Källstrand Johan, Montnémery Peter, Nielzén Sören, Olsson Olle
Department of Clinical Neuroscience, University Hospital, SE-221 85, Lund, Sweden.
Psychiatry Res. 2002 Dec 15;113(1-2):115-25. doi: 10.1016/s0165-1781(02)00248-2.
Twelve schizophrenic subjects with acoustic hallucinations in their case histories were compared with 12 healthy reference subjects and eight subjects with panic disorder in a test of three auditory masking tasks, simultaneous masking (SM), forward masking (FM) and backward masking (BM). The schizophrenic subjects showed no differences from reference subjects on SM but had higher thresholds for the two other conditions (FM and BM). Schizophrenics with very increased thresholds (n=6) had a significantly higher need for residential treatment. Thresholds for SM and BM were not, as for reference subjects, related to age for schizophrenics. No statistically significant differences regarding any masking experiments were found between the panic disorder subjects and the reference subjects. Simultaneous masking, reflecting functions of the basilar membrane and those of elementary brainstem processing, showed no signs of dysfunction in schizophrenic subjects. Schizophrenics showed aberrations in FM and BM, possibly influenced by more central (cortical) processes.
在一项包含三项听觉掩蔽任务(同时掩蔽、前向掩蔽和后向掩蔽)的测试中,对12例病史中有幻听症状的精神分裂症患者、12例健康对照者和8例惊恐障碍患者进行了比较。精神分裂症患者在同时掩蔽任务上与对照者无差异,但在另外两种情况(前向掩蔽和后向掩蔽)下阈值更高。阈值大幅升高的精神分裂症患者(n = 6)对住院治疗的需求显著更高。与对照者不同,精神分裂症患者的同时掩蔽和后向掩蔽阈值与年龄无关。惊恐障碍患者与对照者在任何掩蔽实验中均未发现统计学上的显著差异。反映基底膜功能和基本脑干处理功能的同时掩蔽在精神分裂症患者中未显示出功能障碍迹象。精神分裂症患者在前向掩蔽和后向掩蔽中表现出异常,可能受更高级(皮层)过程的影响。