Publications by Year: 2020

2020
Salunkhe G, Feige B, Saville CWN, Stefanou ME, Linden D, Bender S, Berger A, Smyrnis N, Biscaldi M, Klein C. Dissociating Slow Responses From Slow Responding. Front. Psychiatry. 2020;11:505800.
Stefanou ME, Dundon NM, Bestelmeyer PEG, Ioannou C, Bender S, Biscaldi M, Smyrnis N, Klein C. Late attentional processes potentially compensate for early perceptual multisensory integration deficits in children with autism: evidence from evoked potentials. [Internet]. 2020;10(1):16157. WebsiteAbstract
Sensory processing deficits and altered long-range connectivity putatively underlie Multisensory Integration (MSI) deficits in Autism Spectrum Disorder (ASD). The present study set out to investigate non-social MSI stimuli and their electrophysiological correlates in young neurotypical adolescents and adolescents with ASD. We report robust MSI effects at behavioural and electrophysiological levels. Both groups demonstrated normal behavioural MSI. However, at the neurophysiological level, the ASD group showed less MSI-related reduction of the visual P100 latency, greater MSI-related slowing of the auditory P200 and an overall temporally delayed and spatially constrained onset of MSI. Given the task design and patient sample, and the age of our participants, we argue that electro-cortical indices of MSI deficits in ASD: (a) can be detected in early-adolescent ASD, (b) occur at early stages of perceptual processing, (c) can possibly be compensated by later attentional processes, (d) thus leading to normal MSI at the behavioural level.
Valakos D, d’Avossa G, Mylonas D, Butler J, Klein C, Smyrnis N. P300 response modulation reflects breaches of non-probabilistic expectations. Scientific Reports [Internet]. 2020;10(1):1-11. Publisher's Version
Seernani D, Ioannou C, Damania K, Spindler K, Hill H, Foulsham T, Smyrnis N, Bender S, Fleischhaker C, Biscaldi M. Studying global processing in autism and attention-deficit/hyperactivity disorder with gaze movements: The example of a copying task. Plos one. 2020;15(6):e0224186.
Hatzimanolis A, Stefanatou P, Kattoulas E, Ralli I, Dimitrakopoulos S, Foteli S, Kosteletos I, Mantonakis L, Selakovic M, Soldatos R-F, et al. Familial and socioeconomic contributions to premorbid functioning in psychosis: Impact on age at onset and treatment response. Eur Psychiatry. 2020:1-31.
Seernani D, Damania K, Ioannou C, Penkalla N, Hill H, Foulsham T, Kingstone A, Anderson N, Boccignone G, Bender S, et al. Visual search in ADHD, ASD and ASD+ ADHD: overlapping or dissociating disorders?. European Child & Adolescent Psychiatry [Internet]. 2020:1-14. Publisher's Version
Fountoulakis KN, Dragioti E, Theofilidis AT, Wiklund T, Atmatzidis X, Nimatoudis I, Thys E, Wampers M, Hranov L, Hristova T, et al. Modeling psychological function in patients with schizophrenia with the PANSS: an international multi-center study. CNS Spectr [Internet]. 2020:1-9. Publisher's VersionAbstract
BACKGROUND.: The aim of the current study was to explore the changing interrelationships among clinical variables through the stages of schizophrenia in order to assemble a comprehensive and meaningful disease model. METHODS.: Twenty-nine centers from 25 countries participated and included 2358 patients aged 37.21 ± 11.87 years with schizophrenia. Multiple linear regression analysis and visual inspection of plots were performed. RESULTS.: The results suggest that with progression stages, there are changing correlations among Positive and Negative Syndrome Scale factors at each stage and each factor correlates with all the others in that particular stage, in which this factor is dominant. This internal structure further supports the validity of an already proposed four stages model, with positive symptoms dominating the first stage, excitement/hostility the second, depression the third, and neurocognitive decline the last stage. CONCLUSIONS.: The current study investigated the mental organization and functioning in patients with schizophrenia in relation to different stages of illness progression. It revealed two distinct "cores" of schizophrenia, the "Positive" and the "Negative," while neurocognitive decline escalates during the later stages. Future research should focus on the therapeutic implications of such a model. Stopping the progress of the illness could demand to stop the succession of stages. This could be achieved not only by both halting the triggering effect of positive and negative symptoms, but also by stopping the sensitization effect on the neural pathways responsible for the development of hostility, excitement, anxiety, and depression as well as the deleterious effect on neural networks responsible for neurocognition.
Stefanou ME, Dundon N, Bestelmeyer P, Koldewyn K, Saville C, Fleischhaker C, Feige B, Biscaldi M, Smyrnis N, Klein C. Electro-cortical correlates of multisensory integration using ecologically valid emotional stimuli. Biological Psychology [Internet]. 2020;142:132-139. Publisher's Version
Kapsali F, Zioga I, Papageorgiou P, Smyrnis N, Chrousos GP, Papageorgiou C. Event-related EEG oscillations in body dysmorphic disorder. Eur J Clin Invest. 2020;50(3):e13208.Abstract
BACKGROUND: Patients with body dysmorphic disorder (BDD) exhibit differential attentional mechanisms compared to healthy subjects. The exact nature of this differentiation is unclear. To this end, EEG (electrophysiological) responses to prepulse inhibition (PPI: reflecting attentional modulation) and prepulse facilitation (PPF: indicating orienting activation) were recorded and analysed. The aim of this study was to compare the respective neural oscillations associated with PPI and PPF in BDD vs healthy controls. MATERIALS AND METHODS: Event-related EEG oscillations elicited by PPI and PPF (26 and 25 trials, respectively, randomly presented) were explored in a sample of patients with BDD (N = 30) vs healthy controls (N = 25). The Yale-Brown Obsessive-Compulsive Scale for BDD (BDD-YBOCS), the Body Dysmorphic Disorder Examination, the Dysmorphic Concern Questionnaire (DCQ) and the Brown Assessment of Belief Scale (BABS) were also administered. RESULTS: Analysis of the power spectrum in response to PPI and PPF revealed that the BDD patient group compared to healthy controls exhibited higher theta-1 oscillations (potentially indicative of disrupted thalamo-cortical activation) and reduced beta-1 oscillations (potentially indicative of reduced top-down-controlled processing during attentional orienting). CONCLUSION: These findings offer novel contributions with regards to the neural mechanisms underlying attention processes in BDD patients, and demonstrate the potential of event-related EEG oscillations as a tool to better understand body dysmorphic disorder.