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精神分裂症中的持续时间和频率失配负波

Duration and frequency mismatch negativity in schizophrenia.

作者信息

Michie P T, Budd T W, Todd J, Rock D, Wichmann H, Box J, Jablensky A V

机构信息

Department of Psychiatry and Behavioural Science, University of Western Australia, Perth, Australia.

出版信息

Clin Neurophysiol. 2000 Jun;111(6):1054-65. doi: 10.1016/s1388-2457(00)00275-3.

Abstract

OBJECTIVES

The aim of the present study was to elucidate the reasons for apparent inconsistencies in the schizophrenia literature with respect to the mismatch negativity (MMN) waveform of the event-related potential (ERP). While most previous research has shown that MMN is reduced in schizophrenia, there are a small number of studies reporting that frequency MMN is not reduced.

METHODS

We recorded ERPs to auditory stimuli with different frequencies and durations from patients with schizophrenia (N = 14) and control subjects (N = 17) of similar age and sex. MMNs to small but discriminable frequency deviants were contrasted with large frequency deviants and duration deviants.

RESULTS

Only the MMN to duration deviants was significantly reduced in patients, although there was evidence of a similar trend for large frequency deviants.

CONCLUSIONS

The results together with a review of the frequency MMN literature suggest that there are 3 variables which are important in determining whether patients exhibit a reduced MMN to frequency deviants: deviant probability, degree of deviance and interstimulus interval. The results also indicated that patients with schizophrenia may have particular deficits in processing the temporal properties of auditory stimuli. This finding has implications for the pathophysiology of the disorder as time-dependent processing is reliant on the integrity of an extensive network of brain areas consisting of auditory cortex, areas of pre-frontal cortex, the basal ganglia and cerebellum.

摘要

目的

本研究旨在阐明精神分裂症文献中关于事件相关电位(ERP)的失配负波(MMN)波形明显不一致的原因。虽然之前的大多数研究表明精神分裂症患者的MMN降低,但有少数研究报告称频率MMN并未降低。

方法

我们记录了年龄和性别相似的精神分裂症患者(N = 14)和对照受试者(N = 17)对不同频率和时长的听觉刺激的ERP。将对微小但可辨别的频率偏差刺激的MMN与大频率偏差刺激和时长偏差刺激的MMN进行对比。

结果

患者中仅对时长偏差刺激的MMN显著降低,尽管有证据表明对大频率偏差刺激也有类似趋势。

结论

这些结果以及对频率MMN文献的综述表明,在确定患者对频率偏差刺激的MMN是否降低时,有三个变量很重要:偏差概率、偏差程度和刺激间隔。结果还表明,精神分裂症患者在处理听觉刺激的时间特性方面可能存在特定缺陷。这一发现对该疾病的病理生理学具有启示意义,因为时间依赖性处理依赖于由听觉皮层、前额叶皮层区域、基底神经节和小脑组成的广泛脑区网络的完整性。

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