Submitted:
05 February 2026
Posted:
06 February 2026
You are already at the latest version
Abstract
Keywords:
1. Introduction
1.1. Methodological Frameworks in EEG-Based SZ Classification
1.2. Key Limitations in Existing EEG–ML Studies
1.3. The Present Study
2. Materials and Methods
2.1. EEG Data-Sets and Preprocessing
2.1.1. ICA and ATAR
2.2. Feature Extraction
2.2.1. Time Domain Features
- a)
- Sum of Absolute Differences (SAD):
- b)
- Root Mean Square (RMS):
- c)
- Hjorth Parameters (Activity, Mobility, and Complexity):
2.2.2. Frequency Domain Features
2.2.3. Entropy Features
2.3. Feature Selection
2.4. Classification Models and Evaluation Protocol
2.4.1. Baseline Models and Conditional Hyperparameter Optimization
2.4.2. Ensemble Learning via Voting and Stacking
2.4.3. Feature Bagging and Data Resampling Ensembles
- a)
- Diverse Feature Bagging
- b)
- Segmented Data Bagging
2.4.4. Evaluation Protocol
3. Results
3.1. Performance on Dataset 1 (Primary Dataset)
3.2. Performance on Dataset 2 (Independent Validation Dataset)
4. Discussion
4.1. Algorithmic Contributions: Tunable Preprocessing, Feature Intelligence, and Ensemble Design
4.2. Stable Classification Under Data and Resource Constraints
4.3. Interpretability, Reliability, and Translational Neurocomputing Impact
4.4. Limitations and Future Directions
5. Conclusions
Author Contributions
Funding
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
| ADHD | Attention-Deficit/Hyperactivity Disorder |
| AdaBoost | Adaptive Boosting |
| ANN | Artificial Neural Network |
| ATAR | Automatic and Tunable Artifact Removal |
| AUC | Area Under the Curve |
| BH | Black Hole (optimization algorithm) |
| BSS | Blind Source Separation |
| BT | Boosted Tree |
| CGP17Pat | Cartesian Genetic Programming 17 Pattern |
| CNN | Convolutional Neural Network |
| CV | Cross-Validation |
| DFA | Detrended Fluctuation Analysis |
| DL | Deep Learning |
| DT | Decision Tree |
| EDF | European Data Format |
| EEG | Electroencephalography |
| ERP | Event-Related Potential |
| FFT | Fast Fourier Transform |
| FIR | Finite Impulse Response |
| F-LSSVM | Flexible Least Squares Support Vector Machine |
| F-TQWT | Flexible Tunable Q Wavelet Transform |
| GWO | Grey Wolf Optimization |
| HA | Hjorth Activity |
| HC | Hjorth Complexity |
| HM | Hjorth Mobility |
| ICA | Independent Component Analysis |
| ICD-10 | International Classification of Diseases, 10th Revision |
| INCA | Iterative Neighborhood Component Analysis |
| IPN | Institute of Psychiatry and Neurology |
| KNN | k-Nearest Neighbors |
| LDA | Linear Discriminant Analysis |
| LNNCI | Laboratory for Neurophysiology and Neuro-Computer Interfaces |
| LOO | Leave-One-Out |
| LOSO | Leave-One-Subject-Out |
| LSTM | Long Short-Term Memory |
| MI | Mutual Information |
| ML | Machine Learning |
| MLP | Multilayer Perceptron |
| MHRC | Mental Health Research Center |
| MNE | Minimum Norm Estimation (Python library) |
| MRMR | Minimum Redundancy Maximum Relevance |
| NB | Naive Bayes |
| PLV | Phase-Locking Value |
| PNN | Probabilistic Neural Network |
| PSD | Power Spectral Density |
| RBF | Radial Basis Function |
| RF | Random Forest |
| RFE | Recursive Feature Elimination |
| RMS | Root Mean Square |
| RNN | Recurrent Neural Network |
| ROC | Receiver Operating Characteristic |
| RVMD | Robust Variational Mode Decomposition |
| SAMME.R | Stagewise Additive Modeling using a Multiclass Exponential Loss Function |
| SLBP | Symmetrically Weighted Local Binary Patterns |
| SpKit | Signal Processing Toolkit |
| SVM | Support Vector Machine |
| SZ (SCZ) | Schizophrenia |
| θ | Theta Frequency Band |
| α | Alpha Frequency Band |
| β | Beta Frequency Band |
| δ | Delta Frequency Band |
References
- Van Os, J.; Kapur, S. Schizophrenia. The Lancet 2009, 374, 635–645. [Google Scholar] [CrossRef]
- Teixeira, F.L.; Costa, M.R.E.; Abreu, J.P.; Cabral, M.; Soares, S.P.; Teixeira, J.P. A Narrative Review of Speech and EEG Features for Schizophrenia Detection: Progress and Challenges. Bioeng. Basel Switz. 2023, 10. [Google Scholar] [CrossRef]
- Mangelinckx, C.; Belge, J.B.; Maurage, P.; Constant, E. Impaired Facial and Vocal Emotion Decoding in Schizophrenia Is Underpinned by Basic Perceptivo-Motor Deficits. Cognit. Neuropsychiatry 2017, 22, 461–467. [Google Scholar] [CrossRef]
