Reduced P300 amplitude is reliably found in individuals with a personal or family history of alcohol problems. However, alcoholism is part of a broader externalizing spectrum that includes other substance use and antisocial disorders. We hypothesized that reduced P300 is an indicator of the common factor that underlies disorders within this spectrum. Community males (N=969) were assessed at age 17 in a visual oddball task. Externalizing was defined as the common factor underlying symptoms of alcohol dependence, drug dependence, nicotine dependence, conduct disorder, and adult antisocial behavior. A robust association was found between reduced P300 amplitude and the externalizing factor, and this relation accounted for links between specific externalizing disorders and P300. Our findings indicate that reduced P300 amplitude is an indicator of the broad neurobiological vulnerability that underlies disorders within the externalizing spectrum.
Descriptors
P300; externalizing; psychopathologyDiagnostic comorbidity studies and behavioral genetic investigations over the past decade have converged on the idea that alcoholism, drug dependence, and antisocial deviance in childhood and later life comprise a spectrum of related disorders. Coincident with these developments, evidence has accumulated that reduced amplitude of the P300 brain potential response, long known to be an indicator of risk for alcohol problems, is associated with other disorders in this spectrum. The current study addressed the following basic question, arising from these existing lines of evidence: Is reduced P300 amplitude an indicator of the general factor that these disorders have in common, rather than of specific disorders within this spectrum?It is well established that reduced amplitude of the P300 component of the event-related potential, a positive brainwave deflection evoked by infrequent, task-relevant events in a stimulus sequence, is associated with alcohol problems and alcoholism risk. 1 This link was first noted in work comparing abstinent alcoholics with controls (Porjesz, Begleiter, & Garozzo, 1980). Subsequent studies revealed that reduced P300 amplitude was associated not just with active symptoms, but also with risk for the development of alcohol problems. For example, children and adolescents with a paternal history of alcoholism show reliably reduced P300 compared with family-negative controls (Begleiter, Porjesz, Bihari, & Kissin, 1984;Elmasian, Neville, Woods, Schuckit, & Bloom, 1982;Hill & Shen, 2002; for review, see Address reprint requests to: Christopher J. Patrick, Department of Psychology, University of Minnesota, Elliott Hall, 75 East River Road, Minneapolis, MN 55455, USA; E-mail: cpatrick@tc.umn.edu. 1 The term P3b is sometimes used for this frequency-sensitive component, to distinguish it from the "P3a" or "novelty P3," maximal at fronto-central sites, which follows the occurrence of an unexpected rare nontarget stimulus (Coles & Rugg, 1995). Unless otherwise specified, "P300" here refers to the P3b compo...