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颞叶建模显示精神分裂症患者存在保留的过度学习过程:一项功能磁共振成像研究

Temporal modeling demonstrates preserved overlearning processes in schizophrenia: an fMRI study.

作者信息

Koch K, Wagner G, Nenadic I, Schachtzabel C, Roebel M, Schultz C, Axer M, Reichenbach J R, Sauer H, Schlösser R G M

机构信息

Department of Psychiatry and Psychotherapy, Friedrich-Schiller-University Jena, Philosophenweg 3, 07740 Jena, Germany.

出版信息

Neuroscience. 2007 Jun 8;146(4):1474-83. doi: 10.1016/j.neuroscience.2007.03.021. Epub 2007 Apr 19.

Abstract

Working memory (WM) deficits are a core feature of schizophrenia. However, it has not been examined whether these deficits are related to altered temporal dynamics of information acquisition and changes in executive cognitive control. Therefore, the present study intended to quantify and model the dynamic process of information acquisition during continuous overlearning of WM information. It also aimed at investigating the relation between overlearning-associated change in behavioral performance and brain activity. Thirteen schizophrenic patients and 13 healthy volunteers were studied with functional magnetic resonance imaging (fMRI) while performing a recently developed overlearning paradigm [Koch K, Wagner G, von Consbruch K, Nenadic I, Schultz C, Ehle C, Reichenbach J, Sauer H, Schlösser R (2006) Temporal changes in neural activation during practice of information retrieval from short-term memory: An fMRI study. Brain Res 1107:140-150]. Consistent with the earlier study, short-term learning of stimulus material was associated with significant performance improvements and exponential signal decreases in a fronto-parieto-cerebellar network both in schizophrenic patients and in healthy volunteers. Against expectation patients exhibited stronger signal decreases relative to controls in anterior cingulate (Brodmann area (BA) 32), middle and superior temporal (BA 37, BA 22), superior frontal (BA 8/9, BA 6) and posterior parietal regions (BA 40). Furthermore, the individually modeled exponential decay rate of the blood oxygenation level-dependent signal in the right dorsolateral prefrontal cortex was significantly correlated with exponential decrease in mean behavioral response times in healthy controls while a statistical trend emerged in patients. A relative hyperactivation in the patient group was observable only at the start of the learning process and diminished with continued overlearning. This effect might indicate a gradual reduction of recruited neuronal resources and a practice-associated activation normalization in patients with schizophrenia. Our data suggest that in subacute patients learning and associated decreases in cerebral activation brought about by short-term practice are left unimpaired.

摘要

工作记忆(WM)缺陷是精神分裂症的核心特征。然而,这些缺陷是否与信息获取的时间动态改变以及执行认知控制的变化有关尚未得到研究。因此,本研究旨在量化和模拟WM信息持续过度学习过程中的信息获取动态过程。它还旨在研究行为表现的过度学习相关变化与脑活动之间的关系。对13名精神分裂症患者和13名健康志愿者进行了功能磁共振成像(fMRI)研究,他们在执行最近开发的过度学习范式时接受了检查[科赫K,瓦格纳G,冯·康斯布鲁克K,内纳迪奇I,舒尔茨C,埃勒C,赖兴巴赫J,绍尔H,施洛瑟R(2006年)从短期记忆中检索信息练习期间神经激活的时间变化:一项fMRI研究。《脑研究》1107:140 - 150]。与早期研究一致,刺激材料的短期学习在精神分裂症患者和健康志愿者中均与额叶 - 顶叶 - 小脑网络中的显著表现改善和指数信号下降相关。出乎意料的是,与对照组相比,患者在前扣带回(布罗德曼区(BA)32)、颞中回和颞上回(BA 37、BA 22)、额上回(BA 8/9、BA 6)和顶叶后区(BA 40)表现出更强的信号下降。此外,右侧背外侧前额叶皮层中血氧水平依赖信号的个体建模指数衰减率与健康对照组中平均行为反应时间的指数下降显著相关,而在患者中出现了统计趋势。仅在学习过程开始时可观察到患者组的相对过度激活,并且随着持续的过度学习而减弱。这种效应可能表明精神分裂症患者所募集的神经元资源逐渐减少以及与练习相关的激活正常化。我们的数据表明,在亚急性患者中,短期练习所带来的学习和相关脑激活减少并未受到损害。

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