- Lin, Y.; Li, C.; Hu, R.; Zhou, L.; Ding, H.; Fan, Q.; Zhang, Y. Impaired Emotion Perception in Schizophrenia Shows Sex Differences with Channel- and Category-Specific Effects: A Pilot Study. J. Psychiatr. Res. 2023, 161, 150–157. [Google Scholar] [CrossRef] [PubMed]
- Lin, Y.; Li, C.; Wang, X.; Song, Y.; Ding, H.; Fan, Q.; Zhang, Y. Channel- and Category-Specific Emotion Recognition Deficits and Their Associations with Symptomatology and Cognition in Individuals with Schizophrenia. Schizophr. Res. 2023, 254, 37–39. [Google Scholar] [CrossRef]
- Ding, H.; Zhang, Y. Speech Prosody in Mental Disorders. Annu. Rev. Linguist. 2023, 9, 335–355. [Google Scholar] [CrossRef]
- Lin, Y.; Ding, H.; Zhang, Y. Emotional Prosody Processing in Schizophrenic Patients: A Selective Review and Meta-Analysis. J. Clin. Med. 2018, 7, 363. [Google Scholar] [CrossRef] [PubMed]
- Murashko, A.A.; Shmukler, A. EEG Correlates of Face Recognition in Patients with Schizophrenia Spectrum Disorders: A Systematic Review. Clin. Neurophysiol. 2019, 130, 986–996. [Google Scholar] [CrossRef]
- Boutros, N.N.; Arfken, C.; Galderisi, S.; Warrick, J.; Pratt, G.; Iacono, W. The Status of Spectral EEG Abnormality as a Diagnostic Test for Schizophrenia. Schizophr. Res. 2008, 99, 225–237. [Google Scholar] [CrossRef]
- Domingos, C.; Więcławski, W.; Frycz, S.; Wojcik, M.; Jáni, M.; Dudzińska, O.; Adamczyk, P.; Ros, T. Functional Connectivity in Chronic Schizophrenia: An EEG Resting-State Study with Corrected Imaginary Phase-Locking. Brain Behav. 2025, 15, e70370. [Google Scholar] [CrossRef]
- Chen, H.; Lei, Y.; Li, R.; Xia, X.; Cui, N.; Chen, X.; Liu, J.; Tang, H.; Zhou, J.; Huang, Y.; et al. Resting-State EEG Dynamic Functional Connectivity Distinguishes Non-Psychotic Major Depression, Psychotic Major Depression and Schizophrenia. Mol. Psychiatry 2024. [Google Scholar] [CrossRef] [PubMed]
- van der Stelt, O.; Belger, A. Application of Electroencephalography to the Study of Cognitive and Brain Functions in Schizophrenia. Schizophr. Bull. 2007, 33, 955–970. [Google Scholar] [CrossRef]
- Sengoku, A.; Takagi, S. Electroencephalographic Findings in Functional Psychoses: State or Trait Indicators? Psychiatry Clin. Neurosci. 1998, 52, 375–381. [Google Scholar] [CrossRef] [PubMed]
- Rahul, J.; Sharma, D.; Sharma, L.D.; Nanda, U.; Sarkar, A.K. A Systematic Review of EEG Based Automated Schizophrenia Classification through Machine Learning and Deep Learning. Front. Hum. Neurosci. 2024, 18, 1347082. [Google Scholar] [CrossRef]
- Ravan, M.; Noroozi, A.; Sanchez, M.M.; Borden, L.; Alam, N.; Flor-Henry, P.; Colic, S.; Khodayari-Rostamabad, A.; Minuzzi, L.; Hasey, G. Diagnostic Deep Learning Algorithms That Use Resting EEG to Distinguish Major Depressive Disorder, Bipolar Disorder, and Schizophrenia from Each Other and from Healthy Volunteers. J. Affect. Disord. 2024, 346, 285–298. [Google Scholar] [CrossRef]
- Guo, Z.; Wang, J.; Jing, T.; Fu, L. Investigating the Interpretability of Schizophrenia EEG Mechanism through a 3DCNN-Based Hidden Layer Features Aggregation Framework. Comput. Methods Programs Biomed. 2024, 247, 108105. [Google Scholar] [CrossRef]
- Parsa, M.; Rad, H.Y.; Vaezi, H.; Hossein-Zadeh, G.-A.; Setarehdan, S.K.; Rostami, R.; Rostami, H.; Vahabie, A.-H. EEG-Based Classification of Individuals with Neuropsychiatric Disorders Using Deep Neural Networks: A Systematic Review of Current Status and Future Directions. Comput. Methods Programs Biomed. 2023, 240, 107683. [Google Scholar] [CrossRef] [PubMed]
- Kose, M.R.; Ahirwal, M.K.; Atulkar, M. Weighted Ordinal Connection Based Functional Network Classification for Schizophrenia Disease Detection Using EEG Signal. Phys. Eng. Sci. Med. 2023, 46, 1055–1070. [Google Scholar] [CrossRef]
- Lin, P.; Zhu, G.; Xu, X.; Wang, Z.; Li, X.; Li, B. Brain Network Analysis of Working Memory in Schizophrenia Based on Multi Graph Attention Network. Brain Res. 2024, 1831, 148816. [Google Scholar] [CrossRef]
- Li, F.; Wang, G.; Jiang, L.; Yao, D.; Xu, P.; Ma, X.; Dong, D.; He, B. Disease-Specific Resting-State EEG Network Variations in Schizophrenia Revealed by the Contrastive Machine Learning. Brain Res. Bull. 2023, 202, 110744. [Google Scholar] [CrossRef]
