Reductions in frontal theta synchrony and fronto-parietal theta-gamma coupling may underlie gaze processing abnormalities in bipolar disorder
Objectives: Impaired social cognition in bipolar disorder (BD) is related to functional outcomes. A critical determinant of social cognition is the ability to discriminate the eye gaze direction of others, and its alteration may play a role in functional impairment in BD. However, the neural mechanisms underlying gaze processing in BD are unclear. Because neural oscillations and their communications through inter-region synchronization are crucial neurobiological mechanisms that support cognition, this study aimed to understand their role in gaze processing in BD.Methods: Electroencephalography (EEG) was recorded during a gaze discrimination task for 38 participants with BD and 34 healthy controls (HC). Time-frequency decomposition of EEG data was used to examine: 1) neural oscillatory power at bilateral parietal and midline frontal locations associated with face processing and higher-level cognition, and 2) feedforward and feedback connectivity between sites via theta-gamma phase-amplitude coupling (PAC).Results: Compared to HC, BD showed reduced theta power at the left parietal and midline frontal sites. BD also showed reduced PAC between bilateral parietal and midline frontal sites. Reduced theta power and PAC were related to poorer gaze discrimination task performance across participants.Conclusions: Altered theta power and feedforward/feedback connectivity between face-processing and midline frontal brain areas may underlie abnormal gaze processing in BD.