Altered electroencephalography (EEG) activity in schizotypal individuals is a powerful indicator of proneness towards psychosis. This alteration is beyond decreased alpha power often measured in resting state EEG. Multiscale fluctuation dispersion entropy (MFDE) measures the non-linear complexity of the fluctuations of EEGs and is a more effective approach compared to the traditional linear power spectral density (PSD) measures of EEG activity in patients with neurodegenerative disorders. In this study, we applied MFDE to EEG signals to distinguish high schizotypy (HS) and low schizotypy (LS) individuals. The study includes several trials from 29 participants psychometrically classified as HS (n=19) and LS (n=10). After preprocessing, MFDE was computed in frontal, parietal, central, temporal and occipital regions for each participant at multiple time scales. Statistical analysis and machine learning algorithms were used to calculate the differences in MFDE measures between the HS and LS groups. Our findings revealed significant differences in MFDE measures between LS and HS individuals in the delta frequency band (at time scale 100 ms). HS individuals exhibited increased complexity and irregularity compared to LS individuals in the delta frequency band particularly in the occipital region. Furthermore, the MFDE measures resulted in high accuracy (96.55%) in discriminating between HS and LS individuals and outperformed the models based on power spectrum, demonstrating the potential of MFDE as a neurophysiological marker for schizotypy traits. The increased non-linear fluctuation in delta frequency band in the occipital region of HS individuals implies the changes in cognitive functions, such as memory and attention, and has significant potential as a biomarker for schizotypy and proneness towards psychosis.
INDEX TERMSSchizotypy, EEG, Nonlinear analysis, Complexity, Multiscale fluctuation dispersion entropy. I. INTRODUCTION S CHIZOTYPY is a mild stage of psychosis consisting of three dimensions, namely positive syndrome (paranormal beliefs, delusional beliefs, hearing voices, magical thinking and near-death experiences), negative syndrome (social and physical anhedonia) and disorganisation (illogical thinking and speech, poor concentration and memory) [1]-[4]. Disorganisation also consists of poor selective attention and anxiety in social interaction [5]-[7]. These traits are common in the general population [8], [9]. Schizotypy de-notes psychosis-like experiences but remains latent in the sub-clinical population [2]. Thus, studying schizotypy is important for understanding the risk factors for subsequent onset of schizophrenia (or other spectrum disorders). Electroencephalography (EEG) is a non-invasive and inexpensive neuroimaging technique and it provides reliable indicators for proneness towards psychosis [10], [11]. Several studies have identified altered resting-state EEG activity in schizotypal individuals [11]-[15]. Fuggetta et al. [11] observed higher alpha oscillation in the parieto-occipital brain VOLUM...