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神经同步性指标显示精神分裂症患者存在感知和认知紊乱。

Neural synchrony indexes disordered perception and cognition in schizophrenia.

作者信息

Spencer Kevin M, Nestor Paul G, Perlmutter Ruth, Niznikiewicz Margaret A, Klump Meredith C, Frumin Melissa, Shenton Martha E, McCarley Robert W

机构信息

Department of Psychiatry, Veterans Affairs Boston Healthcare System, Harvard Medical School, Psychiatry 116A, 940 Belmont Street, Brockton, MA 02301, USA.

出版信息

Proc Natl Acad Sci U S A. 2004 Dec 7;101(49):17288-93. doi: 10.1073/pnas.0406074101. Epub 2004 Nov 16.

Abstract

Current views of schizophrenia suggest that it results from abnormalities in neural circuitry, but empirical evidence in the millisecond range of neural activity has been difficult to obtain. In pursuit of relevant evidence, we previously demonstrated that schizophrenia is associated with abnormal patterns of stimulus-evoked phaselocking of the electroencephalogram in the gamma band (30-100 Hz). These patterns may reflect impairments in neural assemblies, which have been proposed to use gamma-band oscillations as a mechanism for synchronization. Here, we report the unique finding that, in both healthy controls and schizophrenia patients, visual Gestalt stimuli elicit a gamma-band oscillation that is phase-locked to reaction time and hence may reflect processes leading to conscious perception of the stimuli. However, the frequency of this oscillation is lower in schizophrenics than in healthy individuals. This finding suggests that, although synchronization must occur for perception of the Gestalt, it occurs at a lower frequency because of a reduced capability of neural networks to support high-frequency synchronization in the brain of schizophrenics. Furthermore, the degree of phase locking of this oscillation is correlated with visual hallucinations, thought disorder, and disorganization in the schizophrenia patients. These data provide support for linking dysfunctional neural circuitry and the core symptoms of schizophrenia.

摘要

目前对精神分裂症的看法认为,它是由神经回路异常引起的,但在神经活动毫秒范围内的实证证据一直难以获得。为了寻找相关证据,我们之前证明了精神分裂症与γ波段(30 - 100赫兹)脑电图刺激诱发的锁相异常模式有关。这些模式可能反映了神经集合的损伤,有人提出神经集合利用γ波段振荡作为同步机制。在此,我们报告一个独特的发现,即在健康对照组和精神分裂症患者中,视觉格式塔刺激都会引发一种与反应时间锁相的γ波段振荡,因此可能反映了导致对刺激产生意识感知的过程。然而,精神分裂症患者中这种振荡的频率低于健康个体。这一发现表明,虽然格式塔感知必须发生同步,但由于神经网络支持精神分裂症患者大脑中高频同步的能力降低,同步以较低频率发生。此外,这种振荡的锁相程度与精神分裂症患者的视幻觉、思维紊乱和行为紊乱相关。这些数据为将功能失调的神经回路与精神分裂症的核心症状联系起来提供了支持。

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