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精神分裂症患者的智力、执行功能与P300事件相关电位之间的关系。

Relations among intelligence, executive function, and P300 event related potentials in schizophrenia.

作者信息

Dichter Gabriel S, van der Stelt Odin, Boch Jane Laube, Belger Aysenil

机构信息

Department of Psychiatry, University of North Carolina, Chapel Hill, North Carolina 27599, USA.

出版信息

J Nerv Ment Dis. 2006 Mar;194(3):179-87. doi: 10.1097/01.nmd.0000202490.97425.de.

DOI:10.1097/01.nmd.0000202490.97425.de
PMID:16534435
Abstract

Prior research has demonstrated that the P300 response may be related to neuropsychological functioning in nonclinical samples. However, the nature of this relation is unclear, and its characteristics in schizophrenia are unexplored. We assessed estimated IQ, neuropsychological tests that assess components of executive functioning, and the P300 component of the event-related brain potential elicited by auditory and visual oddball paradigms in individuals with and without schizophrenia. We observed modest relations between P300 indices and neuropsychological tests purported to assess aspects of executive functioning in both diagnostic groups. Furthermore, multiple regression analyses revealed that whereas control participants with higher estimated IQs demonstrated larger P3 amplitudes to attended auditory targets, the opposite relation appeared evident in schizophrenic participants when variance due to Trailmaking A or a continuous performance task was held constant. Additionally, control participants with higher estimated IQs demonstrated shorter P3 latencies to attended visual targets whereas schizophrenic participants did not when variance due to the Tower of London was held constant. These results suggest diagnostic group differences in the association between P300 and IQ and indicate that investigations designed to explore P300-IQ relations should include measures of executive functioning in their models.

摘要

先前的研究表明,P300反应可能与非临床样本中的神经心理功能有关。然而,这种关系的本质尚不清楚,其在精神分裂症中的特征也未得到探索。我们评估了估计智商、评估执行功能组成部分的神经心理测试,以及在有和没有精神分裂症的个体中,由听觉和视觉oddball范式诱发的事件相关脑电位的P300成分。我们观察到,在两个诊断组中,P300指标与旨在评估执行功能方面的神经心理测试之间存在适度的关系。此外,多元回归分析显示,虽然估计智商较高的对照参与者对注意到的听觉目标表现出较大的P3波幅,但当排除数字连接测验A或持续操作任务造成的差异时,精神分裂症参与者中则呈现出相反的关系。此外,当排除伦敦塔测试造成的差异时,估计智商较高的对照参与者对注意到的视觉目标表现出较短的P3潜伏期,而精神分裂症参与者则没有。这些结果表明了P300与智商之间关联的诊断组差异,并表明旨在探索P300 - 智商关系的研究应在其模型中纳入执行功能的测量指标。

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