Schizophrenics with small P300: a subgroup with a neurodevelopmental disturbance and a high risk for tardive dyskinesia?

Acta Psychiatr Scand. 1995 Feb;91(2):120-5. doi: 10.1111/j.1600-0447.1995.tb09751.x.

Abstract

Schizophrenics with a neurodevelopmental disturbance resulting in micro- and macroanatomical cortical abnormalities are supposed to form a subgroup clinically characterized by low premorbid adjustment, early onset, incomplete remission, poor outcome, male predominance and high risk for tardive dyskinesia. A small amplitude of the event-related P3 (P300) potential could be a marker of this subgroup, because the cortical neurons and their orderly laminar arrangement are crucial for the electrogenesis of P3. In a 2-year follow-up study, auditory evoked P3 was recorded in 89 stabilized schizophrenic outpatients. Patients who developed tardive dyskinesia during the follow-up had smaller P3 than matched controls. Furthermore, a small P3 was associated with low premorbid adjustment, pronounced residual symptoms, low relapse rate, and male predominance. These findings indicate that schizophrenic patients with a reduced P3 have a higher risk of developing tardive dyskinesia and correspond clinically to a schizophrenic subgroup with a supposedly neurodevelopmental disturbance.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Age of Onset
  • Biperiden / adverse effects*
  • Biperiden / therapeutic use*
  • Clozapine / adverse effects*
  • Clozapine / therapeutic use*
  • Dyskinesia, Drug-Induced / etiology*
  • Evoked Potentials*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Perazine / adverse effects*
  • Perazine / therapeutic use*
  • Schizophrenia / drug therapy*
  • Schizophrenia / physiopathology
  • Severity of Illness Index
  • Sex Factors

Substances

  • Biperiden
  • Perazine
  • Clozapine