- Baygin, M.; Barua, P.D.; Chakraborty, S.; Tuncer, I.; Dogan, S.; Palmer, E.; Tuncer, T.; Kamath, A.P.; Ciaccio, E.J.; Acharya, U.R. CCPNet136: Automated Detection of Schizophrenia Using Carbon Chain Pattern and Iterative TQWT Technique with EEG Signals. Physiol. Meas. 2023, 44. [Google Scholar] [CrossRef] [PubMed]
- Diykh, M.; Li, Y.; Wen, P. EEG Sleep Stages Classification Based on Time Domain Features and Structural Graph Similarity. IEEE Trans. Neural Syst. Rehabil. Eng. 2016, 24, 1159–1168. [Google Scholar] [CrossRef]
- Wang, B.; Otten, L.J.; Schulze, K.; Afrah, H.; Varney, L.; Cotic, M.; Saadullah Khani, N.; Linden, J.F.; Kuchenbaecker, K.; McQuillin, A.; et al. Is Auditory Processing Measured by the N100 an Endophenotype for Psychosis? A Family Study and a Meta-Analysis. Psychol. Med. 2024, 54, 1559–1572. [Google Scholar] [CrossRef] [PubMed]
- Hamilton, H.K.; Mathalon, D.H.; Ford, J.M. P300 in Schizophrenia: Then and Now. Biol. Psychol. 2024, 187, 108757. [Google Scholar] [CrossRef] [PubMed]
- Faust, O.; Acharya, U.R.; Min, L.C.; Sputh, B.H.C. AUTOMATIC IDENTIFICATION OF EPILEPTIC AND BACKGROUND EEG SIGNALS USING FREQUENCY DOMAIN PARAMETERS. Int. J. Neural Syst. 2010, 20, 159–176. [Google Scholar] [CrossRef]
- Jia, Y.; Jariwala, N.; Hinkley, L.B.N.; Nagarajan, S.; Subramaniam, K. Abnormal Resting-State Functional Connectivity Underlies Cognitive and Clinical Symptoms in Patients with Schizophrenia. Front. Hum. Neurosci. 2023, 17, 1077923. [Google Scholar] [CrossRef]
- Cao, Y.; Han, C.; Peng, X.; Su, Z.; Liu, G.; Xie, Y.; Zhang, Y.; Liu, J.; Zhang, P.; Dong, W.; et al. Correlation Between Resting Theta Power and Cognitive Performance in Patients With Schizophrenia. Front. Hum. Neurosci. 2022, 16, 853994. [Google Scholar] [CrossRef]
- Madhavan, S.; Tripathy, R.K.; Pachori, R.B. Time-Frequency Domain Deep Convolutional Neural Network for the Classification of Focal and Non-Focal EEG Signals. IEEE Sens. J. 2020, 20, 3078–3086. [Google Scholar] [CrossRef]
- Khare, S.K.; Bajaj, V.; Acharya, U.R. SchizoNET: A Robust and Accurate Margenau–Hill Time-Frequency Distribution Based Deep Neural Network Model for Schizophrenia Detection Using EEG Signals. Physiol. Meas. 2023, 44, 035005. [Google Scholar] [CrossRef]
- Xu, X.; Zhu, G.; Li, B.; Lin, P.; Li, X.; Wang, Z. Automated Diagnosis of Schizophrenia Based on Spatial–Temporal Residual Graph Convolutional Network. Biomed. Eng. OnLine 2024, 23, 55. [Google Scholar] [CrossRef]
- Zhao, Z.; Li, J.; Niu, Y.; Wang, C.; Zhao, J.; Yuan, Q.; Ren, Q.; Xu, Y.; Yu, Y. Classification of Schizophrenia by Combination of Brain Effective and Functional Connectivity. Front. Neurosci. 2021, 15, 651439. [Google Scholar] [CrossRef]
- Olejarczyk, E.; Jernajczyk, W. Graph-Based Analysis of Brain Connectivity in Schizophrenia. PLOS ONE 2017, 12, e0188629. [Google Scholar] [CrossRef]
- Gajic, D.; Djurovic, Z.; Gligorijevic, J.; Di Gennaro, S.; Savic-Gajic, I. Detection of Epileptiform Activity in EEG Signals Based on Time-Frequency and Non-Linear Analysis. Front. Comput. Neurosci. 2015, 9. [Google Scholar] [CrossRef]
- Shoeibi, A.; Sadeghi, D.; Moridian, P.; Ghassemi, N.; Heras, J.; Alizadehsani, R.; Khadem, A.; Kong, Y.; Nahavandi, S.; Zhang, Y.-D.; et al. Automatic Diagnosis of Schizophrenia in EEG Signals Using CNN-LSTM Models. Front. Neuroinformatics 2021, 15, 777977. [Google Scholar] [CrossRef]
- Keihani, A.; Sajadi, S.S.; Hasani, M.; Ferrarelli, F. Bayesian Optimization of Machine Learning Classification of Resting-State EEG Microstates in Schizophrenia: A Proof-of-Concept Preliminary Study Based on Secondary Analysis. Brain Sci. 2022, 12, 1497. [Google Scholar] [CrossRef]
- Baradits, M.; Bitter, I.; Czobor, P. Multivariate Patterns of EEG Microstate Parameters and Their Role in the Discrimination of Patients with Schizophrenia from Healthy Controls. Psychiatry Res. 2020, 288, 112938. [Google Scholar] [CrossRef]
- Kim, K.; Duc, N.T.; Choi, M.; Lee, B. EEG Microstate Features for Schizophrenia Classification. PloS One 2021, 16, e0251842. [Google Scholar] [CrossRef] [PubMed]
- Thilakvathi, B.; Shenbaga, D.S.; Bhanu, K.; Malaippan, M. EEG Signal Complexity Analysis for Schizophrenia during Rest and Mental Activity. Biomed. Res. 2017, 28. [Google Scholar]
