UNIVERSITY OF GEORGIA · PI BRETT A CLEMENTZ · 2022 to 2026
$1.4M
Identification of distributed neural sources of the auditory steady-state response in psychosis BiotypesR21MH126398 · NIMH · UNIVERSITY OF GEORGIA · PI CLEMENTZ, BRETT A · 2022 to 2023
$415k
1/2: B-SNIP: Algorithmic Diagnostics for Efficient Prescription of Treatments (ADEPT)R01MH124806 · NIMH · UNIVERSITY OF GEORGIA · PI CLEMENTZ, BRETT A · 2021 to 2021
$302k
4/4-Psychosis and Affective Research Domains and Intermediate Phenotypes (PARDIP)R01MH096900 · NIMH · UNIVERSITY OF GEORGIA · PI CLEMENTZ, BRETT A · 2013 to 2015
$223k
NIMH NIH HHS R01 MH096900NIMH NIH HHS R01 MH103366NIMH NIH HHS R01 MH124802NIMH NIH HHS R01 MH124803NIMH NIH HHS R01 MH124806NIMH NIH HHS R01 MH127172NIMH NIH HHS R21 MH126398
6 · The paper itself

Abstract

ERPs average neural responses to stimuli across trials. This accentuates consistent activity over time but obscures differences in response strength and phase consistency from trial to trial. The Bipolar-Schizophrenia Network for Intermediate Phenotypes (B-SNIP) identified three transdiagnostic psychosis Biotypes (BT1, BT2, BT3) that differ in cortical excitability and temporal coherence of neural responses. Single-trial power (STP) and inter-trial coherence (ITC) were measured across 3-55 Hz in auditory paired-stimuli and oddball tasks using a large multi-site cohort (n = 2 373). One-way ANOVAs over a continuous time-frequency epoch with FDR and cluster correction identified group differences, resulting in 15 significant STP and ITC features. Linear discriminant analysis of these features identified the dimensions that maximally separated Biotypes. The STP differences covered the entire trial epoch, showing the strongest alterations in the beta band (18-32 Hz), graded BT2 > > BT3 > HC > > BT1. The ITC differences were seen at specific time points primarily in low-frequency bands (3-17 Hz), graded HC > BT3 > BT1 > BT2. These dimensions were orthogonal and did not mirror ERP amplitudes across Biotypes. Biotypes were better distinguished by STP and ITC (Euclidean distances 0.9-2.2) than by DSM diagnosis (0.10-0.45). DSM groups alone did not benefit from this breakdown. Cortical excitability and phase precision are unique neurophysiological targets for the etiological investigation of psychosis Biotypes, which traditional ERP averaging obscures.

Identifiers

PMID42239758
PMCPMC13228805

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.