Chapter 5

Neurophysiological Research in Psychiatry

John H. Gruzelier

John H. Gruzelier

Department of Cognitive Neuroscience and Behaviour, Imperial College of Science, Technology and Medicine, St. Dunstan's Road, London W6 8RF, United Kingdom

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Silvana Galderisi

Silvana Galderisi

Department of Psychiatry, University of Naples SUN, Largo Madonna delle Grazie, 80138 Naples, Italy

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Werner Strik

Werner Strik

University Hospital of Clinical Psychiatry, Bollingenstrasse 111, Berne 60, 3000 Switzerland

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First published: 15 April 2002
Citations: 1

Summary

Linking the working brain with psychological and psychopathological processes requires an understanding of the complex electro-chemical neuronal activation patterns which underpin mental activities dependent on topographical interactions at systems level. This may be achieved by virtue of the fine temporal resolution of neurophysiological methods which assess summed electrical field potentials. The electroencephalogram (EEG) and event-related potential (ERP) methodologies are no longer simply used to exclude organic pathology. Here, evidence is reviewed showing that cognitive ERPs are related to psychiatric subdiagnoses, risk factors, symptom dimensions and prognosis. In addition there is a renaissance in applications and analysis of EEG rhythms including microstates, coherent oscillations, current source analysis, and composite measures of complexity and connectivity between neurophysiological networks, all of which hold promise for the future. Autonomic findings are also documented. The review covers the schizophrenia spectrum, affective disorders, anxiety disorders and dementia.

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