- Jahmunah, V.; Lih Oh, S.; Rajinikanth, V.; Ciaccio, E.J.; Hao Cheong, K.; Arunkumar, N.; Acharya, U.R. Automated Detection of Schizophrenia Using Nonlinear Signal Processing Methods. Artif. Intell. Med. 2019, 100, 101698. [Google Scholar] [CrossRef]
- Li, F.; Wang, J.; Liao, Y.; Yi, C.; Jiang, Y.; Si, Y.; Peng, W.; Yao, D.; Zhang, Y.; Dong, W.; et al. Differentiation of Schizophrenia by Combining the Spatial EEG Brain Network Patterns of Rest and Task P300. IEEE Trans. Neural Syst. Rehabil. Eng. 2019, 27, 594–602. [Google Scholar] [CrossRef] [PubMed]
- Chang, Q.; Li, C.; Tian, Q.; Bo, Q.; Zhang, J.; Xiong, Y.; Wang, C. Classification of First-Episode Schizophrenia, Chronic Schizophrenia and Healthy Control Based on Brain Network of Mismatch Negativity by Graph Neural Network. IEEE Trans. Neural Syst. Rehabil. Eng. Publ. IEEE Eng. Med. Biol. Soc. 2021, 29, 1784–1794. [Google Scholar] [CrossRef]
- Tikka, S.K.; Singh, B.K.; Nizamie, S.H.; Garg, S.; Mandal, S.; Thakur, K.; Singh, L.K. Artificial Intelligence-Based Classification of Schizophrenia: A High Density Electroencephalographic and Support Vector Machine Study. Indian J. Psychiatry 2020, 62, 273–282. [Google Scholar] [CrossRef]
- Racz, F.S.; Stylianou, O.; Mukli, P.; Eke, A. Multifractal and Entropy-Based Analysis of Delta Band Neural Activity Reveals Altered Functional Connectivity Dynamics in Schizophrenia. Front. Syst. Neurosci. 2020, 14, 49. [Google Scholar] [CrossRef]
- Tian, Q.; Yang, N.-B.; Fan, Y.; Dong, F.; Bo, Q.-J.; Zhou, F.-C.; Zhang, J.-C.; Li, L.; Yin, G.-Z.; Wang, C.-Y.; et al. Detection of Schizophrenia Cases From Healthy Controls With Combination of Neurocognitive and Electrophysiological Features. Front. Psychiatry 2022, 13, 810362. [Google Scholar] [CrossRef]
- Park, S.M.; Jeong, B.; Oh, D.Y.; Choi, C.-H.; Jung, H.Y.; Lee, J.-Y.; Lee, D.; Choi, J.-S. Identification of Major Psychiatric Disorders From Resting-State Electroencephalography Using a Machine Learning Approach. Front. Psychiatry 2021, 12, 707581. [Google Scholar] [CrossRef] [PubMed]
- Sharma, M.; Acharya, U.R. Automated Detection of Schizophrenia Using Optimal Wavelet-Based L1 Norm Features Extracted from Single-Channel EEG. Cogn. Neurodyn. 2021, 15, 661–674. [Google Scholar] [CrossRef]
- Siuly, S.; Khare, S.K.; Bajaj, V.; Wang, H.; Zhang, Y. A Computerized Method for Automatic Detection of Schizophrenia Using EEG Signals. IEEE Trans. Neural Syst. Rehabil. Eng. Publ. IEEE Eng. Med. Biol. Soc. 2020, 28, 2390–2400. [Google Scholar] [CrossRef] [PubMed]
- Prabhakar, S.K.; Rajaguru, H.; Kim, S.-H. Schizophrenia EEG Signal Classification Based on Swarm Intelligence Computing. Comput. Intell. Neurosci. 2020, 2020, 8853835. [Google Scholar] [CrossRef]
- Aksoy, G.; Cattan, G.; Chakraborty, S.; Karabatak, M. Quantum Machine-Based Decision Support System for the Detection of Schizophrenia from EEG Records. J. Med. Syst. 2024, 48, 29. [Google Scholar] [CrossRef] [PubMed]
- Oh, S.L.; Vicnesh, J.; Ciaccio, E.J.; Yuvaraj, R.; Acharya, U.R. Deep Convolutional Neural Network Model for Automated Diagnosis of Schizophrenia Using EEG Signals. Appl. Sci. 2019, 9, 2870. [Google Scholar] [CrossRef]
- Korda, A.I.; Ventouras, E.; Asvestas, P.; Toumaian, M.; Matsopoulos, G.K.; Smyrnis, N. Convolutional Neural Network Propagation on Electroencephalographic Scalograms for Detection of Schizophrenia. Clin. Neurophysiol. Off. J. Int. Fed. Clin. Neurophysiol. 2022, 139, 90–105. [Google Scholar] [CrossRef]
- Phang, C.-R.; Noman, F.; Hussain, H.; Ting, C.-M.; Ombao, H. A Multi-Domain Connectome Convolutional Neural Network for Identifying Schizophrenia From EEG Connectivity Patterns. IEEE J. Biomed. Health Inform. 2020, 24, 1333–1343. [Google Scholar] [CrossRef]
- Singh, K.; Singh, S.; Malhotra, J. Spectral Features Based Convolutional Neural Network for Accurate and Prompt Identification of Schizophrenic Patients. Proc. Inst. Mech. Eng. [H] 2021, 235, 167–184. [Google Scholar] [CrossRef]
- Sun, J.; Cao, R.; Zhou, M.; Hussain, W.; Wang, B.; Xue, J.; Xiang, J. A Hybrid Deep Neural Network for Classification of Schizophrenia Using EEG Data. Sci. Rep. 2021, 11, 4706. [Google Scholar] [CrossRef]
