Ornitz E M, Russell A T, Gabikian P, Gehricke J G, Guthrie D
Department of Psychiatry, UCLA Neuropsychiatric Institute, Los Angeles, CA 90024, USA.
Acta Paediatr. 2000 Apr;89(4):475-81. doi: 10.1080/080352500750028221.
Previous studies have shown a significant reduction of prepulse inhibition of startle in boys with primary nocturnal enuresis. Those enuretic boys who had higher IQs showed less prepulse inhibition. This study evaluates the association of prepulse inhibition and IQ in primary nocturnal enuresis in respect to family history of primary nocturnal enuresis. Prepulse inhibition of startle was studied in 83 boys with primary nocturnal enuresis and 57 non-enuretic boys using an interval of 120 ms between the onset of a 75 dB 1000 Hz tone and a 104 dB noise burst. Of the boys with primary nocturnal enuresis, 56 had a family history of primary nocturnal enuresis and 27 had no family history (no first-degree relative). Of the 57 non-enuretic boys, 42 also had no family history (no first-degree relative) of primary nocturnal enuresis, while 15 did have a positive family history. Associations between prepulse inhibition and IQ scores were compared among these four groups. Strong and significant associations between prepulse inhibition deficit and higher IQ scores in the enuretic group with familial primary nocturnal enuresis were unique in comparison to the other groups.
The strong heritabilities of primary nocturnal enuresis, intelligence and prepulse inhibition suggest genetic mediation of the association of prepulse inhibition with intelligence in familial primary nocturnal enuresis.
先前的研究表明,原发性夜间遗尿症男孩的惊吓前脉冲抑制显著降低。那些智商较高的遗尿症男孩表现出较少的惊吓前脉冲抑制。本研究针对原发性夜间遗尿症的家族史,评估原发性夜间遗尿症中惊吓前脉冲抑制与智商之间的关联。使用75分贝1000赫兹纯音起始与104分贝噪声猝发之间120毫秒的间隔,对83名原发性夜间遗尿症男孩和57名非遗尿症男孩进行了惊吓前脉冲抑制研究。在原发性夜间遗尿症男孩中,56名有原发性夜间遗尿症家族史,27名没有家族史(无一级亲属)。在57名非遗尿症男孩中,42名也没有原发性夜间遗尿症家族史(无一级亲属),而15名有阳性家族史。比较了这四组之间惊吓前脉冲抑制与智商得分的关联。与其他组相比,有家族性原发性夜间遗尿症的遗尿症组中,惊吓前脉冲抑制缺陷与较高智商得分之间存在强烈且显著的关联是独特的。
原发性夜间遗尿症、智力和惊吓前脉冲抑制的强遗传性表明,在家族性原发性夜间遗尿症中,惊吓前脉冲抑制与智力之间的关联存在遗传介导作用。