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精神分裂症中的记忆障碍与听觉诱发电位门控缺陷

Memory impairment and auditory evoked potential gating deficit in schizophrenia.

作者信息

Hsieh Ming H, Liu Kristina, Liu Shi-Kai, Chiu Ming-Jang, Hwu Hai-Gwo, Chen Andrew C N

机构信息

Department of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.

出版信息

Psychiatry Res. 2004 Feb 15;130(2):161-9. doi: 10.1016/j.pscychresns.2002.12.001.

Abstract

Impaired sensory gating and memory function were reported in a study of 10 schizophrenic patients and 10 age- and sex-matched normal subjects. The P50 component of the auditory evoked potential was used as an index of gating. Explicit memory was tested with the Wechsler Memory Scale and implicit memory by artificial grammar learning. The schizophrenic patients showed deficits in both verbal paired associate and visual reproduction tasks. They demonstrated impaired implicit learning in color patterns but not letter strings. They also showed impaired P50 sensory gating. Three-dimensional brain mapping revealed a differential distribution of brain potentials in the processing of S1 and S2 at either P50 or N100 in both groups. However, the group difference was not statistically confirmed. In the controls, both implicit letter-string learning and explicit verbal paired associates were positively correlated with N100 gating, suggesting an association of the early attentive component with lexicons. In the schizophrenic patients, color-pattern implicit learning was positively correlated with P50 gating. The modality-specific impairment of implicit learning in schizophrenia may reflect a failure of adaptive filtering on the flooding input from color patterns.

摘要

在一项针对10名精神分裂症患者以及10名年龄和性别匹配的正常受试者的研究中,报告了感觉门控和记忆功能受损的情况。听觉诱发电位的P50成分被用作门控指标。使用韦氏记忆量表测试外显记忆,通过人工语法学习测试内隐记忆。精神分裂症患者在言语配对联想和视觉再现任务中均表现出缺陷。他们在颜色模式的内隐学习方面受损,但在字母串方面未受损。他们还表现出P50感觉门控受损。三维脑图谱显示,两组在P50或N100时S1和S2处理过程中脑电位的分布存在差异。然而,组间差异未得到统计学确认。在对照组中,内隐字母串学习和外显言语配对联想均与N100门控呈正相关,表明早期注意力成分与词汇之间存在关联。在精神分裂症患者中,颜色模式内隐学习与P50门控呈正相关。精神分裂症中内隐学习的模态特异性损伤可能反映了对来自颜色模式的大量输入进行适应性过滤的失败。

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