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晚期成分事件相关电位与精神分裂症的三种综合征有关。

Late component ERPs are associated with three syndromes in schizophrenia.

作者信息

Williams L M, Gordon E, Wright J, Bahramali H

机构信息

Westmead Hospital and Dept. of Psychology, University of Sydney, NSW, Australia.

出版信息

Int J Neurosci. 2000 Nov;105(1-4):37-52. doi: 10.3109/00207450009003264.

Abstract

Previous studies have revealed various abnormalities in late-component ERP amplitude and latency in schizophrenia, considered as a diagnostic category. The aim of this study was to investigate the within-sample associations between late-component ERPs and three primary syndromes of schizophrenia Reality Distortion, Psychomotor Poverty and Disorganisation. Subjects included 40 schizophrenics and 40 age and sex matched nonpsychiatric controls. Auditory ERPs (N100, N200, P200, P300) were elicited using an auditory oddball paradigm. Between-group analyses of target data showed reduced N100, N200 and P300 amplitude, increased P200 amplitude and delayed N200 latency in schizophrenics compared to controls. For non-target data, schizophrenics showed similarly reduced N100 amplitude and delayed N200 latency. Within-group analyses of target data showed that the three syndromes (determined by principal component analysis of PANSS ratings) were differentiated by ERP latency, but not amplitude (Disorganisation delayed left hemisphere P200 and P300 latency; Reality Distortion earlier global, midline and left hemisphere N200 latency; Psychomotor Poverty delayed posterior N100 latency). Notably, only Disorganisation showed a divergent pattern of associations with non-target ERP data: reduced P200 amplitude and delayed N100 latency.

摘要

以往的研究揭示了精神分裂症(作为一个诊断类别)晚期成分事件相关电位(ERP)的波幅和潜伏期存在各种异常。本研究的目的是调查晚期成分ERP与精神分裂症的三种主要综合征——现实扭曲、精神运动迟缓及紊乱之间的样本内关联。研究对象包括40名精神分裂症患者以及40名年龄和性别匹配的非精神科对照者。使用听觉oddball范式诱发听觉ERP(N100、N200、P200、P300)。对目标数据的组间分析显示,与对照组相比,精神分裂症患者的N100、N200和P300波幅降低,P200波幅增加,N200潜伏期延长。对于非目标数据,精神分裂症患者同样表现出N100波幅降低和N200潜伏期延长。对目标数据的组内分析显示,这三种综合征(通过阳性和阴性症状量表评分的主成分分析确定)在ERP潜伏期上存在差异,但在波幅上无差异(紊乱导致左半球P200和P300潜伏期延长;现实扭曲导致全脑、中线和左半球N200潜伏期提前;精神运动迟缓导致后头部N100潜伏期延长)。值得注意的是,只有紊乱与非目标ERP数据呈现出不同的关联模式:P200波幅降低和N100潜伏期延长。

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