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精神分裂症患者一级亲属中与年龄相关的视觉信息处理加速衰退。

Accelerated age-related decline of visual information processing in first-degree relatives of persons with schizophrenia.

作者信息

Bedwell Jeffrey S, Esposito Sharon, Miller L Stephen

机构信息

Psychology Department, Clinical Psychology Program, University of Georgia, Athens, GA 30602, USA.

出版信息

Psychiatry Res. 2004 Mar 15;125(3):225-35. doi: 10.1016/j.psychres.2003.12.015.

Abstract

A recent cross-sectional study suggested that persons with schizophrenia experience an accelerated age-related decline in performance on the Span of Apprehension task, a visual information processing paradigm. However, this study was not able to determine if such decline was primarily related to genetic loading for schizophrenia, as the decline may have been related to chronic neuroleptic use or other confounds found when studying persons with schizophrenia directly. To help address this question, the current study examined healthy first-degree relatives of persons with schizophrenia over a wide age range to investigate whether such age effects may be related to genetic loading for schizophrenia. Twenty-eight healthy first-degree relatives of persons with schizophrenia (ages 21-72) and 31 healthy controls (ages 19-75) were evaluated using the Span of Apprehension task with cross-sectional methodology. Results replicated and extended the earlier report examining persons with schizophrenia, as the data indicated a statistically significant accelerated age-related decline in performance in the relatives. While the study is limited by cross-sectional methodology, it suggests a genetically driven, age-related decline in visual information processing related to schizophrenia and informs future longitudinal studies that can more definitively address such a possibility.

摘要

最近一项横断面研究表明,精神分裂症患者在视觉信息处理范式“理解广度任务”中的表现会出现与年龄相关的加速衰退。然而,这项研究无法确定这种衰退是否主要与精神分裂症的基因负荷有关,因为这种衰退可能与长期使用抗精神病药物或在直接研究精神分裂症患者时发现的其他混杂因素有关。为了帮助解决这个问题,当前研究对广泛年龄范围内的精神分裂症患者的健康一级亲属进行了检查,以调查这种年龄效应是否可能与精神分裂症的基因负荷有关。采用横断面方法,使用理解广度任务对28名精神分裂症患者的健康一级亲属(年龄在21 - 72岁之间)和31名健康对照者(年龄在19 - 75岁之间)进行了评估。结果重复并扩展了早期对精神分裂症患者的研究报告,因为数据表明亲属的表现出现了与年龄相关的、具有统计学意义的加速衰退。虽然该研究受横断面方法的限制,但它表明与精神分裂症相关的视觉信息处理存在由基因驱动的、与年龄相关的衰退,并为未来能够更明确地探讨这种可能性的纵向研究提供了信息。

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