- Ahmedt-Aristizabal, D.; Fernando, T.; Denman, S.; Robinson, J.E.; Sridharan, S.; Johnston, P.J.; Laurens, K.R.; Fookes, C. Identification of Children at Risk of Schizophrenia via Deep Learning and EEG Responses. IEEE J. Biomed. Health Inform. 2021, 25, 69–76. [Google Scholar] [CrossRef]
- Shah, S.J.H.; Albishri, A.; Kang, S.S.; Lee, Y.; Sponheim, S.R.; Shim, M. ETSNet: A Deep Neural Network for EEG-Based Temporal-Spatial Pattern Recognition in Psychiatric Disorder and Emotional Distress Classification. Comput. Biol. Med. 2023, 158, 106857. [Google Scholar] [CrossRef]
- Almadhor, A.; Ojo, S.; Nathaniel, T.I.; Alsubai, S.; Alharthi, A.; Hejaili, A.A.; Sampedro, G.A. An Interpretable XAI Deep EEG Model for Schizophrenia Diagnosis Using Feature Selection and Attention Mechanisms. Front. Oncol. 2025, 15. [Google Scholar] [CrossRef] [PubMed]
- Ranjan, R.; Sahana, B.C. Multiresolution Feature Fusion for Smart Diagnosis of Schizophrenia in Adolescents Using EEG Signals. Cogn. Neurodyn. 2024, 18, 2779–2807. [Google Scholar] [CrossRef] [PubMed]
- Agarwal, M.; Singhal, A. Fusion of Pattern-Based and Statistical Features for Schizophrenia Detection from EEG Signals. Med. Eng. Phys. 2023, 112, 103949. [Google Scholar] [CrossRef] [PubMed]
- Khare, S.K.; Bajaj, V. A Hybrid Decision Support System for Automatic Detection of Schizophrenia Using EEG Signals. Comput. Biol. Med. 2022, 141, 105028. [Google Scholar] [CrossRef]
- Zandbagleh, A.; Mirzakuchaki, S.; Daliri, M.R.; Premkumar, P.; Sanei, S. Classification of Low and High Schizotypy Levels via Evaluation of Brain Connectivity. Int. J. Neural Syst. 2022, 32, 2250013. [Google Scholar] [CrossRef] [PubMed]
- Azizi, S.; Hier, D.B.; Wunsch, D.C. Schizophrenia Classification Using Resting State EEG Functional Connectivity: Source Level Outperforms Sensor Level. Annu. Int. Conf. IEEE Eng. Med. Biol. Soc. IEEE Eng. Med. Biol. Soc. Annu. Int. Conf. 2021, 2021, 1770–1773. [Google Scholar] [CrossRef]
- Ciprian, C.; Masychev, K.; Ravan, M.; Manimaran, A.; Deshmukh, A. Diagnosing Schizophrenia Using Effective Connectivity of Resting-State EEG Data. Algorithms 2021, 14, 139. [Google Scholar] [CrossRef]
- Shim, M.; Hwang, H.-J.; Kim, D.-W.; Lee, S.-H.; Im, C.-H. Machine-Learning-Based Diagnosis of Schizophrenia Using Combined Sensor-Level and Source-Level EEG Features. Schizophr. Res. 2016, 176, 314–319. [Google Scholar] [CrossRef]
- Aydemir, E.; Dogan, S.; Baygin, M.; Ooi, C.P.; Barua, P.D.; Tuncer, T.; Acharya, U.R. CGP17Pat: Automated Schizophrenia Detection Based on a Cyclic Group of Prime Order Patterns Using EEG Signals. Healthc. Basel Switz. 2022, 10. [Google Scholar] [CrossRef]
- Siuly, S.; Guo, Y.; Alcin, O.F.; Li, Y.; Wen, P.; Wang, H. Exploring Deep Residual Network Based Features for Automatic Schizophrenia Detection from EEG. Phys. Eng. Sci. Med. 2023, 46, 561–574. [Google Scholar] [CrossRef]
- Siuly, S.; Li, Y.; Wen, P.; Alcin, O.F. SchizoGoogLeNet: The GoogLeNet-Based Deep Feature Extraction Design for Automatic Detection of Schizophrenia. Comput. Intell. Neurosci. 2022, 2022, 1992596. [Google Scholar] [CrossRef]
- Supakar, R.; Satvaya, P.; Chakrabarti, P. A Deep Learning Based Model Using RNN-LSTM for the Detection of Schizophrenia from EEG Data. Comput. Biol. Med. 2022, 151, 106225. [Google Scholar] [CrossRef]
- Polat, H. Brain Functional Connectivity Based on Phase Lag Index of Electroencephalography for Automated Diagnosis of Schizophrenia Using Residual Neural Networks. J. Appl. Clin. Med. Phys. 2023, 24, e14039. [Google Scholar] [CrossRef]
- Ferrara, M.; Franchini, G.; Funaro, M.; Cutroni, M.; Valier, B.; Toffanin, T.; Palagini, L.; Zerbinati, L.; Folesani, F.; Murri, M.B.; et al. Machine Learning and Non-Affective Psychosis: Identification, Differential Diagnosis, and Treatment. Curr. Psychiatry Rep. 2022, 24, 925–936. [Google Scholar] [CrossRef] [PubMed]
- Balasubramanian, K.; Ramya, K.; Gayathri Devi, K. Optimized Adaptive Neuro-Fuzzy Inference System Based on Hybrid Grey Wolf-Bat Algorithm for Schizophrenia Recognition from EEG Signals. Cogn. Neurodyn. 2023, 17, 133–151. [Google Scholar] [CrossRef]
- Najafzadeh, H.; Esmaeili, M.; Farhang, S.; Sarbaz, Y.; Rasta, S.H. Automatic Classification of Schizophrenia Patients Using Resting-State EEG Signals. Phys. Eng. Sci. Med. 2021, 44, 855–870. [Google Scholar] [CrossRef] [PubMed]
