Evidence map›Paper›PMID 42760537›Full record

ArticleBMC psychiatry2026

Event-related potential correlates of ESS-C-defined relapse-risk status in clinically stable patients with schizophrenia: a cross-sectional study.

Yang Feng, Junhui Dong, Minle Lu, Na Zhang, Huizhen Huang, Shuxin Zhang, Dandan Mao, Yuqiu Zhou

Abstract read
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Article in BMC psychiatry, 2026. 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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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Yang Feng *Department of Ningbo, Municipal Hospital of Traditional Chinese Medicine (TCM), Affiliated Hospital of Zhejiang Chinese Medical University, Ningbo, Zhejiang, China.
Junhui Dong *Department of Nursing and Medicine, Huzhou University, Huzhou, Zhejiang, China.
Minle LuDepartment of Nursing and Medicine, Huzhou University, Huzhou, Zhejiang, China.
Na ZhangDepartment of Huzhou Third People's Hospital, Huzhou, Zhejiang, China.
Huizhen HuangDepartment of Nursing and Medicine, Huzhou University, Huzhou, Zhejiang, China.
Shuxin ZhangDepartment of Nursing and Medicine, Huzhou University, Huzhou, Zhejiang, China.
Dandan MaoDepartment of Ningbo, Municipal Hospital of Traditional Chinese Medicine (TCM), Affiliated Hospital of Zhejiang Chinese Medical University, Ningbo, Zhejiang, China. maoddan@163.com.
Yuqiu ZhouDepartment of Nursing and Medicine, Huzhou University, Huzhou, Zhejiang, China. hlxzhyq@163.com.

Funding

The Huzhou Science and Technology Bureau Project 2025GYB65
6 · The paper itself

Abstract

backgroundSchizophrenia (SCZ) is associated with a high relapse rate, but objective electrophysiological correlates of relapse-related clinical vulnerability remain insufficiently understood. Event-related potential (ERP) components, such as P3 and N2, have been widely investigated as markers of cognitive dysfunction in SCZ. However, relatively few studies have examined ERP characteristics in clinically stable patients stratified according to early warning signs of relapse. The present study investigated ERP characteristics in clinically stable patients with SCZ classified according to the Early Signs Scale-Chinese version (ESS-C), aiming to explore whether ERP components are associated with ESS-C-defined relapse-risk status.

methodsA cross-sectional study design was adopted. A total of 70 patients with SCZ and 35 healthy controls (HCs) were initially recruited. After electroencephalography (EEG) preprocessing, 90 participants were included in the final analysis, comprising 30 HCs, 30 patients in the non-relapse-risk group (NR), and 30 patients in the relapse-risk group (RR). Patients with SCZ were classified into the NR and RR groups according to the ESS-C cutoff. ERP data were recorded using a three-stimulus visual oddball paradigm. The amplitudes and latencies of N2 at Cz and P3 at CPz were extracted, and their associations with negative symptoms were analyzed.

resultsA significant overall group effect was observed for P3 amplitude (F = 9.914, P < 0.001), with Bonferroni-corrected post hoc comparisons showing significantly higher P3 amplitude in the RR group than in the HC group (P < 0.001), while the NR group showed intermediate values. Sensitivity analysis restricted to patients with SCZ showed that ESS-C-defined relapse-risk status was significantly associated with P3 amplitude after adjustment for available clinical variables. N2 amplitude was positively correlated with negative symptom severity (r = 0.278, P < 0.05).

conclusionsClinically stable patients with SCZ still exhibit abnormal neural information processing. P3 amplitude may be associated with ESS-C-defined relapse-risk status in clinically stable SCZ, whereas N2 may be related to negative symptom severity. These findings provide preliminary evidence that ERP components may be associated with relapse-risk status in clinically stable SCZ. CLINICAL TRIAL NUMBER: NA.

Indexed as

Evoked PotentialsSchizophreniaAdultCross-Sectional StudiesElectroencephalographyFemaleHumansMaleRecurrenceYoung AdultEvent-related potentialsN2P3RecurrenceSchizophrenia

Identifiers

PMID42760537
PMCPMC13587432

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