- Yu, X.; Aziz, M.Z.; Sadiq, M.T.; Jia, K.; Fan, Z.; Xiao, G. Computerized Multidomain EEG Classification System: A New Paradigm. IEEE J. Biomed. Health Inform. 2022, 26, 3626–3637. [Google Scholar] [CrossRef]
- Zhu, Y.; Zhu, G.; Li, B.; Yang, Y.; Zheng, X.; Xu, Q.; Li, X. Abnormality of Functional Connections in the Resting State Brains of Schizophrenics. Front. Hum. Neurosci. 2022, 16, 799881. [Google Scholar] [CrossRef]
- Ferreira-Santos, F.; Silveira, C.; Almeida, P.R.; Palha, A.; Barbosa, F.; Marques-Teixeira, J. The Auditory P200 Is Both Increased and Reduced in Schizophrenia? A Meta-Analytic Dissociation of the Effect for Standard and Target Stimuli in the Oddball Task. Clin. Neurophysiol. Off. J. Int. Fed. Clin. Neurophysiol. 2012, 123, 1300–1308. [Google Scholar] [CrossRef]
- Jang, K.-I.; Kim, S.; Kim, S.Y.; Lee, C.; Chae, J.-H. Machine Learning-Based Electroencephalographic Phenotypes of Schizophrenia and Major Depressive Disorder. Front. Psychiatry 2021, 12, 745458. [Google Scholar] [CrossRef]
- Barros, C.; Roach, B.; Ford, J.M.; Pinheiro, A.P.; Silva, C.A. From Sound Perception to Automatic Detection of Schizophrenia: An EEG-Based Deep Learning Approach. Front. Psychiatry 2021, 12, 813460. [Google Scholar] [CrossRef]
- Taylor, J.A.; Larsen, K.M.; Dzafic, I.; Garrido, M.I. Predicting Subclinical Psychotic-like Experiences on a Continuum Using Machine Learning. NeuroImage 2021, 241, 118329. [Google Scholar] [CrossRef] [PubMed]
- Liang, S.; Chen, S.; Zhao, L.; Miao, D. Categorization of Emotional Faces in Schizophrenia Patients: An ERP Study. Neurosci. Lett. 2019, 713, 134493. [Google Scholar] [CrossRef] [PubMed]
- Olejarczyk, E.; Jernajczyk, W. EEG in Schizophrenia 2017.
- Sagi, O.; Rokach, L. Ensemble Learning: A Survey. WIREs Data Min. Knowl. Discov. 2018, 8, e1249. [Google Scholar] [CrossRef]
- Keihani, A.; Sajadi, S.S.; Hasani, M.; Ferrarelli, F. Bayesian Optimization of Machine Learning Classification of Resting-State EEG Microstates in Schizophrenia: A Proof-of-Concept Preliminary Study Based on Secondary Analysis. Brain Sci. 2022, 12. [Google Scholar] [CrossRef]
- Shishkin, S.L.; Ganin, I.P.; Kaplan, A.Ya. Event-Related Potentials in a Moving Matrix Modification of the P300 Brain–Computer Interface Paradigm. Neurosci. Lett. 2011, 496, 95–99. [Google Scholar] [CrossRef] [PubMed]
- Rajesh, K.N.V.P.S.; Sunil Kumar, T. Schizophrenia Detection in Adolescents from EEG Signals Using Symmetrically Weighted Local Binary Patterns. Annu. Int. Conf. IEEE Eng. Med. Biol. Soc. IEEE Eng. Med. Biol. Soc. Annu. Int. Conf. 2021, 2021, 963–966. [Google Scholar] [CrossRef]
- Aksöz, A.; Akyüz, D.; Bayir, F.; Yildiz, N.C.; Orhanbulucu, F.; Lati̇Foğlu, F. Olayla İlgili Potansiyel Sinyalleri Kullanarak Şizofreninin Analizi ve Sınıflandırılması. Comput. Sci. 2022. [Google Scholar] [CrossRef]
- Devia, C.; Mayol-Troncoso, R.; Parrini, J.; Orellana, G.; Ruiz, A.; Maldonado, P.E.; Egana, J.I. EEG Classification During Scene Free-Viewing for Schizophrenia Detection. IEEE Trans. Neural Syst. Rehabil. Eng. Publ. IEEE Eng. Med. Biol. Soc. 2019, 27, 1193–1199. [Google Scholar] [CrossRef]
- Neuhaus, A.H.; Popescu, F.C.; Bates, J.A.; Goldberg, T.E.; Malhotra, A.K. Single-Subject Classification of Schizophrenia Using Event-Related Potentials Obtained during Auditory and Visual Oddball Paradigms. Eur. Arch. Psychiatry Clin. Neurosci. 2013, 263, 241–247. [Google Scholar] [CrossRef]
- Luján, M.Á.; Mateo Sotos, J.; Torres, A.; Santos, J.L.; Quevedo, O.; Borja, A.L. Mental Disorder Diagnosis from EEG Signals Employing Automated Leaning Procedures Based on Radial Basis Functions. J. Med. Biol. Eng. 2022, 42, 853–859. [Google Scholar] [CrossRef]
- Khare, S.K.; Bajaj, V. A Self-Learned Decomposition and Classification Model for Schizophrenia Diagnosis. Comput. Methods Programs Biomed. 2021, 211, 106450. [Google Scholar] [CrossRef]
- Gramfort, A.; Luessi, M.; Larson, E.; Engemann, D.A.; Strohmeier, D.; Brodbeck, C.; Goj, R.; Jas, M.; Brooks, T.; Parkkonen, L.; et al. MEG and EEG Data Analysis with MNE-Python. Front. Neurosci. 2013, 7. [Google Scholar] [CrossRef]
- Comon, P.; Jutten, C. Handbook of Blind Source Separation; Academic Press: Oxford UK, 2010; ISBN 978-0-12-374726-6. [Google Scholar]
- Delorme, A.; Makeig, S. EEGLAB: An Open Source Toolbox for Analysis of Single-Trial EEG Dynamics Including Independent Component Analysis. J. Neurosci. Methods 2004, 134, 9–21. [Google Scholar] [CrossRef]
- Oostenveld, R.; Fries, P.; Maris, E.; Schoffelen, J.-M. FieldTrip: Open Source Software for Advanced Analysis of MEG, EEG, and Invasive Electrophysiological Data. Comput. Intell. Neurosci. 2011, 2011, 156869. [Google Scholar] [CrossRef] [PubMed]
- Gramfort, A.; Luessi, M.; Larson, E.; Engemann, D.A.; Strohmeier, D.; Brodbeck, C.; Goj, R.; Jas, M.; Brooks, T.; Parkkonen, L.; et al. MEG and EEG Data Analysis with MNE-Python. Front. Neurosci. 2013, 7, 267. [Google Scholar] [CrossRef] [PubMed]
- Tamburro, G.; Fiedler, P.; Stone, D.; Haueisen, J.; Comani, S. A New ICA-Based Fingerprint Method for the Automatic Removal of Physiological Artifacts from EEG Recordings. PeerJ 2018, 6, e4380. [Google Scholar] [CrossRef]
- Pontifex, M.B.; Gwizdala, K.L.; Parks, A.C.; Billinger, M.; Brunner, C. Variability of ICA Decomposition May Impact EEG Signals When Used to Remove Eyeblink Artifacts. Psychophysiology 2017, 54, 386–398. [Google Scholar] [CrossRef]
- Khosla, A.; Khandnor, P.; Chand, T. A Comparative Analysis of Signal Processing and Classification Methods for Different Applications Based on EEG Signals. Biocybern. Biomed. Eng. 2020, 40, 649–690. [Google Scholar] [CrossRef]
- Singh, A.K.; Krishnan, S. Trends in EEG Signal Feature Extraction Applications. Front. Artif. Intell. 2023, 5, 1072801. [Google Scholar] [CrossRef]
- Dastgoshadeh, M.; Rabiei, Z. Detection of Epileptic Seizures through EEG Signals Using Entropy Features and Ensemble Learning. Front. Hum. Neurosci. 2023, 16, 1084061. [Google Scholar] [CrossRef] [PubMed]
- Motamedi-Fakhr, S.; Moshrefi-Torbati, M.; Hill, M.; Hill, C.M.; White, P.R. Signal Processing Techniques Applied to Human Sleep EEG Signals—A Review. Biomed. Signal Process. Control 2014, 10, 21–33. [Google Scholar] [CrossRef]
- Cacciotti, A.; Pappalettera, C.; Miraglia, F.; Rossini, P.M.; Vecchio, F. EEG Entropy Insights in the Context of Physiological Aging and Alzheimer’s and Parkinson’s Diseases: A Comprehensive Review. GeroScience 2024, 46, 5537–5557. [Google Scholar] [CrossRef]
- Redwan, S.M.; Uddin, M.P.; Ulhaq, A.; Sharif, M.I.; Krishnamoorthy, G. Power Spectral Density-Based Resting-State EEG Classification of First-Episode Psychosis. Sci. Rep. 2024, 14, 15154. [Google Scholar] [CrossRef]
- García-Ponsoda, S.; García-Carrasco, J.; Teruel, M.A.; Maté, A.; Trujillo, J. Feature Engineering of EEG Applied to Mental Disorders: A Systematic Mapping Study. Appl. Intell. 2023, 53, 23203–23243. [Google Scholar] [CrossRef]
- Pappalettera, C.; Miraglia, F.; Cotelli, M.; Rossini, P.M.; Vecchio, F. Analysis of Complexity in the EEG Activity of Parkinson’s Disease Patients by Means of Approximate Entropy. GeroScience 2022, 44, 1599–1607. [Google Scholar] [CrossRef]
- Pudjihartono, N.; Fadason, T.; Kempa-Liehr, A.W.; O’Sullivan, J.M. A Review of Feature Selection Methods for Machine Learning-Based Disease Risk Prediction. Front. Bioinforma. 2022, 2, 927312. [Google Scholar] [CrossRef]
- Pudjihartono, N.; Fadason, T.; Kempa-Liehr, A.W.; O’Sullivan, J.M. A Review of Feature Selection Methods for Machine Learning-Based Disease Risk Prediction. Front. Bioinforma. 2022, 2. [Google Scholar] [CrossRef]
- Bulut, O.; Tan, B.; Mazzullo, E.; Syed, A. Benchmarking Variants of Recursive Feature Elimination: Insights from Predictive Tasks in Education and Healthcare. Information 2025, 16. [Google Scholar] [CrossRef]
- Hanchuan Peng; Fuhui Long; Ding, C. Feature Selection Based on Mutual Information Criteria of Max-Dependency, Max-Relevance, and Min-Redundancy. IEEE Trans. Pattern Anal. Mach. Intell. 2005, 27, 1226–1238. [CrossRef] [PubMed]
- Rainio, O.; Teuho, J.; Klén, R. Evaluation Metrics and Statistical Tests for Machine Learning. Sci. Rep. 2024, 14, 6086. [Google Scholar] [CrossRef]
- Huang, Y.; Li, W.; Macheret, F.; Gabriel, R.A.; Ohno-Machado, L. A Tutorial on Calibration Measurements and Calibration Models for Clinical Prediction Models. J. Am. Med. Inform. Assoc. JAMIA 2020, 27, 621–633. [Google Scholar] [CrossRef] [PubMed]
- Sherazi, S.W.A.; Bae, J.-W.; Lee, J.Y. A Soft Voting Ensemble Classifier for Early Prediction and Diagnosis of Occurrences of Major Adverse Cardiovascular Events for STEMI and NSTEMI during 2-Year Follow-up in Patients with Acute Coronary Syndrome. PLOS ONE 2021, 16, e0249338. [Google Scholar] [CrossRef]
- Manickam, N.; Ponnusamy, V.; Saravanan, A. Diagnosis of Schizophrenia Using Multimodal Data and Classification Using the EEGNet Framework. Diagnostics 2025, 15, 3081. [Google Scholar] [CrossRef] [PubMed]
- Demrozi, F.; Farmanbar, M.; Engan, K. Multimodal AI (MMAI) for next-Generation Healthcare: Data Domains, Algorithms, Challenges, and Future Perspectives. Curr. Opin. Biomed. Eng. 2026, 37, 100632. [Google Scholar] [CrossRef]
- Huang, W.; Shu, N. AI-Powered Integration of Multimodal Imaging in Precision Medicine for Neuropsychiatric Disorders. Cell Rep. Med. 2025, 6, 102132. [Google Scholar] [CrossRef] [PubMed]




| Study | Accuracy (%) | Preprocessing Method | Model Used | Database |
|---|---|---|---|---|
| [59] | 99.25 | Fast Fourier transform (FFT) and statistical feature | SVM, KNN, Boosted Tree (BT), and Decision Tree (DT) | IPN and Kaggle SCZ dataset |
| [66] | 99.23 | Average filtering | Deep ResNets, softmax layer and deep features with SVM | Kaggle SCZ dataset |
| [67] | 98.84 | Average filtering | GoogleNet and deep features, SVM | Kaggle SCZ dataset |
| [61] | 89.21 | EEGLAB and ICA | KNN, LDA, and SVM | Private |
| [60] | 92.93 | Robust variational mode decomposition (RVMD) | Optimized extreme machine classifier | Kaggle SCZ dataset |
| [82] | 90.93 | Bandpass filter | SVM and Bayesian optimization | IPN |
| [68] | 98 | Dimensionality reduction algorithm | RNN-LSTM | LNNCI [83] |
| [48] | 92.17 | ICA | Black Hole (BH) optimization and SVM | IPN |
| [84] | 91.66 | Symmetrically Weighted local binary patterns (SLBP) and correlation | Logit Boost classifier | LNNCI, MHRC |
| [85] | 93.9 | Finite impulse response (FIR) filter | KNN, Artificial Neural Network (ANN), and SVM | Kaggle SCZ dataset |
| [65] | 99.91 | CGP17Pat and Iterative neighborhood component analysis (INCA) | KNN | IPN |
| [39] | 92.91 | Butterworth filter and Segmentation | DT, Linear-Discriminant Analysis (LDA), KNN, Probabilistic-Neural-Network (PNN), and SVM | IPN |
| [86] | 71 | Butterworth filter and Independent component analysis (ICA) | LDA, and Rule-based classifier | Private |
| [87] | 72.4 | Digital filters and ICA | KNN, LDA, SVM | Private |
| [88] | 93.4 | Spatial filters and Bandpass filter | SVM, Bayesian LDA, Gaussian NB, KNN, Adaboost, and Radial basis function (RBF) | Private |
| [89] | 91.39 | Flexible tunable Q wavelet transform (F-TQWT) | Flexible least square support vector machine (F-LSSVM) classifier and grey wolf optimization (GWO) algorithm | Kaggle SCZ dataset |
| Class | Precision | Recall | F1-score | Support |
|---|---|---|---|---|
| Control | 0.966 | 0.9924 | 0.979 | 3292 |
| SZ | 0.9935 | 0.9706 | 0.9819 | 3914 |
| Macro Avg | 0.9797 | 0.9815 | 0.9805 | 7206 |
| Weighted Avg | 0.9809 | 0.9806 | 0.9806 | 7206 |
| Classification Method | Accuracy (%) | Notes |
|---|---|---|
| Support Vector Machine (SVM) | 94.52 | RBF kernel, tuned via 4-fold CV |
| K-Nearest Neighbors (KNN) | 87.37 | Tuned neighbors & weighting |
| Extremely Randomized Trees | 98.75 | Best single model |
| Random Forest | 98.68 | Tuned depth & estimators |
| Decision Tree | 95.21 | Single-tree baseline |
| AdaBoost | 95.56 | SAMME.R (deprecated warning noted) |
| Naive Bayes | 65.09 | Poor fit to feature distribution |
| ML Ensemble (Voting) | 98.06 | Best overall (test set) |
| Class | Precision | Recall | F1-score | Support |
|---|---|---|---|---|
| Control | 0.9202 | 0.8829 | 0.9011 | 222 |
| SZ | 0.9107 | 0.9397 | 0.925 | 282 |
| Macro Avg | 0.9154 | 0.9113 | 0.9131 | 504 |
| Weighted Avg | 0.9149 | 0.9147 | 0.9145 | 504 |
| Classification Method | Accuracy (%) | Notes |
|---|---|---|
| Support Vector Machine (SVM) | 71.04 | Baseline only (below tuning threshold) |
| K-Nearest Neighbors (KNN) | 75.5 | Baseline only (below tuning threshold) |
| Extremely Randomized Trees | 88.12 | Tuned via 4-fold CV |
| Random Forest | 85.89 | Tuned via 4-fold CV |
| Decision Tree | 77.23 | Baseline only |
| AdaBoost | 79.46 | Baseline only |
| Naive Bayes | 71.29 | Baseline only |
| ML Ensemble (Voting) | 91.47 | Best overall (test set) |
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